1468 Kingswood Ponds RdAddress 1465 uTUr.ei,rnnr, pnNnR unan Zip 5512 -
LOt 6 Blk 2 Sub Kingswood Ponds 2nd
THESE TTEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: 10 - 1 5- Q 9 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineeting division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy w
' CITY U5E ONLY ,- '
LOT BL RECEIPT #:
SUBD. RECEIPT DATE:
MECHANICAL PERMIT # 3
1999 M£CHAIVICAL ?Eft14IIT (RUIDENTIAL)
CITY Of EAfil1N
3$30 P1LOT KNOS ftD
Bt4fiAN MH 581 YS
(681) 6$1-4678
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M B T U
ADDITIONAL 50 M BTU ,?,,,,,(
'?6? '""Y° ? ? 30.00
6.00
• Gas outlets (minimum of one required @ $3.00 ea.) `"C ? 3
State Surchazge .50
Total $
?
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New
_ Furnace
_ Air exchanger
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS: o?lO?l?
CITY:
Alteration Repair _ Other
Reminder: Ca11681-4675forinspections.
_ Air conditioning
Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
Lk? ? 1'-t!?
? MC-QNALO
UeZO ? PHONE # E,,CI-?lXd'J
f+ , n (AREA CODE)
_ STATE: ZIP ?
:_ ?tt1f1
SIGNANRE OF PERMITTEE J
,
....
CITY USE ONLY
L BL
SUBD.
APPROVED BY: , INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
I
1999 MECii14NICAL PEftMIT (COMMEftC1AL)
CITY OF E46AN
3$30 PILOT KN08 BD
EA6,QeN, MN 551 SS
(651) 6$1-4675 '
Piease complete for: ali commercial/industrial buildings
multi-family buildings when separate permits are not required for each dweliing unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1 %
PROCESSED PIPING
PERMIT FEE
STA1'E SURCHARGE ($.50 per $1,000 of Dermit fee due on all pemuts.)
TOTAL
---------------------------- - ----- - ---- - ----------------- - ------------- - -- - ----------------------- - -------- - ----
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
L ? BL 2-
SUBD. ?fM1V l?'I ) [uVr)d
CITY USE ONLY ?
RECEIPT #:
RECEIPT DATE: ?-? q ?qj
PERMIT #
1999 PLUMBINfi ?iE?..'?YI'T (RE.StDENTIAL)
cicrstoF EAaAN
3$30 PILOT KNO$ RD
£AGA1V, Mlv 55122
(651)681-4675
Please complete for: ? single famiiy dwellings
? townhomes and condos when permits are required for each unit
9 backflow preventer for underground sprinkler system
fIXTURES
EACH #
TOTAL
, •• - , ?
?
Floor drain 3.00 x $
G8S i in outlet ' minimum -1 3.00 x = $ ?
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $ u,
Lavato 3.00 x = $ .
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
?-. ...? U_
Rvu i i oi iiii
?30
?
Shower 3.00 x ? _ $ (70
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $ q.
Water heater 3.00 x = $
Water softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x $
State Surchar e .50 --> ----> ----> $ 50
TOtal
-->
-->
----> ._._>
$ 5 I . 50
Reminder. Call for inspections of alteratians, i.e. water heaters. water softeners, etc.
----•---------•-------------------- -•-------•---- -------------------------------------------------?
I hereby acknowiedge that I have read this applics6on, state tha[ the informatlon is correct, and agree to comply with all applicable Cily of Eagan ordinances.
It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operaGonal and maintenance activities to the Tacilities constructed under this permit within City propertylright-of-way/easement.
SITEADDRESS:
OWNER NAME: TELEPHONE #: d-J11) ?
(AREA CODE)
fNSTALLER NAME: D L-S}-,,} FP I,..?& TELEPHONE #: 60- L12J 9 6`")4
STREET ADDRESS: ?-4" (AREA CODE)
CITY: L( STATE: 1?h 1,) ZIP: 55.I
SIGNATURE OF PERMITTEE
' ,T.. . . . . . .
. CIT'r' OF EAGAN. -, ,
GASHTF;.Ii» a f TE.Rt°fINAL *0= c
767,
'DA'CE4 QE,110l3`? 7Ii"(!?: 0 7 :3 4:r2
II1.
NAhiEe MCD[lNALCt L'ONS7fiUCTIt7N INK
`
?_"2 9220'14-69 I:NGS'4D f'•NCt
'_' 30a00
- 3E.10 9001 14.6EI }iNGSI4TJ F'N•.'I ' J.p;3+37,?2
3? [Q 9001 1468 F:hG?.?WD FTlD ' -Q, 27
3C',ti6 OSfr9 1468 t;NGStxlU F'NTi 1.Oo.610
,
????? 9QOi. 34-E,8 ?.NcSwv Prx;? 90cwo2
V'7?. 320-0 V?iSB kNGS14E, fiNLi l.yf]3ga?jp
,344)6` 9CIUi 1468 F:NGaWlf C3NIi 10. W0.
%`215? <7001, idE.,8 F:NGSt-tJ F'NJ? '•: 0.5d
??43:9i?2G 1468 F'NGSWD Nb 5€I.00
2355 90(]i. .d_46b F;NGSWLI E'idlJ 8E,,:00
CF?:tlrn-43 L"QtdTINiJE:.
USEFt TIXe NANCY CQNT7.Nt!F
,: -
c:aNTzNuE.
czrv OF rnGAN
C?..fy?1-1TER: rs TE`.F'I'i.l'NF1L N4.!" lfsi
I?A7fa 06110!99 7IMC? Q? w_3hum,
NaME: McDaNALD cONsri;UcTInH iN€:
•
` 3e6e, 92n 1468 ¢.NcswD =•Nr+. ,
468.013
'
37:is' 9220 J.468 r:Nc;suiu rNLI 4
:14o00
:3 r d'3 9r?!l7 1468 mG.5W1p r'ND SCl.CJO
3665 P"c'aCl 9.468 KNGIStitU f'iVIi • R25„00
Tota.l i;eceip#° .;;X 1-8P47
Cf; i. ifJ94•3 ,
USE.ii tD 4 NANCY
*?K?7k?K*kc?C??K***?t?K?*??c**??a6t*?%*?X?t*Ac*??K%k??k:k. :,
, ?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
? ???? 3830 PILOT KN08 RD - 55122
651-681-4675
New Construction Reauirements
? 3 registered site surveys showing sq. ft. of/ot, sq. ft. ofhouse
and a!I roofed areas (20% maximum lot coveraste ailowed)
? 2 copies of plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of tree preservation plan if lot platted after 7/1193
DATE: nc. I - /. /
DESCRIPTION OF W
STREET ADDRESS:
RemodellRepair Reauirements
? 2 copies of plan
? 1 set of energy calculations for heated additions
? 1 site survey for exterior additions & decks
(?
CONSTRUCTION COST: (?(.?? ?L o
LOT: (2 BLOCK: SUBD./P.I.D. #: K•' ?US? !_llGtx?
Name:e!C..b CD(>•-_„4qPhone tl:
PROPER7'Y 1.asi F;,SC ?-
ONNT'ER
Street Address:
Cia
Slate:
Zip:
Compan}•:_L? Phone #: 4 30?_ 7 &o?? ---
CONTRACTOR `,/ /
Street Address:??< < 4.T?'` S?, w ____ I.iccnse #$3 ? l0 --- Exp. a?v_
Cit) _F-ry'u.l? --?--? State: _?Z7... Zip: S'S' /oq Y
ARCHITECT/ --%
ENGINEER Company: G c7 ?ON Q _ Phone #1:
Name:_ Regisuation 4: --------
Stmet Address: ?? ????-3 % ? ? ?- AJK •v"?- _,?__
City ??_?l /?i? State: : ti "• Zip:
Sewer & water licensed plumber (reaufred for new construction onlv): J,?'C f?
?47??
/ ?-- s Penalty applies when address change and lot change is requested once permit? issued. ? r y f? ?
R hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
.5tate of Minnesota Statutes and City of Eagan Ordinances.
OFFICE USE ONLY
Certificates of Survey Received Z Yes
Tree Preservation Plan Received _ Yes
Signature of Applicant:
? -; -
i
No ,?? MAY 2 I ?9 ,
?+'
_ No ?Not RequireiI???? ? ,
?
OFFICE USE ONLY
:
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex O 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (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 O 24 Storm Damage
? 05 3=jaIax ? 10 8-plex ? 15 Lodging O 20 Pool ? 25 Miscellaneous
WORK TYPE . . . .
O, 31 New ? 35 Tenant Impr 0 .39 Gas Line On ly ? 43 Siding/Soffits/Fascia
Z
? 32 Addition ? 36 Move Bidg. 0 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
0 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFOR MATION
Const. (Actual) IZ-IV Basemen+, sq. ft . / I-`i 7 Census Code
(Ailowable) ? Main level sq. ft . 4977. SAC Code
UBC Occupancy sq. No. of Units ?
Zoning ? sq. ft . Paj. No. of Bldgs ?
# of Stories sq. ft . MC/ES System
Length . sq. ft . City Water
Width Footprint sq. ft . -? Booster Pump
PRV
Fire Sprinklered
APPROVALS '
Planning Building ? Engineering Variance
Permit Fee Valuation: 7 70
?-? 71
J
Surcharge
Plan Review
l3?se- u.? F,;.,p l
?--/? Z7?J?, I?•
= ??a ?'S"
License
' 02!k s" _
?
MC/ES SAC H
?? x ?s
City SAC
Water Conn. 70Y X `?
Water Meter
Acct. Deposit
S/W Permit
S/VN S
h
urc
arge
Treatment PI. ? .
Park Dea.
Trails Ded. '
Other
Copies
Total:
SAC Units
ENERGY CODE WORKSHEET FOR 1& 2 FAMTLY DWELLINGS
TED HY;?Wpf??}(,(? _ pIIONB #_ DATE
NG CLASSIFICATION: Q categoty 1(etandard) or N category Z(muet inelude ventilation)
CRITERIA
' Io-Wood DDRESS CITY
ion Insulation-R10 Walls & Windowa Roof Attic Tnoulation;
(See Grade Insulation-R10 forallowable percen[ages) R44-With Attic No Heel
ver unheated spaces-R29 R38-With Attic Raised f{eel
ion Windowe 1/2" R38 & R5-Solid Rafters
ed Glass.
r r Vinyl Frame
ST$P 1 Window & Door Area
A. Total Window & Door Area in Sq . Feet
WINDOWS (Including Foundation Windows):
WINDOW MANITFACTfIRE NAMB: ? (??j'? ? ? =
WINDOW MANLfFAC2RRE TYpg; CSN}T
WINDOW MANIIFACTURS U FACTOR: -3 6
R. O. QuantiCy sq.EC.Rrca
Dimensions
x _ 6„
I?i? _
45
l3 ? ?:/ /'??,
X
I } I ,I' -: ?
?
x -=D" t?.l?I 1 ZC
? ? '
X S=6"
1 I L
=
Z$
X 5'? O„ I -
z,o„ XZ_o„
X4? „ ?.
, „. X
3
DOOR5:4=0'k5'0 I 20
53
STBP 2 Calculata area au a percent of wall
C. Front Step 1 divide box A(Y7indow & Doo1'
Area) by box B(total wall area) timec 100
equals the window and door araa as a
percent of wall area (box C).
P.OX A X 100 = F/S. Ro:: ?3 3?Zo 6
STEP 3 Deoign Featurea
ASSEPI6LY
FRF.2S117r, TYPE:
STAt1DAkD FRAMING x_studs 16" o.c.
ADVP.NCED FRAMING stude 24" o,c.
CF.VITY INSUI.ATION R-19_
SNBATHItIG TYPR:
LESS THAIJ < R-5 x_
R-5 > OR MORE
U-FACTOR II
From the table, (reverse side) determine the
maximum percent window & door area Eor the
design options selected and enter the t value
in 6ox D below Uased on the window mfg. U-
factor:
? ? 9" x ?---,?-
Tutal Area oE A_?'b'?°q•f-t.
Windows & Doors
B- Total Wall Area in Sq. Ft.
Wall Total Height Area
perimeter
NZ
I? D
The : value from L-he table in Box D shall br
equal to or greater thatt the t in t3ox C
: ,.
130..
1bta1 Area oE Walls I p_.?74ci,ft
. •' o
ONE- 6c TWO-AAMILY RGSfDEN"fIAL 13L1TLDING PRESCRIP'I7VE (CdOK-BOaK)
APPROACH
MAXIMUM WiNpQW AND DOOR AREA AS A PERCENT OF OVERALL WALL
AREA
EdelItls?nal calcula Fed values
STANDARp
STANDAl2D R-17 < R- 5 11.9% 1S.7°o 18.4% 21.5%
ADVANCCD R-17
R-17 >[t . 5 13.89?0 18.4'0 21.5°a 25.0%
ADVANCED
R-17 < R• 5 12.6% 16.8% 19.6% 22.9%
>(? _ 5 14.396 19.0°/,_ 22,29'D 25.79'0
Nvtea:
Wlndow erea equal9 rough opening minus Inetallation clearances.
Window U-factor must be determined by either the National Fenestration Rating
Council standard I00•91, or ASHRAE 1993 Handbook of Fundamentals, Chapter 27,
Table 5.
PoetdN Fox Note _ 767 t o+" -=?
J
From Mlnn ?Fart 7677 g+b?s,ti 2 iiem r
,•
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDINC, PERMIT APPLICATION
PROPERTY LEGAL: LnT CO TLoG'/C ? K;zNG sLUGt'xD ?iil1? Z?1
DATE OF SURVEY: LI'- zq " 79
LATEST REVISION: S-I 2' 91
DOCUMENT STANDARDS
i/ ?? • Registered Land Surveyor signature and company
e o ? - Building Pertnit Applicant
t/ o ? • Legal description
T"( o o • Address
:P/ ? ? • North arrow and scale
r,/ o ? • House type (rambler, walkout, split w/o, sp6t entry, lookout, etc.)
11/ ? ? • Directional drainage arrows with slope/graCient %
? ? •. ProposedlexisUng sewer and water services 8 invert elevation
n ? • Street name
m' o ? • Driveway
? o
;/ ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
? o • Sewer senrice (or Proposed)
? ? ? • PropeAy comers
??
? o • Top of curb atthe driveway
? ? • Elevations of any ebsting adjacent homes
?? ? Adequate footing depth of structures due to adjacent uUliry trenches
Prooosed
? ? ? • Garage floor
? ? ? • Firstfloor
13/0 ? • Lowest exposed elevation (walkout/window)
o o • PropeAy comers
? o • Front and rear of home at the foundadon
PONDING AREA (it aaolicable)
?i ? ? • Easement Gne
I m ? • NWL
? ? a • HWL
? o io • Pond # designation
J l J'/ ? • Emergency Werllow Elevation
DIMENSIONS
? ? ? • Lot IinesBearinys 8 dimensions
?? ? • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
-f? ? o • Show all easements of record and any Cily uti6Ues within those easemenls
dr/ o p • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
n
t
if
i
?? o y
s,
a
remen
• Retaining wall requ
611 ?
Reviewed. _
Msroh 1999
p1AqIBLpOPRMi.FM
Certificate of Survey for:
MCDONALD GONST. ?? *
1468 KINGSWOOD PONOS RD
LOT AREA =26,946 sq. ft.
HOUSE AREA =2.937 sq. ft.
5
BENCH MARK
TOP OF PIPE ?
ELEV.=862.69
?
?
?
?
? Wv) ?
g ELE? )'
18627
?
t0
CLIENT-ABBO ? P101
*e?
?**
2g6•4-7
,
? I
,
i
,
I ,
i
li
N79?p'29»?sz. ?652'_1
861.3 855.9 POND
1 ? - --?s----
l ?
,n.- 33 01 561.2 1
I 1 ?? ? r'it1
ty. ? ? ? °
:1?=853.0 -S -6.0?\
?
? yi z3 Z ?
10 '01
1 ? "aeo.`
-Z' .
N'
? 861.0 8E
y?
o? z
(9r?,?
1
V. 1
I
?
,
,
,
,
,
i
i
BENCH MARK
TOP OF PIPE
ELEV.=860.35
TREE UNE
V a `I r
? >-?- ?? ? f HIGH WATER
854.7 " a- '-? l I I ELEV=834.2
" E'j ?a J ? NWL ?Z.3.8
o 52L--\ ?Ia lo
W? I = EASEUENT PE?R DOC.NON566949
? o2 p I ?
Wo ?
/ 2?W I n
a
i? OWj II
?
853.8
.p5
S79?o'29 SURVEY LINE""/ -SHORELINE PER PLAT
/ •
7 ?
WE HEREBY CERTIFY TO MCDONALD CONST. THAT THIS 15 A TRUE ANO CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 6, BLOCK 2, KINGSWOOD PONDS SECOND ADDITION
OAK07A COUNTY, MINNESOTA
IT DvES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYEO 8Y ME OR
UNDER MY DIRECT SUPERVISION THIS 29 DAY OF APRIL, 1999. REVISED 5-6-99 RESTAKED
REVISED 5-12-99 NEW HS? ?
SCALE : 1 INCH = 40 FEET
2422 Enterprise Drive
Mendoto Heights. MN 55120
(651) 681-1914 FAX:681-9486
• cnt comrxs E-moil: PIONEEROPRESSENTER.COM. .
NDSCAK ""O11ECTS 625 Highwoy 10 N.E.
Btoine. MN 55434
(612) 783-1880 FAX:783-1883
E-moil: PIONEER20PRESSEN TER. COM
PROPOSED HOUSE ELE?ATION
O
4m LOWEST FLOOR ELEVATION: 1854S.5
a TOP OF BLOCK ELEVATION:
N GARAGE SLAB ELEVATION: y?
?s TOB O LOOKOUT ELEVATION:
m
? X 000.00 DENOTES E%ISTWG ELEVAi10N
{ 000.00) DENOTES PROPOSED ELEVAiION
DENOlES DRAWACE AND UTIUTY EASEMENT
W - oENores oRaNnce FLow aREcnoN
N -?-- OENOTES MONUYENT " .,;.
' E3 DENOiES OFFSET HUB
;•;.
F ?
a o..+ ?
a
?
??J IL
'c?.. .._.._.._......_.?.._ .._._ ?:
? ` . .,
N07E: PROPOSEp GRqpES SHOWN PER CRADING PLAN BY:
NOiE: BUIIDINC OIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTCAL IOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUIIAINC AND
FOUNDA710N DIMENSIONS.
NOTE: NO SPECIFIC ShcS INVESTICATON HA$ BEEN COMPLETED ON THIS LOT 8Y THE
SURVEYOR. THE SUITABILITY OF SqLS TO SUPPORT THE SPECIFlC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTFICATE DOES NOT PURPORT TO SiOW EASEMENTS OTHER TMAN
7ri0SE SHOWN ON THE RECOROED PLA7.
NOTE: CONiRAC7pR MUST VERIFY DRIVEWAY DESiCN.
NOTE: BEARINGS SHOwN ARE BASED ON AN ASSUNED DANM
SI ED: PIONEER ENGI ERI , P.A.
!
John C. Lorson, L.S. Reg. No. 19828
, oq?1
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
New Cons W cGon Reauuements
3 registered site surveys showing sq. ft. of lat, sq. ft. of house; and all roofed areas
(20%maximum lot coverage allowed)
1 Soils Repod if proposed building is to be placed on disturbed soil
2 cropies of plan showing bearn & window sizes; poured found design, etc.
1 set of Energy Calalations
3 copies of Tree Presetvation Plan ff lot platted aBer 711193
Rim Joist Detail Options selecdon sheet (bulcgngs with 3 or less unitr)
Mnnegasco mechanical ventilation fartn
RemadeUReoair Requirements
2 wpies of plan shaxing foo6ngs, beams, joists
1 set of Energy Calculations for heated addiGOns
1 site survey for addi6ons 8 decks
Addition - indicate i( on-site sepGc system
qo ?
Office Use OnN
Certof5urveyRecd _Y _N
SoilsRepaR _Y._N
TreePres Plan Recd _Y ._N.
TreePres.Required _Y =N
On-sife Sep6c Syslem _ Y _N
..,,hr? infnrmntinn im.,ip-_cz V.,ii ctate thev are trade secret and the reason
rIQ11J CIIr. 1iV11J?Va??VM u.vV
Date 7 / v 7
Site Address ? Y6 ? rf (%?
? vr.v.• ...
25 tu ?o JZ .. -
Construction Cost
05?_,,2 UnitlSte #
Description of Work
Multi-Family Bldg _ Y KN Fireplace(s) _ 0 2
Property Owner ?_7 {l?? /0 )v v rT Telephone # ( )
Contractor
Address i? Lj 6`1 Z-1 5?•?
State Gii1 City
Zip S5 3/? Telephone # (? )i )
COMPLETE THIS ARIEA ONLY IF CONSTRUCTING A PIEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Suhmitted
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
5ewer/Water Contractor
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 plan in the case of work which requires a review and
approval of plans.
(/ ? ? /?l.G ? vo _t2.
Applicant's Printed Name plicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? Ot Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Work Tvpes
? 31 New
? 32 Additian
? 33 Alteration
? 34 Replacement
? 07 O5-plex
? 08 06-plex
? 09 07-plex
? 10 08-plex
? 11 10=plex
0 12 12-Plex
? 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 (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demoiish 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
DOSCI'IptlOll: Water Damage _ Yes
Valuation
Plan Review
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
Zoning
Stories
Sq. Ft.
Length
Width
Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
MCES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinalMo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
5iding _ Stucco Lafh _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Piant
License Search
Copies .
Other
Total
Occupancy
100% or 25%