2049 Kings Rd? • - "i
W"tifica#e nf ccrupanc?
ur? ? ??
??? ? Swish% 3%#Vttfl"
T7tis Certtfecate issued pursuant ta the requinements o}` the Unifarm Building Code
certifying that at dee tinee af issuairce rhis sirrecrure was in compliarree with the various
orrlinances of tlu City regulating buiiding constrvction or use. For the foldowing:
lSse Classificauoa SF DW Bidg. Permit No. 1358 Type Occupani.y Type
PETEMM Diwict PD ?? Cont. ?
? ctrcss 12224 ? ?, ?=
Owner of S ' Ad
Buildipg Addiess I.ocalirty f ,
?
. / ?
01/27/V3
POST IN A CONSPIGUQUS PLAGE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 881-4675
INSPECTION RECORD
PERMIT TYPE:
Permif Number;
Date Issued:
Control No. 1002
M1, 1 1 fl 1 N44
00113f.08
li0/31/92
S1TE ADDRESS: I pY _, 3;
y04 v Kt Ncis, rip
VxFNMA l,?U?i?l',
PERM4T P
,8BTYPE:
PLOck. ; ? APPLICANT:
I'E.tEttSOf1 ftUllFyt COFtP
4612? 896--6064
TYPE OF 1NORK:
#1 E W
IbJSPECTION
tt1t)1 I Mr; .A
fRAAI tNfi
1Nf-;;fl AI l0 N FINAI
UTNFF'1 ACE:
Ir1 Mn1:F '.: i'!tV
14 & W f, (1 N r R p. f! f/ IR PI } ll V1.941
Pertntt No. Psrmit Holder Date Telephone #
S/4V
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapection Dats Insp, Comments
Footings I 9? a
Foundation ? `7 3 -$ z, /.c -?O
Freming
J" -01s ? Q 1
Roafing ?0 27 I'
Rough Plbg.
dt9
Rough Hlg.
-}L / `?S-?9? /„?A! ?. ? ?C•w
Isui.
?
Fireplace
Fina, Htg.
orsat Tes, ?
Fina1 Pibg. Plbg. InepectM-NaC Plumber
Correl. Meter AM"
Engr./Plan ?
sldg. Final ?? 3 -ZG9 3
Deck Ftg.
Deck Flnal
well
Pr. Disp.
zw
l?
CITY OF EAGAN Remarks
Addition VIENNA WOODS Lot 12 Rlk 3 Parcel 10 81950 120 03
Owner Street2049 KlriqS ROdd State Eagan, MPT 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. III?i7, 19$1 10
STREET RESTOR.
GRADING 1981 58;7
.Z
3 .Z7
5$
.
. .
SAN SEW TRUNK
* SEWER LATERAL
*
WATERMAIN
* WATER LATERAL
* WATER AREA
* STORM 5EW TRK
* STORM SEW LAT
CURB & GUTTER
SIDEWALK
STFEET LIGHT
WATER CONN,
8UILDING PER.
SAC
PAR K
CITY OF EAGAN
3830 Pilot Knob Road
I, Eagan, Minr?esota 5512?,
I lS 191 691-467.9,
INSPECTION RECORD???
PERMIT TYPE:
Permit Number.,
Date Issued: y A '
SITE ADDRESS: APPLICANT:
: I I IWl?1;? It?i?lll'? ? ?. ?. i .'•+I i.?n;:rl
PERMIT SUBTYPE: TYPE OF WORK:
IA; 1, ?
I ,..
I I",, r t N w> I. I I: i MAI
? ?
Permit No. Permit Holder Date 7elephone #
S/W
PLUMBIIVG
HVAC
ELECTRIC
ELECTFIIC
Inspection Date insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat 7est
Fnal Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
f
Bldg. Final
?f
Deck Ftg.
Deck Final IqYp
Weli
Pr. Disp.
HOUSE HEATING TEST
ADDRE55 00`19 LL??A (20G 0 ppT.-
OCCUPANT
HEAT LO55-
SOLD BY
Elscrrieal Work
TYPE OF HEA
DATE HTG. INST.
RECORD
_FLOOR CITY SUBURB 4?C,i ?
T GA _ FA HW STEAM -SPACE HTR. -UNIT HTR. -OTHER
INSTALLED BY VOG n - l. f
By Gas Lins By -?t-???
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
Sxial Mox. BTU Raeinp
INPUT 00 t"'^ MAKE OF FURNACE
Model
CONTROLS CI
THERMOSTAT Heat Pluq Vsnt Sizs
Valve UU KIND OF LINEp SIZ NO E
Limit u (('`
Drah Hood
R.guImor Vn8goLfs
U
Limit $eMing ?-? Filters $ize Numb?r
Fon SsiTing Chimnsy Locatien Inside Outside
Pilof TYpe Chimnsy Conatruefion /
Pilot Maks ?
Pilot Modal Smoks Bomb Wiring
Pilot Timing ?j
0.af1 Tsst Taq
L.W. Cuf Off Dow Pressurs Liqht{np Insf.
3; /w P
P
C d
D
T ld- - l q ?
ercenf
re:sure
O2 ata
ests _
?
InputCFH I M ? Psresnt OZ CompanyTeating O q -r
G
Stock Tamp
Paresnf CO ?? Name of Tesler ??^ ?
.
Fwm 235
OWNER
Address 2049 unCs RoAD Zip 55122
Lot - ?? Blk
Sub Vmm Wms
THESE TI'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 01/27/93 Yes No Inspector: j2p
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) ?
Permanent dtiveway j?
Permanent gas ?
Sod/Seeded grass ?
TraiUcurb damage ?
Porch ?
Basement finish ?
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing undergmund sprinkler system.
White - Ciry Copy Yellow • Resident Copy Pink - Contracror Copy w
101a!7 ?'?' '? REQUEST FOR ELECTRICAL INSPECTION eo-
? 56805 ? See insVUCtionabr compiELng iNS form on beck oi yellow copY
"X" Below Work Cavered by This Fequest
ew Adtl ReD TypeofBUildmg AppliancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(SpeCify)
Comm./Indusinal Furnace
Farm Air Condinoner
OtM1ar (syeaty) ConVacror§ RemaAs
Compute Inspection Fee Below:
# Other Fee # ServiceEnfranceSize Fee # Circuits/Feetlers Fee
Swimming Pool 0 to 200 Amps .sD 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 Use Only, TOTAL
Irrigation Booms W 9/v
Special InSpection
Aiarm/Communication THIS INSTALLATION MAY BE ORDEREO DISCONNECTED IF NOT
Other Fea COMPLETED WITHIN 18 MONT S.
I, the Electrical InspeCtor, hereby
cerhfy that the above inspection has
been made Rough-in r oate
OFFICE USE 3NLY
TNS request voie 18 montM1g 1rom
le, cf±OAC
qo
//JNi.-
41 J O J I ?,-, i-'" '
w
io aa ga oz
Rea? t0 Daie
?
z Fna No on
rea7nspece
R
q ? ReatlY Now ?'N?II Nottly InsPactor
Wh
R
d
'
c
es
No
y
y.
en
ea
y
Ithcensed contracfor ? owner hereby request inspection of above electrical work at:
JoD Aoaress (Strcel Box or Route No )
ao Y 9 K%a. S 2uA.,l Ciry
" -iiiii'
Seceon No
Township Name or No
Range No
Cou
nry
I /
? y°/`?_
N/9 ?`'4•
Occupa?I (PAtNT)
/ J Pnona No?- /
0 S t0
Pawar $uppber AdOress
Eleancai ConhacarlComOany Namej
c C3 ContraMrS Licanse No
c?o?6P?
er/Lo
'
Mailing Aetlress ICOntramor or Owner Making InSWllaliory ?
7
T- 44Y
/2 /
.
.
Aulnorrzetl Sign?lvre 1? nV ctorr ner Makmg Ial Phom Number
MINNESOTA STATE BOAflD OF ELCCTRICITY THIS INSPECTION REQUEST WILL NOT
Gnygs-MlGwey BIOg. - Room S173 BE ACGEPTED BYTHE STATE BOARD
1821 Univeraiy Ava., SL Vaul. MN %tOC UNlESS PFOPER INSPECTION FEE IS
Pnone(61P)BaE-0800 ENCLOSED.
------------------
i Faa;?#T??e ?
; Pe"it #: ? 7b °i ? I
? Pertnd Fee: ?
? Date Received:
I Staff: ( ? 1
I ' I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I0I Z VIO rIZ Site Address:
Tenant:
Suite #:
RESIDENT/OWNER Name: I`?c?4v ?-}iAh2?r Phone
Address ! City / Zip:
Applicant is: _ Owner K Contractor
TYPE OF WORK Descnption of work: kcl?ti je
Construction Cost: ? c Multi-Famify Building(Yes _/ No ?f?
CONTRACTOR Nam?me'F? S ectml2S:f'eticf'CrEC[(License#: .z 0G2?90
7
Address: )
?.. h
(3
?
. a ) rn
,
,
Cil(y: 4? J State: bdqL Zip: S 544? 7
Phone G, 12?Qp -?a ?? Contact Person: -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C2tEJ01'y Submitted Submitted
5ubmission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a simllar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documeiits that yo'u subtrii(are considered to,'be pu6lic informatloR. Portrons ot=
fhe information may be.classified as,'nonpv6lic it you-pYOVrde specific reasons that wo'rild,permit #he Crty'to`
t,'? oonclude:that the ar8 trade secrets
I hereby acknowledge Ihat this irHormation is complete and accurate; that fhe work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand ihis is not a permit, but only an appliration for a permit, and work is, ot to start without a permit; that the work will be in
accordance with the appmved plan in the case of work which requires a review and appmval of a s.
X? ?f'?"?r?? y?o S r d x ?
ApplicanYs Printed Narto? ApplicanYs Signature
Page 1 of 3
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: auILozNs
3830 Pilot Knob ROad Permit Number: 024317
Eagan, Minnesota 55123 Date Issued: 0 8/ 0 5/ 9 4
(612) 681-4675
SITEADDRESS: Lor: iz BLOCK: 3 APPLICANT:
2049 KINGS RD PETERSON HUBER CORP
VIENNA WOODS (612) 894-6084
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
INSPECTION .. . .•
FOOTING5 FINAL
F --1
L I
PERMIT c"O3 zG
?. CITI( OF EAGAN l1 iI Gq
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024317
(612) 681-4675 Date Issued: g g/g5/g q
SITE ADDRESS:
2049 KINGS Rp
LQ7: 12 6LOCK: 3
VIEMNA Wqpp5
P.I.N.: 10-81950-120-03
DESCRIPTION:
REMARKS:
DECK
NEW
6iiildin4..Permit Type
Auilding W?b.rk 7ype
?y
(f __
l,
! 1
? ll
?'?.?? . ?'F.Y`1
Ff
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
PETERSON HUBER
12229 W000
BURNSVILLE
(612) 894-6084
- nPaiioar,t - sT. Lxc. OWNER:
CORP 18946084 8001321 BRENNY BARBARA
LAKE DR 2049 KZNGS RD
MN 55337 EA6AN MN 55122
(612)686-5919
?
I hereby acknowledgs that I have read thls appJ.i,catiaon arid state Chat Che
information is catrect and agres to campSy with ali applicable SGate of Mn.
Statutes and Ci,ty of Eagaer Ekrdinances. ?i
APPL C EE SIGN URE ISSUED SIG TURE k
__j
CITY OF EAGAN
1994 BUILDING PERMITAPPLICATION
681-4675
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 regist Vx.Q, 1 copy of energy
calcs.
4 r!
:! 3 e4?;{
COMMERCIAt 2 sets of architectural structural plans, 1 set of
specifications, 1 copy o ----
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 t?(7"
Site Address: d-x' y?l Kf IJG5 tW rl`I)
STREET SUITE #
Tenant Name: (commercial only)
LOT IL BLOCK ? ?SUBD. v'
?•., P.I.D. #
Descri tion of work: f'eK,
The applicant is: ? Owner Contractor ? Other (Describe)
Name ?79?N? Phone 6R-"(q
Property LA5T FIRST
Owner ???? ??rj?S ?fftp
qddress
STREET STE #
pri" St
Cit
Zi
?s ZZ
t
y
p
a
e
Company H?j&-?, Phone S?? - 6U
Contractor Address 1222-1 '4T4E-? 6K License #Exp. ? l5
%337
A\A
) Zi
,
p
City State
Company C 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.
: hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all pplicable State of Minnesota Statut a d City of
Eagan Ordinances. - ?
'
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch %
? 05 SF Misc.
WORK TYPE
[A 31 New
? 32 Addition
0 06 Duplex
El 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi;. Add'1
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
W 15 Deck
? 35 Tenant Finish
? 36 Mave
GENERAL INFORMAT(ON
Const. (Actual)
(Allowable)
USC Occupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED 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
? Footing
? Final
? Framing
? DraintiTe
?
?
11 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:
vetuec;an:
? ..,
? ifi Basement Finish
? 17 Swim Pool
0 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
SURVEY PR£PAREO FOR:
PETERSON /HUBER
12229 W000 LAKE ORIVE
BURNSVILLE, MN. 55337
oc«
-- 1
0 ry? ?'yy? /
96
Valley SOrveying Co.. P. A.
SU1TE 120-C , 16670 FRANKLIN TFAIL
FRANKLIN TRAIL OFFICE'CONOOMINIU/N
PR10R LAKE, MlNNESOTA 55372
TELEPHONE (612) 447-2570
r
u?• N i
- - ? Bo p4nM
/ 00' n.?..
2839 ?
. ?o
• i.
J?
? El. M?A
,
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MOU6E
llESCHSPTION:
? ? •.,. ? 4.i,
? r
J
! au?ut ?' ? -'•??
Ap 4 q q?j ?
• ?? + '?
°aes ? auS' [[
?W 1YS ? Y+OV 'b , 0'
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,.
waa`
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ti 14 r.c. [?. O /
0o W?.o9 p .
os.w arr.a?
•
a?G
/
Lot 12, 81oak 3,YIENNA W00ffi, Dakota Caunty, pinneaota. Aleo ehoWing tha
looation of the ptupoaed hOUee es etaked this 18th dny ot August, 1992.
NUT}5t
Eencnmerk alevation: 939.861 top nut ot the hydrnnt at SE wrner of
Lot 13, Blxk 3.
942•7 Denotee ezleting grade elavatim
. 1•2 Denotee proyoeed tlnlehed gcada elevationa
'?-- Denotes proposed diractim oP tlniahe6 drainege
Set Lhe garege elab at alevstloa 941.60
Set the top oP block at aleratlon 941.93
The baeewent Sloor Se at elavatlon 938.93
O 30 60
?iiiiiiii
SCALE /N FEET •
O Oemrr 1/2 NcA r M 6?h lron ?
monurusnl aN ad marYW bY
Liuroe No. 10183
• DanoNS Iron manumal /pqA
O Oenoln P K. Nal wt
:?zq9 KiNLs ?P.
C*A,Q, +...1.
. (27v1q? WK- (GRUVnIb w?
l
1 MRbY CMfI/y Nqf NYs vVry YVI 0/oPSd
b/ mr a u4m my d'axf wpsraion ond Mof
1 om a dWr bttmed L.ond Suwyor uWr IM
6ws a/ fM JtaN d Mimrw .
?
Daft ?S ? t'' Llc?nw No. IOIH3
.
FILE N6 74e5 eppK IBa ppGE 55
INSPECTION RECORD ControlNo. 1002
CITYOFEAGAN PERMITTYPE: suTLorNG
3830 Pilot Knob Road Permit Number: 001358
Eagan, Minnesota 55123 Date Issued: 08 / 31 / 9 2
(612) 681-4675
SITEADDRESS: Lor: 12 BLOCK: 3 APPLICANT:
2049 KINGS RD PETERSON HUBER CORP
VIENNA WOODS (612) 894-6084
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
INSPECTION
FOOTING .. .
FRAMING ..
INSULATION FINAL
FIREPLACE
REMFlRKS: PRV S& W CONTRACTOR - NEU PLBG
?
?
?
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
DESCRIPTION:
2049 KINGS RD
LOT: 12 BLOCK: 3
VTENNA WOOpS
?Building Permit Type
Building''Work Type
. UBC Occupanoy
ConsCruction T.ype
Zoning I
Building Length
Building Width
i,
,? .
PERMIT TYPE:
Permit Number:
Date Issued:
SF DWG
NEW
R-3 M-1
V-N
PD
Control No. 1002
52
50
BUZLDIN6
001358
08J31/92
? REMARKS: C C? ?? (?,SS
PRV S& W CONTRpCTOR - NEU PLBG
FEE SUMMARY:
VALUATION $140,000
Base Fee $779.50 MISCELLANEOUS $1,610.50
Plan Review $506.68 Total Fee $3,666.68
Surcharge $70.00
SAC $700.00
SAC ? 100
SAC Unzts 1
Subtotal $2,056.18
CONTRACTOR: - Applicant - 5T. Lz QWNER:
PETERSON HUBER CORP 18946084 000132 PETERSON HUBER CORP
12229 WOOD LRKE DR 12229 WOOD LAKE OR
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 894-6084 (612)894-6084
I hereby acknowledge that I have read this application and state that the
informati.on is oorrect and agree to compiy with all aPplicable State of Mn.
S u s and City of Eagan Ordinances.
1 ?
?1l?t??.oi I 11?
APPLIGAM/PEflMITEESIGNATURE - ?UED Y G AT E I,
?PERMIT #
??
CIlY OF EAGAN
1992 BUILDING PERMIT APPLtCATION
681-4675
$?,?Lf,d
J ".N .
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. ,
COMMERCIAL 2 sets of architectural.& structural ptans, 1 set of
specifications, I copy af energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date August 24 ? 24 / 1992 Vaiuation of work $119,000
Site Address: 2049 Kings Road
SiREET STE #
Tenant Name: (commercial only)
Lor 12 sLaK 3 suso. Vi enna Woods P.I.D. #
Descri tion of work: Construction of new single famil home.
The applicant is: ? Owner Eg Contractor ? Other coescr;be>
Name Peterson Huber Corporation Phone $94-6084
Property usr F1RST Being built for: Barbara Brenny
Owner ? W. 102nd St. //318
Lake Drive
Address 12229 Wood
STREET ST K
City Burnsville State MN. Zip 55337
Company Peterson Huber Corporation Phone 894-6084
Contraator Address 12229 4Jood Lake Drive License # 0001321 Exp3/41/93
City Burnsville °itate MN. Zip 55337
Company Thomas A. Whitlock Architedtural Dgsian Phone 93 4-9665
Architect/
Engineer Name Tom Whitlock Registration # -----
Address 18402 Avon Court
City Eden Prairie State MN. Zip 55346
Sewer & water licensed plumber Neu Plumbing . 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 th t the information is
aus and City of
correct and agree to comply with all applicable State of i nesota
4
Eagan Ordinances.
Signature of Applicant: Peterson Huber Cor oration b: Pre iden
OFFICE USE ONLY
BUILDING PERMIT TYPE
? O1 Foundation ? 05 Apt. Bldg ? 09 Basement fin ish ? 13 Comm/Ind New_..
8T 02 Sf Dwg. ? O6 Garage/Accessory ? 10 Swim Pool ? 14 CommJInd Add
? 03 Fwo family 13 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
? 31 New El 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YEs
(A1T owable) u-h lst F1. sq. ft. City Water es
UBC Occupancy -?Z. 3 M-1 2nd F1. sq. ft. PRV Required 4,_
Zoning pp Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. ' Fire Sprinkler
Length sz On-site well Census Code 76r
Depth So' On•site sewage SAC Code of_
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Dra9ntile
Q Insulation
? Fireplace
Permit Fee v.tLmc;on: s 140,000 -
Surcharge
Plan Review GARAGE•, zz Xzx =1484-A 16 = ?;}'fH
License
MWCC SAC tisrnT?
30X410c l2oax 157= IB,ODo
City SAC
Mater Conn. 15r fLauri <
?...??
Water Meter K 12-00
3
Acct. Deposit ?
1 y
S/W Permit 1214 x s 3_ 64,342
5/W Surcharge 2rro FLooR;
Treatment P1.
Road Unit 3oye4fl a
Park Ded. i'/Zx -7 =
Trails Ded. j(PY17?
Copies
Other q3g x 53= ?q7r??
Total: +
SAC % r oo ? ? 31 g a u
SAC Units
.;
SURVEY PREPARED FOR:
PETER$UN IF9VeER
17229 WOOD LAKE ORIVE
BURNSVJLLE, MN. 55337
/
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o?ti`e1'
0 h 64'
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Va11ey Scrrveying Co., P. A,
SUfTF 120-C , 16670 FRANKLlN TRAIL
FRANKLIN TRA1L OFFICE CONDOMlNJUM
PR10R LANE t MINNESOTA 55372
TELEPHONE (612) 44T - 2570
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AESCRIPTION:
9CN.M.N,
$0M 9DT.19
fNl/. @St.IN
/
Lot 12, Hlock 3, VIENNA WOODS, Dakota County, Minneaota. Aleo ehowing the
location of the yropoeed house as ataked thia 18th day of August, 9992.
NOTES:
Benchmark elevatlon: 939.861 top nut pf the hydrunt at SE corner of
Lot 13, Rlock 3•
94?2.J Denotes exieting grade elevation
?}1.2 Denotea proposed iinished grade elevatione
? -?-- Denotea proposad dlrection of flniahed drainage
Set the garage slab at elevetion 941.60
Set the top of block at elevatian 941.93
The baeement floor ie at elevation 938•93
EACAIV
NE
/
BAN. MN
InN 93T.BB
INV. 813.87
i
D? PT
poG?oMo 6??QM?G°[?D
p 30 60
--7
SCALE IN FEET
O Denota 112 1ncA i 74 inch Hon
monwrienf nf and maked by
Lieame No. I0I83
O Denotes iron monument found
4* Denofaa P. K Nart aet
N ? h • ?l ?
se?,s?_q
`t W ? ? 9de ? ° a4t.d' ?
.
r.c. ei
? roa rwa ? b ra °?,-(? asr. oa
EL. 940.00 ? ?OO
1 ?J 9370 , ?b
60
l
Ihereby certIfy /hatflra survey aae prepared
by me or wtder my dAect aupaviaion ond Nwf
lam C dWy IrCenfed Land Sitl'veyOr Wdem the
Wwa o/ Me 51afe of Minrresofa.
Dala Licema No. I0183
FILE Na 7483 BOOK 188 PABE 55^_
ERTE9IOR HNVE6CPE A4ERAGfl "U" CQMPUTATION 7,S-A?iPr92
ORNER PdBRARA EBP.FXY
strE nnoRess 2a49 KA14 sS P-c" -- E+Rvrr,?
COdT9ACT0A PETERSOd - tIISEA CORP. PBONE -69y-bogy
UF,PCftflINE NORRINF SWARL faOTAGE Oi R,ACA
A T(ITAL EXPOSED WA1L SREA 7159,400 SQ.PP. X 0,110 ? hI3,534
B TOTA6 ROOP r f,EILIMG P.REA 1200.000 SQ,PT, X 0.026 = 31.200
C YOfdL PLIIOR I CAHf, AAFA 15,000 SQ,FT, 8 Q.43Q = ?BriSB"
'a2,. , g`1
'fOPbl, EXPoSEU WALL A6EA 228B,000 SQ.R'f,
a. 40TA6 Nh4L AIXOOA AREA 209.200 SQ,PT, S 0,460 = 95,232
h, TOfA6 UDll9 AAEd 20.000 Sq,?T, 8 0,061 = 1,349
¢. TOTAL S6IDIflC GLASS DOUA AR&1 108A06 SQ,RT. R 0,415 = 47,590
d. TOTAL PIftEP1:4fE ARBA SQ.PT, N 0,016 ° 0,000
e, TOPA4 Yd66 FdAHING dRFA 228,800 SQ,FT, % 0,103 = 21,676
f. ?OPA6 BFS NiLL A9Eh AflPVE FLOOH 1130,000 3Q,P1, R 0,046 = 79,321
R• POTlL NIM .fU]ST pflRA 286,000 Sp,Y?. M 0.043 -- 12,301
TOTAL BRICX WALL A9EA SQ.PT.
6. TIItdL NA66 RINDOF' AREA SQ,Pf, N 0.460 - 0,000
i, TOPAL OOOft ANEd SQ,FT, % 0,061 ° 0,000
J. TOTh6 56IBING GLASS NOF ABEd SQ,FT, X 9.415 = 0,000
k, TOT61 PIP,EP1hCE AAEA SQ,PT, % 0,076 = 0,000
1, rQTAI, FALL iPdMIAG hREA 0.000 SQ.FT. % i.liE = 0.000
a, ti"aL k?T 9A;L d?E,4 0,000 SQ,FT. % 1.176 = 0,000
r, i^Id! 0 iPTgi p9:f SQ,FP. H 0.046 = 0.000
iUTAL F-Y01;4T:jh66 ;10d
50,000 sR,vr,
u, 1'01'AL ?ALL NIYUOA AAEA 7.100 SQ,FT. X 0 ,460 = 4,42
F TOipL D009 ARdA SQ,FT, % 0.061 = 0.000
q. TOt66 SL[GlNG f1.ASS DOct& ARLA Sq,FT, N 9.8i5 = R,000
r, TOTA6 FIftF.P'qf.E AAEA SQ,FT. R fI,0I6 = 0,000
s. 10T8L YALL PAANING ANEA 5,000 Sp.FT, R 0.108 = 0.542
t. TOSAL NET AALL AREA 35.390 SQ,PT, fl 0.041 = 1.657
u. TOTA1 INSULdTED CONCAETE ABEA 95,400 SQ.FT, % 0,076 = 1.166
TOTdL FORR4D POUNDASION 6NEA
1040,000 sQ,rr,
Y. 70TA6 PWNDATIUN SItdUUfIS E3300 SQ.PT, % 0,840 ° 11.112
u, POTAL FOIIB6ATi0M PI19ftING ARE,1 104,000 SQ,PT, R 9,I02 = f0,601
A. TOPd1 YOUNOATION INSU6AfE0 6R8d 92E.700 SQ,Y7. 1 5,077 = 66.191
POTAL U 762.211
L00/T00(n QN4x 2IHAI2I"IflS 6L90 LZ9 ZT9 %6d SD:ZT 96/SZ/80
TOTAL TRIISSSU R09F ARE0. 925.900 S4.FT.
a. TOTAL AOOP YIMDOAS/SKTLIfES SQ.FT, % 0,000 = 0.000
h, T4PAL ROOF iAAMING AReR 92,800 SQ,YT. % OAlfi - 2,3I6
c, TOTAL NEi INSULAT811 fl0af ABth 635,200 SQ,FT, R 0,022 ° I8.288
tOPAL VAULfED ROOP A9G 212,000 Sp.FT,
d, TOTAL &UO? AINOOUS/5i(YLIT85 SQ.FT, lf 0,000 = 0,000
e, f04A1 NOIIP YARMING ASEA 21.200 SQ.FS. 1! 0,062 = 1,611
E, TOTAL NE1 ItlSllLdFED ROOY 6R&d 244,800 SQ,YP. % 0.025 = 6,I58
TOTAL E 28,891
iITA6 CANIILEVCAF.D AREA iS.000 SQ,Ff,
a, 10PhL CAN7 FN,IMING dAEA 1S00 SQ.FT, K 9.057 = 0,086
h, TOTAL MLT INSIILATEU CANT AR2A I7,500 SQ,fT. X 0,024 ° 0,724
TOT6L TUC%UdDHA hAEh SQ,Pf,
c. TOTAL PUCKtlNDEA FAAH[Wf ABPA 0.000 SQ,PP, S 0.413 = 0,000
d. TOTAL NET IBSUL, iVG(OdOP,[t AR?A 0,000 SQ.PT, R 0,40 = 0,000
TOTAL i 9,d09
SUHNARf !!A8IM9M
A. 0.534 IF TOTAL IN TAE ACIUAL COI.UNN IS
A. 31,200 LESS TBAN fdE TOTAI, IN TTIR
C, 6,350' NA%IHUN COIAMN YOU NAVE PASSF,p
o •'Yk
TOTAL 64S.4A4
SIGbED:
9ASE;
tooizooin
axvx xHnix 19s
ACTUhL
D. 362.211
E, 28,497
F. 0,404
PO 341,127
6G90 LZ9 ZT9 Xd3 90:ZT Z6/93/80
RRPOSF.D YALL fBP,U STUU N FACT06
IPTPAI09 AIR PILM 0.680
SflEETROCK 01450
STUD 6,810
SBEY.TAIAf, 0,700
SID[NC O1PIO
LMTEHIOR AIR PI6M 0,110
fQTA6 A 7ALIIE - 9,680
ll PALUE {I/R) = 0,107
EXFOSED AALL 1Aflll INS!'LATION 8 FACTOR
[dTERIOA AIR PILlI 01680
SAEBTHOCA 0.450
INSUI,ATIUN 19.000
SUEEfHIAG a,109
S1UfNG 0,810
E1ITE410R AIR F[6Y 0,170
TUfAL fl VA60E = 21,810
0 V66UE (IIR) ° 0.946
BAICR CALI, flIRO STIIU A fACTUR
1NTERIl1N 61A FILM 0,6RU
SYEET60CR
sruo
seeetniMc
BftICR tip ST.OME
E%PERIIN AIR YIfM 0,110
TOTpL R 4ALIIE = 0.850
U 4ALUE Illfl) = 1.116
RAIfI( AAi.L THNO IMSIIGATION R fACTOR
INT2AlPR AIR PIIN 01680
SNEETAOf,R
INSULATIOX
SAEETBf NG
B9ICR OR STONE
EMTE&IOfl AIR FILM 0,110
TOTAL R 4ALUE = 0.650
U VhLUE 411H) = 1.116
L00/EOOin QNVh iIRAI2I 'IHS
6!90 LZ9 ST9 Xd3 LO:ZT Z6/9Z/80
Y008M7ION AALL THAO SPOU B PACT(IR
iHSERIDR AIR P1LN 0,680
SAE!TROCR (OPT.)
STUD 6.970
SflEETflING 0.100
SIDIXG 0,810
EXTERIOR AIR P[1H 0.110
TOTAL 8 YAGJE = 91230
U YA60E M&1 = 0.108
POONDATION kALI TflNU IBSUI.P.SION R PAC40fl
IN4PRIUR AIR f1LN 01600
SHH6TROCH (aPT,)
INSllCdTIOB 19,000
SNCEiAINC 0,100
SIOING 0.810
E%T2RSOR AIR PILH 0.110
TIITA6 R YALUP,
u YAUIE f;1A) - ^,081
Td9C RIN Jd[ST AISIOINC R PACTOA
ItlTEA10A AIR ?ILM 0.680
IBSULAPION 19904
1-112" 11q0D !.890
SNEEITI NG 01700
SIDIAG 0.911
e%TERIOR AIR ?[LM 0,110
70SAL R VAI,UE = 27,250
9 YAbUE (IIN) ° 0,943
TFBU RIM tOISR Y(BRSCK ON SR96E R F6t1'OA
INTP,AI09 A[fl FILM 0,680
InSULAflriN 19,000
1-112" V00D I,890
SNEBTRING
BRICR 09 SPONE
ESTERIOA AIR F[LM 01I19
TOTAL R 4hLU8 = P1,140
U Y66UE flffll ° 0,046
jnniSnnFih RN4x NAATH IHS 6L90 LZ9 Zi9 Xdd LO!ZT Z6/SZI80
TNRU IBS9LATE0 CONCAEiF FOUAAATIOB d FfB3PLACE A FACTOR
I9TP9IOd A[fl FILM 0,680
INSUTAfIUB (OPf.) 11.000
CONC9ET8 VALL 31280
ENTERIOR AIA FILM
0.110
TOTAL A YA50E = 17,130
b 4ALUE CIR) = O,OTfi
F9AREU f00flDATION 1I6LL PJftU FTIID
INTE&IO& AIA FILM
SH¢ETN(ICN (OPSJ
SfUD
W6CR6PL NbIL
SIUfNG
E1lPPflIOR AI% YII,I!
R FAfTO&
0,680
6.810
1,280
0,810
0,110
POfAI R VALUP = 9,9I0
U VhL11E UI6) = 01102
PUP.REU i'OPN?ATION NALL TARII IdSULATION
INTE&IOA AIR FILM
SHEEffiOGK IOP7.1
[d501ATtON
COACAEAE Vq6L
SIUIdG
E%4C610A AI9 P(LM
8 PqCTOfl
0.684
11.000
11280
0.810
0.170
IOSA6 R YA6UE - 13,940
U YhLllt 0 IR1 = 1,112
N[N^OV 0 fhCPOR 2 PANE i Lnk-L 01460
BASZMENS VIAWN II FhCfOA 1 PANB ? IAN-L 0.840
VH08 II FACfRR 0,067
PA11P OOOR ? F6CTOA 1 PABE ? 6011-8 01615
L00/500e Q2IBd 2IHAIiI 1E5 6L90 LS9 ZT9 XV3 80:Zi Z6/5Z/80
-- ----------------------------------------- -
TROSSSU 6OOF TNRU P9AN{NG
IBTt&I08 AIR PIIN
SREBS90CR
CBILitlC MElIBPB
IMSIfLAT[Ofl
SPILL AIR ?ILH
1'OfAL p VALOE °
tl 4AL08 (I!R) _
R PACP09
0,610
0,450
4.]SO
33.000
79,020
0,026
TE.9SSED ROOP IBRU INSpWTION R FlICTO&
IRTEflIOA AIR PI6N 0.610
SNELIROCK 0,450
INSULASI9N 44.000
SfILL 6I9 FII.N 0,610
TOPA1 ft YAL06 ° 45.610
U VA6Ufl IltA) ° 01022
4dG'.TEO ROAF TNRU FRhM1dG A YACTUR
C%TERIUR AIR FI6H 01110
900F1Nf, 0,440
PLri000 0.100
SAEET IMSVtAT[Uq
RBPTE& 17.140
56HETAOCR 0,560
Itl1'tA[OA AIR IIIM 0,610
TOfAL R VALJE = 16.210
0 YAGIE (IIRI ° 01062
VAOLTP.D AOOF fHftU INSIII,ITIfIN A YhCTOR
6%4ENIOR AIR FIW 0,110
HOOPINf 0,460
P6YWOU0 0,000
SAEET IXSILATION 0A00
IBSOLATION 38.040
SHEETROCR O,SfiO
IN78Af0A AIR YI6M 0.610
1'OTAL R PALOE = 39, 780
U Ph4UH (l/R) = 0,025
SBi6RE 11 F8CT08 2 PhNB I fAW-B
L00/900e Q2Itld 89AI2I 7flS BL90 LZ9 Z19 XV3 BO:ST Z6/SZ/80
TIIRO CAN?ILEVEB PRANING
IXTFAIOR AIR ffiH
IItl1SIT Y600AlYf
UNDF.kLAiMENP
SUBFLOOR
FLOOR JOIST
SOYFIT P6YA000
6XiS6f0A AIR PILN
TOTAG R YdLilE -
U 4ALfIF IIIRI °
TARU CANTILeYFA I550LhPI0N
IHTEAIO& 8I8 PILM
fINISN iLUONIMf,
UROEAWIHFAP
SIIBFLOOA
IMSULhTION
SOPPIT PLYYOOU
E%TF,RIOA AIR FIUI
rornL s vALne -
U YA6UE (11R) °
iNAU TdCR1103 F9hM[NG
FNTENiO9 AIR P[LM
FIN'Sq FLOtIAING
UKDEftLAiMFNT
SUBPIAOS
F600R JO1ST
SjR" SNFETROCK
ST46L AIR f?lM
TtlTAL A YdUIF, -
u va6ua (ffal =
T(IR9 TJCKIINPEfl 1N50LAPIUN
IIITlAfUA AIR F[LN
FfAISA PI,OORINf
UNDER!dYNENT
saavi,ooa
[NSO1ATtuN
51R" SNEET9UCB
STILI, AIR FIW
fOTAI. 8 Y81llE °
U PALOE MR) _
L00/L00[2]
e vncrn?.
11.92Q
I .l?0
01940
1),140
a,h7c
9.?iP
Ii,410
0.051
R Fhf,TOB
9 .97 %
11215
0,000
0,?'10
]9,OOa
0,4!9
9.[iC
4!.)3??
0.024
N F?f.TC9
C,920
0 '5 m
0,970
2,hif
0,61J
R FhCTG2
01921
O,OOf
0,000
a,aa^
4,580
9,e19
2.420
0,417
axeA Hanix Ies
6G90 LZ9 ZT9 XVd BO:Zi Z6/5Z/80
L? BL 2- CITY OF EAGAN
?? PLUMBING PERMIT
SUBD.-U.,rliunr.ai G//or (612) 661-4675
RESIDENTIAL
ED USE ONLY
PT
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOHES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
_
ADD ON SHOWER 3.00 ?
REPAIR WATER CIASET 3.00 ?
? BATH TOB 3.00
? ? ?VATORY 3.00
OWNER NAME: T?i (?
er ?-1P KITCHEN SINK 3.00 3
? IAUNDRY TRAY 3.00 " 3
SITE ADDRESS: ?2f,?* S HOT TUB/SPA 3.00
? WATER HEATER 3.00
? FLOOR DRAIN 3.00
PG
OUT.
G
INSTALLER: -
(MINI 3.00
-?? !/
/
/ ROUGH OPENINGS 1.50 y5
t'/N /T(I
ADDRESS:
//5D51 OTHER
e WATER SOFTENER 5.00
CITY; .L?/)rV ZIp; 6-372-3 _ PRIVATE DISP. 15.00
/Q U.G. SPRINKLER
TURNAROUND 3.00
15
00
yv
PHONE W. . 7B
STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: 7 7
-V-2 ?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUZLDINGS. AL50 FOR MULTI- FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT DTAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR-
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
? EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT #?LP
mgm9C,,d17i' Pa,Rt!??T DATE: ? o?[r 9
RESTA?"T PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ ---------------------------°--------------------------
WORK DESCRIPTION FEES
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: lkwY 1 ??ube(_ ' ? pe ?cSG/1 `/?) IIL'f CCrfp
SITE ADDRESS: ?U 01
LOT: /oZ BLOCK y? SUBD. li?.+?nh. GV9Q?
INSTALLER:
VOGT HEATINO d AIR CONDRIONINB
ADDRESS: 3260GORHAIUIINI€.
ST. LOUIS PARK MN 55426
CITY: SAIFS 994-6767 cFR?9 92BAOti
i
PHONE #:
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU ,24.00?
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 '
OF 1 PER PERMIT
SUBTOTAL:
STATE SLIRCHARGE: .503?5d
?
TOTAL:
i/l.r/J??a k?l
SIGNATURE OF PERMITTEE
I? LeYI nn? ? aOCi / 314- /O0
?'?'
I 1 Lennoy lfsa?- yll / UD
veAn\-?, _ 0 Y)?7 ,(-n Fwns, laier
CQMMEItC?liLf.TNDASTIt?,?I,°; PLEASE COMPLETE THIS PORTION FOR ALL COARiERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
----------------------- _---- -____-------- ------______
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
1% OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1;000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
CITY OF EAGAN
12697
?-----------------
? A'
j Perrnit #• I
? Pertnit Fee:
4 Date Received:
I
I Staff:
I I
2008 RESIDENTIAL BUILDING PERM{T APPLlCATION
Date: Site Address: 20'"! ?XA?20
To.,-.• Suite
l r(4
,'
E)Z
?L
RESIDENT/OWNER _ Phone:
L
N?
J
Name:
Address / City / Zip: L- -! "C 120
Applicant is: _ Owner _ Contractor
TYPE OF WORK ??.? 6oor 5??? &_?
Description of work: c
,
Construction Cost: + ?3xo- ? Multi-Family Building: (Yes_/ No
CONTRACTOR Name:NPQ1(A,.f 6UQlAt9 C6N111M-j.1a5 1A1_ License#: 201 ?g?i?,
Address: 2qlGV ?J?1CSftj?IZO S-j17'E 16L?
City &)_ State. f'1''N Zip: '`/
Phone: 4 SZ 167'6 R Sq Contact Person: ANVJUi S'7C2,vee
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Venhlation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calcula[ions Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _NO If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting,docudients'fhaA'you?-sutimil'are eofisidered to be,pu&li;cdnformafjan_"POrtrons-ot?°.:
-
fQ: ,
the information may be classitied.as.non-public'if`you°pravide speaific r'easons`thef would permiE the Cfty
conctuda'that=Yhe are trade secnets.,:`
I hereby acknowledge that lhis information is compiete and accurate; that ihe work will be m coniormance wnth !he ordinances and codes of the Ciry of
Eagan; that I undersiand this is not a permit, but only an apphcatwn for a permit, and work is not to s[art without a permrt; that the work will be in
acr.ordance wrth the appmved plan in the case ot work which requires a review and approval ot plans,
xD1(.IYIG, CY.h1ItT er x &,^^' v?[ Nv"X
ApplicanYs Printed Name Applicant's 5ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYAES
? Foundation ? OS-plex ? 16•plex ? Accessory Building ? Pool
'?I, Single Family ? 06-plex q Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02•Plex ? 08-plex C] Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-Plex ? 70.plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building x Reroof ? Demolish Interior
? Alteration ? Fire Repair 0 Windows ? Demolish FoundaTion
? Replacement ? Egress Window ? Water Damage
' Demolition (entlre building) - qive PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100 % Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# ot Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
Footings (new 61dg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: _Ice & Water Fina!
Framing
Fireplace:_R.I _AirTest _Final
Insulation
Reviewed By:
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Sheetrock
? Final/C.O.
Final/No C.O.
HVAC
Other:
Pool: _Footings _A'rr/Gas Tesis Final
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall
Building Inspector
Page 2 of 3
Use BLUE or BLACK Ink
r
I For Office Use 1
City QUO
of l Ea o n j Permit i I Permit Fee: ~Q
R I
3830 Pilot Knob Road I l\GG I
Eagan MN 55122 Date Received: QIJ I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: d 2 1 Site Address: /,Z7 Unit
Name: Y14~ 2V" Phone: ~5) I( FL
Resident/
Owner Address / City / Zip: V9 KJ,V1) ~'ts
Applicant is: Owner Contractor
Description of work: -F e o0 'tom 1 c~e
Type of Work
Construction Cost: S OU~~ Multi-Family Building: (Yes / No X )
Company. bt ACC SS f'e4ontact: Air-t
J► ~1
Contractor Address: 7 SJ e_f- ^eu-- a~ LJV City: os\reU
State: - I -t J Zip: ~J ~3~o Phone: 6f 2
E License CC 2-9 07 Lead Certificate NiN 7" 70 -1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
I 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:
i
Sewer & Water Contractor: Phone:
i_,
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. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesot ate Bui ing Co mtjst be com eted within 180
days of permit issuance.
x x
Applicant's Printed Name A i ant's Sign ure
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