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1498 Kings Wood Rd Use BLUE or BLACK Ink - I For Office Use I non ; Permit City of Ea V S i - I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651) 675-5675 I I I Staff: I Fax: (651) 675-5694 I 2012 RESIDENTIAL BUILDING PE IT APPLICATION Date: _ a Site Address: Unit r f Name: I ) Phone: ~'K~ RESIDENT OWNER Address / City / Zip: i Gl3 Applicant is: Owner L~ Contractor TYPE OF WORK Description of work: Construction Cost: D Multi-Family Building: (Yes No Y_J Company:/, Contact: / CONTRACTOR Address: City: "1 State: Zip: c/ Phone: ~ (n° ~l License Lead Certificate `~1✓ . If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) X11/ LL C: f~--r / _J~U;A I~ 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: 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 Minnesota State Building Code must be completed within 180 days of permit Issuance. X_ Al x Applicant's Printed Name Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE Mll SUB TYPES _ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck - Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex - Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES _ New _ Interior Improvement _ Siding _ Demolish Building* 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 Occupancy y G 1 MCES System Plan Review Code Edition 0.9 7 SAC Units (25%_ 100%_z Zoning A-1 City Water Census Code W 3~/ Stories Booster Pump # of Units I Square Feet PRV # of Buildings- Length Fire Sprinklers Type of Construction Width X REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In Air Test -Final Windows insulation Retaining Wall: _ Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee g' Surcharge W IA/130ly~ a_a Plan Review MCES SAC J City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 n OCT 17 '91 01 s 36PM MCCOMtBS FiaFM ROOS P.2/2 ' • _ _ ~3urhA o~ri 5d 1'5 rA4i7 + axe/ + ~ ~ ~ I Q` r. _ff~ w 1 . n~ h t /Rb/►dSRD ( r~ I t I I q~s; ~w►.~sa h 1 , ~,~J1li/Y o• N 01. 4a r y♦ ACT w REV1,,-W a a.ao Bd3'a -ioo.ea tj 9 EONS DIVIS''7"" 0 Denotes Iron Monument g f; r Denotes Wood Stake it }i r: 4 w4a . XOOOA Denotes Exiating Elevation Proposed Top of Foundation Elevation-'881-6 (000.0) Denotes Proposed Elevation Proposed Garage Floor Elevation- erg'(. -t-•- Denotes Direction of Surface Drainage Proposed Lowest Floor Elevationm 877.0 i hereby certify that this is a true and correct representation of a survey of the boundaries af: Lot 31,.•'Block I;,-KINGS WOOD.2ND-ADDITION, Dakota County, Minnesota. And of the location of all buildings, if any, thereon, and all visible shcroachments, if any, from or on said land. It also shows the location of the stakes as set for a proposed building. As surveyed , by me or under my direct supervision this! ' 1 th day of October 19211, Paul A. Johns n. Reg. No. 10938 Min McCbsFrankFlo*$Assodates,One. CERTIFICATE OF SURVEY for PlYMOUth, MN 55447 Phn AFT HOMSE D E VL. M14 /I!^ar Te 9c44-IL y ? CASH RECEIPT CITY OF EAGAN' , 3830 PILOT KNOB ROAD . EAGAN, MINNESOTA 55122 DATE ?cerv?o vqoM AMOUNT S . „ ..& DOLLARS ia ? CASH CHECK !t ron BY C 4 rl?qoq VVhde--Paym copy ? veiww-aosunq copy Fink-FUe copy Thank You SElyER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OCY' 21. 1991 METER # - CHIP # - METER SIZE ISSUE DATE OFFICE USE ONLY PERMITDATE 10/24/91 WATER PERMIT # 12358 B.P. RECEIPT # B.P. RECEIPT DATE 10 21 91 PRV - BOOSTER PUMP SITE ADDRESS LOT ' . I BLOCK I SEGSUB K I«; 2P`. i:• APPLICANT: ADDRESS:_ CITY, STATE PHONE: _ ZIP PLUMBER: LAKESIDE PLUMBING ADDRESS: 12469 ZINRAN AVE CITY, STATE SAYAGE MN ZIp ;537$ PHONE: P')4-7600 OWNER: ''+ttITEHORSE DEV CORP ADDRESS: 755 BRIDLE RIDGE RD CITY, STATE EAGAN my ZIp %5123 PHONE: 688-8245 PERMIT REQUESTED X SEWER - COMM/IND R NEW X WATER - TAPS ? RESIDENTIAL - EXISTING I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES: r ? NATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFIED WHEN PERMIT IS PROCESSED. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 OCT 21, 199] SITE ADDRESS ,'OGC I,C LOT-,I BLOCK t SEC/SUB KTAC,>> . :-a 22I1) APPLICANT: ADDRESS:_ CITY, STATE PHONE: - OFFICE USE ONLY METER # u?? ??0 510 PERMIT DATE CHIP # ?? 7 9 7`2 6 WATER PERMIT # 12358 METER SIZE Z,&A2??Z-, B.P. RECEIPT # ' ISSUE DATE B.P. RECEIPT DATE 10 121 Z' _ PRV - BOOSTER PUMP ZIP PERMIT REQUESTED X SEWER - COMM/IND X WATER - TAPS RESIDENTIAL X NEW EXISTING PLUMBER: L1KESiDE PLU:,BING ADDRESS: 12469 ZI*IRAN AVii 1 AGREE TO COMPLY WITH CITY OF C1TY, STATE SAVAGE iNN Zip 5 5;', ': .-??N O,RDJNANCES: , ? ?- _---- _ PHONE: 894-760e OWNER: nHiTP.HORSE PEV CORF =. ? ADDRESS: 755 BRIDLE P1tiCE f?D ? 3(GNATURE W METER ISSUED CITY, STATE FACAN MN Zip 55123 t PHONE: - : - PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTAC ENGINEERING DEPT. APPLICANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PHOCESSED. a • •? - _- ? ? " Trr#tfira#r nf (Orrupan.ry Citp of (Eagan lRppurb"W u# Nuilditu3 invertium This Ceri{fuate+ssued pursuanllo Ilre requiremenls ofSection 306 ojlJre Unijorm BurWing Code cernfyinglhat at de time ofirsuwtce lhiss7ruc[we wnsin rnmpliance with the ?+arious ordixanan of 1he City regulaling building rnnsrruUion or use For lhe jollowing: t- ammr-bm SF UJS" eee- Pmak rw. I9623 OWRPKOgTim R3/M! &nidg ois;a F.i rracong {IDL ow-oreAda Gkg'MMS'E 100, AM AW- 755 imTrrr vLrst uD MW B,.b;,S Ad*= 149R 83DL?$ f--_RflAD tmi;q TI 1, R IS RTN':S W Y'(1 2HIl . ?. / - Dmc , _. ??•? a???Toa. POST M A CONSPICUOUS PUCE ? PERMIT To be uscfd for ' ? CITY OF EAGAN t • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ???? ? PHONE: 454-8100 Receipt # Est. Site Address 1498 KIfIG.4 i100D RJn Lot I.L Block I_ Sec/Sub. 1[iNGS iIOOD 21EQ Parcel No. W I Name 4ti1tI?EltAB88 DEV CORP 0 Address _]SS 3pI0I.P RIDGQ R9 City EAGAta Phone 688-8245 Name $AHg Phone ? yVj W Name ?'a Address <W City Phone I hereby acknowlege that I have read this application and state that the infarmation is correct and agree to comply with all applicable State of Minnesota Statules and Ci o7f a ? ?dn Ordinances. _ ?J Signature ot Permitee -? A Building Permit is issuqdta: ,• NHITElIOBSS DEV COAP on the express condiyeR 11'iat all work shall be done in accordance with all applicable State of Minnesota Statutes and City ol Eagan Ordinances. Date 0C=7' Z] , 1991- OFFICE USE ONLY Occupancy &'3 M-1 FEES Zonirg R-1 (ACtual)Consl V-m BIdg.Permit 717•? (Allowable) V? Surcharge 61•00 # ol stones - Lenglh 78, Plan Review "6•00 DeVth 369 SAC, City 100*00 S.F. Total - SAC, MCWCC 630•? S.F. Footprints _ 6Q•0o On Site Sewage _ Water Conn On Site well - Water Meter 93•? MWCCSystem Ci W x x Acct. Oeposit ??? ry ater 3o oo PRV Required - SNJ Permit • Booster Pump - g/yy Surcharge • 50 Treatment PI 276 #00 APPROVALS Road Unit 370.00 Planner - park Ded. Council _ gldg. Off. _ Copies variancB - TOTAL 31,455•SO PermN No. Permit Holdsr Date Tslephone # WATER SEWER PLUMBING ?? ?? a I 0 - ?IGdO s A, 0 _ H.V.A.C. 4004/f/ ° 30deq ELECTRIC ?pG /N Jy S 00 Inapection Dale Insp. Comments Footings I ? Foundation . Framing 4Y6 1171 ? Roofing Z,g... q? Rough Plbg. 7 . ?, 4" `/ ? ? •' - ' % C ? J fiough Htg. ?i _zf"ql ? - - l5ul. <E/y ? . Fireplace Final Htg. Orstat Test ? Final Plbg. Plbg. Inspector - Notity Plumber Const. Meter EngrlPlan Bldg. Final - 3? 76 L S Deck Ftg. Deck Final Well Pr. Disp. 30 T i DATE: OCT 24, 1991 RE: 1498 KINCS i]OOD RD (i1HITBHOxSE DYY CORP) r ,. X, Your ewer & Water Permit for the above property has been completed. It will be held at the Putilic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO eALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNiNG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Addr,ess : 1498 KINGS WOOD RUAD I.ot 31 Blk I Sec/Sub gM j,jppD 2Np These items were/were not complete at the time of the final inspection. '0 1 31 q2 Yes No Final grade (6" from siding) Permanent steps - garage f Permanent steps - main entry ? Permanent driveway Permanent gas ? Sod/seeded grass f Trail/curb damage Porch ? Basement finish ? Deck Please verify with the builder the removal of roof tast caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. IVA PECYCLEOMPER White - City copy Ye11ow - Resident copy Pink - Contractor copy BUILDING PERMIT To be used for SF Site Address 1498 KINGS WOOD RD Lot 31 Block 1 Sec/Sub. KINGS WOOD 2ND Parcel No. W IName ?ITEHORSE DEV CORP a Address 755 BRIDLE RIDGE RD City EAGAN Phone 688-8245 to Name SAMF. ga AddresS ? City Phone ? W w Name ? ; Address aW City Phone 1 hereby acknowlege that I have read this application and state that the infortnation is correct and agree to comply with all applicable State of Minnesota Statute nd ' a? Ordinanc?s. > Signature ol Permitee A Building Permit is issu ?ITEHORSE DEV CORP on the express cond' ' t at all work shall be done in accordance with all applicable State of Minnesota Statutes and City ot Eagan Ordinances. Building Official --; I CITY OF EAGAN ND _ 19823 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 ? j??q? Receipt # atJ ?AR _ Est.Value $122,000 Date OCT 21 , 19 91 OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (ACtual) Consl V=N Bldg. Permil 717.00 (Allowabie) ?=N Surcharge 61.00 # of Stories Lenglh 78 ' Plan Review 466.00 Depih 3i 6 . SAC, City 100.00 s.F. Total - SAC, MCWCC 650.00 S.F. Footprints _ 660 00 On Site Sewage _ water Conn . On Site Weu - Water Meter 95.0 0 MwCC System X 30 00 Ciry Waler ?[ ?ct. Deposii . PFV Required - S!W Permil 30.00 Booster Pump - S/W Surcharge • 50 rreatment Pi 276.00 APPROVALS Road Unit 370_ nn Planner - Park Ded. Council BIdg.Off. _ CoPies Variance - TOTAL 3, 455.5 0 ?J ?? 5 4 Request Date F' No. ROUgh-in InSpection q'{?¢?7? D Ready Now ill Notify Inspedor Ves ? No hen n Ready? I'FA licensed contractor 0 owner T? hereby request inspection of above elecirical work at: Job Atldress ISlreet. Bo, c oyRoute No.) , Ciry . ? ? j? n U?? ) Seaion No. Township Name or No. Rarge No. Goun \ Oceu 1(PPoNT) f . Phone No. - ' r . ? _T•_?. C'"' ? I l1 Power Supplier • Atltlress ? A A i - 2 ? Elecln I Contractor (Company Name) ^ Contractor5 License No. X`CO -I?r' Mailing Adtlress (Comredor or Owner Making I nslallation) O? - 1 ? ( ? Authonzetl Signatur IComractodOw9pr Making Installation) Phone Number C J VC MINNESOTA STATE BOARD bF ELECTRILITY THIS INSPECTION REQUEST WILL NOT Griggs-Midwey BIOg. - qoom 5-173 BE ACCEPTED 8V THE STATE BOARD 1827 University Ave., St. Paul, MN 55704 UNLE55 PROPEF INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION li""%? eaooooi-oe f ? See instmclions fnr comoletina thic form nn back nf vellow coov. P4,. ?.. /A! J 07 "X' Below Work Covered by This Request 54 - e Add- Rep I Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specity) Comm./lndustrial Furnace Farm qir Conditioner - ' Olher (specify) Cf ctor'S Remarkj S ll?? Compute Inspection Fee Below: # '. O[her Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Amps SignS Inspecror5 Use Only: TOTAL C? Irrigation Booms Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDEREq DISCONNECTED IF NOT Other Fee COMPLETED WRHIN 18 HSt' ' I, the Electrical Inspector, hereby tif h h Rough-in Dat? 7 IOY? ,A?- y t cer at t e above inspection has been made. Final OFFICE USE ONLV This request voitl 18 months from 1114?191 /O 3G 90 p 66664 ' ,7 -4-0' Request Date ' Fire No Rough-in Inspe tion Required? Ready Now ? Will Notify Inspedor 3O = Yes No When Reatly? licensed contractor p owner hereby request inspection of above electrical work at: Joh Atldress (Street. B ? `i? ao4ie No.) Cit Section No. Township Name or N, Range No. Coppp? tiJL%? Occu t(PRINTi ? ZZ Phone No . . P r Supplier * Address n? n? 14? Elec ' al Convacfor ?, ??, • Contraclor's License No. Mading Atltlress tCOMractor or Owner Making Install n - 1 ('0 Q Authorrze(i Signa re fConiractoriOwner Ma'tiny Installation) Phonyyye ,N.-u?mbeIr r I? MINNESO7A STATEBOARy OF ELECTflICI7V THIS INSPECTION REOUEST WILL NOT Griggs-Midway 81dg. - Room 5-173 _ BE ACCEPTED BY THE STATE BOARD: 1821 University Ave., SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ? See InsJrudlons 15r completing ihis form on back ot yellow copy. 'X" Below Work Covered by This Requesf ? eeoaom-oa !e ACd Rep. TypeofBuilding AppliancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater ElecUic Heating Apt 8uilding Dryer Other (Spedfy) Comm.ilndustrial Furnace Farm Air Conditioner / . .,. _ .-. Other (specdy) Cpryt?ctor?a?. ? LO ( 1 ? axy-\ 0. l.n.?' \7-•? !S(7ri l (V`N T V 1 -L? Compute lRSpection Fee Belaw: # Other ? Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee Swimming Paol 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ve 1 0_ Amps I Signs Inspecror's Use Only: TOTAL Irrigation 8ooms Special Inspection AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IP NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in oate certify ihat the above inspection has been made. F;nai o t OFFICE USE JNLV This request void 18 months lrom ??& . -z3 ?r Zoo7RESIDENTIAL BUILDING rExMiT AprLicaTioN City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 c?Ll4? New Construc6on Reauirements RemodeUReaair Requirements Otfice Use{lnik 3 registered site surveys showing sq. fl. o( lot, sq. ft. of house; and all roo(ed areas 2 copies of plan showing footings, beams, joists CeR ofSurvey Reed Y w„ N (20%maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Soils Report '.' '" YN 1 Soils Report if proposed building is to be placed on dislurbed soil 1 site survey tor addifions & decks Tree Pres Plan Recd ?Y N2 copies ot plan showing beam & window sizes; poured found design, etc. Addition - indicafe Non-sife sepfic system . Tree Preg R?qmr ed - '? Y= N 1 set of Energy Calculations On-site Sep#ic System ':,Y»? N 3 copies of Tree Preserva6on Plan if lol platted after 711193 Rim Joist Detail Optlons selecfion sheet (huildings with 3 or less units) Minnegasco mechanical ventilation form CI te(3 C.J Plans are considered pubiic information uniess you stafie they are tra esecret and reason. Date _h 3 / ? / ?'jj + Construction Cost ? lODD Site Address V,)06-D (4A >o Unit/Ste # Description of Work TN'C.e?-Scma? POQL1+ AL?j Multi-Family Bldg _ Y t?( N Fireplace(s) _ 0 2 Property Owner EtiC? W l t? o Telephone #(JoSit )_O???=? O l q Contractor Address City State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 MinnesoYa Rules 7672 EneYgy Code CBtegory . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheet submission type) Submilted Submitted • Energy Envebpe Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone # ( ? Mechanical Contractor Telephone # ( MAR 3 0 2007 L?j Sewer/Water Contractor Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagaci 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 approv lan i he case of work which requires a review and approval of plans. ? Lj1?..1 C -? \? I ?S,? 0 ..0 ApplicanYs Printed Name Applicant's Signature L • + ' . DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvaes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? OS 06-plex ? 16 Fireplace gP 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Muiti Misc. ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex ? 25 Miscellaneous ?+M 'PeLvr- I &e, n j /, I q `X I z.' ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors 'Demolition (Entire 81dg) - Give PCA handout to applicant D2SCCiptl011: Water Damage _ Yes Valuation 11, v 00'aa Plan Review 100% or Census Code q3 f SAC Units # of Units # of Bldgs Type of Const V)5 Occupancy 12'? MCES System 25% Zoning R "1 City Water Stories ! Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width //'7 / REQUII2ED INSPECTIONS Footings (new bldg) _ Sheetrock ? Footings (deck) _ Final/C.O. _ Footings (addition) ? Final/No C.O. , Foundation HVAC Drain Tile Other Roof lo Ice & Water ? Final _ Pool Ftgs Air/Gas Tests Final ?0 Framing _ Siding _ Stucco Lath _ Stone Lath _Brick _ Fireplace _ R.I. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: ??? d4?uilding Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total / y k/Y k5-s`. o o _ ?v,?,? 0 , o 0 " OCT 17 '91 01:35PM MCCQh1B5 FRANK ROOS p??p?27 °-?p??p V FCD tE.V ULSVNl E? G 7 7 oV6 ??2 ? ?,. . sPE?me ? ? •':n.: e+t.s ar.z • f'1 ? a67.t y-` 30.0o A 36.ao a?•+ u.4 ( Q /d? I ?? ` t0.97 N y^qA I A?? 1,??? • IS A ? IV 4» ` I -?I N RG7 ? . I 4 - I ?. ? .? > ??. G O` ?? x ?!' ?'4•? +' ?.?* ? I '??0 Q W ?' ?«,vRapcscn '- ?D 2 f? ? ? .e ? ? ? ? ?? ¢. • .vsusE ? N ` i ? ? ?t J ? N ?• h n ?lU!//l/y 4 I 0 N a4 m N r• r Oraino t ? o ??1.c7 ? „+ ? i ? eos< enf ? ? h ' I ^ y i ? . w //.Ri J5 ? . q ' s a o_oo a 3GOo ? * • eao.? ?? fr55.t ?tt/' r '-/OO.OO' • ? NS9°34'54"E l58.00 50 ?Uxf/ O Derates Iron Monument Denotes Wood Stake XQ00.0 Denotes ExisHng Elevation Proposed Top ol Foundation Eievation- 885.6 (000.0) Denotas Proposad Elevation Propoaed Garage Floor Elevationg 894• 4, -s Denotes Directlon af Surface Drainage Proposed Lowest Floor Eievahon= 8'77. o 1 hereby certify that Yhis fa a true and correct representation of a survey of fhe boundaries ok Lot 31,.' Block L',.KINGS WOOD 2ND:_ALTDITION, Dakota County, Minnesota. ' And of the bcation ot all buildings, ii any, the?eon, and ail visible ehcraachments, If any, irom or on sald land. It also shows the location of the stakes as set for a proposed buliding. As surveyed by me or under my direct supervision'this`.l- 17th day oi October 19,9,1 Paul A. Johnso Land Surveyor. Minn. Reg. No. 20938 McCombs Frank Roos Assoclates, ?nc. ?• *0 CERTI FI CATE 0 F SU RV E wac ? tOr '.-.7605023rc1ave.N. En9lneere /? ,/ .flYI110u1h, ?tN 55447 Manners Fuc ]WgIrEMOR.SE `EY4 •- -.--.__.._ eizia?s-so?o s?ryoyo? q841 MVoigt & Associates, Inc. STRUCTURAL ENGINEERING SERVICES ' 4635 NICOLS RD. SU[TE 204 EAGAN, MN 55122 - PH. (651) 686-7727 FAX. (651) 686-8444 Mr. Eric Wind 1498 Kings Wood Road Eagan, MN 55122 RE: 3 Season Porch Additions Dear Mr. Wind: As per your request I made a site visit to }=our home and reviewed die plans for yow 3-season porch (14'x14' approximately) that you had previously submitted to the city. The purpose of the review and site Osit was to evaluate the lateral stability requirements for the addition. The following is required: . East Wa1L• Pmvide 18" plywood sheathed shear walls in each corner to prevent racking. Use 2x6 studs (3 minimum) with 15/32" plywood sheathing. Attach sheathing to studs with 8d nails at 4" o.c. Attach bottom piate to struchue below with'/4" diameter x 6" lag screws at 3" o.c. • Overframing of Ezisting Roof: Where new roof overframes existing roof remove existing shingles and nail new trusses or hand framed support walls to existing sheathing below with 8d nails at 4" o.c. All other conswction details should follow nornnal and customary framing practice as described in [he Internauonal Residential Code. The information and opinions contained herein are based upon the limited invesUgation described at the beginning of this report. No warranties are expressed or implied regarding the existence of other unknown condiUons not specifically addressed. Our work is in accordance with generally accepted engineering standazds and is not intended to be relied upon or transferred to individuals other than the addressee. Should information or conditions become known which cliffer from the discussion herein, they may alter the opinions or conclusions of the undersigned. Please call if you have any questions. Sincerely, Paul W. Voigt, PE ?cEx?tif31 0°ific?.?tion. t''•at, this PMn ' Sg rz, Me cr ux?d.er MY I herebsl ,, ? rc 1-.., ?,,.., a^?. ox re?orri 9? ??9r Re?'sste^es? Froie t?.ts af r? Igi O JE ge?. No. 20708 t?ate ,D I'_; ?-z I?? APR 2 6 2007 ?5e;l/ 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road; Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 06 New Conshuctian Reauirements RemodeURepair Reauirements Ofrice Use Onlv 3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y_ N (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres PlanRecd Y_ N. 2 copies of plan showing heam & window sizes; poured found design, etc. 1 site survey for addilions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Additlon - indicate 'rf on-sife septic sysfem Onsite Septic System _ Y_ N 3 copies ot Tree Preservation Plan if lot platted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost Site Aadress lq q C? KIn CI o??? IC.mI Unit/ste # , Description of Work ? Q ot CCrW#t10q4 Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 Property Owner Telephone # (LT/ 14 Contractor d-[ Address Q S Q`jp?,? City State Zip Telephone # ( ) /f?c •ft COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?lsubmissiontype) Submitted Submitted ?h nergy Envelope Calculations Submitted Have you previously ns?ruci fee applies. ( ? ?s Licensed Plu Mechanical Sewer/Water C 1?..? in Eagan with a similar plan? _ Y _ N If so, 25% plan review Telephone # ( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved in the/c'ase of work which requires a review and approval of plans. i Applicant's Printed Name A cant's St`gnature ' OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 04 02-plex ? 10 OS-plex )'J 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous Work Types ? 31 New ? 32 Addition )§ 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const ,?, , Do-D. q3q V Y` Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice& Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: 4m Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 35 Int Improvement ? 36 Move Building ? 37 Demolish Building' "Demolitian (EMire B Occupancy _ Zoning _ ? 38 ? 42 ? 43 Idg} - Give PC rz - 3 Demolish Interior ? 44 Demolish Foundation ? 45 Reroof ? 46 :A handout to applicant MCES System _ City Water _ . ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. Siding Fire Repair Windows/Doors Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIRED INSPECTIONS FinaUC.O. ?o FinaUNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Building Inspector f 7/9ff ,ee- OCT 17 '91 61:36PM MCCOhBS FRP,NK R005 . 50 n w ? 0 ? O 3 ; ; .. . - _? N84°30'/5"£ / oA:BS-? a?9.i sR7?.1 yBT.Z ,o•?"- -??. ??- - . x&33 ` I °` c7 ? ? I 4 0. ry ? ? ?I QP M > • PR6POS6D in m I a? ¢ n'' ^ 3 „t V a ? t . ? frs3'i ? I 50 O Denotes Iron Monument ° Denotes Wood Stake X000.0 Denotes ExisHng Eleration (000.0) Denotes Proposed Elevatlon .F- Denotes Dlrection of Surface Drainaga __ -? r- ---? ?4p ? ?, ?,I IS r H G -1. ? I •), i ? : I y r w I 1.• A ? ? tn ^ -?? r e Oraino9 o . ? - ,J ?• ? ?, L _ _ J5 N , . A e NB90341541E 158.00 _..:?` ?4e4 n R??r'x t • . Proposed 7op ol FoundaHon Elevation. SSg•o Proposed Garage Floor Elovationa 894• 4, Proposed Lowest Floor Elevation= 8-11. o I hereby certiiy thal this fe a true and correct representaiion of a survey of the boundaries of: Lot 31,"Block I1-,,KINGS WOOD- 2ND -.AnDITION, Dakota County, Minnesota. And o( the location ot all buildings, it any, thereon, and all visible ehcraachments, If any, from or on sald land. It also shows the location of the stakes as set tor a proposed bullding.. As surveyed by me or under my direct supervision'this :,' 17th day of October ,19 q] ', . ? Paui A. Johns Land Surveyor, Minn. Reg. No. 20938 McCombsFrankRoosAssoclates,inc: i? CERTIFICATE OF SURVEY ? fior ,.-....1503029r[iAVe.N. En9lneero _Ph?mOUN, MN 55447 e12ra7s-so1o sfleenerou?vayo? rn y?/yITEf/ORsE DE VG •-- . -..-.__.._ 9841 5??? ? j b RESIDENTIAL SUILDING ? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 • Telephone # 651-675-5675 FAX # 651-675-5694 c 44;' ??j+ 5;V Ca,t&CL,6-(1(e 1tY New Constructon Reauirements RemodeUReoair Reauirements Office Use Onlv 3 regislered site surveys showing sq. ft.I lot, sq. ft. o( house; and all roofed areas 2 copies of plan Cert of Survey Recd (20°k maximum lot coverage allowed) 1 set of Energy Calculations tor healed additions Tree Pres Plan Recd 2 copies of plan showing beam & windoe: sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd 1 set o( Energy Calculations Addrtion - indicafe if on-sife septk system _ On-site SepUc Syslem 3 wpies of Tree Preservation Plan if lotplatted after 7/1193 Rim Joist Detail Options selection sheet (bldgs with 3 ar less units Date Construction Cost ? 51?0 • UO Site Address ?t'1i 8?,?/,ttpfkL Cl?p? Unit/Ste # Description of Work ?i,?ana Darf af alP,n uJa 1/ jAa(p aaraA ?af=?ddr kr.u#,14 ?f1D&AwiAef Multi-Family Bldg _ Y_K N J J Fireplace(s) _ 0 J 1 _ 2 ? Property Owner &? &u,l umllc( Telephone # ((pSj - - ' Contractor 22W ; Address 2S Qbag_ CitY State Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 CateEOrv 1 Minnesota Rules 7672 Energy Code Cetegory . Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J su6mission type) Submitted Submitted , • Energy Envelope Calculations Sub ' , -1 r t? ay Licensed Plumber Telephone # ? Mechanical Contractor ??IU1?,`I ?A\? ? ? Telephone #? Sewer/Water Contractor. Telephone # ( I hereby apply for a Re.idential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work i not to start without a es a review and permit; that the work will be in accordance with the apZO:T approval ofplans. eri txu Applicant's Printed Nar?ie ?.... OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg 7< 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Qi of _ plex Q 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair X1K_ 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslOoors ? 34 Replacemenf *Demolition (Entire Bldg) - Give PCA handout Yo applicant Valuation ?9LDO Occupancy MClES System Census Code ? Zoning City Water SAC Units _ Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinallC.O. _ Footings (deck) X FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC Drain Tile Other Roof Ice & VGater Final Pool Ftgs Air/Gas Tests Final ? Framing _ Siding Siucco Stone _ Fireplace _ R.I. Air Test Final Windows (newheplacement) 'y Insularion _ Retaining Wall Approved By T z , Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 7??r /? ? ?`? .y. r . /I 7-U0'r 6 1 ° 0 0 -+- VA 460•0:7* \Ql? 2 j 2 1 1• 50 ;. 3,455•50;: f • f ? ? < 1991 BUILDING P IT APP CATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF FLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS IiULTIPLE DWELLINGS COZIIdERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BL6G. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WIiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED, PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: Valuation: ? Date: oc) cY ? Site Address //- ? $ /t fnc vv •?? ?t ? siock ? Parcel/Sub (,? ? ? Owner ? tTfS U 1 Lo11 t:q Address )C_? J Gity/Zip Code ? Phone e) Contractor Sa?m -e Address City/Zip Code OFFICE USE ONLY D00 - l2- z i FEES Occupancy -3 M- ? Bldg. Permit Zoning Surcharge n O? Actual Const V-h1 Plan Review Gf66 • o0 Allowable V-L? SAC, City laz),o C> # of stories SAC, MWCC 6t5v,00 Length 78' Water Conn. 660, 0° Depth .3(',' Water Meter 95.P° S.F. Total Acct. Deposit , o,cro Footprint S.F. S/w Permit 3o.c>0 S/W Surcharge .s`V On site sewage _ Treatment P1. a'76?,,00 On site well Road Unit 3 70•0d MWCC System V' Park Ded. City water ? Trail Ded. PRV Copies Booster Pump SUBTOTAL Penalty Lot Change TOTAL 1S . ? (? APPROVALS Phone Planner Council Arch./Engr. &,SSP?? Bldg. Off. /O?fb$', Variance Address fAA I a{r F ` City/Zip Code Phone # iz-?- ' S9 76 Sewer/Water Licensed Contr, ro ?r5 ?? e agrees that all work shall be done ia accordance with (Signa r of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ....? u .X7.a ? 1 Air VA L(A'A`C7 6 T?.? ? 6AI2 A G-? :? q x 37- = r7 6 & 4q ? 12 ^ 6w (2 7c0 X 15'= I01 SOo s7sm`r', 32xe) (? = * 1y?Z, ? x iz = 1z ? X l 2 ? ?aa= 14 32- x !y= ?o 04 , ?I s?r 17?00 rz- Z??mT= 1q)2 1'720Y,5,?= '::I1, 16? D I Z l,'7Dd ?1%01 1Z2.1 0o0•- f t MT 17 Jo• n?. . +?i r?l •.?ori-i iFt.Wl'tllnr f9-AVK YtlNJ P. l 5tl N89°30'/5"E' / 08.85- 4 ? ? ' T7.1 R7fs D71.1 ~ S ` 30.00 ?` 36.0o a 1.,? ?esz• ?.4 -- ?-4 - ? . .r - ? ? 'I ? ?' 4 ? ? O ? $ east men? ; J Lr? L?1 ? •-ioo.ao?• ? N69°34'54"E /58.00 r 50 ? ?: ? ;, e ? -, ,, , ?. ,•i?. ?' ?,? y ? "G•, '. - 0 Denote9 Iron Monument ° Denotes Waod 3take "; X000.0 Denotes Exiating Elevation Proposed Top of Foundation Elevgtlon- 885.0 (000D) Denotes Proposed Elevatlon Propoaed Garage Floor Elevatbna 684. 4 ?-- Denotes Dlrectlon 01 Surface Drainage Proposed Lowest Fbor Elevationst 8'77. o 1 hereby certily that this la a true and correct representation of a survey of the boundarles ot Lot 31,' Block 1;,.KINGS WOOD 2ND -ADDITION, Dakota COUnty, Ma.nnesota. And of the locatlon of all buildings, il any, thereon, and all visi6le ehcroachmenis, If any, from or on said land. It alsa shows the location of the stakes as set for a proposed building. As surveyed bY n?e or under my direct supervisfon'this°i' 17th day of October ,19 a1 :. Paui A. Johnsodpr Land Surveyor, Minn. Reg. No. 10938 - McCombsFrankRoosAssodates,l-nc.- °iLa 4•o CERTiFiCATE OF SURVEY `. .115050x3ro„Y&K fior Enqlneer6 PMnoufh, MN 55447 Poeonera a,:,.rs.eo,o gu,Y„" F?• Wy/TEHoRsE DEVG 9841 > > .. ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY PERMIT # RECEIPT # DATE: ---------- +-------------------------------------------- WORK DESCRIPTION NEW CONST ? ADD ON REPAIR OWNER NAME : DPA1 Ql O? f'Y? SITE AilDRE55 : 14? ???1,JQ ^ Lfr ? LOT:,?? BLOCR ? SUBD. INSTALLER; & -1 ADDRESS: ?5 ?r.e CITY: Aa?JCAJ PX ZIP: 'JZ04 PHONE #:_ -1154" 40M ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: STATE SURCHARGE: TllYt1L : DWELLZNGS & $15.00 24.00 6.00 3.00 $ aq, ca .50 SIGNATURE OF PERMITT,o GQi?SP4E...?CIASTR?PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS, _. _.. _ ...::;_ _. _. .. . _._..........._:... APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPAR.ATE PERMITS ARE NOT REQUZRED FOR EACH DWELLING UNIT. ---------------------- _------------ _____.... ____-------- ,.----____--_____----?---- CONTRACT PRICE: OWNER NAME: Jlia ALUK."..:iJ: LOT: BIACK SUSD. INSTALLER: ADDRESS; CITY: ZIP: PHONE #: FOR: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. FEES FEES 18 OF CONTRACT FEE. STATE SURCHARGE _ $.50 FOR .y`. C nti (?? l , ls !1v(1 !'1*+C .iyTv'RT.i? !'a 1'T.i?SVll . yi'?s t'a a . PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CZTY OF EAGAN FOR CITY U5E ONLY 3830 PILOT KNOS ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # D' D MU"Mv DATE: // o?S .:.:. . .............,...,;;;: - -- _ PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & ; ............., . ::.. :....: : TOWNEiOMES/CONDOS WHEN PERMITS ARE REQUIRED FDR EACH UNIT. ------------------------ --------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL NEW CONST jr ADD-ON MINIMUM 15.00 ADD ON u? SHOWER 3.40 REPAIR 3 WATER CLOSET 3.00 ? BATH TUB 3.00 3•iO LAVATORY 3.00 OWNER NAME: !-///?f/USG- r?Jtl? J KITCHEN SINK 3.00 3.?a j LAUNDRY TRAY 3.00 3 SITE ADDRESS: ?%9e? ?i^??SC-?ao0 cO _ HOT TUB/SPA 3.00 1 ?/ 170? ?w /? WATER HEATER 3.00 3 ? LOT : BLOCK ? SUBD ! ?' :7 FI:OOR DRAIN 3.00 3 • ? GAS PIPING OUT. iivSTALLER: 14,ce-'si OG ?','a (MINIMlih1 - 1) 3.00 J ROUGH OPENINGS 1.50 ? ADDRESS: VYd -9 i?/-?I?9-? /?/?!? ?Z? _ OTHER WATER SOFTENER 5.00 CITY: ZIP: sj 32r- _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 _ PHONE SUBTOTAL $ ST. SURCHARGE .50 SIGNATURE OF-PERMITTEE TOTAL: $ y`?- 4c PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL 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 JF PERMIT FEE_ $25.00 MINIMUM FEE. CONTRACT PRICE x 1% $ STATE SIIRCHARGE $ TOTAL: $ (SIGNATURE) CITY OF EAGAN v EXTERIOR EfIVELOPE AVERAGE "U" CAIIPUTATAON • Lt#:1&- .. N1t i a 7 w a?,? ?i ?0 -1041 c. . : r E o . . sirE -nDnREss: ?_07 31 ??? ? k,N?? ?.. . • ...... ?., .. , ? ? ,. ., i:4NT9ACTOR: .?a?Jp(L OATE: l0-.?0^q'? ? PNONE: ? . ?.,,.??,._..,.?,.. . , . ' DEtERNiNE uORKIt1G SO.tJdAE FOOTAf:E OF EACH: ?•. TOTAL EXPOS ED tfALL AREA;....... sq ft x"U" .?I ?. ' TpTAL R40F/CE 1 L FNG AREA.... .... ITLQ ;? sq f t x"Uu .0?0 2(p w• ,3• 70TAL EXPOSED NALl. AREA CALCUI:A714NS: • . „ ' . ? , Total exposed waii . • erea. above floor.......: 2?J22. , ?. sq ft • • . , . , . . '. . • . : a) Total wall windaw area: . ?ti , : . n??i ? • G?Ou:aU?2, glazed. sq ft, x ,_,_..?._,... . .?. . . . , .. ' , cto, ? .?....L=?, , glazed.. ?... • . ? sq ft x :"Un ; 0 . , ,. .: . ? . b. Total door ere sq ft x"U'.'? ? a ......... ? ? ..?. ...... .? ., . c). Yptal sitdrnA.914:ss door are,a • ,.. • • • . _` •` ? ?` g.lazed...?... ? lD maq ft x $full ? +?w?1.o..?} . . ?, • • . ? ??. . •?„A1.?? 9Tazed......? , 5q fC x uVot , 20 , d) ?7ota1 flrePlace wall area sq-ft x ? . ......?....?,,. • 'ef 'Total wall fraMing area , . ' ?.' . . ?j , , .. (Average lOq)...........- sq ft x.uU$$ . . . . . " . ',??I. .? ?, . .3 f) 7ota1 net wal l area above ? . , • ? . . • floor (Insulated)......._ {g2:? , (n • sq ft x . . g). Total rim Joist area......?. 2..)C). Se. fr x "ull , , ,. . . . . . . ?-?-?--?-?- . Total foundation aroa•(Exposed).......... sq.ft . ? . ; h) Total foundatlon . _ ? _ ?; , ,.- S?•ft x iluli • : window area...,.......... ?? * ;? ? I) Tocal net foundation . ???.,.....,.?. t arca above gI'ad6:.... ?.. sq ft x fou„ ,TATAL a) ' ' ' , . . ' ' ' • " tfik'u71,} . f . . 2(0?.??{ . . . . . . . . . . . , ' ' ? " , . . . ? . , . -. .. .: . . ? If item p3 is the sane a5, or less'than iten fI. you have met?the intcnt ' . , . of': S.B.C.,Sccilon 040A (c) Z. , .. . • ' , . . . 1... ?. . ? ' ? . . . , . '.: .. . ? ? . . .. ? ' ' ... . ' r ' . .. .. ? ' ? ' . ? •?? . . ,?' ' e..'4 , C.. . . , ; .. . ? . . _ . ' _ .... _ _.. _. _.. . _ . .._.... ' ' , .a.__._.._ _ ._,.. . . . ?. •.. Y .. _ . . _ . . ? ...7 . .. f . F I >?.AGTAL GXPQSCD P.JJ: /CEILING CALCUlAt10!IS: , ; ' .. . . ' Total exposed r? . I., ' roof/cciling area..69000'. ? 120 sq ft ' . Total• skylich; aroa....... ' - sq ft x "U" ` i . i.. k) Total roof/ccilinq framing ? area (i.veraae 10°!)....... 1?2, sq ft x1,Ull 1) Total net insvlated '• . ' raof/ceilinq area.veweer ? S.Q ft x Isuil k. , TOTAL J) chru 1) . ; If total of rk is the sar.e as, or less than.f2, you hava net.the intent of i S.B.C. Secti.on 6606 (c) 1. , . ? , ?• . , .. ' . • ? ,...?., . . .w , ' .`;ti? ` ' ' • ? . •? . • . . . . • • A? ?^?}• • • Y . • • • • • . ' . . . . . • . • • - . • . . , • \ •. . ? . • . • • . ,.. .., . e ' ? . . •, ? ! . .• • . .. . . • r . . I - . . . ' ' ' . . . •.? . . . ? ` • -?At'FERtIATE BU I LD 1 NG EttVEI.OPE DES 1 GtJ . , . ..: .. ' ?. To utilize tha toralenvetope system method, 'the val'uea establishad by tha sum ' .: af items 23 and :A4 shall not be greater than the sum of ttems 41 and #2. , + z. ,. . . ` . . . , . ? • 3. +•4. • . ,. , , . `; • , • ? . , 9?ia& (Z:2 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWc6on Requirements 3 registered sfte surveys showing sq. ft. of lot, sq. fl. of house; and aiI roofed areas (20°k ma)imum lot coverage allowed) 1 Soils Report if proposed building is W be placed on disturbed soil 2 copies of plan showing beam 8 window sizes; poured found design, etc. t set of Energy Calculations 3 copies of Tree Preserva6on Plan'rf lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasco mechaniralventila[ion form RemodellReoair Reauiremenls 2 copies of plan showing footings, beams, joists 1 set of Energy Calcula6ons (or heated addiUons 1 site survey for additions & decks Add'rfion - indicate if on-sife septic system Plans are considered ublic information un(ess ou state the are trade secret and the reason. ?/ / C7 Date 1"?" / 04-9z) D ? ?ys Construction Cost ' I Site Address UniUSte # Description of Work 41114t ? 'r Multi-Family Bldg _ Y n N Fireplace(s) _ 0 _ 1 _ 2 O ?R I P I 1V Telephone # (6/S/ 4) wner roperty Contractor , 11 A Cit Address ? St t ? Zi -5 y ? / Telephone # ( 9_5,'? a e p _ COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code C2tegory • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (?l submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone # ( Telephone # ( 9c cd Oifice Use OnN Geit of Survey Recd _ YN SoilsReport _Y _N Tree Pres Plan Recd _ Y_ N. Tree Pres Requir etl Y_ N Ort-Site Septic System _ Y_ N I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only 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. c- Applicant's Printed Name Applicant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 02 SF Dwelling ? 03 04 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Tvpes ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06-plex ? 09 D7-plex ? 10 OS-plex ? 11 10-plex ? 72 12-plex D05C1'Ipt10n: Water Damage Valuation Plan Review 100% or Census Code SAC Units # of Units # of Bidgs Type of Const ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level ? 20 Pool ? 30 Accessory Bldg ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 23 Porch (screenfgazebolpergola) ? 36 Multi Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors *Demolition (Entire Bldg) - Give PCA handout to applicant Yes 25% Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width _ Footings (new bldg) _ Footings (deck). _ Footings (addition) Foundation Drain Tile Roof [ce & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final Insulation Approved By: 8ase Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total REQUII2ED INSPECTIONS _ Sheetrock _ FinaUC9. _ Final/No C.O. HVAC ? Other Pool Ftgs Air/Gas Tests Final Siding _ Stucco Lath _ Stone Lath _Brick Windows _ Retaining Wa11, Building Inspector Use BLUE or BLACK Ink r For Office Use Permit o Ila j City of Ea Ed I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: C / 7 I I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit r Name: r UU Phone: Resident/ r F 1f/ ~f1 -Owner Address /City /Zip: /i -z Applicant is: Owner Contractor i Description of work: Type of Work V Multi-Family Building: (Yes / No Construction Cost: _ ! 'Company: Contact: r Contractor Address: fZd City: r/6, kIllS v~ State: Zip: 2!~3 I V-3 Phone: Lead Certificate License 3161 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 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 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.aopherstateonecall.or4 I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x` lih"~~15 e, ~1 x Applicant's Printed Name Applicant's Signature Page 1 of 3