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4077 Northview Ter Use BLUE or BLACK Ink For Office U • I I City of EaEd Pe rmit ~V I Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 1 Date Received: 0 I Phone: 651 675-5675 RECEIVED 1 I Fax: (651) 675-5694 TS4 OCT 2 5 2010 sff_ _ I 2010 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: 1OZAC4,- Site Address: > 7 h-It f 3 ~r-'e i,- T r_ g vh Z"e--13 ~y 3 r Tenant: Suite M If dr RESIDENT/OWNER Name: ~'lh s Phone: E`57 Address/ City/ Zip: CONTRACTOR Name: I)e License M Address: City: State: Zip: Phone: Contact: Email: TYPE OF WORK -New -Replacement _Repair _Rebuild X Modify Space - Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Softener Water Heater Lawn Irrigation RPZ PVB) x Add Plumbing Fixtures C Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ 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.ciopherstateonecall.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- Ae, - e- G FF~Z / i' x nt's Printed Name A c Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In _Air Test Gas Test Final /c f - Use BLUE or BLACK Ink ~ For Of~ic~frJ,se I y, City of Eagan Permit I Permit Fee: ' 3830 Pilot Knob Road n Eagan MN 55122 RECEIVED j Date Received: ~fJ Phone: (651) 675-5675 I Fax: (651) 675-5694 1 staff: _ I OCT 2 5 2010 ' - 2010 RESIDENTIAL BUILDING PERMIT APPLICATION C8 k-d j Site Address: C 7 ~,,e % : ez -e Date: Tenant: Suite G' 7 - RESIDENT /OWNER Name: _Te 4C " Phone: % - Address / City / Zip: %r -7 7 A, A /h i~~ %p 1'77n 57 2- S Applicant is: --,V' Owner Contractor TYPE OF WORK Description of work: f~ Construction Cost: Multi-Family Building: (Yes /No ) CONTRACTOR Name: ~ /A License Address: City: State: Zip: Phone: 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. Portioos 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.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the worts 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 worts which requires a review and approval of plans. xx Applicant's Printed Na App Signature Page 1 of 2 'r -7 dO~-Au LLL 1 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 rotujoml ttck))AT 1 at orj 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 Valuation (3 Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%4) 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 4- Insulation Retaining Wall: _ Footings ` Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee y( Surcharge { ✓ / 0 Plan Review MCES SAC t-,/ i 51 `T Gf ` C~ City SAC Utility Connection Charge r01 t gj)1 S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 TRI-LAND. CO. SURVEYING SITE PLAN FOR: SERVICES JOE MILLER 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION; LOTt6 ,BLOCK 2 , LEXINTON PARXVIEW ACCORDING TO THE RECORDED PLAT THEREOF DAKOTA COUNTY, MINNESOTA S 00 03"45"W 997x7 85.00 9 xl LOT 16 Z ---.mot SCALE I"= 30 w ti OD (D 0 000) LLJ 00 PROPOSED HUcJ1&7 (f~)/ - .c FULL BRSSEME~ _ °°~s ~~n (00 C\1 wini wAt6LOUT 0 OD - 00 j4j0((1 uew 909x9 85.09 914 x 3 S 00 03 45"W NORTHVIEW TERRACE y LEGEND INVERT ELEVATION AT SERVICE EXTENSION= o DENOTES IRON [3a ~ a ; s-r PROPOSED CA RACE FLOOR CLE`vAT i0ii DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION = x DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =r~ss ELEVATION ELEVATION DENOTES PROPOSED SPOT ELEVATION DENOTES DRAINAGE DIRECTION NOTE . VERIFY ALL FLOOR HEIGHTS WITH FINAL HOUSE PLANS I hereby; certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Brodie Swenson, Mn. Refl. No. 15235 Registered Land Surveyor under the Laws of the State of Minnesota. Date ? CASH RECEIPT • CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 owrE is rsece?v?o \ _ PPOfA / I' -?. I ? I I ' AMOUNT &oDOLLIIRB fo E] CASH qCHEGK i ? POw • . I l i _ . i. I . ? . .. ; . i ? I i 1?' . tfl vIfLU PUND CODE qMOVNT ' ?% I ? Thank You , aY . , White-Payers Copy Vellow-Posting Copy Pink-File Copy lftll*? CASH RECEIPT ` • ? CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ? 19 _1 RCCEIVED . ?? I I! FROM AMOUNT ? I 6 DOLLARS 1 oo ? CASH [3CHECK FOR ,?-- /lt_; 7-1 J 1 ) vI cl u FUND GODE AMOUNT Thank You BY ? ` White-PaYera CoPY Yellow-Posting Copy Pink-File Copy SLDG. P£RMIT N0. . ' ? %-L 01-3210 Bldg. Permit 01-3422 P'1an Check 01-3445 ? Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 4:ater Meter 20-2252 Acct. Dep. 20-3713 Water Permi 20-3743 Sewer Permi 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUILDING PERMIT To be used for Est. Value Wi?• OUC Site Address 4077 INORTF,V IEk TY.RBACE Lot 10 Block 7 Sec/Sub. LExINGTON' PAE?KVtE Parcel No m Name JnE FlIL1.ER CONST 3 z AddFess 18133 CLDAR AVH; ° City +i ARHZNGTOM Phone 431-`1UJ 1 ¢ Name .o z 0 ` Addre: ? City _ yVj W Name ? ? v Addre: QW City I here6y acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 5ignature of Permittee A Building Permit is issued to:_ %OE +??IL?? W&;1 on the e*press cond ition that all work shal I be done in accordance with all On 51te Sewage MWCC System x On Site Well Ciry Water X PRV Required Booster Pump APPROVALS Engr./Assess. _ Planner _ Council _ BIdg.Off. _ Variance _ Receipt # f ' Date NvVEME6R 30 ,19 ' 1 Occupancy Zoning (Actual) Const (Allowable) # of Stories Length Depth S.F. Total Footprint S.F. i?`1??Z`5 23 PC I - -Vn -Wn-- 62 ? FEES Permit ? 599.50 Surcharge 66.00 Plan Review 294.75 SAC,City _ 100•00 SAC.MWCC 525•00 WaterConn. _ 525.00 water ?vleter _ 07.00 Road Unit _ 305.0U Treatment P1 t 9W . 00 applicable State of Minnesota Statutes and City of Eagan Ordinances. I *az" `"r- • w- TOTAL $2,607•75 Building Official _ CITY OF EAGAN • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PH ON E: 454-8100 BUILDING PERMIT Receipt? To be used for Est. Value Dete ,19 "WRTW1ZUi TEIiLICS Lot Block Sec/Sub. Parcel No, a Name ; Address 0 City Phone , o Name ? ? Address I' City Phone City I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee A Building PermR is issued to: - on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official. OFFICE USE ONLY -On SRe Sewage Occupancy MWCC Syatem Zoning On Site Well (Actuaq Conat City Water (Allowable) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEE$ Engr./Assess. Pl Permit Surchar e _ anner g Council Plan Review Bldg. Off. SAC, City Variance SAC, MWCC Water Conn. Water Meter Road Unit Treatment P1 Parks Sb TQTAL Permit No. Parmit Noldsr Date Tslephona * Plumbing ;L, H.V.AC. y C j?j? Electric Softener Inspoction Date insp. Comments Footings I Footings II Foundation Framing Roofing Rough Plbg. ju? Rough Htg. Ch _ ? l5ul. -i /p s arE ? _-?ZO - FirePlsCe Final Htg. f -::x Final Plbg. _7 Bidg. Final Cert Occ. Temp. LP DeCkFtg. Deck Final ,S ? DS Well Pr. Disp. . ? CONTRACT PRICE: Site Address L, Address City _i PERMIT # MECHANICAL PERMIT RECEIPT # - - - CITY OF EAGAN 3830 PILOT KNOB RaAD, EAGAN, MN 55122 DATE: PHONE: 454.9100 BLDG. TYPE Res. ? Mult Comm. Other WORK DESCRIPTION New ` Add-on Repair FEES Name RES. HVAC 0-100 M BTU -$24.00 3 Address `, ADOITIONAL 50 M BTU - 6.00 p City Phone ? ? (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA, TYPE OF WORK COMM/IND FEE - 1g'o OF CONTRACT FEE Forced Air BTU_ APT. BLDGS. - CQMM. RATE APPUES Boiler M BTU _ T0INNHDUSE 8 CONDOS -- RES: RATE APPLIE $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 S Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent. CFM STATE SURCHARGE PER PERMIT - .50 G (ADD $.50 SiC IF PERMIT PRICE GOES as Piping Outlets # ? BEYOND $1,000) Other FEE: t - S/C: ' -' SIGNATURE OF PERMITTEE TOTAL: ? FOR: CITY OF EAGAN ' ? . .. ' ' , . . . ' ! . .. . . r . . . . 1 ' _ . . . . .. .s ..; 1. J . n _ . . . .. . • ' : PERMIT # ' . . . PLUMBING PERMIT ? CITIf OF EAGAN RECEIP7 # 3830 PILOY KNOB ROAD, EAGAN, MN 55122 DATE: 1/ff7 1NTRACT PRiqE: PHONE^454-8/00 Site Address ? 2 ? tot Block ? Name ? Addre: c City ? L Name c Addre: 0 C{ty i Phone COMM/IND FEE - 1% APT. BLDGS - COMM TaWNHOUSE & COND MINIMUM - RESIDENI MINIMl1M - C:OAAM/Ih F CONTFACT FEE kTE APPLIES - RES. RATE APPLIES ?L FEE - $12.00 FEE - $20.00 1 PERMIT - ,50 ' PRICE GOES FOR: CITY OF EAGAN B4DG. TYPE WORK DESCRIPTION Res. New % Mult. Add-on Camm. Repair i. ONLY - COMPLE7E THE FOLLOWING: FIXTURES TOT er Closet - $3.00 Tubs - $3.00 ?tory - $3.00 Ner - $3.00 ien Sink - $3.00 al / Bidet - $3.00 idry Tray - $3.00 r Drains - $1.50 S ' =r Heater - $1.50 S Ipool - $3.00 Piping Outlets - $1.50 i ? - IINIMUM - 1 PER PERM17) mnA, _ a5 nn jrivate Disp. - $10.00 ough Openings - $1.50 ? - ? FEE: ? STATE SIC: ' { ? GHANp TOTAL: ?'?? , M ,r'? `?.. •. ? ? Tertt#ira#e uf Mrrupanry Citp of eagan arpnrtnrnt nf Nvtaing 3Wprtimi This Certificate issued pursuant to the requisements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulaung building construction or use. For the foUowing.• use ca.svfiwua„ `:r' D4JG?GAR, _ Mag. PWmut Na. 1" i:a OccuP4-Y 7?? Zonin6 Disvitt 1` TYPe POST IN A CONSPICUOUS PLACE CITY OF EAGAN Permit No: Date: 3630 Pilot Knob Road Meter No: 85- 7o Size: P.O. Box 21198 Reader No: /? ?? A???! 3 7 Date: Eagan, MN 55121 Site Mil.ler Const. I.16 112 v Conn. Ch9: s'' 8?4tM?:UtI{InRs tu i Acct Dep: ` n Permit Fee? Surcharge: ---???nl CiA-F? ?rYe t"y with the City of Eagan ' Tr. Plant l_ 00Tr. Ordtnances. Meter. { ? , ?}F M i sc.: By , WATER SERVICE PERMIT ' CITY OF EAGAN Permit No: 3830 Pilot Knob Road g/p Np; ?'- P.O.-aox 21199 Eagan, MN 55121 n...,,,,.. i`_1:.16I VAl'. s t. Site Address: MWCC: . City Chg: !tl - Permit I a r f comply with the City ot Eagan ? Fee: 1 o C?1 Q V?M Surcharge: RG es. Misc.: By SEWER SERVICE PERMIT - - - -- - - -- . ?.?_,{.. 3830 Pilot Kna,b Raad P.O. Box 21199 Eagan, MN 55121 Site Addi Plumber. D8t@: Date: Size: Date: B2 Lexintrt view Conn. Chg: _ 525.OOpc? 2oning: r - ? Acct. Dep: 15. 00a4 No. of Units: Permit Fee i'). 00pd Surcharge; -50nc' I agree to comply with the City of Eagan Tr. Piant _ 130• o'-' -).-' Ordinances. Meter. Misc.: gY ? B2 Meter No: _ Reader No: ler Canst. WATER SERVICE PERMIT CIT1F OF EAGAN 9830 Pifof Knob Road P.O. Box 211'99 Eagdn?MN 55124 Owner._;?f 5ite Address: Plumher: Permit No: Date: B/P No: Date: ConBt. MWCC: - " • Q??' _ Zoning• City Chg: a ...•., • ??P'? _ No. of Units: Acct. Dep: 00Pd j I agree lo comply wilh the City of •).) Permit Fee: F ardinances. Surcharge: Misc.: gy :. SEINER SERVECE PERMIT 0 CASH RECEIPT ' CITY OF EAGAN 3830 PILOT'KNOB ROAD EAGAN, MINNESOTA 55122 DATE // r `? C, 19 -? 7 R¢ceIven ' FR9M /) AMOUN7 $ G ? CASH ?CHECK ? DOL4AR5 rFUND I CODF?p_/p _?t___?h-OT1T Thank You : ?.J P C ? `? F't ? BY ---? White-PSYer3 CopY Yellow-Po:tins CopY .,__._ ?:,_ .._.... CITY OF EAGAN ' N_ 14 4 5 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE:454-8100 Receipt #179 `L/9' ? Tobeusedfor' SF DWG/GAR Est.Value $132,000 Date NOVEMBER 30 19 87 SiteAddres.s 4077 NORTHVIEW TERRACE Lot 16 Block 2 Sec/Suh. LEXINGTON PARKVII Parcel No. a Name JOE MILLER CONST z W Address 18133 CEDAR AVE 3 ° City FARMINGTON phone 431-2001 a Name_ 0 ?Q Address ? City_ w i Z5 x w Name_ Address City_ 1 her¢by acknowledge that I hava read this application and state that the iNOrmation is correct and agree to comply with all applicable State of Minnesota Statutes and ty of Eag rdin naes. Signature of Permittee A Building Permit is issued to: OE MILLER CONST on the express cond ition that all work shall be done in accordance with al I applicahle 5[ate of Minnesoia tutes and City Ea9an Ordinances. Building OfficiaL QFFICE USE ONLY R3 on site sewaAe - occupancy - - MWCCSystem X Zoning RT On Site Well _ (Actual) Const Vn Ciry Water X (Allowable) Vn PRV Required _ # of Stori¢a 8ooster Pump _ Length 62 Depth 44 S.F. Total . Footpfint S.F. APPROVALS Engr./ASSess Planner Council 81dg. Off. Variance FEE$ Permit Surcharge Plan Review SAC,Ciry SAQ MWCG Water Conn. Water Meter Road Uni[ Treatment Pt Parks TOTAL $ 599.50 66.00 299.75 100.00 525.00 525.00 67.00 3n5_00 180.00 .$d $2,667•75 ?7 REQUEST FOR ELECTRICAL INSPECTION ea-ooaot-os > , 1 Sre?e insvuctions lor comoletina this torm on beck ot vellow wCV. HrU.6 4 G "X" 8elow Work Covered by 7his Request kJewIAAdI peD.I TYOe o1 BuilEing I Applioncea W;red I EpuiVment WireA ? rumace Air Corn p Fae ServiceEnVanceSize H Fae Faxders/5ubleaders H Fex Circuits / 00 0 to 200 qm s 0 to 30 Am s 0 m 30 F?n! ?s Above 200 qmps 31 to 100 Amps 31 to 100 Am s Swimming Pool Above 100_Amps Ahove 700_Amps Transiormers Irrigation Boans Partial."O ee Signs Special Inspection T AL FEE ." emnrks S51-54 I` _ 60" , ni5 reQOast voitl ' ,e ? ,om ??/r?/??? ? 1 ?lP ?sD II0642//? Request te ?'. .C.?(???`? Firp No. ? RouGH-in Insuer,tion ` R F?qo red7 ?ReadY NowJ5?"? 11 No1ifV InsDec- O Ye$ ?N? " 1o'r When fleatly ?Li?¢pse E1ecGical Contractor ] Owner I hereby request insvection of ebove electrical work installad at: itrea[ Atltlress. Boz or floute No. City i T h uN N f?L9 l (PHINT) . /? Phone No, ' Address i r tor (?ompar?y fJ?me) - •?j O °?` // // L // Contrar,tor's License Nn. n9 AdJress ICoMractar or 5 •+ /+ ATE 00ARD OF ELECTRICITY THIS INSPECTION NEQUEST WILL NOT ??6es•Mi ay BItlB. - Room N•191 BE ACCEPTED BY THE STATE BOAHD 1821 Universitv qve.. St. Paul, MN 56104 UNLESS PHOPEH INSPECTION FEE IS Phone(672)642-0800 ENCIOSEO. APFIIC?ATION FOR PERMIT SEWER ANQ/QR WATER CONNECTION, .'R NOTE: PAYMESII' OF FNM AT TIME OF ; nepLxCMox oM Wr cox- ; SfI'RflB AYPAG9AL OF PERbffT. i • : ; uasrrecrioca oe seMM arn/ote VATER ;. ; irsrALuTTais wn.t rxrr ee scmcn.m ; ? I!NliL Pf1i1IIT NS BEFN APPAOVm. ?'. •:nxrxr.::?tt+:?aawwwe:r?+;x?rt,e?ewxw?:i Of GAgC1n (P E PRINT 1) PROPII2TY ADDRFSS: LE]GAL DESCRIPTION: IF EXISTING STRLiCT7RE, DATE OF ORIGINAL HOILDING PERMIT ISSLANCE: Mbn Y2ar PRESENT 7ANING/PROPQSID LSE: Q .COKv7ERRCIAL/RETAIL/OFFICE ?1 SINGLE FAMILY Q INDUSTRIAL E--] R-2 DUPLEX ('ttao Cnits) Q INSTI7[JTIONAL/GOVERNMENT M R-3 TOWNHOUSE (Three +, Opits) ( Lnits) Q R-4 APARTMENT/COAIDOMINIL'M ( Onits) . 2) ? NAN1E° /ntjjc?- AoDREss: 1$ ?. 33 CcJ14-1 CITY, STAZ'E. ZIP: . . . ?i4N.n; rc 4c> 'J -? PHOtvs: 43 ? ?oo ! 3) '??? NAME: ADDRES.P;: A). CI2`Y. STATE, ZIP: /W,qm 1?g- 0-vouL PHONE: 7,51 MASTER LICENSE 4) NAME: ADDRESS: CITY, STATE, ZIP: PHONE: I? Active Expired Not recorded Sta? Initial 5) s(I• m•aq, r • m ? , Eg'CONNECTION TO CITY SEWER ED-CONNECTION TO CITY WATEE2 a OTHIIt 6) * THE GOID COPY OF THE pERNIIT WILL BE SIISt DIRECTLY TO PUSLIC WORKS 7U FACILITATE MEM:R PICK-UP. * PLEASE AI.LDW ZWO WORKIA7G DAYS fC)R PROCFSSING. SONIDONE EROM THE CITY WIIS, CONTACT Y(x7 IF THE2E * * ARE ANY PROBLEMS. * / ? FOR -CITY USE ONLY , PERMIT # ISSUED . • Pd w/Bldg. Permit FEES: $ $ /O- 5 ZD SEWER PERMIT (INCLLDESURCHARGE) $ WATER PERMIT ( INCLUDE I,SDRCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READERI, $ $ WATER TAP (INCLLDE CORPORATION STOP) $ $ SEWER TAP I $ $ /S• U C% ACCOUNT DEPOSIT - SEWER $ $ ?S O 7J ACCOC'NT DEPOSIT - WATER $ .l7 Z ?- C?Jr $ WAC I? $ (p],?,5 -G+`D $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK,?;S'EWER _ $ $ LATERAL BENEFIT/TRUNK?-WATER ' $ I?D L? $ WATER TREATMENT PLANT'diSU:2CHARGE $ $ ?. OTHER: $ ?? / ? `ll U $ TOTAL P.RCEIPT _RECEIPT DOES UTILITY CON NECTION REQUIRE EXCAVA tION IN PUBLIC RIGHT OF W?Y? Q YES IF YES, THEN A"PE , RMIT FOR WORK GVITHIN PD,BLV ? ROADWAY" MUST BE i SSDED BY THE ENGZNEERING Q NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE F OLLOWING CONDITIONS: • ? APPROVED BY: . . TITLE• - DATE: t.: - , . . . , y . ... 9. ?i i . ? , ? , n ?i.. •..?u?•%?, . . ' . . , . _ . ??'. . 61rv aF EAraN ' r ?? • "1 Ca HMR: Js ti-tFnpraL 14 ox 7(? g`Y. k, n?TE? iai?.2r?9 ?rtrsr= L???? ?* F„ 7!lAh,iEq r FANF4„1.R6,^-T pF Ff7*E8fY--Fi? 7xt:` its . ; ? : 3210 300i 4437' N4fi7NU2EM . f 125s:25 t4 4155 966i;4077 .Nnr.lHazE?i ? ,. 6.'ip F h?; . . , , ? . . . . . %•>_ ' . '?,' . . P. 7ol:?Li'lhecaipf, Au,ppjnL'C' ?i"ER .T.Ds JRiN ? U .. . . . -. . . II. F . N ' .. e .._A . . . . - .. ' 1999 BUILDING PERMIT, APPLICATION (RESIDENTIAL) CITY OF EAGAN ?(3 ?Sf?u? „ 3830 PII.OT KNOB RD - 55122 (651) 681-4676 New Construc[ion Reauirements ? 3 registered sde surveys ? 2 copies of plans (include beam 8 window sizes; poured fnd, design; etc.) ? 1 energy calculations ? 3 copies af tree preservation plen if lot platted after 717l93 required: _ Yes _ No DATE: 1?Ih 16 ? RemodeUReoair Reauirements ? 2 wpies af plan • 1 site surveys (eMerior additions & decks) ? 1 energy plculations for heated additions 's lak ?? CONSTRUCTION COST: AW)OD DESCRIPTION OF WORK: _1KO P( L rQ,Q)(t(,Q S I, `,, U STREETADDRESS: d ^l,?, U?? 1 /?V11a'IVI Gl.(J I'eC"L'o' LOT: ? BLOCK: (91 SUBD./P.I.D. #: L1L1(? Ot?m R Ni1IiL W Name: f\U;?f -- +°`(KZ/ Phone#: PROPER'CP Lazt First OWNER "(`D? ?? vDy??I^?, F-?T V IU J,ai1 Street Address: (?i City State: M) v Zip: '"Q a? Company: Phone #: CONTRACTOR Street Address:J 2 ) I D JP ?fit r ?r (?,,,,,?Ii /?.,? c License # ???I LY ??"?. J ?-? "fM Exp. City State: 'V Zip: u?4p 151 _ ARCHITECT/ ENGINEER Company: ? Phone ik: Registration #: Street Address: City Sewer & water licensed plumber (new construction only): _ change and lot change is requested once permit is issued. State: Zip: Penalty applies when address 1 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 Eagan Ordinances. ? Signature of Applicant: 0X0 1 I 0, lil OFFICE USE'ONLY Certificates pf Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE dNLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Dupiex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE ? 31 New ? 33 Alterations 0 32 Addition ? 34 Repair ? 11 Apt./Lodging ? ? . 16 '! Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 'I Public Facility ? 14 Fireplace ? 21 ° Miscellaneous ? 15 Deck ? 36 Move ' ? 37 Demolition II GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width ARPROVALS Planning Permit Fee Surcharge Plan Review License MC/ES SAC City 5AC Water Conrr. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total Basement sq, ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Census Code ' SAC Code ,j Census Units ' Census Bldg il MC/ES System City Water Booster Pump PRV Fire Sprinklered 6 Building Engineering Variance Valuation: $ " , I % Si4C SAC Units . yss . .? 1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 7NCLIIDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 1 SST OF ENERGY CALCOLATIONS NOTE: ADDRESSES FOR COBNER LOTS - CONTRACTOR/HOMEOWNER MDST DESIGHATfi HHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCfi BUILDING PERMIT IS ISSIISD. M[JLTIPLS DWELLINGS - RESIDENTIAL RENTAL Ol"dITS FOR SALE i1NITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIfRVEY - CHECg WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIDNS AND 7 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND To Be Used For: Valuation: ? Date: Site Address 4/n 7-7?D"t?? ANBA17 / a n i OE'FICS USE ONLY I / azooa Lot / (o Block ? On Site Sewage_ ?p MWCC System Parcel/Sub pf -t-? On Site Well City Water Owner Address City/Zip Code Phone c Contractor Address &J-A, City/Zip Code Phone I - Arch./Engr. Address City/Zip Code Phane 1/ 9PPROYALS Assessments Water/Sewer Police Fire Engr Planner Council Bldg Off I Z7 APC Variance Oecupancy P-3 Zoning R - 1 Type of Const (Actual) V-N (Allowable) V_}.I 1F of Stories Length ? Depth 4$' S.F. Total Footprint S.F. FSSS Permit $99.50 Sureharge 6&.00 Plan Review ? SAC, City 60 00 saC, MwcC SZS,(>o Water Conn 525, ao Water Meter b'1, Ot). Road Unit p$, ot) Treatment P1 I g o,ao Parks Copies .SD To2A[. ( -? . - y- ? y7aL ua-r,aN ?--- ?317z 9EiO \ 8xg ' ?7Z) sSS 2 x?= Ip?sG gASt?ENL 26X3o= rygp 8X9 = 117 22 x ly = 306 ? IIbOXl4= 16Zy0 ? ST Fi-oor- ssrvrr - I I b o Ciay 14 II 74 K 4u = 5165G ? ? ;? . .. z-,-b FL,0612 ?nIT - I I ? D L?XI'1a= 34 i 15y 13?110 - F. . ' I2.LOf; Et?V?;(,QPE AVE1tApE v?U ?1 C013PUTATIOIi f+r (Ta bo nubmitted witlt buildin ? • g permit applicutio.n) Or:e"or''Two Family Dwellina 1LL1 O tlter Owner . 6fte dddreae _Lp'j" Coutrnctor Dato V Plto no LItlEAI, FECT OF sXPosen vrnt,t, OPAqUE WAJ,L Dotail reference f ro in a t Cactted sheoto V7I Ii GO 1Y5 t aUove grada ? ZqO?•?p ? ? TOTAL EXF'OSED Wn[,L AREA SQ. FT. Co!!S'CRUCTSotI I "U'l yalue x Arau ? n1E rlUii - v . flun x S2. - E. 16 npu _ I74 X 94. SQ. ??„??----X se. x S?q. upn Flnica & Type n u n u DOORSi ValUp X AI'Oq 111tf?(• tf IIUN X .SQ. ------------------ npu A SQ. iiUn`----- ----8 8Q. x sQ. ll.u'l Value x nrea FT. Zl?' 70-130 M(A) FT. ( U ) ( n ) ?? U) (A ) --?P?zF? FT . _ ? cn? U> FT. _ (u)(n) ?U)(A) S D_ 7(U)(d) FT. FT. (u)(n) FT. - (u)(n) _ (u)(n) I lalce & Type C. ?(F?L i ??Ull n If h ?• ! f „ x SQ. FT. S(O.oo _ .S (U)(A) n ,f n?n x SR. FT. Z.GYJ= ??(UT?A) _ IIUn X 3Q. FT.- - (U)(1?) x Sq. FT. A) z?oxni,s f'T TOTAL (u)(n) VAI,UEB A?v?AaE +tulls4' - (U) ( (u)(n) Z18.7q DIVIDEU 6Y TOTAL {7fl1,L AREA Z9b3.(p3 ?.-L-`? AVERAQE ??U? .11$ r le00 ior 1&2 tamily dwellinge RoOF/CEILItda t??' TOT1tL AREAf . De tail reference from nU,f - OZ 9Q. FT. Yz(p nttached slleete. 3Q. FT ?A) tieacribe openinga in r f IfUri ' `-'----.-x . 8q. FT.? - ?A) = _ (U)(n) oo . `- ?^?? tr ---- ° l-?-x SQ. FT. - -- (U) (n) TOTAL (U)((?) yALUE9 DIVIUCD BY x s4. ?r. - Oi"14L47 11ZO: ??(U)(A) 'TO'1'AL ROOF/CEILIl1U A ItEA ? r ) AVEI2AGP ?? 02 IIZ?O p ' . 5 ox vehtilnted roofe. C?Rat?, ?XPo',? ?r1Ac.C? 18-3? X ?5zt-sz+Z(v +Z?? _ S?o x g-83 - Z$59.q-g 44• is Z1a 3_ (o 2; + ?D C'or?C. -?7 X ?SZtSZ?ZCo-FZ!a) '(v7 x(52 tS Z t ZCv+Z(n) = Zlof7_ s' Z. zr ¢- lv7 w,4,o4js z7x 14 = z. ?p Jlox3(o = 4.0 zox3co = :5,o Z0-c48 = (v •7 Z4x4g = 8.0 zo x(00 = 8•? ? ?i7?• 1Nf Z S.L . zg -"TL. lV° Pllbcrr a be . X 3 = 7.50 XZ= Sao x z = ID.oo X 3 = Zo_ ?o X S = (97, z o lss- ?o ? = 3S,ao = Z?.oO i 8.00? dE7 &9X-S '?44c.c_ Rl,v\ " Wvw's Zqo3.(03 lo4,sZ _ z?. CP7 lSs.lo - (v5z•z9. 9s•oo '?- - Zzsl•? 2? X ?o )4x zL fx14 1.sx lco 7Sv 3vg Z? lleterininyii? "U" valueo at Roof, Wall, Rim, and Conc. Block . •. ` ROOF/CEILIN(3 1.) Interior Air Y'i1m 2.) 5/8" 6YP. Bd. 3.) Insulation 4.J 5.) Exterior Air Film (STILL) I? VA[,UE 0.61 .56 ?:oo .61 "U" = 1/R= OZI '1'OTAL (R)=4,5,-78 l VlALL 6.) Interior Air Film 7.) P' cyP. sa. ,8.) Insulation 9.) gU ,t-r 10,) pfusonite Siding 110 Exterior Air Film (R VALllE 0.68 .45 19;00 z 6? .17 1/R= TOTAL (R)= 73.9) RIhi 12.) Interior Air Film 13.) Insulation 14.) 211 Fir Rim Joiet 15• ) PUtGT~ k.'rTE 16,) Masonite Siding 17.) Exterior Air Film R VALUE 0.68 Jq.vo 1.88 2. 67- .17 "U" = 1/R= , 010 TOTAL (R)= 7_4- ? 7- ? FOUI7DATION ' 18.) Interior pir Film 19.) zo. ) jr?er?.?,?.. l?a?I 21.) 12" Concrete Block 22.) 23.) Exterior Air Film flpti _ 1/R= •O](O 1;59@+8+?.? R VALUE 0.68 ! 1.00 1.28 .17 3'OTAL (R)= ??•I? 1989 BIIILDING PEEMIT APPLZCATION - CITY OF E9GAN , SINGLE FAMILY DWELLffifi5 *1114160i5 INCLUDE 2 SSTS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRFSSFS FOR CORNER LOT3 - CONTRACTOR/HOMEOWNSR MU3T DESIGNATE WHICH ADDRESS I3 DESIRED. AO CHANGF3 WILL BE ALLOWED ONCE HIIILDING PEAMIT IS ISSiTED. M[iLTIPLE DWELLINGS RSNT9L i1NITS FOR SALE i1NITS # OF 09ITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SURnEY - CHECK WITH BLDG. DEPT., t SET OF ENERGY CALCULATZONS C9P9MERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STROCTURAL PLANS, t SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: Valuation: Site Addresa 4&77/?c,?,?d; &c.j 7e;5.wee 7- Lot 16 Slock Owner Address 40 77/e%??-ear?ek.? r.st??1?r r City/Z3.p Code Phone 6/5 V-- S"7 7 2 Contractor ? f ? Address City/Zip Code ? Phone Meh./Engr. _ 9ddress City/Zip Code Phone B Date: /x , - /%`x! Oecupancy Zon3ng Aetual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. On site sewage, On site well _ MWCC System _ City water _ PRV required , Booster Pump _ APPAOVAIS Planner , Council Bldg. OPf. Varianee Council FEg9 Bldg. Permit Surcharge Plan Review SAC, City 5AC, MWCC Water Conn Water Meter Aect. Deposit 5/W Permit S/W Sureharge Treatment P1. Road Unit Park Ded. Copies 20TAL ' '-l"-_ ?5--- NOTE: Sewer & Water Permit fees and aecouat deposit fees will be included in the buildiag permit fee. Processing time for aenier and water permits is two days once a licenaed plumber has applied for a permit at City Hall. . ? ACCORDING TO THE RECORDED PLAI TNEREOF DA ?c oTA COUNTY, MI S 00 03" 45"W R97.44, 7 LOT 16 _ Z --,? LE _ I"_ 30 :R N T 9lox 4 W ' PKoPasE62 p... . D 14o u s C - .a Ful.L f3ASF-MEn!•,r. ? (C)OD N W 1TH WeJl.k .9cn 137 oq' ? 3' 30• .,? d' , N YA C 4, 1_?01'i ? pp - OD - 'v?o H65 ?0(-? m ? - .. w•v. 7 ti it - ? CJ' o 9iMxy7 HU$ uV 05?? ? ?L'1K 9 Qn4ur 1988 BUILDING PERNJIT APPLICATION - CITY OF EAGAN STNGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OE ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGN9TE WIiICH ADDRESS IS DESIAED. NO CHANGES WILL BE ALLDWED ONCE BIIILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL ONITS FOR S9LE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITA BLDG. DEPT., 1 SET OE ENEHGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS N-Ci< co-TIIJGS (PNL-Y) To Be Used For: Valuation: Site Address l7c),),) No?v?eW tet'Y'. Lot /6 Block 4I Parcel/Sub ?C'Xlr??l'1 ParLWEu) Owner M l C.NAEL. Ho LT.?-- Address L{ o? q N off?v% 1eY'I` City/Zip Code S,4,C,-peO Phone Contractor _ Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # On site sewage MWCC system ` On site well _ City water _ PRV required _ Hooster Pump _ APPHOVALS Engr/Assess Planner Council Bldg. Off. Pariance Date: RECD ,fUN 6 9B? Oecupancy Zoning Actual Const Allowable N of stories Length Depth S.E. Tota1 Footprint S.F. FEES Permit Sureharge Plan Review SAC, City SAC, MWCC Water Conn Water Meter Road Unit Treatment P1 Parks Copies TOTAL -"`f'-- -? SIgZ 2006 RESIDENTIAL BUILDING PERMTT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone 4 651-675-5675 FAX # 651-675-5694 New Construction Reouirements 3 registered site surveys showing sq. R. of lot, sq. ft of house; and aU mofed areas (204'o rnacimum lot wverage allaxed) 1 Soils Repotl if proposed building is to be placed on disWrbed soil 2 copies of plan showing beam & window sizes; poured found design, etc. t setof Energy Calwlations 3 mpies of Tree Preservatlon Plan if lot platted after 7/1193 Rim Joisl Detail Options selection sheet (buiidings with 3 or less units) Minnegasco mechanical veniilation form k- --?-D.vv RemodeUReoair ReouiremenLs Office iJSe OnN 2 cqples of plan showkg fooMqs, beamn, Joists CeitM?SuneyReW ?N t set ot Energy Calculations for heated additions Sails RepoA;'-:_ ''Y _N 1 site survey foradditions & decks TreePres PlaryRecd = _Y N, AddAion - indirafei(on-sitesepticsystem TreePms,Reguired ''Y=N On-sdeSepficSystem _Y N Date q / / 0(0 Coostruction Cost SiteAddress ? 0Y) ?_U??*ALw _TGWVZL Unit/Ste # Description o[ Work ??J `??'PVN-? 'V (?Si.?'?j &t?5 (-kp'Ll Multi-Family Bldg _ Y V1V Fireptace(s) J 0 _ 1 _k 2 Property Owner eVY-' ???tif,& Telephone #((p'?? Contractor 1M06lkibnMfiohnolo0^' °-t, Address aoa rtrestoo ea _ Ueense 20572080 City State airnew ve. iiolevflie, MN 55113 Zip wvfuwo-icoui Telephone t4 ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (dsubmissiontype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based o I a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor , ._ ? .. . , Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Suilding Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes, I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved p in th c se of wo which requires a review and approval of plans. ? Applicant's Printed Name Applicant' Signatur?e DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dweliing ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gaze6o/perola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move 8uilding ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant D@SCfIpfI0I1: WaterDamage_ Yes Valuation Occupancy MCES System Plan Review 100% or 25% Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV ? # f Bld L h i l Fi S gs o engt pr er q,;a aa re Type of Const Width c . !:?vrxaaA t aiL-r?1!$M REQUIRED INSPECTIONS _ Footings(new bldg) Sheetrock _ Footings(deck) FinaVC.O. _ Footings (addition) FinaUNo C.O. Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final Pool _ Ftgs Air/Gas Tests Final _ Framing _ _ Siding _ Siucco Lath _ Stone Lath _Brick _ Fireplace , R.I. _ Air Test Final Windows _ Iusulation _ _ _ 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 RESIDENTIAL BUILDING PERMIT APPLICATION ` f C17Y OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New CanaVUCtbn HeaulremeMs • 3 regislered site surveys slwvnng sq. R ol lot, sq. fl. of house; and A11. mofed areas (20% maximum lot coverage albwed) • 2 capies af plan showing beam 8 wuWaw sixes; pouted bund design, etc.) • 1 set of Enargy Calculati0ns • 3 coples of Tree Preservatbn Plan 0 bt plattetl aMer 7/1193 • Rim Jolst Detail Options seleclbn sheet (bldgs wiN 3 ar less units) DATE I-q 'O2)_?) flamotlaURenah Reauhemeots . 2 copies of plan • 1 set 01 Energy CelculatiOnS lar heetetl edtl0bn8 + 1 sile surveyfor exlerlor addnfons 8 decks . IrMicete il hane served by septic syslem for adtlitbns VALUATION __S b " c-43' Li 0 SITE ADDRESS ??? '1 Ko °' `R_ MULTI-FAMILY BLDG _ Y ')!?N NPE OF WORK -7-9. o?k '?'ItP1 °? 1\4 FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADDRESS ?Zr?fl 7_JVm\_/1\ a? l??'?ad ? ClTlra ?- STATIf? K) ZIFFZ?,S I a I TELEPHONE qIa51 45a l°Iat?CELL PHONE # F,q)( iqS 1 U>Z? 40Z)3 PROPERTY OWNER 42- TELEPHOPIF?#(O'?05 4 S_77a -----°--------------------- ------------ ----°-------------------- ------------------ COMPLETE THIS SECTION FOR -NEWa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submissiun type) . ResideMial Ventiletion Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculffiions 5ubmitted Plumbing Conhactor: Plumbing system includes: Mechanlcal Confractor: _ Mechanical system includes: SewernNater Conhacior: _ Water Softener _ _ Water Heater _ No. of Baths Air Conditioning Heat Recovery System Phone # Phone # Fee: $70.00 I hereby acknowledge that I have read This applicatbn, state he Information i rr t, and i with all appllcable State of Minnesota Statutes and City of Ea n inances. 9 Signature of App ----......... -'--............ ..._............ ---.......... ._..._........ .............. OFFICE USE ONLY 8 ?a Certificates of Survey Received ? Tree Preservation Plan Received _ Not Required _ Phone # Lawn Sprinkler No. of R.I. Baths Fee: $90.00 to lJpdated 4/02 OFFICE USE ONLY ? Ot Foundation ? 07 OS lex P ? 13 16- lex p ? 20 Pool ? 30 Accesso Bld ?Y 9 ? 02 SF DweAing 0 08 06-plex ? 76 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi , ? 03 01 of _ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4sea)'' ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck 0 23 Porch (screened) ? 36 Multi ? 05 03-plex O 11 10-plex ? 19 Lower Level O 24 Storm Damage O 06 04-plex ? 12 12-plex Pibg_Yor_ N O 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) b 45 Fire Repair ? 33 Alteration O 37 Demolish (Bldg)' ? 43 Reroof [I 48 WindowslDoors ? 34 Raplacement •DemolHion (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Gode Zoning City Water SAC Unfts Stories Booster Pump Nbr. af Units Sq. Ft. PRV I, Nbr..of Bldgs . Length Fire Sprinkiered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final _ Framing ^ Siding Stucco _ Stone _ Fireplace _ RI. _ Air Tast _ Final ? Windows (new/replacement) _ Insulation _ Retaining Wall Approved 8y , Builtling Inspectolr Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit MecFianical Permit License Search Copies Other Total TRI'LAND CO. SITE PLAN, FOR: SURVEYING SERVICES J O E MI L L ER 1260 YANKEE DOODLE ROAD EAGAN, MINNESOTA 55122 LEGAL DESCRIPTION: LOT16 ,BLocK? , LEXINTON PARKVIEW ACCORDING TO THE RECORDEO PLAT THEREOF DAKOTa COUNTY,MINNESOTA S 0° 03" 45"W 947x7 R.r1 () C) 49"1 f ' I -?-- z --40s SCALE - I"= 30 i w ti (000 ?^? I t ?? o? ? s?_?.• Ch Q) qO aD - LOT 16 I G Z' PRoPoSED Housr7 ? :o FulL BNSSC-MEN ? N 8' / 1 fl h??? ? 1 '9 _.., ? 1_C:.i It% *9 85.09 S 0° 03 45"W W i? 00 ? mrn -m cn 9W:3 r NORTHVIEW TERRACE T - - - LEGEND o ,DENQTES IR9N Mp)aIJ14cM? ? DENOTES WOOD HUB 8ET DENOTES EXISTING SPOT ELEVATION DENOTES PROPOSED SPOT ELEVATIOk ? DENOTES DRAINAGE DIRECTION t hereb?!,certify that this survey,pian or report 'was propared by me or under my direct supervision and thct I am a duly Reqistered Land Surveyor under ths Lnws of the State of Minnesota. INVERT ELEVAT[I]ON rAT rSE^R^VICE E?X!TENSION= OGvP.?iJCL??.I"Vi4l"MGL fLVVR r `LLVKIIVN v Y144'YJ PROPOSED FIRST FLOOR ELEVATION = ?/Lxu PROPOSED BASEMENT FLOOR = ELEVATION NOTE'. VERIFY Al L FLOOR HEIGHTS WI7H FINAL HOUSE PLANS :on, Mn. Rsq. No. 13239 Date - PERMIT City of Eagan Permit Type:Building Permit Number:EA111397 Date Issued:06/21/2013 Permit Category:ePermit Site Address: 4077 Northview Ter Lot:16 Block: 2 Addition: Lexington Parkview PID:10-45035-02-160 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes . Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey Gehling 4077 Northview Ter Eagan MN 55123--155 (651) 688-6565 Scherer Brothers Lumber Company 9401 73rd Ave. N Suite 400 Brooklyn Park MN 55428 (952) 277-1600 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA117585 Date Issued:10/21/2013 Permit Category:ePermit Site Address: 4077 Northview Ter Lot:16 Block: 2 Addition: Lexington Parkview PID:10-45035-02-160 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 8,000.00 Fee Summary:BL - Base Fee $8K $162.25 0801.4085 Surcharge - Based on Valuation $8K $4.00 9001.2195 $166.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey Gehling 4077 Northview Ter Eagan MN 55123--155 (612) 719-9652 Knight Construction & Design 2989 Water Tower Pl Chanhassen MN 55317 (952) 474-0220 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA136502 Date Issued:05/17/2016 Permit Category:ePermit Site Address: 4077 Northview Ter Lot:16 Block: 2 Addition: Lexington Parkview PID:10-45035-02-160 Use: Description: Sub Type:Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please leave printed pictures of house wrap on site for the final inspection. When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to ensure maximum ventilation to attic. Call for final inspection after installation. Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Jeffrey Gehling 4077 Northview Ter Eagan MN 55123--155 (612) 719-9652 Capital Siding & Windows 9673 Wynstone Dr Woodbury MN 55125 (651) 578-9205 Applicant/Permitee: Signature Issued By: Signature