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3902 Mersey PtCtTY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: f I i'JI Yd i t:'i I q r. PERMlT SUBTYPE: ?. ?r INSPECTION REC4RD PERMIT TYPE: Permit Number: Date Issued: APPLICANT: i.. : :ii= I iW ( ti 1 .-'. ) 'a 4 1 - b.' :' tt TYPE OF UVORK: ? ----- --?.?? ?----------___._?-?-? Permit No. Permk Holder Date Telephone # SM/ PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Commerrts Footings I Foundatbn Framing Roofing Rough Plbg. Rough Htg. Isul. Freplace Final Hig. Orsat Test Fnal Plbg. Plhg. InspeCtor - Notity Plumkiet Const. Meter Engr./Plan Bidg. Final Deck Ftg. ? $ y Deck Final weu 7b CwG?' G 95' ? Pr. Disp. 'I.ITY OF EAGAN ? 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 SITE ADDRESS: PERMIT SUBTYPE: ,,, INSPECTION RECORD PERAAIT TYPE: Permit Number: Date Issued: APPLICANT: ?? ( b 1:' T 1? r 1 N.S ?+1 RI TYPE OF WORK: t;iif i 1) 1.Nil 0:' »; 0 4; i1 d J ? i ! t! "i INSPECTION , ?. . .. . , . .• t rii?! 1 i•a i E; 1 14AF?.Y,S r± S iv W t'i_Nfr VAt i t Y 1'l! Fitl Permlt No. Permft Holder Date Telephone A S14Y PLUMBING HVAC 10? S?o?' "???v(P ELECTRIC • ELECTRIC 8 , $ SL °° Inspeetlon Dsts Insp. Canments Footings I Foundation C G hFtwW' Framing ? W Rooe??g Rough Plbs- Rough Htg. // 7 'f?' !L!!/ l8ul. C 1 3 Frceplace Final Fttg. -5 o?set rest ? ? 7 3 Fnal Pbg. ?-L}3 J / Plbg. Idspecfor - Notily Plumber const. Meter 7-/-?I3 EngrJPlan eft. Fnal 3 Dedc Ftg. Deck Fnel Well Pr. Dlsp. o ? ?l? /9 3 P"N CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: i.u'vri r? I kti• f., n,.'. 4 1 N PERMIT SUBTYPE: ,. , TYPE OF WORK: F ? . L .?F . ... ... . ?. ? ::?..? INSPECTION RECORD PERMIT TYPE: ' "' ? L ? Permit Number: ? Date Issued: ° ? ? ? • t - APPLICANT: or. 'rr,k )rI t rIW ( r,n, ) Parmk No. PermR Holde? Dsh TaNphone N ELECTRIC PLUMBING HVAC Inspeedon Dote knsp. Commerrta FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AfR TEST ROUGH HEATING GAS SVC TEST /?j ? ? I ? c -¢- .-? ? 'I ?' ?i G INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL R egeL -5 BSMT R.I. BSMT FINAL DECK FTG DECK FlNAL 11 Wertificate nf cccupanc4 mtv ot cFagan Zq-lt tment of 13nfibing 3860ectim This Certrfrcate issued pursuant to the requirements o,f the Uniform BuildiRg Code cenifying that at the time of issuance this structure was in compliance with the various ondinances of the Ciry regulating building construction or use. For the following: SF DWG 20706 Use Classificatian: Bldg. Pertail No. Oocupancy Type Zonin District COps? ' !{!3? kXUJIZY Owner of Building Addre% s s Burtding Address ` [.acalitY- ,-' ?.. Buildin Official POST IN A CQNSPICUOUS PLACE Reques1 Dat ve NG. Ro in Inspection 4 Q qeq r ? Reatly Now ?Will Notity Inspecior M1h R tl 7 ? - it, - k :Yes ? No en ee y I'.? licensed contrector Downer here6y request inspection of above electrical work at: Jo0 Ptltlress (S1reeL Bax or Rw[e Na.) City 3C? o a ; ? . o a Section No. Township Name or No. R.N. No. nty Gou ? \ Oca am WRINTI Phone No. Power SupPlier Adtlress Elxlricai Gom:actor ICompany Name) ConV9ctor5 Licanse No. '?\ C.i Y? G C U 0 Maling Aatlress IConvacbr or Owner Making Installalionl ? Authorixe Ign e IConvac!orrO.vner aking Installation) ?i Phone Number ? 1 MINNESOTA $TATE BOAqO OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Grigga-MlEway Bitlg. - Foom S173 BE ACCEPTED BY THE STATE BOAFO 1821 University Ave.. 51. Peul, MN 55100 UNLESS PROPEF INSPECTION FEE IS Phone (812) 642-0800 ENCLOSED. d 10249 REQUEST FOR ELECTRICAL INSPECTION ? See Instmctions lor compieting this brm an beck ol yeibw copy J("BelowMark Covered by This Request ?x1 °"°?ta.q es.9 ooao, ???J ?"03 7 e lfad Rep. - Typeaf8uilding AppliancesWired EquipmaniWired me Range Temporary Service plez Z Water Heater Electric Heating Apt Building Dryer Other-(Specify) Comm./Intlustrial Furnace Farm Air Conditioner Olher (spai ConVapor's Remarks: Compute Inspection Fee Be/ow: # Other Fee # ServiceEniranceSize Fee # Circuits/Feetlers Fee Swimming Pool 0 to 200 Amps o to 100 Amps Transformers Above 200 _ Amps A e 100 _ Amps SignS Inspeaw's Use Only: ? TOTAL ,C tj Irrigation BoomS ?iJ• ? i5 '-? Speciallnspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rod,,n-rn Date certity that Ihe above inspection ha5 been made. F;n,i . oa?e ?(•?1 `?j OFFICE USE JNLY This request voitl 18 months Irom a 7 s?7 Requ 1 Dat n -• Fire No. F h in InSpecti0n - OAeBdyNOw/WiIINO9lylnspecf?y? ?-3 ;L Vas ? Na When ? 1 licensed contractor ? owner hereby request inspection of above electricaf oNc aC ? ?-a JaE Atltlress ( StreeL Box or Rou\e No.) , City A 37 V? ? Seaion No. Townsnip Name or No. Range No. Co ? Occupan PRINT) PhonB No. Power $upplier ^ ', ? ?-//l . Ek g?. Atltlress Eiecidcal Co ac?or ?COmpany a e, Contractor's License No. oa 3,?j Meiling A tlreas ICOnvacer or O er Meking Installalion) AVthori e0 Sg dlurp ICOnlyd or/Own2 IaIIdUO. PM1Onp umbBf MINNESOTA STATE BOAqO OP ELECTRICITY TMIS INSPECTION REOUEST WILL NOT Grlgga-Mltlway BIUg. - floom &173 8E ACCEPTED BV THE STATE BOARO 1821 Onlverally Ave., St. Peul. MN 55106 UNLES$ PROPEH INSPECTION FEE IS Phona(61Y)6C]-0800 ENCLOSED. d ? 7: 3 REQUEST FOR ELECTRICAL INSPECTION ? See instmclions for compieting this lorm on back ol Yellow copy. "X" Below Work Covered by This Request ? EB-00001? s3918 ew Aotl Rep. TypeLiBuilding AppliancesWired EquipmeniWired Home Range 17 Temporary Service Duplax Water Heater Eledric Heating ApL Building Dryer Other-(Specify) Comm./Industrial Fumace Farm Air Conditionar Olher(syeciy) Conlrector's Remarks: Compufe Inspection Fee 8elow: # Other Fee n ServiceEntrence5ize Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps j Transtormers Above200_Amps Above100_Amps Signs Imspecors use only: TOTAL ? ' hrigation Booms ? Special Inspection L- AiarmiCommunication 7 THIS INSTALLATION M E 0 RED DISCONNECTEO IF NOT Other Fee COMPLETED WITHI ONT ? I, the Electrical Inspector, hereby certify that the above inspection has been made. Rouqn-m yfr.t,.; , F;nai oeie5.-.l?-?C Date7 OFFICE USE ONLY -• This request void 18 monM5lrom Address 3902 rE= Pozxr Zip 5512 3 Lat '-7 Blk 3 Sub !DV= PASS 41H THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: Yes No Inspector. Final g de (6' from siding) Permanent steps (garage) Permanent steps (main entry) ? Permanent driveway Permanent gas Sod/Seeded grass - V TraiUcurb damage Porch ? Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof•way or installing underground sprinkler syscem. ? Whitc - City Copy Yellow - Resident Copy Pink - Contractor Copy ? CITY OF EAGAN PERMIT 3830 Pilot Knob Road PERMITTYPE: auiLozreG Eagan, Minnesota 55122-1897 Permft Number: 026941 (612) 681-4675 Date Issued: 01 / 6 S/ 9 6 SITE ADDRESS: 3902 MERSEY PT LOT: 7 BLOCK: 3 GQVENTRY PASS 4TH DESCRIPTION: ( G A S ) @'Ui1di4, Permit Type FIREPLACE ;6uild?.?tg Wq,?k Type NEW CqpnstA t Ca?d 434 ALT. RESIDEN7IAL S rs at ? kr3.aW yt-sto ,? IAk=v6,+„^ Y .?¢ p p ts?r ?: -ai ?W ? `"t ""'-,.] .?`4" ?k,r?' `°ti:,? s ?'?t? +" c"§ REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $25.00 $25.59 CONTRACTOR: - Applicant - ST. LIC OWNER: STOVE & FIREPLACE GALLERY 18981174 200320$ NELSON TAD 1278 COUNTY ROAD 42 3902 MERSEY PT BURNSVILLE MN 85337 EAGAN MN 55122 (612) 898-1174 (612)454-3479 S herats:y ackrt§wledge that, S° have" resd -this appt3ceCitrn and s,tate'`that ?thv' ''information i's co.reect and'agree'Co cnmPlY-wi;th all'aPP1icabBe S:tate uf Mn: ? SCatutes andCxCy?p# EagarlOrdinanees.. . _. .. __ .. . .2 .? ?, lz? LT/ 4- Z! ?: - 'fiNl.,A ? ??- APPLICANT/PERMITEE SIGNATURE ISSUED BV 51 UREI INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: LOT: 3902 1/3 MERSEY PT COVENTRY PASS 4TH PERMIT SUBTYPE: FIREPLACE BUILDING 026941 91/08/96 APPLICANT: 7 BLOCK: 3 STOVE & FIREPLACE GALLERY (612) 898-1174 TYPE OF WORK: NEW OESCRIPTION (GAS) 1.J ? IL441 CITY OF EAGAN 3830 PILOT KNOB RD - 55122 1996 FIREPLACE PERMIT APPLICATION 681-4675 DATE: DESCRIPTION OF WORK: INSTALL hiJp( FIREPLACE: _ WOOD BURNING ??AS _ INSTALL GAS LOG ONLY IN EXISTING FIREPLACE AREA TO BE INSTALLEC STREET ADDRESS: LOT I _ INSTALL GAS LINE ONLY IN EXISTING FIREPLACE BLOCK 5 APPLICANT: (circle one only) SUBD./P.I.D. ?- OWNER _ CONTRACTOR 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. PROPERTY OWNER FIREPLACE INSTALLER Name: 771j, Phone #: 1L5-/- 3-5/ 7 S WT fPCT Signature: Street Ciry: Company: Signature: ise i r ? State: Zip: S3 l2? _i.Phone #: Street Address: <?7 <F &Z License #: 206 3?° 2'6 Ciry: Buvti,-6 v ; ht_ State: t?t q - Zip: -s-s?? GAS LINE Company: INSTALLER Name: Signature: Phone Street Address, City: State: Zip: OTHER: r OFFICE USE ONLY BUILDING PERMIT TYPE 0 14 Fireplace WORK TYPE ? 31 New 0 32 Addition 0 33 Alterations 0 34 Repair GENERAL INFORMATION Census Code. SAC Code REMARKS: Chimney/flue must be inspected before concealing. FEES Permit Fee Surcharge Other Copies Total: +CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE Permit Number: Date Issued: `?'? ,,lr S7 r BuIUozNG 023171 as/s1/en SITE ADDRESS: P.I.N.: 10-18403-070-03 3902 MERSEY PT LOT: 7 BLOCKe 3 COVENTRY PA55 4-1k, DESCRIPTION: 134ildin47.Permit Type DECK BuildYng Wa.rk Type NEW ?L 1?? ?? ? (n CQ14Cq REMARKS: FEE SUMMARY: Base Fee $30.00 Surcharge .50 Total Fee $30.50 CONTRACTOR: OWNER: - Applicent - IEL50N TAD ;902 MERSEY PT :AGAN MN 55129 612)941-6228 I . ? I hereby acknowledge Chat I have rgad this apA1iCat.ion and stdte that Che : inFormation• is aprrect and agree ta complY with aLl appXicable State of Kn. SCatutes and City ot' Eagdrr Qrdinances. fi(tr14 APPLICANT/PERMIT SIGNATURE ?SUEDB : 1 ?NA7 R INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: e uILo z tv G 3830 Pilot Knob Road Permit Num6er: 023171 Eagan, Minnesota 55123 Date Issued: 6 3/ 31 / 9 4 (612) 681-4675 SITE ADDRESS: LoT : 7 B L0 C K: 3 p`PPLICANT: 3902 MER5EY PT NELSON TAD COVENTRY PAS$ (612) 941--622$ PERMIT SUBTYPE: TYPE OF WORK: DECK NEW . .. . ,. FOOTINGS FINAL . ,. • u?l ? ?.u . . ? n I . ? ? CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-46?5 (Irl .Q?yl j - - ---? 2 2 t ----------- _. ?.? SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, i set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Yal uation of work f/aoD, ?G Site Address:_ 3?Oz /rlersey ,/rii? 5'S12 3 STREET SUITE k Tenant Name: (commercial only) LOT '7 BLOCK ? SUBD fl ? P ? P.I.D. # - 5s v?, , 7 0--03 a- n3- Descri tion o£ work: _nv The applicant is: Owner ? Contractor ? OtIl01' (Deseribe) Name d?elsv,', T o/ Phone ?15°%3N79 Property LAST FIRST LA/, qy 1- (? z2 8 Owner qddress 390 Z /77,eFS?v STREET STE # l City ?aao.r. State Mfv Zip 15,51Z3 Company Phone Contractor Address License # Exp. City State Zio _ Company Phone Architect/ Engineer Name Registration !i Address ' City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. T 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. l Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 5F Dwg. ? 03 5F Addition ? 04 SF Porch ? 05 SF Misc. WORK TYPE 9 31 New ? 32 Addition ? Ob Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair ? 11 Apt./Lodging ? 12 Multi. Misc. ? 13 Garage/Accessory ? 14 Fireplace 53 15 Deck ? 35 Tenant Finish O 36 Move ? 16 Basement Finish 0 17 Swim Pool ? 18 Comm./Ind. ? 19 Comm./Ind. Misc. ? 20 Public Facility ? 21 Miscellaneous ? 37 Demolish GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Oepth APPROVALS Planning Engineering REQUIRED INSPECTIONS D.Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code 413y SAC Code o/ Census Bldg / Census Unit o Assessments 0 Framnng ? Draintile 11 ? Insulation ? Fireplace Permit Fee Surcharge Plar Revidw License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Tatal: Yalmtim: 5AC 96 5AC Units 4 ' O» NN / 1 / N r'Ja0 9$?°'? '' -• `' S / 1o C J ?`? ? 0 4.,?f' \ ,,, ? 5 ?> ?• ? .v \ 7 \ \ \ '' \ i ! . \ 878.9 \ ggt•? x ??83• ? ??S ag.b?f 802.8 s 03'34'35' E ?CP ? COURSE 8A5EMEN7 •? , 12 Cp) icl PROPOSED M ? 0 3? a. a r z a° J e_ 00 HOUSE Ory '? ? BBZ•8 N `r"I I NAMPTON ? GARAGE 27.33 ,B,?z.9 / CQ• ?kj ?? Xn5,1?5a? ? „ :}?t 15,96 2267 ? ? J4 Z.B CONC. STOOP' 884. 902.97 5\ . / ? ?. oRivEwaY vs" 4 VaN' ?J ?•? l '??? ? ? ? ?L'iynti°-0y.?5?SDytl`• , ?ERVICE o „ cl y? ? j?l 882.0 .37 ' n ?.? .44 ? p = 55 17 aBi. ?o R = 60.00 MERSEY P01NT \ ` CITY OF E A G A N - 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number. Date Issued: to C , . - , . SITE ADDRESS: C 0 %,': p, - ,i i DESCRIPTION: ' i. ? . .' S I!q 1"14, 1 ' ? . ' U1lr; nc..;:`. C,Sf f t i' il!} 1 J:.?'1 ? NUf?V(.fit{ M1h3.<I?".El ? ? - ? 'i GS 1 i j ? A i + y v , ? .J u REMARKS: CONTRACTOR: OWNER: , . .. .? ., ? . u i I:.>=bf _ r{<e " i, ?E,r. 4 t"&1PERM14TEES1eGWURE ISSUE B: SIGNATUFE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , APPLICANT: . , ,. .. ,? PERMIT SUBTYPE: 1- TYPE OF WORK: ? REACTIYATE _ PrRMI'r 't,?o 910? CITY OiF EAGAN 1993 BUILDING PERMIT 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surve -zeopy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. ate q n 93 Valuation of work ??`?2'OOc? F te Address: ?02 'v(ejng(L-t foeK?- STREE7 SU1TE f Tenant Name: (commercial only) -f?°-P.Wum cz LvtC. IAT 7_ BIACR ? SIIBD. 14' P.I.D. 0 CkV GSS Descri tion of work: S?'n (t The applicant is: N?Sowner \R5-xantractor ? Other (Descri6e> Name7f??120 Anc«o•_TvlC . Phone -c?'_I1'°3°Y Property LAST FIRST Owner address 52-c>1 ?? giver ?cl 30 ? STREET STE Y City-? j t f`/ State 1M?1 Zip / Company Phone Contractor Address License # f 33,5'- Exp3 31? City State Zip Company 4= Phone Architect/ Englneer Name Registration # Address. City State Zip Sewer 8 water licensed plumber ± . Processing time for sewer & water permits is two days once ar a as been roved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applica6le State of Minnesota Statutes and City of Eagan Ordinances. ? Signature of Applicant: APP ? ? ?3!'-?? I5 v??2 ppA i-+r1993 YAJ4-16 OFFICE USE ONLY BUILDING PERMIT TYPE 13 01 Foundation 002 SF Dwg. El 03 SF Addition D 04 SF Porch O 05 SF Misc. WORK TYPE IR 31 New 0 32 Addition ? 06 Duplex ? 07 4-Plex ? 08 8-Plex ? 09 12-Plex ? 10 Multi. Add'1 ? 33 Alterations ? 34 Repair GENERAL INFORMATION ? 11 Apt./Lodging "' ':4,;i0 46 Basem$rit Finish ? 12 Multi. Misc. ? 17 Swim Pool ? 13 6arage/Accessory ? 18 Coimn./Ind. ? 14 Fireplace ? 19 Comm./Ind. Misc. 0 15 Deck ? 20 Public facility 0 21 Miscellaneous ? 35 Tenant Finish 0 37 Demolish O 36 Move Const. (Actual) Y-N Basement sq. ft. MWCC System ye5 (Allowable) V-N lst F1. sq. ft. City Water y-CS UBC Occupancy g?3 M-1 2nd F1. sq. ft. PR4 Required Zoning _q-? 5q. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length SD, On-site well Census Code /ol Depth ,3 µ, On-site sewage SAC Code v/ APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS O Site 11 Wallboard ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City 5AC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % O? 5AC Units ? v.tuat;m: s I 3 K A??°. CIARAraE; Zz k 20 x44o x16 ='7d4a ? S5»47; z s k 28 = 78y ?kly. 2(s-v /064 XiS`= !S°IGa (S'f F?Loori5 2>5-,,,-r ?: 1064x S""! ? Z r A FL---,oa.., ? 5?t !=.)06q tc S'-/ .'- Sr) yS L S ?? LOT iQRVLY CaLCxLIlT tOR 3LI/ZDLIiTI71L ? SCILDIIIO nRU2T JklPLiCATiON ZROFLRTY LLG1L= q p J ? k ? nate et eurvoy: ??449-3 D9C4}PATT fT ena @?'? 0 G • • R*qistered Lana 8usveyor siq8atuse and oompaay 8ui'ldin Pe it " g rm 1lpplicaat Q dssezi Lioa H E p 7lddresa ? Itortri anow and bar acais D D • tiouse type (ramblar, valkout, spiit w/o, split *ntry, O?iC ' 0 • lookout, ato.) ' Directional drainaqe arrovs vitA s2ope/qradient •. ?LI & ? '? G 0 • • Propoced/axistinq sever and rater aezviees ? Li/ D 0 • street name Drivtvay zzrvxrsoxe D U"O"D ? • lY3st;ac Sever service E' Q V-? 0 D D • • Lot corners Top of euzb at the driveway ? 0 • Elevations ot any axistinq •Cjacent bomes ? D 0 • 9rocosed Garage floor D • Fissi fioor .6' D 0 • Lovest exposed elevation (walkout/wiadow) ? G D • Pzoperty cotners VD 0 • Front and rear oi home at the iour,datioa a ? ? • ROUSNG ARLaB fi! aanl3eiT.1 Easement line N`''z, ' D 8' D . xxL pond 1' desiqnaiion D 0 0 . Izerqency Oveztlov Zlevation 8?D 0 • p,sr!zNS ioxs • Lot ltaes ?_?D D • Riqht-oi-vay and stroet vidth (to back ei auzb) ? ? 0 • proposed bome dimer,sions includinq any propoatQ Qgcks, overhanqs qrenter thnn 2', pozchos, ete. (i.e. all struetures zoquiring ptrmanent lootinqe) Shov all •asemente oi record and any City utilitias within those •asements Seibacks of propesed strueture and setbaek ot adjaeerst n? •xisLing home • D • Retainir, • aments, it aay - Rlv itved: .,?a . ...._ : 7-HE 1-11}Mp'j'oN r-?ler,;oa Frivr•.t,rnPF nvi•:i;nr,r: ^u" r.utirrn,rr,•rinfj o•,.;?ER S=TE ADD?E55 T SL-ocK 3 Gou?,?? PR£5 `iRIl;rni7 --? cctiTR,+,csa:, R DTiLVN; D GD , DATE PHMNE Determin vorkini; squnre footni:c ot ench. 1. iotal ey,pcsed va11 area sR• ft. x 0.11 _ 2?f?{,?2 2. Total reof/ceiling area .. ?_ D ?P "f" sq, ft. x e,026 . . iotel esposed vail area nbove flonr = 2 6 7 S •? a. Total vall vindow area ,, ,,, .. 2, 17, 7 b. Totel door area . ........ ...... .... ..... ? . C. Total sliding glnss door area :..... ? .... : ---= ....... d. To'lal fireplece va11 area . . ........... ............ , .-? e• f. otal Total va11 framing area ( t . average lOP) ........ .... ... Z ? ne ve11 area nbove floor ....... ............. zz a g• Total rim joist area .... ............. . ........ Total exposed frn:ndat ion arca h. Total foundet_on vindou• a :ca .....•.. .. =. io',al net foundation area above gr.ade ... ? ............. Detzrnine "U" valee of each vall ;ec;ment. 8. 2l7, 7 ??.ull O, 4-2 b. 3?,?? c . 39.91 X 'lu„ a. X -? -'lUll I I 3. SCo e. . x f. ( 9Zz,n? X 9. 2 43, Z X„u° q q ? , h. X ..u„ i. / Z!. Cp x?lUll _ 0, I r{' - I7-O Z s . ....................:............. I rot,nl r. If iter N3 is the same as, or le:,^ t.h:,n ile:•m !(l, you nave met the intent or sac 6oo6(c)2.. f , Totnl ezposed roof/ceiling nren = I? ? r ? . .. . . Total gross roof/ceilinp arcri = -" ?. Total skyliCht area .......................... k. Total roof/ceiling framing srea ............... ?- 1. To:al net insuletecl roof/ceiling area ........ Determine "U" value for e1ch ruof/cci l int; scgtucnt. , ?-- X n U n ?.? _ . • k: X"„" d. n z-7 _ Z;g7 7' I. x??u" Q.? 2 Z = Z l,n ? . 4 . ...............................:. Tacai - Z 3 .`P' •e? If to*_al of H4 is the same as, or less than N2, you have met ttLe intent of s$c 6oo6(c)1. To utilize the total envelope system method, the values establiahed by the suia of items ll3 and N4 shall not be sreater. thKn the suro of iten:s Rl and X2. l. + 2. - ?+ 6. e, U O MAP 2 93 TUE 9- 00 F L A RE HTG A ? C B? ? DI:_'iiiTLCD hrPS'FR1' F'Clh EN1'IRE HL)UNL F'r°e}+=zre:cl Fsar: Preparecl E3ye M.W. !]lIF?f Y'.^ FIare Heeit5,riy . Pin ,lub Name: Ha.tnptari 'Fi' L X I'a Ur3URE: il.,rl-MS l4qf2.1'f^i SCli.t"(H 5:H:31- WESf 7VEfY+iW f3E;1£>W HnRr, _ . __ TQ?rAL .......?.',___.__._s,_ .. ._3441 .__.._...,._nj i;; 2'7( y°--`1.t7q.' i 7:Syt 11J'il? 1 4, 42Q t 6n57t}i Slj 0i ?.}i L?pJ.jJi tat:n°r•Irac; ; 2,1:-01 a,.tos t 4,a.'m; ;•,v62 : ,:,; 1y; _ _ c;; 15,309o _.._-••_.__.___. _._.__.. __---- _.._-.---.-.---.---.-.--- ._ ??__.._--•--__..__.._.__...._....._ E?E1.1.7kJ Wcai..i.. =i NUkI li SCtE!'t'H EAST WI':^,T NEtMW aE:lSW GFiFlDE ._ . ._ _..------•-- - iL3'CAL -' _-_"---- -._.7?4_ (a3?tk::rry __..?_ ---' 1 _. _ ._ ___....__..._..._._,...__. _..__ .- ___--.__- _ --°- 7371 1 pUl 96:3; 0 , t'il r Of 3,410 E;iIC7i_TIVC- > `R,`il 6041 8201 739I Of UI C1 2.750i HEf•1111VCi i "..?.yE3':li 2,-7221 3?9691 .i.c718i 1.)' ql 6,79L?i 20?3--57f -------------- --,_.__._._._.___.......__...__...___. _...._ ..._._....?.,.__..•--._.,_...... _.. I}E)QftE IoOW7T'H ...__,.__,_____._.._.,__. ?- Bf]L3"fFi Eflal` 6lES'P Pil:::/i+IW sf:/SW 7OTFdL ar•zE::a ; IQ? a; 20t c+; o; F) + r we; r.;vti t 198s 0; 2191 <>? o; a; , 417: HEAT71VCi I s)SGI .-- 01 1, 061; ! U! UI t}! __ ? 2,018! F1_.f3IJFi ------------. ARF:A CC70L'lNCa Hk:'AT'INi' ,_.._.,__,__,.___ .. _ . ___--------_-•_______.._ . . ..._._..._..----- ._.__....__._._..___-__.._ .:1i3C] i 0 i 2} 6e1 .?`.-?......,.._...-..?.....?....?.??'?'?.?.? LE::ILIiJC7 .......??.?..?._'"__??..?__"????.??.f??......?.?.?...?? ? AREA CGUl_IN3C.7 MEcA1"TNG _,__.._._....... . .._---._._. ....._.__,....__.__....... __.__ ....__._.__..._ _..__....--° .:12J6 i 920 i 2 t 124} ---------------- 1"I6L"i:I.L.ANf':C7t.!:i C13t1',.Th1l': LClfaCY:: .... - ? 11?..voC' ?....C,?C .?..?.?.?...??.... ??ml??.??.?............. ple ua?r1u.r.Ulr? 1_;?a?.1 1} a 7.i ..?-•--'tunV, l.c;ac+ 6,9 9t.;r t.ig°rt!;; B< l1FiFa1. ! c,zac l i,1S'S Latent ;ai+ety Bt:uii ZSC) Ver't-ilaiiun L.L+aG 1}6*0 l:uc:C F•{ewit 17ain 6 Sri4il'kr7ticr, Laacl 429 pensiGle SafetY Stuh 1,166 101"d•1L 51::i49I?LE, E..UAll ;,64a4f3.5 TC1THl_ LAl"k"N7 LESAI? 7,34o Sumrnear• ACI-! 006 TemK,. Swiny Mult. ].GC? *'k?Y l't,?t.??l Ce Jrsli!ir La?d :.51,6)"c7 Lil'liH L1r ^.b::i `rc+risa ?k?k1k MISCEL_1..FlNLU4.IS HEFaTI'IdCi I_.ORTfS ` ].rzfi.l.tratinn L.oacl 1,1°;4 ...?_.._.____._...Venf.ilatian tnad 9.964 I:!iact 4iea4 Lose, 0 Safety Dtufi 2,876 Wi.nter f-lilk C.1..; **I 'Yutal hea•ting l.o.ic7 64.'.97 D"IU!i {?W* ?. . SlS''I!`'!F1Ff`! Rf:'-F'EA'I` S-'re{::e1r'F>d Fraa^: Frepaw'ed I?y: M.W. Liu?r'Pt-? F'lar•e:r Heating , Mn Joh PJarne: flrzmF,fciii ns-i2--g: 3.1 no;I[71'J t:f'lN::'t"i'If.;Na 4t7F° au t DuOr; 'c'i.JMI'"F=.lt WIi•I'FEF'r Dr y Bulh S'r,r ._2p We.,t. LtuSt; '7:i ]'. NU G11]f'; ?;IJMPIEE't W'IMl"ER IS 7F:) 6'7 LY.i.2a.y t"iL'1Y1Cj.e "rA) Lft't9.tCICIF-.? 4L4 t)aily M!.ny 1.17 E,7.Pvrati.ori 8:'.2 Uaf"ety Ftic•tr3r• 1"!.? SO L`titznt Fat:'c.r..i. {°J.) 34 SensiDle K'i:sCm tit?Eit.inc7 HF•z?tCing C017].lr7g CDO1int3 Ai.,me, B1""LIH C;Fi'f ? HT'LiFf CF'(vI .., FsaaeITient Y:L;' c,('r:: -__39.) 3a2uls 65 l:raw:t Spa:ar_e ',474 4?i 186 S' F'(:f`:EC' , Vfl7 :.'irj 1,294 65 i_iv.+'..nra Hoarn 0,001 . 49 2,645 I;Sb vir.; ng Pooln i, asr i 2 ?e :i .» 2e %, F'.i.tc.:hEri 1.1,592 16:'..: 3,S:3f, 196 V,i.nE%'tY_s-? 2,1c32 13 1e92:i 97 F'arc;£.Iy F'taosn 5,2S-- 77- ' 3,93£:3 199 Bodrpc.rn 3 2 ,A65 ;S4 1,23E3 63 E?odi-cum 2 ?,S;'t; rti 1 ,F3A'7 93 FW; oc,rn 3 2.20eS :rl 1,174 :;'J Uupkrr F?«;;th ].,0Et1 t5 627 32 f•I.;.s•P'.[:r HatPi 1:31C'i Srr3 900 4°+ MeStar pedr•ranm 5.043 71 2,45E3 124 8 Cl•:i.. 24 4Q3 S> 2?6 y rtEA7-iNG vE:c...1•F•a 1 65.Q CaaLzNG DE:LTfi 'T 18.0 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMFS AND CONDOS WHEN PERMTTS ARE REQUIItED FOR EACH UNTT. K NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE DATE FEES HVAC: 0-100 M BTU $ 24.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS (MINIMUM 1 @ $3.00 EACH) ADD-0N/REMODEL (ExtsTING CoNSTRUCI'ION) $ 15.00 STATE SURCHARGE .50 TOTAL SITE ADDRESS: <-lz?a OWNER NAME:`?'_s.?? TELEPHONE #: '(, . %?"' L-- ADDRESS: ? STATE: ?\ ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE 1993 MECHANICAL PERMIT (RESIDENTIAL) C1TY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681.4675 y PLEASE COMPLETE FOR ALL COMMERCL4L/lNDUSTRIAL BUILDINGS. ALSO COMPLETE FOR APARTMENT BUILDINGS OR OTI-ER MULT1-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: NEW BUILDING INTERIOR IMPROVEMENT CONTRACT PRICE: $ WORK DESCRIPTION: FEES 1% OF ?"LUNTRACT FEE $ PROCES3ED PIPING: MINIMUM FEE: STATE SURCHARGE TOTAL STTE ADDRESS: $25.00 $25.00 $.50 FOR EACH $1,000 OF MKWT FEE. $ OWNER NAME: TELEPF-IONE #: TENANT NAME: (IMPROVEMENTS ONL1) IINSTALLER: ADDRESS: , CTl'1': STATE: ZIP CODE: TELEPHONE #: SIGNATURE OF PERMITTEE CITY INSPECTOR 1993 MECHANICAL PERMIT (COMMERCIAL) CTIY OF EAGAN „ 3830 PIIAT KNOB RD FAGAN MN 55122" (612) 6814675 CITY USE ONLY ^L ? BL RECEIPT #: SUBD. ? o vic. bl;y\ n S Sq+4? RECEIPT DATE: PERMIT# 1999 PLUM$uNH PERMTf QRESIDERTIAL) CITY 6F EAfiRN 3$30 PILOT KNOB $D EA6AN, MN 55122 (651)681-4875 Please compiete for: D single tamily dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH -A # TOTAL Bath tub --- $ 3.00 x = $ Floor drain I 3.00 x = $ Gas i in outlet * minimum - 1 I 3.00 x = $ Hot tub/s a 3.00 x = $ Kitchen sink ' 3.00 x = $ Laund tra ' 3.00 x = $ Lavator 3.00 x = $ Minimum fee alteratitins 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/repair ? 30.00 x = $ Rou h o enin ? 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under constructibn 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet j 3.00 x = $ Water heater I 3.00 x = $ Water softener if dwelling under construction 5.00 X = $ Water softener if existin dwellin ! 30.00 x = $ Water turnaround 30.0 D x ---- _ $ State Surchar e 50 --> ----> ----> $ 50 TOtal --> --> ----> ....> $ , Reminder: Cali for inspections of alterations, i:e. water heaters, water softeners, etc. ------------------------------------ ------------------.....-------------- ----- 1 hereby acknowiedge that I have read this epplicati on, sfate that the intormation is correct, znd agree to comply with all appliwble Ciry of Eagan ordinances. It is the applicanPs responsibility to notify the property owner that the City of Eagan assumes no Iiab(lity for any damages caused by the City during 'rts normal operational and maintenance activities to the facilities constructed under this pertnit within City property/right-0f-way/easement. SITE ADDRESS: OWNER NAME: : fNSTALLER NAME: STREETADDRESS: 'J)-xp- `g_A6?A_ cirv: _ ?R?,? STATE: ZIP: 654 2 ? L ,) SIGNATUR OF PERMITTEE TELEPHONE #: ?S 1 , '731P - ?l z-2- (AREA CODE) TELEPHONE#: IL- $(p(o-(pQCjL (AREA CODE) RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN \ r 1 3830 PILOT KNOB RD, EAGAN MN 55122 c) `? ? v ? 651-681-4675 NewConskuetion RenuiremenHs • 3 registered site surveys showing sq. N. of lot, sq. @. of house; and all roofed areas (20 % macirnum bt coverage allawed) . 2 copies of plan showing heam 8 wirMow s¢es; poured fourid design, elc.) . i set W Eneryy CaICUW6ons • 3 co0ies W Tree Preservation Plan "rf lot platted after 711/93 • Rim Joist Oetail Options selectian sheet (61dgs with 3 or less units) DATE I L -UVN€ 0-L- RemodallReoairRequirements • 2 copies af pfan . 1 se[ of Emrgy CalalaUons for heate0 addBions . 1 site survey for exterior additions & decks . Indicate if Iwme served by septic system for addilions VALUATION SITE ADDRESS ;_/ `0Z ?6129EV P? MULTI-fAMILY BIDG _ Y y,rr TYPE OF WORK FwiS??? c? &w- Mw 7 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT Pa-k L_ -A PA L I STREET ADDRESS 3 Q d Z- MHRS61" P TELEPHONE #6s / 40 S Io34 CELL PHONE # P-A G/}N STATE MN ZIA 5SI2- FAX # PROPERTY OWNER I-? 'O4'(L-6\ tl-A LL- I TELEPHONE # bs ) LF oS / o3/j ------------------------------------------------------ '-------------- ---------"'.'------------ COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESO"CA Rt?LES 7670 CATEGORY l MINNI:SO'C:\ RiJLES 7fi7S (Jsubmission type) • Residential Ventilation Category l Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: __ Plumbing system includes: Mechanical Conhactor. Mechanical system includes: Sewer/Water Contractor. Air Conditioning Heal Recovery System Fee: $90.00 Phone # I'ce: $,70 Phone # F ------------°-----------------------° °------------------------° °--------------------- I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Ordinances. n Signafure of Appl(cant N " OrP'ICF, IJSI: ONLY Water 5oftener _ Water Heater No. of Baths _ Phone # L.awn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE U5E ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool Q 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea J ? 31 Ext. Ait - Multi ? 03 Ot of _ plez ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ?19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Gi've PCA handout to applicant Valuation ?C7 Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. af Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Canst ?Z&/ Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. " Footings (deck) Final/No CIO. Footings (addition) Plumbing j; _ Foundation ? HVAC ' Drain Tile ?? Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests _ Final ? Framing _ Siding !I. Stucco _ Stone Fireplace _ R.L _AirTest _Final _ Windows(aew/replacement) ]? [nsulation _ Retaining Wall /` Approved By Building Inspector -------------------------------- ---- - --------------------; ------------- - Base Fee ? Surcharge / Plan Review MC/ES SAC 07(s City SAC Water Suppiy 8 Storage S&W Permit & Surcharge ° Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ? Tota I RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 851•681-4675 NewConsVUClbnlieaulrameMe • 3 registered stte suNeys sBOwNg sq. tt. of bt, sq. ft of house; antl all rooletl areas (20% maximum lot coverage albwed) • 2 caples of plan showing beam & window &Izes; paured fourW Oesign, etc.) • t set of Energy Cekulations • 3 copies of Tree Preservation Plan tl bt platled atter 711/93 • Rlm Joifl Detall Optbns selecdon sheet (bldgs wilh 3 or less unBS) DATE (01243i(n7 pemadeVRnnelr ReouiremeMe . 2 copies of plan . 1 set of Energy Calculatbn5 for heated add'Abns • isAesurveyforextenoraddAbns&decla . Intlicate If home served by septic system tor atlditlons VALUATION v _70? % 00 SITE ADDRESS R9 O Z P)`- MULTI-FAMILY BLDG _ Y _ N NPE OF WORKFIREPLACE(S) _ 0_ 1_ 2 -1,'5 APPLICANT (u? 011111SL STREETADDRESS G1,44 -7 F I Avio. CINSh'(/i.?STATE/U LP??_'L TELEPHONE # (ofi / -q39-(432DCELL PHONE # FAx# 66) - 35)- Zgd(- PROPERTYOWNER o.?'S1K TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RE5IDENTIAL BUILDINGS ONLY Energy Code Category _ MINNFS01'A RULES 7670 CATEGORY 1 (4 submisaion type) . ResideMial Ventilation Category 1 Worksheet Submitted • Energy Envelope Calculatlons SuEmitted Plumbing Conhacfor. __ Plumbing system includes: Mechanlcal Confractor: Mechanical system includes: Sewer/Water Conhactor: _ Water Softener _ _ Water Heater No. of Baths Air Conditioning Heat Recovery System Phone # Fee: $70.00 I hereby acknowledge That I have read this application, state that the Information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicanf ?Y???_ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ _ Phone # I.awn Sprinkler No. of R.I. Baths Phone # Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteration O 34 Replacement Valuatlon Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const ? 20 Pool O 21 Porch (3sea.) ? 22 Porch/Addn. (4sea.) ? 23 Porch(screened) ? 24 Storm Damage ? 25 Misceilaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Att - SF ? 36 Muki ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 37 Demolish (Bidg)' 13 43 Reroof ? 46 Windows/Doors •Demolition (Entire Bldg only) - Give PCA harMout to applicaM Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O: _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundarion HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ tlir Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC W ater Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? OS 06-plex O 16 Fireplace ? 09 07-plex ? 17 Garage 0 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or _ N Building Inspector PERMIT # RECEIPT DATE: 2002 RUIDENTIA1. PLUM$INfi i'ERM1T APPI1CATION CITY OF EAkfil1N 3630 Pv.oT Kuoe [tn EAHAA,INA 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: A-?gnZ mE;PUC OWNERNAME:: 4{}P,?. I} PCj C..A 40¢} LL I TELEPHONE#: 6151 736 251?( W INSTALLERNAME: O(.?7N E(22, TELEPHONE#: STREET ADDRESS: cirv: STATE: ZIP: _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: \,,"?Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water turnaround - existlng dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplacemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 7ota1 $??' I hereby acknowledge that I have read this application, stale that fhe informalion is correc[, and agree to comply with all applicable Ciryof Eagan ordinances. It is the applicanPs responsibility to notify fhe property owner that lhe City of Eagan assumes no liabiliry for any damages caused by the City during its normal operational and maintenance activities to the facillties wnsWcted under ihis permit wit?q City 1yrqp?rty/right-of-w a bment. 2 y?nZ J ? ?LQ.\ (AREA CODE) SIGNATURE OF PERMITTEE 1l02 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ,4- --? a.CYCI New Construdion Reouirements RemodeVRepair ReaviremeNs _ _...... Offite EIse13nY? 3 registered sile surveys shaxing sq. fl. of IW, sq. ft. oF house; and ?II roofed areas 2 copies of plan CertcdSuroey;Recd Y „'.t?l. (20% mmmum lot coverege allowed) 1 set of Energy Calculaliom for heated additions 7r4Pt05 PiBh. Recd _7 _N. 2 copies of plan showing 6eam & window sizes; poured fourid design, e(c. 1 site surve9 for additions 8 decks Treee Pres Requved ?.Y ' N lsetofEnergyCalculations Add'Rion - indicafeAonsitesepticsystem Dh-5tt.e:3@phc5pslep?_. _Y ?N- 3 copies of Tree Preseivation Plan i( lot platted after 111193 Rim Joist Defail Optiorrs seledion sheet (buildirgs w(ith 3 or less unils) Date AV/ 9/ Q}? SiteAddress 31Oo2 mpl?m./ Construction Cost 4X.2- Uuit/Ste # Description of Work / 2ur- c,? /'C ' Multi-Family Bldg _ Y ?N Fimplace(s) ? 0 _ 1 _ 2 Property Owner AI'th f f a!/J Telephone # (VI ) ??O ? ?835 Contractor )(-{'lrBVhe f SC.-FC?? S Address /iF / S) t, State Zip i City oC4.?, f e y Telephone # (&z ) 36 3 - lr68 COMPLETE THIS AREA ONLY IF Energy Code Category - Minmsota Rules 7670 Cateeorv 1 . Residentlal Ventilation Category 1 Worksheet (Jsubmissiontype) Submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet 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 Sewer/Water Conhactor 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. ? Applicant's Printed e Applicant's Signature - OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ?43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bidgs Length Fire Sprinklered Type of Const Width REQUIItED INSPECTIONS _ Footings(new bldg) _ FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addilion) _ Plumbing _ Foundation HVAC Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s Final _ Frazning _ Siding _ Srucco _ Stone _ Brick _ Fireplace _ RI. _ Air Test _ Final _ Windows _ Insulation _ Retaining Wall Approved By: , Building Inspedor Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 't PIONEEp 4AIID S,RVE,.MS . 2422 Enterprise Drivc Mendota Heights. ASN 55120 16212) 681-1914•Fax 681` 9488 825 Highway 10 Northcasl Blaine, MN 55434 612) 783-1880•Fax 783-1883 Certificate of Survey for: The Rottlund Companx. (t'1C. House Address: Mersey Point, Eagan, MN Model Name: Mam?ton CU57'a.yER ? Nels ?n 1 \ ` N 1t"?4.4p" W ` 5B.6Q BHT•7 ? pgFO ^.?y s??, ? .06?a? / . 7 1 ?. / `\ ggd6??? ?BBT•? ? y 7.9 ? x g py-343s• E `]2.4'J 88?.>0 ?f ? 29.67 " 72 C?? 6ASEµCNT ? P FtW? ev ,?! x a .?1 882 g „ ? 200 I Haa1P? ? ? 8 W ,?ce Z,.? ?,gPz9? ??•? , o 15.20 ^ n 19-10 ZT-87 m fp ? r~ t 9 .B .9? ? BB2.s-'2 S?•9? 5? ? DMVEWAY ?hW \ SERNCE o V Z, %1,5 s.37 s? ?.09 R r MERSEY Poy? EAGAN EN IPiEI . soao Denotes •? Denotes Denotes - Denotes -o-- Denotes -a-_ penotes Existing Elevatlon Proposed Elevattan orafnage dc Ufiiity Easement Droinoge Flow Direction Monument OfFset Hub Bearings shown PROPDSED HOU5E ELEVA710N Lowest Flaor Elevation:876.75 Top of 6fock Eievation:884.86 Garage 51ab Elewtion:884.53 are assumed DEPT LOT 7, BLOCK 3 COVENTRY PASS OAKOTA CDUNTY, MINNESOTA . `rt' TH A D D I TI ON I hBrEbY CertitV ihat th1S sUrY2y, pyp pC repOrt was prepered 6y me UfM¢I mV direct cupe/?rvqizien eM the( E am duly RegislereJ LL?kI 5uneyor irrrder ihe 7aws of ths Stata o} Minnsaon, Dateef thif ? day o! . A.D. 19 J?... Crn4o• 1inch_7 (Zteet 941 ,... ?.._ ., ?,.,.,.x ? .,,. ...oo, ? ? ? \ '?.. 6 ú ý ü ÿþþýüûúùûú øýýþþî úþ à æõ þþ à ÿþ ÿþ ûúùø÷ô õì õ ôõø÷óò þõ÷ô õì õ îõûÝîõø÷î úå úõõûõ óúðùõ ûÝ ãõþä þ âà ý üðí ââ õðöëôûÙßõôìêéèè à öø ûúõ õ öçéèèí õôôó òñ ÷÷ ð÷úðù ùõì þþ âà íîõþ ý îóíý îóíâ ëâêâ õù ò æõ þ ÷÷ þ åõð þõõ õð÷ò ÷÷ ùû åîþ û úþ åý äõ þè ÷÷ ßõðû úõþþúû úõ