No preview available
 /
     
4669 Nicols Pt Use BLUE or BLACK Ink O-ffi-ce-U-se ~ far I City of lon I Permit Q- dv 1 I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 I Date Received: j Phone: (651) 675-5675 1 1 1 staff: I Fax: (651) 675-5694 1 I 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit M Name: __4 (.WI Phone:&Z2 '7 RESIDENT / OWNER Address /City /Zip: S P Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: Multi-Family Building: (Yes / No ) Company: Contact: CONTRACTOR Address: City: State: Zip: Phone: License M Lead Certificate M Does this project require Lead Remediation? ❑ Yes ❑ No (see Page 3 for additional information) If no, please explain: 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.gor)herstateonecall.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 accordan approved pl a case of work which requires a review and approval of x Applicant's Tinted Name Applicant's Signatur Page 1 of 3 RESIDENTIAL BUILDING PERMIT APPLICATION - CITY OF EAGAN 3830 PILOT KNOB RD • 55122 ? 651-681-4675 ? flewConsWCfionReauirements RemodeVReoairReauirements __V• p..?-t, . 3 regisfered stte surveys showing sq. fl of b1, sq. ft af house; enll roofed aieas . 2 coPies of plan 11??S-??.?n?'? (20% maximum bt coverage elhwed) . 1 set o! Energy Calalatbns for heated addrdons • 2 copies of plan showing beam & window siss; poured found design, etc.) • 7 ffie suney for exterior addiGons & decks • 7 set W Eneigy Calwlatrons . IrdkaEe if Aane serve6 6y septic system for atldNOns • 3copiesot7reePreserva6onplan'rfbtpletledafter717193 • Rim Joisl Detatl Options selection sheet (bldgs wflh 3 a kss uniLa) DATE _ ?f2I ?-IO ? T VALU/iION JOB SITE ADDRE55 ??G?/ ?/Ce? (S P P If MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWN Tl'PE OF FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT ?C} d _07e PHONE#6bI ADDRESS_ s42) oa7 P ZIPCODE PAGER # CELL PHONE # PAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 1 W ' d (check one) - Residential Ventilation Category - Energy Envelope Calculations Submi ,_ r'S ?s _ MINNFSOTA RULES 7672 ? - New Energy Code Worksheet Sub ? Plumbing Contractor. _ Plumbing System Includes: Mechanical Contractor. _ Mechanical System Includes: Sewer/Water Contractor. _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioninbn Heat Recovery System All above information must be submitted prlor to processing of application. Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eogan Ordinanc /- Signature of Applicant La 0? (L?¢ /-'o Iawn Sprinkler No. of R.I. Baths Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1101 Address 4 6 6 9 N i c o 1 s P t ZIP $$IZ_, IAt 7 Blk 1 SUb Cedarview 2nd Addition THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: G-?? c) Yes No Inspector: Final grade (6" from siding) ? Permanent steps (gazage) X- Permanent steps (main enhy) ,Y Permanent driveway Permanent gas ? Sod/Seeded grass Trail/curb damage Porch J? Basement finish ? Deck ? Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 6814645 before working in righ[rof-way or installing underground sprinkler system. ? White - City Copy Yellow - Resident Copy Pink - Contractor Copy Oltvcse\/ Siteaddress: 1410kel N1CUlS ??• . Lot_I Block 1 Subd.l.ICAaYUi-PC,U , is On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be submitted prior to issuance of a Cert'rficate of Occupancy. ? ? This structure: Is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670 OR _ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674 APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE waterHeater M?? pp_ooSS$? -S/ y(ooo v Fumace I/l _ • ?}'c1'1r .??, {? n'l gt0 /Bo?l? ??1 / ' f /?„-Q [ d Dryer ? EXHAUST SYSTEM LOCATION TYPE MODEL CFM's VENTED YES No Kitchen Idtchen pu cT Ve4e Batnroom 1 ce: I ;, r Ao- Bathroom2 Q:I:n 62 r00..1 X Bathroom 3 ¢.?.n ?r00.h b? Bathroom 4 Other FlREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S VENTING DIRECT ATMOS I Q & G/o GO V6 000 3Sooo MAKE-UP AIR MODEL TYPE CFM's y2 h mfh' Ga n 54'+- ? G°IV UNn rl R r Fl : EYC?.?m E'' ?-2 3 Gov?bv5?lc?? a,. r- I hereby acknowledge ihat the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan requiremenis. • ` q,Z 7_2o Signature nA C'_ f=ra r? Date L I q ?j ?h. ? f Company Name ` This form is the responsibility of the General Contractor. -4 J-I / v U S? 2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) cmr oF EAcaN 3830 PILOT KNOB RD - 55122 " I•o I ? 851-881-4875 (o Q Sa5-u0 > 3 reOsTered qle auveys ahowinp sq. ll d lot, sQ. R. d house antl yQ rootad aroaa (2D'b maxlmum bf covemae albweel D 2 eaples o1 M? (MOw bean R window qzes: Pouretl hW. desipn: etc.) D 1 tet ot enerfly ccdculaliqu > S caplet oi hae preservaHOn plan H bt plalfeC aRer 7/1/93 DATE: I? GiA.Ti '7-ADO DESCRIPTION OF WORK: Nl W CDY1S+vt.Lc? Remodel/Re "vltse\I 1 2 coplas of plan t set o1 energy catcWaHOns ror heatea addiHOna 1 sHe wrveY for exleAa addiXOns R tleeks CONSTRUCTION COSf: SiREET ADDRESS: 4AUJI96 1S I CbI S R-. LOT: -1 BLOCK: I SUBD./P.I.D. 9: ?PCIQ V(;l ? P-t .U 2??1? Name: Phone 1I: PROPERIY twf Flrar OWNER Sheet Address: CHy Stafe: Zlp: /? , 64 /?,?-? 'I??n . Company: ?.U??_ ?' l ??p'!'? f S Phone ?: ?`t10`?"1 CONiRACTOR ?n?? I (area code) Street Address: ?"?-12P l LLVeli1 I If, Tj I11 GI ucanse a I,20Exp. 0 ? Cly Stafe: Zip: ARCHRECT/ ? I ENGINEER Company: IQcI Qi bh4 ++tNl/1 e S Name: I 1,1?rnin,, 1.a l?L^u-?.11 ??-- Telephone A: ( "I6?) .iA. 066 Sheet CHy State: RegishaNOn Y: Sewer/water licensed plumber (N Installina sewer/water): ?2 I hereby xknowledpe Mqt 1 have read this appiication, state tlwllheYn o pec of Minneaota Stalutes and Cify of Eagan Ordinaneea /? Slyrwlure ot Zip: Phone #: ( l nr"J 11 ' 1 and ogree b compty wllh a6 app4oable State OFFICE USE ONLY CeNficates of Survey Received ? Yes _ No ' / Tree Preservation Plan Received _ Yes _ No ? Not Required i iAY 10 / b OFFICE USE ONLY BUILDING PERMIT SUBTYPES 0 01 Foundation O 07 05-plex ? 13 16-plex ? 21 Poroh (3-sea.) A?--02 SF Dwelling O OB 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 03 01 of _ plex ? 09 07-plex ? 18 Deck 0 23 Poroh (screened) 0 04 02-plex ? 10 OB-plex O 19 Lower Levet O 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Yor _N O 25 Miscellaneous ? 06 04-Plex ? 12 12-piex ? 20 Pool ? 30 Accessory Bldg. woRK nrPE )2? 31 New O 36 Move Bidg. O 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)' O 44 Siding O 33 Alteration O 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair O 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code v k # of Stories 2 sq. ft. No. of Units i Length c 6 sq. ft. No. of Buildings 1 Width 34 Footprint sq. ft. Const. (Actual) vA/ Basement sq. ft. )OyH Census Code (Allowabie) Main level sq. ft. iova MC/ES System UBC Occupancy sq. ft. '? o o City Water Zoning sq. ft. Sti 0 Booster Pump PRV Fire Sprinklered MISCELLANEOUS INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ ?0o0 Surcharge Plan Review .x ¢' License ?/? ?,LI 1 o?'N k j 5 - I 5jS Ix MC/ESSAC M?lr /UH?f k Sy =?'56?376 City SAC 4 WaterConn. z^d I4...,I 7oUr-, Sy =37,frGfl WaterMeter G? w}t Acct. Deposit S,10 Ay/` ,rjjyNd S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Tota,: '?' L c, o• 9 9 ? 31 Ext Alt - Muiti O 33 Ext. Alt - SF O 36 Multi I63N ?o r SAC Units °k SAC • - 410, $PctT IGA'AD st•rl: ADDItL•'SS L-'X4'GItIUIt IiNVLi[.OI'G AVlili/1Gli '•U•' COtaf'U9'ATIO17 CoNTTtnCTOa Colleqe i v c' nctruction G - DATC M O 2-C(X) PIlOt7Ii 44444mMA ?(A" 10060 Determine workiny squarc foot•aqc of cach. 1. 'fotal exposed •.+all area ....... LIyS10 :q. Et. x .11 . = r q 1• q 2. Total roof.cciling area ....... sy• Ct- x '025 = Z7•1 Total exposed wall area above floor = / 7qS•o ' a. Total aall window area .................................... I 2q•q b. Total door area ..............................:............ 4/0• g c. Total sliding glass door'arca ............................. 31-21 c1. Total firePlace N.]LL area ................................. O e. Total wa11 framing area (averaqe 10e) ..................... /7Y-s f. Total net vall area above floor ........................... sj7 •1 q. Tota1 rim joist area ......................................? II40.(o T.5>tal exposcd foundation area = '( 3'3 h. Total foundation WindoW area .............................. O 3•3 i. Total net foundstion area above gradc..................... Getermine "U" value of cacYi wall seqment. a lZy,q X ..U.. .SS = !v$. b. yd.g x ..U.. 3•1 x ..u.. • S s' = 17. z d_ O X „V ' 0 ? O e. f 74? 5 x ••u•• ,12. = 7n . 4 r-.-L3.?SJ-- " ..U.. , 0 2_ ° 57.7 ??. f l b• ? . .,?,,, . o y7 S.S 93•3 .... . 083 7. 6 1 ......................................Total IC itcm qJ if-, thc samc as, or Les:; than iCCm ql, ' you ti?? t:hc i.nCent (l41 4? ??f ?? +' of suc 6006(c)2. ,C,la„ • 3 (go. `? L m- 9.? . / ? S0 G (P O D fi CC ? Z Total exposed _roof/ ccilin(j area = /O O j. Tqtal skylight arca ....................................... O --- Y.. To[a1 root/ccilinq Ersniny aroa (avcra(ju LO't.) . . . ...... ... . /O6•?_ 1. Tota1 net insulntcd roof/cuilinli aec:a ••••••••••--••••••••• Detcrminc "U" valuc for cach roof/cciliny scymenr., Q x "U" Q = O k. ?o.S.y x ..U.. ,ozs = z.7 i. 4-7S.L x •.U.. .pzl = Zo•S 4 . . ... ................ • • • • • • • . .. ....Total = 23. If total of 04 is the same as, or less than N2, you have met tlic intent of SBC 6006 (c) 1. C14? • w Z (?Z' ?t Alternste euilding Envelope Design To utilize ttlc total envelope system meth«l, chc values ?.s[a61ish•:d by tlie sum of items R3 and 94 sha11 not be greatcr than G}ie sum o° itemy F1 and K2. ?. l9r.9 + z. _zr9. b a. 18m.? + a. 73•z = Zo ?01•8) ?,,.o 4.0.. ..u..?.-?' r L h u ? ? C 0 O o ? ?? ? ? ? ? ?? ? e?/ o ? ?/ ? ? m', ? o ?'/ ? ? d( ? ? ?? ? ? ? ? LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL 1or 7,f Lael? l L?EQai/IEG/ ZNO 4G?nr? DATE OF SURVEY: 5''7-00 LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gredient °h • Praposed/existing sewer and water services 8 invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existin ?? ? • Sewer service (or Proposed) ? ? ? • Property corners ?? ? • Top of curb at the driveway pl ? o • Elevations of any exdsting adjacent homes ?;/ ? Adequate fooUng depTh of structures due to adjacent utiliry Venches Prose / 0 ? 0 • Garage floor ;/? ? ? • Firstfloor i d l V ? ? n ow) • Lowest exposed elevation (wa kou w ? ? • Propetty comers c? ?? • Front and rear of home ai the foundation PONDING AREA (if aodicable) / o / ? • Easement line ? o'/ ? • NWL ? d/ ? . FIWL ? ?5 ? ? • Pond # designation ? ? • Emergency Ovefiow Elevation 4'/ o ? m' ? ? f? G ? ¢S a ? W? o ? r?/ ? DIMENSIONS • Lot IinesJBearings 8 dimensions • Right-of-way and street width (to back of curb) • Proposed home dimensions induding any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent foolings) • Show aA easements of record and any City utilitles within those easements • Setbacks oi proposed sVucture and sideyard setback of adjacent existing atruGUres • Retaining wall requirements, if any z Reviewed: March 1999 CqAI,IgLpGPRMf.FM , . • Surveyor's Certificate SURVEY FOR :coLcacE arr DESCRIBED AS ;Lo! 7, Block 1, CEOARVIEW 2N0 ADDITION, City o( Eogon, Dokpto County, Minnesoto ond reserving eosements ol recard. 7"W l.T A ,o- - - - - - - - - - - - - - - - - - - - - - - ------ ----------------- ? ° ? -- _ W I I i --i ' Ln Co 93 0o , f9A9'?o I ? 937 0:.. Ln 94, 4)??? . cn 94D.5 ? ? ? ? ? ?'-----42.0 _ O I oyc b 1 o ? r9?13.2 ? d` OO ? I I r+i J • \? q?? ?I 4ry6/? I ? O ? n? S6? 4°82 99 o 4953 0 ° ` ? yo cP o ? / so,' qaa2 cM29 9yg 263'S ?J6 \>k/ti?. ? ? n ^ ? ? ?Z 992 5 RE° fl E ^?J?oa / f/93.q ?,? . I 13 ? i q Dat:e? i Ezist. Home z fi?; ?717y ' ros = sso.s ? ? - . Tf?3i?dl!'FiP.ZZ?'? 'x LEPI'. ?Ci Q 45 , ? LOT SQ. FOOTAGE = 18,777 HOUSE SQ. FOOTAGE = 1,636 LOT COVERAGE = 8% PROPOSED ELEVATIONS BENCHMARK, 7NH& I-/I Top of Foundotion = qyc%s Garage Floor =qqb,2 E?¢?=95o,iq Bosement Floor = 937:1 Aprox. Sewer Service = 935,11 Proposed Elev. _ (Z-D MIN. SETBACK REQUIREMENTS Existing Elev. _ Droinaqe Directions =- - Front - House Side - Oenotes Offset Stoke = • scnLe: i incn ? 30 leet Reor - Garoge Side - JOB N0: HEDL[/ND I HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION OOR-199 Of THE BOUNOARIES OF THE ABOVE DESCRiBED PROPERTV AS SURVEYED BY ME OR UNDER MY pIRECT SUPERVISION AND OOE$ NOT PURPORT TO 800K: PACE: PLANNINC 6NCIN66RINC SURVBYlNC SHOW IMPROVEMENTS OR ENCROACMMENTS, EXCEPT AS $HOWN. 2005 Pin Ook Drive Eagon, MN 55122 DATE CAD FILE: Phone: (651) 405-6600 R P. UHOGREU, Ca SURYEVOR CV2 Fox: (651) 405-6606 MWN 7A UCENSE NU R 14576 RECEIVED MAV 2 3 2000 I L --7 BL CITY USE ONLY ( I 1 n? sueo. C eclo,r RECEIPT#: J 3 C?? -7S RECEIPT DATE: rJ' I s-OU PERMIT# 2oo0 PLUM$INfi PEfiMTl' (R:S1DwN17i4L) crrY or easm 3830 Pu.ar xxos xu f.E1&AF. MlY 5512E 681-6$1-4875 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit A backflow preventer for underground sprinklersystem FIXTURES EACH TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 I Bath tub $ 3.00 x = $ °O- Floor drain 3.00 x f = $ Gas i in outlet ' minimum - 1 3.00 x 1 = $ Hot tubls a 3.00 x = $ Kitchen sink 3.00 x I = $?- Leund tra 3.00 x 1 = $ Lavato 3.00 x 2 = $ - SB fIC $ Sl@fTl newlrefurbished 'requires MPC Iic. 75.00 X = $ Se tiC S Stem abandonment 30.00 X = $ RPZ new installatioNrepair/rebuild 30.00 X = $ Rou h o enin 1.50 x 3 = $ t-1S'Q- Shower 3.00 x I = $ 3rO- Under round s rinkler if dwelling is under construction 3.00 x = $ Under round s rinkler if ezisting dwellin 30.00 x = $ Watercloset • 3.00 x Z = $ lfl - Water heater 3.00 x I = $ != Water softener If dwelling under eonstruetion 5.00 x = $ Water softener if existing dwellin 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar e .50 --> ----> ---> $ .50 To±al -> --> ---? ----> $ Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ---------------------------------------------------------------- ----------------------------------------------------------------------- I hereby acknowledge that I have read this appliration, state that the information is correc[, and agree to comply with all applirable City of Eagan ordinances. It is the applicant's responsi6ilily to notify fhe property owner that Ne Ciry of Eagan assumes no liabiliry for any damages caused by Ne City during ils nortnal opera[ional and maintenance activities to the facilities consWCted under this permit within City property/rightof-wayleasement. SITE ADDRESS: OWNERNAME:: frm le[-f. t J'(u oCYyy-S TELEPHONE#: 1012 k4lr,q-1"90Zo (AREA CODE) INSTALLER NAME: ??P42- TELEPHONE #: t6l UZ?J' I I U? STREET ADDRESS: I LI`??? fU (AREA CODE) , ..? arv: ,n T- sT,ar? : N ziP: ssLCoB SIGNA URE OF P RMITTEE CITY USE ONLY LOT ri BL ( PERMIT #: susn. Gedc?rvi e,?J ?"?' aEceipr a: Date: RECEIPT DATE: W o?a7 I 3c) 3-7 s ?- a -oC) 2000 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT FQIOB RD EAGAN LM7 55122 651-681-4675 Complete this section onlv if you are installing HVAC in a single fatnily dwelling, townhome or condo under construction and not ownedoccupied. • HVAC: 0-100 M B T U ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @$3.00 ea.) $ 30.00 6.00 3 & State Surchazge .50 Total $ 33sO- Complete this section only if you are remodeline, addina to, or reoairine an existing single-family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New Alteration _ Furnace _ Air exchanger Reminder: Call for inspectiorrs SITE ADDRESS: _ Repair _ Other _ Air conditioning Other Fee $ 30.00 State Surcharge .50 Tota1 $ 30.50 OWNER NAME: PHONE #: W Z - t40 - LP-IM (AREA CODE) INSTALLER NAME: ? Z- PHONE #: n S( -C-F7 7? - I I U L? (STREETADDRESSI .I??S `?''` CODE) CITY: V?__C? f(c11`Sl pY? -1 STATE: ? ZIP:_K; ?6a ,?i?J ?d 'bJ 1b?3bHl'I k1Vtk?111 I'IVKI?Hbt .` ??y1-r?/f? ???? j x1 ,' I .SurveyQr :s Cereate ;.. SuRVEY FOR :couAcE arr , DMeRMED •AS :tot 7, 6fock I, 6f0ARbCW 2ND AOOIIION, Clty of Eopon, Ookoto County. ' Minnaaota an0 reserving eoaqnente o( reeord. ?' • j. ; . ? .. . , . . I : , . \ . . ? c?ll?t. Home ? i ??' ' ? T09 r 950.5 ? ? r LOT SQ. FOOTA.GE: =.180777, OUSE SQ. FOOTAGE--1;636 L O T CO VERA GE = 89" , i. , . ,.. . PRq1?ASED ELEVATIONS • _-! Yop',Qf Foundoki BENCH?IARK, on oq?k5 Gor?iqe Floar • =9a6,2 ?kvz950.1q B •-? asfEment Floor o 937,-l , , • Apr64. 5ewer Service = 935,1! Proppsed Elev. = Q " Exisi+ng Elev. MIN, SETBACK REQUIREMENTS i 4 . . I Droiwn;ge, DirectiOns = . , • Front - HoWSe Side - Deno;tes O(fset 5tcke ?. u?LE 'I wtn -?30 r.., Reor - Garage Side- ? -: . . ? ' - JOB NOi I , i . . . ... . 1 HEREBVCERTiFY f?Ai TMIS IS A TpUE u10 CORISECT NqPpESENTaT10N 6OR-199 ???L??? oi .THE BWNDU+IFs OF TNE ABOVE DESUtiBED PROPERir As SURVEirEo 8Y MI OR UNDEA U1' DIRECT $UPENVlSION ANO OOES NOT PURpORT TO PlAN?'(INC 6.yC71ydZRJ1N0 SURY6Y/,NG _H OW IMpROVEMEAiS OR ENGRDACWAENTS, (XCCPT AS SNONN, i','2005 ain Ook Dr(ve . ' ? ? . . Eaqon. MN 55122 OatE lPdonc (851) 405-8600 . A . ?NOptEK u Sunv[rpA 'ToM: .(6St) 409-6606 . NiNr+ T? ?ICENSf NU R t4J7e !; i?'a ?crs*oN , ,.1,yi9N3 oNn103H wtie11 ?: ,.. ? CAO Cv2 nOoZ '6 'F4N ; PERMIT# LtriOq 3 RECEIPT DATE: 2002 MIDERTIAL PLUM$1Nfi PEgM1T AffLICATION crrY oF EAsAx 3$30 fILOT KAOB iiD gAHAA, MA 587 EE 651-6e1-4e75 Please complete for: single family dwellings, townhomes and condos when pertnits are required for eac it,FEB 2 2 2002 I backflow preventer for irrigation system n / By ?J SITE ADDRESS: ?( ?6? ? , / Co 4S r -7- OWNER NAME : &2/aa-) ? O-,Q.Se-ei TELEPHONE #: b&l 4?1Y '._.c:/ (A EA CODE) INSTALLER NAME: 5? TELEPHONE #l2 6,3 77C ?//? ,p (AR CODE) STREET ADDRESS: Y?J6'?I I A.I I CD X CITY: ?? STATE: LI N ZIP: Jr ?2 _ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply • MODIFICATIONIALTERATION TO EXISTING DWELLING UNIT, INCLUDING: ? ZAdding fixtures lower levels r room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of sep i em. _ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system ReplaCemenUadditional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 rotal n / $ 50 I herebyacknowiedge that I have read this application, state that the inforcnation is corteG, and agree to comply with all applip6le Cityof Eagan ordinances. It ie the applicanPs responsi6ilityto notiry the property owner that the Ciry of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance actlviGes to the facilities constructed under this permit within(`??/%pproperty/right/-p?f-'wayleasement. ?J 7 [? //.sn/2h //?-.? /Jn ) SIGNATURE OF PERMITTEE 1/0 RESIDENTIAL BUILDINC PERMIT APPLICATION CITY OF EAGAN l C? `7 Q V 3830 PILOT KNOB RD - 55122 651-681•4675 n o ? NewConeWCtionReaWremenb RemodellReoairReauiremeMS • 3 registeied site surveys showiig sq. k. at lot, sq. 8, af house; and LO roofed areas • 2 copies of qan (20% maximum bt coverage allowed) • 1 sel of Errergy Calculatlans for heated addNOns . 2 copies of plan showirg 6eam 8 window s¢es; poured found desgn, etc.) • 1 sde savey for rxterior additions 8 decks • 7 sel of Energy Calculatlcns • Indicate'rf hane served by septic system for additions • 3 copies of Tree Preservatlon Pian'rf lot plaCed after 717/93 . Rim Joist DeWil Options selectbn sheel (bldgs with 3 or less unils) DATE JOB SITE ADDRE; IF MULTI-FAMILY PROPERTY OWNI TYPE OF WORKz APPLICANT ? ADDRESS 41! PAGER # CELL PHONE # FAX # rrEw RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: _ Plumbing System Includes: _ Water Softener _ Water Heater _ No. of Baths Phone #: Lawn Sprinkler Fee: $90.00 No. of R.I. Baths Mechanical ConNactor. Mechanical System Includes: _ Air Conditioning _ Heat Recovery System Sewer/Water Contractor. Phone # Phone # Fee: $70.00 All above information must be submitted prior to processing of applicaGon. a ? 1 '?k 2'00 a- I hereby acknowledge that I have read this application, state that the information is 66rrect, and agree to comply with all applicable State of Minnesota Statutes and City of Eag tnam;mtS?? Slgnature of Appflcan B?! VALUATION HOW MANY UNITS? ? / S/`) FIREPLACE(S) _ 0_ 1_ 2 PHONE# CODE Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 2002 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. Aft - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 PorcFVAddn. (4-sea.) 0 33 EM. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Parch (screened) ? 36 Multi ? 05 03plex ? 11 10-plex }?19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex / ? Plbg;KY ar _ N ? 25 Miscellaneous ? 31 New x 35 Int Improvement ? 38 Demolish (Intenor) ? 44 Siding ' ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ' ? 33 Alteration ? 37 Demolish (Bidg)' ? 43 Reroaf ? 46 Wndows/Doors ? 34 Replacement •Demolition (Entire Bldg only) - Glve PCA handout to applicant ? Valuation ? CXci ? Occupancy g-_s 'L "I MGES System Census Code Zoning p D Ciry Water ' ? SAC Units Stones , Booster Pump ? Nbr. of Units -? Sq. Ft. PRV Nbr. of Bldgs ? - Length Fire Sprinklered T f v ' NJ ? ype o Const Width ? x x Other _ Pool Ftgs _ Air/Gas Tests _ Final _ Siding Stucco Stone _ Windows (new/replacement) Approved By Building Inspector Base Fee Surcharge Plan Review MC/ES SAC aty sAc Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies a . O ? Other REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) FinaVNo C.O. Footings (addition) Plutnbing Foundation Drain Tile Roof Ice & Water Final Framing Fireplace _ R.I. _ A'u Test _ Final Insulation FinaVC.O. ? ? HVAC ?G U?-? ??-?7G-? ? Total _ 11 5 .U U