883 Oak Ct
Use BLUE or SLACK Ink
For Office use 1
1
1 I
1
a r `7 '
10
City of 1 Ea I Permit#: I
Permit Fee: _ V
3830 Pilot Knob Road I I
Eagan MN 55122 R E 07 i" ? y Gate Received; I
Phone: (651) 675-5675 1 I
MAR 0 i Staff:
Fax: (651) 675-5694
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: / 1 I Site Address: l~l(~ e-4.
Tenant- Suite
RESIDENT / OWNER Name: I~l Si MOYIO~ S Phone: (as 'lam 8
Address / City / zip: 5g3 C a y- i h~ yl .55 l2 3
Applicant is: Owner v/ Contractor
TYPE OF WORK Description of work: CJ wj;,)k w Ylp& &1 mjl i ~ aDon i
Construction Cost: Multi-Family Building: (Yes 1 No )
CONTRACTOR Name: _ Budget Exteriors _ License
8017 Nicollet Ave S. City:
Address Bloomington, MN 55420 -
State: PH: (952) 887-1613
F: (952) 887-1659
Contact:
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.ci.phertatonecadi.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 err h h / x
Applicant's Printed Name r Applicants Signature
Page 1 of 2
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Address 883 Oak Ct
L.ot _ 5 Blk
Zip 5512 3
5ub Gardenwood POnds 3rd
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON.
Date: ?`Q g Yes No Inspector:
Final gra (6" from siding)
Permanent steps (garage)
Peimanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify wit6 the bwlder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn feucet befote freeze potential exists.
Contact engineering division at 6814645 before working in rightof-way or installing underground sprinkler system. ?
Whice - City Copy Yellow - Resident Copy Pink - ContracWr Copy
2007 RESIDENTIAL MECHANICAL rERMiT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675
Please complete Por: single family dwellings & townhomes/condos when permits arerequ'ved f'or eech unit
Datet () /I i?_/ ?) 7
Site Address O SC ? C1 C?l?. C.T• Unit #
PropertyOwner 64,.e. ?O Telep6one#( (oSj ) (oc? "t1a?;'
Contractor Ct 6v-\ S?r ?,rv?S
Street Address ?? 3? v"?d,c : can lZ••e? City ?. (ati,, ` Q?IL
State mYl Zip Telephone# ( g52 )`t "LJ?
Bond #: 6?X9GP H. 17/-0 Expires: e?j/O??O g
The Applicant is _ Owner -1-1-<onTractor _ Other
Fire repair (replace burned oot appliances, ducrivork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration [o existing dwelling unit $ 50.00
? furnace _Additional V Replacement _ New
air exchanger
?Z air conditioner
heat pump
other
5tate Surcharge $ 50
Total s?
$ so
I hereby apply for a ResidenCial Mechanical Permit and acknowledp,e that the inforznation is complete aud accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; d rhk ;s nar a
permit, but only an application for a permit, and work is not to start without a permit; that the work w?a?e?it?
approved plan in the case of'work which requires a review and approval of plans. ]O t t? ? I I
CL.,.. e f l^lr(.l.J
Applicant's Printed Name
Signature
OCT 1 9 2007
..
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HOUSE HEATING TEST RECO?RD
ADDRESS ? C7? ?. f c?r?`?' ?-
occ? ?n4mo__ A9t? 1-11tAtn rtr SzSrt,rro7dS owrr? r?
STALLEU BY ....?- S --
HEAT LOSS DAU HTG.IIqST. I nj.TOJ -- IN
ELECTRICAL WORK BY ? 'O3 TYPE OF HEAT GA -FA L HW _STEAM SPACE HSR. UNTT HTR OTHER ..
ras DFSLr,rr `C?7t?7 `t ?
? - s?`"L
1 , O?C)G+4r4- uvPrrtBTTn .U?JE3
MODEL _ . . - ,
corTW
M
KIND OF LINER SIZE _. - NONE _COMPANY TESTIN. _
J -
FILTERS 3IZE NUMBII? NAME OF TP-STER_
PREssvaE ?.1? 7. v cFSrr ca2 5 2 6:3
?r cr-x D PeacExT o2 WA6?9,6
1NPl]T
STACK TEMP ? ?Z PERCF.NT CO
PLiJMBING (RESIDENTIAL)
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
? Telephone # 651-675-5675 FAX 4 651-675-5674
Please complete for: Single Family Dwellings
Townhomes and Condos when pezmits are required for each unit
30 ?
Date h / S / ?3
Site Address Unit #
Property Owner Telephane # ( WI) (a4B25'-qz-SS
Contractor ? IS !t:l '?? ??Jhr1b?M ?
Address Ck?/,(,? ? City
State Zip Telephone# (In(2} ?J7iZ ?Z- Z
r
T6e Applicant is _ Owner ? Contractor _ Other
SeptiC System New _ Refurbished Submit 2 sets of plans and MPC license $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Eaisting Dwelling Unit, Including $ 50
00
_ Adding fintures to lower levels or room additions, excluding water softener and water heater .
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other:
_ RPZ ?w installation repair 30
00
.
_ Lawn irrigation system
W
t
ft
W
a
er so
ener
ater heater
re
lacement addiG
I / 15.00
_
p
o
State Surcharge $ .50
Total $
1 hereby apply for a Residential Plumbing Permit and aclmowledge 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 with the Plumbing Co s; that I understand this is not a
perxnit, but only an application for a pernut, and work is not to start without a permit; that the w wil] be in accordance with the
approved plan in the case of woxk which cequires a review and approval oR'plans.
Applicant's Printed Name
ApplicanYs
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
851-681 •4675
New Construction Reauiremente
• 3 registered site surveys showiig sq. fl. of lot, sq. ft of house; and all rooted areas
(20°/. maximum lot coverage allaxed)
• 2 copies of plan showing 6eam & window s¢as; poured found design, etc.)
• lsetofEnergyCalculatlons
• 3 copies of T2e Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection 5heet (hldgs wAh 3 or less units)
DATE (42::24-Z?
SITE ADDRESS
TYPE OF WOR
APPLICANT
Water Softener
, Water Heater
No. of Baths
STREET ADDRESS r _Mg&aU [T_CITYjh&.rL- STATE*,ZIP51-SeZ9
TELEPHONE #?/?7"] CELL PHONE # 2{?5 I'fff/ / FAX #
?t- (?'L (O/L?
PROPERTYOWNER_ f-&qTELEPHONE#(t25/
............ ------------------°---------------°----------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01'A RULF,S 7670 CATF.GORY 1
submission type) . Residential Ventilation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical system uicludes:
Sewer/Water Contractor:
Air Conditioning
r. Heat Rccovcry System
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 Eagan Ordinances.
Signature of Appllcant
OFFICE USE ONLY
IULTI-FAMILY BLDG _ Y _ N
FIREPLACE(S) _ 0 _ 1 .^ 2
- •
_ Phone #
I.awn Sprinkler
No. of R.I. 13aths
61???n?-}??? ?
.
RemodeUReoair Reauirements
• 2 copies of plan
. 1 set of Energy Calculations for heated addNons
• i sde survey for ezterior additions & decks
. Indicate if home served by septic system fir additions
VALUATION SDi 00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
' Updated 4/02
Fee: $90.00
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, ' CITY OF EAGAN
3830 PILOT KNOB RD - SS 122 ? y-
? (651) 681-4675 New Construction Reauirements RemodeVReoair Reauirements ?Q?qp9 L? -5?"
• 3 registered site Surveys • 2 coPies of plan
? 2 wpies of plans (include beam & window s¢es; poured fnd. design; eta) ? t site surveys (exterior additions 8 decks)
• 1 energy calculations • 1 energy calculations for heated add'Rions
? 3 copies ot tree preservation plan'rf lot platted after 717/83
reQuirad: _Yes ,L No DATE 3 9 y CONSTRUCTION GOST: _ 1`-1 `d , y'1 C5
DESCRIPTION OF WORK: /"le'.,? Cnns')')uc??nvl
STREET ADDRESS: -I-
LOT: 5 BLOCK: I SUBD./P.I.D. #: C"7ccr?I?F'1 (,=j ocuc! i?vnc?5 3 r-`P
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:
Las[
Street Address:
City Ciry State: '(n l?l Zip: 1-2- "7-
?
Phone #:
State:
Zip:
Company: 17 ?
l? ?
li7%'/ non I t'1C - 1-4 i'J
Phone #: tp ? 1--l ?E`4- 6 :
StreetAddress: 3? s? 1,1?1S??h?q"fL?ti\ ?? -S-?C LCW License# ZO?Y?SfcS-7 Exp. 3 3I I°i?
Company:
Street
City
Phone #:
Registration #: _
State: Zip:
Sewer & water licensed plumber (new construction only): '(0 L? S Gk-?=er ?k i,.? c4P, r . Penalty applies when address
charv4 e and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, andagree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
OFFICE US7yes
Certificates of Survey Received Tree Preservation Plan Received Yes
First
Signature af Applicant:
--
?.i
NO
V No _ Not Required a ?!
OFFICE USE ONLY ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
02 SF Dwelling ? 07 4-plex
03 SF Addition ? 0$ 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
K31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
N
S' •?
?
?.'
2
S
'41_ Basement sq.
Maio Ievei sq.
2 ` L1/. sq.
fsq.
sq.
sq.
Footprint sq. ft.
ft.
ft.
ft.
ft.
ft.
ft. 47 Census Code n I
8 SAC Code 61
1(05 Census Units I
ZSL Census Bidg
MC/ES System
City Water
? D Booster Pump
PRV
Fire Sprinkiered
Building
Permit Fee
Surcharge
Plan Review
License
MC/E5 SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/1N Permit
5/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation:
I Lfl L[x « --
1652x5?-=
"7 5'L x I b =
Engineering Variance
$ `Lb3,5`So?-
221 [1n
PiG i
=-
"T&-Jrt- 2o3i s5-0 -!,6-
; .
% SAC
SAG Units
.
. , .,
Owner-
Site . Addi
Contractor
KMk',SO'PA STA`fE ENERGY C0[2Fa_CAIiOUTION,?,c Q i
BASED ON CIIAPTBR 5 OF Tt1E ( /n
MOOEL ENERGY COpL - 1983 EnITTOtt
Adaptioq Effective
6ullding Clasqiflcatlon: Type A1 (single Family 6 buplex)
Type A2 (ResiAenCial, 3 stories or lees) (Over 3 stariss) (Other;
MS: Comolete ]Rdggs 7 and 4 first.
CENE12?j, 7NFORMATI0N ??ijb' ti
1. Building Perlmeter ?f wf ft.
N
2. wall height (ground to eave) ft.
a. l. X 2. (ahova) grass urall area ??7q? sq.ft.
q. Buildinq dimenslons (L) r X(W) r = w S'-kq,ft,roof 6 fl.onr a1Cea
5. sq. foot area of rim 9oist - F oor joiet ize (2 X'lo
a X (P@rlmater) _ gt.
6.
Doors - Area
u 2
r
t 1
Thiokne
s I
in U. laator r
Type oF construation Perimater ____ft.
. Manufacturer .?
7. Tokal dnor'a perimetier ft.
e. Windows: MenyPacturer ?l?t??]? ? 711 ! "r
$tate approved_
U Eactor ? ?7G.
TYPE SIZE AREA (Sq.Ft. ) NUMBEI2 OF TQT?.I,
•"? _..._
t` FACH UNIR'S uQ FEET
9. Totel sq.ft. Glass ;L?2 _L-
10, Fireplace area; Width X Height - X 7 sq.fL.
11. Exposed foundatlvn: Height X Perimeter!ZLX_??c118_sq.ft.
COMPI.ETION OP T4II5 FORM xs REQUIREb L''Oii AGI, N8W CONSTRUCTIOtI, M7,JOR
REMODELIH6 AND HUILDING3 BLING t1oVEp WHL'RE Etl$RGY, 4TNER THAN THE NINIMAL
CODE ALLqWANCE, IS USED.
S!?.'TD'd 6?9£ ?Sb ?T9 Z 'Jhii 'O?Fly?d 6£.SL h661-Ti)-d35
1;. Framing area = 10} og graea wdll srea.
13. Gross wall area ?? ?2I7 aq.fE.
Window area A 33 Z? sq. €t. t1 wihdaws G ??G
Rim jaist area A?sq.xt. u rSm joist=
poor area A s I gq, f ti. U dopr srea=
other doors area A eq.ft. U other doore= 147
Expased fndn A sq.tt. U foundatl.on=- 076-
Frnming area A W1 sq,Pt, U framing area=,r) !
Net wall area Az2 Z7.3 eq,Et. U walln ?'??-1'! __
(13H) TOTAL . . . . . , . , .
w 94? zi?4
U7CA e jy2
UxA = ,1_11
uxA = 7
UxA a?
UxA = _41-
7j
nxn
UxA
?a
uxa
14. Gross wall area x 0.11 (A-i sl»g1e fnmily G duplex) = allowabla UxA/COde
(13. Apc>Ve),
x 0.23 (A-2 other reHidentiel)
x .23 (otiter buildinge)
x .28 (over 3 etoriea)
?HTUti must be lerger than or eame
x U Code "l? ? U °F. as 13B above _.
15, Ce111ng framinq area (af) equnle lOt ?E aeiling area
15A. Grose ceiling area =(Lj ? x(}i) 'r d l?-C77i sg.lt.
i-
15H. Joist area (At) A lo} caillnq area eq.ft.
15C. Net ceiling area (AG) (15A - 158) ?4 &+CJ sq,ft,
u Ceilirig X Ac = LO? X • G'f 4? a?_
u framing x A f ?(?A`y ?(/ x • nl?7
15D. TOTAL U x A .................. .........?_,
16. Ceiling aren (15A) x p.U26 (A-! Qingle family & duplex)
? ellowable UxA/Cpde
x o.o33 (A-2 other raeidential)
x 0.06 (okher)
` BTUH must ba larger than ar eame
A(15h)I?.`7 x U Code_,??_n °F. as 15D ebova
NomE: Use U am1 A values obtalned £YOm pagee 1, 3 and 4.
CESM=BTIQH: I hereWy certify that I heva aalculated tha "Vl' t'aotocs ahd
"R" values hereln and thak tha building here deaoribed meate or exaecde the
5tate oP Mlnnesuta Etiargy Coneerveklon &ox.
bate
9lynature
S9i20'd 5S9£ ?Sb jfj9 T ':NI 10-)Nk1ld 52:ST YE6T-PI-d3S
sc?-sr?•d Es4? zsr zt9 t
2h11 ' n,+M-ld
E£:ST 1755T-fr1-135
uALL
SEGTION
I
STtfi
SECTIOH
SECT[ON.
a?rl
Jo1sT
!
.
59.'h?7'd 559£ 2Sh ci9 i.
R-VALUE U YALIJE
;. - .
tntide alr fiW
?':.. . • .;.
In'tertoc xoll ,• ?_ •45 '.(Hell) U » A
Infulrelon • , p '
SNeathing ... : Z,.p(p 1.
?$lding • , ?p"1
Quks lde alr [Llm
R TOTAL
In?lde.alr Fllm
i`neeetar wsit
4?+ a tud . , ?
she.thing
?. .
?
Stdin
Ipeylatlon
,68
•'q5 .
R'.40S(0,`7 (Framing)U' R
? Z .O(o
Ou[eIde•alr Etim ' ,11
;•', :' .i
Iv A TOTAL
'. • 1 ?
O
!
[ntetlo[ wa11 • ' J
uuq?C
xterlar ++all cover
[xtnrlor•alr.fl,lm' R -.17
w
• ..__.
.
1 ) u . ? ., ?
i
7-
fntcrlor aIr Eklm Ra ,68
i`otulatton 19.vo ?;
? ?;. . .. '.
lnrh soEt ++ood R=1,66 (Rlm '
Ja15t)
Sheathing
? . ix[ettor•'Na?l covering .(pl .h'
?xterloc' alr Flim R4 ,17 'k 7'OTAL
±1j
?n?ertot'ulr fllm R"
Tngulo[lon',
.. . ? ?.
`Euundatlon . ?•?"$ (Fdn.)
txterlor a1r fllm 'R' .11
.F. ? k. f B TOTAL
?£zposed 9lvck :
v ' • ?'
Grade
.. . .,:.?-,.
11 • ?' ?
?..?.--
?
U?R=
. 07 (p
'Jhll 103IIH-ld Oh:SS h55T-7?i-;13?
??J,d ?tJ101
F,jI,jNG WITI{ YENTFD hTTIC SPbQE_,a$b_U
9 VXLUE
FNAMING
R V1+I.UE
Cf;ILING
61 h1rFilm 0_...61
w o Tnsulatian41 o
4•?ji 3oist - -
Q 56 Ge111ng 9ASt?
0.61 AirFilm QAL._
LP TotA1R ?? • ??
.DZ-,?:? pwl/R •O'?-•?-•
i9indow infiltraCion 0.5 afm/lineal Poot oP oraclc
Rasidential door infiltratlon 0,5 ofm/aquare Eook or daor and minimum aode
requirement
Hon--residential door infiliXation 11.0 cft/llneal fant of arack
ub 1211 concrete binck na insulatian a .47 R 2.1
Ub 12" concrete block lnsul.ated corea A .26 R 3.8
Ub 12" 1ightWeight block = .32 R 3.1
ub 12" lightweight block insulatad cores a .12 R 9.3
U aingle glass = 1.13; with storm window .54
U double glass m .55
U triple glass - .41
All extarior walls and aelxlngs must hava A vapor Uarrier (a.io parm max.).
vapor barrier mueL• be on the ineide (heateo side) oE wall.
vapor riarriera o2 the polyetrielene thin Cilm hava no R value.
1
SO/S@'d 659£ 2Sh 2T9 L
'1NI `O_)hIH-ld Oh:ST h65i-1'ii-d3S
f
PROPERTYLEGAL:
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
ai w nwr_ ccwneir nooi icerIpN
LATEST REVISION:
DOCUMENTSTANDARDS
• Registered Land Surveyor signature and company
• 8uilding PermitApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, spl'R wlo, spfR entry, lookout, etc.)
• Oirectional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services 8 invert elevation
• Street name
• Oriveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
ExisSna
? • Sewer service (or Praposed)
?c a • Propertycomers
?a a • Top of wrb at the dnveway
?2-?c • Elevations of any exdsting adjacent homes
Prooosed
Gk-o 0 • Garage Boor
r ? ? • Firffi floor
Ey'o ? • Lowest exposed elevation (walkoutlwindow)
z`o ? • Property comers
Rr'Q ? • Front and rear of home at the foundation
PONDING AREA fif aooticable)
o O'? • Easement line
? 0'o . NWl
? ?? • HWL
? d a • Pond # designation
? 2--'o • Emergency Ovefiow Elevatian
DIMENSIONS
f? ? ? • Lot fines/Bearings & dimenaions
O", ?? ? Right-of-wey and sVeet width (W back ot curb)
ef ?? • Proposed home mmerwions indudmg any proposed decla, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permaneM foodngs)
a--?a ? • Shaw all easements of record and any Cily utiNtles within those easements
?' ?? • Setbacks of proposed sVUCture and sideyard setback of adjacent ebsting structures
? 0' ? • Retaining wall requirements, N any
Reviewed:
March /9B0
CRAIGIBl00PRMf FM
' DATE OF SURVEY:
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) $ bo,?O
? CITY OF FJ4GAN
? 3830 PILOT KNOB RD - 55122 Culled 3?3 f op
651-881-4675 om
New Constnicnon Reaulremenh
n 3 reglateretl elte wrveys ftwwing sq. H. of bt, sq. tt. of house 2 copies of plan
and ga rooled areas (70X mmdmum lot covoraae albwedl 1 set of energy calculotlons lor heafed addlHons
> 2 copiea of plana (slww beam d wlndow Yzes; poured fnd. dealgn; efc.) 1 aite survey tor extedor adtliHau d decka
> i sef of energy calculalloro
> J coples W hee preservatlo plan N IW plalfed after 7/I/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 5- BLOCK: ?
SUBD./P.I.D.M: GAYdf?'1WOOQr fOYIGILS ij
PROPERfY
OWNER
Name:?-??
Last Flrst
Sheet
W-Gf/- JtGd_ oQ97
Phone #????=
COMRACTOR
ARCHITECT/
ENGINEER
Cliy State: Zip:
Company: Phone A:
(area code)
Sfreet
city
State:
Company: Name:
Telephone N: ( )
lJcense M Exp.
Zip:
Skeet Address: Reglsfraflon p: _
CNy Stafe: ZiP:
Sewerlwater licensed plumber (Jf Installina sewerMraterl: Phone #:
?tiI hereby acknowledge that I have read this application, sfate thal lhe infortration is cortecf, and agree to comply wHh all applicable StatE
,of Mlnnesota Sfatutes and Cify of Eagan Ordinancea.
Signature o1 ApplicanY.
OFFICE USE ONLY ?
Certificates of Survey Received _ Yes _ No ' MY f
Tree Preservation Plan Received _ Yes _ No _ Not Requfred
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V
L ? gL ` 1 CITY USE ONLY RECEIPT #:
SUBD. RECEIPT DATE: 3750.3 PERMIT # 1999 PLUM$IN'u PEt.MIT (R£SFBEN'1'iPcL)
crrY oF EAa,4iv
S$SO PII.OT KNOB iiD
f.Et6AN, MN 55722
(851) 691-4675
Please compiete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
g?rn ±uh g 3.00 = $
Floor drain 3.00 x = $
Gas i in OUtlet * minimum -1 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ` re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dweflin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water Softener if dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --? ----> ----> $
Reminder. i;aif for inspections of af[erations, i.e. water heaters, water sofiteners, etc.
-•-•-°_..--•------------ ---p------- --------_-------- -------- ------
-is-
?at- fhe _information-
•cort-ect, -and-agree- to -comply-
I hereby acknowledge that I have read this aplication- ,- state- N
- with all applicable Cityof Eagan ordinances.
It is the applicanYs responsi6ility to notify the property oxmer that the City of Eagan assumes no liabiliry for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed untler this permit wiMin Ciry property/righFOf-way/easement.
SfTE ADQRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS: 9/ SO /,!J _?:3 S
C ITY:
TELEPHONE #
(AREA CODE)
TELEPHONE #: Zg?o? 70 V'D
(A EA COD'E)
? ?-}--I -? CITY USE ONLY
LOT BL RECEIPT #:
SUBD. )Z;4&4&4CJUU'v0(5?? r3'l RECEIPT DATE:
MECHANICAL PERMIT #
1999 M£CFIANICAl. PERMIT (ft£SI!?£N'flAL)
CITY 0F EAfiAcN
3630 P[LOT KN06 iiD
EAfiRN MN S51 E8
Date: A?Lf 21 (651)6$1-4675
Complete this section anlv if you aze insialling HVAC in a single family dwelling, townhome or condo under
construction and not owner /occuvied.
• HVAC: 0-100 M B T U $?30.00
ADDITIONAL 50 M BTU ? 6.00
o
* Gas outlets (minimum of one required @$3.00 ea.) C4 x 30-0 ("oo
State Surcharge
Total
Complete this section onfv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder: Ca11681-4675 for irrspections.
Fumace _ Air conditioning
_ Air exchanger _ Other
$ 30.00
State Surchazge .50
Minimum Total Due $ 30.50
SITE ADDRESS: 983 QA k av
OWNER NAME: 1 V A KI I 5 P? ?es oe vi r cck) ? PxNE 4.,S/ -4 44E3
(AR INSTALLER NAME: ? I ? PHONE # ?S? `Tc.-' 6d?o?
STREETADDRESS: (AREACODS)
cirY: F't?"P-m sTnTE: Vl1J zlr: 6'Do2
/A1?0e, ,&N?
SIGNANRE OF PERMITT'EE
c CITY USE ONLY
al
SUBD. y?i??
RECEIPT #: O [d/?
RECEIPT DATE: ? ?7 7
PERMIT #
1999 PLUM$IbIC PEfiMIT (RESIDE1vTIAL)
Ct7'Y Of EAfiAN
3830 P[Lor xxoa Rn
Eas,ari, r`uv ssiQQ
(651)681-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
s backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub g 3.00 - W ?
Floor drain 3.00 x = $
Gas i in outlet ` minimum - t 3.00 x = $
Hot tub/s a 3.00 x = $ 3
Kitchen sink 3.00 x = $
Laundr tra 3.00 x = $ 3
Lavator 3.00 x .r-? _ $ iS
Minimum fee alteretions to existin dwellin 30.00 x = $
Private Dis osal S stem newlrefurbished ' re uires MPC iic. 75.00 x = S
Private Dis osal S stem abandonment 30.00 x = ?
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $4. 50
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $ 3
Water softener If dwelling under construction 5.00 X = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e ----> ----> $ 50
Total --> --> ----> ----> $ 53.00
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
--------- ----- • ---------- ----------- ------------------------- --- --------- --- -- ---------------------------------------------------- --- --- -
I here6y acknovAedge lhal I have read this application, state that the infortnation is correct, and agree to comply wifh all applicable City oi Eagan ordinances.
It is the applicanCs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City tluring its
normal operatlonal antl maintenance activities to the facilities constructetl under this permit within City property/right-of•way/easement.
SITE ADDRESS: _ OBB3 nQ,p- ?
OWNER NAME: -'KatnaKu-mar d G-.O..?S1FIL' TELEPHONE#. I'? 4cJ4-y(oo-?>
9-R. Holz-+on C?QJIIs@,,-r? REA DE)
INSTALLERNAME PA 4n? J TELEPHONE#:??-t-???-II?-t`-1
(ARE ODE)
STREETADDRESS: 1?-(7l-?--tj `?J?,?
an: 'RCremQc,A-n J- STATE: No ziP: 550L018
SIGNATURE OF PERMITTEE
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122 -A 3c ??
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Z?_ 1 ?? I C21--
Site Street Address Unit #
Property Owner I" (/N^ i JA Telephone # (?S( ) LSrUiCJ '1 ?
Contractor t' ly ('Yy1?U 1 Telephone #((?17-)
Address -2)0fl IPf1A1,iLLX k4rit- _?City State lJ Zip S.?4 '?
The Applicant is: _ Owner LZC?o_ntractor _Other
Alteratians to existing dwelling
_Add fixtures to rooms, exciuding water sokener and water heater
_Septic System Abandonment
_ Water Turnaround (add $121.00 if a 5/8" meter is required)
Other: $ 50,00
Water Softener Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZJef-` new repair _rebuild $ 30.00
State Surcharge $ .50 ,
Total $ ,3?. ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work wili be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed ano appro,yed. _P
"R-L&`/ Lin o w-V
ApplicanYs Printed Name Applica &Vgnature
P MAY 2 4 2004 D
i
)
2007 RESIDENTIAL BUILDING rExMrr nrrr.icaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registered sAe surveys shmvirg sq. ft. of lok sq. ft. of house; and all roafed areas
(20% maximum bt wverage allowed)
1 Soils Report if proposed building is to be placed on disNrbed soil
2 copies of plan showing 6eam & window siaes; poured fouml design, etc.
1 setof Energy Calculalions
3 wpies of Tree Preservation Plan rf lot platted atler 7!1193
Rim Joist Detaii Opdons seiectlon sheet (bui(d'rngs wiU 3 orless units)
Minnegasca mechanical rentilation (orm
cl'o. ? d
RemodeUReoair Reauirements ORxe Use Onlv
2 copies of plan showing footings, beams, joisis Cert of Survey Recd _ Y_ N
isetofEnergyCalculationsforheatedaddidons SalsReport _Y _N
i si[e survey for addNOns& decks T2e Pres Plan Recd _ Y_ N.
Adddion - indicateilonsifesepticsystem TreePresRequired Y _N
Oo-siteSepticSyslem _Y _N
Plans are considered ublic information unless ou state Yhe are 4rade secre4 and the reason.
Date Construction Cost 9.5?
Site Address 8 a 3 (??. ? L7 7- UniUSte #
- .
/ ?
Descriptioo of Work K-L.V
Multi-Family Bldg _ Y ?-N Fireplace(s) _ 0 _ 1 _ 2
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Contractor (S Q A
Address L? ? ? I t+ ? \, City ? ?'f r\
State M ? y
Zip n 'r3 ? 2 ? 1I , `/y
Telephone # (413) -° 99 2 " I'?i b (1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minneaota Rules 7672
Enefgy COde CBtCgOry . Residential Ven6lation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submittad Submitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a simiiar plan based on a master plan?
_ Y _ N If yes, daTe and address of master plan:
Licensed Plumber
Mechanical Controctor
Sewer/Water ContracTor
Telephone #(
7elephone # ( )
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accnrate;
that the work will be in conformance with the ordinances and codes of the City'of Eagan and the State of MN
Statutes; I understaud this is not a permit, but only an applicarion for a pernait, and work is not to start without a
pemut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Applicant's Printed Name App icant's Signature
Clty of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 6755694
Date:
Tenant:
-,
? For ONice Use I
, g. ,
I Pertnit#: I
,
,
? PermitFee:
I
? MAY. 2 Y 20A9 i
j Date Received: ?
I ?
? StaR:
-----------------I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Site Address: l'?Ih7 (JC(/iC.. Cf) I.Lti ?
Suite A:
RESIDENT / OWNER Name: e Yl o.12 ?'y1,? Phone: (? ??? /'n ?R / Io
Address ! City / Zip: _ w1? vvt !-)i
CONTRACTOR Name: 1 Licensa #: [?,???=p ?"VI
Address: 4 Gi C/
City: te: Y? Zip: C:
Phone:%? .FCOntact Person:
TYPE OF WORK _ New _ Replacement _ Repair XRebuild _ Modify Space _ Work in R.O.W.
Descrl tlon of work:
PERMIT TYPE RESIDENTIAL
_ W ater Heater i W ater Softener
-LLa n Hrigation Add Plumbirtg FixRUres
?
(
FiPZ / _ PVB} ? Main _ Lower Level)
Septic System _ Water Turnaround
New
A6andonment '
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment. WaterTurnaround' (includes $50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is requirel)
$100.50 Septic System New ($10.00 per as built) (indudes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace bumed out appliances, ductwork, etc.) (indudes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work wlll 6e in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a pertnit, 6ut only an application for a permit, and vrork is not to start without a permit; Mat ihe work will 6e in
acCOrdance with !he approved plan in the casa of work which requires a review and pgpNval of plans.
x?111 Aa e I (-- IA?e?,---tm a-? xl???,e-"
AppllcanYs Prfnted Name ApplfcanYs Slgnature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ___Under Ground _Rough-In _Air Test _Gas Test _final
CERI'IFICATE OF SURVEY
for
D.R. HORTON
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qoPqpNj1' '
90
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Scale: 1" = 30'
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90Q.79J ? `
901.19 Go
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? Lot = 18,164 sq. ft.
Nouse = 2,221 sq. ft.
?
??"/? - -- - -? Top curb to Gar slab = _3,0
_
Z-t°r?-? - -• Top block = 9h?i?
Lowest bsmt flr = MIM.L
883 4ak Court
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Lows of the State
of Minnesota.
Date 0 14 M&R 199 g Reg. No. 8140
Lot 5, Block 1,
GARDENWOOD PONDS THIRD
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
? Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsville, MN 55306
(612) 435-1966
M32-1936-99
Suite 206
M32-1936-99
-1? .
?
? ?
Use BLUE or BLACK Ink
I-----------------~
;a I For Office Use I
ECEIVE ; Permit#:
I I
Permit Fee: I
3830 Pilot Knob Road JUN 0 4 2014
Eagan MN 55122 I Date Received; tlo
Phone: (651) 675-5675 gY:.~ f Staff:
Fax: (651) 675-5694
/ 2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date:' Site Address: 00-/< eo,1 rf
Tenant: Suite
Resident/Owner Name: ~i a?mo S Phone: V- Cp$' -7~b S
Address / City / Zip __gg U6K C~
Name: Y)'I~ 0 7rS~iiry Me-b-01 k(_P Wi6a( 6W5aILULicense A 4,q6 %/b'
Contractor Address: x/722 C~~ur 6ae,< (zd City: ~h. rexlry
State: MIIJ Zip: '~U3'2 Phone:-
Contact: ~-5$FS 8
i S~'IGGt- Email: c4 c 0 inai( (Oln
Type of Work - New _ Replacement e Repair Rebuild _ Modify Space Work in R.O.W.
Description of work
RESIDENTIAL i
Water Heater
Water Softener
SC Lawn Irrigation RPZ l PVB) v
Permit Type
Septic System Add Plumbing Fixtures t- Main t _ Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $?.Ob
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.orq
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. 9_1\\ " ~d
Applicant' Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test __Final
Meter Related Items: Meter Size Radio Read Staff:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136104
Date Issued:04/25/2016
Permit Category:ePermit
Site Address: 883 Oak Ct
Lot:5 Block: 1 Addition: Gardenwood Ponds 3rd
PID:10-28802-01-050
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 or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Jennifer N Simonds
883 Oak Ct
Eagan MN 55123--247
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA155378
Date Issued:05/14/2019
Permit Category:ePermit
Site Address: 883 Oak Ct
Lot:5 Block: 1 Addition: Gardenwood Ponds 3rd
PID:10-28802-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 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 -
Jennifer N Simonds
883 Oak Ct
Eagan MN 55123--247
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
(l
• _Gr
For Office Use ��j
Permit#:
EAGANPermit Fee: g I •"
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECEIVED E
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsacitvofeagan.com JUL 15 2019
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/15/2019 Site Address: 883 Oak Ct Unit#:
Name: Jennifer Simonds Phone: 612-751-1801
Resident/ 883 Oak Ct/ Eagan/ 55123
owner Address/City/Zip:
Applicant is: Owner 1 Contractor r
Roof mounted PV solar installation 02/A11146 y
Type of Work Description of work.
Construction Cost $9,792 Multi-Family Building: (Yes /No ✓ )
Company: Altaray Contact: Courtney Turner
Contractor
Address: 1955 W Grove Parkway unit 300 City: Pleasant Grove
State: UT Zip: 84062 Phone: 801-996-7611 Email: permitting@altaraysolar.com
License#: BC754970 Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Working on the outside of the home.
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe
classified as non public if you provide specific reasons that would permit the City to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
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.orq
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 Devin Moore X
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch(3-Season) Exterior Alteration(Single Family)
Single Family Garage Porch(4-Season) Exterior Alteration(Multi)
Multi Deck Porch(Screen/Gazebo/Pergola) Miscellaneous
01 of_Plex Lower Level Pool 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
Valuation 942 ') Occupancy iCES stem
P Y j3tIL- System
Plan ReviewCode Edition /5 SAC Units
(25%_100% ) Zoning /� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction VO
Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings(Addition) ) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice&Water Final Pool: Footings Air/Gas Tests Final
Framing X 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: Stucco Lath Stone Lath Brick EFTS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 1.1 , Building Inspector
RESIDENTIAL FEES
Base Fee :0 J ,fl�
Surcharge
(/
Plan Review ���
MCES SAC 5 711 L
City SAC
Utility Connection Charge
S&W Permit&Surcharge 9 79 )-
Treatment Plant
Radio Meter Read II
Copies 2$)(,p:c -7.O 0
TOTAL
• Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165101
Date Issued:10/19/2020
Permit Category:ePermit
Site Address: 883 Oak Ct
Lot:5 Block: 1 Addition: Gardenwood Ponds 3rd
PID:10-28802-01-050
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap 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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Jennifer N Simonds
883 Oak Ct
Eagan MN 55123--247
(612) 751-1801
Options Exteriors
460 Hoover St NE, Suite 2
Minneapolis MN 55413
(651) 705-6376
Applicant/Permitee: Signature Issued By: Signature