757 Mill Run Cir
(Itrfif irate nf (Orrupanry
titp of (Eagari
ioPpa1"wpttt of wllftbtltg jlw#1Pl'IiDtt
This CerTifcate issued pursuant ro the requfrements af Section 306 af the Uniform Building
Code certijying that at 1he time of issuance rhis structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Ux (.Ljifiaaoo !?f MWGAR BId6. Rrmit Na O-VaaY TYM R3 ? ??p Zoniog Dislria Ri Type Coml. ?
Owoet of Buildiqs w [?r?/i?tf.En ??2491=T q?? ??'FrE sEACAN
BuiUng Addren 757 MIT i, RM MCFZZ 1,=Iity L 1, B 18, ffitIIIE RTDCE
n,w ttpRlL 29, 1988
suaaing officW
POST IN A CONSPICUOUS PLACE
, . CITY OF EAGAN ? 4560
3830 Pilot 'Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT ? Receipt?
.
To be used for Est Value Date ,19
Site Addrdss OFFK
Lot Block Sec/Sub. On Site Sewaga _
MWCC System `
Parcel No. On Site well _
Ciry Water _
a Name
W
? Address
City Phone
°C Name
.o
? ? Address
1- City Phone
Occupancy
Zoninq
Type of Const
(Actuaq
(Allowabie)
* ot Storiee
Length
Depth
S.F. Total
Footprlnt 3.F.
APPROVALS FEES
Assessments _ Pernit
Water/Sewer _ SurCherye
Police _ Plan Reviaw
Fire _ SAC, Clty
Enflr. _ SAC, MWCC
Planner _ WaterConn.
Councll _ Wa1er Meter
I hereby acknowledye that I have read this appllcatlon and state Bldg. Off. _ Road Unit
that the information Is coRect and epree to comply with all applicable APC _ Treatment Pt
State of Minneaota Statutes and City of Eagan Ordinancea Variance _ Parks
Copies
Signature of Permittee TOTAL
A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes end City of Esflan Ordinancea.
• Permit No. Permit Holder Dats ToIophono
Plumbing
H.V.A.C.
Electric ????J? ? ? ?.C ' ' C,?? ? ?? ?G? `
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg. ?
Isul. ET
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ. 2 ,,01?,
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
' , ,.'??;''? 'T.• `, . PERMIT #
.'• ' r ?2? MECHANICAL PEHMIT RECEIPT #
.'f CITY OF EAGAN
3930 PILOT KNOB ROAD, EAGAN, MN 55122 DATE Site Address
Lot /_.
? Name _
?c Address
c City _
? IName CorPorate Constru
3 Address 4466 Wedaewood
p Ciry Aasr, .55123 Phone
TYPE OF WORK 75,000 3TU
FOrCed Air ?,r?,j?;t?x (!1603-7V BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. Kebbd)=' F`?%18-311 M BTU
Vent 3 CFM
Gas Piping Outlets # ar na:: ?" o^1y
Other
FEE
SlC:
TOTAL:
Sec/Sub
Phone
BLDG.TYPE
Res.
Mult
Comm.
Other
WORK DESCRIPTION
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
'-$24.00
ADDITIONAL 50 M 8TU
1_0644 (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
CONIM/IND FEE - 1% OF CONTRACT FEE
? APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
/
SIG ATURE OF PERMITTEE
FOR: CITY OF EAGAN
?
?
?
c
PERMIT q /L1
PLUMBING PERMIT RECEIPT t?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
rRACT PRICE PHONE: 454-8100
ddreqs / ?' un ' r?' E? BIDG. TYPE WORK DESCRIPTION
Block Sec/Sub Res. New ?
-}ric Er_G F Adciitior Mult. Add-on
Name hompson P um in Comm. Repair
City
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
FIXTURES
Cl
t
t
$3
00
W ,TOTAL
S
er
a
ose
-
.
?Bath Tubs - $3.00 -
` .
. Lavatory - $3.00
- Shower - $3.00
?
Ki?chen Sink - $3.00 -
Urinal/Bidet - $3.00
Z Laundry Tray - 53.00
E?iFloor Drains - $1.50 '
t-
, Water Heater - $1.50 _
i -?
Whirlpool - $3.00
Z-Gas Piping Outiets - $1.50 ' G
(MINIMUM - 1 PER PERMIT)
Sottener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
Name ?vr ?I auc v?'
3 Address 4466 edgpWC
o ciy Eaaan
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
STATE S/C:
GRAND TOTAL: `
PERMIT k ? j/'-?
- PLUMBING PERMIT REGEIPT # !5'
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Block C) Sec/§-4
,
r'
m Name
c City Phone,"" -?
,-
Name
c Address
O Ciry Phone: /
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
!
SIGNATURE OF P,gRMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK OESCRIPTION
Res. New ?.
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL ?
Water Closet - $3 00 ?
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00 ' Kitchen Sink - $3.00 '
Urinal/Bidet - $3.00 .
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - S7 50 '
Whirlpool - $3.00 ?
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT) ,
??SoRener - $5.00 'r--=- i
Well - $10.00 '
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C: '
GRAND TOTAL• ?
CITY OF EAGAN Permit Na '
3-9-8E
3830 Pllat Knob Road Meter No:3 7? p? yCs Qate:
P.O. Box 21199 Size:
Eagan, MN 55121 Reader No: 4 Date: - ?- /- ?
Owner. ` ?'1Porat,. :;onst. ,
SiteAddress: ^-.'7 -'J-11- "ln Circle I,T 011) ::rid
5 J0.LIV l?l •v r1e
[A. onn. Chg: F -
cct Dep: `?')f 0 2rl
ermit Fee: EL P
HUt
i`d UnR?' F1? urcharge: ?4e tPlant a w?h the City of Eagan
Ordinan e4er.
isc,: B .
WATER SERYICE PER
° CITY OF "GAN Permit No: 1(t514 Date:
3830 Pil?pt Kncb Road g/p No: _'?11Qn5
P.O. Box 21199 " Date:
Eagan, MN 55121
SEWER SERVICE PERMIT ?
MWCC: SSO.OOpd
-- Zoning• _
City Chg: _ 100. OQRd No. of Units: }
Acct. Dep:- - 15. aCpd
Permit Fee: 10.00Pa 1 agree to comply with the Clty oi Eagan
Surcharge: . 5'`?p4 Ordinances.
INSPECTION RECORD
?IIY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK: ,.,r., tA
INSPECTION ..
5 - ?d . D.
917 Mairx*3 e V i.An VF vI f.wC n ttv niKf [i nRr-x.
F-
?
?+??; , a . Uv
(9
Permk No. Permk Holdar Date Tetephone A
ELECTRIC
PLUMBiNG
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG ?r
?
DECK FINAL I
CITY OF EAGAN NO- 14 5 6 0
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ?Q gg?
BUILDING PERMIT Receipt#
Tobeusedfor SF DWG/ GAR Est.Value $100,000 Date JANliARY 19, 1988
SiteAddress 757 MILL RUN CIRCLE
Lot 1 Block 10 Sec/Sub. BRIDLE RIDGE
Parcel No.
a Name CORPORATE CONST. INC
z Address 4466 WEDGWOOD DR
? City EAGAN Phona 454-0644
, o Name SAME
?a Address
P City Phone
w W
w Name
F Address
aw Ciry Phone
I hereby acknowledge that I have read this application and atate I
that the infarmation is conect and agree to complywith all applicable
State of Minnesota Statutes ?r7d City -ot EaganoOrdinancea
Signature of Permittee '!
OFFICE USE ONLY
On Site Sewa9e _ Occupancy
MWCCSystem -X- Zoning
On Site Well _ Type W Const
City Water ? (ACluaD
(Allowable)
# of Storiea
Langth
DeOth
S.F. Total
FaotDrint SF.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Varience
FEES
_ Permit
_ Surcharge
_ Plan Revlew
_ SAC,Ciry
_ SAC,MWCC
_ water conn.
_ Water Meler
_ Roed Unit
_ Treatment P7
_ Parks
CoDies
TOTAL
R-3
R-1
OR?
601
99,
574.00
O1 0.00
550.00
550.00
67.00
325.00
204_00
Z,707_00
A Building Permit is issued to: CORPORATE CONST. , INC. on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances
Building Otticial " 61? /9/
This repuest void
18 months fwm ?j(?je(y
6 fu / w
D 094157 _?,L i? 1 n Rflf?'1 00_,?.?1
R uest Va}q ?
? Fire o. RouPh-in sVer.UOn
Reqotr
Feady Now CZJyiLLPMiify Inspec-
?>i es ?NO or When Ready
5xicenseA Elecvical ConVactor I herehy repuest ins0ection ol above
? Owner elechicel wark installed et
Stre t AdAres.v- Box or N6. A
n ?..,.
vi C i? ? ? A)
e uan o. Township Namc or No. Range No. Cnumy ^ f
N •J
OontIPq?TI ^
lJ 1? (po S f- Pho e No,
S' -D 03
Power S er Adtlress
l
Eloctrical Convactor ICompany Numel ontrar,mr's License No.
?T?urru ,^, r r. mmr)Tn Q
*f9?'M ????9?I?nhdel?f Y w?f?Nlakinglnstailation)
14540 PENl?G?CK LANE
AutqcQ??i.p?yu?¢yY:prrt?,re[?tor/?p?1P1e' MFM!+qer?{l?k?lla[inn)
r?rrLr? d??.?•i,l 1V J71GY Phone Nuniber
MINNESOTA STATE BOAND OF ELECTNICITY TNIS INSVECTION PEQU[5T WILL NOT
GrigBS-Mitlway Bld9. - Noom N•191 BE ACCEPTED 9Y TME STATE BOARD
1821 Universitv Ave.. St Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 1612) 642-0800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION epe?-ooo?/-os
? , Sae instruciions tor comoleting this brm on beck ol yellow coCK O?? v?
Q- 9 415 7"x" BeloW Work Covered by 7his Reqirest
A Rep. Typa of BuilCing APPlioncea Wired Equiumant WireA
> Home ftange ' Temporary Service
Duplex Water Neater itghtiny Fiztures
Apt. Buildinc7 D er Electrie Henun
Commerual Bldg Fumace Silo Unloader
InAustrial Bldg. Air Condrtioner Bulk Milk Tank
Farm tn.t, oe,:i v nine? Isuecovl
t _r uecify Orher Other
Compute Jnspectron Fee Below
p Fee SarvicaEntranceSize M1 Fae Feeders/5ubfeederx N Fnrs Circuits
0 to200Am s 0[o30qm s 0 tn30Am
Above 200 qmps 31 to 100 qmps 31 to 700 Am s
Swimming Pool Above 100_Am s Above 700_Am)s
Transiormers Irrigation Boorcis rtia6"Other Fee
Signs Speciaiinspection 5 ?
TOTAL
Nemarks . l
/ V
J
flou9h-in ? 11ha E cviwl
pectoq y
lily ?hat the nbove
Final /f? 14r
peeen
???t 0e.
thls repues[ vaiE 18 months irom
PLUMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone 9 651-675-5675 FAX # 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pemuts are required for each unit
$IS?-0
Date -q m &
?
Site Address n? ?,-% q Z?,^
Unit #
Property Owner A A _l 1 ,, Te[ephone #( 6 S i) ?a? ? O Q? 9
Contractor
Address 3L1 O 3.? o??? City
State _ ??- -- Zip C-?C-,)IZ,3 Telephone# t? ?
- - -? -
The Applicant is _ Owner ? Contractor _ Other
Sepfic System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Inclutles County fee. Additional consultant fees may apply.
Alterations To Existing Dwelli¢g Unit, Including $ 50.00
_ Adding fiMUres to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5!8" meter if needed -$121.00)
Other:
_ RPZ _ new insfaifation _ repair _ reb ul
' 9 L0,13 $ 30.00
?I
_ Lawn irrigation system ? j ..
lc }?
- Water soFtener ) Water heater $ 15.00
X replacement _ additlonal
State Surcharge $ .50
Total $ I5 •5 cl.
I hereby apply for a Residential Plumbing Pemut and aclaowledge that the information is wrnplete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Plumbing Codes; that I understand tlris is not a
permit, hut only an applicarion for a pernut, and work is not to start without a pemut; that the work will be in accordance with the
approved plan in the case of work which requues a review and approval of plans.
Zz, ta-v kar? %?s r, il? tAa ?-??,?a ?a
Applicant's Printed Name - ic Ys Signature
?'!'.>
. .. i , ..:- r., -:..p .:
. .. ? .. : .. ...
n;l 1.
'
,
,.
?'-:1 "':.:t?:*,'
PERMIT ` - -G'iTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
032047
05/22/98
51TEADDRESS: 757 MILL RuN czR
LOT: 1 BLOCK: 10
BRTDLE RIDGE
P.I.N.: 10-14996-010-10
DESCRIPTION:
Buri?d`fng. permit Type DECK -
8uiiding"W.ork Type NEW
?12C errsus Cod#?-", 434 A.L7. RESIqENTIAL
REM?I?§: REvzeweo BY MIKE BARCK.
tf" r py? f
?j {rt ?
°?i? S 9? ?1?i-?
?'"?'T ? ? `.:.?}? :? L3
FEE SUMMARY:
Base Fee $50.00 COPY $.25
Surcharge $.50 Total Fee $50.75
Subtotal $50.50
CONTRACTOR: - pp lcan -
'CU6P'ER' THOMA5
? 757 MILL RUN CIR
EAGAIV MN
? (612)688-8949
I hereby acknawledge zhat_ ? harve read this, application an@'state that the information is oorreGt anrt ag.ree t8 camplw3th aXl ap-rlicable, Sta,te p# Mrt
Statutes and Gity pf Eagart Ordinances.
? .?' ,. ,.. . , .
.._... . ... .,_ .u.._ ...w. ._ . . ,. . _ z... .... _ .. .. . . ........e x,F.
APPLICANT/PERMITEE SIGNAT E ' ISSUED BV: SIGNATURE
? sa 7s?
?. 1998 BUILDING PERMIT APpLICATION (RESIDENTIAL) kf? me$SdG
3a o? 7 CITY OF EAGAN
3830 PII.OT KNOB RD - 66122 CAal
681-4675
New Construction Reauirements
• 3 registered sile surveys
? 2 copies of plans (inGude beam 6 window saes; poured fnd. desipn; etc.)
? 1 energy calaiations
? 3 copies of lree preservation plan 'rf lot plaked aRer 7/1193
requiretl: _Yes _ No
DATE:
Name: LUi Fz 7_2?o >"' 4 5 Phone #: E doc"
Last Firat
DESCRIPTION OF WORK: ? CsC K 6 D 5::) / 770 Gt/
STREET ADDRESS:
?
R_ v n/ C-' / 0 -
LOT: I BLOCK: / 0 SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITEC'I/
ENGINEER
Street Address: 7,S _? P41L c- 12-l/ rtJ C ( tc
City C5-1+ P,-/ State: / r/" Zip:
Company:
Phone #:
Street Address: License #
City
RemodeUReoair Reauirements
? 2 copies of plan
? 2 sffe surveys (exterior addHions 8 decks)
? 7 energy calalatlons for heated edditions
CONSTRUCTION COST;
State:
Zip:
Company: Phone #:
StreM
City
Sewer & water licensed plumber (new construction ony):
and fot change is requested once permit is issued.
Penalty applies when address chang
1 hereby acknowledge that I have read this applica6on and state that the infortnation is cortect and agree to compiy with all applicabi
Sfate of Minnesota Statutes and City of Eagan Ordinances. ,
Signature of Applicant
OFFICE USE ONLY (J
Certificates of Survey Received _ Yes _ No m 15we
Tree Preservation Plan Received Yes No Not R ire
Registration #: _
Stau: Zip:
?? . --..
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
,X(31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building AVS_
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
y3y
ol
-L
J
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
?
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 MuRi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,13?15 Deck
Valuation: $
% SA?? "? b ?
SuRVEYOR'S CERTIFICATE
??-
N
I / 40
Q
?
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?
,
,
1 2
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W
MILL
o p
UTlLItY EASEMENT
LOT I
.
7ou.s
-? o/ 38.33
T)iO22/G o.s 165 I PRO POSE j/ H?SE/ n
cAR.
o / 37. 33 .65
e ?
a o 1
? (91
1
5
? 1
SIENNA CORPORATION
W
OD
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Z
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l?J
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NN
1( 8.81
IQ
RUN CIRCLE
j--
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REVISED 12-23-87 TO SHOW PROPOSED
BY CORPORATE CONSTRUCTION
? DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROP05ED GARAGE FLOOR = 9vo.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 393. / FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - 90/, 2 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot I, Block 10, BRIDLE RIDGE I ST ADDfTION, occording to the recorded
plat thereof, Dakota County, Minnesota.
!.T ppES NOT PURPORT TO SHOW Iti1PROVEA4ENTS OR ENCROP.CF-1"AENTS, EXCEf'T AS SI IOVV^:. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISIO THIS .. --,+'Z_?', DAY OF ?F_s.?: •???E iL, 19°?.
APPI20Uf:U FOR SiL'IlNA
01111nanrt ori SIGNED: JAfv8S . H L, INC.
n v: Bv:?
f1ATEf1,
v?
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KiAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
.
James R. Hill , inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
N
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44.78 ?
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1988 HUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHIC$ ADDRESS
IS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
7 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: K/tv- 9 F,7 Valuation:
Site Address <75, n /Y'1tit
/lJO? 000 Date:
(- t'Z -S')
Lot I Block 14 6,9
Pareel/Sub f3-tsff /Cio?
j`! P61
Owner ! D erJs+.arilv l ahrf _?
Address
City/Z3p COde tkry+,rt.
Phone '(fy .veyE#
Contractor 5-0Ln4
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
On site sewage_ Occupancy
MWCC system ? Zoning tQ- l
On site well Actual Const QA)
City water 7 Allowable $ N
PRV required _ 71 of stories
Booster Pump Length 60 ?
_ Depth ??•
S.F. Total
Footprint S.F.
APPROVALS FEES
EngrlAssess Permit ,T7y,oo
Planner Surcharge ,'rp.°O
Council Plan Review yti"/, °o
Bldg. Off.ti SAC, City /oo, •°
Variance SAC, MWCC Sso,
Water Conn eto. "
Water Meter 617, °O
Road Unit 3.z a, a°
Treatment Pl aza y.
Parks
Copies
o0
?
TOTAL aryp7,
Phone #
a
tdosewrL n v
/'* F'> o 1- ;
?'"d ?/o., :
Ga• w3<-
aY x 3k' _ l?lo?- x I`f - /a,7G
,2 Yy 38 ; y/ ;,
Ax 7 z /Y
d2-
?^-- 9 3 r p
y' q yV 9
•t . ,} 1
. .
• - 7 _..._...__ - -
)wner -- . ...
;its ACdress
Mld(4e3v&w "^". ?A
BASED OV
HO ERGY C
AQoQCiun 6 1
,-
vLY nYYV ?A! ?V???I . ?
? I • `? V
T E O F T
)Dt-?T1JSTtffLTLON_-_
•cctv• 1/lf 4
Phone ^
:.?hont
:ontractor ? oz--- ?
suiTding Classiflcation: Type A1 (51N1e _Fa:ni1Y b Ou01ex) LL Type A2 (Residenttal
___ (3 stories cr ess
(Othtr) (Over 3 stortes)
iENEAAI INFORMATION
t. Butiding Pertmeter 1"4 `?)ft.
-En?K°
Yalt hei9ht {ground to eave} ft.
2
3. t. x 2. (aoove) gross wall afga `Z (?6`,
z ? x
3. Building dimensions (l) ¦(W) Z(. '??ft.2 roof Sflaor area
S. SQuare fcot area ot ria jotst - F? x 3Perimeter t2 aim ]o?st area ? LZ-Z _ 3 ft2
6. Doars - Ares 127)
n
actor ?-eZ
.
Thtc ness L 4
Type ot ConsLructTon '??eriawter tt.
Manufacturer
7. Totsl door's perfineter ? Z- z- `?D ft
?'
?} State approvrJ i?N fcl • __
•
e?
wlndo++s: Manufacturer +
8 r? c o
.
U factor .. Za 2
TYPE SItE AR£A (ft.2) 'IUMBER 4F TOTAL fEET
EpCM UNITS
. ', -?:.
c-)
' V- .?
-A- C) -z
? o
?? Q' 1,
Z [? \ C._ _
? _
1 A
V
?
-z,
l
•
? - O 3? ?o ' -
°--?-
o _
r? i_?:?;?-'•
• .3.?uz t
Z-A o0
Tot isft.r Gtass Z
9,
I 0U ftreptact area: Wtdth x heiaht ¦ ; x -?
? ? ?? Ft.
Z
1 1. Expased foundatlon: Hetght xPerimeter m? x . ~7-4 Ft.
:]MPlEtION OF THIS FORM IS REOUIRED FOR All NEU COTISTRUCTION. MAJOR QEMOOELIN6 ANO BU[LDIYGS BEIf
I JVEO W?+ERE EnERG`l. OTkfR tw4N THE ntNtMAI COOE AlLOWAnCE. t5 uSED.
2. . Framing area_- lOZ of gross ++a11 arca.
Grass ++a11 area Z\ 2>\
2
. window area /t ft.
Rtw joist area a L-- Z?. 3 ft.2
?
poor area 0. ft.? '
Z
Fireplace area A fc.
Exposed foundation ,
A f*..'
Framing area A o ft. 2
tvet wall area A -Z-, _71 .?4 `c.
( „•g;
f.•2 ,_
wlnd8w5 ¦ a?? J x A • za
,
U rim joist ¦ r p"? U x A ? • ,`l?
7 door a rea 2 3 J x- A = -a . (c,5
U iireplace ? .-45-i) U x a • °l.\-?-,
U foundation ? .\\ U x A ? ?•\4
j franing area U x A ¦ l`?.b?
U walt U x h ¦ (o°
7.11 -. .L . . . . . . . . . . u x a • Z?.4a?
Gross wall area x 0.11 (A-1 single family S d6;.;=x • allowable UA A/Code
(l3. above) ?
x 0.23 (A-2 other residenti;'.;
x .23 !Ocher building:;
x .28 (Over 3 stor•;e:)
5+1.
SB
5C.
:50
'6.
TUH i'!USL De larger than
? Z l'2)`\ x C Ccde...._ 138 nbeve
Cailing framing area (Af) aquals 10.`. nf :eilina area ?- or the same as)
z z r- -5 k t 3
Gross ceiiing area ? (L) zca. ? x ('a)?_t °t ?tn (r-, ft.2
Jaist area (Af) - 10"; ce111ng area =_ q?? Co ft.Z
ye! Mceiting area (.4C) (15A - 158) - li?)??t ? ft.Z
Uteilingx,4?¦ ?v?k 'P? x o' `9..3?a
U framfng x A f¦ ?. ? Z C?'? x_ `o
:QTAI U x A ........................................ Z\ Q\?
?
. . ?
Ceiling area (15A) x 0.026 (A-1 sinyte .`amily S Quptex - cade allo•aahte U A.A
x 0.03 (A-2 other reside.^.tial )
x O.C6 (other) -
- BTUN Must bt larger than 150 (above)
A(15.a) di 9xiL (code): .c)°F (or the same as)
?__---
NOTE: Use U and a value5 oDtained f••p+* nps 1. 3 and 4.
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
i NOTE: PAYPffNP DF FEE AT TIME OF '
; nrrr.xcaTTaa oors Nar ccw ;
w SPI1ViE APPAGVN. OF PII2FIIT. :
.
; zraMcriaa oF sUM a,ND/CR HmTEx •
;.
; irsrncIAzzoNS wI-EL N[Yr se scEn= ;
y L'NfIL PEENIIT FIFd BSEN APPROVID. ?
city f+a+?::»iitw??txxswwire?aae+?s?wrexea.?aoF ecigan
(P E PRINT
1) P R o r m m Y t f o D R E s s : 757 M i 1 d R u n C i r cl e
IBGAL DESC2tiPTiota; L o t ] B 1 a c k 1 0 B r i d 1 e r i d e A d d i t i o n
Lot B ock 5 vision or Tax Parcel ID
IF EXIST2NG S7RUCT[IRE, DATE OF ORZGINAL &!ILDING PERMIT ISSUANCE:
hbnt Year
PRESENT ZONING/PROPOSID USE:
Q CONA7ERCIAL/RETAIL/OFFICE ,J R-1 SINGLE FAMILY
Q INDUSTRIAL ? R-2 DDPLEX (3w t?nits)
? ii3?TIiilTIONFwjGGv?Fu?u"?"ivl' ? 12-3 '1(lNNtKkJSE (Three + Onits) ( Lnits)
Q R-4 APARTMENT/CONIDOMINIUM ( Lnits)
.
2) ? tvAME; Thompson Plumbing
ADDttESS: 12201 M t k a B l v d
CrTY, STATE, ziP: Minnetonka, Mn. 55343
PHOrrE: 933-2521 .
For City Use
3) EL:g; NAME: Thompson Plumbinq Pl rum ese:
ADDRESS: 12201 Mtka B1vd Active
Ecpired
j
CiTr, STATE, zzP:
PHONE: Mtka, Mn 55343
9 3 3
2 5 21 MASTER LICENSE # 1763M rtot recorded
- St Imtia
4)
taarE: Corporate Construction Inc
AnnxFSS: 4466 Wedgewood Circle
CITY, STATE, zIP: E a g a n, M.n 5 5 1 2 3
PHONE:
5) s w • a?. .? . t??
? CONNECTION TO CITY SEWERR ?CONNECTION TO CITY WATEEt ED 0'iHERR
6)
**?*?******?*+******************?***+??+*?*?**?:t**?,t,r**,r,r*:r*:r****?+**?*,r******?*?*******?*+********?
* THE GOLD COPY OF 7HE PERMIT WILL BE SED7r DIRECTLY TO PUBLIC WCIRKS TO FACZLITATE MEPER PICK-DP. *
PLEASE ALI.OW ZWO WORKIDIG DAYS FC)R PROCESSING. SOMONE FROM TM CITY WILL CpNfALT YOU IF THM *
* ARE ANY PROSI,ENIS. *
. fOR ,CITY USE ONLY
PERMIT # ISSDED
y3? ?
Pd w/Bldg. Permit
c
$
o-e)
R
$
$
$
$ jJ S?O . d" U
$ $
c
c
$
s ? c ??, rrn
$
FEES:
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SL'RCHARGE)
$ WATER METER/COPPERHORN/OCTSIDE READER
$ WATER TAP (INCLODE CORPORATION STOP)
$ SEWER TAP
$ ? S•G? ACCOLNT DEPOSIT - SEWER
$ / ?j^ Qa ACCOUNT DEPOSIT - WATER
$ WAC
$ SAC
$ TRUNK WATER ASSESSMENT
S TRL'NK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEWER
$ LATERAL BENEFIT/TRLNK WATER
$ WATER TREATMENT PLANT SLRCF3ARGE
$ OTHER:
$ l 7 ? • ?a $ 'S l D ? TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
? YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PC'BLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
? NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: d--c [l
TITLE:
DATE : It
? ?
p ?/ #iot
N?xac??_ro?-?' A W 1
AAdreu 7 Y?( ,V iL,Cri'a 71en # Dete ot jq. .t`.J?
HEAT LOBS CALCULATIDNS
•Tot?ieat Lou ( =Tota1 Btu Input I All windowc & doon aro "athe'sttipped
.-
Na. i v?
WIGM
d wm
HeipM1t
ol PMe i
No.o1
liql?t? ..a.,
LimWl.
ol cncA
An?
fp. h. i o .,u i
No. i?.
?yidth
oi qne
HepNt
ol W. ?
Ho.of
h y ?r.?
LinMM.
of b<\
11ne '
qJt.
? 1- 10 6v f,t? 3?-?
,aleout, ,aoen
/thou„ cw" eru re.r. aTu
1.1in...i. wiieo... yae ?
? i"ouff.uoow??a..l ?0 /s;r7
IMilvnunWlOawa 118 IiAlltmianW/Doon HB
InfiltrNion 5/0eon 71 InllltraNm S/Daon »
E W. WNI Em. WMI
GYraPOwl - - GIw80oon 36-0 ' . '.
NnEm.WYI O
861
44
1
NxExc.WMI .
?
0 7
JQ
-
GIIi•p 4 6
? 9
Gilirq { q
Z
Fim
ie?N arv. y3i06 floor
ioul Bw. 'lj 10
FI. 14i Roam I lpM.l • •,Wth. / • • • Ht. ' Fl,?.?.y?, Room LpN. 7 , •`M4:h. ; . . • Ht.' . .•
Ho. W'
W Melyn
M Na.ol
Hohn U.M.
af rntY Ane
q. ft
No. nWtn
al Mm Wipht
M qm No.ol
II hb IIMNIL
ol ttKk Anz
pAt.
? / 2'8" ?Y.
/Eewm Ctwl. BTU /EOOn Cart. BTU
Inli1nnbn Wheppwe 39
A92,
Infiltmtmn winmwe 76
IntilanbnW/DOOn HB Infltlrnionwf0oa, . NB
imiumwnsIoow. 71 innnvnionslooon . 141; 71
Em. WNI E.p.w.ll
, GMwiOaan G4nb? O?
Ey.WMI i NrtEW.MhO
4 b
?
c.liirq Zd 38 - CrGinp =4
ciaa 3 6
7 10 Fiwr 3 6
1
TmY Bw. ' ? T.I. Btu. ?
. FI.
NO
Wb??ne
o? Room ?
Ho.ol
I' L l9th.
LIMNfL
of enck "Wth.
Ane
p.11, ? • " Ht. FI.
No. G
WbM
o1 p?n? Raom
Hlylp Na.
ol I' 1? LBth 6
IIR
ol 4 Z
C
mw, u ?w,
Ie,,,, can. eTU co.r. eru
InilltntbnWirqpwt 38 1 / In1iIVHbnWIMpas ?
In111.1hionW/Oeon HB InfOVnianwlDOOH 118
i InfihrnionSlDows
11
inliltmionSfDaon
71
_ ?j
I Evp.Wan E+o.wNi
? GYn 6 Ooon `f l 36. L Gk.? 5 Dewv ? 3 ?.
i Nn Ea. WMI 6 7
6 1_ Nrt E?p. WMI 8?
i Giliry 4 6
2
Gi?irq 4 8
?
fbx 3 5
7 10
Flow
/
10
TotN Brv.
:
lotilI81u.
?
10
am. 7s7 A!/D?., -,A??? aw # ww?#to,
i =TotalBtuinput NEATLOSBCALCULATIONS
All w{ndows & doon an warthmwipped
Raom I LYw. ,•,Wth. " Nt. jJ ,•• LFI.T"`f Room I LCth •••Wm. ... ncd .
No.
ol WM M
at W. Ne.e,
II Mf ll ".
ol cnck wn.
A. R.
No. W' tn
ol qn? Maipn
of W. Ne.ol
I tl LirrMh.
ol cnck Mw
q.IL .
O `o. L ' a 'v,G
/cloon CoH. BTV /dw. COw. BTU
IntiM1mlonWiMOws Q ~38 a/.f
1L In111VNbnWI1WOw? '.? -'* tl :j
w/o.
na _
i.nn,.flon wiooa,
iie
Immmionsloeon » 1011mliens/ooon 71
Em W??I EW.VlYI
GiwBDOOrf ,Bfy41 GbrlOaas
N.t Em.WMI ` 7 4 NNEw.WMI a ?
GIIiM Q 2 ? Gllire . _? 4
fiaar
7.110 B
Fbor
] /
7o1N Blv. ToW Blu ?Q -
Rawn'I LYth. • ••Wth. '• ,• Nt • •• FIoZ & / Room 11 LYM. ••WN1. • •• Ntp • .•
No. Widih
a
MNN?
a
No.ol
1 t?
LIriM
ol enck
A.
p. N.
Ne•
Wqm
ol ppH
IM '
o1
No.ol
I p
llnWlc
ol enck
A.
W. h.
d 6 R
?
,doa. ,eoor.
V?? CoN. BTU /?n Cwl. BTU
Innn.wwnwinaew. 38 r Ineuvmwnw1nmw. 38
Infil?mbnw/Oean 118 In11BnJon W/OOa. I18
I0IIlnHOnS/Ooon 71 Inlllttttion8lDOOn . 77
E W. WYI Em. WNI
G4u6 Doa. 9 39y16 - Doors i.
NaEU.WMI NnE?p.W.ll ??
C.I1i^Y /9?c-7 ?4 GYIW ?i
L 1? 4 b
Y 3
Floor 7 /06 Fioor 3•?6
ro.,1 aw. b .a.) 8,u. t? i ?
FI. floan LYth. • •• Wth. fZ. , ,• Ht. • •• FI. Room ? LO• ?e • •• Wth. ; • " Ht.?:, ..
No. W,gi,n
01 mM X-IMi
01PNM Ho.M
1? p Li h.
01Cf?ek Ane
19.ff. NO• WMth
G1WM IhIpM
WVM1? No.ol
1' U LIMY1t
OlCrsk A.
i1.11.
.O dib V
mo^'i rtlem
1,1o,,, aru /?? con. etu
InlilvnionWindow?
1,170 ? Iniil?nlbnWLtlw? ?
Inlihntipn W/OOaa
7t 5lnoon 7l
Evv. Wa1
mw a 9
GIwBOwn 3
..
Na W.0
e
wn Eap. WMI
8
4
_
6 ?
Fbm 71
0 1 Floor ? '8 ,
Tw.l Bm.
Taal Blu.
U
COOLING LOAD SHEET Date:?
Name Address Qf-'7 ',j%--ii-AA142
Plan # Time: 4PM
Oesign Conditions: Outside : Dry Bulb 89; Wet Bul6 75 Inside: Dry Bu1b 78; Wet Bulh 66
ITEM
DIMENSIONS AREA
SQ. PT.
U
TD SENSIBLE
HEAT LATENT
HEAT
CONDUCTION HEAT GAINS
Exterior wail, gross
__
Exterior glass .55 11 --
Exterior wall, net ,OS 71 --
Totalwallsandwindows .?? ?? 40
Floor .OS 17 --
Ceilingorroof .pg 11 6 --
EXCESS SOLAR GAINS
WALLS (diraetion faced)
west
.OS
28
6 6
Roof .O6 54
GLASS (direetion faced)
West
?
.55
1,7j
.?
--
Skyli9hts .55 116 - --
BODY HEAT GAINS
Sensible No. af peo le x 225
Latent - '61 No. of people x 230 --
EQUIPMENT HEAT GAINS
Electric motors & HP x aso?oV sru
Infiltration - Sensible 1.085 x? z CFM x 11 --
Infiltration - Latent J %. CMF x.67 x 30 --
TOTAL HEAT GAIN (SEN518LE)
TOTAL HEAT GAIN (LATENT)
TOTAL HEAT GAlfd BTU PER HR
113, ' _ ; ?S Tons
TONNAGE EQUIVALENT OF COOLING LOAD <
# 102
SURVEYOR'S CERTIFICATE
;-
?
?
I / 40
/1900.0I
I
! ?
r?
W
40
SIENNA CORPORATION
l?
-?-
- - 88.98 N 86°I2'52"W 1912.01
o o , -
Q ?. ' ?
O ? ?? ORAlNAGF & U'flLfTY EASEMENT'?
yL _ PER PLAT 5
co, LOT I ?
o
,
o I ?
M Z
rn ?
N 39.40?__• qoo.5 I
0 '' 4? \ ?/7}900.5 O/ 38.33/ `,I I
.
1` Cf ac
v 21.6? /PROSEM? HUSE O ani GA/O
Q 1) (V
? ? -{f- ?265 44.78 m r`q vWi 0
Nci ? O ? O
I NM? - W
1 a o ¢ ¢ ? ./
- IIy.VV S t36°I"L oZ- t -?"
MILL
RUN CIRCLE
REVISED 12-23-87 TO SHOW PROPOSED
BY CORPORATE CONSTRUCTION
do DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR = 900.8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR g893. / FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - qo/. 2 FEET
WE HEREBY CERTIFY TO SIENNA CORPORATION THAT THI$ IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: ,
Lot I, Block 10. BRIDLE RIDGE I ST ADDITION, according to the recorded
plat thereof, Dakota County, Minnesota.
!r COES NO i°UR°ORT TO SHQN,N !M1^PROVEMENTS CR ENCRCP.CF-I?,^,ENTS, EXCEPT AS °,'r10VJN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISI THIS ??n DAY OF
CORPORATiOM DEt=.v ? '63E.iL, 198 1.
Af'PIZOVGD FOR SIEPIPIA SIGNED: /- ,YAYLS' H L,INC.
DY;
DATED,
RAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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BY:
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
q? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
?AT-1 p .6 C
NewConsWcUonReauirements RemodeUReoalrReauiremenls
3 registeraA sile surveys showing sq. ft of lot, sq. R of house; and all roofed areas 2 copies of plan o
(20% mazimum lot coverege allaved) i set o( Enert?y Calailations (or heated addNOns P
1
2 copies of plan showing beam & window sizes; poured found design, etc.
isetofEnergyCalculations 1 sile survey for additions & decks
Adddion-iiMiceteHmstesepficsystem P ?
-11
3 copies of Tree Preservadon Plan it lot plaHed aNer 711l93
Rim Joist Detail Options selecfion sheet (bldgs with 3 or less uniGs
Date 2- / 20 / vV
?
Construction Cost ?o"L?
Site Address ? n l
S 7 /"//L?. /?-J/? /
C 1+n?,d` UniUSte #
Description of Work /Aj I M 5 ?2?0&3
Multi-Family Bldg _ Y_ N Ftireplace(s) _ 0/ 2
L/
Property Owner 70!/"1 Telep6one il 'd/ /
Conhactor F t?? a) 0
Address 3 %-0 (tj, M!? J,J City A,0e*)??a,0
State Zip ?37 Telephone#(9?? dl'?c) J25??
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1 '
. Residential Ventilation Category 1 Worksheet
(J submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Mutnesota Rules 7672
• New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N
fee appiies.
Licensed Plumber T ? p ?iTelephone #(
Mechanical Contractor p 111 FEB I j LU04 ! III+Telephone #(
Sewer/WaterContractor r?y,_ I Telephone#(
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 pemut, 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 approv plan ' t case work which requires a review and
approval of plansbo, •
? . 0 ft?oj
ApplicanYs Printed Name Applic Ys Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
Work Types
? 30 Accessory Bldc
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinallC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addi[ion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building inspector
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