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886 Oak CtAddress 886 D a k C o u r t Zip 55123_ LAt 14 Blk 1 Sub Gardenwood Ponds 3rd THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION. Date: Yes No Inspector. Final grade (6" from siding) Permanent steps (garage) -1/ Permanent steps (main entry) Permanent driveway Peananentgas _ Sod/Seeded grass TraiUcurb damage Porch Basement Snish Deck Please verify with the builder the temoval of roof test caps from the plumbing system and the shutroff of water aupply to the outside lawn faucet before freeze potendal exists. Contad engincering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ? White - City Copy Yellow - Residen[ Copy Pink - Contractor Copy ?.. s7o,? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdbn Reauirements 3 registered site surveys showing sq. ft, af lol, sq. R. of house; and all roofed areas (20% maximum lot cwverage allowed) 2 copies ot plan showirq beam & window saes; poured found design, etc. t set o( Energy Calculatbns 3 wples of Trea Preservation Plan if bl platted a8er 71153 Rim Joist Oefail Opfwns selection sheet (buildings wlth 3 or less units) C,it4y/ 7 RemodeVRenair ReauiremenGa ORiceUse Onlv 2 copies of plan Cert of Survey Recd _ Y_ N 1 sel of Energy Calculatlons for heated addNOas Tree Pras Plan Recd _ Y_ N 1 site survey for additions & decks Tree Pres Required _ Y. _ N Addifron - indicete rf on-ge sepfk sysfem On-ske SeptlcSystem ^ Y„_ N D8t0 ConstructiooCost Site Address UniUSte # Description of Work j l0 ?' ?y Declc MuIH-Family Bldg _ Y _ N Fireplace(s) _ 0_ 1 _ 2 PropertyOwner ebb Telephone#(bSi ) y.5T- 90.? Contractor "v??IZe? ?dhS7YvcT: n?'l ?;?, C 4- sCee"5c Address ? 9?-3?? State CYe?t sT Ti'0.: ? Zip _5'37_1V,;2 %f ! C'I[)' ?4?ss? i-r y 7'0 v9 -? Telep6one #((,57 ) y 9 7 - p 9?v 3 'G COMPLETE THIS AREA ONLY I TL/,C" Energy Code Category - Minnesota Rules 7670 C,,IVMQry 1? (J submission type) • Residential Ventilation Ca Submitted ?1N cs • Energy Envelope Calculations Submitled Have you previously constructed a building in Eagan with a similar plan? fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( N If so, 25% plan review I hereby apply for a Residential Building Permit and acknowledge that the 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 plan in the case of work which requires a review and approval of plans. ? 711?r ru, c c O. Applicant's Printed Name Applicant's Signature NEW BUILDING Minnesota Rules 7672 • New Energy Code Worksheet Submitted OFFICE USE ONLY Sub Types 1w, ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. 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 A 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc. ? 05 03-plex ? 71 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 MiSCBllane0u5 Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding x 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement 'Demolitlon (Entire Bldg) - Give PCA handout to applicant Valuation Cg 1?--D Occupancy MCES System Census Code Q 3 T Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const ? Width Footings (new bldg) Footings (deck) _ Footings (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation REQUIRED INSPECTIONS FinaVC.O. ? FinaVNo C.O. _ Plumbing HVAC Other _ Pool _ Ftgs _ Air/Gas Tesu Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total '?Cet?- .???-%?' 0 ? %:?? Y,t Y??k%X%';?;cYC?h>F m nn`.:::SFYF?F7kiX i;t?tit )?41Y;?: vmyd>mYF n??<.5;7.xwv N ctr,r ri- Enr;Ar.! C(?Fj,'NT1=1t: Jg 1_(:'FtM:f.NFl._ N0: 045 DA-rF; Oc /t22lQIJ 1'IMEg M37e08 ID ,i NAhfE.u DFf I-II:1R'1:)N INC. P.232 9220 E3E3r', CiFlI: G'r' :]f:LtJO 320 9001 l;iBE, (]AN C'(' Q503.,35 3866 9379 686 Qi11; C;T 10f.),00 3430 9001 f'if'J6 UF4i: i:l 0,25 3422 JI)C.l:l (3E36 C}rd!'• C;'i 977„0 2275 9220 B86 GAr' C'i 1y0E39.0(:1 3446 7001 886 QAF, f;T i.i.v00 2155 9001 686 OAK C-f C),.`iU 3743 `?i?c!U 886 OAK C'1 50.00 205 9001 88Fr OAK CT 95.50 rRM698 *1 cnNrIrauE USFR rDa ::inN ,:* i:OrarINuE: *1X1„* " M*)kiF>XY, A?X>:ik:%" m"ox * riY,tuYr:>K?111? * %ex?? ,n.iMp:x * -7 o Z) CDN'1't:NUf-= !;:f.TY GF 1=A,r,,AP! CA5!-I:I:CR? JS 7Ef:MTNAI_ t•!(5- 045 Dci'TE:, 02iF-2/00 T'ZtilE? 1. 2:3 'f:;03 IDa NAMr: LiPi I-IOF`?"pN TNC.. 3969 9220 886 OAK f:l' 492,017 37I.6 92i:?G £;F.iE, (7t1F: CT 04.00 303 9220 886 OAK (:;'1' 50„00 3E365 9220 886 OAY•. C'1' F340„00 i l'ot.9.l. Fiet:ic9lpt, Artioi,nt; s 5,352.78 rR J. 236'73 UsER tD•: aAN ?UaDiNC P 3 °r'? 39 38 NityConsWChon Reauiremants ? 3 ngistered ska wrveys showing sq. ft af bt, sq. R of Irouse sndgroofedareas (20%mazimumlatcovemaealbwed) D 2 coples of plam (show beam & vAndow sizas; paured ind. desigi ? 1 sel of energy calculalions D 3 coples of tree preservation pWn N bt plaCed after 711193 DATE: -2 /+ G-- ? i Z- DESCRIPTION OF WORK: STREET ADDRESS: r, LOT: i ' -( BLOCK: I SUBUJP.I.D. #: PROPERTY owNeR CONTRACTOR ARCHITECT/ ENGINEER ;RMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN PILOT KNOB RD - 55122 651-681-4675 ? RemodeUReoafr Ranuirements ? 2 copies of plan D- - 7setotenergycakWatlonekrhea6edaddilions LJ etc.) 7 sile survey hr anteAw addPoons 8 Aacks CONSTRUCTION COST:•`?i --t- ?.:??:?i Phone #: Lart 5treet Address: City Comeanv: Straet AddrBBS: City ? ?I! Company: Telephone #: ( ) _ Street Address: City Sawer 8 weter lieensed plumber (newconsWcdon on Penelty appties when address chenge and lot change b n °r 1 hereby aeknowledge thal i have read fhia applkatlon, sfal o1`Eagan Ordinances. Certficates of Survey Received ? Yes Tree Preservation Plan Received _ Yes State: Zip: i Phone#: (area code) ? -G, i r. f- LiCense # Stata: ? ???/• Zip: i Name: Registretlon #: State: Zip: _ i ? once permtt is Issued. fMormatlon is eortect, and agree W comply wfth all applicabie Sfate of Minnesota Stahbs and Cit , 1ure of Applicanf. .; "? n , =? • ? , -, _ c OFFICE USE UNLY _ No _ No ? Not Required ? OFFICE USE ONLY ?- . . BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) A 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex O 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Stotm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia l ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENEFtAL INFORMATION Const. (Actual) -?w Basement sq. ft. Census Code (Allowable) I? KJ Main level sq. ft. SAC Code ' UBC Occupancy &3-LLJ.? -,?-JjX ?sq. ft. No. of Units Zoning sq. ft. ' No. of Bidgs ? # of Stories ? sq. ft. MC/ES System Length sq. ft. City Water , Width Footprint sq. ft. Booster Pump PRV ' Fire Sprinklered APPROVALS Planning Building 712VI Engineering Variance Permit Fee Valuation: $ -3 i Surcharge Plan Review License ? o MC/ES SAC ? l? City SAC Water Conn. -?7 Water Meter ?` /??} ? ,J ?? ?"? s ? - / 11 iAcct. Deposit G' S/W Permit ,? p b S1W Surcharge c /?'?-?'?? U ? Treatment PI. v Park Ded. n Q ; Trails Ded. ? g8/` Other ? Copies • a? Total: SAC Units %SAC 7 _ ENERGY CODS WORKSHEET FOR 1& 2 FAMILY DWELLINGSrS? ? SITB ApDHESS - ? ??a ?4noX,. . , ! CITY o COMELETED "$YijJd.ALLEF pHpNg q DATL' BIIILDINd CLASSIFICATIOId: ? catagory 1(etandard)or ? category 2(muut iacl d u a veatilation) HINI$Utq CRIT6RIA - Foundahion Inaulation-R10 Walle G Windowo . Roof Attic Inaulationx (Slab on Grade Ineulation-R10 See Cable on reveree side for allowahle percentagea) R44-With Atti c No tleel Floor over unheated apaces-1124 R38-Witli Attic Raised Iieel Foundation {Jindowe 1/2" [t38 4 RS-Solid RaEteze ineulated Glass, -Nood or Vinyl Frame - , STHP 1 WiadoW 4 Door Area STSP 2 Calculata area ae a parcent of wall A. Tatal Window & Door Area in Sq, Ceet WINDOWS (Including Poundation Wi.udowe): - Y72NDOW MALNPACTURS NAMH: C. From Step 1 dlvide Uox A(Vlindow & poar WINDOW MAN[1FACT[7RE TYpBI ' Area) by box n (total wall aiea) Limeo.300 equals the wi.ndow and door area as a WIt7DOW MAIiUFACT[7R8 Q FACTOR= percent o£ wall area (box C), . R. O. Quaiitily cq.fC.Area Dimensions ROX A lf?ZS X 100-= J_ fiox B 2! D? x5-?1` l?l t V ! ST6P 3 D l ea gn Peatureo X 412 y pSSGR1BLY 1.L X4?-o" lt?l Z, F2AMING TYPE: - D(/ STAPIDARD pRAMING ? etuds 16" o Z?r x5`? _ .c. ADVANC60 FRNIING ctude 29" 3' M ? N o.c. O x ?? "" il ll CAVITY INSULATION R y I14 X 9NHATHItIG TYpB; X ? - LESS TIIAfJ < R-5 . X R-5 > OR MORB X U-FACTOR ? DOO?RS; B 2, /Q From the [able, (raverce side) determine the maximum percent window & door a f /,,D X P U/ ?Q ?j Q rea or.tha deaign op[iono selecl'ed and en[er tho t value in 13ox D bel b d O ow aoe wi the window mEg. U- CJ factor: ZB x Co? / ? D 4btal Area of A-I?_nq,ft. Windows & poore 4Y S ? ' - B. Total Yiall Area iu Sq. Ft. The t value Erom the Cable ili Dox D sliall Ue . equal to or greaCer than the S in ?ox C Wall Total Ileight Area Perimeter '0 v ? ?2? 7'otal Area oE Wal]s j fU?t,q,ft ( . . ? ? 't1ie building'niust not exceed lhe maximum windoi,, and door area as a Percentage of overall exposed tvaU area listed 6elow for the combination i oF framing technique, R-value oF insulation wifhin tlie insulated cavit4, sheathing R-yalue, and tvindow U-factor. Other components must meet tlie requirements of this euUpart. , MAXIMUM WINDO{V ANP PaOR AREA AS A PGRCCNT OF OVERALL I3XPOSGD WAI.I. Cav'tty Window [;-Facmr ?'c.?...?.... . .__..?_.:__ • ??--..:__ ?.? ,;?? „„ „.... .: 'STANDARI]' R-13 • 2R-7 13.06 17_8% 21.3% 24.39b STANPARp R-I5 ' 2R-5 12.940 17.1% 20.10'. 23.400 STANDARD d1-5 + , 11.1% :16A1 o . .78.81. 22.006 STANDARD R-18 2R-5 13.50b 18.60% 31.80% 25.3% Al]VANC[p . R78 <N-5 ll.l?o `17.1% 20.100 23.4% .APVANCEA R-]8 >_R•5 . 13.50'. 19.2% 22.5°io 26.1;'. STANDARD $-21 <It-5 11.60L 17.0°? 19.9;0 23.1°;, STANDARD it•21 ?R•5 19.09? 19.3°0 22.50.6 26.1°L ApVANCGP 1:-21. <It-5 11.800 18.1% 21?:'. 2•LG°L APVANCEP It-21 ?(t-5 . 19.00L 19.990 23.20;, 26.99L ' Subp. 3. Pe[formance crileria. Tlie combined thermal transmiltance (LJo) factors for walls, roof/ceilings, and floors over unheated spaces must Ue less than or equal to: A. 0.110 i3hi/h ft2 °P for tvalls; A. 0.02613hi/li fl2 °P for roof/ceilings; ancl C. 0.04 i3hi/h ftz °F for Floors. STRTR[11'H: MS § 276C.79 #flST: 18 SR 2361 7670.0480 Repenfed,l8 SR 2361 ? . Minn.RulesCLapter7b70 26 1 - -1- LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION ? PROPERTY LEGAL 4-07 /y` h DATE OF SURVEY: N ? tu LATEST REVISION: - ? ? DOCUMENTSTANDARDS ag 0 n Registered Land Surveyor signature and company ? Building Permit Applicant ? • Legaldescription ? . Address ? . North arrow and scale ? ? .?. . House type (rembler, walkout, splR w/o, split enVy, lookout, Mc.) ? • DirecOOnal drainage arrows with slopelgradient % 0 ? • Proposedlexassting sewer and water services 8 invert elevation p,/"z ? sVeet name Q' a ? : Oriveway V}o a • LotSquare Footage 9/ ? ? • Lot Coverage ELEVATIONS ? Ba'stina ? • Sewer service (or Proposed) ? ? ? Property comers ? ? Top of curb at the driveway ?' ?? • Elevations of any existing adjacent homes ? m? ? Adequate footing depth of struclures due to adjacent utiliry trenches Prooosed 2/0 ? • Garage floor 19/ ? ? • Firstnoor $? ? ? • Lowest exposed elevation (walkouWvindow) uo' ? ? • Property corneis ea/ ? o • Front and rear of home at the foundation PONDING AREA (if appNcaWe) ? (6/? • Easement line o ya/ o • NWL ? m? ? • HWL ? ? ? • Pond # designafion ? vo • Emergency Overflow Elc+vaCOn ta/}7 ? ?? ? ?a a t-Xo ? C-?'y a o?? DIMENSIONS • Lot Gnes/Bearings & dimensions ? Right-of-way and street width (to back of curb) • Propased home dimensions induding any prapased decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent tootings) • Show all easements of record and any Ciry utihties within those easements - Seffiacks ot proposed structure and sideyard setback of adjacent exisOng strudures • ftB281fl1/19 VJall f°^uiremante if anv Reviewed: Mareh 1999 Cq/,Il'ypLOGPRMT.FM /-' T ?f CI L BL Y USE ONLY RECEIPT#: I ?d 1/yIJ SUBD. GAY'uCV1VYo0 (;{ P()xas 3v? RECEIPT DATE: 3` IIY "EC? T PERMIT# "I II 2000 PLUM$ING PERMIT (RESIDENTIAL) I cxxx oF Ea.r,Ax I 3630 PILOT IINOH RD EAGP.N, MN 55122 i 651-681-4675 Please complete for: ? single family dwellii ? townhomes and coi ? backflow preventer FIXTLIRES s when permits are required for each unit underground sprinkler system EACN # TOTAL Alterations to existing dwelling - minimum fee Describe: - - ? i $ 30.00 Bath tub II $ 3.00 x 2 = $ Ploor drain N 3.00 x = $ Gas piping oUtlet * minimum • t 3.00 x = $ ?O Hottub/spa 3.00 x = $ Kitchen sink II 3.00 x = $ a' Laundry tray II 3.00 x = $ (2g Lavato 1 [ 300 x = $ ? Septic S stem newlreTur6ished 'requ ires MPC Ilc. 75.00 x = $ Septic System abandonment II 30.00 x = $ RPZ new installationlrepair/reti uild 30.00 x = $ Rough opening 1.50 x = $ 45O Shower II 3.00 x = $ 1?' Unde round sprinkler rf dwelling is under constr uction 3.00 x = $ Under round sprinkler Hexisting dwelling ? 30.00 x = $ Watercloset j? 3.00 x = $ 9°A Water heater ;I 3.00 x ( _ $ C'= Water softener If dwelling under cong truction 5.00 x = $ Water softener if exiscin9 dweuing I f 30.00 x = $ Water tumaround 30.00 x $ State Surcharge ll .50 -> -> -? $ .50 rotal _> _..> $ ? Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. ? -------------------------------------------------------= - --------- ----- --------- ------------ ------- ----------------------- ----- ------------- I heraby adcnowledge that I heve read this appliption, sfate t hat the infiortnation Is correct, and agree ta compty with all applicable City of Eagan oidinances. tt is the applicanl's respansibiiity to notify the property owner thet the City of Eagan assumes no liabiliry far any damages caused by the City dunng fts nortnal operationai and main[enance activRies to the facilitles eonstructed under this permit within City prapertylright-of•wayleasement. SITE ADDRESS: OWNER NAME: : J'? Nt?YZ'77?? ;I TELEPHONE #: S( 45+-1 - (AREA CODE) - IN5TALLERNAME: U4 ?I-OA..Y1Y? TELEPHONE#: 10SI STREET ADDRESS: I Q'U?-7 er-1 e£ I?IB.P r25F TQ t- (AREA CODE) cirr: ?23r't??(,l.Vl RE uE NED I sTare: ?Iv zia: SSa?? ? C[TY USE ONLY LOT _L BL PERMIT i!: JI Y I O susn. CWr vtwoo dNjkC ?ird 'I REcE?pT #: 1 a?l qi-l fl V RECEIPT DATE: o' O-o 2000 MECHANICAI+ PERMIT (RESIDENTIAL) CITY OF EAGAD7 I 3830 PI7AT iaN0S RD EAGAN MN 55122 651-681-4675 Date:, 11 Complete this section onlv if you aze installing HVAC in a single family dwelling, townhome or condo under conshvcrion and not ov?ner/occuvied. II • HVAC: 0-100 M B T U $ 30.00 ADDITIONAL 50 II BTU 6.00 • Gas outlets (minimum of one required @I?$3.00 ea.) State Surcharge .50 Total $ . 5 9. S??1' Complete this section onlv if you are retriodeling, addine to, or re airin an existing single-fatnily dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repa'v. /New _ Alter&tion _ Repair _ Other Fumace Air eatchanger Air conditioning Other Fee $ 30.00 State Surchazge .50 Total $ 30.50 Reminder: Call for inspections SITE ADDRESS: r " OWNERNAME: .Y? /1 , ?rr);'Ti^1. g ? INSTALLER NAME: STREET ADDRESS:.?J CIT'Y: >-i:+ ni _ --- c PHONE #: ?_; % - ????-'`?( G. 1' (AREA CODE) PHONE tl: ? •Ji - '???? /_ ?, ?! ? (AREA CODE) STATE: 'ii?J ZIP: - E 70 0 D ?D I SIGNATURE OF PERMITTEE CERTIFICATE OF SURVEY for D.R. HORTON 'g 6 , • ? ? ? .1? .. ? l? ....s^ Scale: 1" = 30' 886 Oak 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 Lond Surveyor under the Laws of the State of 1,dianesata. Date 11 4- 66 ZOOD Reg. No. 8140 Lot 14, Block 1, GARDENWOOD PONDS THIRD Dakota County, Minnesota Plat bearings shown o Denotes iron monument "? Existing j Proposed BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive, Suite 114 Burnsville, MN 55337 (612) 435-1966 G ? y .? ?o 0 ?f196? M32-2218-00 Lot = 11,909 sq.ft OWHouse = 2,232 sq.ft. - s ??T F1Ner- ' Top curb to Gar slab ? Top block = 90&93 Lowest 6smt flr = Mj?.17- M32-2218-00 ? - . .. ; ? =t1EtR CERTIFICATE OF SURVEY for D.R. HORTON ? ? 9pl- ? M 32- 2218- 00 o f0 V, 1 , ? ? g` /?i1 5 gOZ7/ ? . ? 0 92, 0 ? i ? c 906. o? ? .. \ I90j ? y ,\ 896 ?' ? Z ? _s o ,g96 9?? . y .\ •- 1 ? y acr?a 9 0' ? ?189?, Drainage & 1 uti' ? easement \ ? ? / iq?1•? ? 5? ?? xnCe ? 0 `8g6 3 ?RJk'0'0 `q96' r' W Ji ;; ..?., , Dr,PT: Scale: 1" = 30' Lat = 11,909 sq.ft House = 2,232 sq.ft. !S _ LT FENCr- '??? - 'c ' 6a 1 ? ?9S : Top curb to Gar slab = 3 Top block = 905 3 Lowest bsmt flr = 886 Oak Court DESCRIPTION I hereby certify that this survey, plan, or report wos prepared by me or under my direct supervision vnd that I om a duly Registered Land Surveyor under the Laws of the State of -dianesata. Date 11 ?6b L000 Reg. No. 8140 Lot 14, Block 1, GARDENWOOD PONDS THIRD Dakota County, Minnesota Plat bearings shown o Denotes"fron monument ? Existing j Proposed ? I- BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive, Suite 114 Burnsville, MN 55337 (612) 435-1966 M32-2218-00: RFr.FIVFI'1 FpA 1 r )nnn ?'c q?°5 S?3 $ ,?.x+ 1 Bah?t g?d 9hOUSe a Y. ?d2 ? r ' ?VVV Use BLUE or BLACK Ink r For Office Use 1 ; Permit#: City of Eap 1 I Permit Fee: 3830 Pilot Knob Road 2 ; Eagan MN 55122 I Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 i Staff: 6h 1 2012 RESIDENTIAL /BUILDING PERMIT APPLICATION Date: 9 - (0 Site Address: C-6 Unit M Name: Phone: RESIDENT OWNER Address / City / Zip: C+ Applicant is: Owner Contractor TYPE OF WORK Description of work: _T~.r O-C- -6- Q3 Q Construction Cost: 1 T C25-0 Multi-Family Building: (Yes / No ) Company: 4V~1^ it- ( ~cve-~ Contact: ( CONTRACTOR Address: ! d©`~ 9,7 City: t5 ~q State: f to Zip: Phone: C~5d s ^6C 6-6 License ~Q a (C- E C) Lead Certificate M If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: 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 they 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.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p rmit issuance. t x x l.~'G (`ft It Je~~~ AP t Prin ed Name Applicant's Sign ture Page 1 of 3