1814 Karis Way"' - RETURN=D NORET (2Nc
_ ^. MARK J. RIOUX -s-sa o NoT p
'
? -200-585-447-898 N]UfY FUN 910
?? ??fU ?
R
iB439-KEiTLE:RWER RD..612-464-3136 `E4D0 cNT ? UNDS " . '. FbREST IAKE, MN 55025 ?' MISS;NG
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.? - . _ . _ NG„R'ATSEM NT. T1it' NGO?SEMEN7NOT.A$?
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>RPEROF- - - •D
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M¢TLU YU1C .
,.rcouH;
t:09 i00 5n. 540 i 3 21011 ' i6/ 06 ",?00 GOT'S 509?'
ENDOP3f Shl:--
OF
EAGAN, MN 5512
? 091000022
FOR DEPO8IT ONLY
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INSPECTION RECOR
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road 4 .. _„ Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675
SITE ADDRESS: ; , ,:: , APPLICANT:
PERMIT SUBTYPE: TYPE OF WORK:
14i-C,
gqr?vrNG K I If iiu I
INSPECTION D. . DA
?
i
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspectian Ddte Insp. Comments
FooziNGS 13pa w
FOUNb
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
RO! 1GH
HEHTING
GAS SVC
TEST
INSUI
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDRaSTATIC
TEST
BSMT R.I.
BSMT FINAL
OEGK FTG
DECK FINAL
GUJ
I&V U
.?
CITY OF EAGAN
' 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I ?+ I
' PERMIT SUBTYPE:
, 1 .,,, .1 ,
TYPE OF WORK:
tt 11 ! 1 il 1 N?,
41F; /.' 7 /174
I 1FttAt I11N
INSPECTION .• . .A
i 3i :; 1.. 1
` 14F MAKk ''- ; Rf I 111 A 1 I 'IhJ 0 f { r. I } li 1 Illi l1111))
INSPECTION RECURD
PERMIT TYPE:
Permit Numher:
Date Issued:
APPLICANT:
t?,a.?? HIJO !.vsr {
Permit No. Permk Holder Date Telephone #
S/W
PLUMBING
HVAC
EIECTRIC
ELECTRIC
Inapection Oete (nsp. Corrtmeirts
Faotings I
Foundation
Framing
Roofing /J
? i
Rough PI6g. 41
Rough Htg. 7e??5
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. P(bg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bidg. Finai
Deck Ftg.
Deck Final
Well
Pr. Disp.
' CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: , , , ,
+ Iii I 1! I i I'. 1
PERMIT SUBTYPE:
i0; . ;
ECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Y R 1 0 ,.: C: APPLICANT:
I'll(,I i I. 1 I I' 1 l
4 '-, ti _ f,', c
TYPE QF WORK:
iIi ,l I, r i i iI'ri
r?uri??rr?r?
kt: i < s 's
?
A i f 1- N A i t(1 N
?1301hEi/i-Af;l Ia
I r I Nni
A, j ME
. "?
.
, -
P W
.,
;.?'? , i .: ? ? : ? ° " . ? _ , . x= ?` ?` I` - , n • ?., `?`?- °'?? ?- ra trv °? . .
'
. , . .
:. ,
? ? .. . . . . _ .. .. . .
C
Permit No. Perm(t Holder Date Telephone M
S/VN
PLUMBtIVG
HVAC
ELECTRIC
ELECTRIC
Inspectbn Date insp. Comments
Footingsi
Foundation
Framing - ? _
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Fitg.
Orsat Test
Flnal Pibg. Plbg. Inspector - Notify Plumber
Consi. Meter
Engr./Pian
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN Remarks
Addition RidgeCliff First AddII. Lot 8 81k 10 varcel#10 63980 080 10
Owner street 1814 Karis Way 5tace Eagan, MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 198 184.49 12.30 1$ 147.62 coo7699 2-18-82
SEWERLATERAL ? • 1982 1305.42
WATERMAIN
WATERLATERAL 1982 1260.79 5 1260.79
WATER AREA 1980 184.49 19-30 15 147.62 coo7699 P-la-SP
STORM SEW TRK 1982 638.24 5 638.24 C007616
STORMSEW LAT 1982 955.45 S 955.45 C007616 12-2 - 1
Services 1982 637.75 5 637.75 C007616 12-23-81
& GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 500.00 11
9UILDING PER.
0626
SAC
525-00
PARK
.a • a j,
? «, .
PERMIT # Of -J- %
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN r.; •, `-
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE "
m
c
3
O
ddress BLDG. TYPE
Bfoc{c Sgc/Sub
? Res. ?
Name Mult
Address ? - ' Comm.
,
City Phone Other
Name _
Address
City -
I TYPE OF WORK ' ' ' ` r •
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
' Gas Piping Outlets # ? _ -
Other _
FEE
J / . ,
S/C:
TQTAL
WORK DESCRIPTION
New Add-on
Repair
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00) .
OF
FOR: CITY QF EAGAN
, CITY OF EAGAN
• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
SUILDING PERMIT Rece+pt #
To LE rrA hr fd Vnl„w [. 7 .: eC ; 10 I]w*.
Site Addross Erect CXI Ocwpancy
Lot 0 81cek Sec/Sub. rF?? ?ii ZFf: Remodel ? Zoning
Repair ? Type of Conat.
Parcel No. Addition ? No. Stories
n,a;,e i,.?,Yr.ArJD
Address 3471 w 1.73PP `:,'I'
City ' ? ` ? Phone -
?0 Mame
vu Addre
? Ciri _
Name
Address - .`•`
CitY Phone
I hercby ocknowledge thot I haw rood this application and state that
fhe inlormntion is torrect and ogree to comply with ull oppliccble
Stote of AAinnesoto Statutes an4 City ,of Eagan Ordinonces.
? ? .
Siynoture of PemwttN Jy , •
h Buflding Permlt Is luued to:
all work sholl be donw in accordance with oll
9uildinq Offidal
State
Move ? Length 4..
Demolish ? Depth ? a
Int Impr. ? Sq. Ft.
Install ?
ApProvols Fen
Assessment
Water 3 Sew.
Police
Fin
E+0•
Plonner
Council
Bidg. Off. 1 ' ? ? 7 ? ? ?
APC
Var. Dete
Permit 14.7 • uV
Surcharge % ? • n ID
Plan Review - ? ? • 5 ??
SAC ?'•??'
Water Conn. =' ?' ' • r ?,
Water Meter ? -` • L' =j
Road Unit ?
Tr.PI. :i2.f1o1
I Copies
Total ? ? j
011 fIN f7(pflS CORdITIM? 1F10t ?
ond City ot Eayon Ordinonces.
PKmit No. Parmk Holda Dob Telephons ?
P?urn,ing
D
Dc
H.VA.C. (g
ENctric n
?
? a7-
q?5 ?, ?-? ?e 9 ?fS ? o
sort«+K
Impeetion pato Insp. OlhN
Footings 1
Footings II
Foundation
Framiny
RooHng ;?/S
Rough Plby.
Rouyh Hty.
Insul.
Finplsu
Flnei Htg.
Final Plbg.
Final
Ceft/OCC. y
5
Water Oaaibe Location:
Well
Sewer
Pr. Disp.
Receipt MEGHANICAL PERMIT Permit No.
CITY OF EAGAN ?. ?
/ Fee
Fill in numbered spaces S/C •?
Type or Print legibly
Tot. a;`0 • S7?
?
1. Date 8 3 83' 2. Installation Cost
3. Job Address/8/q k4rs Wa y Lot ? Blk? Tract
4. Owner
5. Contractor OAL+r0 X(Z Phone t10 V
6. Address r yyo ? Ub r IZ-
7. City f i d r •Ol <4L State / i'i ! f1 N Zip '53 7 72-
8. Building Type: Residential ,< Commercial 17 Institutional ?
9. Work Description: New lk Add ? Alter O Repair ?
10. Describe l Fuel Type 1Udvr?
1 11•
No, Eauioment BTU - M. Ea.
Forced Air -7 Si T'oo No. Equipment CFM
Ai
H
dli
Mfg. C0? f f i C Y` r
an
ng:
Boilers ? ?
Mfg. ._ Mech. Exhaust
Unit Heater -
Mfg, Other
Air Cond. -
Mfg,
Gas, Piping Outlets ,
92. I hereby formation is true and correct, and I agree to
oomply teh verning this t ype of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numhered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMIT • Permit No.
CITY OF EAGAN
Fee
' Fill in numbered spaces S/C
Type or Prinr /egib/y Tot.
1. Date ? 2. Installation Cost
? ,-
3. Job Address Lot Blk. Tract `4. Owner ? . ' ,
5. Contractor Phone
6. Address
7. City ? State Zip
8. Building Type: Residential O Commercial ? Institutional ?
9. Work Description: New ? Add O Alter ? Repair ?
I 10. Describe
I 11.
No. Fixtures
Water Closet Na. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : ' i for
Rough f inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
SEWER SERVECE PERMR
PERMIT NO.:
DATE: _
, No. of Units: -
1 pm fo em* wNi IV phr eF iopw
Ol,INRqI,
By
Dote of insp,;
ConrMCtlon ChoRe:
Account DepOSif: .
Pen»if Fae:
Surcharps:
Misc. Chorgss;
Totol:
DoM Paid:
cirv oF EAGAN
?'0 Pilot Knob Raad WA?ER SERVICE PERMR
P. O. Box 21199
Esgan, MN 55121 ?ERMIT NO.:
Zonirg:
'
° DATE:
-
'
Owrwr. - No. of Untts: .
Mdress:
Sit* Address:
Plumber.
AAeter No.:
Size:
Connedion Chor
ge:
Recdsr tVo.: ^ccount Deposlt:
h emNf wi& 11M
city of Perrriit Fee:
go"m
O?JINDC?, SUICItO?ge:
BY _`
Date of Insp.:
Misc. Clwryes; _
Totcl:
Doft Poid:
CITY OF EAGAN
3
0 °t WATER SERVICE PERMIT
83
K nob Road
P. 6. box 21199 pERAii1T NO.:
Eagan, MN 55121 ? 411TE: -
ZO^i^g' " No, of Units:
Owner:
Address:
Site Addresz " ? . n ?: •. ,?'.'s"? . '.?. ' ? .
•-
Plumber:
AAeter No. L' :
aln?on?-Q
E'
?!
Size: _.
.
+
? t
Reode? MO.: ?
1=lt
te ?' ? ? • .
1 peM to aeapip whh tM Ciry oi Eege• Surchorge: :-'
O?diwe?as. Misc. CharQes:
Total:
- -
By Dote Poid:
Date of I nsp.: -?-T,ui-
??---
I rup.:
IMbank- RETURN ITEMS - 300
ENER0117
. . . .
Date: Oct 13, 1998 Advice D-688618
Acct: 111919438528
NOTICE OF RETURNED
DEPOSITED ITEM(S)
4M FUND
CITY OF EAGAN
GENERALACCOUNT
3830 PILOT KNOB RD
EAGAN MN 55122
REASON SEQ # ITEM AMOUNT
SEE CHECK 16833 505.09
rV4?
?
1 /tem(s) charged tofaling $505.09
Advice Total $505.09
1:402333i981: 0 0 0 11 i919438528i'' ?"0000688618.1'
096-4011 (3-98?
17/j?/?7 REQUEST FOR ELECTRICAL INSPECTlON EB-00001-05
Sea inslrucbone im cemoletine this iorm on back of yellow copy. 7??a S
C X'" 8n°ov lyoclc Covered by 7his Request .
A ReO. - Type ol Building Applianees Wired Equioment Wired
`- Home flange Temporary Service '
Duplex Water Heater Lightiny Fixtures -
Bulk Milk Tank
'%
k fe¢ ServiceEMrenceSize N Gae Feeders/Subleeders N Fee Circults
0 to200Am s 0 to30Am s 0 tn30Am
Above 200 qmps 31 to 100 Amps 31 to 100 gyys
Swinunin Pool Above 100-Am s Above 100_Am s
Trans*ormers lrri ation Booms Partial--"Other Fee
mi.revuairt .ow
This request void 4,??7 ??•???
78 months tram /7C C 76109 Reque t Date ire N6. CHOUghy In"soectfon
?j
-? flepui ?
re
Ready Nuw OWi II Notify. InsPec-
Wh
IP( l
rQ ? ?yes o or
en PeadY
?Licensed Elacvical Convactor I here0v requesf insoec[ion of ehove
Owper eloetrical work instelled ai:
Street Adtlress }Box or Noute No?7 ? 9
; 7
Ci'y
?
/Y2/J (i? /q
/ O ?
-?
ection o. TownshiD Name or No. RanBe No. Coumy
Occuuent(PFI-NyT/) /y
? ? ?Q? Phone No.
jY " ?d ?
Power SuODlier Atldress
Electri al ontrac?for
lnpany Name)
(C
O
? Conlractor's Licens/e Noy.
?
,
`
vcv?I??? ?
°-?Y?c? ? ? CO /
Mail nB Address ?(Contractor or Ownar Makin0lnstail 'on)
Authori
tractor Ow king InstallatioN -
r Phone umber
M
?
T
?/ --6U dci
i
MINNESOTA STATE BOARD OF ELECTNICITV THIS INSPECTION NEOUEST WILL NOT
6rippn•Midwey 81Og. - Noom N-191 BE ACCEPTED BY THE STATE BOAPD
7821 IJniveraiev Ave.. St. Geul, MN 56104 ' UNLESS PPOPEH INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
This roquest void
18 rrpn[hs trom
D-o, 0543635Z L?/, ?ro ?c 1s.? ?acsn
Reqaest Date Fire No. RouBh-in I ?tion
Pe ir -
?ReaAy Nuw ' WWIN InsPec-
?? es ?NO -
Ior When Ready
icense?l?lec?icai CoMractor I horeb y requast insPection uf above'
? Owner ? electrical work installatl at:
Street Address, 8 a or oute No. Citv
• ? J ,(? .rJ
er.bon Townsh'rp Na . or No. Ran No. Coun
OccupantlP I Ti Phone No.
Fower Suo -er Atldress
Ge ?f C N
ElecVi CnnVacmr (ComOany Ne Cnnh r' License No.
iN ? ?-E ? ^-' ? ?
M' i,B Atldress IConVactor or Own r Making In lation)
Authorized ' natur Co c
o
r/Owne ing In I ionl Phon Numb
er
'
/
/
` ?
j
?- l/ .. l
MI / OTA STA BOAPD OF EC CTflICITV THIS INSPECTION BEQUEST Wlll NOT
Gr" s-MitlweY Idg. - Room N-191 BE ACLEPTED BV THE STATE BOAND
UNLESS PROPER INSPECTION FEE IS
1827 Univarsitv Ave., S[. Paul, MN 55106
Phone (812) 297-2117 ' ENCLOSED.
;EQUEST FOR ELECTRICAL INSPECTION ee-ooooi-oa
Sea instructions for campletine lhis form on back of Vellow capy.
3- 054365 X" Below Work Covered by This Request
Niisjy Aep. TVpa of 8uilding Appliantas Wiretl Equipment Wired
Home Range Temporary Serv e
Duplex Water Heater htiny Fixture
Apt. BuilAinc? Dryer Efectrie Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Butk Milk Tank
Farm [ner ooci v Other ISOOCi?v?
t er Suecify t er Othcr
ompu[e Inspection Fee Below
R iee Service EnhanceSize p Fea Fanders/5ubleeders k Fae Circuits
) li,U 0 ta 200 Am s- 0 to 30 Am s ? 0 tn 30 Am s
Above 200_qmpy 31 to 100 Arnps 31 to 100 Am s
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers Irrigation Boorris ?U?' Partial;'Other Fee?.
Signs Speciallnspection S ,
'
Remarks TQTAL PE£
flough-in Dat 'he Electncel
r ,?? insoecmr, heraby
car ify Ihatthe above
Final nspection has been
mede.
Thls repueat volA 18 montha from
hi. -aeo ;d?ol4lg5
18 months from
B 0591.58 ?' f-4- r / 0.5?
Nnquest D te Fire No. Rough- n -on
Re
uir ?
?
OAeady Nuw ? i19 I Nntify
Inspec-
-
,J q
.
es ?No ,
tor When qeatly
ic¢ns d ical Conirector 1 hereb re uest ins -y q pection o} ebave
? Ownar electrical work instelled at
Street Atl rys , Box or qoute• .
? J
l Ciry
r?
ecbo o. Township ame or No. Range No. County
Occupantl )'?T)
? Phone No.
Power li ' AdtlresEc- /
Elect ma nvacm. ICompany Nam }.
? var, s Li un?Ny'
Maili AdJr (C(f^ tracmr o wner Ma_k/iny Inst'ai a[ion)
?O J • lLr/?C+' !/?/i?_ ° /f?-'^?
AuNori? 'en ature Con actor Owner K7aking I lationl
-41 4 Phone Nu ber
MI VSOTA S7ATE ANO OF E- RICITV THIS INSPECTION REQUEST WIIL NOT
Gr" ga-Midwey BI .- Foom N•191 BE ACCEPTED BV THE STATE BOANO
1821 UniversitY Ave.. St Paul, MN 55104 UNLESS PROPEH INSPECTION FEE IS
Phone (612) 297-2171 , ENCLOSEO.
5?? p ? REQUEST FOR ELECTRICAL INSPECTION EB-0o001-on
? ' See instructions for comDleting this form on hack of yallow copy. ' b
p ??(? 1? R. ""J(" Belaw Work Covered by This Request ?
Ad TVPe o1 8uiltline AoPtiancea Wired EquiVmenl Wired
Home Range Temporary Service
" Duplex Water Heater Lightfny Fixtures
Apt. Building Oryer Electric Heatin
Commercial Bldg. Furnace Silo Unloader
" Industrial Bldg. Air Condi[ioner Bulk Milk Tunk
Faf Othe.r oeci v Other ISUerityl .
Other . Other
Comnute Inspection fee Belaw '
N Fee ServiceEntrenceSiie # Fee Faeders/Sub(eaders N. Frte ClrcuHs
0 io 200 qm s 0 Ro 30 qm s ? 0 m 30 Am ns
Above 200 qm?y 31 to 700 Amps -^v0 31 to 700 A s
Swimmin Pool > Above 100_Am s Above 700-Am 5
Transiormers Irrigation Booms Partial%Other Fee
Signs Speciallnspection S
TOTAL
E 1
Bemarks ?dlJ 77n _OU?
.
NouBh-in Date 1, th? ElaMriya
- Inspe@M': rereby
rtify that the-above
Final r ??? inspaction hes been
t„aae.
?n?..e???o?? ?oin tm m?nerte trnm -'?
CITY OF EAGAN N0- 10 6 2 6
3830 Pi1M Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDING PERMIT P14ONE:4548100 Re?ipt # ??V-71
Te M uwd far SF DWG/GP.R Est_ Ve1ue $72,000 pm. JULY 22 ia85
SiteAddress 1814 KARIS WAY erect 6C? ocn,Pancy R3
8 10 RIDGECLIFFE 1STRemodel ? Zoninq R1
Lot Block See/Sub. , Repair ? Type af Const. ?Z
Parcel No.
W N8RI8 KEYLAND HOMES
? Address 3471 W 173RD ST
City JORDAN pnone 435-3323
? Name SAMF
Addresa
? City Phone
Name DENNIS HALLQUIST
---- 5001 W 80TH ST
City nLi•iii? Phone oi i-
1 hereby ocknowledge tFwt I have read this application und state ihot
fhe inlormofian is correcf and ree to comply with oll epplicoble
State of Minnesoro Smtutes ?Gry f a? 8 onc .
Sipnoturc of Pem+iftee w eulldcng vemlr is issuad ro: KEYL ND ffOMES
ull work shall be dona in aemrdonce wi a limbla $tate o Mf
Bufldinp pfficial
Addition ? No.Staries
Move ? Length 42
Demolish ? Depth 5 0
Int. Impc ? Sq, Ft.
Install ?
Apyrevals F•es
Asxssment Permit S 349_UU
Water 8 Sew. Surcharge 36_ 00
Potice Plan Review ] 74 _ 50
Firo Sqc 525.00
E,q. water conn. 500.00
Monner waterMeter 63.00
Council RoedUnit 280.00
BIdg.Off. 7 17/s5 TcPI. ?.3Z.OO
A? Perks
Var. Date Gopies
rotal $2.059. SC
on tha axproo cordltlon Ihot
yLto Staruees ond Ciry oi nr
Eapan Ordirances.
SEDGWICK HEATING & AIR CONDITIONING CO. HeariNc
8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000 TEST RECORD
ADDRESS??I? ?"'41??s "? - /
OCCUPANT
SOLD BY
MAKE
SERIAL Nn 472Q O
THERMOSTAT
VALVE-
LIMIT__T i?e?
S?
LIMIT SETTiNG -
? ?
FAN SETTING -
IGNITION MODEL N?ke? `I
PILOT7IMING , h$.."?1::?
PRESSURE 3' PERCENT COz
INPUT CFH 9r PERCENT Oz ?b
STACKTEMP.? PERCENTCO v
FORM 235 (REV. 11169)
Jag No. !? osY 9
cirv
OWNER ?'v?rnfi? L a0`S?
INSTALLED BY
V
MODEL _rlr 0/0"' 6I V[7 ^ D ??
INPUT ^ DO?
VENTSIZE VC
TYPE OF LINEP
LINER SIZE
/
?
J NUMBER ,_,
? ?VrYE
i
FILTERS: SIZE
?yL?
/
wl"
:?
WIRINC _
TEST TAG
LIGHTING INST.
DATE TESTEO
COMPANV TESTING NAME OF TESTER ??? " '
FORMDISTRIBUTION: WHITECOPV - JOBFILE YELLOW WPY - CIN
SEDGWICK HEATING & AIR CONDITIONING CO. resTRecoRO JOBNO. /a.s`F9
8910 WENTVJORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 •(952) 881-9000
ADDRESS lU ` q 0?1y
OCCUPANT
SOLD 8Y
MAKE ) 9?
SERIAL NO. oM 6 9CJ 7G Z-3 T?Z
THERMOSTAT V
VALVE ?lw (-
LIMIT
LIMIT SETTING O
FAN SETTING ?MA?-?
IGNITION MOOEL
PILOT TIMING
PRESSURE PEFCENTCOz
INPUT CFH I? PERCENT Oi _
STACKTEMP.? PERCEN7 CO.
FOqM 235 (REV. 111891
r' I'
CITY ?? ' ?,?`?
OWNER Narrca,..J G 4?-S? N
INSTALLED eV
MODEL e? l 111'004J l(Vd TJ
INPU7
VENTSIZE
TYPE OF LINER
(
LINER SIZE
?•
FILTERS: SRE ?C? ? Z ( NUMBER f
WIRING 7 i'(' ? L`? b"n'\
TEST TAG
LIGHTING INST.-
DATE TESTED _
COMPANV TESTING
NAMEOFTESTER {n,"'_ `^' mA.u -?
FORM DISTRIBUTION: WHITE COPV - JOB FILE YELLOW GOPV - GIN
------------------
? ForDftioe:Use ?
j Permil #: C-??J V" '^f' ? I
? Permit Fee: ?
I
I _ ?t 1
c- ? I
? Date Received: ? ?
I StaB: ? [-a I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: af OcSite Address: 1 S? ?? f(? r Is 4'ay L uej., _
Tenant: /vOt/NOn 4o« Suite#:
RESIDENT/OWNER Name: /vd(v?•io?-. LQr Se? Phone: eo V-330^9/Sy
Address / City / Zip: ! y K4rr'r 420-..
Applicant is: _ Owner 4--Eontractor
TYPE OF WORK Description ot work: /<oo fles
Construction Cost: 4YOAC7. Multi-Family Building: (Yes _! No
CONTRACTOR Name: Lall C46t-5 License u: o10693 Zef
Address: NA e'1a?r &9D ? ST
City: Rarr State: '46,?t_ Zip: S8 J?'
Phone: & S?'?'gb^ r??? Contact Person: J')uA,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . pesidential Venlilation Calegory i Worksheet • New Energy Code Worksheel
CBIBgOfy Submitted Submitted
(q SubmissiOn type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan 6ased on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer 8 Water Contrector: Phone:
NOTE: Plans and supporting documents that you submit are cortsidered to be pu6lic informafion. Portlons of
the lnformation may be classrfied as non-publlc i/ you provlde. speclfic reasons that woWd permlt the City to
condude that the are trade secrets.
I hereby acknowledqe that this information is complete and accurete; [hat the work wlll be in conformance wilh ihe ordinances and codes of the Ciry ot
Eagan; that I understand Ihis is not a permit, but only an application tor a permiL and work is not to start withoul a permit; that the work will be in
accordance wilh the approved plan in the case of work which requires a review and approval ot plans.
x FJQ [n FL 6 Applicant's Printed Name
Appli?ant's S gnature
Page 1 of 3
7F-0 7
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Canshuction Reauirements
3 registered sde suneys showirg sq. R. of lot sq. ft. oi house; and all roofed areas
(20% marzimum lot coverage albwed)
1 Soils Report 'rf pmposed 6uilding is to be placed on disWrbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calcula6ons
3 mpies of Tree Preservation Plan'rf lot platled after 711193
Rim Joist Detail Options selection sheet (6uildings with 3 or less units)
Minn asco mechanipl ventila6on form
RemodeUReoair ReauiremenLS Oifice lJse OnN
2 copies of plan showing footings, beams, joisis Cert of Survey Recd _ Y_ N
1 set of Energy Calalalions for heated additions Soils Report Y_ N
1 site survey for additions 8 decks Tree Pres Plan ReW Y_ N.
Addflion - indicate rf on-sRe septic sysfem Tree P2s Required _ Y_ N
On-siteSepticSystem _Y _N
? C.,6C.L& CD ?
(P
Plans are considered public information unless you state they are trade secret and the reason.
Date 04 /
/.-;?00 ? tv
ConstrucUon Cost
Site Address 717/U. 2 2- UniUSte #
Description of Work
?ZP?.? Q?P?C'.f? ?,/?,?,
.1?,'(?/1.f v<
S?tY.L/? li'C?? "`' •?7J CSOt/1' ''
:
Multi-Family Bldg _ Y?ZN Fireplace(s) ? 0 _ 1 _ 2
Property Owner ?jQffso /7/ Telephone # 9 ? S Y
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) 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 mas?er plan?
_ Y _ N If yes, date and address of masTer plan: '
Licensed Plumber
Mechanical Contractor
Sewer/Water Coniractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans. nSCS 0?I i-7F! !., &2 Srd ? App1icanYs Printed Name Apph'c?ant's signatur e'
-
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
IP 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 AddiGon
r 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ?
? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ?
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ?
? 10 OS-plex ? 18 Deck ? 23 Porch (screenfgazebo/pergola) ?
? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 12 12-plex ? 25 Miscellaneous
D@SCriptiOn: Water Damage
30 Accessory Bldg
31 Ext. Alt - Multi
33 Ext. Alt - SF
36 Multi Misc.
? 35 Int Improvement ? 38 Demalish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Yes
Valuation ?? DE)fl, ^
Plan Review 100% or 25%
Census Code 93 y
SAC Units
# of Units
# of Bldgs
Type of Const \18_
Occupancy R _3 MCES System
Code Edition T-ec- At]en
Zoning ?Z - ( City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg)
_ Foo[ings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
p Framing
_ Fireplace _ R.I. _ Au Test _ Final
_ Insulation
Approved
REQUIREDINSPECTIONS
_ Sheetrock
_ FinaUC.O.
?g FinaUNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
Siding _ Stucco Lath _ Stone Lath _Brick
? Windows
_ Retaining Wall
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
PLUNIBING (RESIDENTIAL)
Permit Application
City Of Eagau
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when pemrits aze required for each unit
vate 5/I 5 / 0 3
Site Address Unit #
Property Owner Telephone #( 6 s ?) ?, $1 • 1? 0'1
?
ContraMor
Address .3 ka1 0 City
State Mr4 zsP S51 -La Telep6one #(LS ?-
The Applicant is _ Owner ? Contractor _ Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC Ilcense $ 100.00
Includes Counry fee. Additional consultant fees may apply.
Alterations To ExisHng Dwelling Unit, Including $ 50.00
_ Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ _ new installafion _ repair _ rebuild $ 30.00
_ Lawn irrigadon system
_ Water softe¢er I Water heater $ 15.00
? replacement _ additional
State Surcharge
npp, .50
Total ?I•1
l ? U (?,n ?i )i s
L !
I hereby apply for a Residenrial Plumbing Pemut and aclmowledge that the info ion is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with-hnmbing Codes;_that--JzjMHerstand this is not a
pemut, but only an applica6on 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.
?> Ae d AY' h\ ?r.- rt e.l ?Z- 0?.? o?. o-
Applicant's Printed Name ,? Applicant's Signature
PA'fR(C1A E. AWADA
V4aynr
PAUL BAKKEN
i>FCCV CARtsoN
CYNDEE FIELDS
MECTILLEY
Cotmci] Membecs
THOMAS HEDGFS
CiryAdminisrracor
blunicipal Center.
3830 Pilot Knob [Zoad
Eagan, MN 55122-1897
Phone: 651.651.4C00
Fac: 651.68 1 4612
TDU: 651.454.8535
Viainxenance Faciliry:
3501 Coachman Poin[
Eagan, MN 55122
Phone: 651.681.4300
Par: 651.681.4360
TllD: 651.454.8535
vrww.cityofeagan.com
THE LON E OAK "CRF_H
111e rymlbol af strengrh
and growdi in our
coinn?LLnilv
May 7, 2002
GOLTZ CONSTRUCTION
2419 216T" AVE NE
CEDAR MN 55011
RE:`-'°1814 KARIS WAY
BUILDING PERMIT 441006 DATED 5/24/2000
TO WHOM IT MAY CONCERN:
On April 26, 202, I performed a moisture inspection at the aforementioned home and
found water on the floor and about 4" up on the block wall. I esplained to a
representative from your company that this problem needs to be addressed.
If you have any questions, please conYact me at 651-681-4679.
Sincerely,
.''0
Terry Zelenka
Building Inspector
TZ/js
cc: Mr. Alan Moseng, 1814 Karis Way, Eagan, MN 55122
Dale Schoeppner, Chief Building Official
k CdTY OF EAGAN
" 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
9 Ll
PERMIT TYPE: B U I L D I N G
Permit Number: 023991
Date Issued: 0 6/ 2 7/ 9 4
SITE ADDRESS:
1814 KARIS WAY
L07: 8 BLOCK: 10
RIDGECLIFFE
P.I.N.: 10-63980-0$0-10
Building` J?ermit 7ype
Bui]:d,ing 46rk 7ype
`..
1
DESCRIPTION:
SF (MISC.)
ALTERATSON
( ` .
?
? r-
;,
,j-
REMARKS:
RELOCATION OF EXTERIOR OQOR
FEE SUMMARY:
VALUA7TON
Base Fee
Surcherge
Total Fee
$21.00
$.50
$21.50
$800
CONTRACTOR: - flpplicant - s-r. Lzc. OWNER:
' HANpYMAN SERVICES 18405073 0005876 MOSENG ALAN
12751 COUN7Y ROA? 6 1814 KARIS WAY
BURNSVILI.E MN 55337 EAGAN MN 55122
(612) 890-5073 (612)454-8275
I hereby acknowledge that T have rsad Chis applleation and state that t"he
inf4rmatinn is correot and agree to eomply with all applicable SCa'te pf Mn,
? Statutes and City of Eagan Ordinances.
I)atJn R41A I D111
APPLICANT/PERMITEE SIGNATURE ISSUEO B 51 ATURE k
I
CITY OF EAGAN
239qi 1994 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 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
Site Address:
STREEi SUItE #
Tenant Name: (commercial only)
LOT ? BLOCK SUBD. ?• __T
.?r P-I.D. #
Descri tion of work: AC) l/4 F/20^lt D-00(C ot'Td2-? Gk?;<- e?a6l11r
The applicant is: ? Owner ? Contractor ? Other (Deseribe)
Name 177 OS6,n/2: /%4z11/ Phone
??? ?a7•S?
Property ,
LaST FIRST
Owner Address _ /F/y AA/-r L6tx
STREET STE #
City 6-?-_5t? State Zip `??ZZ
Company Phone
Contractor Address /27S/ co, lf?d, v? -5?,i4 /0-3 License # jr7b Exp. -3 `
City 5tate "OV? Zip S.5 3'
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 State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?l???eiz??c,e????l? ??-?-`?-yi /n,r?t_
OFFICE USE ONLY -
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
P-05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New 1:1 33 Alterations ? 35 Tenant Finish ? 37 Demolish
El 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 2nd fl. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprin t Sq. ft. Fire Sprinkler
Length On-site well Census Code _7
Depth On-site sewage SAC Code a/
C
Uni
APPROVALS t a
ensus
Planning
Engineering
REQUIRED INSPECTIONS
? Site
O Wallboard
Building
Variance
? Footing
C' Final
Assessments
P-Framing ? Insulation
? Draintile ? 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:
vatms;an: S 2eg `?
SAC %
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-63980-080-10
DESCRIPTION:
PERMIT 9cCit-l
PERMITTYPE: ? a? ILDING
Permit Number: 021333
Date Issued: 0 6/ 2 8/ 9 3
1814 KARIS WAY
LOT: 8 BLOCK: 10
RI06ECLIFFE 15T
SIDING/FASCIA
BLtilding`Permit Type
8u31ding Wark Type
?
O?? U (?flC?S' u
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
VALUATION
$99.00
$4.00
Fee $5.00
$108.00
CONTRACTOR: -
BUDC,ET EXTERIORS INC
501 16TH ST
NEWPORT MN
(612) 458-5531
5F (MISC.)
ALTERATION
$8,000
Applicant - ST. Lic. OWNER:
14505531 0006564 MOSENG ALAN
1814 KARIS WAY
55055 EAGAN MN 55122
(612)454-8275
I hereby aaknowledge t'hat T have t^ead tkis
znformat3on is correct and agree to comply
Statutes and City ofi Eagan Qrdinances.
?
APPLICAM/PEAMITEE SIGNATURE
application and state thaE the
with all applicable StaCe ot Mn.
I
?W bi
' ISUEa Y: IGNA U-RE -
REACTIVATE _
PERMITJ
21333
CITY OF EAGAN
1893 BUILDING PERMIT APPLICATION
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2} address is changed or 3) lot change is requested once permit
is issued.
Date Q?P R3 Yaluation of work 14TOR5
Site Address: R ILA kOl-Y?S, WCiU
STREET SUITE /
Tenant Name: (commercial only)
IAT BLOCK SUBD. p J+ g r??
11 (J {??. I P.I.D. *
Descri tion of work: S1
The appl i cant i s: 19 Owner O Contractor ? Other (Deseribe)
Name Mcs'Et'1b kL0.r? Phone
Property LAST FIRST
Owner W
1
Address
"
4
STREET STE I
City CCtQn State %YlYII,%AK Zip EA DLD,
Company JXXICI(?,?_IYIC. Phone'?Jg"5631
Contractor Address License # CW&y Exp. 'Q4
City ??IQW State "m CU? Zip 55b.%_
Company Phone
Architect/
Engineer Name Registration M
Address
City State Zip
Sewer & water licensed plumber ' . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the infarmation is
correct and agree to comply with all applicable S te of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYP E
°
0 Ol Foundation ? 06 Duplex ? 11 Apt,/Lodging ET16 ?,$ase ep#i{jp,j4h
O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 8wim Pool
0 03 Sf Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New 'M 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair 0 36 Move
GENERAL INFORMATION
Cutisi. (Aciuai }
(Allowable)
UBC Occupancy
Zoning
N of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
O Site
? Wallboard
8aseriieni SQ. YL.
lst F1. sq. ft.
2nd fl. sq. ft.
Sq. ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
? Final
0 framing
0 Draintile
MWCi. Sysiem
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? Insulation
O Fireplace
Permit Fee ?D3,00 v.iLot;a,:
Surcharge }94-
Plan Review
I.icense .?D
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: q,
SAC %
SAC Units
L'IT4 ClF" FAi';AN
CA::3NIGR: S TI=RMTNAL NOr 799
DA7E:: 09/29/98 T7Ni1:; 15e0E3:29
IV ;;
NAMEe MARF; J kIOt.)X
3210 9001 Wi4• F:FlRIS HIAY 299.15
3422 9001 104 KARIS PIPiY S`.)O.F34>
205 3001 1814 Kr I:IS PIAY i(],.50
Tok,al. "n'ecui.pt Ama.an#.: 505.03
CR09 i FS'r.'4
LI:iF:Ft IDs NAN('Y
??????F?K'M?i'?F'M'M M?F?KyF'?n' nYF'MYF?i(m?kA?YCi m?F7k?'u.?Xd"+ M?'?X?i 1k
I CITY OF EAGAN
3830 Pilot Knob Road
Eg
.gan; ivnnnesota 55122-1897
(612) 681-4675
MOVIN
8 ui7ding'?PermiC Ty
BwiFding 1'dtr?k T.ype
Censas Cade
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
033250
09/28/98
SITE ADDRESS:
P.Y.N.: 10-63980-080-10
1814 KARIS WAY
LOT: S BLOCK: 10
RID G LIFFE 15T
DESCRIPTION:
PERMIT
G K7TCHEN
ke SF ADDITION
? NEW
\ 939 ALTe RES ENTIAL
. . . . . . . . .?
+ k 11 G_
v
ti
C g?
. ..''i `.. f
r
REM?1?t?S:REVZeweo 8Y CRAIG NOVACZYK.
SEPARATE PEftMIT REQUIRED FOR ANY PLU BING WORK.
CALL 445-2840 REGARDING ELECTRSCAL ERMTT RND INSPECTIONS.
FEE SUMMARY:
VRLUA7I
Base Fee $299.75
Plan Review $194.84
Surcharge 10.50
lotal Fea $505.0
$21,000
C ?
0"
i?
CCbNTRACTOR: - ApPlicant - sT. l.zc. OWNER: ,
AD
-ON BUILDERS 19820444 20091911 MOSENG AL
1N439 KE7TLE RIVER BLVD 1814 KAftIS WAY
FOREST LHKE MN 55025 EAGAN MN 55121
(612) 982-0444 (651)454-8275
.
I hereby acknowSed'ge that I have read this application and stete that the
i:nformaCion is correct and agree tn comply with a];1 applicable.S'tate of Mn=
Statutes and-City af E.ar+ Qrdinances.
L_ ,. :
_ _ L
t-' „' . _. . _ /
AP ICANT/PEFiMITEE SI
i
4 ATUR
? - o?VFiSUED BY: SIGNA URE
-i
v
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
3830 PII. $KN ?'
OBRD - 55122
New COnat;uetion Reouirements RemodeVRecair Reauirements
? 3 registered site surveys ? 2 copies of pian
? 2 copies of plans (inGutle beam 8 window sizes; poured tnd. Eesign; etc.) ? 2 sde s-irveys (ezierior additions & decks)
? 1 energy pteulations 41 1 ennrgy calculafions for heated add'rtions
? 3 copies of Uce preservation plan if lot plaCed after 7/1/93
required: _ Ves __ No
? ?
9 - I (, -qi?,
DATE: ,._ B-oi 6 ^ 4 S CONSTRUCTION COST; 30?00 o
DESCRIPTION OF WORK: }?D?J O+\ ?o i?letti.c
STI?FL7 ADDRESS: / !k/ ea, r ' (s V _
LOT: BLOCK: SUBD./P.I.D. #: ? C2 4, L? I
Name: Mc, se..9 14L Prione #: ?Sy- g a75
PROPERTY lasi ? Firsc ?--
OWNER
Street Address: I g I U ? wr i S W a?,
City E»GA n ' State: mrA h Zip:
Company:ADO-61V Phone #: 89 - O -/</
CoNTRACTOR 31 9 N°
Sveet Address: 6* IV3 9 Kc'f} L C P1v c r 131 V[7 icense #2 o o q ? 9 11
City -_-rore;s-? /- n fCc State:? /411v
ARCHITECT/
ENGINEER Company: Phone #:
Registration #:
Street Address:
City State:
Sewer 8 water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
Zip: 15,5"p:? <-
Zip:
Penalty applies when address chang
1 hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wRh all appbcab!
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certficates af Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
IK 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
32 Addition ? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging ?
? 12 Muiti RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 DemolRion
Const. (Actual) t Basement sq. ft.
(Allowable) L ti Main level sq. ft.
UBC Occupancy L'> sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length `3( sq. ft.
Depth Footprint sq. ft.
APPROVALS
?lanning Building
.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/1NS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
? Census Unit
Engineering Variance
Tf
?
Permit Fee
Surcharge
Plan Review
License '
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Otfier
Copies
Total:
Valuation: $ ? ?? 0
??!
s ?.
? O
r ° ?
>
' ^ J
% SAC
SAC Units '
, 6c:;L ?
? 6 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS lIUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF S URVEY
1
S
ET OF ENERGY CALCULA TIONS
To Be Used For: fw4luation: ?
/
f Z?oco
? . 6`
Date:
Site Address: /8?9KikiS OFFICE USE ONLY
Lot: ? Block /0 Sect/Sub ?q Erect X Occupancy (Z-3
Remodel Zoning ?-?
Parcel II Repair Type of Const 7:Kz:
_
Enlarge 11 of Stories
Owner ez_-y ,?,??,,,?,C7 /fjyr .,-e Move Length ?
Address GJ 1,73AW• 57-, _
Demolish
Grade Depth
Sq Ft ?j
City/Zip Code joN_Di3}J /r!-i J dS,3,Sz- --------------- -------------- --°--
Phone -7/3-6-- 3:3 Z3 APPROVALS
Contractor „? Z,46df9 ,(1j,,,,,a s
Assessments
Permit 60
34?• -
?
? Water/Sewer Surcharge 3l?.°=
:
?
Address ,j
/f/ ?73 Police Plan Review T
TT
Fire SAC s ZCS,°-°
City/Zip Code T4,2Q?! AA1 Engr Water Conn Spp.
Planner Water Meter (03, =
Phone ^?35-- Council ad Unit
.=
'7_8,0
Arch./Engr. IDL*Viv/,S Amgws/? Bldg Off j /7
APC Parks
Treatment Pl
"-
Address '?j(?l_-•-? ?.1 ,?I
t?S0?Y
City/Zip
Code &6>h
;.v1 Varianee
A, A/A?4 :!53'w
Phone 6 93p • /VY
TazAL a d f-5, 5 6
,
Z?ICoo
5 4o r 4-
?9 ?c 2 Z ° S? ? ? - -s?o g ?? ! ?i ???
2- E5
"Ilzs?
<
,
SURVEYOR'S CERTIFI ATE '' KEYLAND HOMES
' C939, a )
?-
s 'Op i? 7
L_lJ?
So?b
k ?
<? \b i ?F? 0?.
?.`
?aj ? , Csq3,9?
O' .
C9Q9,8, / .p .
,yo 00
?
O ?
.O
i v
, :,..
i ?
---W-- DENOTES PROPOSED SURFACE DRAIPIAGE 7
O DENOTES IRON MONUMENT SET SCALE: 1 1NCH ='? ? FEET
A DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 9 SI•9 FEET
X000.0 DENOTES EXISTING ELEVATION . PROPOSED L04lEST FLOOR = 94 4•2 FEET
(000.0) DENOTES PROPOSEU ELEVATION PROROSED TOP OF BLOCK = 9 Si9 FEET
I HEREBY CERTIF:Y TO KEYLAND.IIOMES THAt THIS 15 A TRUE AND CORRECT REPRESENTATIUN OF
A SURVEY OF THE BOUNDARIES OF:
Lot 8, Block 10, RIDGECLIFFE FIRST ADDITION, according to the recorded
plat thereof, Dakota County, Mlinnesota.
QNU OF THE LOCATION OF A PROP05ED BUdLDING. IT UOES NOT PURPORT TO SHOW IMPRO'rEhlEiiiS
OR ENCROACHMENTS, IF ANY, 7NEREON. AS SURVEYED.BY ME, OR UNDER MY DIRECT SUPERVISION,
TNIS 16TH DAY OF JULY , 1985.
PROPOSED ELEVATIONS SHOIa'N WERE
TAKEN fROM A GRADING PLAN `
PROVIDED BY KEYLAND HOtdES.
PROJECT NO.
8s7 3o
FlLE N0.
FOLDER
800K / PAGE
SIGNED: NILL, INC
BY .7a?&0?0 Fva/!.
HAROLO C. PETERSON, LANU
JAMES R. HILL, INC.
Planners / Engineers / SurveyQrs
8200 tlumboldt Avenue Bouth•
Ubominyton, Mn, 515431 012-004-3029 '
.
r o `? o
.
3
' F :Nage 1 of 4
EXTERIOR ENVELOPE hV[RI1GE "1P" COMPUTATiON
OWNER: nnrr:
2'1!
q-45 1ir°.
SITE ADDRESS: PIIONE:
CON7RACTOR: 4gfe? ?C?_
Determine working square foota9e of-each
1. Total exposed wall area..... Z.O$a sq..Ft. x.I1
2. Total roof/ceiling area..... 11 9le sq, ft. x.026 = 3?. O
Total exposed wall area above floor=_ 1_?L
a. 7ota1 wall window area..........
........
- b.
Total
.
. .
..................
.
.
.
door area...........
.............. r 5 7
. .
.
otal
..........
.
.
. .
.
.
. . . . .
...
sliding glass door area ...............
.
4 D
.
Total ......
. . .
.
. . . . . . .
...
fireplace wall area .................
.
._ •
e.
Total ........ . .
...........
wall framing area (average 10%)............ .. . ....
f.-
Total .........
rim joist area.......
................... .
-
9•
net
..................
wall area above floor .......... ??
h. .................
.........
wall area above floor ............ '? 4 Q
. ?_r
i• ...............
.........
walt area above floor ........
'
.
.
J.
frame ........
....................
wall area at foundation .................................. .
.
Total exposed foundation area=_7L
k. Total foundation window area ..
1. Total ....... ...
net foandation area above gr•ade...........
Determine "u" value of each wall segment
(e.g, window, door, eacfi separate wall section)
r
a._ x'. ul, .44 ?
e. 3a x„u„ .31
= ?r.8
. c. 40 x
--41
tl---- ---?-L4?--
d. - X ?lull _ .
?-
e. /g? x
x„ul, 04 = 5.7
--=-r-
9 •-x 0 S =_ ??•
n. X
t. X „U,. _
x
k' X
"?'? If item 13 is the sam
° as, or less than item
K
°?"_ ql, you fiavA met the
intent of SBC 6006 (c
3. ......
....................... ... .IOCaI 2 O?
?Ect?rior Envelope _Average "U" ComputpCion -
-
Y _ •,, - ---
_
- - -- - - - --
i . .
..
, - Total exposad roof/ceiling area ? ? ?q(p
M. Total skylight area ............................ `
n. Tota1 roof/ceilirx3 framing area (avcragc 10E)... / Z
. o. Total net insulated roof/ceiling area......... .. ? p:](e
--?-.
. Determine "U" value for eacli roof/ceiling segment
M. _ X ?p.' e
Page ,2 of 9 =-
Jl. (Wa .074- e 2.11
o• Ib-mv x??U„ .02 = 2i.5
d ........................... Thcai v Z4•,'?-_
If total of $.] is the same as, oz less than N2, you have met the int•ent of
SHr.60Q6 (c) 1.
, . Alternate Building Enve].ope Desi n
7b,utilize the total enyelope'systen method, the values established by the sum of
i.tems 113 and #q shall not be greatez than the sum of items fll and -A2.
i•_ Z?A .7 + 2. _31. 0 21?.?
3• + 4. 24.3_ = Z?SI .
-?- ,
?
1
PLA t..( 3 Z? ,
? Lr N E.4 t- FT. F..xposEO W?4LL
5LOG(??iz(*+ 4 c, t Uot4 ?= 144
?.?t?E ?? z4-? 4c. + ?+ a? = Iq9
., .
=ULL1;?? 4 2(a-+4c0= I14
=vLl.2. ; ? -
= i R...?t?LAL,E '
-
?
Z 1 M:
SKP aSeD WA LL A?z.EA
r3Lac,?C ?
N
K
E 144 x , S = -77L ..
.
E-
?. 144 K S = 7to
VV . 0..%:
?:
LL'
I; JC 8 = ( d7 Z
v
;
F
2 ;
L 14i X 8 = r Js2
.
;
u k S =
? 144
-
,;
?
' ?!? To7A L = Zo88
E1CP05E?D GEILfUq 2(Ok4(o= 1(7(c
W oW5 U D oo Rs r?
? Z ? 3 S
;'I z4?? n-? i
; a
1:!
zocpo
?
zs
RATI o
DRS
i;? Z84? II
? 7 (
; o ,
?
`?-
is? f35 H4 U LJ i +5 6
?
YlAI.t: SfCT4 ON7
't: Uar j,s o[ opocluc voll eren for
frnm,: cwirhruct 1Un
. ??.?,i,. •;,:?,
' Cc?n ,trncl inn a-v.ilu.:
...
--ti.
3.
4 ? ' in?:lics ::.?[r. • ?,.,,?
? - -°--
5..??? _.. ._ .. _ . ... ,.._.__ ?
. ...... .._4
6. k;r.lcrii,r +ir [i;m
?------ -' ?-°----`?
' - 0.17
--.__-----
---
--
7'uC:it
u=.os
fNSut•
1. TnL'rrlor air f).GI!
?
a. ?o-r.l? .x ..... ..... .....?_.__.? .??,..?
6.
ExCcrior air fil?e
, 0.17
JC'Q?J'
R yM
-1, ]ntcriur nir IiLn_______
- -...... __ U_GII
).
4. _-??l.???.------- - --- ---`-`-QD
b. }:xtrrio[ nir (ilm
-
--- -- --- 0.1.7
?---
?
--
?i o C ri t ?Z
. ?
v=.o9
1.
2.
3.
a.
s.
G.
srn, ori (:RAue
I c?ior nlr filni 0. GA
'
---- -- -- --- - •-- - - - - ...._... --- _
L22 l:xCi?riur. Iir I?iln`------'.-'.--'0.1'!
?---------- _---T'al:il
11=,??1. 08
---- --------------?--...... ?
. . , '. . .. ,
. I] r
-?-
I'(
- r<<
in . • , . . • ? irr
? } • . , - ,+r
eic. aa
!(? S• . ? ?
Iul'I'C: icrll.:nt?: i.y.,c, 41enNh nnd
' ?;l.iceno?.ic of iw;ul..i:im.
=nzed
FAOP/CEILI.tC.
PIG. QS
Hea[ flov
up
Con9tructlon . R-Valuc
, 1. Intcrior air film , .0.61 ?
? z. 61A" F3D !?S
7. _lAlSUL.
dE1.0a
?
4. Extcri.or air filn (still prl,r
Total 2 4s8o
.. . : ?. . . • V= .02 • ? .
' F?+rt.: • . ? .
1. Intcrior air film ? 0.61
Z- r G -- 'f3U . S$
,
3. ?? ? _?I?SUL 38.3s
• 4. £.xtrrio:: air filn (stzl
Total 2 = q ?. ??
? , . . . . U = ?. oZ4:
?.?l?\V??.11'T. • ??`?.'A!IJM1tL4,4/ :
-' ?-?V
?%i' . i?^-r
V
?.
?? ll „??? :St? ?? _? ?- _
. ?? `??J 3 4 . • .
? .
? Y.eat Ilov vp • i•vented
r-?1 . :
' _, v
•. i."_ _'?`-.`?`-?.?. :??
- . : -
• _ H?:!-VLZ:IZD •
? . Heac '
ilov up ? • ?
? . . , .
$Z ,_ f7 . ' .. r•
COA.SrR?CTi B^-_
1_ Insidc ?ir film 0.61
2.
3. ' •
4. ^
5, Outsidc air film
- ? Total
1. Tnsidc air film 0:61
2.
3. ' -
4.
5. Outsidc air film 0.17
Total
... ,-- -
Ynsidc air filin 0.61
•
2.
3
4.
5. Outsi.Jc air £ilin 0.17
ToWl
-No_te: V::o additional sheets if morc apaco i:
tleccled for details and calculatians,
. ? ' -
i . ' 1 1
,
1
?,
i
r-- 2/84
? '
II ?
CITY OF EAGI::I
I' , ?4
'L? ?i 11
APPLICATION FOR PEELtiIZT
• SEWER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
1) PROPEFrI'Y ADDRESS: I g I? Kar? :5 1,+ia w - rk-? Ja P (' h4-F /'L 14111/)
ryra?• DE=prio:v: lr?- g & k ) C)
(Int/Slock/Subdivision or Tax Parcel I.D. NLUmer)
? I"c S'?'RL.'CI';,^:2E , DAT:' 0F ORT_Gi IAI, uiILCL:G FEF_?= ISSUrNCE:
_•- ,-_."
PPFSLT --n?]I:vr:/PROPOSZJ L'SE• V R-1 SZ;GLE :PMLiLY
? R-Z DUPT.7{ ('IR'O UiVITS)
? R-3 'IC7.VNHC{ISE (??T= + U:IITS) ( Wi ITS)
? r2-4 t;c^-ii,?'?'YENT/C'J..MCi-ir7lt,,,1 ( Wi I?J)
? CQ%T1MERCLAI,/F2Ei'AII,/OFFICE
p ?.'DL'Si':Z=
Q P.VSTITC,'TIO:7AL/GGVE,Rr1MFN7
z) AppLI?.?1T (PLEASE PftINT)
14AL'"E= Le?v L/?-,vD i?omes
ADCRESS: 3 y/]/ -ev 173 kD s?--
CIT[, STATE, ZIP: or DA?, S36- z-
PxoiNE: y9z. - G G s' L
3) PLL.?IBER PLEASE PAINI)
/
FOR CITY USE ONLY
?• ?
nYl c 1/,h n1 /6 ?yl/l
ADDRESS: .
G
? 709O JUrlriu /?VP • PLUP -R3-"LICEYSE:
ncciv
CITY, STATE, ZIP: Exp' ed
PHONE:
?'y7 t5?6? PLUMBER LICENSE N UO?
371/`J?`? of R cord
?
, /
n ia
Q) OCCUpANp/CrqjjER -? . . . (PLEASE PRINO ..
t?r?
ADDF2ESS:
CITY, STATE, ZIP:
PHONE:
5) IIVpIGr.TE tVHICH PF.RNLiT IS BEINC; RDQLTES'PID:
? CODIDIFiCPION TO CITY S5Tr1ER
? CONNFlC:ION M CITY S4P.TER
? di'[MR (PLLASE DESCFtIIIE)
6)
? PLEaSE HOLD APPkWED Pgt,+1IT FOR PICs:-UP SY ONE OF ABOVE
PIF1lSE I**AIL APPRCn/ED PIIRMIT TO 1, 2, (Z) 4 F,E(JVE
" (Circle one)
7) SIC.*r1TL'RE: /41? ?_? ? _?Z-L& DATE: S-/ `0,5-
? .11 .. '
0 R C I T Y
PE?2MIT '` ISSUED
FEEs: $
?U• ?J
$
$
S
$
$
$
$ C !%G?. ??'-d
S S.?S . uG
S
S
$
$
$
U S E ON;,Y
Er:Eo ncR?T?^ (1_ D-• rtTvr^H:i?.Rr.?L -?
.7a11 ? ?rT?..r7?. JV?..?)
WATER PERP4IT (INCL'JDE SuRC;:ARGB)
WATER METER/COPPERHORN/OUTSIDE REFDER
WATER TAP (INCLUDE C02PORATZQ:7 STOP)
SESJER TAP
ACCOUNT D,F,ppSIT - PIATER
WAC
SP C
TRliNK WATER ASSESSidENT
TRliNK SE6dER ?SSESSb1ENT
LATERAL BENEFIT/TRUNK SE?•]ER
LATERAL BENEFIT/TRUNK LJATER
OTHER '
TOTAL
$ (1Ca AMf?LNT PAID/RECEIPT ?
DOES UTILITY CONNECTZON REQUIRE EXCAVATION IN PUBLIC RIGriT OF WAY?
? YES IF YES, THEN A"PERMIT FOR TAORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C:::?O-- ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TI:LE:
DATE: /
me wl?m Num'e w" wpw rcm aa Mrw,rLw mmw w-io wsM w.a M.t W sa mjM5 Ra s&M AN
s? w ?
? L BL t- CITY USE ONLY
O
SUBD. kdq!.Q.CI N"?-P_- ! sI
9
RECEIPT#: I?i ?7 /)
RECEIPT DATE: aU' (J O
PERMIT# ? I
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN, MN 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
FIXTIIRES
EACH N
TOTAL
Alterations to existing dwelling - inQmou fem
Describe: A?or/Fs kr7r-H9L- cg..,? $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tra 3.00 x = $
Lavato 3.00 x = $
Septic System new/reTurbished ' requires MPC lic. 75.00 x = $
Septic System abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = S
Shower 3.00 x = $
Undergfound Sprinklef ifdwelling is underconstrudion 3.00 X = $
Undergroundsprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwelling under conswctlon 5.00 x = $
Water softener if axisting dwelling 30.00 x = $
Water tumaround 30.00 x --- = $
State Surcharge 50 --> -> --> $ .50
rotal _> .5
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-----•------------------------------------------------•--•---------- --------------...------------- ---------------------------
I hereby ackrrowledge that I have read this application, state that the information is correG, and agree to compy wdh aIl applicable Ciry of Eagan ordinances.
It is the applicant's responsibiltty to notity the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its
normal operationai and maintenance activities to the facilities constructed under this permit within City propertylright-af-wayleasement.
SITEADDRESS: leI7 KA+C15 wAk ^'lN.
OWNER NAME: : Go47z Cor.J2&moe TELEPHONE #:
(AREA COOE)
IN5TALLER NAME: A+?gy Sff'F2iit
STREET ADDRESS: 9Z S- z z ?*V-
cirr: FC
TELEPHONE #: 76 ,7-7.r-3 - y Z
(AREA COOE)
STATE: ?"' ZIP:
?
SIGNATURE OF P MITTEE
?X<)$?;kNF'„*?'?Y: i'?;AmYrY,:Y?;F "M>kk?'.M>Y,?,?,`X.>k,kY,iN,:4f?()Y?fY?>FY,i),',ikN?k
C.[iY (lr ERit;AN
CA'„H:fEfF: 5 TI: RtiIA!(31_ Nt7, 692
TiRTEm 04l22/99 TTM!=n 0e4022
ILi ?
N4'tN£:r. C,Xlti ON E'nJ.T.i...DERS Ci!ii:iSf:liil.:i_Tf•",G
'3r 9.[1 9001 i8,i.4 t:Afi:LS Mfa`? 335.23
2155 9001 9.E3J.4 };!1R.T.f:i W64Y W.SO
3422 :=1001 1814 I'A!S:I'.'i I4AV r_i7.71.
3415 900'1. :1014 KAFi:f.;: I={AY 20.00
7ot;31 Rcr•eip'I: Fim4puni:^ 5e'.',.66
C00684 $
t.1SLR Sne MANrY
...:n:k ?YF ?M'Y„M?i.wY,l?F?:?;C?3.'.',Y,C.Y,t?'XN'nXF)n7;;i?Mh??.Yi"nkc:?F?'S ??F'>X)kY,•:XCX?Y„
. , 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL? LS L3_
CITY OF EACAN
3830 PILOT KNOB RD • 55122 ?-?9
651-681-4675
New Construcfion Reauirements
? 3 registered sMe surveys showing sq. ft. of lot, sq. fl. ot house
and all roo}ed areas (20% maximum lof coveraae allowed)
i 2 copies of plans (show beam 8 window sizes; poured fnd. design; eic.)
i 7 se10l energy calculations
> 3 copies M free preservatton plan H lot platted afler 7/1/93
DATE:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: _"L BIOCK: j(D SUBD./P.I.D, q:
PROPERTY
OWNER
Remodel/Reoair ReauiremenTs
2 copies of plan
7 set of energy calculations for heated addNions
7 sRe survey for exferlor addktons d decks
CONSTRUCTION COST:
Name: MQ SE/V GJ A L- Phone #: o?Z 7S
Last Flrst
Street
vi
city ?0. c? t4N state: I'?N zip: S-5 l 02 l
Company: /¢jQ4Q'aN 131--64IF3 Phone#: ? Vl s -'?- ^ ? q'-i,?
(area code)
CONTRACTOR Street Address: `?q3 9 ?/E? ,??/tC ?I / q
_ 'P\ ?ticense# o?d g (/ ?? Exp.
_ _
ARCHITECT/
ENGINEER
City & WL'S'T 4 14 .k-Z- State: IW N Zip: SSO .2?5
Telephone #: area code ( )
Name:
Sfreet Address: Registrafion #:
City
Sewer 8 water Itcensed plumber (reauired for new constructlon onlv
State:
Penalty applles when address change and lot change Is requested once permB Is Issued.
1 hereby aeknowledge that I have read ihis applleation, state that ihe information is correct, and
State of Minnesota Statutes and City of Eagan Ordinances. 1,14 ,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Zip:
to cort1p wo all opplicable
Tree Preservation Plan Received _ Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
f?
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage 71' 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Misceilaneous
WORK TYPE
;? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
lp
?et?-U
Total: `'I5 ( 3 C(
SAC Units
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
_ Engineering Variance
Valuation: $ a?. c? 00,
C-?
(3?tA ???
-ry--?
?xC-''Lx?
uy? "
% SAC
?
.
city oF eagan
rHOMas eGnri
Mavor
PATRICIA AWADA
BEA BLOM9UIST
DcCZR1b2C S
1995 $ANDRA A. MASIN
, THEODORE WACHTER
CouncilMembeq
THOMAS HEDGE$
Citv AdminiYrator
MR N[ARK J RIOUX
A
OVERBEK"
15439 KET-[LE RIVERROAD GryCe
k
FOREST LAKE I'vIN 55025
RE: 1814 KARIS WAY
LOT 8, BLOCK 10, RIDGECLIFFE 1ST
Dear Mr. Rioux:
On December 1, 1998, you were mailed a letter from this department stating that the
buildin- permit for the aforementioned address is cancelled. Today, December 3, we
received a check signed by you in the amount of S525.09 to cover the cost of this permit.
We are retumina your check to you and if you are seeking a building permit for the
above, you must submit a new application to our office. As your personal check did
not clear the bank previoush•, we are requestiag that you submit a Cashier's Check
to us to cover the cost of this permit when you reapply. In addition, you will be
required to pav the S20.00 return check charge.
Thank you for your cooperation.
S' erety,
?'???
Doug Reid
ChiefBuilding OfFicial
DR/js
cc: Alan Mosen?, 1814 Karis Way, Eagan, MN 55122
Gene VanOverbeke, Director of Finance
Linda Fink, Accountant
MUNICIPAL CENTER
3830 PILOT KNOB ROAD
EAGAN. MVNESOiA 55122-IB97
PHONE. (651) bd I -46C0
FPJ(.(651)681461p
TCD: (651) 454-8535
iHE LONE OAK TREE
THE $VMBOL OF STRENGTH AND GRON/TH IN rJUR CONIMUMIP/
Equal Opportunity Employer
MAINTENANCE FACILIiY
3501 COACHMAV POINi
EAGAN, MINNESOiA 55122
PHpNE', (651) 681-4300
FA%: (651) 621-4360
TDO: (651) 454-8535
??M?C?k%?vF?k?suX?kY???XyFaYk???CY?fiA??cRcX<>r?c%c?C??cfi ?k?W.B<X?rk
CIT`I U{" EAG;AN
C'ASf-IIEI'(: 1;3 71:'F::t1'iNa!_. N0- 875
nA 7E:, 08/1.7/99 T'TMF_: 02 ;20e.49
i.T..' ,4
NAMf_.? t??'[:-F'ERt11:T'S
:3210 9001 014 f;Afil:5 k{AY 153.E25
055 9001 1914 ;:nrtS I.;AV 4.00
7]?;77. f:Pre7.pt A!nour5+;3 . 07,25
CR:I.15527
. ?
US>'h ]:D:: J1id
?F%ti7?t>kY,:%kN(H;?K`kY??[v(yF?,>kYn%XR? 'MYi.Y.iYR%:M:k>kM?;:1F'?'>k1'r'YF ?;M?"+9nX(
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
?7 CITY OF EAGAN ?j
? ! ? ? ? 3830 PILOT KNOB RD - 55122
651•681-4675
w Conshuctlon Reauiremenh -4 T1 i3
? 3 regisfered sHe surveys ahowing sq. it. of lof, sq.1t. of house
and ? roofed areas (20% maximum lot coveraae allowed)
? 2 coptes of plans (show beam d window shes: poured fnd. design; eic.)
? t sef ol energy calculations
? 3 copies ot hee presenaTion plan B lof plaHed atter 7/7/93
DATE: ?-IIJ-! !
DESCRIPTION OF 1
STREET ADDRESS:
LOT: 17
Remodel/Reoalr Reauiremenh
2 copies of plan
1 set of energy caleulaHons for heafed addNlons
1 sHe survey for exferior addXfons 3 decb
CJ?o'
CONSTRUCTION COST:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:?????? Phone LJ'r '
Lasf F'ust
StreetAddress: 1914 lZIIOCS W/-T!
Ci1y 9-,'4 C/P ? StaFe: 1JlA Zip:
Company: h "?4&a'?WQ(] Phone #: l° [Z qoT 6?R5'?
(area code)
Street Address:A ??ulze7-ucense #'2--Q((0R-;173Exp.3--000
City State: mnJ Zip:
Telephone #: area code ( )
Streel
CNy
Sewer & wafer Iicensed plumber (reauired for new eonshuciion onlvl:
Name•
Regisfration #: _
State: Zip:
Penally appties when address change and lot change is requesfed once permft Is issued.
A hereby acknowledge that I have read this appiication, state that the InformaHon is eonecf, and agree to mpl Rh all applicabl
Sta}e of Minnesofa Statufes and City of Eagan Ordinances. ??/"
Signature of
Certificates of Survey Received _ Yes
Tree Preservation Plan Received _ Yes
OFFICE USE ONLY
_ No
_ No _ Not Required
?-_ .-? ? - -
II' ? AU61 61399
? I
BLOGK: ? `? SUBD./P.LD. #: IC_.t a!_de.hZ:?./.-t I -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17- Garage O 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC ;
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
SAC Units
% SAC
?/ n?
3?a4 .
ov?l
? L CL- V? {?C?'U-??-?•?
? P-?-K v\A't-s ? -
7?z
:? 1,00 ? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cinr oF eac,ani
3830 PILOT KNOB RD • 55122
` ( ( 851-881-4875
49w Conshucflon ReauUemaMt Ck.. I 3 U?0 !?O Remodel/Reoalr ReO1JIremBMS
? 3 reglsfered sMe wrveys alwwlnp p. tl. of lot, aq fl. of house 2 caplea of plan
and gn rootetl areas f20% mmdmum lof coveraae allowetll 1 set of energy ailcWaHOns tor healed addi9ona
? 2 coPlea of Waru lahow beam 8 wlndow alzes. • Poured 1nd. desl9n: efc.) 1 tite wrvey for axfedor addiflona R decka
? t sel of aneryy calculaXOna
? J coples of hee preaervallon plan if lot plaRed aRer 711 /93
DATE: 5-a3 -0Q
CONS'fRUCTION C05T: ?V ,nc)o
DESCRIPTION Of WORK: LOK?0 &YLPO/1
STRg)ET ADDRESS:
LOI; -4
V\I
BLOCK: I SUBD./P.I.D. #:
Name: =V` / v c05C--?tc fa"1 r9-n, Phone #: 455? 76 7
PROPERTY Las? Rrst
OWNER
Sheef Addreas: zz,4f21y G?`LQ--?`
City ?lfY? State: Zip: 15s/dl?-
ce.?!! S 3 ??
. CompanY G s . ?Lr?'c . ,P,or,e *: X-?Gf/? -?ry0 9'
(area code)
COMRACTOR
sneetAddress: a1(0 /U(' ucanse# 2L d/9S"exp. 3 aa?/
citr c;4s f- &4s ( - srore: nP:
ARCHITECT/
ENGINEER Company: Name:
Telephone t: (
Sfreef Address: Regisfrallon Y:
Cffy
State:
Sewer/water licensed plumber (it installina sewerlwater): Phone #:
uP:
1 herebY acknowledye ttwf I Iwve read ihis applkaNon, slafe fhat fhe b'fo?ed, nd a ro comply wMh a6 appliwble State
of Minnesota SMhdes and City of Eagan Ordinances.
Signature of AppacanY.
OFFICE USE ONLY
Certiflcates of Survey Received _ Yes , No •- _ 3
Tree Preservation Plan ReCeived _ Yes No /! Not Required
Jep 4.a?
OFFICE USE ONLY
BUILDING PERMIT SUBNPES
? 01 FoundaGon ? 07 05-plex ? 13 1 6-plex ? 21 Porch(3-sea.) O 31 ExtAlt - Multi
? 02 SF Dwelling O OS 06-piex ? 77 Garage -& 22 Porch/Addn. (4-sea.) O 33 Ext. AR - SF
? 03 Ut of _ plex ? 09 47-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level O 24 Storm Damage
? OS 03-plex ? 11 10-plex PI6g _YOr _N ? 25 Miscellaneous
? 06 04-piex ? 12 12-piex ? 20 Pool p 30 Accessory Bldg• ,
WORK TYPE
? 31 New ? 36 Mave Bidg. ? 43 Reroof
32 AddiUon ? 37 Demolish (Bldg)' ? 44 Siding
O 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ,
? 34 Repair ? 42 Demolish (Foundation) p 46 Windows/Doors
* Give PCA handout to applicant for demolition permit ?
GENERAL INFORMAI'ION
SAC Code 424 # of Stories sq. ft.
No. of Units __ Length 59• ft•
No. of Buildings Width Footprint sq. ft.
Code
C
?
Const. (Actual) Basement sq. ft. ensus
(Allowabie) Main level sq. ft. MC/ES System
UBC Occupency AS-U l. 4!?? sq. ft. ?70,r:> City Water
Zoning ? sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning
Building ! P. V I? Engineering Variance
/
Permit Fee Valuation: $ D
• Surcharge
Plan Review
License
MC/ES SAC -
?? f? -
City SAC
Water Conn.
Wffier Meter
Acct. Deposit
S!W Permit
S/W Surcharge
Treatment PI. Le""
Park Ded.
Traiis Oed.
Other
Copies
Total:
SAC Units
% SAC
i
?
`?='IL
c939, o )
?o
0O 7
? L_lJ, ,
o,
00
?,o , ?pcb o?.
? ??? 4 •oi i
r
?_?. ?
.,
A yllsv
CyR9 g, ,P
t
- l
'-4,??p.T/C? ?
J /171w
/
. O0
` O
.?? ?.
/S sO00?%y \o Mo° ?`?o
? M° ??¢90)
?Y,4r
/
3-9)
AO
\
\ `,4V
/ ??
:,•.
/ ,v ..
ao?
V`
v
--?- UENOTES PROPOSED SURFACE URAIPlAGE r
O DENOTES IRON MONl1MENT SET SCALE: 1 INCI{ - 3 o FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 4 51.9 FEET
R000.0 DENOTES EXISTING ELEVATION . PROPOSED LOYIEST FLOOR = 944•2 FEET
(000.0) DENOTES PROPOSED ELEVATION PROROSED TOP OF BLOCK = 951.? FEET
1 HEREBY CERTIFY TO KEYLAND fI0ME5 THAT THIS I5 A TRUE AND CORRECT REPRESENTA`iION OF
A SURYEY Of TIiE BOUNDARIES OF:
Lot 8, Block 10, RIDGECIIFfE FIRST ADDITION, according-to the recorded
plat thereof, Dakota County, '•iinnesota.
11NU OF TfIE LOCATION OF A PROP05ED SUILQiNG. IT GOES NOT PURPORT TO SHOW IPIPROVEFiENTS
OR ENCRQACHMENTS, IF ANY, TfIEREON. AS SURVEYED.BY ME, OR UNDER MY DIRECT SUPER\'1S10f3,
THIS 16TH DAY OF JULY, 1985.
PROPOSED ELEVATIONS SHOWN WERE
TAKEN FROM A GRADING PLAN
PROVIDED BY KEYLAND HOt4E5.
PROJECT NO.
?573?
I , F1LH N0.
, FOLDER
SIGNEU: R. HILL, INC
aY: ?C
HAROLD C. PETERSON, LANU SURVEYOR
BODK / PAGE I JAMES R. MILL, INC.
Pianners / Eng(neers / SurveyQrs
6200 Ilumboldt Avenu• Bouth
Rloorninqlon, Mn, 55431 012-004-302A '
11 city oF eegan
PATRICIA E. AWADA
Mayor
PAULBAKKEN
PEGGY CARiSON
CYNDEE FIFI,DS
MEG T'[t l Fv
Council Members
THOMAS HEDGES
Cary Administntor
Municipal Center.
3830 Piloc Knob Road
Eagan, MN 55122-1897
Phone: 651.681.4600
Fax: 651.681.4612
TDD: 651.454.5535
Maincenance Faciliry:
3501 Coachman Point
eagm, MN ssiu
Phone: 651.681.4300
Fau: 651.681.4360
TDD: 651.454.8535
www.cityoFeagan.com
THELONEOAKTREE
The rymbol of strength
and growrh in aur
communiry
November 2, 2001
GOLTZ CONSTRUCTION
2419 216T" AVE NE
CEDAR MN 55011
RE: 1814 KARIS WAY
BUILDING PERMIT #41006 DATED 5/24/2000
TO WHOM IT MAY CONCERN:
Building Permit #41006 issued to Goltz Construction on May 24, 2000 was to construct a
4-season addition at 1814 Karis Way. As you are aware, there is a water leak in the
lower level of this addition that needs to be addressed by Goltz Construction.
Please contact me at 651-681-4679 with a tnne frame indicating when this problem will
be taken caze of and a final inspection can be made of this addition.
Sincerely,
eny Zelenka
Building Inspector
TZ/)S
cc: Mr. Alan Moseng, 1814 Karis Way, Eagan, MN 55122
Dale Schoeppner, Chief Building Official
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1814 Karis Way
Lot: 8 Block: 10 Addition: Ridgecliffe 1st
PID:10- 63980 - 080 -10
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Sedgwick Heating & Air
8910 Wentworth Ave S
Minneapolis MN 55420
(952) 881 -7739
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Norman Larson
1814 Karis Way
Eagan MN 55121
$50.00 0801.4088
$0.50 9001.2195
$50.50
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
Mechanical
EA082226
03/14/2008
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146581
Date Issued:11/01/2017
Permit Category:ePermit
Site Address: 1814 Karis Way
Lot:8 Block: 10 Addition: Ridgecliffe 1st
PID:10-63980-10-080
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Norman Tstes Larson
1814 Karis Way
Eagan MN 55121
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154177
Date Issued:02/26/2019
Permit Category:ePermit
Site Address: 1814 Karis Way
Lot:8 Block: 10 Addition: Ridgecliffe 1st
PID:10-63980-10-080
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 -
Norman Tstes Larson
1814 Karis Way
Eagan MN 55121
(651) 330-9154
Scherer Brothers Lumber Company
9401 73rd Ave. N
Suite 400
Brooklyn Park MN 55428
(952) 277-1600
Applicant/Permitee: Signature Issued By: Signature
- .,„,- -. Cogd
For Office Use07 i
--7 (�
, , i •i , A Permit#: 57 / 3 /
•- --••,, E AG A 17 Permit Fee: /Li 7. .5." "
• S3
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
,JUL 3 11 `1019Date Received: 7`3i1- ff
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(c�citvofeagan.com J
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7 3/ '201 1 Site Address: €1 Y ICa r 1 S Wel Unit#:
Name: It/or'iii,4,,t Lars o 4'1 Phone: IS'-33 o—lis L/
Resident/
Owner Address/City/Zip: 19(t( ka r;S IA/4 y► / CV 4 el, M 4/ SS i a
Applicant is: 7< Owner Contractor
Type of Work
Description of work: 4/42-w De GIC— 11) rep/4 c e 0/d hL G
Construction Cost: $13,3 0 0 Multi-Family Building: (Yes /No X )
Company: 4i—et re Oct S i S Contact: Je re fkr Cr a y,f rd
Address: I ti 0 3 122 Si-.
Contractor City: CAippe w4 fi4 I f.State: _ Zip: S`�7Zq Phone: 6S1-Zoe-CeY°Email: fere b'+7.Cra yfo 61 h+a tI. :o ff
License#: Q e- 6 Y 211 S Lead Certificate#: Nbi+
If the project is exempt from lead certification, please explain why: r
No t- �
o Sf"✓-!oirf ,Sf'✓Qr`e. Ac t- o" ✓
l. S , ,{ cL of Aome
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non-public if you provide speck reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeacaan.com/subscribe.
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.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you I
intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and a I of plans.
x Jere h1 CyJ ' d x
Applicant's Printed Name Applic 's Signatur
I
q11-1 14 ,2-,s ° / 7r(77�
DO NOT WRITE BELOW THIS LINE 11q
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) — Exterio-Alteration(Single Family)
Single Family Garage _ Porch(4-Season) _ Exterio-Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex Lower Level Pool Accessory Building
WORK TYPES I
New _ Interior Improvement _ Siding _ Demolish Building*
4 Addition _ Move Building _ Reroof _ Demolish Interior
Alteration — Fire Repair _ Windows _ Demolish Foundation
Replace Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation 2+---j— Occupancy4 )'\LJ2-f. MCES System
Plan Review Code Edition 0,4441 SAC Units
(25% 100%Y) Zoning -4— City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of BuildingsLength Fire SuppressiDn Required
Type of Construction --V/6—
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
',( Footings(Deck) Final/C.O. Required
J' Footings(Addition) y Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
ft 1\449
Base Fee G
0Surcharge PA `j t
Plan Review
U
MCES SAC 0
City SAC
Utility Connection Charge
S&W Permit&Surcharge / ,QIY V
1 5.- /
---
l ✓
Treatment Plant /
Radio Meter Read
Copies
TOTAL
Page 2 of 3
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. .'-..,.., ,.)/
--.1'--r DENOTES PROPOSED SURFACE DRAINAGE ,
O DENOTES IRON MONUMENT SET SCALE: 1 INCH . '50 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR . 4 St .9 FEET j
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR a 944.2. FEET
(000.0) DENOTES PROPOSED ELEVATION ' PROPOSED TOP OF BLOCK = 95i ." FEET
I HEREBY CERTIFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF
A SURVEY OF THE BOUNDARIES OF:
Lot 8, Block 10, RIDGECLIFFE .FIRST ADDITION, according.to the recorded
plat thereof, Dakota County, Minnesota.
QND OF THE LOCATION OF A PROPOSED BUILDING. IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
OR ENCROACHMENTS, IF ANY, THEREON. AS SURVEYED .BY ME, OR UNDER MY DIRECT SUPERVISION,
THIS 16TH DAY OF JULY , 1985.
•
PROPOSED ELEVATIONS SHOWN WERE SIGNED: R. HILL, INC
TAKEN FROM A GRADING PLAN •
PROVIDED BY KEYLAND HOMES. '
BY: 4iee i.et:/ .2,,tYle-r--)
HAROLD C. PETERSON, LAND SURVEYOR
• MINNESOTA LICENSE 0 122'4
PROJECT 110. BOOK / PAGE
JAMES R. HILL, .INC.
, - :
Planners / Engineers / Surveyors
FILE N0.
8200 Humboldt Avonu• Bouth•
FOLDg13 "
. . . • • Bloomington, Mn. 66431 012-004-302Q