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3834 Mill Run Lane f ` r Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use l~ I Permit City of EaEd I /723, Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 JUL 2 $ 211II ~ Date Received: ~ Phone: 651 675-5675 I I Fax: (651) 675-5694 C~ Staff: O---------------l-t 2011 RESIDENTIAL BUILDING PERMIT APPLICATION C Date: Site Address: Unit Name: 7- ~ Phone: 0.~~'- TfD " 153 RESIDENT / p OWNER Address / City / Zip: ~O 3 /t1 Lc Rem,, 4oye j Applicant is: Owner Contractor Description of work: <02 k Ja ~it/ej s¢Mb I TYPE OF WORK ; Construction Cost: 7 00 Multi-Family Building: (Yes / No) i j Company: -S 4->k F Contact: CONTRACTOR Address: City: I State: Zip: Phone: License Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: N©TE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to ° conclude that the are trade secrets. I r m-,_ . _ y w.__. 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.gopherstateoneGall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I unde7pprov nd this is not a permit, but only an application for a permit, and work is not to art without a permit; that the work will be in accordance with Llan hecase of work which requires a review and approval of plans. x x Applicant's Printed Name Applicant's Signature Page 1 of 3 f I Q ~ DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition Move Building _ Reroof _ Demolish Interior Alteration Fire Repair Windows Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION ar Valuation Occupancy X14G MCES System Plan Review Code Edition V^7 SAC Units (25%_ 100%Z Zoning A~`_1~ City Water Census Code Al 31{ Stories / Booster Pump # of Units Square Feet /Sig PRV # of Buildings Length Fire Sprinklers l Type of Construction Width / REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition)L Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: Footings _ Backfill _ Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEE Base Fee Surcharge Plan Review (,r MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 Smwqoros eertificate SURVEY FOR,. R• S . M. Homes Inc. DESCRIBED AS: Lot 6, Block 12, BRIDLE RIDGE City of Eagan, Dakota County, Minnesota and reserving easements of record. 4• : ti / 8,99 ~ ! i vo ' S . ~ t i r >b i s. L_..1 i 0 ap f ' ;~2Q ? Sn oil I td ti o~ to %A M r \ I t4: o :i t v > M a A m t a'~ 4r J~X` ~ \ ~ I rre `a 16) V \ Ito 0 a 2 ~ r' j &91.5 9a2 'O~~ ao1 \ \ 3"113 ~.t v `io2,t arm to 1.~ f io Q'T 1-13 MILL RUN l 5 b N7'+ b 3~ LANE 90~.~ ~4• kh, °io I,q i D BY. - { DATE: BUILDING INSPECTIONS DIVISION j PROPOSED ELEVATIONS BENCHMARK Top of Foundation : 904,E Garage Floor ■ fag, 3 Basement Floor : Ro 1 MIN. SETBACK -REQIREMENTS Approx. Sewer Service Elev...F Proposed Elevations • O Existing Elevations . Front - 30 Home Side -10 m Drainage DirectMns z i Rear - f5,' Garage Side 5 91 Denotes Offset Stoke r D SCALE: 1 Inch s 30 Feet f I hereby certify that this survey, pion or report was prepared by me JOB NO-,. HEDLUND or under direct supervision and that 1 am a duly s. sd as~_a t esotaoto Land Surveyor under the bars of the State of Minnesota. BOOK* Planning Engineering Surveying MI ISO er~r.p.. rr...ay, eleyaynp~pn, MMwwaot. re+w ;.rwna»M~ASnsms Rafe: L PAGE: p Jef aft , License N376 BLnG. 01-321 01-34-22 01-3445 01-3446 01-2155 P E RM I T ? i sr .Bldg. erm Plan Check Surch./Adm. SAC/Adm. Surcharge 1 *:--- -}-7-3860 Road Unit 20-2275 SAC 120-3865 Water Conn. 20-3868 Water Trmt. -20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 31-3855 Park Ded. TOTAL .??al...g,qo,?r?,.., _ ... . . . . . . 1?Ye?T'TM'?"T'-. ' "?TI.??°!•''_a CITY OF EAGAN 44 1775g ` 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ? PHO N E: 454-8100 BUILDING,PERMIT Receipt # To be uVd 'for DECK Est. Value $1.400 Date AFIR 14 19 90 Siie Address 3934 lIILL RITl1 1.i1 Lot 6 Block lZ Sec/SubUIDLE RIDGE t$? Parcel No. W Name ; Addre: o _._ Phone =o Name a? OU 4 Address ? ? City Phone 11 ? W Name ?W., W OY ? Address a W City Phone I hereby acknowlege that I h intormation is correct and ac Minnesota Statutes and City c Signature oi Permitee A Building Permit is issued to: on the exoress condition that Building Official read this application and state that the to comply with all applicable State o( gan Ordinances_ , ?hall be done in accordance with all and City of Eagan Ordinances. OFFiCE USE ONLY Occupancy _ FEFS Zoning _ (Actuaq Const _ Bldg. Permit 25`00 (pi11O1NablB) - Surcharge • 50 # of Slories Length 22 ' Plan Review ? Depth 14 SAC, City S.F. Total - S.F. Footprinls SAC, MCWCC - On Site Sewage _ Water Conn On Sile Well - Waler Meter MWCC System _ City Water Ac _ ct. Deposi! PRV Required - 5NV Permit Booster Pump - SNV Surcharge Treatment PI APPROVALS Road Urnt Planner - pyrk Ded. Council -- 1.00 BIdg.OH. _ Copies 26.50 Variance - TOTAL Permit No. Permit Holder Date Telephone # WATER SEWER ' PLUMBING H.V.A.C. ELECTpIC Inspectfon Oate Msp. Comments Footings I Foundation Framing Roofirg Rough Pibg. Ragh Hfg. Isul. Fweplace Finai Htg- Fnal Plbg. Const. Meter Plbg. Inspectar - Pbtiry Plumber Ergr.lPlan Bldg. Final Dedc Ftg. s! QG ?:J oeck Fna1 -Z? ;?,C weli Pr. Disp. INSPECTIQN RECORD . CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: "•' `? ??}' Eagan, Minnesota 55123 Date Issued: 14 (612) 681-4675 SITE ADDRESS: APPLICANT: 1 ANf Hlt 1 i?1 i k 1 Utit (611 ) far3 1 4.943 ? • ? PERMIT SUBTYPE: TYPE OF WORK: ??? ,? i, ? Ii r?.?r? ???11?? ) Permit No. Permit Holdsr Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC inspsctlon Dets Insp. Commente Footings I 7 ?? d N TAo e f a ? .?DS Foundation Framing Roofing Rough Plbg. Rough Fltg. Isul. F?replgce 3l Fnal Htg. Orsat Test Fnal Pibg. Pibg. Inspector - Notify Plumbar Const. Meter EngrJPlan Bldg. Final Deck Ftg. Deck Final WeJI Pr. Disp. _ .+ CITY OF EAGAN --3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH O N E: 454-8100 BUILQ,ING PERMIT Receipt? Talpe used for Est Value ''iA+J• ?(' Date Lot Block •- Sec/Sub. '?1DLfs RIDGE 1ST Parcel No. cc Name • W . z Address 0 City Phone o ? Address Ua u¢ y? W Name _ ? Address uW City Phone ?wledge that I have read this application and state that the correct and agree to comply with all applicable State of tutes and City of Eagan Ordinances. Building Official J _ OFFICE USE ONLY Signature of Permittee ! - ' . `; . . {!( 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 and City of Eagan Ordinances. On Ske Sewage MWCC Syatem Occupency Zoning on sice weu (actueq consc City Water (Allowable) PRV Required * of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVAl.S Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ FEES Surcharge Plan Review SAC. City SAC, M WCC Water Conn. Water Meter Road Unit Treatment P1 Parks TOTAL Parmit No. Permit Holder Dats Telephone * Plumtiin9 H.V,,>.C. Electric g,o U Softener Inapection Date Insp. Comments Footings I "7 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. F Isul. ? /0 ? aP/'ec f'lo??-s ?a?P ,? Fireplace 1?. Final Htg. ? Final Plbg. s_ Bldg. Final Cert OcC. ? Temp. LP Deck Ftg. Deck Final Well Pr. Disp. 4 . PERMIT # MECHANICAL PERMIT • CITY OF EAGAN RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ? CONTRACT PRICE: / 7 G!? ==? PHONE: 454-8100 Site Address -.:? C - Lot . / Block Name ! ? Address c Ciry ? Name c Address o City Phone y e' TYPE OF WORK Forced Air Boiler Unit Heater Air Cond. Vent. Gas Piping Outlets # Other z: 7s.?7 TM BTU M BTU M BTU M BTU CFM ? FEE: S/C: TOTAL: BLDG. TYE WORK D? RIPTION Res. New Muft Add-on Comm. Repair Other FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA. COMM/IND FEE - 1% OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RE$. RATE APPUES MINIMUM RESIDENTIAL FEE - q1L 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) i - / ,TURE OF PERMITTEE FOR: CITY OF EAGAN _. ., . . , . , ? . PERMIT t1 - - • • • PLUMBINGi'PERMIT RECEIPT # ' CITY OF EAGAN 3630 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100 Site Address - 9lDG. TYPE WORK DESCRIPTION Lot _^Z_ Block f? Sec/Sub Res. New A? e-MegAt V /42 'Mult. Add-on ? Name ? Comm. Repair ro Address ' "Other c City Phone Zjr!l f? 'RES PLBG ONLY - COMPLETE THE FOLLOWING: . . NO. FIXTURES TOTAL Name '' -/ water Closet - $3 00 s -?Bath Tubs - $3.00 3 Address L 00 $ _ avatory - 3. O City Phone Shower - $3 00 . `"^LKitchen Sink - $3.00 FEES ' '+'• Urinal/Bidet - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE :;?laundry Tray -$3.00 APT. BLDGS - COMM RATE APPUES ?;,?LFloor Drains -$1.50 / TOWNHOUSE & CONDO - RES. RATE APPLIES ?Water Heater -$t.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE - $20.00 , ??Gas Piping Outlets - $1.50 STATE SURCHARGE PER PERMIT - .50 , (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - S10.00 Private Disp. - $10.00 ?I Rough Openings - $1.50 SIGN URE OF PERMITTEE FEE: -?y• ? STATE S/C: FOR: CITY OF EAGAN GRAND TOTAL• ? ?`? (ger#i#ira#P uf (Orru?aury titp of eagan , igPp81t1ipltf Uf 'GltilbiM JWptttm Tltis Certif cate issued pursuant 1o the requireinenls o, f Section 306 of rhe Unrfonx &tilding Code certifying that at the time of issuance this shucture wrrs in conapliance with the various ordinances of the City regulating building carstruction or use. For the following. rr?. ",'.;p:'. ' • Uae Qa?ificatan `? - Bida. Flrmil No. Occupancy Type 7.onfug Diypid 'Iype Camt Bulding Addms n: j L,,,Ifty i.y b a s z, J,.%J-• JL..Q ZU4A,c, : . ? pate; AV 26• 1988 Mdin6 Off-icie! POST IN A CONSPICUOUS PLACE ClTY OF EAGAN Permit No: Date: - , 3830 PHpt Knob Road Nleter No: P.O. Box 21199 Size: Eaqan, MN 55121 Reader No: ?? Dete: Owner. Site Address: L6 1? ^ o -ridle .,j.c?,•? Piumber Ln ?e Conn. Chg: Acct. Deo- Permit Fee: '',1t?? ?vk - F T.' ?•'?-??ms I ?i.EC? r??u • r ' urcharge: eter. ??dilh/nt G.?1S Et?. . Plant_ ?°??P?r wifh ths Clhr of Eapan t M isc.: By WATER SERVICE PERMIT ` CITY OF EqGAN Permit Na ? 3830 Pilot Kr1pb R08d ! ??, ?. Dai@: r r P.O. Box Z119g B?P No: ? Date: r, .0 Eagan, OIN 55121 MWCC: ? ;o, nQ, City Chg: ' ?'Q. Acct Dep: i? • r' ?, Permit Fee: Surcharge: ? Misc.: ?d ? Zoning• No. of Units: ? 1 agree to comply wllh the City of Eagan ?- Ordlnances. ? By . ? SEWER SERVICE PERMIT CITY OF EAGAN N2 17756 3830 Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55127 PHONE: 454-8100 j ?+ !/ ch BUILDING P£RMIT - Receipt ? ?j e ) f 7` To be usFd tor DECK Est. value $1,000 Date APR 24 , 1990 Site Address 3834 MILL RUN LN Lot 6 Block 12 Sec/SubBRIDLE RIDGE iST OFFICE USE ONLV Parcel No. occuPancy - Fees Zoning - w Name TONY & CAROL LANGERUD (ACtual) Const - Bldg. Permit 25.00 3 Address 3834 MILL RUN LN (Allowable) - SO p Surcharge . City EAGAN Phone 631-4432 eoisiories - 221 Plan Feviaw Lenqth p Name SAME DeDih 14 ? SAG Cily z ?a AddfeSS S.F.Total _ SAC,MCWCC ? Clly Phone S.F. Footprints - Water Conn On Site Sewage _ rQ W W NamB On Sile well - Wale Mete a= AddfOSS MWCCSystem r r - aW City Phone ciiywater qccl.Deposit _ S/W P i PRV Required erm l _ I hereby acknowlege that I h? read Ihis application and state that ihe information is correct and,6qree to_comply witfi' all applicahle State ol Boosler Pump - SM! Sumharge Minnesota Statutes and Gfly 5f Eadan Ordinances. Trealment PI Si nature of Permitee APPROVALS g Road Unit A 8uilding Permit is issued io: CAROL LA GERUD Planner - Park Ded. on the ezpress condition that all work shall be tlone in accordance with all Council -- 1 00 appliCable State oi Min{n?esota Sla[utes and City of Eagan Ordinances. gip9, pp, . _ Copies I ?j}????1 T4? Building Olficial Variance - .TOTAL 26.50 ` CITY OF EAGAN N2 14 6 8 8 3830 Pilot Knob Road, P.O. Box 21 •199; Eagan, MN 55121 PHONE: 454-8100 / /J $r BUILDING PERMIT Receipt # ? 7 To be used for SF DWG/GAR Est. Value $93, 000 Date MARCH 15 ,1988 Site Address 3834 MILL RUN LANE OFFICE USE ONLY R-3 Lot 6 Block 12 Sec/Sub. BRIDLE RIDGE 1ST On Site Sewage Occupancy X R-1 MWCC System Zoning Parcel No. W A V ell On Site ( ctuap Const a Name R.S.M. HOMES Cirywater X (Allowable) V s Address 5516 180TH ST. E. PRVReQuired _ #ofStories ' a City PRIOR LAKE phone 452-3499/440-6900 eoostarPump _ Lengtn 50 Depth 44 ' a Name SAME S.F.7otai , ?Q Address FootprintS.F m i- Cify Phone qpPROVALS PEES 1-a Engr./ASSess. Permit 546.00 w W Name ?w z Planner Sumharge 46_50_ i Address . Council PlanReview 2.]3_nn aW City Phone Bldg. ON. SAC, Ciry _10Q....Q0_ I hereby acknowledge that I have reatl this applica[ion and state that the Variance SAC, MWCC --5$Q._00_ information is correct and agree to comply with all applicable State of Water Conn. _558-.80- Minnesota Statutes and City an Ordinaln?cep?s?./? Water Meter _(?.j.,? Signature of Permittee1k -`?1 Road Unit _323LQQ_ ABUildingPermitisissuedto: R.S.M. HOMES Treatment P7 204.00 on the express condition thal all work shall be tlone in acwrtlance with all Pa?ks applicable State of innesota StaWtes and Ciry of Eagan Ordinances. 2,661.36 TOTAL BuildingOfficial •+?•tC6?_/? f TM1iS IHq.85[ VOId y//? 18 T0?I1115 11OT J ? E 1 1.*?R d/ ? ,?, y?• ? 'n L.cense0 [lectncai Convacror I hereby request insoaction ot ebove ? Owner alectrical work instelletl a[: Streei Address, Bon or Ro te No , s3'3?` rt? n 4 1 9 City ecuon o. Township Name ur No. Range No. Cowi?y ? ? Occuu/aJ.?? IP I/NTI I \ Phone No. Pawer /y?un/o?;?ielCJ/'; ? /?l?cL\ rC.l_` ?/?µ /y' ? ?.dtlress //-"?,!? / ? ??/? r? i I EleSpi cal Comractor IC p ny Nx 1 ??en ??`rre ? J(j L , Contrac ?r-s li cense No. No. Mng dJress (onVactur or Owner Making b [ai ?-- 7.S ? lation) -- "::S o Auth r'eedSiBnat e ICo actndOw akinglnstallation . l"WJEI--i Phon Num^ber THIS INSPECTION PEQUEST WILI NOT MINNESOTA STATE BOAND OF EIFCTqICITV Griggs•Midwey Blde. - poom N-191 BE ACCEPTED BY THE STATE BOAND M 1821 Universitv Ave.. SC Peul. MN 55706 . UNLE55 PPOPEP INSPECTION FEE IS vn,,..e taill Ba9-MOa ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION ee-ooo i s ' ? See instructions lor comOlating this torm on back of Vellow copv, ?-' ? E'nl 84 "X" Below Work Covered by This Request Adtl flao. TVpe o1 8uiltlinq Appliunces Wired Equiunmnt Wired Home Ranye Temporary Service ?uplex Water Heater Lightiny Fiztures Apt. Building Dryer Electrie Heatin Commercial Bldy. Furnace Silo Unloader IndUStrial BIAg. Air Conditioner Bulk Milk Tank Farm tnnr poci v Oihcr Isu?ar?ivl -17IFer Sueci y Other Othi;r ompute Inspecrion Fee Be/ow p Fee ServiceEntrenceSixa H Fee feaders/Subtexders N FcA Circuits .u 0 to 200 qm s 0 to 30 Am s 1 0 tn 30 Am s Above 200 Amps 37 to 100 Ainps 3to 100 qm ; Swimming Paol Above 100__Am s 700_Amps Transrormers Irngation Bwms tial. b Fee $igns Speciallnspection Fertwrks . -..., S SJ? TOT FEy?' IPouBh-In - - ?? InS,hpBeCt?l I j • I' ??? Io4 here y 'ertily tAat bove Final the a '? / J inspectian hes been M made. Rils raqunl void 18 This requesl void 18 months imm D - 5 915 7z?„ 9i.,p 5z "%4/? / flequest Date Fir No. Rouph-i Insue n RequireA? ?AOmtly Now ?W,II Notify Inspee- / ?-??p_ &.?r ?Yes ?NO [or When Ready_ 2fI.icensed ElecVical ConVactor 1 hereby request inspaction ot ebove ? Owner eleciriwl work installed at Streei Atldress, Box nr Route No. 3 b-3 L/ Mr(( h n. Citv ?a G? ecuon o. 7ownshiD Namo or No. Range No. Coomy OCC ent (PRINT) _I_ m. -? s Phone No. Pow Sopplier ?. (? ? Address Elo?c'''fal ConVacmr IGo mV Namel ConVact License No. () L( ( Ct Mailinp A dress ICoMrar.tor or Owner Making Inst `7?7 S c;J. f-lw allatinnl r 3- See ?ee ?? a'? r1 Auth iieA $ignal re ICo ra odOwner kine InstallaGOn) Phon, un er i" ft) THIS INSPECTION NEQUEST WILL NOi MINNESOTq STATE BOANO OF EIECTNICITV Gripps-Mitlwey BIdB. - poom N-197 BE ACCEPTED BV THE STATE BOAHD 1821 Universitv Ave.. St. Peul. MN 55104 UNLE55 PNOPEN INSVECTION FEE IS Phene (6121 642-0800 ENCLOSEO. REQUEST POR ELECTHICAL INSPECTION ee-ooooi-oe 1 See inshuctions br comOietinB this lorm on beck at Vellow coCV. ` S ??X" Below Work Covered by lhis Request ?-? ?9 15 7 rsMq-u1 nep.1 fYpe of Builtling I ADalioncea Wired I , Equi4mmH WireA I Heater Bu U Fea Service EnVenceSixe B Fee Fextlers/SUblexders k Fee Clrcults (1 to 200 qm s 0 to 30 Am s 1? 30 An? s 4 Above 200 qmps] 31 to 100 A S Swimming Pool Above 100_Am s Above 100_Amps Transformers hrigation &?oms Parti Fee apeciai inspechon ? Nemerks S I'z? T??EOU Fough-in pmN 1, t ical Inspector, heraby Final D: rte cerlily thet the above r ?{ nspeciion has been made. ThIBrequeatvoltl/8montintrom • CASH RECEIPT ? CITY OF EAGAN ` 3830 PILOT KNOB ROAD ? EAGAN, MINNESOTA 55122 . NECEIYFD ? CASH 8, DOLI.ARS `I L/ ?m ?CHECK _ ?l.1., , n T ?'?' )? O . "7 %' ???? !L-l./,i ?.fi1- . FUNO I OBJECT I_ I I .AMOUNT '' Thank You << - BY ?- .;u Ai WNI.--PaY" Copy Pink?ai ? C°°Y . 1% . I 1988 HUILDING PERMIT AFPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 1`?6 f t INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WHICH ADDRESS ZS DESIRED. NO CHANGES WILL HE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLIPIGS RENTAL UNITS FOR SALE UNITS ?{ OF UNITS ? 1? INCLUDE P SE'tS OF PLANS, CERTIFICA'fE OF SURVEY - CHECK SdITH BLDG. DEPT., 1 SET OF ENENGY CALC[]LATIONS _ f COMPiERCIAL INCLODE 2 SE'1'S OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OE tiPECIFICA'TIONS AND 1 SET OF ENERGY ??eC?IDNS MqR _ ?,? 9 ;-abo 8 To Be Used ['or: _???1? _ Valuation: ? Date: 3-?? ?? E-Y- Sita Address mm lK1.U?j LaT- OFFICE USE ONLY ? Lot b) Block 1 Z.. Parcel/Sub Owner Ad:lress City/Zip Coda _ 4z?-' Phone _-4?5 Z?? '? ??j' 9a `6y D0 Contractor ` Address City/Z3p Code Phone _ Arch./Engr. Address City/Zip Cocie .. . I On site sewage__ Occupaneq (? 3 MWCC system ? Zaning _?.• I On site well Ac'tual Const '_77 City water ? Allowable `3Z PftV required _ 4 of stories Hooster Pumo Length Sa ? Depth S.F. Tota1 Footprint S.F. APPROVALS FEES Engr/Assess Permit ? Planner Surcharge ?(? $O Couneil Plan Review 2231 Bldg. Off. SAC, City IDV. Varianee SAC, M47CC 550. Water Conn $50. Water Meter 6a2, Road Unit 3?5• I Treatment Pl ZO . ? Parks ' Cop3es i TOTAL Z (n(v I . `'?? Phone Ji 34x 3C9 ( Z???, = I? 2 x., 4,?'• .= 7Sgvb ?408 7(C, o ? ? z ?'7 r I P , survelors 6ertificate SURVEY FOR: R.S.M. Homes Inc. DESCRIBEO AS'Lot 6, Block 12, BRIDLE RIDGE City of Eagan, Dakota County, ?2linnesota and reserving easements of record. .It ?g 1 %o ? . 03, 'o sQ4!j . t_'..i '\n6' 10 qot.? \ ? ye'' ti/ \2? 1 \ \? J? ?° '•?? \ I 10 yo2 V? O \ a?' ? ? NZ\ P s?• ? d`o ? MILL RUN tD v 3?' 9oo.q LANE °?oi,9 I?? ,VV' pA PROPOSED ELEVATIONS Top of Foundation . 1104,1 Goraqe Floor . 90p, 3 8osomanf Floor : qo 1 .5 Approa. Sswer Servke Elsv.. Proposed Eleuoliona ? Q Exislinq Elevofion• ? Urainaqe DlrecNons ? ? . Denotas Of/sst Sfake I O HEDLUND P/anning Engineering Survey/ng aoi [.x wx.r.a. Wm 1Nyhww NiA W WY ? SCALE: ! Inch = 30 Feet %A I MI BENCHMARK, 914 0 m ' m I ° Z m ? 40 I ? MIN. SETBACK REQIREMENTS Front - 30 Howe Slde -16 Reor - /S Goraqe Side -.5 I hue 0y csrtlly that Mls surwy, plan a rport ros pfeporeA bY me JOB HO.• or una.r my air.u .ua.wi,wn ma mot i am o awr ReqNNreA 8BR_q?r Lend SwvoYa under IM brs ol the Slalt of Mlnnesato. BOOK: OaN: 3 ,, PA6E: a Jd Y DIJndog , Llcente 14378 0l m c- zI o? RSM HOMES, INC: EXTPRIOR L11UELCnE AVL?`RAGE "U ? C04 111AM?P-HY LAKE BLVp, ' iPR10R.L'AKE, MN. 56972 • OWNER SITE ADpRESS?? • _ ? . . . -?-T ?++ COWTRACTOR_/?? ti AeLermine _rtorking square..rootage of eaCh. - 119"11 0 • 1??0 1. Total exposed wall sql t'tt x.1A 2. Total roof/cell.ing .area . . , . e!a ,sq, t't,, x..?4 ? L4 ..3 ' Total exposed Nall area abaVe t'loor ? 9yv.o • , a. Total WBIZ vrin?ovr area ... ? ? . r ? ? ? r e'• i -'? ?w?,? b. Total door 2rea .................te..??. ?. o..?r .' C, TOt31 s11Q1n& elass area? d. Total'fireplace vrall area ....... ....... ? e. Tot-31 wall framing area (average t'. Total net wall area above Sldor ?. Total rlm Joist area ..............?....aq-5- , Total exposed 1'cundatlon srea ??. v h. Total foun3stipn,. pcindo,y ar,e4. ,, 1. Total het foundatiaq/;area 3`bove grade?Determine "U' value of each Wall $ecmept, a. ?. i Xlluo: so • y?..a ,. X ifUl .O%L a 3• ( c._?•K g nU:: W i? A. O g 6?V X :.Uu , oq r./.'?"iG•Y X uUu ?.? a X"U' h. 0 X°' U' o s o - i.? X "Uj' s- 3 ....................................... jotal • Ii' 1tem q3 is the same as, or less than ?tetq ql, yqp havg met ti110 irnent of SBC 6006(c)2. j < < , •-r,--? ??.. ?....?,?,.-!` ? s a c G o v (? Cc ? -21 [/ i. Total exposed roof/ceiling area ?.. loxal okylight area ............ ,...,_,,... "LG" 92 k. ToCal roof/ceiling traminG area (average l. `1'OtSl nrC insulated T'OOl/C211111C a7'@d , . . ? . . ._l?PSp•G? ? Determine "U' value fqr each roof/Ceiling aegmgAt. ... , G X Oul k.?_g :U" L,o,•r ? .+ 3.1 4........ ....... .......... .......... ':•i i? rG`. J.Z'Oty"i?. ~ y/ C, S". GJ L 5.,. r' ` ) O IC ,/4? 5? C ?r o0 F(C?? :. IP total o: r,q is the same as, or less thap k24 yvu have.met intent of SBC 6006(c)1. Alternate Suiidltlg Enyelope Dea1FA To ut111ze ihe total envelope systera metbod, the values estaSI iShed by the sun of items N3 and q4 shall not be ereater than the sµm,ot iter?s N1 end n'2. 2 3. 01+ - 4. ? CY 2??? ? , s y .?--- L= ? L'A (l`_ /1 u n... -r &r.rGi.. . G, f4 ? --? ---_-_. Cities Diiai ity Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ; , APFLIC?ATION FOR PERMIT ; . .. . , . ; SEWER AND/OR WATER:CONNECTION ; ? ? . , . , _ . . . . ? of eagcon NOTE: PA7MENf OF FE8 AT TIhA: OF ? nrrtacaTTaa oors rOr oorr- ; srizcrre npxmvni::o,e POUrzr. : iNsencizoca oF sa.?e siu/M wnM : Dl'aTALiATIONS 4I.L NpT8I$rSY',['D[7LED i [!NlILPFFFIIT.FABBE@17iEENQM.- : ?.. , (PLEASE PRI, , ,?) PROPII2TY ADDRFSS: /\ u j ZA fV g LF7GAL DESCRIPTION: . ° . Lot B oc , S visionar Tax Parce , ID . . ? . IF E}fSSTIIP,FSTRCCT[7RE, DATE OF ORIGINAI, $U?ING PERMIT ISSUANCE; _ Mont,;, ear PRESENT ZONING/PRQPQ$ID LSF; ? COII$dFRCIAL/REfAIL/OFFICE vi:7. S,,INGLE FAMILY ? ?? "?-I?Jl[aiLSl/ ? ? . o A +ic ?AS(?? Lll.?D1Y+11 (TYYIJ ?:!•14?S) RZ ? -Cw • 9 ^ IpT?','aTTTL7TIONAL;/GOVk?]'' "!. . " ,? Ft 3 ???SE (ThrEe +. Lh'ilts) . x-4 APARTMENTlCODpPOtr]I[1M (' . . x ? G?) ? NAMN : K,l-c. ?l CT E. r?m N 17 ? ` s ? t-,/ 4 e Z? . . , • r el?^ ? ADDRESS: fc?Y'? tJ? y c?'U STATE.; ZIP; /AfA) , , I? ? .. , PHONE: .M- •. •? .. . _. „.,. ?._ .. ,?., .,,,...: •:,- ;:,;._ . .. . -- ;a? FoI'ii5e. ' ,. 3) ? NAME E ? . SS AADR ? CI`l? r #ATE; '.ZIF -N6? PHONE, LIC?S? ?k . . . . ` ,;, . ' "^" S, ,.. ??)? ? ?NAM ?. 9?4 ?127 k ..- . ? 'AADRF $S . ?, } Ysaw?,.y:?? a? • ? i $? y+{ t ?` :,s ? e O Io ? • ,?? . ,. ? Y 3 r7 ? x t . ,.p• . . . . . . ? .? 4 **!t 4u* •s ?. ?3 $.? 5 i 1 +ryrtr??t*,?ir+?w*r,a?r?***???irx,tf?*?.a ON; gU'P?* x, I?f pe'.,' {d 1 pµ .??i?N' F M ?? S 1 ( . . . . .. l` P. ` t . . ? -^ .ra...« . ? ..1.:5 , ? ?.2•. f ?l.K ? t , .s ¢ . ,I{.. .,: ' * ? ;`?.? : -i`"*4 R ????' `?,`?1F 4Tlr t '•? #, z.F,.;: P ? - . . R r '" n . , i 1ERMIT?#,?ISSLED" A k C _ % t,? . •ft . { 1 .. o? . . _ . . ,. . ,. , t ,?.? ? . r •. „ ? ' • . °° Pd w/Bldg. Permit >FEES ? ? ' _,' _ ',,, `' - , • $ $EWER P.ERMIT ( INCl.LUAE'? SUR??IA?GF?.?„ . WATER PERM7T '(INCLCDE SLRCHARGE), ' . a. ' ? . / . . .3, - r,N . . . ? . . W?L?'$Rf j•IETERICOPPE?ZHdRN/OL?TSDE g?ADEA ,$ ? r . $ WATE R 7,`AP ( I NCL4DE CORPf?RATI0?1 ?TOP, ? , M1V''` ? ? t„ ,; •. .. $ - i ER TAP ;r < 'IT Y "? b ? ? ,, ? • ?`?" . $ ??rL9 ?AG?CQNT'-pEPOSM WATER ' . ? ?$ _`i 7 D C1 C) ?$ ? WAC ? e TA'1'R?' ti . .Yt. .W`N M 'a• g',qC TRUNK WATER ASSE5SMENT , ... , .. w- . $ TR(}NK -SEWER, A$SESSMENT .?... >,; . . .:. '.... , $`' ` .-.#r. $ -. .. ., . . . LATERAI, BEN-EFIT/TRUNK SEWER°' ,.. LATERAL BENEFIT/TRLNK WATER . :, • _ -<.. .?- „ ? ? $ .,WATER TREATMENT PLANT SURGHARGE ` , $ -•, ? ,» . , $ - /`T 7?' C? f? ? S S?i .G (? `TOTAL L b ? !•r RECEIP'P -?, EZPT „ . _ . . , , ?. DQES UTILITX CA?INECT,?PN,REQY IRE?EXCAUATIOH• INrPUHLIC RIGHOF WAY?j° ,;. • Y?S ' YE.91F ""•?HEN A ° "PF?RMI,? ?OR,;yVORR,.W?THZN P(7BLTC ; ; ?. I+?QADWAXJ"' N}U$,T 8& IS,S4`EAA BY`;THE ?ENGINEERING 'w' . . _ ? N9s' + `?Z,?7IS?QN ° •LIS.T A,+}Ar.C?NDIT,ION ,. , ? ? , ..? . ,,.. _ . . . r , ?, . .. , _. m ; ' . SUSJECT TO. THE' FQLLOWING COND? ._ . e TIONS APPROVED 8Y:'.? TTTLE: , .-.... r. =•,.'. n ..??., Mn j^ .? -? 'a. +,. 5 y F 1990 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: 'fYPING DF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LGT CHiuVGE IS REQUnSTc? GNCS Pr.Fi4IT IS ISSUED. IQOTE: ADDRESSES FOR GORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEED COMPLETED. PERMIT MUST SHOW A LICENSED FLUMBER. '?,4/ Zz, tYYa a-o To Be Used For: Valuation: ? Date: Site Address 3s'3q /1r11 lfi?Ln.2 Lot GO Block -Zj Parcel/Sub RAI L7L(--- R1p6C- 15,'T AVb' ? Owner "` Address 3QS-4 City/Zip Code 1???a.? Ss/23 ? Phone (p IRg -ZS7S' C( ?) (0 3!~'-E? Z Contractor ? Address City/2ip Code Phone Arch./Engr. A/ Address City/Zip Code Phone # /cvJ' OFFICE USE ONLY FEES Occupancy Zoning Actual Const B1dg. Permit -2`5.00 Allowable Surcharge . S? # of stories Plan Review Length Z 2? SAC, City Depth tti? SAC, MWCC S.F. Total Water Conn Footprint S.F. Water Meter Acct. Deposit On site sewage_ 5/W Permit On site well S/W Surcharge MWCC System _ Treatment P1. City water _ Road Unit PRV _ Park Ded. Booster Pump _ Copies ,ou SUSTOTAL APPROVALS Penalty Planner _ TOTAL 5v Council Sldg. Off. Variance Slimcilorilfs Certific,te SURVEY FOR: R.S.M. Homes Inc. DESCRIBED AS:Lot 6, Block 12, BRIDLE RIDGE City of Eagan, Dakota County, P9innesota and reserving easements of record. .I f ?l f ?', ? i I'Z99-, f ? ' ' " i ? _i_ i ? ? w ? ? ? O ? 0 ? V. 'V 1N ? ? \\ ? ? ?i b k v' .4 qo2.? y ? ? ?o \ `101, °?• `y, P? e •?9 IFO1? p? MILL RUN \ LANE yo,,v PROPOSEO ELEVA710NS sc>a 1.. 03, ? ? OW 5? ? ao ? ,'+ o' \i ?-? V/ d i 1tI •QI to` S I b1j7y001 9?o.a I' Tap at fa;:r.Cat:on _ Gatope Floor 80ftmonf flOOf . qo 1, 5 AppfO;. SoWff SKVICe EIW. Proposed EUvationi ? O E:istinq Elevaticna . Drofnoq• DInclions Denolas Oifsat Stoks ? O I ? I I I • ???? ?? ? ow SCALE: ! Ineh • 30 Feet m BENCMMARX, 31140 m D rn I 2 m ? 40 891.5 ( I ? MIN. SETBtICK REOIREMEN7S Front - 30 Howe S{de -10 Reor - /S 6oruqe Slds -S I here0y eoelly thol INe wrnY. /lan q feport ros ynparN q m JOB NO.: /?EDLUND or under ?ny dlnet supurhlan md that 1 aie 0 dulY R#pIsNnO ggR-qs Lond Surwya unAor Mt 1ors of Me ilote of Mlnnesols. BOOK: P/anning Engineering Surveying ?? E.w.wo.`p...,«.a. M o-Nau? rowa. e6?s t.w?+??Ar?wr Dafe.. B i 1 A 86 D. PAGE: 0 iN M JyjVnd9k*, Llcento 04778 . L i Oi m zi o, Cb ? A ? ? INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permft Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITEADDRESS: Lar: s BLOCK: 12 APPLICANT: 3834 MILL RUN LANE SCHROEDL BRIDLE RIDGE (612) 681-9343 BUILDING 024118 07/14/94 ROBERT ? J PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (GAS) ? CI'FY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Datelssued: (-tkn B ILp g? / Fr 024118 07/14J94 SITE ADDRESS: 3834 MILL RUN LANE LOT: 5 BLOCK: 12 BRIDLE RIDGE P.I.N.: 10-14996-060-12 DESCRIPTION: / ?__? ( G A 5 ) P'uilding-.,Permit Type FIREPLACE J'Building Work Type NEW / ) „ f / ..`_7 Jli?l1 REMARKS FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: L OWNER: - SCHROEDL 3834 MI EAGAN (612)681-9343 Applicant - ROBERT LL RUN LN. MN 55123 I hereby acknowledge that I have read this application and state that the infarmation is correct and agree to comply with ell applicable State of Mn. Statutes and City of Eagan Ordinances. APPLICANT/PERMITEE SI ATUFE _f)(1uQ. ?4AV. I ? ISSUED B: SIG ATU E I X411i CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 ? 16i_?D SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy 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 af month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Valuation of work Site Address:_ Kpun ene- STREET SU2TE # Tenant Name: (commerc.ial only) LOT r BLOCK ?_ SUSD. P.I.D. # Descri tion of work: ?e- I pm 6; 41,q home The applicant is: Vowner ? Contractor ? Other (Oescribe) Name .!?c.hPoa' Ohe;+ :I: . -L r Phone Property LasT FIRST owner Address 3835/ P7,11 /1,,4 Llil, e STREET STE # City State /-01/?N Zip c,r Company Phone Co ntractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address ' City State Zip Sewer & 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 information is correct and agree to comply with all applicable 5tate of Minnesota Statutes and City of Eagan Ordinances. f A Si t l ure o gna pp icant: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging G 02 SF Owg. 0 07 4-Plex ? 12 Multi. Misc. ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck WORK TYPE 0 31 New ? 33 Alterations ? 35 Tenant Finish ? 32 Addition O 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Engineering REGIUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. 5q. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Footing ? Final ? Framing ? Draintile ? Insulation ? Fireplace Permit Fee Surcfiarge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit 5/W Surcharge Treatment P7. Road Unit Park Ded. Trails Ded. Copies Other Total: vatuetim: $ t :? -- '?1?; •.t .. ?? i ,. ir „? ,. .? ? 16 Basement finish ? 17 Swim Pool 'h ? 18 Comm./Ind. ? 19 Comm./Ind. Misl'c. ? 20 Public Facility ? 21 Miscellaneous i ? 37 Demolish MWCC System City Water PRV Required Baoster Pump Fire Sprinkler Census Cade SAC Code Census Bldg Census Unit Assessments 5AC % 5AG Units 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) • CITY OF EAGAN / 3830 PILOT KNOB RD - 55122 ? 3? a-as 651-681-4675 New Conslruction Reauiremenfs ? 3 reglstered sMe surveys showing sq. tt. ot lot, sq. R. of house and ,gfl roofed areas (20% maximum lot coveroae allowed) ? 2 copies oi plans (ahow beam E window sizes; poured Fnd. design; efc.) ? i set of energy calcula lons ? 3 eopies of he prese aTion plan If bt platted after 7/7/93 DATE: 7M ?. ? DESCRIPTION OF WORK: v Remodel/Reoair ReaulremenM -9/ 2 coples of plan 7 set M energy calculations for heated addBions 7 sXe rvney for exferior addilions 8 decb IEOU0? CONSTRUCTION COST: ? U v? J r1 - STREET ADDRESS: 1--- LOT: ? BLOCK: SUBD./P.I.D. #: PROPERTY OWNER , 1 .r- Name: ? t f/? 0? ? I ?-"? Z Phone #: ?l? ?' ??v v^ 1 7?v LaaT First Street '), (-/ iMr? Il A u City State: Zip: Company: (1-7 l?U SS ?1 jrMt?. ? phone#: ??) (?! 7 '.? / 7v (area code) CONTRACTOR Street Address:.?`-'l-i ??r^ Q-e-1 License #9015,? (6_Exp.3J3f ?J City ?v"''^ S Ut (I% State: V) Zip: ARCHITECT/ ENGINEER Company:. Telephone #: area code ( ) ? h Name: Sheet Address: Regisfration #: City State: Sewer S water licensed plumber (reauired for new construcflon onlv): Zip: Penalty applles when address change cnd lot change Is requested once permit Is issued. ' 1 hereby acknowledge that 1 have read this application, stote that the informppptttiiion Is con t and agree to comply with all applieabl -tate of Minnesota Statutes and City of Eagan Ordinances. 1 ' Signature of Appltcant: I? OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received - Yes - No - Not Required Dl?u LP uvlf?l Jt 7 i'.: ` OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)?I' ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 af _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous i, WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* O 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) O 42 Reroof ' Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq, ft, sq. ft. Footprint sq. ft. Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water ",.,$(2fJSte[.Pumo. __.._ Planning Building ? Permit Fee a 9 3.? Valuatiol 5urcharge ?? Plan Review License MC/E5 SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Traila Ded. Other Copies Total: SAC Units % SAC r.zrv oF rar.•,AN casta.r.Er: s TcRnr.NAi_ ho: 7?0 AATk:: C'i/08/99 l'TMF: 1.4c57.4.9 ? mv NC131E; CFiOiS FiFF'l_AC;Et'fEAtT WMIIWS I I321.0 91:1E71. 3634 Mf.l_L IiLfN ?_93.25 I 2i.55 9001. 3834 nri_i.. huN 9,00 ? I i 7oi;a1. Rereipf, Amnun+,' 302.25 30 ?. 2 S I cRI1.2950 USI-R ID^ NAN,r,Y I G384z 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-? 75-567_S. FAX # 651-675-5694 5 `7 O,C) () New Conslruc6on Reaulrements RemodeVReoair Reauirements Office Use OMv 3 regislered sRe survays showing sq. ft. oi lol, sq. ft o( house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N (20%maximum lot coverage aliowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N_ 2 copies af plan showing beam 8 window sizes; poured found design, etc. t site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addrtion - indicate ifarsite sepfic system On-stte Septic System _Y _ N 3 copies of Tree Preservatbn Plan if lot platted aker 717193 Rim Joist Delail Oplions selection shee( (bldgs with 3 orless unfts Date 7 /?S l ? y Site Address 3$3 Y /I;/LL P Construction Cost ?6M. oz) oA1 L.?ye L?i9?JA?? Unit/S[e # Description of Work ?e p LAc', No SJ{iNy Ler Multi-Family Bldg _ Y_ U Fireplace(s) _ 0 _ 1 _ 2 Property Owner (J 7 G R/i ? Telephone #( 6s-/ )?/Sd --rys? Contractor -S? r Address State Zip City Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (q submissionfypa) Submitled Submitled • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone Telephone N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the info ccurate; 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 which requires a review and permit; that the wo k will be in accordance with the approved plan V Zwo?y approval of plan Applicant's rmted Name Applicant's Signat e 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 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6a) ? 36 Mufti 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 O 46 Windows/DOOrs ? 34 ReplaCement `Oemolition (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) Final/C.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumhing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu 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