2199 Marilyn AveINS
:
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
filr I 1 11 1 NG
N; it: ,1++
A'7 /11 i`)h
I SITE ADDRESS:
PERMIT SUBTYPE:
i .• ,
APPLICANT:
TYPE OF WORK:
rv1 ii
INSPECTION .. . DA
f
I 1ta1i1 4 N?? ?fw! 1 t?
? I;f hiNRk ti! `.i & 1-J I'I !t3? `,illit i't IIIe
. . . .. ? . . .... ?. ?
?
1
Permit No. Parmit Holder Date Tetephone 11
ELECTRIC
PLUMBING
HVAC
Inspection D e in . Commenta
FOOTINGS
/Q6
?yl
, i/1
u[l
FOUND
C
FRAMING ?S/??
!
ROOFING
PLOUM ING tj-??'?p {C?
PLBG
AIR TEST
ROUGH
HEATING
?{,'T• yr
GAS SVC
TEST -?
INSUL
-11, -0&
A4
GYPBOARD
FIREPLACE
?J
FIREPLACE
AIR TEST
?Sr
FINAL PLBG
FINALHTG i/
ORSAT
TEST
_
BLDGFINAL
1 ss?
BSMT R.I.
BSMT FINAL ?
DECK FfG
DF_CK FINAL .
I
-
L-
INSPECTION RECORD
? CITY OF EAGAN PERMIT TYPE:
? 3830 Pilot Knob Road ' Permit Number:
? Eagan, Minnesota 55122-1897 .. Date Issued:
(612) 681-4675
SITEAODRESS:
I ; APPLICANT:
? PERMIT SUBTYPE:
, ; r . ;i ^sliNP
TYPE OF WORK:
ra r?l
f+ttt I u t NC
H:i4! 1 41
Rr./o:lqt
Permlt Na Permit Holder Date Telaphone S
ELECTRIC
PLUMBING
HVAC
InSpection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I. a
BSMT FINAL
DECY. FTG 61414-1
DECK FINAL
kly, I
,. .
l
Wertificate of Cccupancv
Kit4 of wagan
moartacut of 8u[i* anocctian
This Cenificate issued pursuant to the requirements of the Uniform Building Code
certifying that at rke time of issaance this structure was in compliance with the various
ordinances of the Ciry regulating building constructiort or use. For the following:
Use f.laaaificuiae: SP DHG/GAR Bldg. Portnit No. 28225
Oceuqoncy Type a_3 u_1 Zaning Diehitt R_1 Type Comt. V_N
o,,,,Qof B,,;a;,,6 RYLAND HOMES Add? 900 E 79TR ST., MPI.S., MN
BWl&ng Addmss 2199 MARILYti AVB LocaJity L69 Bl, CEDAR HEIGNT$
t / - ? Date_
' awckm offic;r
POST IN A CONSPICUOUS PLACE
v•-..s
.
R
Wertificate of cccupanc4
W" of Wagan
Zcyartumcxt of PwfiNg andocction
This Certificate issaed pursuant to the requirements of the Uniform Building Code
cerrifying thar at the time of rssuance this structure was in compliance with the various
ordinaieces of the City regulating building constrttction or use. For the following:
um clwair SF DfiG/GAR eag. e?,mcv ro. 28223
?:
Omvawy TYae R- U- zmng oisaK+ R- ryx cmu. Y-N
o? or B„ild;,lg RYLAND HOMES A66? 900 E 79TN ST.,!lP1S ., Mti
eNbing Aad? 2199 MARILYN AVE Lmaily L69 Bl, CEDAR HE1GliT3
y i Dre:
. BuildiagOffiual POST IN A CONSPICUOUS PLACE
32f)- W
12 OFFIC USE ONLY This request void I B monif?s Irom volidation date printed in Iliix
?7/s
?
'
?c? ?
?`E/c_90°y
PLEASE PRINT OR TYPE
Requesl0ale Rough-in inspection required2 Yes [] N. Insp ion Other Than Rough-In: ? Reody Now WIII Call
? (You mvst call the inspedor w n ady) Dote Ready:
I, licersed contrador ? owner hereby reques ' ion of The above elecfrical work at:
labess (Slreet, Box, or o.) Ci$y7, Zip Code
Sedion No. Towmhip Name or No. Ronge No. Firc No. Cou
Occu Phon
Pow p i r ? ^?
.L // .O .
(?fiCiC_ Add
EIM' mclor (Co pany Namej Codor i No.(/??. ? Mosler Lia No. (Plan} Eled. Only)
Moiliress nf cly&ynOwnerF4dlnst Ilotion)
J
ao' n) Ins}
AuNtonzed Sig 1 oMm ? or arming ?-/
P -If E--f
? CJ?
e3o
EB-DOOOlA-i0 4G95 v ---S'frTE BOARD COM- SEE INSTRUCTIONS ON BACK OF YELLOW COPY
IIII II III II II? I? 6?I I? I I II III II (I? ?? I?? I I??I _. Tb21Q A O
S1.U?rversity Ave Rm?. S 828' PaulP, MNT55 04
3 5 2 8 Phone (812) 642-0800 ??7?jr'(y
Home Duplex Apt. Bldg. Other: New Addn
Commercial Industrial Farm Remod Re air
Air Cond. Hig. Equip. Water Htr. Load Mgmt. Other:
D er Ran e Elec. Heat Tem . Service
"k' above the work covered by this re remarks in this space and on the ack o,{ thg9white copy only.
Lf ? ?I • ? ?X?
Calculate Inspection Fee - This Inspection Request will not be accepted without the wrrect fee:
Olher Fee # Service Enfinnce Size Fee # Grcuits/Feeders Fee
Mobile Home Park 5tall 0 to 200 Amps to 100 Amps
SfreeT Ltg./Tmffic Sig. Above 200 Amps Above 100 Amps
Transformer/Generator INSPECroa•susE ? TOT/?y
Sign/Outline Ltg. Xfmr. O /?•<J?
Alarm/Remote Confrol
Swimming Pool
I hereb cefi that I i rS
seeiedthe elechiml instal a n described herein on the datas stated
Irrigation Boom i
Rough-In Dote
Special Inspedion
Investigative Fee Final ?a]e
THIS INSTALLATION MAY BE ORDERED DISCUNNECTED IF NOT COMPLETEU WITHIN 18 MONTHS.
AddFess• 2199 MARILYN AVE
IAt
Blk
Sub UDAR HEIGHTS
Zip 5512
THESE ITEMS WERE / WERE NOT COMPLETE AT TI-IE TIME OF THE FINAL INSPECI'ION.
Date: 9 a(p 5 Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway V
Permanent gas ?
Sod/Seeded grass ?
Trail/curb damage ?
Porch ?
Basement finish
Deck
Please verify with the builder the removal of roof test caps fmm the plumbing system and the shut-off of wnter supply to
the outside lawn faucet before freeze potential exists.
Contact engineerinq division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
$/f?,~S J
Date H ! 2 4 ! ts-
Site 5treet Address 2? a? M c??-? l? h?
Unit #
Property Owner S??h hu2 Ki m 1 Telephone #,?1 )00 2e2'20
Contractor _d
Address 3?j () f?d U 12cl City L-Cmn Telephone #,10 ) 3J5l340
State W Zip 6r_-?12- 3
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling
` Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5!8" meter is required)
Other: $ 50.00
Water 3oftener ? Water Heater
_ new i replacement $ 15.00
Lawn Irrigation RPZ _PVB _new _repair _rebuild $ 30.00
State $urcharge $ .50
Totai $ 0
I hereby appiy for a Residential Plumbing 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 ptumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
N1tnm fN I
Applicant's Printed ame ApplicanYs
ature ? ? 0 T ?
MAR 3 0 2005
By
?f CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16725-060-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
2199 MARILYN AVE
LO7: 6 BIOCK: 1
CEDAR NEIGH75
BUILDING
028225
07/11/96
DESCRIPTION:
1din??F.Permit Type
lding' _l`Ja??,k Type
Gonstri
Z1a,n 3 n g
B:u11d3.r
B ci°x§1 a i r
t3on '7j7pe
5F pWG
NEW
R-9 UL1
V-N
R-1
64
30
2
2,669
101 1 - FRM. DETACH
TI ,a
C'IY
REMARKS:
S& W PLBR - STRR PLBG
FEE SUMMARY:
VALUATION
8ase Fee
Plan Review
Surcharge
5AC
SAC %
SAC Units
Subtotal
$1,312.25
$656.13
$92.50.
$900.0@
100
$2,96@.88
'
w ?? '
x z?;
;
s?.»,.:
i4= si
t 1 c e? ;?
?t{'.t s
'?p
$185,000
MISCELLANEOUS $1.923.50
Total Fee $4,884.38
CONTRACTOR:
- Applicant - 5T. LIC.OWNER: '
RYLAND HQMES 18546363 2003544RYLAND MOME5
900 E 79TH ST 101 900 E 79TH ST 101
BLQOMIN6TON MN 55420 MINNEAPOLIS MN 55420
(612) 854-6363 I (612)854-6363
n
CITY OF EAGAN
19224, 3 830 PILOT KNOB RD - 55122
996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construclion Reauirements
RemodeVReoair Renuirements
ct?-c?C ?' E O
i 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; poured fid. design; elc.) ? 2 siie surveys (exterior additions & decks)
? 1 energy calcuiations ? 1 energy calculations for heated additions
? 3 copiea of tree preservation plan if bt plafled afler 7/1/93
required: _Yes _ No
DATE: (.0 CONSTRUCTION COST: l.SL? n IX?
DESCRIPTION OF WORM
STREET ADDRESS:
L07 Oto BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT!
ENGINEER
Name: ?V I QXl(? t?O(YIeS Phone #:
Street Address: ? `vo F ?? +6h v? ' ?? • ? o ?
City: DWS _ State: M Zip:
Company: 06 0,10 VI! Phone
Street Address: License
City: State: Zip:
Company: 50.C-w aS CJUJOUe Phone #:
Name: Registration #Streef Address-
City: State: Zip:
Sewer 6 water licensed plumber: ?
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFtCE USE ONLY i?
Certificates of Survey Received / Yes
Tree Preservation Plan Received _ Yes
[E
_ No
-Z,No
address change and lot
agree ftof comply with all
9 1b. ? 2 MS
--------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Dupiex
?,-? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? OS 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 ! plex
WORK TYPE
k 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Const. (Actual) zIr-N
(Allowable)
UBC Occupancy /Z-3
Zoning Iz - /
# of Stories 2
Length lp Y
Depth 3 o
APPROVALS
? 11 Apt./Lodging ?
a 12 Multi Repair/Rem. ?
0 13 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
0 36 Move
? 37 Demolition ,
Basement sq. ft.
Main level sq. ft.
7- ?J5 sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
9.5i
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
3 7
tmti,: 2 ? G. 7r
?Sr
K -W_
.?1(`.?• sur ,
r'
16 Basement Finish
17 Swim Pooi
20 Public Facility
21 Miscellaneous Z:?
119/
D/
_1-
/
'?' IAL`1U57,?o
Z A-65
yy?7=l,2- 37
Z?
? 0 29
?
Z, 0zZO
?-5-oS MC/WS System
_ 7 _?-
=/y? z9- ??; r l? S
l3, &-7
? ?GS-s`y'71D,7?a
S/q City Water ?
zms Fire Sprinklered
PRV
Booster Pump
Census Code.
Z, o 60 9 SAC Code
Census Bldg
Census Unit
Engineering Variance
.•
r
?
tl U
91--11?
O ?
2-,?
?
?
?
?
5
?
m
N
?
?
O
?
?
?
?
?
?
?
?
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Buiiding Permit Applicant
• Legal description
• Addfess
• Noith aROw and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient 96
• Proposad/existing sewer and water services 8 invert elevation
• Street name
• Driveway
ELEVATIONS
? Existina
? ? • Sewer service (or Proposed)
8?? ? • Property comers
? ? • Top of curb at the driveway
? ? • Elevations of amr ebsting adjacent homes
roosed
13
• Garage floor
q??p ? • First floor
? ? ? • Lowest exposed elevation (walkout/window)
ff'O D • Property comers
B'o ? • Front and rear of home at the foundation
PONDING AREA fif apolicable)
O • Easement line
2r, o ? • NWL
PY' 0 0 • HWL
0?' ? ? • Pond # designation
? R-`0 • Emergency Overflow Elevation
DIMENSIONS
?
? ? • Lot IineslBearings & dimensions
2?'o O • Right-of-way and street width (to back of curb)
?? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
? porches, etc. (i.e. all structures requiring permanent footings)
? ? • Show all easemenis of record and any City utilities within those easements
?o ? • Setbacks of proposed structure and sideyard setback of adjacent exasting structures
? ? ? • Retaining wall requirements, 'rf any I-/
Reviewed:
LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL:
/
January 1996
CRAIG19B81BLDGPRARr.FM
LATEST RENISION:
?' £ • .
i. ? ?
* CABD MEC 92 COMPLIA1vCE *
Builder FtYI,AND HOMES 5ubmitted By
Model H,AMiLmON W/StJ2v12QpM bate
Lot/Plan/Address W/295 EULL B5NiT. Degree Day Sase
TYPe House Volume
Filename HA:MIS,St7N Contral No.
--°--------------------------__-_--
Ua Totals I Proposed i Required
Component `Area Uo Total Uo Total
Wa11s 13318 .122 404 ,110 352
Ceil.ings 1608 .026 41 .026 42
Flaors 0 .000 0 .040 0
Floors (Open) 12 .035 0 .026 0
Bsmt Wall(U) 1430 .080 114 .091 13o
Tota1 1 560 1 ( S34
---------------------------------------
Sppcifications
walls I size O.C. Insu1.
A Frame 5.5 16 19
B Frame 5,5 15 13
C Frame-Gar. 3.5 15 13
D Masonary 8 N/A 11
E kKasonary 1v/,A,
---
- Ra.ng Joist
--------- 15 24 13
--
Doarp ------
PaneZ -------
lGlass -----
-rS.C.
A Metal .19 .62 .88
8 Waod .46 .62 .68
C Other ?
Ceilings --T
O.C. -------
Inaul. -------
Sheat,
A W/AttiC 24 38 N/A
8 Na Attie 16 30 .63
C [Other
Floors O.C lnsul. Coverr
A Non Cond. 16 19 1.23
$ Overhang I
16 l
30 1.23
C other N/A 5
---
Windows --------
U-vaA -------------
S.C.
I A Alum T.B. .38 .8$
' B Wood .52 .88
C Vinyl/FG
Skylights U-Val S.-C
Standard .60 gg
R.H. TRAGEX
5/1/95
8400 Minneapolis
0
7056
This Uoes NOT Qualify With Tota1
LT-Value Calculations
Sheat.
2.06
2.06
.45
rr/A
N/A
4.0
Uo Cal.culations
Component Ar.ea U-Va1 Total
IFYeme Wall A 2017 .052 i06,
Frame Wall S
Frame-Gar.C 198 .082 16.2
iMasanary D * .080
?Masonary E *
Ring apist 420 .056 23.5
Wir.dow A 698 .36 227.
Windpw B
Windaw C
Door A-Panel 52 .19 9.88
Door A-Glass 33 .62 20.4
Door B-panel
Door B-C31ass
Doo? C-Aanel
Door C-Glass
Totals 3318 403.6
uom(Ut/At)
----- .222
---------
Ceiling A -------
1608 - -------
.025 ------
41.0
Ceiling B
Ce3ling C
5kyight A
Skyli.ght B
Skylight C
TOtals 1608 41.0
Uo=tTt/At
--------------
-------
-------
,
.026
------
* Basement walls n 50%? below grade
B Hxgh Perf. 14oTiC8: Users of this software are responsible
C Dthex for *he specifications anc? d' 1 d
----------------
HVAC Equip Rating
Gas AF'UE .76
HP HSPF 6.8
1AC/HP SEFsR 10
--- --------------- ------
tiT0/b0d'd hINIW
?- zmensiona ata
used to generate this report. The developers of
the softwaxe are in no way reegonsible for the
misrepesentation of any building due to errors,
omissians, or any other misuse of the software,
01 N0I032i 1S3MQIW QNtiMa W08J 3£c2ti S66ti-LT-I,dW
Ruilder
MQde1
Lot/Plan/Address
Type
Filename
RYLXINB HqMES
HAMIL'I'ON W/Si]NRGUM
W/295 FULL E$N:T.
F3AMI LSCIN
Submitted By
Data
Degree Day sase
Hause Volume
Cantrol No,
Fage z o£ 3
R.H. TRACEY
5/1/95
8400 Minneapolis
0
7056
Dimen$iona
walls }^ ? Frame A ? WFram? -?-?-------•---Gar.Com.Ci -------- f M?sonYD? sMason.E
Bas?crent -Y ---_____ ------- ----smt. v.__i__..-------
H Abc?ve G? 1 728
---
_"'T______
19t F'loor 1440 I igt Floor 216 i Belcw Gr l 728
2nd Floor 1216 , I Crawl.
3rd Floor
Miec. ?
misc. i misc.
(
misc. misc. i
Ring Area
- 420 1
..
....
..--
__-__
------ ---
Wir"dowa - ------- -------- ----_•_----------------- --------- .
.
--
---
A1u
inum 572
2h
Y
Wood
I ?
vin llFG
----------
-
------
--
-
---------
-
---
Doars -
(G-Glass Area - -----------
o=0paque F.rea) ----
--
Metal G 33
0 39 18
Wood G
0
other Q ?
------
Ceilings -- ------- _------
With Attic --_-___-_--------------
No Attic Qthez - -------- -----------------
--------- 1.648 1 1
--
Std.Skxlite --
sl ------------ -- ----------------------- -
HF Skylites ( I
Qther
p-! ---------- -------------
Flaora Non Cond ?iOverhang ?j 5?.ab
? 12 ?
------------ ------------ -------------------------
Windo'ws Qty.' Description Qty. DesCription `Qty. Description
5 I2820 400 Misc.(Entex Area) ? 9 3250
1 3030 2 2840 Dqors ?QtY' IENTR.YcW/i7BLpSCLITE QlY• ?DBL?FRENTCF??'tDOi3?? Q1y. ?C?AR?eUlA.LL pI70OF2
?==-----?a??-------
ZTOiS00'd NFJIW Ol N6193a 153MQ1W QN1b1r(,6 W0a? $£s£S S66?-Lb-At1W
GI7Y Qi= EAGAN
CASW:CEke S 7F_.kMINAL_ A!da 83
11FtfFc 06/0R/37 TfNiE„ 150308
ID.
NAME;; SHAHNAZ HAKIMI
32:1!7 7[)01 2133 MAf,SLYN AV 50.(]0
20.°i 300:1 099 NfAf,Il._YN AV 0.50
3430 9001 2199 MiAfiILYN AV ().50
%1
7nta1 Fer_Pipt, Amounta 51..00
CRf1i 46DE,
L15Ef: :t Li : NANCY
?%Xak?%Nt?k W ?X%t%c??X?XtmkcXc?k ?k?k?X?k?k?ksk?k?k%c??K?c Xc?#?%k?X?Ctk?%
? .
CIZY OF EAGAiV
• 3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDFiESS:
P.Iehl, 0 10-I6725-m6m-01
DESCRIPTION:
PERMl 1
2199 MARIL.YN FltiE
L[JTo 6 BLOCK: 1
CCDFIR HE 1 6H7S
PERMIT TYPE: B UILDING
Permit Number. 030141
Date Issued: m ry f 0 2 J 4 7
nEc?
NEw
434 aLr. REsIoENrIrL
REMAR6CS:
FEE SUMMARY:
8ase Fee
Surcharge
Subtotal
C,ONTRACTOR:
.
ez'•a*ame er-:
v??
a iq'? , opg 01,4- x ???
??? 1 ?m
? ?.
coPxes (z) _?__.... • .$..?.5_0
Taral Fee $57.,%'()4
OWNER: -- Apolieant -
FIAKIMI SHAFINAZ
2193 MARILYN AVE
E9GAN MN
(612)707-6892
?
/PERMITEE SIGNATU NE ISSUED : SI AT ?
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITIf OF EAGAN
`j 3830 PILOT KNOB Ra - 55122 7X20
681-4675
New Construdion Reauiremeirts RemodellReoair ReauiremeMs
? 3 registered site surveys ? 2 wpies of plan
? 2 copies of plans (indude 6eam 8, window sizes; poured fid. design: etc.) ? 2 sfte surveys (exterior addftiona 8 dedcs)
• 1 energy caicuiations ? 1 eneigy calculatlons for heated additlons
? 3 eopies of tree praservatlon plan if lot platted after 7/1l93
required: _ Yes _ No ?
DATE: 5 - Ar7 -9 _I CONSTRUCTION COST:
DESCRIPTION OF WORK: ?
STfjEETADDRESS: aIGIct Rle.l LyYJ P}1fC • EAC14,N) "55
/ ot a ? fA ?
LOT T BLOCK / SUBD./P.I.D.
MIn50Ji BR??tif
PROPeRnr Name: ,5??11AfA"Z- Phone #: 707`
OWNER ,,,.. ,W?
Street Address:
City: State:
Zip:
CONTRACTOR Company: Phone #: -707-6V'Z
Street Address:
City:
State:
License #:
_ Zip:
ARCHITEcT] Company: Phone #:
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed piumber (new construction onty):
and Iot change are requested once permit is issued.
Penaity applies when address change
I hereby acknowledge that I have read this application and state that the infnrmation is correct and agree to compiy with all applicahle
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certifrcates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes i No _ Not Required
OFFICE USE ONLY
.
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelfing ? 07 4-plex
? 03 SF Addition o 08 8-plex
? 04 SF Porch n 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Canst. (Actual)
(Allowable)
UBC Oceupancy
Zoning
# of 5tories
Length
Depth
APPROVALS
0 36 Move
0 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building ?
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJW Permit
S1W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total: '% SAC
5AC Units
0 11 Apt./Lodging ?
? 12 Multi Repair/Rem. o
0 13 Garage/Accessory o
? 14 Fireplace ?
X 15 Deck
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MClWS System ?
City Water i'
Fire Sprinklered
PRV
Booster Pump
Census Code. '?(3 U
SAC Code .? ?
Census Bldg ?
Census Unit o
Engineering
Variance
Valuation: $
n
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t 6 BL CITY USE aNLY RECEIPT#: ?
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
P{ease complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES
Sh EACH TOIA
ower 3.00 x
water Lioset 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x
-
Water Heater 3.00 x T
Floor Drain 3.00 x
Gas P'tping Outlet " minimum -1 3.00 x
Rough Openings 1.50 x 77
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00 _
STATE SURCHARGE .50
rnT-A!.
SITE ADDRESS: 2199 Marilvn Avenue
OWNER NAME: RYLAND HOMES
INSTALLER NAME: GENZ-RYAN PLUMmING
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount
STATE: rN Zlp; 55058
PHONE #: (612 ? 423-1144
/- L BL / CITY USE ONLY RECEIPT#: C1007 S
cP
SUBD. DATE: 46?2L
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweliings
? townhomes and condos when permits are required for each unit
N8W wiSirucl`ioP1 AG'u?v'il `urnc1C8
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge
TOTAL
.50
=?fl
SITE ADDRESS: 2199 Marilyn Avenue
OWNER NAME: RYLAND HOMES PHONE #: 854-6363
INSTALLER NAME: GENz-RYaN ffATrNG
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE: MN ZIP: 55068
PHONE #: ( 612 ) 423-1144 ?
. ? --- ----
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V/ . PL4T PLAN
r? ' THIS !S NOT A BDUNDARY SURVEY '
%OFbR LAND HOMES
I FQIW1r tEATIfY 1HIli THIS PLOT PLAN YM YREPANED gT ME
)a IlOER Y1' 0IREC7 SbPERVIiION . 7PAT 7HIf PLN1 COIIRECiLT
WW: iHE PLA[9IFNT OF A PROPOSEO 8U1
pEW OEtCq1BE0 A1D 7H"T t Ni A Dll LIC L
at uoEA n+e or n?e suTe oF ?i Es A.
I A I NNE50TA L I C E N cc
N 89005'41"E 85.00'
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? DRAINAGE a UTILI7Y EASEMENTS tn
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KURTH SURVEYING. INC,
1007 JEFFERSON 5T. N.E.
COLUMBIA HEIGHTS, MN. 33491
16121 781-9769 Fnx 16121 78E-7602
DATE L t 'L-OZ- , 4 4
o - 1 RON MONUMENT
BEARINGS ARE PER PLAT
• ? SPIKE SET
??=? • EXISTING ELEVATION
c 1- PROPOSED EIEV.
E- ? DRAINAOE ARROV
0 30
?
SCALE IN FEET
PROPOSED
GRADES
OANAOE SLAB • °yOlcl ' 4
TOP OF BLOCK • !?5c:bZ,
BASEMENT FLOOR
LOT 6, BLOCK 1.
CEDAR HEIGHTS,
DAKOTA CO.. MN.
grqI /VAn?Lya A?c.
N
? EAG?N
rn R?VIEWED
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?ATE _ ?I ?
By
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t o :i
?'?AGAN
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.
PLOT PLAN
' TNIS !S NOT A 80UNDARY SURVfY '
-OR LAND HOMES
I lIQtEHT CERTIFY THAi THIS PLOT PLMI VAf iREPARED gf ME
)k LRafR 1fY OIAEC? IUPERVISIW , 711qT lHIY PIJJi CORREC?LT
Md11t 7}IE PLACB04 OF A PROPOSEO BUI Nlp
1?REM DEfGi1BED Nil THAT I 1W A 11L1.Y LIC ?L
?Y0?1 1l'?EA 7HE.l'AVCOF' THE STATE OF MI VE4dt?
MII.NESOTA I.IC E N
N 89'05'41"E 85.00'
?.? ?? ?. ? 9 5 4 • o
? DRAINAGE a UTILITY EASEMENTS '2
0 5F- ?5
C> I I
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? I
0
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16
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(lBpq°52'03" R=300.?? ,.?
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KURTH SURVEYING. INC.
4007 JEFFERSON ST. N.E.
COLUMBIA HEIGHTS, MN. 35441
16121 788-9769 FAX (612) 788-7607
DATE 6 ( -A" $' k q 4
o . IRON MONUMEN7
BEARINGS ARE PER PLAT
SPIKE SET
?==? • EX I ST I NG EL EVAT I ON
c 1- PROPOSED ELEV.
E- - DRAINAOE ARROU
0 30
SCALE IN FEET
PROPOSED
GRADES
pARAOE SLAB • p'9O' ?
TOP Of BLOCK • q?? '?
9ASEMENT FLOOR
LOT 6, BLOCK 1,
CEDAR HEIGHTS,
DAKOTA CO., MN.
A(Ij MAA«LIa?)c.
?j
P,
IR ??
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COORDiNAtE CONNECTiON OF
UTILI7IES 1N1H ADJACENT '
DEVELOPER. I
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,
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;?• 100' 150'
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ON-TI i
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MARILYN AVEIVUE
___.._ _.,...
?-
7
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2
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nVIC
• ALL SANITARY SEWER SHALL 8E
SDR 35 UNLESS OTNER'MSE NOiED
905.0 DENOTES SANITARY SEwER SERmCE INVERT 0
PROPEflTY LINE. SiR11CE SHaLL BF. ExiENDEU
15', P1PE SHAtI BE CALCULATEd 0 2.07
TO OBTAIN STUB INVERi,
WYE=0+55 DENOTES SANITAR7 SENEA SER?`ICE
WrE LocnnoN oN uanDwe rROM
DOWN 51REAA1 N.H.
,. .mi ..?., r,'.. . . .,
?
ojs i I
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
I I
City Ol E~ all Permit R I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff:
f
v
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: / Unit
Name: ,v A- - El A y Phone: L/ L Yq
o 2- 2 12 0
RESIDENT / 9
OWNER Address / City / Zip: 2 f c? q
ail
Applicant is: Owner Contractor
OF WORK Description of work: Q - TYPE
Cost: Multi-Family Building: (Yes / No )
_ >r
Company: EdO-e (f ~ ( ~ l -R_Stact: VLAt!
L-
CONTRACTOR Address: q ~ Ca o ~t/- ~ A k-/- City: 5PA U
State: V/Z Zip: 5 L Phone: 612- 5701 1 x 7 2
License ~J ~ ~ ? -7 ? d Lead Certificate d( J / Q 67~7 Z2-
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.gopherstateoneGall.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 V L A- ~ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3