1759 Karis Way
Watificate of cccuvanc4
IKi? ? "an
I cxt ? VK"ing anopecdon
This Certiftcate issued pursuant to tlu requirer»ertts of the Uniform Building Code
certifying that at the time of issuance this structure was in co?npliance with the various
ordinances of the City reguluting building construction or use. For the following:
Ux clxsauupn: S'F DIG s6dg. rrnnit Na. 26W5
o.,4.Y TYP? R3/ v I Zooing Distria PD Type Camt. VN
o.aff areu;imesS@AS= . fff NS.n+? ??45M 9a7rT IRrBN'11U1
euwing Aaanm 175q KARTS (,?y I.oulity t!, n t ttTr?r? ? ?
)
Date:
Budding OM eW ,
POST IN A CONSPICUKYJS PLACE
I il \?Ji LL/
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: `?'"`, "`? 0 0
I rl Fa 1'. I4f1 Y
PERMIT SUBTYPE:
,
PERMIT TYPE:
Permit Number:
Date Issued:
, APPLICANT:
( h! .? ) 4b4•-6471
TYPE OF WORK:
rr r Li
kiUtltliNfi
0; bF3Hh
J0 i/9f,
INSPECTION .. . ..
„01
? I!•,I{i i', ??`{i I I{• i f 1;?i ?
11V i't tli, (rl?ll??ei ! !? 'i i ?.
f-?! t:l? i I Nrll
MpkK?J: PRV •; h W F't tsft - P! UMFtIIT TMC
i
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC ' ///? S aZJI-SI F/
InspeCtlon Date Insp. Comments
FOOTINGS ?
?
FOUND
FRAMING
'
ROOFING
ROUGH
PLUMBING
AIR TEST l't?o j lf ?l-
ROUGH
HEATING
GAS SVC
TEST
INSUL AV
GVPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG A t I
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN Remarks ?
Addition RIDGECLIPFE 7TH Lot 4 Rlk 1 parcel I0-63986-040-01
owner street 1759 KARIS WAY state EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRAOING
SAN SEW TRUNK -70(c
SEWEFi LATERAL
WATERMAIN
WATER LATERAL
WATER AREA 7
STORM SEW TRK ?U P
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
,.
. RESIDENTIAL
BUILDING PERMIT APPLICATION
ll c r? O CITY OF EAGAN
J
! p3830 PILOT KNOB RD - 55122
651-681-4675
lew Construction Reouirements
3 registered site surveys showirig sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°h mazimum lot coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.)
i sel of Energy Calculations
3 apies of T2e Preservation Plan if lot platted afler 711/93
Rim Joist Detail Options selection sheet (Wdgs wilh 3 or less units)
AFRzs
?111
RemodellReoair RanuiremenU
• 2copiesafplan sy'?
• 1 set of Energy Calculalions for healed additions
• 1 sitesurveyforexterioradditions8decks
• Indicale if home served by septic syslem for additions
f ]0. 00
-Cauldn'-? Ca?? q 17,p1
)ATE -4 - 2S - n )
IOB SITE ADDRESS ) 75-1 Ka9"tiS wJ} Y), tQ-Gj' a'r?
F MULTI-FANIILY BUILDING, HOW MANY UNITS?
'ROPERTYOWNER I44q4_t? /'0
VALUATION '
'YPE OF WORK FIREPLACE(S) !!?_0 _1 _2 _3
%PPLICANT PHONE# (OSI - ?Y65-'g170
kDDRESS )7ST'I K?S y?'?i - ?ct??? ZIPCODE ? -`?--2
'AGER # CELL PHONE #
FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Coniractor:
Plumbing System Includes:
Mechanical Contractor:
Mechazucal System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fec: $90.00
Fee: $70.00
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Applicant
:ertificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category t Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNE50TA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Watcr Softener _ I.awn Sprinkler
_ Water Heater _ No. of R.I. Baths
No. of Baths
Air Conciitioning
Heat Recovery Systein
Updated 1101
OFFICE USE ONLY
7 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
] 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
7 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
] 04 02-plex ? 10 08-plex W18 Deck ? 23 Porch (screened) ? 36 Multl
] 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
r'W 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
] 32 Addition . ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
] 33 Alteration ? 37 Demolish (Bidg)` ? 43 Reroof ? 46 WindowslDoors
] 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
?G
/aluation o2000
Occupancy
/ ?/
C `,J MC/ES System
;ensus Code ? Zoning ?0-/? City Water
iAC Units ? Stories Booster Pump
Jbr. of Units Sq. Ft. PRV
Jbr. of Bldgs , l Length Fire Sprinklered
-
f C
t ?
ype o
ons W idth
REQUIRED INSPECTIONS
FooHngs (new bldg) Final/C.O.
k9 Footings (deck) ? FinaUNo C.O.
7 Footings (addition) _ plumbing
Foundarion HVAC
Drain Tile
Roof Ice & Water Final Other
_ Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
_ Insulation _ Windows (new/replacemen[)
, ,
Approved By4? , Building Inspector
3ase Fee
iurcharge
Nan Review
AC/ES SAC
;ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
'reatment Plant
llumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
rotal
Address 1759 [teuus wnY Zip 5512_2
Lot 4Blk I Sub uTm.m.rFFE 7rH
THESE ITEMS WERE / WERE NOT COMPLEI'E AT THE TIME OF THE FINAL INSPECI'fON.
Date: Yes No Inspector: ?
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main enhy)
Permanent driveway ?
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before frecze potential exists.
Contact engineering division at 6814645 before working in righ[-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
2 OoO-3f?7
f r OFflCE USE ONLY This rryuesl void 18 momhs (rom .olido?ion deh pAnled in Mis box.
9898'
PLEASE PRINT OR TYPE
Reqvest Dok Ro?gh-In inspection ¢q red2 Ye N. Inspection 01her ihan Faugh-In: ? Reody Now ?t'lill Call
l O• 5 (YOO must mll the inspeclur wh rmdy) DaM Reody: T\
I, licensed coniratlar ? owner hereby requesi inspedion ol ihe obave elecfricol work at:
lob Pddress (Streep eox, or ouie No.)
1''t 5 Ciry
E Zp de ?
a a.n
Secfion No.
1
:1-I lownship <or No. Ranga No.
(
'
I?id
"` Fire No. Coon
t
. •
ee
i e C
m Phone No.
- i?qql
Po pller '
?
?
?G Addres
•
0
? ??
I Conkanor (Company Name) Convanor LineQIJ No. Masrer Uc Na (Plom Eled- Only)
Maili g Pddmss (Gon1n Owner Pedo.ming InsbllaXOn) „
/wM 'ud Signaluro (Conjrocbr or Owno Performim, Insmllatian) Pho e Na.
ple V [7?
E8-0000 A- D 6/95 ATE BOARO CDVY-SEE INSTRUCTIONS ON BACKOF VELLOW COW
IIIII III I II IIII REQUEST FOR ELECTRICAL INSPECTION? / ?.
Minnesota State Board of Electricity
._? 1821
niv * 2 0 8 3 2 Phone (612)s?2 v m. S-12 St. Paul, MN 55104
ir5 ,?..
Home Duplex Apt. Bldg. Other: New Addn
Commercial
Industriol
Farm
Remod
Re air
Air Cond. 1 Htg. Equip. Wafer Hh. Load Mgmt. Other.
D er Ran e Elec. Heaf Tem . Service
'k' obove the work cavered 6y ihis request. Enter remorks in ihis spate ond on the back of the white copy only.
Calculate Inspecfion Fee - 7his Inspection Request will not be accepted withaut the correct fee:
Olher Fee # Service Enhance Sae Fee # Circuiis/Feeders Fee
Mo6ile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Sireet Lig./Fraific Sig. Above 200 Amps A6ove 100 Amps
Tronsformer/Genemtor INSGECTOR'SUSEONLV TOTAL
$ign/OutlineLtg.X{mr. ?`? v(J
Alartn/Remofe Confrol l ? ?
n
Swimming Pool v
I hereb mrN that I ins eckd the ele 1nm1 I an d scribed herein on ihe daresvated
Irfl9afiOn Boom Rough-In
$peciol Inspedion
Investigofive Fee Fmoi
TJ
THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
INSYECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 oate Issued:
(612) 681-4675
BUILDING
0268fd5
12/01/95
SITE ADDRESS:P•=•N.: 10-63986-040-01
LOT: 4 BLpCK:
1759 KARIS WAY
RIDGECLIFFE 7TH
PERMIT SUBTYPE:
SF DWG
APPLICANT:
1
5EASONAL BLDRS INC
(612) 454--5971
7YPE OF WORK:
NEW
INSPECTION
FOQTINGS D. .
FOUNDATION ..
FRAMIN6 ROOFING
INSULATION FTREPLACE
O'ROUGH IN PLBG RpU6W IN WTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - pLUMRITE INC
X CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
(W50 950
/CZ//9/915
BUILDING
026805
12/01/95
SITE ADDRESS:
P.Z.N.: 10-63986-040-01
DESCRIPTION:
1759 KARIS WAY
LOT: 4 BLOCK: 1
RIDGECLIFFE 7TH
,-
Building`?-Permit Type
Building Work Type
?'• UBC Occupancy??',-
Construction Ty:pe
2anzng -'?
Building Length
Building w3dth
Building?stories i
S'q iia-r e Fe e t a?_-
SF DWG
NEW
R-3 U-1
V-N
PD
41
48
1
1,599
? r
REMARKS:
PRV S S W PLBR - PIUMRITE INC
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC Y
SAC Units
Subtotal
VALUATION
$799.75
$279.91
$43.00
$650.00
100
$1,972.66
$86,000
MISCELLANEOUS $1,892.50
Total Fee $3,865.16
CONTRACTOR: - Applicant - ST. Lrc OWNER:
SEASONAL BLDRS INC 14545971 0001652 SEASONAL BLDRS INC
4580 SCtlTT TR 210 4580 SCQTT TR 210
EAGAN MN 55122 EAGAN MN 55122
(612) 454-5971 (612)454-5971
I hereby acknowledge that I have read this application and state that ths
information is carrect and agree to comply with all applica6,le 3tate oF Mn.
L Statute-ra and City of Eegan Ordinanqes,. ?
.r ? n,?d
?CA?I T/P K
ERMITEE SIGNATUFE ISSUED B SIG TUR
. . . - - J - •
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) cr,
681-4675
? 8 iepiatered eke survays ?2 capies of plan
? 2 copiss of plana (indude beam 8 window sizes; poured fid. tlesign; etc.) ? 2 sHe surveys (exterior atldkions 8 dedcs)
? t energy ealculetions ? 1 energy calwlations for heated additions
? S oopies M troe prcsarvetion plen ff bl pletted after 7/1193
required: _ Yes _ Na
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: /vNu
STREET ADDRESS: 1751
LOT q BLOCK ?
?? 747?
SUBD./P.t.D. #:
?
PROPERTY Name: Phone #:
OWNER ?• `""'
Street Address•
City: State: Zip:
CONTRACTOR Company:
Street Address: '4?W ? &-"Z License #:
City: c4a?-,?) State: xl;t? Zip.
ARCHITECT! Company: Phone #• ?53?,7D
ENGINEER
Name: Registration #•
Street Address-
City: ?1kLd2t1 ry I State: m/u Zip: ,???
Sewer & water licensed plumber: Penalty applies when address change and lot
change ere requested once pertnit is issued.
f hereby acknowiedge tfiat I have read this appliption and state that the information is ? and a{?ree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances. /? '
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ VIlYes _ No
Tree Preservation Plan Received Yes No
ocr r3
rss? ,
+ . 1
OFFICE USE ONLY
BUILDING PERMIT TYPE 0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
,A!(--02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
a 04 SF Porch ? 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. a 10 = plex o 15 Deck
WORK TYPE
,,G=31 New ? 33 Alterations ? 38 Move
0 32 Addition ? 34 Repair o 37 Demolition
GEFIERAL INFORMATIUN
Const. (Actuaq Basement sq. ft. 11 3Z MC/WS System C14-
(Allowable) ?/ Main level sq. ft. ? City Water ?
UBC Occupancy /2-3 sq. fl. Fire Sprinklered
Zoning P b sq. ft. PRV Y?s
# of Stories sq. ft. Booster Pump
Length .?i sq. ft. Census Code.
Depth 14 Footprint sq. ft. l, 5-94 SAC Code oi
?,ve S?^'P Census BId9
W? G«' ?,, 2 Census Unit I_
APPROVAL5 ° '? ?`
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License _ ?"
MC/WS SAC Z6 ,c 410 = /,o Ho
City SAC
Water Conn.
Water Meter
Acct. Deposit 13 z ns`/
StW Permit ?
S/W 5urcharge
Treatment PI. ?
Road Unit
Park Ded.
Treiis Ded.
Other
Copies
.- ? l? Z ?s.67x zz = yT3
7otal:
% SAC /U/? , ?/3 Sx !(o =
SAC Units ? ? ? Y
t2Prttf irtttr of ?tururig
prepared eor: SL'ASONAL BUILDERS, IN+^'.
anQ-?: ?4,?k Z,?, a-seo r?+?+ 1 , ,
yaA
4fa S°Evwp&? ? LOT 4, BLOCK 1,
RIDGECLIFFE 7TH ADDITION
occord+ng to the recorded plat thereof.
DAKOTA COUNTY, MINNESOTA
RESIDENCE FOR? ? AGAN
ED
Thuan Vo & Angela Nguyen
h u
sc
/-4{'1GineSS ' 1'1SCq 40fi-S Wit./ °- 3Y ( .?...+=.
?a? K1;h.,es?sk, ssit-t
?
q \... pOW.
? y \
? ? fiOap.
?
hub e/evolion = qYo/
B t11
L. C C K I?',.• ..cE \ A?'_?O \ i??°°? __ ? N
hub e%vobbn =
qcrZ,OS '
10/OS/95
LE : 1 " = 30'
/
?
? to" 0 ll. A?'' 7. Ny`
S 67op i \ 01s
hub e%votion = Q(pl,3'Z
DRAlNAGE & UTI(l7Y
£ASEM£NT VER PLA7
BENCHMA RK.• ?' A
L?.?, 77 ,
.eat 7, 2,a i, EGAN E GIIVEERING DEPT.
el,,.ae,? = q 51. 81
qRnJa,•Y 1,ewer ?ervrce
_Tn,„er/'t?"= ?l'??O = ?Sy+?;.n,1.A I
}r)a... l?;{y d t "an
(JTi f : r`J '1' j4nf?.
_ ._?
VER/FY ELEVATIONS &
DIMENSIDNS PRJOR TO
CONSTRUCT/ON
o Denotes iron monument
9815 x Denotes existing elev.
?PStPrgrP11 $C Ag817ttFitPB, ,JITC. (987.0) oenotes proposed elev.
es Denotes Off-Set hup
---- LAND SURVEYORS ---- C?lO2.6? = Top of block elev.
?I'lOZ,S? ;= Top of fin. garoge fioor
8500 210TH STREET WEST LAKEVILLE, MWNESOTA 55044 ?s? = Top of bosement f?oor elev.
PNONE :(612) 469-1899 FAX: (612) 469-1899 Indicates direction of surfoce droinoge
i Kacer ccxTrr iMi n.a y,wn. ..s rxv.ao er K w uotn y. Mcr yR.eyp. e ?m 10 'K ecs+ a r ?car .o ?o. r.e ncwuo .. wcarona nm ?.c c.wR..
mca.u.?uo wroauwcs ?ox n¢ oxarcr a.uo swvErwc ?im e. 11 wcsoU sarn v.Wc? vrvc,oxs. " ..r ?Au I ou. 1uruaa 1.w "A.. va.
14 1.7 m 1ie srA.c oi w<soI.. [na uxIrcAT ?s inc IwTu+ m u. sRwts A11.aco Ta tw L..a. .w rW La.104 m.u vaYU eKw+aexls. r rn+, rApy w w s?w
140. W t1IB[il? 6.S.0_ [FfLPi 10 11( f{E ?4Y 116 jyiY/'v ?I$ VI?lYK4 M5 IQS..VQ Iu544. M4 SI-0 LrA?.ll1 1': a54.V[0 6LV (tli IK .?CII?IK,CSMI fl INS 54?v(Y.
P?C/'. Sr?. 11 L^
z4 1,7Y??a' DATEO rw5 ?-1' ?.1995.
iald Boek J1BB5 add"d ?"A" ? = Mmnesoto Registralion No. 19791
ob N0. PuiW Don R. Weslergren
QWu* 'r•. ,R.tdrtt$
LOT SURVEY CHECKUST FOR RESIDENTIAL -
BUILDING PERMIT APPLICATION
? 'm N PROPERTYLEGAL:
W M.
DATE OF SURYEY: < i
-US+ I y '
- , LATESTRE1/ISION:
DOCUMENT STANDARDS
s? Ragistered l.and Surveyor slgnature and company
?? "o
z?Cl ? "•
`= Building PertnitApptlcant
y
? ..- Legaldescdptlon _
l
O ' O .
= Address
,D , ? • . North arrow and scale
?0 ?
e'E3 • Flouse rype (?ambler, welkout, split wlo, splft entry, lookout, etc.)
C3 • Directional dralnapa arrows with slopa/gradtent %
? 0 • Proposedlepstlng sewer and rrater services S invert elevatlon
0 0.
? • . SVeet name
?
? • ' Driveway '
ELEVATIONS
0-13 0
• Existlna
Sewer service
? 0 • Properly comers
o
? • Top of curb at the driveway
0 • Eievatlons oi any epstlng adJacent homes
Prooosed
O?-6 0 • Garage Aoor
0-'0 13 • Flrst floor
?? 0 13 • Lowest exposed elevattan (walkot,tUwindow)
? 0 • Praperiy comers
? o • Front and reer of home at the foundaUon
PONDING AREn, rr?.,.,ucatiia?
0 O'o • Easement Iina •
o a' o e NWL . ,
? ID' cl • FIWL
0 01-? • Pond # desipnatlon
0 0 0 • Emergency Ovarflow Elevatlon
pIMENSIONS
?0 13 • Lot IinesBeadngs S dtmansions
cr'0 0 • Right-oi-way and street width (to back of curb)
?? ? ? • Proposed home dlmensions Including any proposed decks, overhanps preater than 7,
?
° O 0
• porches, etc. Q.e. all structures requirinp permanent footlnps)
7
? Show ali easamenfs of record snd any City utilitlas wifhln those easements
cr-
??" • Setbacks of propased structure and sideyard setback of adJacent e?dsBn
sVucture
? ?? 0
• g
s
Retaining wall requirements,jGaay ?
Reviewed:
Jury 1995
i s `-
UTILlTy ESMTs`
D A? %OGECUFp
uud
.. - ? CO
E:;TEF;: OR _NVEI_DPc r,VE...:...._ "u" cO;'IFu; - . .:7i.?
-------------------------------------------------------------
Ian # 93012 ,:tite 1-20 -_,
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L /7-/ BL CtTY USE ONLY RECEIPT#: 09?5
SUB . ? DATE: &IS05
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612)681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
Add-on air conditioning fadd-on airExchanger, i.e. Vanee:;ystem; etc.
Date:
? Minimum Fee: Add-on/Remodel (existing residence only)
.
SITE ADDRESS:
OWNER NAME:
INSTALLER NAM STREET DDRESS: /5?
CITY: /nvu iv
PHONE #:
HVAC: 0-100 M BTU
Additional 50 M BTU
Gas Outlets (minimum of 1 required @$3.00 each)
State Surcharge
TOTAL
D`'
STA
$ 20.00
24.00
6.00
? UV
.50
3? ?_V
PHONE #:
?
ZIP: -
i
cirr use oNLv
4 BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55722
(612) 681-4675
Please complete for: ? all commercial/industriai buildings.
? multi-family buildings when separate permits are ngt required
for each dwelling unit.
uA i E:
WORK TYPE:
Cvi4TF'."h::1- PiiiC:E:
NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: ?$25.00 minimum fee gL 1°k af contract price, whichever is greater.
• Processed piping - $25.00
• SNate suroharge of $.50 per $1,000 of Rgtri' fee due on ali pertnits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITF AI)pRF_,SS
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS:
TELEPHONE #:
CITY: STATE:
PHONE #:
SIGNATURE:
SIGNATURE OF PERMITTEE
ZIP:.
CITY INSPECTOR
CITY USE ONLY
i ? BL RECEIPT #:?Y r
SUBD. DATE: ?
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Shower
Water Closet
Bath Tub
Lavatory
Kitchen Sink
Laundry Tray
Hot Tub/Spa
Water Heater
Floor Drain
Gas Piping Outlet " minimum - 1
Rough Openings
Water Softener
Private Disposal ' Dakota Cty. license
U.G. Sprlnkler "` home under const.
ARerations * co existing
Water Turn Around
EACH
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
3.00
1.50
5.00
20.00
3.00
20.00
20.00
STATE SURCHARGE
TOTAL
SITE
OWNER
NO.
x
x ?
x
x
x ?
x
x
x ?
x Z
x
x ?
x
TOTAL
?
??
?
OD
.500
Q?
.50
?
INSTALLER NAME: GENZ-RYAN PLUMEING & HEATING COAIPANY
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIp: 55068
PHONE #: ( 612 ) 423-1144 '
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
0 muki-family buildings when separate pertnits are aQt required for each dwelling
unit.
DATE:
r
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SY5TEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of pe mit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL •
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
cirr:
PHONE
SIGNATURE:
OFFICE USE ONLY
STATE:
APPLICANT
ZIP:
I METER SIZE: DATE: INSPECTOR:
I
Tprtif irtttP uf ?'z7 ururrij
prepared for: SEASONAL BUILDERS, INCI`
,qna-^ss: w: Ir Zw, 4se0 46H 'Tt.'.r ,94F.^ r?..
ltyZd LOT 4, BLOCK 1,
RIDGECLIFFE 7TH ADDITION
according to the recorded plot thereof.
DAKOTA COUNTY, MINNESOTA
RESiDENCE FOR: f-AGAN
Thuan Vo & Angela Nguyen ?? ??'Oq 1? 5 R ?46*5Way °- jy_
?
SSiT2 ? ,y,TE
?
s
x
? -
?
„ \fn
\
hub elevotion Yp ,
/
B L0 C K 1?- - „SE \qw_to ?
x,st.
bub e%?afion =
91?3. 1)
2
fi?ooo• l l?? 1 N'L
? ORA/NACE Ec UT/L /7 Y
£ASEMEN7 VER PLAT
BENCHbfA RK:
6e,.. ??
?t 7? r, EAG.AN E GIIVLGR1IviG Di;P`'.
a-Q`L? = 4 5'1. d 1
\. 6000, pOW
\1l \
LE : 1 " = 30'
?
?
?
?
F'f
?
?
?
?Rn,?a.•?. E?ewPr 5?^v'ce
'14qot ,t;m1w
dP ?'jan
L4;l4v 9f6^s-
Va G-?'__.L:::._:,_ ..
VER/FY ELEVAT/D/JS &
D/AlENS/ONS PR/OR TO
CONSTR UCT/ON
o Denotes iron monumenl
983.6 a penotes existing elev.
WPStPI'Y3rPTI $C A8gi1!'lAtPB, Jnr. (987.0) Denotes proposed elev.
& Denotes Off--Set hub
---- LAND SURVEYORS ---- a(p2? ?= Top of block elev.
Top of fin, goroge Noor
8500 210TH STREET WEST LAKEVILLE, MWNESOTA 55044 \45 ?
r $2 \ _ Top o( bosement tioor elev.
PHONE :(612) 469-1899 FAK: 469-1899 ?
(612) rI,.?- ?Indicates direction of surloce tlrainage
i?ta?? c(M?ir ?y? ?.h yy?yt? .u P4auqo ?r ?[ a uIXl1 ?n 04cr y/???qy? a cACtt ?a ?rt N3? a Y' ?/wU0¢ +rD Yur. ??? c?[cu?{o n ?[[omyu w?w ??a <vRx?
R(LOVI(?0(O I11pC[1?1[S Ipp f?y pq?[1S[ G?yp SJIVf\Y( ?qql(0!Y 1?[ 1/?($p11 YpQ?? d ?9]((YpYy 9qH?(16. NY lMl 1 MI ? W1 \RMLLO ?IhO ]NK?G IIQM
1.( ???y y I?( S???l W Vw?ypl•. ?? Cllll/41 HJ?S I?( lG(#?P Y?Y MpLS ??I?p{0 t0 L.O ?uO. up ?M LOC?Iq? U x! YOYI[ (MCNUW?[F11.1 ?M'. ?1qY i14? HO
?HQ O LIWII? O?SL.YO [4fLPl 10 1?( GC? OI 1? {?iH1 ??S PYf?4K0, MS 1(RS. IW .15?0Iy VL 1W W?111 Y. ?SAMIO MY I(y1 1?( /.CIWl ?'!1 fY IM k11Jll.
.
???. G WtEO I? J905
ield Bool[ 23124
?/BBS Q?d'? ? ?"?'? ? = Minnesolo Regisfrofion No. 1.979(
ob N0.
/
eRNj4ri'r.
-- ----------i
? r?r 4)1?'??#JSe ?
? Pertnit #: ?
? Pertn@ Fee: ? % ? I
I I
? Date Received: ?
I ?
? Staff: I
I ------------------
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
i 75-?1 'Ka,r ? s w?1- I- M A./ S-?-j 2-2
Date: 7- Site Address:
?
Tenant:
Suite #:
RESIDENTIOWNER Name: j +?"` Phone: CS7 ' -'?OS ' 9 (7
Address / City / Zip: J ??M Kay?g -16Y -!;?I 2-
Applicant is: _ Owner " Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes_/ No?
CONTRACTOR Name: License #:
?
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code WoAcsheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 72 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 & Wa6er ConVactor: Phone:
NOTE: Plans and:supporYing documents that you submit are considered to be'public informationr Portions of
the information may be classired as non-public,if you provide specirc reasons that would permit fhe City. to`
conclude tirat Lhe are tratle 'se'erets ,?_ ;.-; '' u,'=
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the Cdy 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 pertnit thaP the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X!'?? X
ApplicanYs Printed Name ApplicanYs Signature
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