1367 Michelle Dr. . Control
INSPECTION RECORD No.
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: a 11 ! 2;!"
Eagan, Minnesota 55123 Date Issued: 0e /12f g2
(612) 681-4675
SITE ADDRESS: 1.07t 1
1;?,I lIICNFl..I.k. {1R
Htf!UrN VAt lfY
PERMIT P
NYPTYPE:
APPLICANT:
Nf"AfY CQNST
(61?) 462•-#15987
TYPE OF WORK:
INSPECTIOII ..
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PWmtt No. Pwnk Holder DNa Tilephotw i
SlMI
PWMBING
HVAC
ELECTfiIC t
ELECTRIC
k?apectlon DaLe Inap. Cortlments
F°°tings 1
Foundetfon
Framfng ?
Raofing
Rough PIbQ.
fV
Rough I*9-
Isul.
Fireplace „79.
Fnal H1g.
Orsat Test
Ffnel Plbg- PI69. I?upeda - WofffY Pkmber
Cortat. Meter
EngrJPlan
Bft. Final lo zoZ ? S
Deck Fty.
Deck Final
Well
Pr. Disp.
3a?'`cz.? ??Q1?
? . -:.
` •licate nf cccupanc?
witij of Cpagan
This Certificate issued pursuant to the requerements of the Uniform Building Code
ce?tifying that at the time of issuance this structur+e was in conrpliance wish the various
ordinances of the City negrdating building construction or use. For the following:
as- -
Oaop?cy 7ype Zoning nisaia e co.
e s
OwrKr d BuiWing Addresg
B . . - ? 1367 1?II? I7RIVE ?iry
ows: L , , FIII?Id VATlEY
f? 10/?/q2
BmWirg of5cial
u? c;r?: ?? s r? rro. 1228
POST IN A CONSPICUOUS PLACE
?
INSPECTION RECORD
CITY OF EAGAN PERAAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 5
r itl.
, . •li o'NL'LI.E l1R
H t Cl t} k: !V 1/ /1 L. L f= Y
PERMIT SUBTYPE:
f
I I ;:M)Nli
I 1. 1111iii! 1 N t' I Rkr,
APPLICANT:
TYPE OF WORK:
,i r
1 W,t)I AT rON
t' 1 NF? t
MAfiKSr S;f PARA7F. PI.IfKRtl+tQ nFRlqY"t iZEPilIRFO, f:0NTACf 5TH1'C B[?Ai+l+ 01
44b-2Et4N RERARh1N0 Ft E C Tl? ICAt F}kMll l f t Ai+t RF. V1fWF Ei W
I t,I N«
:11 <i,1,
I f CTkTf.71Y A1
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Permft No. PermR Holder Dete Talephona IF
ELECTRIC
PLUMBING
HVAC
Inapectlon Data Inap. Commsnts
FOOTINGS
FOUND
FFiAMING
RQOFING
ROUGH
PLUMBING ?j
?
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL a?
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OR.riAT
TEST
BLDG FINAL
BSMT R.I.
BSMT fINAL
DECK FfG
DECK FINAL
Addreas: 1367 MM,LE D?tIVE Lot I Blk 3 Sac/Sub HUM yArT.HV
These items were/were not complata at the tlme of the fi 1 inspection.
Date: 10/21/92 Yes No Tnspprtor,
Final grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
T[a11/curb damage i?
Porch
Basement finish
Deck
Please verify vith tha builder the removal of roof test caps from tha plvmbing
system and the shut-off of vater supply to the outside la.m faucet before
freeze potential exists. oa
' xumeowre?
Wh3te - City copy Yellow - Resident copy Pink - Contractor copy
K2 211 /,:?, 7I/ sfo
0
V
8 ab /r?2-- ?. 1 3-, -4 lv 4
Request Date q
?
?
8? Fire No. Rough-in Inspection
tl'
?Y
G Reatly Now ?WI11 Notifylnspedor
When Featl
?
L
` 1 es
C N. y
IN licensed contractor 0 owner hereby request inspection of above electncal work at:
JoG Atlaress (SVeel. Box or Fw[e NoJ
?3?, m; ?h? IUA City
Seciion No.
? I (}, / 6 K Township Name or No. Ra?e No.
3 V C?r?
"J
OccupantlPRINT?
O r1S"?Y' '?i O'n Pbone No.
52 - b S8"1
Power up0lier
' C Adtlress
P M i e'} tp
ElecIDC I ConVacim COmpany Name) ?
(VICA,-?A-u. t c C.?n Contra ' license No.
c A-(7 I 1 q 2
Mailin9 ACtlr s ICOnvactor or king instellation?
(? :7) Cl
NumonzetlSigmpo?,(Conhdotor/i tallation)
V\ 1 Ph umbar
MINNESOTA ATV OARD OF ELEGTFICITY ? THIS MSPEGTION REQUEST WILL NOT
Gr1gg5-NNOw y B - Room Sl]3 BE ACCEPTEO 9V THE STATE BOARD
1821 U???ers' y e., 51. Gaul. MN 55100 UNLESS PROPER INSPECTION FEE I$
Phone(6/R)662-0800 ENCLOSED.
3? a ti? 3 REQUEST FOR ELECTRICAL INSPECTION Aq E&00001-08
29211 ll? S insimctions la complet'ng IhiS brm on back ol yellow copY /P ??5? eja 8-
K. P(p/yaL" Below Work Covered by Thrs Request ??;
ew Atltl ReO. TypeotBuilding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Warer Heater Electric Heating
ApL Building Dryer OtheF(Specity)
Comm./Industrial Furnace
Farm Air Conditioner
Other (ryecily) ConVaclor8 Pemarks:
Compute Inspection Fee 8elow:
# Other Pee # Service EntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 10o Amps
Transformers Above 200 _ Amps Above i00 _ Amps
SigOS Inspec[or5 Use Only: TOTAL
Irrigation Booms
Special Inspection
Alaim/COmmunication THIS INSTALLATION MAY BE ORDE IS ONNECTED IF NOT
Other Fee Q COMPLETED WITNIN 18 MO f
I, the Electrical Inspector, hereby
tif
th
t th
b
i Rough-in J o ? ?
cer
y
a
e a
ove
nspection has
been made. F;,,ai oate
OFFICE USE ONLY ?
This reQUest voia t8 monins Imm
SUBTERRANEAN ENGINEERING CORP.
"'"?•• 6875 Highway No. 65 N. E. P.O. Box 32308 DRTE
MINNEAPOLIS, MINNESOTA 55432 Phone: 574-7242 N-CS.
ptG ?
EARTH WORK OBSERVATION REPORT
OB8ERVE0
I1
Job Name i((G1+PM U i2 Job No. JiSLL01=? -
--
- --
--
-
-
?- xCAVATION;
1
n..
'f
?I?
?1nV4?t
Ft -in•?a?GM ??N-----
icia
Job tocatlon i
Lot -? --
3
Earthwork .fn If I A 7 Je+o ?Qµ? n.
Controctor N q A?ncf ?A
p Block ,
1
Plat ??aaev? v4
5e sa 55 3 'Tri+?6?
M?
g
--b"
Arrlvs Job
Mlleage -
do ?s TOtel
Dsoart Job 3 AlTraval Tlme y hC5 Chargaable
H FILIPIACEMENT:
Lot
ours
Y?.? ?
Ti
L
b
Block 3
_
ma
a
.
Total Hours yL Eng'r ?
e Review Tlme
On Job ? a I`r5 R
o
t Ti 7
Plet
_--
ep
r
m
Summarv o1 Technical and /or Englneering Servicea verformed Includlna Fleld Tsst Dsta, Locetlona,
Elsvatlons, and Deoths are estlmated. TNE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE
SIDE OF 7HE COMPACTION OUALITY CONTROL TEST REPORT CONSTITUTE AN INTEORAL PART HEREOF.
01_ Teet deep ?` a._ feat deep
-
d
?
end , g?ading to et sn
?
1. Excavation Is _? Elevetion at
Elsvatlon
2. Slda Slopee ara approx.: vert. IK 1/2 horiz.: lvert. ? 1 horiz.: 1 vert. ?
2 Aoriz: 1 vert. ? flatter lhan 2:1 ' ? olhsr
E 3. Construction Staking Is: adequato 9 not avallable O Incomplets ?
X 4. Excavation Is overelzed fest outelde of bullding Ifnes.
C
A S. Excavation la: dry ? wet ?
1J
1a
Sa
Water Is see
in
from
V --- _--.__-----------.---111
.
g
_
P
.
Sb. Depih of weter in excavation approx.
?..._ ------------- -
A Sc. Dewatering Is: neceseary ? not repulred ?
T S. Excavation Is with : d?agline ? backhos 19 •croper ? doser ?
1
0 7. All unsultable solls have been exrAav ted. YES 19 NO ?
7a. /eet otCr4. Cw&?,C 0-10'e . kt- 614 ? soll remalns to bs rtmovsd.
N S. Soil at sxcavation base Is: (e%i,5i'n t
Sllty Clay ? Sandy Clay ? Cleyay Sllt ? Sllty Sand R
Clayey 3and IK Cloan Sand ? Sandy Silt ?
9. feet oT flll requlrad to rsach dssign aubgrade.
70. Excavation Is* Approved n Not Approved ? for fill and/or footing placement
11. FIII Isjl?" ±Mt i? !cawiat (tymo? *olq
11a. Imported ? On-slte borrow ? ?? c am
11b. Compaction la wlth eheepsfoot roller 9 manual tamper ? vlbratory El
F smooth drum roller ? •eIf-propsltsd ?I non-vib?atory ?
(
1 ?
12. Psrformsd `o fleld dsneity teste. Sse Compaetlon Ouality Cantrol
L Test Report No. /d
L 13. feat of flll remaina to be placed.
74. Denslty tssts meet cojnDacdon spsciflcatlons. YFTS g NO ?
14s. Test No's. - did not msat compactlon spoclfleatlons.
15.Addltlonal observations nd/o t t ar rs ulred. YES NO WILLCALL ?
?
DEWATERING: FROST
PROTECTION: ADJACENT
STRUCTURES:
WEATHEN CONDITIONS:
S N well polnts ? straw ? , Hot ? Dry 3
_
?? -deeD ??ap Iooaesoil ? Wsrm ? Raln O
I ? oDSn ch ? trost ri Ing ? est ?
wlth/ Cool ? Snow ?
? 0 sum pump ? tem eat ? eet ? > 32' F ?
S o er p b nkets ? 40 mora /ast ?
or 8ub-1rso:lnp0
RECOMMENDATIONS/SUINMARY/WORK PROGRESS: 4 S ' iGc3.
Q?J41 &. Ava%"w'e r "14 ale e%q ! nc
-? c c?rN a ?a 6t.?c.d, ?e v.c. vt,!
DISTRIBUTION:
I cc: &-mbamA el p?, `?`?
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THESE LIMITATION OF LIA8ILITY STATEMENTS SHOULD BE
CONSIDERED TO BE AN INTEGRAL PART OF THIS REPORT:
1. In performiny our profauional wrviea wifh ngard fo sarfhwwk impeelion and qwily
centrol, eur findinq: will bs obfained and our neommendsfioro madis, in auorduce
wdih qwsnlly a«ep4sd enginaeriiy prinefplss and pnefiess. We will obNrw, monHar
aid faf ihi: work, and mey edvia w meke nwmmandetient, buf we an nef quuafiom
Thh wrcenfy is in Geu of aII ofher wu?enfisi eifher uprowd u impliod,
2. SuWureman Enginroerirq Cap, doss nof pneNce in the field ef knd wrv*yfnq, uid
fs not rospwnibls for the aewrecy of greds daks snd/or buiWinq IouNen dakes d
fh4 jo6dfe. There mus} be adeqwM wm+nction ftakss, ekarly marksd, 40 enabla, our
wil iropseFu fo preperly asssu the sxeavafion. Ws wiA nef be rnporoibk ier anry hann.
ful comequenus rauHing hom improper or incorrecl wndnwiion staking.
3. The fisld daiuify tast dafa prownfod wi4h 1hi: rcport roprswnis the vduw at pu.
fielar IoGlind poinh within the eerthwork. Alhough fhis is 690owd fo be fsiily ?qprt.
Nnhtiw of the wndition of the flU pkud end eompeeNd on this dafe, cadNtero a1
oHNr beefionc and ebvotions in fhs fill mey vary, and ws do irof werranf er qwnmw
uniform fiA denuifiu.
4. Ws esnno4 eerfify, either s:prossly w by imp6ulion, the quat4y of airy work on 1hts
projeef whieh we did not have the opporluni4y fo observa af fin4 hsnd. ImpweMion of fhia
wr4hwork projeef at irragular intens6 don no1 parmi+ the inipeefor io awa 1hs fup
uope of the con4reetor's aetivifin.
5. If the tfrue4ura is redesigned in drs and sMpa, or if if is o+harwise mowd wbwquenf
to our inspecfion, we shoukl be notified w ihsf we an auau if addifional impeefion
work i: roquind, or suggesf wund enqinsering skarnafiva. Ws ero nof rapeniblai
fer any wil-foundafion ryciam whero the sfruefurs hac bsen rebcahd wiih rapnd 10
amwtian and fill arsa, :ubspuent le our inspscfion.
s :.,, •
,
t +a w
Project
SUBTERRANEAN ENGINEERING CORP.
6876 Highway No. 85 N.E. P.O. Box 32371
MINNEAPOLIS, IuiINNE80TA 56432 674-1242
COMPACTION QUALITY CONTROL TESTS
Hidden Va11.ey Report NO. lZ
P31ot Knob Road and Hidden Valley Drive, Eagan, Mn.JOb N0. X-87045
Sand Cone Method ? Indicated Percent Compaction: ASTM
Nuclear ? ?% Mox. Modified Procfor Ory Density D-1557
Other ? ? % Max. 5tandard Proctor Dry Density D-698
AND
ELEV
R
T@51 .
/O
?EPTH BELOW
Fbolin Wet Denslly
IN T
t
l MOISTURE Dry DamNy Maximum
?cEa
to °a R
DatB
N0.
Floar Grode
Desi n Grade o
a
Somple
CONTENT
e
(<orreelad
For
Stone ) a
ry
?????Y
?ompaclbn REMARKS ECOMMENDATIONS
Fill Surface includinqStone) ?o DCf
Dec. 1,
1988
124
864
143.4
6.8
126.3
129,4
98
Meets specs.
" 125 867 141.2 6.4 124.6 129.4 96 "
" 126 870 140.5 6.0 123.5 130,3 95 "
" 127 873 14215 6,2 125,0 130,3 96 "
" 128 876 146,2 6,4 125.5 130,3 96 "
" 129 878 145,3 6.1 124,6 130,3 96 "
NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BEIOW.
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SUBTERRANEAN ENGINEERING CORP.
Qv 6875 Highway No. 65 N. E. P.O. Box 32308 F?• DATE
MINNEAPOLIS, MINNESOTA 55432 Phone: 574-1242 pec• d
EARTH WORK OBSERVATION FIEPORT !9 3
OBBERVED
1q
Job Name 1d?on ?Qll Job No. }?iaj0`15 EXCAVATION:
?"
Job tocatlon ???L n a?+.,?4?ci?ltl?'1?__
-;? Lot
- -
J
Eerthwork ,` I
uLwT ?.
vC?6
N6dl ?S?
C
t
t
??
Block
-
?
on
rac
or
.,Cllant
-
p ?6
Arrlve Job Milsage !l _ Total
FILL PLACEMENT:
3o
Depsrt Job I PM Travel Tlme 1? kc Chargeabls
?ot (.--
I
? Hou?a
L
b
Tl
Block
me
a
.
Total Houn y? y Eng'r
On Job R
Review
t Ti pi a1 ?ecn
ma .
epor
Summarv o( Technical and /or Englnaering Services performed Ineludina Flsld 7aft Data, Loeatlons,
Elsvatlons, and Depthe are sstlmated. THE LIMITATION OF LIABILITY STATEMENTS ON THE REVERSE
SIDE OF tHE COMPACTION pUALITY CONTROL TEST REPORT CONSTITUTE AN INTE(3RAL PART NEREOF.
feat desp
- feet deeD
ai _ and
at end , grading to
1. Excavation is
_ Elevatlon Elsvatlon
2. Side Slopas are approx.: vert. p 7/2 horiz.: 7vsrt. ? 1 horiz.: t v . U
2 horiz: 1 vert. ? flatter than 2:1 ?] othsr
E 3. Conatruction Staking Is: adeduate ? not avallaDle O In plets ?
X 4. Excavation Is overslzed __ feet outelde ot bulldlnB [in •
c S. Excavation Is: dry ? wet ?
A 5a. Wator is seeDln9 from _--_--...-.--------
V 5b. Dlpth Ot wetBf 111 lxCaVatl011 eppr
' ------....-_-'-----'------._...-
A 5c. Dewatering Is: neceasary ? not requlred El
T S. Excavation Is with : dragline backhoa ? scraper ? dozar ?
I T. All unsuitable solls have besn e aratsd• YES ? NO ?
0 7a. fs o} soll nmalns to bs nmovsd.
N S. Soll at sxcavation b Is:
y Clay ? Sandy Clay p Claysy Sllt O Sllty Ssnd ?
Cleyey Sand ? Cisan Send ? Sandy Silt ?
9. _ teet ol flil redulred to reach daslgn subgrads.
1 xcevatlon Is: Approvad ? Not Approved ? for fill and/or footing placement
17. FIII 1n ? lEb Coa. *9 , S " ra e a, (tYPe of soll)
7
11a. Imported ? On-site bor?ow 0
11b. Compactlon la with shasps}oot roller IR manual tampsr ? vibratory I@
F smooth drum rollsr ? •Nf-propelled 0 non-vibretory 0
?
1 fisld dsnslty tssts. Sso Compectlon Quallty Control
12. Psrfo?msd
L Tsat Rsport Mo.
'3
L 73. tset ot fill remalns to be plaesd.
14. Dsnslty tsets meat compactlon spsclficatlons. YES 181 NO D
74a. Tsst No's. dld not msst compactlon ••clflestloM.
18.Addltlonel obssrvationa nd/ t!s are rs ulre YES NO WILLCALL ?
?
DEWATERING. FROST
ppOTECTION: ADJACENT
STRUCTURES: WEATHER CONDITIONS:
SN straw Hot ? Dry C?
D
I loose soil ? Wsrm ? Rsin O
c /
? ? trost rl Ing ? wlthin 2}s?t ? Cool ? Snow ?
? 0 tsm eat ? 2 40 fest ? > 32'F
g b nkets ? 40 or more tsat ? Sub-heezlnq ?
RECOMMENDATIONS/SUMMARY/WORK PROORESS: K4 5
?i c CarG?t?zs our -6r-LN"
T?Je Co?, ?for Co.vst?„da/ cnc s "?
Fttl dF VCf C. ZNi ?-•
DISTRIBUTION• t
? ee:
? CC: ?????,,,,d c?,.,??
? cc: n
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cc.
--------------
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o{ }Hdw y}m pS{nola uSaq svy anpnAS 04 aayM wa+sAs uoi+vpuno}-por dua »y
SlqraodM 4ou ar aM •sOAµwieRo 6uwaui6ue puna 43066ns Jo 'pumba st "M
YO1M*odvu! I°°O4!PP° }! ++mv un *M ivy} et P°:f4ou o9 Plnoy oM 'uo!podsui im 04
4wnbMqn4 fNAOW YfIMJa4O fl +1. f! JO 'adoys Pup oxn w peu6nepei si ainpnip 044 }l •q
•wµu!pv s,+o#oa{uoo 944 }e adoa
QII} Mµ tlme Cj I94**AtY1 Y44 {IYUkI +OY tOOP 11PNYR 1Vl11GO1J1 {v {ealwd lmmy}iw
WN }a uoyadal •puoy +uy;a a.wsqo o} d}wryioddo oyF aAvy +ou pip eM yoiyM {a*lad
n,y{ uo P" Auv }o 4iianb 04; woRoogdwi Aq ro Hssadxa uyya 'A}r}Aao ;ouu» aM •y
'»,yhuoP IIB WO1lM
N+IIfJMS JO j11YLVM +W OP OM puv 'A19A A!W 11f YI# YI tYO1+YAYiO PIIV WOI+%" 1NN0
N"*lNP-V* 'H*P n4i uo pa{ovduroa Puo PeO'td 11!f °44 jo uoi4t10um 04 }o w,µqua
°J""AI+P} eq W W"99°9 v n
.41 46m4iV '}w*4NoO 944 uPN!"` iW1Od Pug" J°I°4
yed 40 anlvA oy+ yuwada }+adu n4 y+iM pquwud awP 43a+ 4!V"P Plo:f 041 'E
•bu9041 uoµxu{Suoa Pauowi io +sdadwi uroi} 6wMroa taauanbauaa in;
'""" Aup 'q M9lmdsu aq {ou nu% aM •uoµ*Aam ayF amv Hwdad e+ joIWA+! I!a
m"O M9m 04 'P°1paw lpvap 'wp+t uo,yaru{woa aMbopv aq pnw ejayL •01p"! +Iyi
40 $911142 YOl1M1 Gu:Plmq jo/puv wjep aprib jo Aoa.#mav oiµ jol alqp+odsw 4ou n
P°g 64+"M pYYi 10 PIN.I W+ ut u,yaad tou rwp 1103 Buuawlfi9 O°oO°"M9^S 'Z
•popduq » penwdco uyW n,yuvJAra J" ne }o nag ut mi 4uauvw SRL
*MuO+Wn6 4eu sio 9M {nq 'nwµopwunuom alvu+ jo yupv Avw Pua '?oM ny} i+a{ pYp
aequau `emwqo n!m aM -sw}pwd pue wldnuud buuoawbua po4dmo MIajaw6 y{u+
aulpiom w ypow woµvpwwuro*u nro Puo P°°!oW° °9 Ill* s6uipuy iiw 'iwiuq
Ayvnb put uoµaadw! }a,wyNoa o} pra6u yWn wawar Iwwma}ad nro 6u;uuoyod ul •1
UilOM SIHL d0 1bYd 1NN931NI NV 32 Ol (9113CISN0D
36 Glf10H5 S1N3W91N1S A1nI8Vll d0 NOIl`rllWll 353H1
, SUBTE.RRANEAN ENGINEERING CORP.
6876 Hfghway No. 85 N.E. P.O. Box 32371
MINNEAPOLIS, MINNESOTA 56432 674-1242
''•" COMPACTION QUALITY CONTROL TESTS
Project Hidden ya7,],ey Report No.
Pilot Knob Road and Hidden Valley Drive, Eagan, Mn. Job No.
13
X-87045
Sand Cone Method IN Indicafed Percent Compaction: ASTM
Nuclear ? ?% Max. Modified Proctor Dry Density D-1557
Other ? ?°/, Max. Standard Proctor Dry Density D-698
ELEV. ND/OR
TBS) DEPTH BELOW
FOOfin Wet DensHy
p( T
t
l MOISTURE Dry Demky Maximum
Lo6anlar % RE
M
Date
N0.
Floor Grade
Desi nGrode
Fill Sur ote a
o
$°mpile
IncludlnqSWnW
CO?NTENT
/o
(
CoFormelsd
Stone) y
? D°^?ly
pCt
ompatbn REMARKS CO
WENDATIONS
Dec. 2,
1988
130
880
135.7
9,7
121.2
129,4
94
Meete apeca.
" 131 880 141.2 5.1 124,2 129,4 96 "
NOTES: I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLE.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
WoT To ntx
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CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
INSPECTION RECORD C°n ° "° 0936
PERMITTYPE: euxLoine .
Permit Number: 001228
Date Issued: 0 8/ 12 / 9 2
SITEADDRESS: Lor: 1
1367 MTCHELLE OR
HIDDEN VALIEY
PERMIT SUBTYPE:
SF pWG
BLOCK: 3 APPLICANT:
WESLEY CONST
(612) 462-0587
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6 .. .
FRAMIN6 .,
INSULA7ION FINAL
FIREPIACE
REMARKS: RECEIPT #
?
5&W PLBR =
._PRV .::..
?
CITY OF EAGAN
A- 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Datelssued:
1367 MZCHELLE DR
IOT: 1 BLOCK: 3
HIDDEN VAILEY
auzLoiNG
001228
08/12/92
DESCRIPTION:
Building Permit Type SF DWG
` Building"Work Type NEW
UBC Occupan`cy R-3 M-1
? Construction`Type VN
2oning R-1
Building Length ? 24
euilding Width 22
i
?`? - ? ?.
l? lIr-
? • ??? ? A` ?±. ?,_A L IY? t 7 ?,
,
REMARKS:
hcCEIPT N C 0 Z() -5 Jy SSW PLBR =
PRV
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtotal
$741.00
$481.65
$64.50
$708.00
100
$1,987.15
$129,000
MISC FEES $1.610.50
Total Fee $3,597.65
CONTRACTOR: - Applicant - ST. LI pWNER:
WESLEV CONST 14520587 000138 WESLEY CONST
6966 KENMARE DR 6966 KENMAN OR
MINNEApOLIS MN 65438 MINNEAPOLIS MN 55438
(612) 452-8587 (612)452-0587
L-
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply w3th all applicable State of Mn.
3tatutes and City of Eagan Ordinances.
I
APPI CANTI ER ITEE SIGNATUPr
?nvla R& t,l.l Y1T1/
ISSUED V: IGNAT E
Control No. 0936
PERMIT
cirr oF EAcaN
1992 BUILDING PERMIT APPLICATION
681-4675
u-Q."o ?,17
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COhNMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date g /9 -L- V luation of work
Site Address:_ /.3 h7 7?1??
STREET STE /
Tenant Name•
Lm ? BLOCK 3 s,BD. H roa?1 LLtz?
? P.I.o. .0
Descri tion of work:
The applicant is: ? Owner O Contractor ? Other co?«tbe>
Name Phone
Property LAST FIRST
Owner
pddress
STREET ' STE f
City 5taie Zip
Company Pbone ?Sa?o S?7
COntl'8Ct01' Address /A License #/3da Exp.-;?-L?/93
City ,az State Zip 545-9'.zP
Company Phone
Architect/
Engineer Name Registration #`
Address
City State Zip
Sewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the informat9on is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
vv? v?r.
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
002 SF Dwg. 0 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? 08 Deck O 12 Comn./Ind.
woRK rrPe
jg 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
O 99 Undefined
GENERAL INFORMATION
Const. (Actual) V - N
(A7lowable)
UBC Occupancy Q- -1
Zoning R-I
# of Staries
Length a T
Depth 22•
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchar9e
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Basement sq. ft.
lst F1. sq. ft.
2nd F7. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Assessments
Building
Variance
? Footing ? Framing
? Final ? Draintile
v.t„ft;on: s 129, ooa `
GARAGE: Z 2 X Zy = S ZS K/ G_
SSMT :
? 4 x 22 = $_ 29_
55? X 15=
15T Ftao(3.
z?x24 =
,?4x22?
zxiy?
I'i2 n9 =
ZNo F_L002
gy48
? 13 Public Fac.
O 14 Agricultural
? 15 Miscellaneous
Y?
Yt
?
Jai
n/
O Insulation
O Fireptace
+?N F?.,?:?5-
?2E?4
672
52S
308
ly
15 x53s $0/666
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
14 K 2y= 3'36
x ;?0?(672,
/Z8 Q'7d/
-
SACUnits?? I 24x3o='12-atc53= 3?3?6o
-L .
1- , i'-
?
€fftEtitUq ENVtIUpt AVEnACE "U" CohlhUtArloN
bNNEA
S1tE AbbRESS ,. ?:.? _-?T I
AlNP?r;; F4
bA1E hlIoN yS2- 4SS ?
bAt@HA1HA wdrking square ftlbtAge bf pach.
fetei pxpesed we11 area a 1.,4 1 ?210-3' sq. ft, x.11
tate) peeP/eelting area 46,111 IM0 . Sq. Ft. x.n26 '
1ete1 ExpeSed wa11 ar@a 86bVL 11dba
e, tetel wait wlndew area,,,.???,,,.?.????...,,.,,,: /c?/•?
b. Tete dtier Area ,,....... . -3 7, ?.Z
Cl ibtA S1idtMg g1a4s dnnw arpa
do 1Atd flreptace wa11
#I tatA? WAfl fjaming area (average 10X)ill.;2 75 --
ft tete net wd 1 aNpa abnue #toor ,,,ldi,,,,,,,.,,.
94 t e E e h i M f A S! arta 127
1'et11 Opespd feundatlun arpA -
ho T061 IdufidA N en wlndnw
1s tdat Apt feundgtlon areA ALeVA
0941rnlne 'lU" vatup af each;?aett 9Cgment.
z IIUII .? y9 0
b, ..... _..? y ? ?. . . ._ x iiu,i
?X Oull
? d?......._..?,?-- . X ifull p
?-- °Un . ?. /D ...,.. s ..7 , SO
f?r....s?s7+?.?'_irs? , X uun / o,
liuli
. `.;.i,
R
flU11
x „U„
? i.I 11 114 s,tbtet
If ?l?n l? (s the seme eao er toss thsn 1leM it, you havd met'th@ Intent
'??
• of S9C 6tlA6??)2?
\
WALL SBCTiONS
Use 15% of opaque wall.erea for
X'14 fr8me construction
Conskruckion R-Value
1. rlor i f m 0,60
2: ?L /? .SS
3, Z: i. ches soft woo.t
4. ??_f ° _ /. 3 ?
5. //C?YI Z ? LilvliQ??G . G7
6. Exterior airfilm = 0.17
` Total /01/77
(/ = . /cJ
FRAl1E WALS,
1.
2.
3.
4.
5.
6.
q- ,05
SFeC
Pc:i;
1. Interioz air film 0.68
2.
3. /i -
4 .
5.
6. 7//(„"/<' L/?:%.?:?YVG
Exterior air film _?9
0.17
Total 23, 7Z
C{ _ . O4/
F00; 7D \1'I CN
k?P_LL
1. Interior air film O.Ge
2.
3. /2 Gh?/'•`%,,`. / LLiCL{ . /. Z?+
3 , 26
6. Exterior nir film 0.17
Total ?
r
7,3
4l = , /5'
SLAH ON GRAdE
FIG. 04
NOTEf
1(
a . ' . ?.
• ? ?
?
? " ? •'
• ? ..
.
?- . •
!r? " ? ' e • . ' ? il?`?T
^ • ' ? - i
= X • - ? = r?
tt , o _
? x x : /!I
?????( ? Itl.: l?r =
Indicate tyoQ, "_^." value, denth xn<1
plecenent of insulation.
FIG. 13
. ? .. • ?
. I ?
. n • _ ? ??y •
?..' _ ' •
? ROOP/CEILING
vF1rr
Vcnted Hcat floa
uP .
FIG. A5
Page Threc
Conalzuctlon _, R-Valuc
1. Zn erior air film 0.61
2. lavGfDlj1 ? sX ..
4. F.xtezior air film (st 11 U.GI
Tocal 39.8
</, ' , o.Z5
1. Intcrioi air film ? o.Gl
2. \
3. ?
• f
4. Er.trriuz air filmAstill)
'futal
1.
2.
3.
A.
5.
NoL•c:' Osc ndditional shects if morr spacc is
neee!ed for details and calculuCions.
.
?Y.eat tlotf vp •vented
..
FXG. 46'
_ , y.. HeAt? ' U
, Elov up '
Ftr,. ..7 •
Total exposed roof/ceiling area = 1?//8
J. TotA1 skyllght area.., . ...... ......
k. Total roof/celling framing area (average 10%)...
1. Total net insulated roof/ceiling area.:......... 1,274,Z
Determine "U" value for each roof/ceiling segment.
J, - X tiull
k. x ,,u„ , ozG = 3.G9
/-2 76, Z x"U° , u.25" = 31. °,/
4 ............ ...................... Total = S. O
lf total of /4 is the sarre as, or less than n2. you have met the intent of
SBC 6006(c)1...,
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the
sum of items A3 and 14 shall not be greater than the sum of items P.l a,d ?2.
I. 32F3-I3 + z. 36 -e 17 = 36s`
3• + 4. 3S,Gd = ,jo5,7
?
?
* PIONEEA
* engineeri
,k * *
4E
2422 Enterprise Orive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Bloine, MN 55434
612) 783-1880•Fax 783-1883
Certificate of 5urvey for: WeSI e V H Of"Tl C'S, Ifl C.
House Address: Michelie Drive. Eagan MN
/
8g 3ors.. ?
/
? /I M
• ? ? 1
°?
Z i ?
rn -
/l ? ? ? N
^? ?B?s:s)
"?rto /
FR°' fa.oo's..
, w 1
? Co ps
p ED >
(eas.o)
?
Iv ?f P yar'SE- l5-0 +
???ce'AfFMr o l O) V?
B° O m ?? ? rn
V? j(r)
zp
--- ? D s?
9o ? `'? J o° C4n oo / 0 2
1(D W ? ' \ ZiOp /
N/
? No°p s%7)// ?.o
O p •37? o' ?
? ? O O ? ? ?r?kw.. ?5
_ \g, <
- ?
Ml ? ? , 5 >> a
By /
L
K 9000 Denotes Existing Elevation
•c949.9Denotes Proposed Elevotton
- Denotes Drainage & Utility Easement
;? ?
? \
?
PROPOSED NOUSE__ELEVATION
Lowest Floor Elevation:840.05
- Denotes Drainage Ftow Direction Top of Block Elevation:848.16
-o- Denotes Monument Gordge Siab Elevation: 847.83
--rt-Denotes Offset Nub Bearings shown are ossumed
LOT 1, BLOCK 3 HIDDEN VALLEY
DAKOTA COLINT7, MINNESOTA
1 hdeby certily that this survey, nlan or repo.1 was puepared by r?e or under my direct supervision and thal I am ?luly Registe.ed Land Surveyor
under the laws of the Stale ol Minnemta Daled Ihis ZZ day al JU LY q p 19 9Z-
'"
feet --
SCQIE,'. j- -- ?n ch _ 3 Q --
R09EnT 8.-?IKI"11;..5. ftF.r, Np. 34891
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, KUnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32900-010-03
DESCRIPTION:
PERMIT PERMITTYPE: ausLozNG
Permit Number: 031366
Date Issued: 01 / 2 3/ 9 8
1367 MICHELLE DR
LOT: 1 BLOCK: 3
HIDOEN VALLEY
. ?...?
B?iilding•,;PermiC Type
£luilding 1•JiS.rk Type
` Gensus €vtle?
?A,
?
,
BASEMENT FINISH
ALTERATTON
434 PiLT. RESIDENTIAL
`5i,?$ t
?a u ?.
REMARKS:
SEPARATE PLUMBING PERMIT REQUIRED. CONTRCT STATE BOARD OF ELECTRICITY AT
445-2840 REGARDIN6 ELECTRICAL PERMZT: PLAN REVIEWED BY MIKE BARCK.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
WE$LEY CONST 14520587 0001386 STUCKY STEVEN
6956 KENMARE OR 1367 MTCHELLE DR
BLPOMINGTON MN 55438 EAGAN MN
(612) 452-0587 (612)454-0595
I hereby acknawledge that I.Whavs •read this ap:pfacattion an;d,state that the
informatibrr is correct and, agree ta comply with axl-,apPjz;a0ble $te,te ofi Ttri. `Statut?e? and City of Eagarr Qrbirrances.- .,
'?'
APPLICANT/PE IT SIGNATURE ISSUED .:.SIG RE
If
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
3 /? CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
681-4676
New CansWetion Reauirements RemodeVReoair ReauiBments
? 3 ragistered site surveys
? 2 copies of plans (inGude beam 8 window saes; poured fid. tlesign; etc.)
? 7 arrergy ceiwlatlons
? 3 wpiea of Vee preservetion pian if IM plattad after 7/7/93
required: _Yes _ No
DATE: /` /9 - 9JO
DESCRIPTION OF WORK:
STREET ADDRESS
? 2 coPiea of Plan
? 2 site surveys (axterior addRions & decks)
? t energy cakulations for heated eddRions
CONSTRUCTION COST; /j&OD a
_ 3/., 6 4,Ix A .0-1., r ..
LOT: BLOCK: ...3 SUBDJP.I.D. #: /V/dtl
?
Nazne: ?S /// c Kv ?T-Pc/ P&J Phone #:
PROPERTY Wt Fimt
OWNER `
StreetAddress: /.? [? 7 ?/G?IellC dt .
City L? /?¢? State: ??tl Zip:
L-V/ .?^,i Phone #: yJ p? O sY 7
Company: 61 -.e
CONTRACTOR /,?-
Street Address: ?f77 G?Gi 46. License # /3SL/O
City State: Zip: -S5-3 7e
ARCHIT'ECT/
ENGINEER
Street
City
Sewer & water licensed plumber (new construcGon ony):
and bt change is requested once permit is issued.
Panalty applies when address chang
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and Crty of Eagan Ordinances. I
Signature of Applicant• /U/
OFFICE USE ONLY D
Z? 1QQP
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No _ Not Required
Phone #:
Regis7ation #: _
Stau: Zip:
QFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ?
? 02 SF Dwelling ?
? 03 SF Addition ?
? 04 SF Porch ?
;11?05 SF Misc. ?
WORK TYPE
06
07
OS
09
10
Duplex
4-plex
8-plex
12-pfex
= plex
? 11 Apt.JLodging 16
? 12 Multi Repair/Rem. f-117
? 13 Garage/Accessory ? 20
? 14 Firepface ? 21
? 15 Deck
Basement Finish
Swim Pool
Public Facility
Miscellaneous
? 31 New 0""33 Alterations ? 36 Move
? 32 Addition 0 34 Repair ?37 Demo!ition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
SNV Suroharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Cop
Tota
'.
% SAC
SAC Units
Basement sq. ft.
Main level sq. R.
sq. ft.
sq. ft.
sq. ft.
sq.ft.
Footprint sq. ft.
MC/WS System
City Water
Fire 5prinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
MB Engineering Variance
Valuation:
?
i
?
Ll 3 H
d?
L
v
,ieL J • CITY OF EAGAN
PLUMBING PERMIT
SUBD. (612) 681-4675
R88IDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _Z
ADD ON _
REPAIR _
OWNER NAME: W?S I?'?( ?.i9}vl?
SITE ADDRESS: I J 4? ??lG?. o/ G? ??C
INSTALLER: ???ffi ./f/ ,e?14wl?i
ADDRESS: r',?Ec 'LA?Zr sT
CITY: ZIP: a?d? o%
?
STATE SURCHARGE .50
TOTAL
/ '
' COMMSRCIAL
PLEASE COMPLETE THIS YORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTIDN:
OWNER NAME:
SITE ADDRE55:
TENANT NAMfi: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
YHONE
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
5TATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIHUM FEE.
CONTRACT PR3CE x 1%
STATE SURCHARGE
TOTAL:
CITY USE ONLY
RECEIPT ? COw?2Z
DATE
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
? REPAIR/ADD ON 15.00
SHOWER 3.00 ?•O`?
? WATER CLOSET 3.00 G •??
! snTx xua 3.00
3.e-o
? LAVATORY 3.00 o O
? KITCHFN SINK 3.00 3•pd
LAUNDRY TRAY 3.00 3.o O
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 3•?
? FIAOR DRAIN 3.00 3.bo
? GAS PIPING OUT.
(MINIMUM - 1) 3.00 61?
? ROIIGH OYENINGS 1.50 7?0
_ OTHER
WATER SOFfENER 5.00
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
$
$
(SIGNATURE)
PHONE #: Z-tl 4?l °" D / 4/GJ
CITY OF EAGAN
3830 PILAT $NOB &OAD
EAGAN, TN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
YERMIT k
RECEIPT # / s
DATE:
?$IDEtvTTAL;; PLEASE COMPLETE IIFPER FORTZON ONLY FOR SINGLE 1
TOWNHOMES/CONDOS STHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCgIPTION
/
NEW CONST
ADD ON ^
REPAIR _
OWNER NAME: wo SLc-Y
SiTE FwDRESS: P3
IAT:? BIA 3 SUBD. ?
INSTALLER: 1'.Q?dru ?`-
ADDRESS: Co 7-t% r " F-G.
CITY: 1 ZIP: .- -Y 23
PHONE #
.•
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - ?fINIMUM
OF 1 PER PERMIT
DWELLING5 &
$15.00
24.00 ?
6.00
3.00 '
SUBTOTAL: $
STAT.E SURC:'.ARvE: .50
TOTAL: $ SIGNATUR£ OF PERMITTEE
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ZNDUSTRIAL SIIILDINGS,
APARTMENT BUILDINGS, AND TNLTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH D4IELLZNG QNIT.
CONTRACT PRICE:
OWNER NAME:
SIlE ADDRE3S:
IAT: BIACK _ SUBD,
INSTALLER:
ADDRESS:
CITY:
PHONE
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EnCn ."?i,C00 CF PERMIT FE+°..
PROCESSED PIPING - $25.00
$25.00 MZNIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
FOR:
CITY OF EAGAN
RESIDENTIAL BUII.DING
a bf i'Rs Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?91) OC)
___-
clq" Os1o
New ConsWction Reaui2ments RemodeVReoair Reaui2menGS Office Use Oniv
3 registe2d site surveys shaxing 5q. fl. of lot, sq. ft. of house; and all roofed areas 2 coples of plan Cert of Survey Recd _ Y_ N
(200k maximum IW coverage alla+ued) 1 set of Energy Ca1wlaEons for heated addltions 7ree Pres Plan Recd _Y _ N
2 copies of plan shaxing beam & window sizes; poured found desgn, etc. 1 sde survey for additions & decks Tree Pres Reqd _ Y_ N
1setofEnergyCalculations Addifion -indicateNon-sitesepticsystem OnsiteSepticSystem _Y _N
3 copies of Tree Preservabon Plan'rf lot platted after 711193
Rim Joist Detail Opfions seleqion sheel (bldgs wiU 3 or less units
7
Date
SiteAddress ?ti a:?? Ile
Construction Cost
Ort?-" UniVSte #
Descriptiou of Work Ar) d 41??? VkC-rv- d? 61^_?
Multi-Family Bldg ^ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner aLt1?qo-n Te?ephone #( )
Contractor GM 5 1 V U4I "1 t-,
Address ?( c}
State ? 11 w(,TCLI ge . City
7
Zip -3 (o Telephone#( E)
63-2RG -6
COMPLETE TH1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 Minnesota Rules 7672
Energy COde Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _
fee applies.
Licensed Plumber ?I ll? Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
N If so, 25% plan review
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
3tatutes; I understand this is not a permit, but only an application for a pernut, 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.
C???S(
Applicant's Printed Name icant's Signature ?
OFFICE iISE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex D 13 16-plex O 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorcNAddn. (4-sea.)
? 04 02-plex ? 10 08-piex 1,11- 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-piex Plbg_YOr_ N ? 25 Miscellaneous
Work Types
? 31 New
,* 32 Addition
? 33 Alteration
? 34 Replacement
Valuation AW
Census Code
SAC Units ?
Nbr. of Units ?
Nbr. of 81tlgs ?
Type of Const ?
Footings (new bldg)
? Footings (deck)
_ Footings(addirion)
Foundarion
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Au Test Final
Insulation
?
? 30 Accessory Bldg
? 31 EM. Alt- Multi
? 33 EM. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 36 Move Bldg. 0 42 Demolish (FOUndation) ? 45 Fire Repair
? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bidg) - Give PCA handout to applieant
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
Occupancy ?1
Zoning ?-r
Stories
Sq. Ft. 3?(O
Length / 7
MC/ES System ---
City Water -
Booster Pump
PRV ?
Fire Sprinklered -
W idth
REQUIRED INSPECTIONS
Final/C.O.
? FniaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding Stucw Stone
_ Windows (new/replacement)
_ Retaining Wall
Building Inspector
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= 9ao.o Denotes Existing Elevatfon PROPOSEb HOUSE ELEVATION
*.rTq-q-a1) Denates Proposed Elevatfon Lowest Floor Elevatian:840.05
Denotes Drainage & Utility Easement Top of Block Elevation:848.16 - Denotes Drainage Flow Direction
--a- Denotes Monument Garage 51ab Elevatlon:847.83 .
--g- Denotes Offset Hub Bevrings shown are assumed
LOT 1, BLOCK 3 HIDDEN VALLEY
dAKOTA COUNTY, MINNESOtA
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Iheieliy eertily thal IMf SurveV, dan or repon was wenared by e or under my d6eet supervislon and Ihal I am duly Pegi:tcred LanA Survrym
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RESIDENTIAL BUILDING
Permit Applicatiou
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirement5 RemodelfReoair Reauirements Office Use Onlv
3 registered si[e surveys showirg sq. fl of lot sq. R of house; antl all roofed areas 2 copies of plan Cert of Survey Recd V_ N
(20°h maximum bt coverage albwed) 1 set of Energy Cakulations for heated additions Tree Pres Plan Recd _ Y_ N
2 copies of plan showing beam & window sizes; poured faund design, eta 1 site survey for addNons 8 decks Tree Pres Not Reqd Y N
isetofEneyyCakulalions Addifion - irrdicateilon-sifesepficsystem On-site Sepfic System _Y _N
3 wpies of Tree Preserva6on Plan if lot platted afler 711/93
Rim Joist Detail Optlons selection sheet (bldgs with 3 or lew units
Date ?/ 2??
SiteAddress ' Construction Cost 3gw9
N?UniUSte #
Description of Work f
Multi-Family Bldg _ Y? N Fireplace(s) _ 0_ 1 _ 2
ProperTy Owner Telephone # ( )
Contractor
Address Q? /?? ( ?
State ?? Il1••'? !-1+C S ou , City
Zip5 ?,(;:3 Telephone # (763 )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _
fee applies.
Licensed Plumber Telephone #(
Mechanical Contractor ? UG 1 4 Za43 ' Telephone #(
Sewer/Water Contractor
Telephone # (
N If so, 25% plan review
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. A /
5`cF??- 4 CRNS-T
Applicant's Printed Name App icanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-piex 11 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement . •Demolitlon (Entire 81dg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Staries Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIREDINSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Fi nal _ Pool _ Ftgs _ Air/Gas Tesks _ Finai
_ Framing Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totai
Building Inspector
RESIDENTIAL
CITY OF EACAN O. U?
Q+ ? 3830 PILOT KNOB RD - 55122
651-681-4675
?--
New Construction Reauiremenls RemodellRenair Reauiremente
• 3 regislered sile surveys showing sq. ft of lot, sq. R. of house; and all mofed areas • 2 copies ot plan
(20% maximum lot coverage allowedl . 1 set of Energy Calculations for heated additions
• 2 coples of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey forextenoraddNons & decks
• 1 set of Energy Calculatbm . Indicate if home served by seplic sysfem for addifions
• 3 wpies of Tree P2servation Plan if lot platted afler 711193
. Rim Joist Delail Options selection sheet (bidgs with 3 ar less units)
DATE oz-
VALUATION
JOB SITE ADDRESS fzlgj7 ll'1??1a???? Z>21Ue-•
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER <_?7'E015 ? ?ra?1N STtJc.'C%4
TYPE OP WORK gys?w.r.?. 1? ni-sc-j PIREPLACE(S) L_ 0_ 1_ 2
APPUCANT &4--- uF-IlL iZ!IFtL JOiFfZe2S ar-> PHONE#5oi &WS-/4Z'b
ADDRESS ID9, S.I-IuJy-?3 ZIPCODE 550S-7
PAGER # CEII PHONE # 617 - <3Li -!qSoj fAX # .S:)? 7 6" - 7Z66
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Confractor: _
Plumbiiig System Includes:
Mechanical Contractor:
Mcchanical System Includes:
Sewer/Water Contractor.
BUILDING PERMIT APPLICATION
Water SofCener
_ WaCer Hcater
_ No. of Baths
Air Condilioning
_ IIcat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is 6o'rree ; an ply
with all applicable State of Minnesota Statutes and City of Eagan Or ' ances.
Signature of Applica
Certificates of Survey Received _ Tree Preservation Plan R eived _ Not Required _
Updated 2002
Phone #:
I.awn Sprinkler ree: $90.00
No. of R.I. Baths
_ Phone #
Fee: $70.00
_ Phone# I UIRE 10 M
OFFICE USE ONLY
? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ?
18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex /
?? ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
fir 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 3?,?.UUU . ?21 Occupancy MC/ES System
Census Code Zoning City W ater
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
N6r. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) ? FinaUNo C.O.
_ Footings (addirion) _ Plumhing
_ Foundation HVAC
Dtain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs
Air/Gas Tests _ Final
,Z?- Framing _ _
_
Siding Stucco Stone
Fireplace _ R.I. Air Test _
Final Windows (new/replacement)
_
?74--Insulation _ Retaining Wall
Approved By S? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
Use BLUE or BLACK Ink
1 For Office Use
-77 ; Permit M v 3
City U1f Eajan ll i I Permit Fee.
3830 Pilot Knob Road I
Eagan MN 56122 Date Received: 2--
Phone: (651) 675-5675 I I
Fax: (661) 675-5694 l Staff: I
L-----------------I
2012 MECHANICAL PERMIT APPLICATION
Date: 10/17/12 SlteAddress: 1367 Michelle Dr
Tenant: Paul & Julia Ryan Suite
Name: Same Phone: 6 51- 2 7 6 -16 0 0
RESIDENT I OWNER.
Address I City / Zip: Eagan, MN 55123
Name: K&S Heating, Air Conditioning & Plumbing LLC License 0153
CONTRACTOR Address: 4205 Hwy 14 W City: Rochester
State: MN Zip: 55901 Phone: (507) 282-4328
Contact: Heidi J Brown Email: hbrown@ksheating.com
New XX Replacement Additional Alteration Demolition
TYPE .OF WORK Description of work:
NOTE Roof.mounted and. ground mounted mechanical equipment is required to. oo screened by City
Code Please contact the Mechanical inspector. for information, on permitted screening methods.
RESIDENTIAL COMMERCIAL
XX Furnace _ New Construction _ Interior Improvement
XX Air Conditioner ` PERMIT;TYPE Install Piping Processed
Air Exchanger _ Gas _ Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install Remove)
Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) 60 . 00 TOTAL FEE
COMMERCIAL FEES:
$75.00 Underground tank Installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x I%
$60.00 Minimum (includes State Surcharge) Permit Fee
- If the Permi Feg is less than $10,010, surcharge is $ 5.00
- If the Pemti Fee Is > $10,010, surcharge Increases by $.50 for each $1,000 Permit Fee - $ Surcharge
(i.e. a $10,010-$11,010 Permit Fee requires a $ 5.50 surcharge) TOTAL FEE
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.nonherstateonecall.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.
Rick Keehn
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE -
Required Insp t
ecions: Reviewed By: Date;
Underground: Rough In Air.Test Gas Service Test In-floor Heat- Final HVAC Screening
TSilverstone
4T* City of Etail
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
952-233-8739 p.3
For Office Use
Permit ft
Permit Fee:
(4.d'
Date Received: 14.12 (13113
Staffr
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5 31 t 3 Site Address: 13661
Tenant:
Resident/Owner Name:
Contractor
Type of Work
Permit Type
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes 55.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes 55.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.06 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL. FEES $
Address / City / Tip:
Suite*:
Phone:a7 ) Lea)
Name: J 0(_\..S PI ufv02 f fl O) License*: 019 t O2 3
Address: 25- S. Sam
16th B i vd . City: ibrciatart
state: pit lv zip: 55-35?
Contact . \QOr
? New Replacement
•Description of work
RESIDENTIAL
Phone: 06 D a
Email,_)OLS614 -off Q►�n b� cervtcQ .
Repair Rebuild _ Modify Space Work in R.O.W.
A5C _�'i
Water Heater
Lawn Irrigation ( RPZI T PVB)
Septic System
New
Abandonment
Water Softener
Add Plumbing Fixtures ( Main / Lower Level)
Water Turnaround
CALL BEFORE YOU DIG. Call Gopher State One Can at (551) 454-0002 for protection against underground utility damage. �V
Call 48 hours before you intend to dig to receive locates of underground utilities. www gopherstateonecali.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 1 understand this is nol a permit, but only an application for a permit, and work is not to start eyithout 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 pia
x
j&&5 LaISan
Applicant's Printed Name
FOR OFFICE USE
Applicant'
ig
Reviewed By: Date:
Required Inspections: Under Ground Rough -In Air Test Gas Test _Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118867
Date Issued:11/08/2013
Permit Category:ePermit
Site Address: 1367 Michelle Dr
Lot:1 Block: 3 Addition: Hidden Valley
PID:10-32900-03-010
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Amanda Peters
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Paul F Ryan
1367 Michelle Dr
Eagan MN 55123
Jns Builders Llc
2325 Endicott Street
St. Paul MN 55114
(651) 646-0221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142773
Date Issued:05/17/2017
Permit Category:ePermit
Site Address: 1367 Michelle Dr
Lot:1 Block: 3 Addition: Hidden Valley
PID:10-32900-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Paul F Ryan
1367 Michelle Dr
Eagan MN 55123
(651) 905-9191
Home Depot At Home Services
2455 Paces Ferry Rd
Atlanta GA 30339
(952) 345-6057
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149545
Date Issued:05/29/2018
Permit Category:ePermit
Site Address: 1367 Michelle Dr
Lot:1 Block: 3 Addition: Hidden Valley
PID:10-32900-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Paul F Ryan
1367 Michelle Dr
Eagan MN 55123
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature