1769 Karis Way
Use BLUE or BLACK Ink
I For Office Use--------- I
• Permit j
City of Eaean 11 Permit Fee: D
3830 Pilot Knob Road I
Eagan MN 55122' j Date Received:
Phone: (651 675-5675
Fax: (651) 675-5694 Staff: 1
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: D D t Site Address: F11,4 Unit
Name: Phone: ll,~Y 30g _ G
RESIDENT / f ]
OWNER Address/ City i Zip:/ 7ji
a
Applicant is: Owner ✓ Contractor
FDescription of work:. z`L~ kvu 17S f t a 0- "rL j YJ f g_t
TYPE OF WORK I {
Construction Cost: ;,7i G tr L% r Multi-Family Building: (Yes /No
~ Budget Exteriors -
Compar Contact:
8017 Nicollet Ave S. i
CONTRACTOR Address Bloomington, MN 55420 City:
PH: (952) 887-1613
State: - F: (952) 887-1659
14 License 1I16 4" `f Lead Certificate 1 ~~~1 ~l
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
t 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:
a I
Licensed Plumber: Phone: i
Mechanical Contractor: Phone:
Sewer & 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 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- wwey.oooherstateonecall.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 xt /
Applicant's Printed Name Applicants Signature
Page 1 of 3
_. i
Kertificate vf cccu.panc?
Witiq of Cfagan
McVRrtNCeut ef 13K0aig 3x60ectiott
Tius Certificate issued pursuant to the requirerreents of the Uniform Buifding Code
certifying that ar the time of issuance this structun was in compliance with the various
oidiwnces of the Ciry rrgulating building construclron or use. For the following:
Classification: .S'F EW Bldg. Permit No. 22I07
UP-y I''pm R3.All 2aning Dis?ict PD/8 1 Type Const. V1T
AdmLSS 1$5 SMM DR} EWAN
l.omby L I, B 1, RID[E'..[.IFFE 7II-1
POST IN A CONSPICUOl1S PIACE
INSPECTIUN RECORD
' CITY 4F EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
! Hr??r,? ? ? rr?? i i?. . ,;.i ?, i? ,. ?3?;!>
PERMIT SUBTYPE: TYPE OF WORK:
,I ;J, IA
I.I .? I i N" I I I ! AM 1 N(.
' F, .ill A I f Iir! I f!,, i
Iill 1! If t IVi.
l! ,' .' 1 41 !
w) / ;N lU i
? k! MAkKS% !i b l! ?•1 Itlti M, IIIttlql I1 !II lil
I
L
¦
7
Permit No. Permk Holdx Date 7elephnne A
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Commerrts
Footings I d
Foundation !D O
O ?
Fram;ng
Rooflng
Rough Plbg.
Rough Htg.
isui.
Freplace
,nal Ht9. 9'
orsat Test t????93 ?r1?a
Fina,PR)g.
H?V Pibg.lnspector - NotifyPlumber
Const. Meter
F.ngrJPlen
Bldg. Final
d ?
Dedc Ftg. jV 3
Dedc Final
We11
Pr. Disp.
U °
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number. t, .?39 e! ,
Eagan, Minnesota 55123 Date Issued: 16 /1)4
(612) 681-4675
SITE ADDRESS: f APPLICANT:
I k;
PERMIT SUBTYPE: TYPE OF WORK:
I ; I : ift i r
INSPECTION .. . ..
- - _ -- -- ....-,- -?.?_
Pemit No. PermR Holder Date Tilephans #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Dete Innp. CommeMs
Footings I
Foundation
Freming
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Final PI6g. Pibg. Inspector - Notffy Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
G?
Dedc Final
well
Pr. Dlsp.
' CITY OF EAGAN Remarks
Addition RIDGECLIFFE 7TH - Lot 1 BIk 1 Parce1 I0-63986-010-0I
Owner ?? = -- Street 1769 KARIS WAY stace EAGAN MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 1987 P
SEWERLATERAL
WATERMRIN
WATER LATERAL
?
WATER AREA '70 1987 p
STORM SEW TRK 70io 1982 p8id U]1 !r ori inal 3I'C6
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC
PARK
Address 1769 itAtus wAY Zip 5512 2'
Lot .•-] Blk 1 Sub RU)Z'-L1M TTH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Fina] grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch d/
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
ContacK engineering division at 6814645 before working in rightof-way or installing underground sprinkler system.
Whice - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ?
/4zoos
Reouest oale
?/'?
? Flre N hin Insoection
equired?
L? Raetly Now?Will Notily InspeMOr
R
tl
?
WM1
/. p
` s C No en
ee
y
IYlicensed coniractor ? owner hereby request inspection of above elecirical work at:
Job Atloress (Slreet. Bin, or Route No.) Ciry
Seciion No. Towr.s?ip Name or No. Range No. County
Occupa t RINT)
? Phone No.
Pawer Sup0lie/t/ AOtlress
iecmc I Convactor(ComOany Name) nVactor5 License No.
Maihng Aatlress IConhactor or owner Mnak?ing Installation)
T
NmM1Ori fa 9lgnawra IGO ractor,pwna, Making Inst no, Phon Nuamber
`' ?j
L ?4
MINNESOTA STATE BOARD OF EIECTPICITV THIS INSPECTION FEOUEST WILL NOT
Grlggs-Mldway Bltlg. - Room 5-173 BE ACCEPTED eV THE STATE BOARD
1821 University Ava.. St. Paul. MN SSlOi VNLESS PROPER INSPECTION FEE IS
Phone(61f) 662-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION 40,
l See m'shuctions lor completing this lorm on back of yellow copp p ?!:
p 7 ?
Ll 71 ') n7 ?'X"Delow Work Covered by This Request ?•:?+""
ew Add ReD 7ypeofeuiltling AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specity)
Comm./lndusirial Furnace
Farm Air Conditioner
Omer (syeciry) GOnVactor's Remarks:
Compute lnspec(ion Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Faeders Fea
Swimming Pool 0 io 200 Amps 0 to 100 Amps
TranSlofinefS AbOVB 200 AmpS A6o 0_ Amps
Signs Insvwor's use Only: / TOTAL
Irrigation eooms
' g"j ?
Special InSpection V
O
AlarmlCommunication THIS INSTALLATION MAY BE RDER CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 18 S.
I, the Electrical Inspector, hereby Rou9n-m /b ? tp
f J' 0
certity that the above inspection has
been made. Finai e
/ 7
OFFICE USE ONLY '
This requesl vaitl 18 momhs from
? 0 RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construttion Reouiremnts
• 3 regisleretl site surveys showirg sq. R. of lot, sq. ft. ot house; and all mofed areas
(20°k maximum lot coverage allowetl)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set oF Eneyy Calculations
• 3 coyies of Tree Preservalion Plan i( lot platted after 7(7193
• Rim Joist Detail Opfiom selection sheet (hidgs wiUi 3 or less uni4s)
DATE 7"I -Q eZ
SITEADDRESS_ l7
TYPE OF
APPLICANT
STREET ADDRESS /7
S,
TELEPHONE # la V-CS 97!Z - CELL PHONE #
.
PROPERTYOWNER 2)0r?een Shs loLl )"si- TElEPHONE# ???-4979
1-1
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNF;SO'l:A ItUL1:S 7670 CATEGORY 1 MIN
(4 submission rype) . Residential Ven6lation Category 1 Worksheet Su6mitted • Ne ? y d k ee
. Energy Envelope Calculations Submitted
,??JI Q 1 Z??2
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprinkler ee: , .
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Conhoctor:
Mechaiucal system includes:
Sewer/Water Conhactor:
e-aVaY,, STATEJ?1tZIP fS1.2.2
FAX #
Phone #
Phone #
Fee: $70.00
---------------°---°----------------------------------°---------°-------°---------------------------------°---------
I hereby acknowledge that I have read this ppplication, state that the information is correct, and agree to comply
with ali applicable Sfate of Minnesota Statutes and C'rty of Eagan Ordi nce
Signature of Appllcant ---?4? ?
----------- ---------------------- ---------------- _---- _..__----- ---------------- _------------------ - --------- -------°- . .
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4l02
Air Conditioning
Heat Rccovery System
RemodallReaairReauirements
• 2 mpies of plan (? (
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served hy septic system foraddNions
VALUATION ?7 LIO ?SQS MULTI-FAMILY BLDG _Y _?41
FIREPLACE(S) _ 0 _ 1 _ 2
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenad) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 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 (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Damolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Buiiding Inspector
Total
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS: LoT :
1769 KARIS WAY
RIDGECLIFFE 7TH
PERMIT SUBTYPE:
SF OWG
1 BLOCK: I APPLICANT:
MI77ELS7AEqT BROTHERS
(612) 456-9125
TYPE OF WORK:
NEW
euzGazNG
022107
09/30J93
INSPECTION
FOOTIN6 .. .
FRAMING „
IN3ULATION fINAL
FIREPLACE
?
REMARKS: S& W PLBR - MCOOMALD PLBG
L
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?
?
PERMIT C'2- . ?3 s y
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g u z Lo i
Eagan, Minnesota 55123 Permit Number: 022107
(612) 681-4675 Date Issued: 0 9/ 3 0/ 9 3
SITE ADDRESS:
P.I.N.: 10-63986-010-01
1769 KARIS WAY
LOT: 1 BLOCK: 1
RIDGECLIFFE 7TH
DESCRIPTION:
----•_ _
Bu'ilding,-Permit Type
Pui2ding W'ark Type
iUBC Occupancy%
f Construation Type
Zoning 1 ?
/ Building Length
' Building Width \
•` i
,'L
SF DWG
NEW
R-3 M-1
V-N
PD R-1
62
36
REMARKS:
S& W PLBR - MCDONALD PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$650.00
$422.50
$51.50
$750.0@
100
$1,874.00
$103,000
MISCELLANEOUS $1,744.50
Total Fee $3.618.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
MITTEISTAEDT BROTHERS 14569125 0003443 MITTELSTAEDT BROS CONST
785 SUN3ET OR 785 SUNSET DR
EAGAN MN 55123 EAGAN MN 55123
(612) 456-9125 (612)456-9125
I hereby acknowledge that i have read this application and state that t'he
informati.on is correGt and agrae to camply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
1&? PANT/P IT SIGNATURE
A.p.(.Q ? Q?,?, 1 ??
ISSUED Y: IGN UF??
I
REACTIYATE _
PERMIT #
lfl 11 q
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION
681-4675 ?? W1, r0
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work to//??
Site Address: z'Z&q lli4zz1 S
STREET SUITE f
Tenant Name: (commercial only)
IAT SLOCK ? SIIBD. N
Descri tion of work: >6e'4.E
The applicant is: ? Owner Contractor ? Other (oeo«ix)
Name Phone
Property LAST FIRST _
Owner
Address
STREET STE /
City State Zip
Company ? Phone 91ac5
COI1tf8CtOC Address r?'S 5?1A-A`ai57- i64 License # dK345Xxp. Oly
City State Zip ?
Company Phone
Architect/
Engineer Name Registration N
Address
City State Zip
Sewer & water licensed plumber ?v Processing time for
sewer & water permits is two days once a°rea has?een approved.
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.
?
Signature of Applicant: - -{
OFFICE USE ONLY
BUILDING PERMIT TYPE
13 01 Foundation
J?r 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 01 4-Plex
? 08 8-Plex
O 09 12-Plex
? 30 Multi. Add'1
WORK TYPE
IK 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging L?I 16 Basertiea,t F-$nish
? 12 Multi. Misc. ' ? 17 Swim Pool
[3 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move ,
GENERAL INFORMATION
Const. (Actual) v-N Basement sq. ft. MWCC System VE5
(Allowable) v- N lst fl. sq. ft. City Mater Y'S
UBC Occupancy -I 2nd F1, sq. ft. PRV Required
Zoning PD R_i 5q. Ft. total Booster Pump
N of Stories footprint Sq. ft. Fire Sprinkler
Length 6 2' On-site well Census Code /Ci
Depth 36Z On-site sewage SAC Code 01
i
APPROVALS ? j
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S '
? Site ? footing ? Framing ? Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee v.Lue:ra,: g 103, 00o `-
Surcharge
Plan Review
GA2A6Ef
2c>XZ2? -4u0
x
+4:
'704u
License
MWCC SAC RS
=
42x 2b : 1092
City SAC 3u22 , G4
Water Lonn. Z24
Water Meter
Acct. Deposit
I sTFi..wrz ---?"
1382
; '
KIS%Za"730
S/W Permit _
5/W Surcharge $Syni :_
Treatment P1.
Road Unit
Park Ded.
/oZ39?
Trails Ded.
Copies
Other
Total:
5AC % 100
SAC Units ?:::T_
SEP 30"93?11:34
.
, ^ . ._ . ,..........
TD: 612 681 4612 P02
SURVEYOR'S PIERTIFICATE MIl'qEL$TAED7 eavs,
-,-?'?--_--?KAlt I Q
I t
RAGAN RK121ftERinG
+---^ DENOTES PqOPOSEa SURRACE DRAINAQE 1.
O DENOTES IRON MdNUMENt SET SCAlE:.1 INCH d 50
• DENOTES rRON MONUMENT Fourvp PRVP(NSEO CiRRAQE FlvaR - 962•9
X000.o DENOTES Fa(1671N0 ELEVATIpN PROPCISED LOWE31 I-LOUR - 9SS,z
(060.0) DEMOTE3 PROPbSEO aLEVATION PRbPCi$ECf TOP OF dLdCK - 563 -3
?
DEPx
FEEI
FrET
FEET
FEET
wEMEREer cExsiRV ro MITTELS7AE07 0003, 7HAY'CH13 IS A THUE ANp CORRECT
RZPRGSENrnnotv 6F A sURVEr oF TME eOUNDaRiES oF:
Lot I 8loek I, RIDO?C4IFFB BEVEtd"1'hh AQ01710fd, acCtudinp lo the recorded ploi tBeroof,
Daticota County, Minnnota,
17 dOES Npt PURPORT TO SHOW IMPRbVEMENTS bR ENCRl7Af:MMENT8, EXCEPT AS 8NU4VN. AS
gllpvEYFb eY ME OR UNDHR MY DIRECt 3UPERVtS10N THIS 215T pAY OF 9EPTEM9ER ,1883.
rROroato vRnoES SnowH wsRP 5lGN ; JA L,HILL, INO',
TAK40 PROM A 6RADIN9 PLAp
Ph0Vib6D 9V CR.WIT10EN9 p9sbC,
JpHN C, I.ARSOH, LAND 8URVMA
MlPfNE947A LIG2NSE NUMBEA 789"
James R. Hill, inc.
PLANNER& ! ENGINEERS / SURVEYORS
1500 W, CTY. RD. 42 0 8URN5VILLE, MN. E6937 0 612-890-8044
•ii. ,
09-30^93 11:43AA1 F002 it36
? LOT SORVEY CHECRLIBT FOR RESIDENTIAL
BIIZLDING RMIT APPL CATIO
? -
m ? ¢ PROPERTY LEGAL:
Date o! 8urvey:
? AOCIIMENT STANDARDS ' /? ?
6
? 0 0 • Registered Land Surveyor signature and company
? 0 D • Building Permit Applicant
Q-D 0 • Legal description
0 Q` ? • Address
D' 0 13 • North arrow and bar scale
[3? 0 0 • Aouse type (rambler, walkout, split w/o, split
lookout, etc.)
H? 0 0 • Directional drainage arrows with slope/gradient $.
0T?0 • Proposed%existing sewer and water services
V ? • street name
? • Driveway
ELEVATION6
Existinc
0 ? ? • Sewer service
[?0 ? • Lot corners
? 0 ? • Top of curb at the driveway
C? ?? • Elevations of any existing adjacent homes
Prooosed
0?? ? • Garage floor
? ? E3 • First floor
B' 0 ? • Lowest exposed elevation (walkout/window)
.9?0 0 • Property corners
?0 0 ? • Front and rear of home at the foundation
PONDING AREAS (if aDDlicable)
0 ?1 0 • Easement line
D ? ? • NWL
? 2' 0 • HwL
0 [r ? • Pond # designation
0 5?? • Emergency Overflow Elevation
Z
entry,
DIMENSIONS
?0 ? • Lot lines
jY D 0 • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
p-?D 0 • Show all easements of record and any City utilities within
those easements
2-`0 ? • Setbacks of proposed structure and setback of adjacent
existing homes
D 0 • Retaining w?me s, if any
Reviewed:
OCtober 1992
?"?:->X-Z' 4 . :
This form is only applicable to detached one-and-two family dwellinqs. The
requirements herein are based on amended Section 502.2.1.7 in lieu oP the
criteria specified in Sections 502.2.1.1, .z and .3.
Building Address; 1?7g?7
/f?/LJ? l tyAr.?•
Contractor or Owner: -Z2&r7Ei S-rft?(1T 072v9'11s T
Buj,ldinq Element "R" Values Area (sa ft)$ of Ext.Walls
Ceilings Design_q.Y_Required 38
Walls* (exterior) Design2 Required 2_Q ?
(without foundation)
Floors* Design 21 Required 20
(overheated spaces) .
Windows** Design4•1'7Required 2 I(/1, rf
Foundation Walls Designl3_&Required 5
(when insulating full depth of foundation wall)
Design_Required 10
(when insulating only to frost depth & Pootings
exten.d below) (
Slab-on-qrade Design!-IRequired 8.83
floors ?
DoOTS Design/I Required _3
Footnotes
* For the insulated cavity of opaque walls, floors, and rim joists.
** Maximum window area must not exceed 12 percent of the area of
exterior walls, not including foundation walls.
CERTIFICATTON
I hereby certify that I have completed the above information and that it
Complies with Minnesota State Energy Code.
Siqnature ? Date:
I
INSPECTION RECORD
CITYOF EAGAN PERMITTYPE: auiLorNG
3830 Pilot Knob Road Permit Number: 023905
Eagan, Minnesota 55123 Date Issued: 0 6/ 15 / 9 4
(612) 681-4675
SITE ADDRESS: APPLICANT:
L07: 1 BLOCKs 1
1769 KARIS WAY 5MELQUIST DRRLEEN
RIDGECLIFFE 7TH (612) 581-0979
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION D, . .•
FOOTIMGS FINAL
?? . . . _. . . . . . .- - .? ? -1
I
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
r4J7 5y?
Bu
023905
06/15/94
SITE ADDRESS:
P.I.N.: 10-63986-010-01
DESCRIPTION:
1769 KARIS WAY
LOT: 1 BLOCK: 1
RSDGECLIFFE 7TH
Building-Permit Type
Building Work 7ype
?
/
? ; .
DECK
NEW
-;r•
??'
\ ?
. . r, ?
REMARKS:
FEE SUMMARY:
Base Fee $30.00
3urcharge $.50
7ota1 Fee $30.50
CONTRACTOR: OWNER: - ppplicant -
SHELQUIST DARL£EN
1769 KARIS WAY
EAGAN MN 55122
(612)681-0979
I hereby ecknawledge that I have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinences.
juu??-
APPLICANT/PERMITEE SIGNAT E
application and state that the
with all applicable State ofi Mn.
I
?rn
ISSUE B : SI ATUR
' . ' CITY OF EAGAN
23905 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registe
eYd-;s?Ee-7urveys, 1 copy of energy
L
calcs. ? 0 B ?I(?
COMMERCIAL 2 sets of architectural & u,?? p ans, 1 set of
specifications, 1 copy of G?I??
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of wark g,5? 00
Site Address: 176 q 9311:1 s .la.?
STREET SU1TE *
Tenant Name: (commercial only)
LOT J_ BLOCK
I
SUBD. +?\
P.I.D. #
Descri tion of work: ? e-c
The applicant is: 0 Owner ? Contractor ? Other (Describe)
Name :b6_v le h Phone ?22-6 q7cr,
Property LAST FIRST
Owner Address _ 176 (7 ka ra s 1?1 ? y
STREET STE H
City ?aacxt. State f?1 t). Zip .5?3r1o2.2
Company Phone
Co ntractor Address License # Exp.
City 5tate Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation O 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
M 31 New ? 33 Alteratians ? 35 Tenant finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
/ of Stories
Length
Depth
APPROVALS
Planning
Engineering
REt1UIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
P footing
[7 Final
[3 Framing
? Draintile
o-
0
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vetuas;ane $
...?. .,. „ .? ..?
? 16 Basement Finish
? 17 Swim Pool
0 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
5AC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
$URVEYOR'S CERT1F1CA'?E
-?K AW 1 S
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-0----- bENOTES PROPOSED SURFACE DRAINAGE r
O DENOTES 1RON MONUMEIVT 5ET SCALE: t INCH - 30 FEET
* DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - y6z.9 FEET
X000•0 ,
DENOTES EXfSTING ELEVATI(J1V PRpPOSED LOWEST FLOOR = qs5, Z FEET
(000.0) DENOTES PROPOSED EIEVATION PROPOSED 70P OF BLOCK = y63 - 3 FEET
WE HEREBY CERTIFY TO MITTEL5TAfD7 BROS. THAT THIS IS A TRUE AND CORRECT
REPRESENTATION UF A SURVfY OF THE 80Uh1DARIES OF:
Lot I, Biock I, RIDGECLIFFE SEVENTN ADDiTION, ocCOrding to rhe recorded piot thereoi,
Dokota County, Minnesoto.
IT DOES NOT PURPDRT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHDWN. AS
SURVEYED BY ME OR UNUER MY DIRECT SUPEFtVISION THIS 21 ST pAY OP SEPTEM9ER , 1993.
PROPOSED CsRADE3 SNOWN WERE
TAKEN FfiOM A ORAOlNO PLAN
PRQVIOEO BY CA.WiNDEN 9 q390C.
r
JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMSER 18828
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HILL, INC.
1993
PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACN UNTf.
IO. FIXTURES ELCH TOT?
J SHOWER 3.00 3=
x WATER CLASET 3•00 -6 -'
BATH TUB 3.00 3
2 LAVATORY 3.00 ?
> KTTCHEN SINK 3.00 3
? LAUNDRY TRAY 3.00 ?
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3•00 ? -?
? GAS PIPING OLTTI.ET • mtntmum - t 3.00
ROUGH OPENINGS 1.50 4.5'D
? WATER SOFI'ENER 5:00
PRIVATE DISP. • oekcry. iic. 15.00
U.G. SPRINKI..ER • home under mnst. 3.00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
. _
STATE SURCHARGE .50
TOTAL:
STTE ADDRESS: / 7 '/'
OWNER
WST.
ADDRESS:
ZIP CODE: 1?a 4?
PHONE #:
1993 PLUMBING PERMIT (COM144IERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMMERCIAUINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUP 7INGS WHEN SEPARATE PERMTfS ARE NOT REQUIRED FOR EACH
DWELLING Ui::T.
_ NEW CONSTRUCI'ION
ADD ON
REPAIR
WORK DESCRIFTION:
CONTR.4CT PRICE: $
FEE: 1°k OF CONTRACT FEE.
STATE SURCHARGE $.50 FOR EACH $1,000 OF PERhIiT FEE
MINIMUM FEE: $ 25.00
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
SIT'E ADDRESS:
S
$
TENANT NA117E: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CI1'Y:
PHONE #:
FOR:
CITY OF EAGAN
STATE:
ZIP CODE:
APPLICANT
z% ?ff
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VVHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON AJC
ADD-ON FURNACE
DATE I OM ?/ "
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GA UTLETS (MIN]MU @ 53.00 EACH) ?)
? ri'1?c2. °!- ?rw'.?/4cc?
ADD-ON/REMODEL (ExtsTING CoNS'rRUCrION)
STATE SURCHARGB
TOTAL
SITE
OWNER N
INSTALLER:
GZ' Y i s (?J
.
$ 24.00
6.0
4.00
$ 15.00
TELEPHONE #:
12481 Rhode Island Ave. So.
ADDRESS: Savagp MN 55.?78t i 92
894-0005
C?y; STATE: ZIP CODE:
TELHPHONE #:
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMTT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAUWDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMII.Y BUILDINGS WHEN SEPARATE
PERMTI'S ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
CON'fRACT PRICE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
1% OF CC3NI'FZACF FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE 5.50 FOR EACN $1,000 OF !'?RMIT FEE.
TOTAL $
SI`fE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENI'S ONLY)
INSTALLER:
CI7'Y: STATE: ZIP CODE:
TELEPHONE #:
SIGNATURF OF PERMITTEE `'iTY INSPECTOR
4 Clty of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
? Fo%Office;Use I
j Permit #: I
? Permit Fee: ?
? Date Received: j
I ?
-I StaH:... . ._? ._ .
I I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:? 1/U 9 Site Address: {? ? f Y\Gris WL1-V ?iC?1 rnN
?
Tenant:
Suite #:
RESIDENT/OWNER Name: llcrl2't? 5?'12-1 U+S? Phone:
Address ! City / Zip: «o_,-?5 Wal,/
Applicant is: _ Owner X'Contractor
TYPE OF WORK Descriptian of work Re-_ ?56 Re-S:C+'? SzC?io,25 CTX r`o?SC- CC?fV??
Construction Cost MWti-Family Building: (Yes No ?
CONTRACTOR Name:??T?G?1 License#:a0qUq
Address: J \ -
State: Zip: s(0c I ?
\ `e
U6
?
Ciry:
G,(l
_
,
Phone:,? ?G 31- Lf L( `?)U Contact Person: ?C?U''
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Cade . pesidential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 Submisslon type) • Energy Envelope CalculationsSubmitted
In the last 12 months, has the City of Eagan issued a permit for a slmilar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mecbanical Contrector: Phone:
Sewer & Water Contrector: Phone:
NOTE: Plans and supporting documents thaf you submit are.considered to 6e pub/ic intormation, Portions oi-
the information may be cfassified as non-public if you'provlde speslfic reasons that wou/d permlt fhe Clty to =.
'
conclude tha? the are hade secrets.
1 hereby acknowledge that lhis information is complete and accurate; lhat the work wili be in conformance with ihe ordinances and codes of lhe City of
Eagan; that I understand this is not a permit, but oNy an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the appr ed plan in the c se of work which requires a review and approval of plans.
x x ?
Applicant's Printed Name A licant's Signat
Page 1 of 3
2A
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159741
Date Issued:01/14/2020
Permit Category:ePermit
Site Address: 1769 Karis Way
Lot:1 Block: 1 Addition: Ridgecliffe 7th
PID:10-63986-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Tankless Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jill M Matuska
1769 Karis Way
Eagan MN 55122
Homeworks Services Co Dba Homeworks Plumbing Htg
1230 Eagan Industrial Rd, Suite 117
Eagan MN 55121
(612) 400-9020
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA178466
Date Issued:08/18/2022
Permit Category:ePermit
Site Address: 1769 Karis Way
Lot:1 Block: 1 Addition: Ridgecliffe 7th
PID:10-63986-01-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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: 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:
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 -
Jill Marie Matuska
1769 Karis Way
Eagan MN 55122
(612) 245-1320
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature