1231 Mourning Dove Ct
` Use BLUE or BLACK Ink
n~ - - - - - - -
r_ i For Office Use
r+~ I Permit S 7 9 to I
City of 1 EI -Tg~ I
&.S I Permit Fee. P
3830 Pilot Knob Road
Cc I Date Received:
Eagan MN 55122 I I
Phone: (651) 675-5675 AUG 3 0 RECI I
Fax: (651) 675-5694 staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: I 1 IQI~,r ~d7 c D _ C", 6L4 u In . Yylk) 51,3 3
Tenant: Suite
RESIDENT /OWNER Name: ~i"~1C..G(G F'IC~r1E~tl cJ Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: 1'l 6run 11'eo-V PeG, ,
Construction Cost: $ a, C)00.> Multi-Family Building: (Yes / No X )
CONTRACTOR Name: H (,cn.S4'ut 1 i(yj lT rJ License o?6wR(,a -yb
Address: 134,93 &Are55Gen. ear ip,*je, $t,-i-_ 13 City: EIJ, 2wf&,
State: Zip: !5S-Vo Phone: ~0 335 ' ~d(
Contact: Email
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x_zAAj l 9AXVALA x
Applicant's Printed Name Applicant's Signat e
Page 1 of 2
r
y 1 l
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*
T-~ 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 ~j
Valuation p Occupancy MCES System
Plan Review Code Edition 144 1L,.! -q- 7, SAC Units
(25%_ 100%) Zoning City Water _
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
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
Meter Size: Radon Control
_ Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
• I-'Li
DELMAR H. SCHWANZ
LANDSURVEYOR
Registered Under Laws of The State of Minnesota
2978 - 145TH STREET W. - BOX M. ROSEMOUNT, MINNESOTA 55068 PHONE 612 423-1768
SURVEYOR'S CERTIFICATE
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- Nc-.,)Ta RE± ISTCIATION NO 8625
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CITY OF EAGAN
3795 Pilot Knob Rood
Eagan, Minwesota 56122
pbone; 454-8100
I..?,.`_'I'ti-: 1640
PERMIT NO•
Date: Receipt No.:
i `. -7 ? •e??,, 11^: ; ?_:."f '?,C..n r'•} Slfl9l@ I . .
Site Address: Residential
Lot Block Sub/Sec. - Multi Res., Comm./Ind.
? c:: . -..-. . •F,;,
Nome New/A1ter. /Repair
; Address Cost of Installotion
O •,'1 T1 ? ? ? , ?
City Phone: Permit Fee
Sj,r'r; ( ?•;s'vi'., • ?'', +
Name 5urcharge .
.
?
+•°, Address -
e
0
V City Phone: Totol
This Permit is issued on the express condition thot all work sholl be done in accordonce with all opplicoble Stnte of
Minnesota Statutes and City of Eogan Ordinonces. '
Building Officiol
CITY OF EAGAN Remarks
Addition &T. FRANCIS WOOD Lot 21 eik 1 Parcel 10 65900 210 Ol
Owner Street 1231 Mnrn;na fjOVe COll2't State Eagan} MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. <3 J 1406.81 A009662 11-14-80
STREET RESTOR, jmp. 1981 75.00 15.00 5 75.00 C005631 10 15 80
GRADING
*5AN SEW TRUNK 80 3658.57 243.90 15 3180.77 A009662 11-14-80
*SEWERLATERAL
WATERMAIN
*WATER LATERAL
*WATER AREA 1980
i
tSTAPRM 5EW TRK
*STORM SEW LAT 1980
1$
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 270.00 19053 7-5-79
BUILDING PER.
SAC
PARK
? CITY OF EAGAN
.• 3795 Pilot Knob Road Eegnn, MN 55122 N2 5297
V.• PHONE: 454-6100
BUILDING PERMIT Receip! #
Te be oad for Est. Value Dote , 19
Site Addross Erect ? Occupunq
Lot Biock Sec/Sub. Alter ? Zoninp
pa?l # Repair ? Fire Zone
E
l e of Const
T
n
arge ? .
yp
a Nome Move ? # Stories
?
? qddrey Demolish ? Front ft.
? -:.., 1? ,.__ -+ ?• ? Grude ? Death ft.
g Nome
?? Address
t- rs.., o?,......
•I hereby acknowledge that I have rend this applicotion ond state that
the information is corred and agree to comply with oll applicable
State of Minnesota Statutes ond City of Eogan Ordinonces.
Assessment -
Water & Sew.
PoHte
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit
Surcharfle
Plan check
SAC
Wnter Conn.
Water Meter
Total
Signature of Permittee I
A Building Permit is issued to: on the express condition that
all work shall be done in aCOOrdanCe with all uppliooble Stote of Minnesota Statutes and City of Eagan prdinances.
Building Offlcial
hnalt # DaM 1 *d PormIttu
Plumbing 7 / /
Mechanical (P.1l0 / / / 7
5?99 ? - 30 -?? 1cr, •?
S&751
INSPECTIONS DATE INSP. Rouph-In Final
Footing5 Date Irop. Dote Insp.
Foundation Plumbing //
Frome/ins. ?af? O Mechoniool ?
Final
Remarks:
Eko
?
c?
?
- CITY OF EAGAN
3795 Pilof Knob Road
' Ecgan, Minnesota 55122
Phone: 454-8100
i'LU'?S T iFG
PERMIT
Date:
Site Address:
., Lot
1231 Mour*ting Dove Ct.
.i. °-t. Frar?.-i 9
Block Sub/Sec. _-
Name Donald J. Rvanl { Kevin ?
i
d ? -;? 5 oak ch::se
3 Address ' -
O
City agan Phone: - - . ? v
Name
.
0
?
? Address
e
0
V
City Phone:
This Permit is issued on the express condition that all work shall be
Nlinnesota 5totutes ond City of Eagon Ordinances.
No.
1537
Receipt No.: Y,
$ingle
Residential '
.. I
Multi Res., Comm./Ind.
New/Alter./Repair
Cost of Instoffotion
Permit Fee - -
Surcharge
Tota I ^
done in accordance with ull cpplicable State of
Buildin9
CITY OF EAGAN
3795 Pilot Knob Road
Eagon, MN 55122
Zoning:
Owner.
Address:
n.
Site Address:
Plumber:
Meter No.: -
c;,e
Account Deposit:
Permit Fee:
Surcharge: Misc. Ghorges:
Total:
Reader No.:
I agree to eompfp with !he City of Eagan
Ordinanus.
BY -
Date of Insp.:
CITY QF EAGAN
3795 Pilot Knob Road
Eogon, MN 55122
Zoning:
Owner: •
Address:
Site Address:
Plumber:
1 agree fo eomply wifh fhe City of Eagan
Ordinances.
By
Dote of I nsp.:
I nsp.: _ _
. f?0 pci
Connection Charge: - 010 ^
Account Deposit:
Permit Fee:
Surcharge: -
Misc. Charges:
Totol:
Date Poid: _
Dote Paid:
SEVIIER SERVICE PERMIT
PERMIT NO.:
DATE:
_ No, of Units:
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
crrr oF eac,AN
5795 Pila! Kneb Reod Eagan, MN 55122
PNONE: 4548100
N? 5297
.2
BUILDING PERMIT APPLICATION ReceiPt # O
$60,000,
Te be ueed hr SF Dwlg. Esr. Value Date July 5, , 7979
Site Addreu 1231 Mourning Dove Ct Erecr ?c Occupancy R3
Lor Zl Block 1 5et/Sub. St. Francis WoodP" ? Zoninq Rl
parcel # 10 65900 210 OL Repoir ? Fire Zone 3
l
E T
f Co
t
V
arge ?
n ype o
na
.
w Name Ranald J R3+an Move ? # Stories
Z
3 Address 4515 Oak Ch ase Ln Demolish ? Front 62 ft.
? Cit Eagan Phone 454-2190 Grade ? Depth SZ fr.
?
C
H
ApDrovcli s
Pees
ao,p
Om2s
Name
0
?t Address 3355 HiBweth Ave, SO. Assessment -
? Mpl S Water & Sew.
Pho?e
Cit
r
Police -
?w Nome Fire
Address Eng.
4"Z' Cit Phone Planner-
Coundl _
I hereby ocknowledge that 1 have reod this applicotion ond state that Bldg. Off. -
the information is carrect and a9ree to comply with all opplicable
SMte of Minnewta Statutes and City of Eugan Ordinances. AP?
Signature of Permittee -
A Building Permit is issued to:
all work shall be done in acco
Permit ? • "" _
Surchorge 30.00
Plan check 77.25
SAC 525.00
Water Conn. ?
Woter Meter
TotQi _1116.75
?es Donald .1 RyBn on the express condiHon that
?
State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
This request void 18 months from ?7
. R 5299
Date of this Request ? -? ? ?-? - 7 ? . $. Sb
I, u? Licensed ElectricalContractor O hereby request inspection of the above electri-
cal wiring installed at: L a 1 l9 IAt COO??- _
Street Address or Route No. L_ =;2
Section T
1Vhich is occupied
Is a roughin inspection required on this job? No ? Yes 11 Ready Now ? Will Cally
Power Supplier Addtb6?_ a.1-1?-+?
Electrical Contracto¢ _? Contractor's License No. _
(GOmpany Nama)
Mailing Address.4L'?-°?j?-
(Electr Contractor rOwnerMakingThlslnstallatlon)L?? ?
Authorized Signature Phone No?
I ectrical Contra or Owner Making Thls Installatlon)
? u• ?/j ?.?p}? ?? This inspection request will nat be accepted 6y ffie
??S U Stete Boerd unless proper inspectian fee is endosed.
RAV
Minnesota State Board of Electricity
19b4 University Ave., St. Paul, Minn. 55104-Phone 645•7703
f „ REt1UEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/Sa z?
? 5?99
Type of Building New d. Rep. Ch¢ck ppplisnces Wved For Check Equipment Wired Foi
Home ? ? Range ? Temporazy Wving ?
Duplex ? ? ? Water Hea[e[ ? Lighting Fixtutes ?
Apt. Bldg. ? El ? Dryet ? E]ectric Neating ?
Commercial Bldg. ? ? ? Furnace ? Silo UNoader ?
lndustrial Bldg. ? ? ? A'v Conditioner ? Bulk Milk Tank ?
Fazm List List
Othei ? ? ? Others?
Hcre ) Others?
Here
f
COMPUTE INSPECTION FEE BELOW
Seivice Entruice Size: # Fee Feedeis&Subfeedeis: n Fee C'vcuita: x Fce
0[o 100 Am s. 0 to 3QAmpetcL 0 to 30 Am eres
101 to 200 Amps. 31 to - m 31 to 300 Am eres
Above 200 Amps. Abov Above 100 Am s.
Trensformers
Signs Rem Con
Special [ns ection Partialorothcrfee
Minimum tee $5.00
,A-d
Remdi ' TOTAL FEE ?
I, the Electncal Ins ctor, hereby certify thiff the above inspection has been made ? dG
(Rough-in) Date
(Fina!) 7142 ?ate `7y
This request void 18 months from
This request void 18 months from
/76 0?-
"
Date of this Request $ 26791
I, as CO Licensed Electrical Contractor jF.Owner, do hereby request inspection of the above electri-
cal wiring installed at: ?,a / -?J / ?• ?+??n LU? ?'j?
Street Address or Route No.
Section Township Ran e Count
Which is occupied.by - ;7
(Name of cu nt) ?/
Is a roughin inspection required on this job? No ? Yes Ready Now ? Will Call Lf
Power Supplier,.
Electrical Co?ft,
Mailing Address
Authorized Sign
(COmpany
Contractor's License No. _
Phone No.---'?9U
STAT(? ? ??? "? pt This inspection request will not be aecepted by ffie
;? i State Board unless proper inspxtion fee is endosed.
Minnesota State Board of Electricity
1954 University Ave., St. Paul, Minn. 55104-Phone 645-7703
4QUEST FOR ELECTRICAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REQUEST
/ 76 DoZ
S - 26791
Type f Building New . Rep. Check Appliances Wired Fm Check Fquipmeet Wired Foi .
Home LEr ? ? Range ? Temporary Wiring ?
Duplex ? ? ? Watei Heater 11 Lighung Fixtuies ?
Apt. Bldg. ? ? ? Dryer ? Electric Heating ?
Commercial Bldg. ? ? ? Fumace ? Silo Unloadet ?
Industtial Bldg. ? ? ? Air Con
ditlo Ik Milk Tank ?
) t
Othe ? ? ? H refgl e?s#
COMPUTE INSPECTION FEE BELOW
Service Enhance Size: # Fee Feedecs&Subfeedecs: # Fee Circuits: u Fx
0to 100 Am s. D to 30 Am res 0 ta 30 Am eres
4 40, O. a
101 to 200 Amps. / D, 31 to 100 Amperes 31 ro 100 Am eres / ?s!
Above 200 Amps. Above 100 Amps. Above IOQ_Am s.
Transformers RemoteConVolCirc. Paztialor otherfee
S' ns Special Inspection M'vtimum fee 55.00 °-d
Remarks TOTAL FEE ?
I, the Elec[rica] Inspecto[, hereby
(Final)
This request void 18 months from
the v?ns?iection has been made '
,Date f - AL) .
//? . Date r(, o`' 9" b'-j
!
?-,?-
?! ?yur?
6?)-9?
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DaTE ".- A 77
BL'Ii.D2tiG PER`!IT iP°L:CATIO':
Include '_ ;ets of plans, 1 site plan w/elevations an' l set of energy calcuations.
To be used for 4iA1C1 E P/?3i?/LV Valuat:on
Si;e Add:ess: /?31 JyJO? /?/??00(/'?- LO?R-T
Lot Block Sec.!Sub.
° , ? 5T <WoOO
Tele?hone
Addrass
,? ?? /?') ! ?tl? _ 55/?-3
Con[ractor Telephone
Aul'_ress 4T?lephcne
Arch/Eng. Address
OFFICE CSE OVLY
Erec[ Occupancy
Zoning
Alcer
Fire Zene
Rzpair
Type of Const.
Enlaz3e
9 of Stories
;Sove
Front
De^olish
Grade Depth
Da[e of Aa?rov 1 and Initial ? j• Fees ?
j Jsy
Permit
Assessment c
o
Surcharge `
Wates/Sewer ? ? ?
Plan Check
Police "C-
SAC
Fire
Llater Connection
Engineer
WaCer ?te[er
Planner
il
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ounc
BLdg. Off
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C TOTAI.
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Parcel Nurber /C 6,?r W)O Da IZ, a /
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'Certificste for:
Kev!n Fyan
'e a
DELMAR H. SCHWANZ
LANDSURVEVOA
Rpifteratl Untler Laws of Tht State of Mmnasob
2878 - 746TH STREET W. - BO% M fiOSEMOUNT, MINNESOTA 66068
SURVEYOH'S CERTIFICATE
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PHONE 873 6237789
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cr)rrcr.t reprecentltion ?f D)ti ?? , :l-':;c 1, .
? FFACIS W,, T, 3cc?rcinf, to the recnrder, p1 :.t there-
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MiNNE50TA REGISTAATION NO 8625
111112/ 3u t b�b�b4k7ti1
10/1112010 23:51 FAX 7634286352
htK1 I rout UUN5 i rAut IT1f bL
OttO Drywall Inc
,Aire: 7731 1 a, EVIG MK
U002
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Typical ledger screw pattern
plea sithelefhtiesers
Cross slalom or
existing hone
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kedge' oven
instaailad' ethnaif
flasseender
mtm fsiters:
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(1014$112322-1(1420.01
hanger rated itor 2,,t23 ars,
S F-PfasGtat with 14/2.
galwanizedtercernaer
Code refs 1O D9, $114
.izan ieuserts
festerad with
LetterLekthreLigh
exiScieg enemas
t$e2x101edger is bleteneduith5r imiclierLat
fasteners inn %O al pitmen plus on each Sade
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The WereDesigr,Valu forthesassets*
(2:t10,, rerevenbasiding, Ehearilvis ern Oise) is
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N21113 401(311 HGH Certified by