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1634 Marina Lane
b p 6 4! 69 p 2004 RESIDENTIAL BUII?DING PERNIIT APPLICATI&? ?? ? '70 • Sv City Of Eagan q7/ 9 6• ? "3 Pilot Knob Road, Eagan MN 55122 t tLc? Telephone # 651-675-5675 FAX # 651-675-5694? Z ?? New Construction Reauirements RemodeVReoair Reauirements 5"" Office Use nl' 3 registe2d site surveys showing sq. ft of lot, sq. H. of house; and all roofed areas 2 copies oi plan (20% maximum lot coverage allowed) 1 set of Energy Calcula6ons for heated additions T=ree??es?lan #?ecd" ;? 1? ??1': # 2 copies of plan showing beam & wirMow sizes; poured found design, etc. 1 site survey for additions 8 decks T ee'Pres??equire?? ??N 1 set of Energy Calculations Add'rtion - indicate il on-site sepd'c system 3 copies of Tree Preservation Pian 'rf lot platted after 711193 Rim Joist DetalOpdons selection sheet (bidgs with 3 or less units ?, a n rn ? ??d ?J -?. . Date ? l f Z l 0 r Site Address ? l/l'X.l' 1 f I? c I Construction Costr?m rcco t o O L UniUSte # Description of Work Y ey-v c ct)S Multi-Family Bldg _ YK N Fireplace(s) _ 0 ? 1 _ 2 Property Owner Mio.1 p ? C,.? ? Telephone # Contractor YDI ( FC? Address State 1/ 11? • Zi City Telephone #?5n ? " I l 1 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a buiiding in Eagan with a similar plan? Y _ N If sos 25% plan review fee applies. r? Licensed Plumberf<,rj]e_Y-ePC Mechanical Contractor Sewer/Water Contractor _ . ? • ? Telephone ( LA'tI ^ liJ-P&I Telephone # Telephone I hereby apply for a Residential Building Permit and aclrnowledge that the inform ion is c'3?' lete and a urate; that the work will be in conformance witU the ordinances and codes of the City IST,?gan anc? tt,P crarP fMN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval ofplans. , „ ?Vvcve(,(,e ?r?. Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation y 02 SF Dwelling O 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement ? 07 05-plex ? 08 06-plex O 09 07-plex ? 10 08-plex ? 11 10-plex ? 12 12-plex ? 13 16-plex ? 16 Fireplace ? 17 Garage ? 18 Deck ? 19 Lower Level Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screen/gazebo) ? 24 5torm Damage ? 25 Miscellaneous : ,• ? 30 Accessory Bldg ? 31 Ext. Ait - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 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 I •Demolition (Entire Bidg) - Give PCA handout to applicant Vaiuation I1I 6? O Uo Census Code 1 O 1 SAC Units 6211_ # of Units 1 # of Bldgs ? Type of Const K)_ Occupancy 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 T MCES System City Water Booster Pump PRV Fire Sprinklered REQUIRED INSPECTIONS ? FinaUC.O. FinallNo C.O. _ Plumbing _ HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: ? L..? , Building Inspector ?n.? t/ C??f?l ? -----------------------------------------------------------------------------------d?---------------- ? -------------------------- Base Fee D ? Surcharge fo6? Plan Review ? MClESSAC City SAC ? ?r 1 Utility Connection Charge S&W Permit & Surcharge Treatment Plant License 5earch rV,? / Copies Other Total ? ? M Permit Number MECcheck Compliance Report cnecke?By/Dace 2000 Minnesota Energy Cade N1ECcheck Software Version 3.3 Release lc Data filenazne: C:\ENERGY CALCS\CR108.rck TITLE: CR108 COiJNTY: Dakota STA'I'E: Minnesota ZONE: 2 CONSTRUCTION'I'YPE: Single Family DATE: 04/26l04 DATE OF PLANS: 4(1/04 PROJECT INFORMATION: Robert & Patrica Shelton Lot 8 Block 1 Centennial Ridge 1634 Marina Lane Eagan, MN COMPANY INFORMATION: Manley Bros Construction COMPLIANCE: Passes Maximum UA = 204 Your Home = 184 9.8% Better Than Code Gross Glazing Area or Cavity Cont. or poor Perimeter R-Value R-Value U-Factor UA Ceiling ]: Raised or Energy Truss 1750 44.0 0.0 39 Wa112: Wood Frame. 16" o.c. 367 19.0 0.0 15 Window 3: Above Grade, Vinyl Frune, Double Pane uith Low-E 72 0350 25 Door 1: Solid 41 0.350 14 Wall 3: Wood Frame, 16" o.c. 316 19.0 OA 14 Window 4: Above Grade, Vinyl Frame, Double Pane with Low-E 72 0.350 25 Basement Wall 1: Solid Concrete or Masonry, 8.8' ht/8.2' bg/8.8' insul 836 11.0 0.0 47 Floor 1: All-Wood JoisllTruss:Over Outside Air 144 30.0 0.0 5 Furnace 1: Forced Hot Air, 90 AFUE ' " ?-- co ? I Development RINr Lot Number ? Block Number i Address t b3 `{ fNI kR, 1 TV lA- ,?t Builder 01&fV uclr CONST - .xNG, PHONE NUMBER: bS I' Z Oq --77L f` CONTACT: lM CC N OC.IE? Tree Protection Reauirements: Tree Protection Fencing Installed On Site Oak Tree Pruning (Immediately seal wounds during April 1 to July 31) Therapeutic Pruning Retaining Wall Other: Reulacement Trees: Not Required As Follows: Attachments: ? Yes . WgN)oG 111 D No t . o Additional Notes: -0c..{ H:\ghove12004fileltreepres\Tree Preservation Plan Summary-2004 (PLEASE READ ATTACHMENTS) i ? 4 . ?t * * 2422 Enterprise Drive * PIONEER Menaoca Heights, MN 55720 * UnU SURVEtORS • G1vR ENqN?AS (851) 881-1914 FAX:881-9488 * engineenng UNU PlulNERS• lwnOSCME ARCIp1ECR 625 Highwoy 70 N.E. * * * Blaine, MN 55434 * (763) 783-1880 FAX:783--1883 Certificate of Survey for: _ MAN Y BROTHFR ONSTRl1C'TION 1634 MARINA LANE BUYER: SHELTON EAGAN, MINNESOTA 40uSE. Ty pw. (,Bpv.-00T - 4, 'baSt,-c J 9AiA,TP47-Y 4E?NZ- SEa.???e HOUSE AREA ?11606 ?SqT?FT. Irty. = Q51.5 ?Pj4-) GARA6E AREA = 484 50. FT. PORCH/PATIO = 251 SQ. FT. DRIVEWAY AREA = 425 SQ. FT. BUILDING COVERAGE = 32.79< IMPERVIOUS COVERAGE = 38.6% x960.7 3 a) PROPOSED 7 RETAINING ? WALL 32 R,a. . BENCH MARK ? I965;q ,., k TOP OF SPIKE S89'41'00"W 955.1140.50 p,4„,er- ELEV.= 959.93 x ( I t 1???4I_ GARAGE? PHOUSE D L /' 96do ? / d ? ?l'S'66? G A? ^ Bt.e 25.00 ' 9.9 8&17 958.5 "SK?g? Z I 108 6A -9 6i o? o o g 68.17 &Y,?? uAAO...Q5i7- O? ?? o ,?,? F ? I O O ??2 ? 9 N,GARAGE ? ? ? . .' ° ?/ 22 67%g o PROPOSED o o o ,p O Z I ? - 6.0- oiH0U5E/M POttCN ?a ?a.e Fba ? O LO?--.? - 81.5q . iriZ SO? ?? a? ? r ? 0 I? g '' o X95B. Q O q / DECN ' h1. -- 0 ? I U) I-1ti,493.5. y?? ? 43.00 Sm, _ 95 . z o ?? ? 1 Q 8.00 • gl 15.87 0 0 ?oqtst.1) C 963.8 963. ?? 83.4 88.17 H g5 g 7.7 57.6 I t ? 63.9 37.6 I . I 30' eB ? 1? GARAGE? HOl1SE? ? ?ses a BENCH MARK N89'41'00"E 140.50 ? TOP OF SPIKE ELEV.= 963.39 9 NOTE; PROPOSED p2ME5 SHONN pER GRqDINC PLAN BY: PIONEER ENGINEERIN6 LOWEST FLOOR ELEVATION: QsV NO7E; BUILDING DIMENSIONS SHOWN ARE FIXt HORIZONTAL AND VQt71CAL LOCA110N ? OF S7RUCNRES ONLY. SEE qRCHIIECNAL PLANS FOR BUILDING ANU TOP OF BLOCK ELEVATION: v "r'? ?^,O FWNDATON DIMENSIONS. ?r NOIE: NO SPECIFlC SqLS INYESiifiA710N HAS BEEN COAfPLE7E0 pN 71ry5 t0 GARAGE SLAB ELEVATION: 7 BY THE SURYEYOR. 7NE SUITABILITY pp SOILS TO SUPPOBT THE SPEGFIC NOUSE TOB ? LOOKOUT EIEVATION: R?•Q PROPOSEO IS N0T 7ME RESppNSIBILITY OF 1HE SURYEYIXi. NOIE: 1H15 CERTFlCATE DOES NOT PURPORT TO $HpW EASEMEWI$ OiHER 7HAN X OOOAD DENOTES EXISIING ELEVA7IIXJ 1HOSE SHOWN ON THE RECORDED PUT. ( 000.00 ) DENOTES PROPOSEO ELEVA710N NO7E: CONIRACTOR MUST VERIFY ORIVEWAY OESICN. --- OENOTES DRAINACE ANO UTtltt EASEMEN7 - ' UENOTES DRAINAGE FLOW DIRECTON NOl[; BEAPoNGS SHOWN ARE BASED ON AN ASSUMED OANM --?-- DENOTES SPIKE B- DENOTES OFFSET`HUB WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF: LOT 8, BLOCK 1, CENTENNIAL RIDGE DAKOTA COUNTY, MINNESOTA - IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY OIRECT SUPERVISION THIS 29TH DAY OF APRIL, 2004. _ SI NED: SCRLE : 1 INCH = 30 FEET PIONEER ENGIN IN P. BY ? 3301 103088013 CRH JAK S(12?04 Dan . Westergren Reg. No. 19790 ? • LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: <//ZIO¢ m LATEST REVISION: ? c R L t1 L 0 Z d ? d DOCUMENT STANDARDS ' [I • Registered Land Surveyor signature and company -'? 0 ? 0 ? • Building Permit Applicant ? • Legal description ? 0 ? • Address --? 0 ? • North arrow and scale -Z ? 0 • House type (rambler, walkout, split w/o, spiit entry lookout etc ) ? D D • , , . Directional drainage arrows with slope/gredient °!o ?11 " ? • Proposed/existing sewer and water services & invert elevation -.e ? 0 • Street name .Z' ? ? • Driveway (grede & width - in R!W and back of curb 22' max ) "e 0 ? • , . Lot Square Footage z D ? • Lot Coverage ELEVATIONS Existina ,g D ? • Sewer service (or Proposed) ? 0 ? • Property corners ? 0 ? • Top of curb at the driveway and property line extensions ? 0 ? • Elevations of any existing adjacent homes o ? • Adequate footing depth of structures due to adjacent utility trenches ? 0 ? • Waterways (pond, stream, etc.) Proposed ? D ? • Garage floor ? 0 0 • Basement floor "o D ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Property corners D ? • Front and rear of home at the foundation PONDING AREA if applicablel ? 0 • Easement line ? • NWL ? ? ? • HWL ? ,? ? • Pond # desrgnation D .Er ? • Emergency OverFlow Elevation D ,& ? • Pond/Wetland buffer delineation DIMENSIONS ? 13 ? • Lot Iines/Bearings & dimensions ?? ? • Right-of-way and street width (to back of curb) ?0 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. ali structures requiring permanent footings) ? 11 ? • Show all easements of record and y City utilities within those easements ?D ? • Setbacks of pro posed structure ?and Stde ard setback of adjacent existing stru ures D ? / • Retaining wali requirements, ifany. ,? ' Reviewed: Name Date G:/FORMS/Building Permit Application Rev. 12-16-03 . Address: 1634 Marina Lane Zip: 55122 Lot: 8 Block: 1 Subdivision: Centennial Ridge Date: /0Z1.2L Inspector: ' j Z . ? THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION Yes No Yes No Final grade- (6° from siding) _ Porch Permanent steps (garage) I? _ Lower level Permanent steps (main entry) ? _ Deck Permanent driveway ? _ Fireplace Permanent gas Sod/seeded yard Trail/curb damage • Ask your bn'1der: 1. if roof test caps from the pltunbing system have been removed. 2. to vcrify the location of water supply shut-off to outside faucets. Outside water needs to be shut off prior to freezing temperatures. • Prior to installing underground sprinkler system or working in City right-of way, please call 651-675-5675 for informafion. Occupancy check off list d f- ** * * PIONEER * engineering ** * * I.AND SURVEYORS • CiNL ENGINEERS LANO PLqNNERS • LANDSCAPE AR(AiItECTS 2422 Enterprise Drive Mendota Heights, MN 55120 (651) 881-1914 FAX:681-94e6 625 Highway 10 N.E. Blaine, MN 55434 (763) 783-1880 FAX:7B3-1883 Certificate of Survey for: ?tIANLEY BROTH R_ CONSTRl1C`1'ION 1634 MARINA LANE BUYER: SHELTON EAGAN, MINNESOTA Ilou56 T`( Sp". (.AOV--o'jT Gk-baSey•eJ 9A0A T)N-7-y 4E?•,cE2 SEQ???? LOT AREA = 7,166 SQ. FT. HOUSE AREA = 1,606 SQ. FT. INu• = RS?.S ?pla?) GARAGE AREA = 484 SQ. FT. , PORCH/PATIO = 251 SQ. FT. , DRIVEWAY AREA = 425 SQ. FT. BUILDING COVERAGE = 32.7% a IMPERVIOUS COVERAGE = 38.6% o El? ? o{l o W t? Li ? L', :s ?T-A?) x960.7 &3 o) PROPOSED 7 o) RETAINING l. WALL J, BENCH MARK Q r 'e5'tq „ /1f3,:lcl TOP OF SPIKE S89'41'00"W 958'1140.50 ELEV.= 359.93 X ?ky p,,,a,N'e'r I?p ?( c9r 1?? I GARAGE? HOUSE PROPOSED I? > ae o a ?4Lqr> J ? W( 81.8 25.00 ese.s e ?54,9? ?IWoz) Z , sso.2 i-op=6q - ? - - ??; Q ? aI ??, 0 68.17 9.2 .?I I w PROPbSED ? O C) sz z?wAr g n, GARAGE z.oo Q 0 a a- /// 8 ° o •??? 0 O a" 22.67/0; o PROPOSED 0 Z I ?? 6. 0 - 61s 0?/i H O U S E ? P O R C H N?4• Z? ig ft O r^ - , ? • U-) ui2.5/0/ IJ<=?? ? ` 0/ / DECK O ln C I Q ( IO $ °adM?- o ` f? --?,sU i? ° 43.00 'ssa. Z p s+vo i e.oo •? $i 15.e7 p CCSEw 963.6 963. 5.? 83.4 86.77 - N.. 5. 9. 52.9 57.6 ?s7.7 ac?) ?- - ?-`A 957.6 (us?,?) ' T % ? t? I I , t639 ??- 30' BB' I ? ? ? GARAGE I HOUSEG T I ? 5 8 BENCH MARK N89'41'00"E 140.50 I TOP OF SPIKE ELEV.= 963.39 9 ? . ,a ? ? , r'? , ?? -?"? •? L? PROPOSED NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN 8Y: PIONEER ENGINEERING LOWEST FLOOR ELEVATION: a NOTE: ??STRUCNRES'ONLYSSEE qRCHITECTUA?RPLANS FOR BUIIDING ANO?An? TOP OF BLOCK ELEVATION: /7 FWNUAIION DIMENSIONS. ?I(QL?aO NOTE: NO SPECIflC SOILS INVESTIGATION HAS BEEN COMPLETED ON 7HI5 LOT BY THE GARAGE SLAB ELEVA710N: SURVEYOR. THE SIIITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB @LOOKQUT ELEVATION: ?Q PROPOSED IS NOS THE RESPONSIBILITY Of 1HE SURVEYOR. NOTE: THIS CERIIFlCA7E DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOIES E%ISTING ELEVATIINJ 7HOSE SHOWN ON THE RECORDED PUL ( 000.00 ) DENOTES PftOPOSEO ELEVATION N07E: CONTRACTOR MUST VERIFY DRIVEWAY OESIGN. -- - DENOTES DRAINAGE AND U71UTY EASEMENT ' DENOTES DRAINAGE FLOW DIRECTION NOTE: BEARINGS SHOWN ARE BASEO ON AN ASSUMED OATUM --?--- DENOTES SPIKE II--- DENOTES OFFSET`HUB WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION THAT THIS 15 A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF: LOT 8, BLOCK 1, CENTENNIAL RIDGE DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 29TH DAY OF APRIL, 2404. SCALE : 1 INCH = 30 FEET PIONEER BYf ? J_Jl?L'A 6-? 103088013 CRH/JAK S 12 pQ. D°n . Westergren Reg. M MLEY nA asessesee 4So iHERS EON}TtVCtIGN,iNC SELECTION SHEET - EXTERIOR COLORS euyers Name Robert and Patricia Shelton Home Phone Woric Phone New Home Address 1634 Marina Lane LotBloddAdd'n 8-1 WindowManufacturer WWDSQR 99T N M ?or WAi'IG Enamel ? Yes ? Plo Grids (per Plan) ? Yes ? No C98txm giass ? Steined (Both Sided) 0 Painted (Both Sides) Splic Grids Exterior trrterior Sbie !NEL{?&SMI?& Color VtEPm?l?.?a.X?*L--.? StandardAreas Zyl-\ lyI.> - Pll"'1 L.qC.LI Gl?ll V I lm l Ir Shaces hreA F ?' AKD • • • • Standard Meas 1???..Ll? M W ? ? 1? Deck Rails Gutters 0 Aiuminum ? Steel Color Storm Dwr Address Stone FrontDoor/Cofor S1y1e b' ? n{EMA Color. InteriwSW 61Z2. Exterior?042.QsD MudlServioe Door Cotor Garage Door (syColor ACoomAP ?m ? lAbil ShutYers (when applicable) ? Louvered ? Paneled Cobr .. . - Stuoco Color Front Si8 Stone ? Manuf. Stone p BriGc p Ceiting Ht. AAain Levei ????k ? Front 0 0 Hearthstone ? Bbwer Remote ? RCT-AdLT NFWti-f waN switch ? WSK-MLT N BMTR Oak ? Fronrt ? ? Hearthstone LowerLevel Other ? Blovwer RancAe ? RCT-MLT 1luiti4 wa0 switeh ? WSK-?NLT _ ? BOOOTR Oak ? Front ? ? Hearthstone 8edroom Other ? Blower RemoW 0 RC't-MLT Multi-f wail switch ?WSK-MLT NOTE: TIXTURE AND SHADE VARIAT10N3 CAN BE IXPECTED ON AtJ.. BRIGK AND STONE SPLECTIONS " Piease ne aware uiat R is impossin4e w match saiaw "mcny m tlhe adjxerrt Pava ooloc ' Special Mder ftems cannot be teiumed or ieturWad " Material changes aRer selections have been submitted may requee a re-stot:icing fae from suppier and a change oider fee wdl be assessed. TH1S SELECT]ON SHEE7MUST Bf COMPLEfEA, SlGMED, AND RE7UWNED TO MANtEYBROS. BEFORE CONSTRl1CT/ON CAN 8EGlN ON YOUR HOME YOUR SIGNARIRE ONALL SELECTlON SNEE7S CONF/RMS YOURAGREEA9ENT TU Atl UP6RADE AND OVERAGE AMOUN7S. NO CHRNGES W1LL BE ALLO WED AFTER ACCEPTAAICE OF THlS DOCUMENT Buyer Signature: Date Buyer Signature: Dabe Bu rconfirms ali colornumbers names, and ruducts have 6een verified and are conect. 1 Use BLUE or BLACK Ink r----------_.. I For Oft9ee Use Permit S; My of Ealan I ~a~ I I permit Fee: , SB30 Pilot Knob Road 1 I Eagan MN 56122 i Date Received: a / I Phone: (661) 676-5675 j Fax: (661) 675$694 j I 2013 RESIDENTIAL BUILDING PERM/ IT APPLICATION Date. Site Address: I6 3q /ri40el a A unit 0, Name: C/o :"S P P 2p Q ~ R T i ~ $ Phone: to S'/ - 3.i y - ~t 1V 7 7 Address/Citylzip: /05/3 6'209A3A AV -01Y0 5-r- PAUG /WW SS/o5 +owcter . Applicant is: Owner Contractor Description Of work• 7-ar4Q-oF~ Typi..Pf Construction Cost Multi-Family Building. (Yes / No Company: (~E1 Gx>e2~o,2 /y1.H..~a". L'cr4P Contact b&-wI© %-,J Litz S `.I Address: L) ~Jy 5" ~ (oO City: /yIPE S . Cda't~ltor State: I;VAJ Zip: S~S4V/ F phone: & / z - 1T ro - to X ,<3 License * 13 G A 5/l/ 3 J Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) L; Pos7 16.79' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the lest 12 months, has the City of Eagan issued a permit for a similar plan booed on a master plan? _Yes JVo If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone. Sewer & Water Contractor: Phone: r i ~ a V •F M« ~ T'• 9:.-' ro J1etr.h.. . r.; Y Kµ~}I~'' fife ltn71~Hd41,p .I. r ..R, ;i....:, .r+.' j, .t. Vyr ~7,(i'~ r.J~.,~ry M: '.1di. ^;}y; ! V•._ i'~i • .~•CALL BEFORE YOU DIG. Call Gopher Shoe One Call at (651) 454411002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aooherstate necall,oro 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 orgy an application for a permit, and work is not to start without a permit: that the work will be in scowdance with the approved plan In the case of work wNch requires a review and approval of plans. lxoarior work authcrmsd by a building permit issued in accordance with the Minnesotg State Building must be compieoed within 180 days of permit Issuance. x % ~v21L/s Applicant's Printed Name x Applicant's Signature Page 1 of 3 b9/T0 39Vd 1NIVW 1X3 I3S L9Z9T98ZT9 8Z:9T 8TOZ/8T/0T � I , �_ I . Use BLUE or BIACK Inl�— -----------------, � For Office Use ��y�� .� � �4 Cit of �� �Il ; Pe�,�t#: ,����� � , �,�s � � � Permit Fee: l ��• (o� � 3830 Pilot Knob Road � ��` /� � Eagan MN 55122 � Date Received: ( � Phone:(651)675-5675 I Staff: i Fax:(651)675-5694 � � L..��____.�._..._�.______J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: � Z� �� Site Address: /D���A�'��'� ���� ���p� Unit#: �/� ►vame: ���PC�6'°��5� ��SL�O�� Phone: ������/����� ResidenU l a 3�f ,2��,�I�O� �PI�� �`�'�SqN SS'�2.��, Qyyn@r Address/City/Zip: Applicant is: �Owner � Contractor Type of Work Description of work: jlf'�I�/�'�09�� �.�lL✓�pr.�.�,�"�l,�RC.� �✓�,()l.�i�'� ��/NJT,9G�.A�d'yr �lY�,�' /lf�L�" Construction Cost: t�d�� Multi-Family Building: (Yes /No � } Company: S����'��� Contact: C011tr'1Ct01' Address: City: ` State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) , 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 8�Water Contractor: Phone: NOTE:P/ans and supporting documents that you submif are corrsidered ta be pubfic information. Par#ions of ' the informatian may be c/ass�ed as non publ�c if you provide speciffc reasons that would permlt the Gify tv conclude that the 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.pooherstateonecall.ora 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_ (�'�'�/`�i119S�i� X ��c� �- Applicant's Printed Name Ap cant's Si nature Page 1 of 3 `� �� l��1�.f�- �� � � ' " DO NOT WRITE BELOW THIS LINE 1�� ��� � SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) � Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration{Muiti) _ Multi _ Deck _ Porch(ScreeNGazebo/Pergola) _ Miscelianeous _ 01 of_Plex _ Lower Level _ Pool _ Accessory Building WORK TYPES �e plu•ti S(�o�fi�l�G p v� t�(�f�K ��1 _ 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 / Valuatian 2P�dU.. Occupancy �' C MCES System Plan Review Code Edition ��lSc�t'�. � SAC Units (25%_ 100%�) Zoning ��_ City Water Census Code Stories Boaster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction „�� Width 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 Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final � Framing Drain Tile Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick � Insulation Windows Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �' Surcharge ��� �o�,�(,� e�,�--W� ��� �� Plan Review --. MCES SAC City SAC Utility Connection Charge S�W Permit 8 Surcharge Treatment Plant Copies TOTAL Page 2 of 3 PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA129588 Date Issued:02/25/2015 Permit Category:ePermit Site Address: 1634 Marina Lane Lot:8 Block: 1 Addition: Centennial Ridge PID:10-16950-01-080 Use: Description: Sub Type:Residential Work Type:Alteration Description: Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Fixtures:converting tub to stand up shower Applicant: Eric Bruckmueller 3992 Pennsylvania Avenue Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Scott Ramsdale 1634 Marina Lane Eagan MN 55122 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature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