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1841 Merlot Curve Use BLUE or BLACK Ink r For Office Use I Permit /G/ -_5 City of Eap~ I Permit Fee: t✓ 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 I Staff: I I 2012 RESIDENTIAL BUILDING PERMIT APPLICATION Date: b 116 L Site Address: /43411 / V LLv I Unit Name: ~l ~'~~t5l~~tL~S Phone: RESIDENT A ~ZZZ OWNER Address /City /Zip: l L'V Lam( Applicant is: Owner Y Contractor Description of work: Wtog lace t) i r&a- `yek7l~_ EV TYPE OF WORK Construction Cost: Multi-Family Building: (Yes / No ) Company %iwv 1l A Contact: CONTRACTOR Address: City: rDG[J~~2.SIJlI State:1Y1A.) Zip: ✓ ~J~ Phone: 32l License 9 Q~-( I &W Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) ~Lkl Iii vl -aLr 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 maybe 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.clopherstateonecall.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 daywaunt s of permit issuance. x 'o- x A*1< AApplicant% Printed Name Ap icant's ignature Page 1 of 3 r :?--? INSPECTION RECORD CITY OF EAGAN . PERMIT TYPE: 3830 Pilot Knob Road Permit Number: f; R 7 r Eagan, Minnesota 55122-1897 - Date Issued: ' (612) 681-4675 SITE ADDRESS: APPLICANT: tr! ? t i?t?v? +.? ? . , i , ,.... . . ? t C?Nif_.t V f? ItMli (ON ? PERMIT SUBTYPE: lf+1i'1 9 iFs=73 13 TYPE OF WORK: INSPECTION .. . .• ? ,?,?? ?,•,, INCLUDES 1843 1845 1843 MERLOT CURVE ? jJ Permlt No. Permlt Holder Date Telephone N ELECTRIC PLUMBING _ ? 3 ???LSL HVAC Inspectfon D I p. Commenta FOOTINGS gl?D ? /1 (?/IQAZ FOUND FRAMING ROOFING ROUGH PLUMBiNG PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG ?74 7 ! FINALHTG ? G?lJ ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FfG DECK FINAL Ct`ttftCQtC 0f cCClipQ1iC? (Fitv of ?agan 2*+attatcar of 13,cltbi«g ?ir?ecriox This Certiftcate issued pursuant to the requirements of the Uniform Building Code certifyireg that at the time of issuance this structure was ire compliance with the various ordinances of tire City r+egulating 6uilding cautruction or use. For the fallowing: Use Llassifiwion_ 4-pLEx Bldg. Pemiit No. _ Ochm-Y TyPe R-1 U- 1 7.oniag District Type Cornt. Vn o,,ff orB,,,idii„s CENTEX HOHES A&wm 12400 WHITEWATER DB.. HTKA, MN 8??? Addmu 1841 MERLOT CURVE tAxw;h, L1, 113, CSNTEX VERMILION (includes 1843, 1845, 1847 MEBWT CUBVE) / .. - ? _ .-' • gwidiob Olficial _ 28877 PO.ST {N A CONSPICIlOUS PLACE SITE ADDRESS f?`?' I f?`?n 1un l s?lh I 1P? Unit # Pem,it # .2 '?j ? L ? B Sect.,5 b. INSPECTION INSPECTO OATE COMMENTS ?.?c.?l-n.... ?'?+g ? u - 7 ?i c. - ?- -G ? • /?? fo -/7? !3 /-25- - G_ ??Sw ' a T CS T SA z-?- y jj •Z - Gs , D"jw"tt/ aq Alt. Md ra-G-9C ? ? SITE AQDRESS I 11 `+ ,1 m pnIIA 1t1h1X, Unit # Permit # 1 n L B Sect./Sub. ?Wfm..rjJtmv bp'v A 'A 4479 9941 ° ow ? ir/9-/f ? 4?w 7''" INSPECTION INSPECTOR DATE COMMENTS +v?u.-h„- ? ? ?w(i ,v -7'ctf- (.?" C? •? G ` ?`? ? ?1(?. l1 !P^!7" E !1 f [i r ? ?N / ? d 3 Jrr ??? ? M3 41-1 -yri i2-3-9G SITE ADDRESS Unit # ? P Pennit # ?,W L I B ? Sect./Sub. ?W #No79976 ?"?o.?6,1 ii/8/5G $,?7°v INSPECTION INSFECTOR DATE COMMENTS . ? •6, O-ci? ? U? • _ ? ,< /c /7`?''? << ,. « 1 ?f C . ,r?? lz-z y? ,43 ,2 - ?n C SfTE ADDRESS Unit # Permit # lWq L I B J Sect./Sub. -?? mk4 V•Qh,l't'111U .UIL 10. ? °E D // F) ?4 e? an INSPECTION INSPECTO DATE COMMENTS Fo.-?a+1W- n13 ?aS eS l ? - , ? 77``? 0& OFFlCE USE ONLY This requeslwid IB monihs hom?lidafion dare:?h in this 6oz. / IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII I IIIIIII ? I"/IiV?? wn""'%, ? T 0 4 0 7 9 9 9 2 N R T SE PR? YP Request Wte Roughin inspecKon required? ' Yes ? No Inspeclbn Oiher Than RougMn: ? R dl Call 1 0-31-96 (1'ou mmt mll ihe inspecior e ready? Dme Reody: I, [29 licensed contmctor ? owner hereby request inspection e above elecirical wo ? Job Address 1Sneen, Bm, or Roure No(.) ? Ciy 14 Y`?2Y \tk ?/.aVV- Secfion No. Township Name or Nn ko,e No. fire No. Couny Occupant Mone No. C211t.C}{ HOlf12$ r,.re. suppue, ndd.?. Dakota Electric Ele iriml Conrvacbr (Canpany Nama) Canhocror licrnsa No. Mnsler Lk. Nn (%ont Elect Only) zer Electric, Inc. CPA1110 Moiling Address (Canhaclar or Owner Perlormi, Inzblkfion) 8164 Arthur Street NE, ls MN 55432 Aulhorized ' re ? rcodor or Per(ormiig Insmlhnon) Phone No. ? I 784-3729 REQUEST FOR ELECTRICAL INSPECTION iklo 4?+?? ? Minnesota Unive?ity ABe, r Rm. &2r8, f St. Paul. MN 55104 ,89JJ Phone (612) 642-0800 Home Du lex Apl. Bld . Olher. New Addn Commerciol Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Hh. Load Mgm1. Other: Dryer Range Elec. Heaf Tem . Service ????? "X" obove the work covered by fhis request. Enfer remarks in fhis space and on ifie back of Ihe while copy only. Calculale Inspecfion Fee - This Inspecfion Requesf will nof be accepfed wilhouf fhe correcl ke: ONier Fee # Service Entrance Size Fee R Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps Skeet Lig./Tmffic Sig. Above 200_Am s Above 100 Amps Tronsformer/Generofor INSPECTON'S USE ONLV TAL Sign/Oudine Lfg. Xfm r. ?I ,$. SO Alorm/Remote Conkol M Swimming Pool I hereby «ni ihot ' n on tFe dmes s Hd.dbd Irrigafion Boom RwgMn Dme Special Inspection Invesfigative Fee Fiml THIS INSTALLATION MAY BE ORDE ED DISC TED tF NOT COMPLETED WITHIN 8 ON HS. 77/ C/_ OFFICE USE ONLY Thisreqacstwid IBmonlhs6omvoli?io? kpri? in is6ox. ? Y * 0 4 a 7 9 9 8 4* PLEASE PRINT OR TYPE V? Requast Dale RougMin inspecfion requiredE ? Yes ? No Inspec?ion Olher TMn Rough-In: ? Ready N. ?('Jill Coll 11-4-96 p'ou mm? mll ?he inspecror when reodyl Oare Ready: I, Uicensed conhactor ? owner here6y request inspection of fhe obove elechical work at: lab Address (Shret, Box, w Rw2 No.) Ciry Zip Coda Igq3 YYw bk G,-vu- Eagan SMian No. Towmhip Name m No. _ Ronge No. Fire No. Couny Omopom Phone No. C2I1teC HOI[IES Power Supplier Addrese Dakota Electric Eleaical Conrco<ror (C«npany Name) Conh«ror Licanse No. Abekr Lic. Na (Plam Elat OnlA Lazer Electric Inc. CA01110 Mbiime add,e., (Confracbr or Ownar Pehorming InsMllotiw) 8164 Arthur Street NE, Mpls MN 55432 AuMorized Si am.e onimclo Owner Parlorming Inslallafionl Phone No. ,? 784-3729 REQUEST FOR ELECTRICAL INSPECTION ?"a 4 0 7- 9 8? M821eUnivers ty Ave.Rm. S 12r8,'SL Paul, MN 55104 ??/p?C'! ? Phone (612) 642-0800 O t.f Home Duplex Apt. Bldg. Olher: g New Addn Commerciol Industrial Farm Remod Re ir Air Cond. Htg. Equip. Water Htr. Load Mgmt Other: Dryer Range Elec. Heat Tem . Service "X" above the work covered by fhis reques/. Enter remorks in rhis spa<e and on the bock oi Ihe white copy only. ? ? Calculote lnspeclion Fee - 7his Inspeclion Requesl will nol be accepfed withoul Fhe correct iee: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobife Home Park 51a11 0 to 200 Amps 0 l0 100 Amps Street Ltg./Traffic Sig. Above 200-Am s A6ove 100_Amps Transformer/Genemtor INSVEGroR'S Use oN TOTAL Sign/Outline Llg. Xfmr. ? ? 00? . $7 SD Alarm/Remote Conhol Swimming Pool I he.eb <a tha I Ine ned the electriml Insbllmian s<ri hemin fhe dalee red Irrigation Baom aoug oa 'I', Special Inspection Imestigative Fee r o THIS INSTALLATION MAY BE ORDER DI$CONNE D IF COMPLETED WITHIN 18 M HS. 5/i ? ? ry ?^n OFFICE USE ONLY This rcqueslwid 18 monihs Irom wlidation dale prinhd in Ihis 6ox. ??.? i. o a?y 97 -7Z-1 ti /_ '7 * 11 4 4 3 8 6 8 SpLEASE PRINT OR TYPE Roug6in inspecHon requiredz ' es ? No Inspecrion Other Thon RaagMn: ? Rmdy Now W' Call V ll h ? h d i? ( ou mvsr ca i e nspector w en reo y) ie ea UAXIVI I, *isensed controctor ? owner hereby requesf inspectian o( the above ele " al wor t fU Job M rus ?Sreeq Bw, a Rook ? Cily ?? ".. VN /• f Secnon No. Township Nama or No. Ronge Na Fire No, oonry Occ nt I ? Phone No. PowerSopplkr D ? Addresz ElxIk'wol o?x?acqr ?Compmry Non?+ Conna ]or Licrnu No. MosRr lic. Na (%ont Ebn. Only) M1 L ? ?C..? V Nailing Pddreu (Contracbr w O.nbr PeAorming InsloAafion) Autlwrized gn re onhacbrorQmar rmin Insblhnon PfpnaN ? ? r3 7d EBO00p I A-1 48%96 STATE BOMU COPY -$EE INSTBUCiIONS ON BACK OF YELLOW COPY 443-sss ? , s/as/g -7 REQUESTFOR -ELECTRICALWSPECTION711 Minnesota State Board of Electriciry 1821 University Ave., Rm. 5428, SL Paul, MN 55104 - Phone (Qt2) 642-0800 Home Duplex Apt.8ldg. Other. New Addn I Commercial Induslrial Form Remod Re air Air Cond Hig. E uip. Woter Hfr. Load Mgmt. pihyr: D!yer Range Elec. Heat Tem . Service "X" o6ove IRe work covered by rhis request. Enter remarks in this space and on the back oi fhe white copy only. Calculate Inspection Fee - This InspecNon Request will nof be accepted wifhout the mrrect fee: Olher Fee # Service Entrance Size Fee # Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps Slreef L}g./Traffic Sig. Above 20Am s A6ave 100_Amps Transfarmer/Generafor INSPECTOi1'S USE ONLY TOT ? Sign/Oudine Lfg. Xfmr. y Alorm/Remote Control Swimming Poal I here b cem t I in x e eI ?da Ilanon d d harein on tha do?es s auri Irri9ation BOOm Ro9 uMn ?? Speciallnspeclion Investigotive Fee ? F???? VL.?? o?k ?7 THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS. / ? O pLV This rryoesl wid 18 monihs Fom wlidolim dvle prinbd in this 6ox. ? //_ ??7 wr? ? wa.c?-?'7v IIIII I II IIIII II?I IIIIII? IIIIIII I III IIIII IIIII ?!? 67:J? ?-'?""""'f- ?„? Q, ?, * a 4 0 7 9 9 7 6* pLEpSE PRINT OR TYPE U/ Reqoen Dote Rougbin Inspection reqoired4 MVes ? N. Inspeclion Odnar Thon RaugMn: ? Nmdy Now)C(Will Call 11-4-96 1 (You mustcollthe inepeclorwhen readM Dme Reody: I, 5a licensed conhoctor ? owner hereby request inspecfion of fhe above elxhical vrork at: Jo6 Address IShee1, Boz, or Rwie No.1 19`45 Medlok Cxvve. Gy Eaqan 2ip Code Sxfion No. Township Name w No. Ronge Na. Fim No. Coony Occopam Phone Na. Centex Homes Povrer Suppliar Addrau Dakota Electric Elechical Canhaclor (Compvny Nome) Conhoclor License IJO. Mozkr Lk. No. (Plont Elect Only) Lazer Electric Inc. CA01110 Mailing Address (Conhoctw or Ownar PedorMN InsmlloNOn) 8164 Arthur STreet NE ls M 55432 Amhorized`?'Canko r or Owner Perfuoning Inswllanoni PMne No. 784-3729 RE?FOR ELECTRICAL INSPECTIO &? ? Mffl 4 0 7- 9 9 7? 821eUnivers ry A ea Rm. S- BSt. Paul, MN 55104 Phone (612) 642-0800 a } Apt. Bldg. Ofher: New Addn Farm Remod Re ir Woter Htr. Load Mgf pther: Elec. Heat Tem $ervice °X" abore the work covered by this requesL Enter remorks in t6is space and on Ihe back ol lhe whife copy only. CalculaM InspecM1On Fee - This Inspection Requesl will not be accepled withouf the wrrxt (ee: 01her Fee ri Service Entrantt Size Fee e Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps Sireet Lig./Traffic Sig. Above 200_Am s Abova 100-Amps TronsfarmBr/CiO(1¢fal0r INSPECTOH'S USE ONLY TOTAL Sign/Oudine Llg. Xfmr. $87.50 Alorm/Remofe Conhol $wimming Pool I ham ceni 1 i e ofion demribed harein on ihe dores s ied Irrigofion Boom Raughln Dok ? ? Special Inspecfion j, l' " Invesiigalive Fee F O Dote ff' THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT COMPLETED WITHIN 18 MO THS. ? 411?1- OFFlCE USE ONLY This request void 18 monlhs from wli ?%le ?nieTd in ?Ihj/s box. (O d / IIIIIIIII IIIIIIIIIII) IIII IIIIIII III IIIIII II ??? ?J?l ?.xirvwY'? LCT}?, r T ?il ? * 0 4 0 7 9 9 6 8* PLEASE PRINT OR TYPE ?? Request Onre RougMn inspacfion required? )O[Yes ? N. Inspeciion OMer Than RwghJn: ? Reody Now}xWill Call 11-4-96 nW m°,t ca° t-re i^„?, whe° eaYi D.I. Reody: licensed coNmctor ? owner hereby requesl inspection of the above electrical work af: Job Pddress (Sheet, Boz, n Rouie No.) City 2ip Code Ieq-) wwllok Eagan Setlion No. Township IJome or No. Ronge No. fire No. Coony Occupant Phone No. Centex Homes Power Supplier naa,e,z Dakota Electric Inc. Eledrical Conhaclor (C«npony Name) Conxonw Licensa No. Mnsrer Lk. Na (Plont EIM. Only) Lazer lectric In CA01110 Moiling Address lConhacror or Owner Performifg InsmlloMOnj 8164 Arthur Street NE, Mpls, NIIV 55432 Authorized 5" naNre ?Cjnhacror Owntt Performirg Insbllotion) Phone No_ (/Vf 1 784-3729 // ??:?' REDUEST FOR ELECTRICAI INSPECTION 4 O7- 9 9 6El 1A821 UnlveriTy Ave.rRm. 3e726,'St. Paul, MN 55104 Phone (612) 642-0800 Home Duplex Apt Bld . Olher New Addn Commerciol Indusiriol Farm Remod Re air Air Cond. Hig. E ui . Water Htr. Load M mt Other: D er Ran e Elec. Heal Temp. Service "X" a6ove fhe work covered 6y fhis request. Enter remorks in this spoce ond on fhe back of fhe white copy only. Calculafe lnspecfion Fre - ihis Inspec/ion Requesf will not be accepted withouf the correct fee: Other Fee N Service En[rance Size Fee N Circuits/Feeders Fee Mobile Home Park Stoll 0 fo 200 hmps 0 fo 100 Amps Sfreet 1.1g./Traffic Sig. Above 200_Am s Amps Tmnskrmer/Generafor INSPECTOH'S USE ONLV TOTAL Sign/Oudine Lig. Xfmr. ? ? $7. ?JQ Alarm/Remote Conhal $wimming Pool I hereb wei that I inx cte ation de ereln on Ihe dalas sMl Irrigafion Boom RougMn Do?e ' Special Inspection c Investigotive Fce e? oa THIS INSTAILATION 11 AY 8E O IX-AED DISC NECTED IF NOT COMPLETEU WITHI B ONT S. ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMITAPPLICATION ? ? PROPE RTY LEGAL: - ` A E OF S EY ? : D T U V N ? '? LATEST REVISION: Z ? F y DOCUMENTSTANDARDS a z° 3 Q?'b ? • Registered Land Surveyor signature and company q?o ? • Building PermR Applicant a?? ? • Legaldescription ?0 ? • Address %?'13 ? • NoRh arrow and scale a----o 0 • House type (rembler, walkout, split w/o, split entry, lookout, etc.) 0" ? ? • Directional drainage arrows with siope/gradient % / ? • Proposed/exissting sewer and water services & invert elevaNon o ? • Streetname [3' ? ? • Driveway ELEVATIONS Existina z0 0 • ? Sewer service (or Proposed) ? ? O ? • • PropeAy wmers Top of curb at the driveway 2`? 01"10 • Eievatlons of any exissting adjacant homes Proposed U" a ? • Garage floor Of' ? ? • First floor ?? ? • Lowest exposed elevation (walkoutlwindow) ?E] ? • Property comers d10; -0 • Front and rear of home at the foundatian PONDING AREA C?f aoolicabiel ? 2,/ ? • Easement line o d o • Nv,L ? 0/ ? • HWL E3 ? ? • Pond # designatlon ? ? ? • Emergency Overflow Elevation DIMENSIONS ? ? ? • Lot IinesBearings & dimensions CK' ? ? • Right-of-way and street width (to back of curb) er' ? ? • Proposed home dimensions including any praposed decks, overharigs greater than 2', porches, etc. (.e. all strudures requiring peRnanent footings) e' ? ? • Show all easements of record and any Cily utilfies within those easements 11-? ? ? • Setbacks of proposed structure and sideyard setback of adjacent exassting structures ? ra' ? • Retaining wall requiremen ' ny Reviewed: td ? Na e /D e January 1996 auIcIwaSLor3vnnrtSM CENTEX HOMES Dcsigncd for Indug Buill (or lornorrow Mr. Joe Voels City of Eagan Plan Review Department Dear 1VU. Voels, This leCter is to inform you that Centex Homes of Miuvesota, will be using the exact same unit plans for buildings 1-3, 5-10, 13, 14, 16-19, (excluding buildings 4,11,12,15). None ofthe stiuctural building componeuts, HVAC, plumUing or electrical will chauge from previous buildiugs 1, 5, 11 and their eugineered drawings datuig 8/16/96. The only change is Centex will be using step conditious on some buildings. Ifyou need anything else, please call John at 686- 5024. Regai-ds, Jolw Lovelette Field Mauager Centex Homes, Minvesota Division ala51 ?1 (p 1?0 #3 ALL sy. ?=+• 1450 ?Zfoo 050 #ti I t eJe l S l a.lo o'^ `? rdA*- P)gzo 4A"*S 12400WhitewuterDrive, Suitel2D, Minnetonka,Mixttesota 55343 Builders Lirense #1333 (612) 936-7833 Fax (612) 936-7839 .... I ?...r r* „ i ?.':::: .:i.J;. i . f.I::?.r.,i,..l ...L.?•: ... ;.,i xP ... _. . , . i ...?!::; .......: ?...•i_.?.? ¦ r'..I.+ "CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMITTYPE: BuxLozNs PermitNumber: 028877 Date Issued: 0 9/ 2 6/ 9 6 SITE ADDRESS: P.I.N.: 10-16935-010»-03 DESCRIPTION: B REMARKS: S& W PLBR - GENZ RYAN PLBG FEE SUMMARY: ? ? ? fgi ? ?L'??x^?? VA WATION Base Fee Plan Review Surcharge SAC sac ? SAC Units Subtotal $2,092.25 $1,046.13 $170.50 $3,500.00 100 $6,908.88 q $341,000 CITY SAC WAC 5 & W PERMIT S & W SURCHARGE TREATMENT pLRNT ROAD UN2T Total Fee r?$400.0/?0 p?J .py040.G0 $100.00 $.50 $1,564.00 $1.720.90 $13,753.98 CONTRACTOR: - Applicant - sT. Lzc. OWNER: CENTEX CARP 19367633 0001333 CEN7EX HOMES 12400 WHITEWATER DR 120 12400 WHITEWA7ER DR 120 MINNETONKA MN 55343 MINNETQNKA MN 55343 (612) 936-7833 (612)936-7833 I here6y aokrls?wk??ge°"'?h?tr??;;? te .?haIt ?he infiormatin,n ab7?e q5taaf ?}n.. S:tatut e`S arrd ?3?y o-f ?ag?rt:`?tr`diaances ?? ?s t ? ,?a ; (?.?11?- 1? -?PLICANT/PE MITEE SIGNA7UFE ISS UED W. 5 NATUET- 1841 MERLOT CURWE LOT: 1 BLQCK: 3 CENTEX VERMILION ermit Type 9-PLEX BkQ Type NEW f54 y N R-1 U-1 ot? TgF?? V-N ength 136 64 ?t3Y^?,85 2 104 3 & 4 - FAMTLY ,. ; • CITY OF EAGAN , 3830 PILOT KNOB RD - 55122 lqg6 BUILDING PERMIT APPLICATION (RESIDENTIAL) •? .? ,? _? ? ? 681-4675 ct, ' RemodeURCOair Reauirements ? 3 registered site surveys ? 2 copies af plan ? 2 copies of plans (include beam 8 window sizes; poured (nd. design; etc.) ? 2 site surveys (exterior addNions & dedcs) ? 1 energy calculations ? 1 energy caleulations for heated additions ? 3 copies af Uee preservatlon plan i} lot platted after 7/1l93 required: Yes No . DATE: 913 40 . CONSTRUCTION COST: DESCRIPTION OF WORK: 4uo?iIr sLj?6 oA/ GrG4DE Cz? d*Z w/T U? strU'NiT G) ? 4At+r %?!?? _ STREET ADDRESS: ?j LOT I BLOCK .J SUBD./P.I.D. ?o,(J ? .PhAit i ?1/Tl1) PROPERTY Name: C{-en-le- /?7n?25 Phone #: OWNER SRST !LO Street Address "f'tiM4145e A? S'Q'k CONTRACTOR City: [/4ifi.rc-hACa. State: AVVI Zip: 55343 Company: '- qs? ^ Phone Street Address: State: ZiP: ARCHITECTf ENGINEER Company: r SahAr Name: License Phone Registration #•O/Z?S?-S' Street Address, 'S°a"`a?- City: State: Zip: Sewer 8 water Iicensed plumber: 114A L-/Penafty applies when address change and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applipble State of MinnesoW Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received ZYes No Tree Preservation Plan Received - Yes - No I?I?Cc??f??MCD Scf'' ; 9 a9?5 --------------- OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging a ? 02 SF Dwellinv(--Q7 4-plex ? 12 Muiti Repair/Rem. ? ? 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory ? ? 04 SF Porch ? 09 12-plex ? 14 Fireplace 0 0 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) •K UBC Occupancy -? Zoning ?•3 # of Stories ? Length Depth ? APPROVALS Planning ? 36 Move ? 37 Demolition <?. ; ,. r?s?„? ? .- >•.? ., . ;.. f , 16 Basement Finish 17 Swim Pool , 20 Public Facility 21 Miscellaneous Basement sq. ft. ?_ MC/WS System ? Z Main level sq. ft. ?B 51o City Water Sq, ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. / o y Footprint sq. ft. SAC Code Census Bldg Census Unit Engineering Building Variance Permit Fee Surcharge Plan Review License MCNVS SAC City SRC Water Conn. Water Meter Acct. Deposit S/W Permit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: Valuation: $ 3 1?14 000 d32 f10 8 0 °/X YOO_ ?GOOio x ,*Z, /y511 e?/B / y?a ??' 1r K ZS ?O?O ? $ y?X 5Yr ? ,0Hisrw o % sa,c ' z SAC Units IV ?? ?? ? CITY USE ONLY L ? BL ? RECEIPT#: ?SpcOS SUBD. ? DATE: 90 70F4?1 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681 -4675 Please complete for: ? all commercial/industrial buildings. ' ? multi-family buildings when separate permits are npt required for each dwelling unit. dA1'E: 9 CONTRACI' PRICE:?? ; WORK TYPE: v' NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: & $25.00 minimum fee QC 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of i i fee due on all permits. CONTRACT PRICE x 1% IS61 L50 PROCESSED PIPING STATE SURCHARGE 5U , TOTAL SITE ADDRESS: OWNER NAME: Mf/?-'0,5 TELEPHONE #: 73LZ??-?3 TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ( (?T / /" ADDRESS: CITY: &6/r? STATE: 0)/-v ZIR..?'2yy2L5 PHONE #: `Z SIGNATURE: 1G ?? `-5NA RE OF PERMITTEE CITY INSPECTOR CffY USE ONLY L BL RECEIPT SUBD. _ DATE: 1996 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 6814675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit _ New construction Add-on furnace Add-on air conditioning Add-on air exchanger, 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 Outiets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: OWNER NAME: PHONE #: INSTALLER NAME: STREET ADDRESS: CITY: STATE: ZIP: PHONE #: ( ) ? L ` gL ? OFFICE USE ONLY SUBD. l c(?i? ?Orrnu?.?w RECEIF'T #: &,5aQ5 DATE`7/o?i*! 1996 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. ? all commercialfindustrial buildings. ? multi-family buildings when separate permits are ngl required for each dwelling unft. DATE: CONTRACT PRIC ?/??? WORK iYPE: ?° NEW CONSTRUCTION RDD ON REPAIR DESCRIPTION OF WORK: IS WATER METER REQUIRED9 /YES _ NO. IF 50, PLEASE PROVIDE THE FOLLOWING: WATER FtOW: GPM. ARE FLl1SHOMETERa TO BE INSTALLED? YES NO. FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE. 1ML! YOU BE INSTALLING A METER FDR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO. IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINF:LER PERMIT. FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per $1,000 of cermR fee due on all permits. CONTRACT PRICE x 1% /??? STATE SURCHARGE i TOTAL ? SITE ADDRESS: ? TENANT NAME• OWNER NAM lNSTALLER: ADDRESS: cirr: PHONE #: ? rr METER SIZE: STF # ?mt ST lE: miY ZlP: r? SIGNATURE: ? A UCANT OFFICE USE ONLY ? DATE: ?-70 ' 5?C INSPECTOR: f? /?'A? ,`? JW"r"f%Y/ CITY USE ONLY L BL RECEIPT SUBD. 1996 PLUMBING PERMIT (RESIDENTiAI) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings DATE: ? townhomes and condos when permits are required for each unit FIXTURES EACH NQ. TOTAL 5hower 3.00 x = Water Closet 3.00 x = Bath Tub 3.00 x = Lavatory 3.00 x Kitchen Sink 3.00 ;c - Laundry Tray 3.00 :c = Hot Tub/Spa 3.00 ;c = Water Heater 3.00 :c - Floor Drain 3.00 x = Gas Piping Qutlet * minimum -1 3.00 x - Rough Openings 1.50 x = Water Softener 5.00 x - Private Disposal • oakota cty. iicense 65.00 = (new and refurbished systems) U.G. Sprlnkler ` home under const. 3.00 = Alterations ' ro exisnng 20.00 = Water Tum Around 20.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: OWNER NAME: INSTALLER NAME• STREET ADDRESS• CITY: STATE: ZIP: PHONE #: ( ) CER TIFICA TE OF SUR VEY i 1-_.......__..._.._._._... , i ? _..... ......... ___.----- ? ?...__... , _._......_..._...... ? ?_ ..... ...._-- l .,? A ._......_?..'._._.._ ........ .. ...._, ? -.._.......... .__ _ ........... ................. ....._., _. _,..._... . ' \ r? 1 / (aas.ss) ? i 847.9 r.::- -, • _...? ? -7°7 _\\pA -._J 3 , ` ,? - ? 848.4 q ? O N89°78'23°E 84.00 ? z p o -? J -? n ? ? . z. o g I rlT ? ? ?oa c 6 + oa ? s6 $&OO? . - es . ~ 8 A?..._ ? FFE _ ?860.6 h ?86t?b 7 g , GAR. FLR. I = 859.6 n I3.B3X (866.00) I /1T ? ? Top of lrons 0 Offsets i AQ SE BOX COR 866.04 ? 1 OB SW BOX COR 866.74 OC NW BOX COR 856.27 ? i OD NE BOX COR 859.96 10.00 _ _ P.00 A o - ?FE = I862.6 $ 1^j? GAR FLR 861.6 N y-- B67.g Jo.oo6j9 I? 8 ? g - ,?.o??------- ? ?aW W?I p V I ?? (n ?I qg- g? FFE _? 864.6 96e GAR. FLR.1 = 863.6 0 0 .l,o.?o r ? ------- ----? ? ? I$ I Vj FFE = 1 866- 6 N j?-- _CAR. FL.R.1 '` = 865.6 m I ?? I -- '._'_ aR6A ?.,,,., ?58 ses°rs'23 w a4.oo ? v LOT 1 $I9.67 6.71 ? I? h L? o Jo z ? $ (874.0C 873.3 I ? I ? i I - _ - I I ? I I I I LEGAL DESCRlP710N: Lof 1, Block 3, CENTEX VERMILION, according to fhe recorded plat thereof, Dokota County, Minnesota. Frnished Floor = Varies See Plan 6ar. Floor= l/aries See Plan • Denotes iron monumenf found o Oenotes iron monument set Beorings based on assumed dotum. ! hereby certi/y fhat this survey wos prepared by me or under my drrect supervision ond that 1 om a duly Registered Lap¢; ?urveyor nder the laws ofthe.State of Mr / hEa`ota.;. Scale 1" = 40' ' - / ' Mortin J. Weber, R.L.S. . Registration No. 12043 REQUESTED BY.' . . I 861J3 TC (862J9 TC) 862.73 TC - - IEAGAN I It E?t ?D ? _ _..... ._ _..._...__ .? ..... ; DEPT. soa.o denotes son. serv. inverf (904.0) denofes proposed e/ev. 904.0 denotes existing elev. --o- denotes surface drainoge CENTEX HOMES . Wostwood Professional Services, Inc 14780 West Trunk Hwy. 5 Eden Prairre, MN 55344 (612) 937-5150 Revised: 9120196 Buildrng Elev. Drawn by. M$ Date: 9118196 Job No: 95893 g/?. ? C!tyofEaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 KV 132009 Permit Fee: Date Received: Staff: 2009 MECHANICAL �PERMIT APPLICATION 1 �—k(`V Site Address: , iS("t I 1 i ler 104 -Lau Tenant: 1� Date: J Suite #: RESIDENT / OWNER Name: -OW. L3t set bUs'o Phone �� Z (' 1 1 Address / City / Zip: t aq l mei-(c - curve. aal) i ssi D? CONTRACTOR Name: BURNSVILLE HEATING & A/C, INC. License #:-31 I 3451 W. Burnsville Parkway Address: Suite 120 Burnsville, MN 55337 State: Zip: City:``Z Phone: -t{- 1 E ``�J ` contact Person: L.1(N TYPE OF WORK New x Replacement Additional Alteration Demolition Description of work: .... .. ... 4s' PERMIT TYPE RESIDENTIAL X_ Furnace TS -b.11 COMMERCIAL New Construction Interior Improvement Install Piping Processed Air Conditioner Air Exchanger Gas Exterior HVAC Unit Heat Pump Under / Above ground Tank ( Install / Remove) X Other WILLA* ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ .-a`1, TOTAL FEE $90.50 Fire repair (replace burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% = $ Permit Fee - If Permit Fee is less than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 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. x Applicant's Printed Name x Applicant's Signature 0.0OFFICE U û÷ ÿþ þý ÿþþ ýüûüúûû ùþþû÷û í âàô éè í âàâ ÿþô üûúù ÷ìë ô üûúù ÷ ÷ìë á ìëø ùþ í ü ô üô óóïüùþú ò ñüþ íù ä í î îí ñü í þ íêþ ììù ýþ þí þ ù êôþ þù þ þþê ôþ íé þ ñü úþì þíúîí ê þ ð çæçååêåêóå óù ü îþ çêê èþüþýê òñ ôöð ùùþ í ùí þ ú ü ââã îä êáåóã ôü ä õ èþ úãáóàÿþ þãáó ßàâÞóååâ î úþì îþîþä þîþùùþþþ îþî íþ þþ íùúìîþþùùþ þ ã þ þü þôúÿþ þï þ ê ùùþë í þü ü ú þü From: Parsons Exteriors Inc Fax: (888) 426-9712 To: Fax: +1 (651) 675-5694 Page 23 of 269/2612013 8:24 USA BLVE gar OLACK Ink 9I. For 6Fffiar: Use ! i f'errrtit 1 a I I F"arrnft Pee: 1 • 1 uC i ~ I 383p :Pilot Knob Rood Eagan. M0551 1 22 ! Date Received:. I t Phone: -(65116575-56.75 I Fax: (651) 676-569 4 I Sisff; L~.. i 01 ''RESIDENTIAL BUILDING PERM ITAPPLICATION Date: Li4e Address: !Unit P. w0.s.: - _..ww Name_ W I V` P~~ + Phone: Resident/ { r Own, r Address i Citjr I zip: F. Applicant is Ownor Contractor ` Description of work L..rt x ~r«.n, of Work yp construction dust Multi-IFamityBuild rig:'.(Yes,. j too %campany:. t~ ° ~ F I d ly . Contact: t-1` 9 Addrs±m:' -eta lda~ Gityr: C' 'City, Contractor t1 Zip, Phon&Y/- Cc l t - State° ` I 71 Lims.se-* i 7r Lead Certificate /rVA.L - ?_9 U 3-/ 'If the project is exempt frorrl lead certification, please. explain why: (see Paige 3 f6r addlHonal information) V" 1 r COMPLETE THIS AREA ONLY IF`+ ONSTRUCTING NE4l BUILDING in the last 12 months, has the City of Eagan issued a permit for at similar plan based a master plan? 'Yes _ No Yves, date anti address of master plan: Licensed Plumbec. Phone: Mechanical Contractor: Phone. Sawar & Water Contractor. Phone' IV07E ,5lasis a_ d suopat:fir>g dtocurmerrts that,you submit are considered to be pubticinformation. Portions of the Information way be classed as oon public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call GapherState One Galt at (651) 45"002i6r proter-flo t agn7nsi underg€Io+unQ utility damage. Call.48 tlours br'fnre you intend to dig..to rei eive locates of undennound utflilie-s. hereby ack iaMedge that this irrfp mormn is complete and accural~: tha( time work will be in conformance with the ordinances and codes of the C4 of Fagan; that t undersland this is not a prermlit,: but only an application for a permit, and work is not 'to start ij4thau. t s permit, that the work M11 be in. accordance with the approved plan In the case. of work vrhiah raquife~i a review and approual of plans Exteriorwork atuthcrized bye buIilding permit I"ued, in accordarce with the tllfimasata State Building Code roust be completed within 181) bays of permit issuanca. Applicant's Printed Nance ,Applicant's Signatturie Page 1 of 3 Use BLUE or BLACK Ink I I For Office Use I Permit I City Ol Eapn 3830 Pilot Knob Road I Permit Fee: ~d I Eagan MN 55122 Date Received: Phone: (651) 675-5675 1 Fax: (651) 675-5694 1 Staff: 1 L -----------------1 2014 MECHANICAL PERMIT APPLICATION ❑ Please submit two (2) sets of plans with all commercial applications. Date: Site Address: Tenant: Suite A~412d !\4D41>4TZ Phone: 65E V54 - 70 Resident/Owner Name: Address / City / Zip: J F2 E12 b L' (r42 lJE C-_04v--• Name: So LC T Y41 I/4_ License Contractor Address: Z1310 7-22&&/ 0/\_-) ~-k City: CA i~ State: /9~ Zip: / a 3 Phone: eo 7 / 6 Contact: Z70-e Email: New Replacement Additional Alteration Demolition Type of Work Description of work:' NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City Code. Please contact the Mechanical Inspector for information on permitted screening methods. RESIDENTIAL COMMERCIAL _ Furnace New Construction Interior Improvement Permit Type XAir Conditioner Install Piping Processed Air Exchanger Gas Exterior HVAC Unit _ Heat Pump Under/Above ground Tank Install Remove) Other RESIDENTIAL FEES $60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) $100.00 Residential New (includes $5.00 State Surcharge) = $ TOTAL FEE COMMERCIAL FEES Contract Value $ X.01 $55.00 Permit Fee Minimum $70.00 Underground tank installation/removal = $ Permit Fee *If contract value is LESS than $10,010, Surcharge = $5.00 = $ Surcharge* **If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005 ***If the project valuation is over $1 million, please call for Surcharge = $ TOTAL FEE 1 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. x x s® 2!5 244a E- Applicant's Printed Name A licant's Signature FOR OFFICE USE Required Inspections: Reviewed By: Date: Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening PERMIT City of Eagan Permit Type: Plumbing Permit Number: EA135444 Date Issued: 03/15/2016 of ER 1n Permit Category: ePermit Site Address: 1841 Merlot Curve Lot: 601 Block: 07 Addition: Centex Vermilion PID: 10-16935-07-601 Use: Description: Sub Type: Residential Work Type: Replace Description: Water Softener 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes(Minnesota State Building Code). Fee Summary: PL-Permit Fee(WS&/or WH) $59.00 0801.4087 Surcharge-Fixed $1.00 9001.2195 Total: $60.00 Contractor: - Applicant - Owner: Dakota Water Treatment Barbara D Raddatz 17484 Goodland Path 1841 Merlot Curve Lakeville MN 55044 Eagan MN 55122 (952)953-4643 1 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. Applicant/Permitee:Signature Issued By:Signature Use BLUE or BLACK Ink For Office Use Permit#: /� jd/ City of Eaall Permit Fee: /61 .a)// 3830 Pilot Knob Road Eagan MN 55122 APR 1 2017 Date Received: -')4 Phone:(651)675-5675 Fax:(651)675-5694 Staff: V J [J / 2017 RESIDENTIAL BUILDING PERMIT APPLICATION Date: "l/ S/ [-/ Site Address: 1%L\LI t113/ IVS-1 1%`-ti C-vA t Unit#: Name: Phone: Resident! Owner Address/City/Zip: Applicant is: Owner Contractor Type of Work Description of work: J?c' TZ-coo C Construction Cost: Multi-Family Building:(Yes DC /No ) Company: ? OvvS \,(7✓15}1fvh/..6-- c Contact: vr ,)ACwt3c- Contractor Address: )( O1.() -�r<r TLS City: CQv,k- G{1—y State:OW\ Zip: Sc b11 Phone:(,tZ-14`1- ri g�t 1 Email: J 05111"‘S--e- PG�`:v./ 5)• License#: ' C(.03cY11' Lead Certificate#: If the project is exempt from lead certification, please explain why: 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: Fire Suppression 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.orq 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 m • - - within 180 days of permit issuance. X )h,n �•tv11- . Applicants Prints Name Applicants Signature Page 1 of 3