4158 Oakbrooke Dr? RESIDENTIAL
. , . BUILDING PERMIT APPLICATION
CITY OF EAGAN U
3830 PILOT KNOB RD - 55122
14 651-681-4675
NewConswctionReauiremanW RemodelfRaoairReauiremanh `Z?75 O`
• 3 regmte2d site surveys shovring sq. R. of lol, sq. ft. of lause; and all roafed areas O 2 copies of plan
(20% maximum lot coverege allowed) • t set of Energy CalculaGom tar healed addNans
• 2 copies of plan showing beam 8 windowsizes; poured found desgn, etc.) O t sAe survey for extenaradditlans 8 decks
• isetofEnergyCalculations • IndicateifhomeservedbysepBcsystem(oradditions
• 3 copies of T2e Preservation Plan H lot platted afler 711/93
. Rim Joist Detail Optlons selection sheet (bldgs wilh 3 or less unifs)
DATE
JOB SITE
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
C) (2)
C a-s?x
44-
Z
PROPERTY OWNER MarV- o?d /4m?l la?n',a1'1
TYPE OF WORK %eGIL PIREPLACE(S) _ 0_ 1_ 2
APPUCANT Mbrl(, C?rj Auo -Pavoftvi PHONE# ?o`5I'36S-030_?
ADDRESS Smi,...a Cks 3CL Si,I2 ZIPCODE
PAGER # CELL PHONE #
FAX #
NFW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
energy Code Cate9ory _ MINNESOTA RULES 7670 CAT'EGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Confractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
All above information must be submitted prior to processing of application.
Fee: $90.00
Fee: $70.00
p?P? f?Od?
a ?
Bv?
I hereby acknowledge That I have read this opplication, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ?c s. ,
Signature of ApplicanT
_ Water Softener
_ Water Heater
_ No. of Baths
VALUATION
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 1J01
OFFICE USE ONLY ?
•?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plax ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ?118 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
W 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. Q 42 Demolish (Foundation) ? 45 Fire Repafr
? 33 Alteration O 37 Demolish (Bidg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg oniy) - Give PCA handou4 to appllcant
?
Valuation ??O ?
Occupancy
, g -3 MC/ES System
Census Code ? Zoning )0-,0 City Water
SAC Units ?L Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
Footings (new bldg)
? FinaUC.O.
Footings (deck) FinaUNo C.O.
_ Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
_ Frazning
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
?
Other
_ Pool _ Ftgs _ Air/Gas Tests _
_ Siding SNCCO Stone
_ Windows (new/replacement)
Approved By t4J , Building Inspector
--------------------- ---------
Base Fee ---------------- ------------------------ ----------------------_------
? 9 - v
Surcharge / - C) o
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
??
Total
Address a t s s n a k h r n n k a n,- Zip 5512_9
IAt 18 Blk 6 $ub Oakbrooke
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes . No Inspector:
Final grade (6" from siding)
Pemanent steps (gazage)
Petmanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcutb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of root test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righhof-way or installing underground sprinkler system. ?
Wltite - City Copy Yellow • Resident Copy Pink - Contractor Copy
JAN S 7 2009
Januaty 22, 2009
In xegards to: Pexmit# EA 83224
City of Eagan - Building Inspecrions
Attention: Peggy
3830 Pilot Knob Rd.
Eagan, MN 55122 'qJ 5g 664E?
To Whom It May Concern,
SUBJECT: EXTENSION FOR FINAL INSPECTION
This is m Tegacds to a lettex I mceived to scheduie a 6nal inspecuon on my deck. I was
unawaxe that the permit expited 6 month aftex the last inspecrion and thought I had 1 yeaz
from the pezmit date befare it expixed. Because of some xesoutce issues I was delayed in
Euushing the deck befoze the snow came. I am planning on finishing the deck this
April/May wcathex pexxnitting and am asking fox an extension on the pexmit until the end o£
May fot the fmal inspecrion. I can be teached at 651-336-4017 fox any quesrions you might
havc.
Sincexel,v,
Robert Emexson
4158 Oakbxooke Dx.
Eagan, MN 55122
411? City of Eatai
3830 pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?yN, 3
?----------------;
? Permit Fea: qo
?
I ?
? Date Received:
I StafF: ?
I ___J
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ? /' Site AddreBS:
Tenant:
RESIDENT/OWNER Name: '</J(H? ? / ???r? "• " --
Address ! Ciry 1 T?p:
Applicant is: _ Ov+ner ?ntractor
?
TYPE O:WORK Oescription of work: 7-e a/"
Construction Cost:
CONTRACTOR Name:
Suite #:
1?
Phone: /o
Mul6-Family Building: (Yes _f No
?'t
Addiess: ` - 1 I lt'i r w .
City: ?p ??C??er State: MN ZiP: S5
Phane:tOJl'-I??_ ConTdctPerson: KIOreO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateoorv 1 Minnesota Rules 7672
Energy Code • ReSideMial Ventilation Categary 1 Worfaheet • New E+er9r Coda woncsneec
CBtBgOry Submitted Submitted
(4 submi5sion type) • Energy Errvelope Calculations Submitted
1n the last 12 mo'rtha, hes tha City af Esgan issued a pem+it for a Simflar plan based on a master plan?
_Yes ___-No If yes, date and address of master pian:
Licensed Plumioar:
Mechanical Contractor:
Sewer & water Contractor:
I hereby advimNed9e that ?his iMOrmatlan is wmplete and ?curate: that the wark WiN be in cor?fartna?e with the ordinances ar#1 codes of the Cily W
ad
Eagan; that I understand this is not apermtt, but onty an spplicaUOn for a permit, and work is not to start wiThout a pemiit: thffi tlhe'xak vn11 he m
accordana wi tt+e approved Wan in the case of wak which requires a review and approval of pl } .
X A/'ix
Appli anYs Printed Name Appli nYs SignaWre page I of 3
Surveyor's Certificate
SURVEY FOR :PULTE
DESCRIBED AS : Lot 18, Block 6, OAKBROOKE, City of Eogon. Dokota Caunty, Minnsota and
reserving eosements of record.
Y
Plon // 18201
m
930.0
!POND
BP-25
NWL•926 0
HWL=926.7
PROPOSED ELEVATIONS
Top of Foundation - q34.0
Gorage Floor = q38.4
BcsemFrt Floor =931,0
Aprox. Sewer Service = yzL•yt
Proposed Elev. = Q
Existing Elev.
Drainoge Directions = -
Denotes Offset Stake = .
SCALE: 1 mch = 30 feet
BENCHMARK, n
TwH (1Zx?-erS?ioV? dT
?o?n??y cukc ? oakb?c?or;
r.? - 434.i'{
MIN. SETBACK REQUIREMENTS
Front-25 House Side -
Reor -15 Garage Side-
JOB N0:
? ? I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRELi REPRESENTATION 99R-653
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME OR UNDER MY DIRECT SUPERVISION AND DOES NOT PURPORT TO BOOK: PACE:
PLANN/NC ENC/NE6R/NC SURVEYlNC SHOW IMPROVEMENTS OR ENCROACHMENTS, EX?EPT 5 SHOwN
2005 Pin Oak Drive
Eogon, MN 55122 DATE l\ ?• CAD FILE:
PhO?@: (651? 4?5-6600 F R Y D. LINDGREN, lP SVRVEYOR
Fox. (651) 405-6606 MIN SOTn IiCENSE NUMBER 14376 OAKBROOKE
SQ. F00TAGE
SQ. FOOTAGE
COVERAGE _
Clty of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
05-27 C??
-----
e-Us-e -----------
? Far Offlc I I
j Permit
? Permit Fee:
? Date Receivedj
I Staff: I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5 2-2 0 (8 Site Address: "t 15 ? lJ(%1.V h i'bf) ?D V lr .
Tenant:
Sulte
RESIDENT/OWNER Name: RAbBYt+ Lwwrc, CmEfSt+W Phone: 1,511.5a-90
Address /City /Zip: 9158 0,?.IC brooke !J/; LlnpGA 1/"VV SSia a,
Applicant is: A- Owner _ Contractor Lra
TVPEOFWORK Descriptionofwork: CF.k
Conshuction CosY.?- $ A Poo Multi-Family Building: (Yes No -)(-)
CONTRACTOR Name: "ane License#:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaory 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Categwy 1 Worksheet • New Energy Code Worksheet
CBtegory Submitted Submitted
su6misgion type) • Energy Envelope Calculalions Submitted
In the last tt morrths, has the City of Eagan issued a permit tor a similar plan based on a master p1an7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporfing documents that you submit are consldered (o be pubUc informatio2 Portlons ot
the Informateon may be c(assified as non public !f yau provide specfflc reasons that would permif the Clty to
conclude that the are hade secrets.
I hereby aGcnowledge 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 applicahon for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in Me case of work which requires a review and approval of plans.
x RO4arT C• EMCrsonJ17T X(??L. ? -Y/=
ApplicanPs Pdnted Name Applicant's Signature
@ T ? IJ ff
MAY 2 2 2008
Page 1 of 3
J
DO NOT WRITE BELOW THIS LINE
?
SUB TYPES
? Foundation ? OSplex ? 16-plex ? Accessory Building ? Pool
0 Single Family ? 06plex ? Flreplace ? Porch (3-season) ? Ext Att. - Multl
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4season) ? Ext. Alt. - SF
? 02-Piex ? OB-plex '4 Deck ? Pach (wreeNgazebo/pergola) ? Multl Mlsc.
? 03-Plex ? 10.plex ? Lower Level ? Starm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interlw Improvement ? Siding ? Demollsh Buliding*
'? AddRion ? Move Building O Reroof ? Uemotish InteHar
? Alteratlon ? Fire Repair ? Wlndows ? Demolish Foundatlon
? Replacement ? Egress Window ? Water Damage
` DemoliUOn (entire building) - give PCA harMout to applicant
DESCRIPTION:
'
1`
Valuatlon
71d
I CV Occupancy MCES System
Plan Revlew Code Editlon SAC Unfts
(25% 100% ? Zoning City Watet
Census Code Storles Booster Pump
# of Units Square Faet PRV
# of Bulldings Length Flre Sprinklers
Type of Const. _Z-6 Width
Footings (new bldg) Sheetrock
_)e FooUngs (deck) FlnallC.O.
_ FaoNngs (addftion) ? PinallNo C.O.
Foundatlon HVAC
Draln Tlle ? Other:
Roof: _ICe & Water _Finai Pool: _Footings _AidGas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
Flreplace:_R.I. _Air Test _Final Wlndows
Insulatlon Retaining Wall
Reviewed By: Building Inspector
RESIDENT/AL FEES:
Base Fee
Surcharge
Plan Revlew
MC/ES SAC
Clty SAC
Utlliry Connectlon Charge
S&W Permit & Suroharge
Treatment Plant
Copies
Total
Page 2 of 3
7L147/
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWdion Reauirements
3 registered site suneys showing sq ft of lol, sq tt. of house; and all roofed areas
(20% marimum lot coverage allowed)
1 Soils Report if pmposed buildmg is to be placed on disWrbed soil
2 copies of plan showing beam 8 window sizes; pared tound design, etc.
1 sel of Energy CalculaGans
3 copies of Tree Preservafion Plan'rf lot platted aftet 711193
Rim Joist Defail Op6ons selection sheet (huildings with 3 or less units)
Minnegasco mechanical ventila6on form
/&(D 00
RemodellReoair Reouirements Office Use Onlv
2 wpies M plan showing fooUngs, beams, Jdsts Cert of Survey Recd _ Y _ N
lsetofEnergyCaiculafionsforheatedadditions SoilsRepat _Y _N
1 site survey for additions & decks Tree Pres Plan Recd Y _ N
Addtlion - indicate iPon-sde sepbc system Tree Pres Requ'ved _Y _ N
Oo-site5eptlcSystem _Y _N
0 110 D„t i - aa-
Date / l IS / 0,7 Construction Cost if /si Qigo
Site Address (.//'S 46 Da,C brwskc• J?r Unit/Ste u
4a lrn /Y, SS/ 2. 2.
Description of Work T?qI.$ 4 APOF j4re ^%R,? f
Multi-Family Bldg _ YX N Fireplace(s) Y 0 2
PropertyOwner / 'll'f r l-- Pa h i d1 e} Telephone #(Ip(Z) ly?0 C> t "I (O
Contractor E-/'1 .1
Address 9101c), a1°dd i/ City 5fi
State 'Lip ?-T 71 Telephone # ( 6aZ) ? ? ? • 60 2 4?w
7
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Mimiesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Enefgy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe lasT 12 monihs, has fhe City of Eagan issued a permit for a similar plan based on a masier plan?
_ Y _ N If yes, date and address of master pian:
Licensed Plumber
Mechanical Contractor
Sewer/Water Confractor
Te? 18 147
1 hon Teleph0?1-a,, )
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the infonnation 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 pennit, and work is not to start without a
pennit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
_S-fo,ve Sf J'aowl;L
Applicant's Printed Name
- Applicant's & gnature?
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
? 02 SF Dwelling
? 03 Ot of_plex
? 04 02-plex
? 05 03-plex
? 06 D4-plex
Work TVpes
? 31 New
? 32 Addition
,9 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
A' 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea ) ? 31 Ext Alt -Multi
? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
•Demolition (Entire Bldg) - Give PCA handout to applicant
DCSCI'IptlOfl: LNater Damage _ Yes
Valuation 36w
Plan Review 100% or
Census Code
SAC Units
# af Units ^
# of Bldgs
Type of Const Y 13
Occupancy 93 MCES System
25% 1?
Zoning Y City Water
Stories ? 8ooster Pump
Sq. Ft. PRV
Length - Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Tes[ _ Final
? Insula[ion
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
? 07 OS-plex
? 08 06-plex
? 09 07•plex
? 10 08-plex
? 11 10-plex
? 12 12-plex
REQUIRED INSPECTIONS
_ Sheetrock
FinaVC.O.
? Final/No C.O.
HVAC
Other
Pool F[gs AidGas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
Windows
_ Retaining Wall
Building Inspector
m
?/Zr?lrr /7'
c??t ? S
CL l? ?? ??
czrv nF EAraN CFlSMTER. J5 TERMINAL N0: 992
11ATEe 01./14/00 7ii'ff': 09e54:27
ID:
NAME: • F'ULIE MASTER FSt17LLiEfi
ic?252 9220 415E3 OAKHRf]OF( D 30e00
3ai.0 qiJOJ. 05ft f1AF.HF00K TJ 999.35
3866 9379 4158 DAI:FkQOh D 10G.00
3422 3001 4158 OAI;Hf;00F. T7 649.56
R275 9220 415f3 0(-51:BFi0Ul: D 17009.00
3446 9001 4158 OFlKBROQtC D 11..00
205 3001 4158 (JFaF:Brcnn+: X1 0.50
3743 3220 4158 QAh.HF1'OQK ? 50100
20i ?C101 4:L58 OFlKNROOIi Tl 50.50
3868 9220 qi58 OAF:SR001; D 492.00
CF.' 1.2'r?361. XC?c CONl'INUE
USER ITi: 7AN CQN'i"SNUC
,
;
C:ONT7NLIE
CITY OF E:AGAN
CASH:tLR: JS 7ERMINAL N0: 332
DATFn 01/14/00 77MC: 09:54:28
IL7 :
NFlME: FULTE MASTER RUII_UEFc
3716 9220 4150 i)Al.BIiC1Qh: D 04.00
3i13 9220 056 OAF.RRODF; Ii 50.00
3815 9220 415E3 6AI;BR091: It 840.00
Tota7. Fecezpk Amnunt,; 474i,`;.93
CRi223 %
USEfi :CDt JflN
?
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)???? 3
NewCOneWeGon Reauiremems
Name:
Last First
? 3 repktered afte surveys showing eq. R ot l06 aq. R of housa
and all rooted areas (LO% ma:imum lot coveraae albwed)
D 2 copia ot plans (ehow beam 8 window sizes; poured fnd. design; au.)
? lselofenergywkuWtions
D 3 copia of presenation plan M bt plalEad aRer 7H193
DATE:
DESCRIPTION OF WORK:
Street
STREET ADDRESS: q/sD ?'? ?+?/l ?I? ? D1rl yc'
LOT: / b BLOCK: 6 SUBDJP.I.D. A: 0? ?VWO0JC?
PROPERTY
OWNER
CONTRACTOR
.
ARCHITECTI
ENGINEER
City
2 copies of plan
7 set M enerpy cakuletioris Mr heated additions
7 site survey Wr exferior additiom 8 decka
CONSTRUCTION COST: )O 40
State:
Company:PvIA /bmc-S
Street Address: /3? 5/Y' F7Nll0)t7 P`6 j.S /[ W,5dIto06
crty Aend-fiu Ws scate:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
?s?-k???1 l - ,3•a?X?C7
' RemodeUReoalr Reauirements
Phone #:
Zip:
Phone #: bsl
(area code)
LieenseS Exp.
Company: SA)?r /15 /YK?b\/C- Name:
Telephone #: (
Street
City
State:
Zip:
p1)?? ?/V ? )I/
Sewer&waterllcensedpiumber(neweonsWCtlononiv): P?T7/MKN?? Telephone#:
Penally appBes when addreas change and IM change Is requeated onca permit is iseued.
1 hweby acknwwlsdge that I have read this eppiicatlon, state that tha infomiatlon ia cortect, and agree to comply wNh all applicable State of Minneaofa Statufes and Ck
of Eagan Ordinances.
Slgnature ofApplicant: "`?'? ?"??vj
OFFICE USE ONLY
Certificates of Survey Received ? Yes _ No
Tree Preservation Plan Received _ Yes - No ?lot Required
?
Lp: ?
Regist?ation #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
Y, 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
13 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
R 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 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 demol ition permit
GENERAL INFOR MATION
Const. (Actual) VfV Basement sq. ft. Census Code
(Allowable)
UBC Occupancy Main level sq. ft.
sq
ft 5AC Code
No
of Unit
.
. .
s
Zoning sq. ft. No. of Bidgs ,
# of Stories sq. ft. MC/ES System
Length u ??+ sq. ft. City Water
Width W Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered ,
APPROVALS
Planning Buil ding 3TCjrt Engineering Variance '
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Valuation:
$ ,
rotal
SAC Units
% sac
l5'4iy :ry ?
&,tJ?1WK , _
S"0?' X' ) ? ?
3
9,120
5„5
t
_?----'..
00
12/14/99
RECAP
JOb 0320-018-06
Address: 4158 OAKBROOKE DRIVE
Legal: LOT 18 BLOCK 6
COmm: Oakbrooke SF
OwnerS: MARK & ANN PANIAN
Phone #: 612-928-7009
OAKBROOK SINGLE FAMILY OP
Quantity Option Description
#
1 18201 BASE HOUSE
1 LOT PREMIUM
1 18031 ELEVATION #3
1 14007 15T CARPET PAD UPGRADE
1 14122 2ND CARPET UPGRADE
1 40009 LAMINATE FOYER AREA
1 40020 LAMINATE KITCHEN/DINETTE AREA
1 10055 SPACEMKR MICROWAVE
1 10087 UPGRADE RANGE SMOOTH TOP
1 31011 LAUNDRY TUB SNGL COMPRTMNT
1 77043 ELECTRIC PANEL-BASEMENT
1 23006 2 112 TON AIR CONDITIONER
1 32020 ADD'L PHONE JACK
1 99592 BASE PRICE REDUCTION
1 21021 GAS FIREPLACE - CERAMIC WlWOOD
3 17000 ADD'L ELECTRIC OUTLET
4 17024 CEILING ELECTRIC OPENING
? °r' •4,;
I?If • _« , ..? .
i ??' ; ??r • ?$ '
_0 WfIER:.r,4.??'•ucr??
ERAGE- "U!d COMPUTAT I ON
`:F,j :5a??. . ' sa,?.( • A,
i'?` : ,..._ ....,. vr. ;:. ...
;;k=..
r
'
„yy13.
,
jv
?
r•? :?' . qx?'Y. ]?'+?
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".,R" '. ,
. _ w+>:"??;;?a,i;
, 1
° HQNE ?(tz??sloQ s;
'DATE: .
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; ?.; -- -----^
•c ' ,. ,.
TOR? /
? sG
••
CONjPC
00TACE OF
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.,;
??
,
?KIHG;SA,UAaE5F
pETERMINE,4L9 ??y,, - •
,
,?
,
•
'?
?
?
sq ft x
45ED tJALC'AREA
XP
"
IFUO?
,,,.....
,
H
]. TOTAL
?
?f
,l
ft x
s
N00 F%CE 1 L I NG AREA, ,,,.... q
TOTAL
2 u
.
.r.
.. y?
rI,OH.?
?.
altUy
?T
F
"
L
a
3.
,
.
.A?
I:dA1R
XPOSED::.NQ
,?
roTaL E ?
Ty'Mi?'yCt? ,.':2?
Y
4Tota;l;?eaP
Q$ dw?
??1,???
.
.,
;
aces aboye4ftoor;,.r:.:.•,1t?T-- ?q
?:m'
ai
???
•
.
<
??,;.h .? _..__..._ -
'?i.ndow.;areai•
11
.? a) Total.vii ' • '
;s : . ,. ,_..,'•..';.a?;;?:;
;
.
.,
ft x
' ,
//? O
% U • *
sq
9,l:azed:.:..:.
DOC.BLE?,?
..: . ?
- . ..,_
. .
'
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?.
..
`. .. .??,;F J ..LL.? 'n.x•, . ---
sq
ft x
(
@
???
'
'
"?
?
'
'?
tiUlt-
_
-?.,.
•
4
?.
i
?5E1E !
?.
••
„
5
54 f t x /7
?
?? / ?
1 'Un. h
6
?„
; ib) "7ota1 .oor.8re?y;.:..•..,:.-,;_' ?
, : ? ,
..
4% ?s?:._ . • . ? . " ? ' . ' ' •
c) Total slidilig qlass door area: • -'
sq ft xliUn o?j'? ZO
C?QU8LE. glazed.....
sq ft x ifu,t
? .... l^
glazed ..
- ,
d) To[al flrePlace wall area sq ft x"U" -
e) Total walt framing area Sy ft x"U" •?92 ° ?•
(Average 109). .......
• f) 7ota1 net wall''area a6ove •
??
0?
"
.
??y '?
_
?
sq ft •
U
x. --
_.
floor
sq ft
: x??U?? ? a?-
.:..
g) 7ota1 rim Joist aroa.
.
Total faundation, sq fL
?
'
area (Exposed)..........
h) Total foundatlon -" 'sq ft x "U" '
-
-
--
H I ndoN ya rea,F .... . ... .. . . . .. .. . . --
---
:: ?. • •
?
??
i . . ?
?
...
-
tai net foundation
I) To
ft x"U" • ?? '-= ^
,
sq
_?---
area ahave grade....,... _ _
? TOTAL a) thru
3, .. , ?
`
?'--
If ltem ?43 Is the same as, ar less than item ai, you have met the intent oF
2 ttCAR 1.16008 A and 0. '
??. 4b ' .
P-age'wl
_...._ :?.
70TAL EXPOSED RdOF/CEILItIG CALCt1LATIQ115:
Tatal expnsed -rooP/ce111nq area..... ?.•?sq ft
J) Totai skyligbt`area:...•••' sq f't x"U"
k) Totai roaf/catllnq Fram(ng !/„D gq ft x"U"
area (Averaqe 1W).•••. /
1) To[al net lnsulated
F/celling area....... sq f[ x"U" D?
roo
? TOTAL J). thr.y 1)
11. . •} ? . _ .. . ,.. ,
? .1
1 f total oF el? is,. tha..samekas: or.-• less than:F2. You have met the ?l.nt4?t,t of .
2 lIC.14 1.16008 A Bad,A''- 4
? ,i°'•
ALTERtlATE Bll l LD I tIG ENVELOPE DE51 GN
To ut11(ze the catalenvelope iystem methad, the values established,by.the sum
of items P3 and a4 shail_not be grea[ar' than the sum of items fll aod:q2.
3.
+ 2.
+ 4.
a
P
C c R T 1 F I C A T 1 0 N
I herehy certiFy that 4 have calculated the "ll" factors and "R"
values heraln and that tha bulldfnq here.descrlbed meets ar exceeds the Sta[e
of Hlnnesata Enerqy Conserva[lon Act.',
i z,j fi x---,/,?
Slqnature)
ei
•I
,. ,
. , (Oate)
,.._: 4..
'" ? v ` J ? v y J '?`? • CORSTRUCTfUr! R VALUE
WALL fRAMING SECTION:
Interlor aIr fllm' n•68
ilZ"
..,, ?... .; /-z tnehes soft Wood 6 ?7
`
?
l
,
?t
?;
4 ?%_' qUIL
? (4!
I •
-
. r .
,
S ?L?hA ?IQ
!+ Extcrlar a r Im " ?. 17 ,
. TOTAL R - in,
'
... -
' . U - I/R -
t
,. . .;.. .
, . • WALL SECTION (INSULATED)
?
.?
V ? I/R
.
RiH JOIST sECT]nN:
--{ 1 Interior
?
G
FOUNOATION INSllLATIOtJ REqUIRED: '
Min. R-5 on entire wall OR U- 1/R
A....A Min. R-10 down to frost-d'epth -
A.• ?.. :
FOUNDATION 5'cCTION: n•AS
Interior atr film
•.,; : ?.• 2 iZ-11 RC(' ?1? ?;, 6.. ::• 3 12" ('DQC tL • f 2 -Rf
:,.-_•,a 4 Exterior air ilm n•17
e•n.•., ? (5
- - '• e.
' 4 : °•-.4 '?, „ / « TOTAL R a 13 tI3
?• ;.o'
a m Cllb
4
Si.AB ON GiADE u - i/a a
- ? ,
a
- a
:
? '-- u•
-.- .
.
?
, q F'T/fA
,
.d . u ,3 ..
. a ? p • , ,
/? ?/•:,,
i/?
a. .
, Heated Sla6s:
5
Minimum R = 8
:
Unheated Slabs:
q
_..
;
4.
'' •a
?
' • Minimum R = 6.2
r
4,
;
?4
• _ ...
? +
4
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n .
,
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°? •
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4
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,
.
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. -
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'j9•
- Q4 ' • a '
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.
, X ,C pag° 3
.'`' -co"sTaucrror,
NALL FRANING SECTION:
2
.:, .. .< j
_... . _?4.;? am13•.' •
? . :?' •??? N/ lL
WALL SELTIDN (INSllLATED)
-?i Interlar air fl
--{2 /'?' u GT
--( 3 - i i -5
--?4 31-=;CLT2
?
aIr flim
u ° I/R ?
n.6R
l, y
...,.:-.:,. Q.17
T.OTAL" R' ? '7J:;
U-1/Rm? .. .?[
RIH JOIST SELTIOH:
-?1 Inter(or
--(2 ?{-19 1ti.
--(3 111-7 ^ 4A
-? 4 a/i2' B
FO(1NOATION INSULATIOt7 R£QUIR£D: '
Min. R-5 on entire wall OR U°I/R
Min. R-10 down to frast-depth -
-1 FOUHDATION 5"cCtION: n.?R
--------- (I Interior air fTlm
-'--?-42 fL-) l R,cf'' ? 3 i2?nr ?c ? oct? i 28
4 Exteriar air film ?•??
(5
(F
TOTAL R = 13
Jl_. u - t/R - tCllb
Si.AA ON GaADE
?
Uhheated Slabs:
Minimum R = 6.2
. •',f Li
Page 3
R VALUE
f
LOT SURVEY CFiECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
?0 PROPERTY LEGAL: Z07 A? 8z11llllI'C 6 'i.f?A22/(E
h DATE OF SURVEY:
>
w
LATEST REVISION:
?
p DOCUMENTSTANDARDS
0
4? Q
? • Registered Land Surveyor signature and company
?
?d ? • BuildingPermftApplicant
d?j ? ? Legal descnption
r? p o ? Address
0 . North arrow and scale
?/ .? • House type (rambler, walkout, spld w/o, split entry, lookout, etc.)
rY,a ? • Direcflonal drainage anows with slopelgradient %
a ? . Propasedlexsting sewer and water services & invert elevatlon
? ? ? • Sffeet name
0 Drtveway
/ o • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
F?dstina
/
?a' p o Sewer service (or Proposed)
ra/p ? : Properly comers
?/ 0 ? • Top of curb at the drNeway
?? p . Elevations of any e?ting adjacent homes
?? ? Adequate footing depth M structures due to adjacent utiliry trenchea
Praoosed
12/0 ? • Garagefloor
02/ ? ? • Firstfloor
d? o • lowest exposed elevation (walkouVwindow)
? • Property comers
v ? • Front and rear af home at the foundation
/ PONDING AREA (if aodicaWe)
m? ? ? • Exement Cne
[1/? ? • NWL
? ? ? • HWL
?a ?' • Pond # designation
? ? ? • Emergency Overflow ElevaUon
DIMENSIONS
W? ? ? • Lot lines/Bearings & dimensions
ch/o? • Right-of-way and sVeet width (to back oi curb)
IR/ ? ? • Proposed home dimensions indudiny any proposed decks, overhangs greater than 2', porches, etc.
? • (i.e. all sVuctures requiring permanent footings)
p ? Show all easemenis of record and any Cily uEliOes within tfiose easemenTs
o/ ? ?' • Setbacks of proposed sUUCture and sideyard setback of adjacent epsting structures
? m" ? • Retaining wall requirements, if any
Reviewed:
/ Date
Marth 19BB
CRANYBLDGPRMf.FM
. Surveyor's Certificate
SURVEY FOR :auL-rE
DESCRIBED AS : Lot 18, Block 6, OAKBROOKE, City of Eogon, Dakota County, Minnsoto and
reserving easements of record.
I A
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w
930.0
!POND
BP-25
NWL-926.0
HWI.m926.7
Plan J/ 18201
PROP05ED ELEVATIONS
Top of Foundotion = 93410
Garage Floor = 438.4
Basement Floor =q31•o
Aprox. Sewer Service = gzG.y'*
Proposed Elev. _ C=D
Existing Elev.
Drainoge Directions = -
Denotes Offset Stake = .
-. ? ?r.:.n rT-pr
-. __._, .,?.....[ .._ .. J.Y..1 J
SQ. FOOTAGE
SQ. F00TAGE
COVERAGE _
= 9, 838
= 1,680
17%
BENCHMARK, n
TNH ?jS•n?L???tOV& dC,?,f?
MIN. SETBACK REQUIREMENTS
SCAIE: 1 mch m}0 feel
Front-25 House Side -
Rear - 15 Gorage Side -
JOB N0.
HEDL?lND I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION 99R-653
OG THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SURVEYED
BY ME DR UNDER MY DIRECT SUPERVISIDN AND OOES NOT PURPORT TO BOOK: PACE:
PLANN/NC BNCINE6R/NC SURVBY/NC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT S SHOwN.
2005 Pin Ook Drive
Eagon, MN 55122 DnTE _L_11110-0 CAU FILE:
Phone: (657) 405-6600 F ft Y D.'LINDGREN. LA SVRVEYOR
0 MIN SOTA LiCENSE NUMBER 14376 OAKBROOKE
Pox: (657) 405-6606
CITY USE ONLY
LOT Y) BL (0 PERMIT 2; cc, ?
?) ? os
SUBD. DD?'k 1. V'C) RECEIPT #:
RECEIPT DATE: G 0
2000 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EACAN 3830 PIIAT TQ10B RD
EAGAN tMi 55122
Date• C;?` 651-681-4675
V
Complete Uus section onlv if you are installing HVAC in a single' family dwelling, townhome or condo under
construction and not owner/occunied.
• HVAC: 0.100 M B T U
.4T9DITI^vNt1L 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
$ 30.00
6.00
State Surcharge .50
Totai $!?%- Jl/
.'
Complete this section onlv if you aze remodeline, addin¢ to. or repsiring an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New _ Alteration
Furnace
_ Air exchanger
Reminder: Call for inspections
SITE ADDRESS:
O WNER NANV.:7'
INSTALLER NAIviE
STREET ADDRESS:
CIT'Y: C?__
?
_ Repair _ Other
_ A'v conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
si, ,
PHONE #: 600 - 4e?Kra
( -
PHONE #: l
(_1 (AREa conE)
_ STATE/-97'?77 ZIP:S y '? ?
zcl-e???L_t??'?e??'Tl"' l
SIGNATURE OF PERMITfEE ?
`7 Z/
CITY USE ONLY L BL
SUBD.
APPROVED BY:
INSPECTOR
PERMIT # _
RECEIPT#:
RECEIPT DATE:
2000 mECHANICAL pERbIIT (COIYMRCIAL)
CITY OF B.IIGAN
3830 PILOT 1Q10B RD
81?GAN, MN 55122
651-681-4675
Please complete for all commerciaVindustrial buildings
muld-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: _ New construction install U.G. TmLk
_ Interior Improvemeut _ Remove U.G. Tank
_ Processed Piping
When installing/removing underground tank, call 651-681-4675 jor inspectinn by fire marsha[ and
plumbing inspector.
Description of work: _
Fees: 1% of contract price OR $30.00 minimum fee, wluchever is greater.
Underground tank removaUinstallation = minimum fee - - - - - -
Contract price: $ x 1°/a = S (Base Fee)
State surcharge cafculate at $.50 for each $1,000 Base Fee
TOTAL
$
SITE ADDRESS:
OWNER NAME: PHONE #:
TENANT NAME (INNiPROVEMENTS ONL1): (AREA CODE)
WAS TfERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER: •
ADDRESS:
CITY:
PHONE #: -
(AREA CODE)
STATE: ZIP:
?
SIGNATURE OF PERMITTEE
L I 0 BL G CITY USE ONLY
Sueo. ?Q0) YUI?
RECEIPT#: I ? ? `-1 -3>
RECEIPTDATE: "1 ?
PERMIT# ? l I ? I
1999 PLUM$INe PFiiM1T (RESID£NTIAL)
crrY oF E.neAN
SSSO PILOT KNOB RD
EAflb4N, MN 55122 1
(651)6$1-4675
i
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x Z = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum -1 3.00 x = $
Hot tu61s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Minimum fee alteretions 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 dwellin 30.00 x = $
Water closet 3.00 x 3 = $
Water heater 3.00 x = $
Water SoRenef if dwelling under construction 5.00 X = $
Water softener if existin dweilin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
TOtal --> --? ----> ----> $ '
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- ----------- -- ---------------?------------------------------ ------ ---
I hereby acknowledge thet I have reed this spplication, state that the infonnation ie wrt-ect, and agree to comply with all applicable City of Eagan ordinances.
It is the applirant's responsibility to notity the property owner that the Cily of Eagan assumes no liability for any damages caused by the City during its
normal operationai and maintenance activities to the faahUes constructed under this permit ?ftjn City property/rightof-way/easement.
SITE ADDRESS:
OWNER NAME: :
TELEPHONE#.
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
TELEPHONE #:
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
i: - ...,"s.".?; ?`1?.;
r=.`•
- .. ' _. _-?
i:?d$` . .
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Surv e
s C
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e
` 'SURVEY FOR :PULTE
- DESCRIBED AS ; Lot 18, Block 6, OAKBROOKE, City oF Eogan, Dokota County, Minnsoto ond
--= reserving eosements o( record.
? .-
?f
,.?. ? . ?
?a
/i
0
?
S 4? `
?=o
/
,
/ QO y
?.Yt
HSE.
LOT
' ' / •
?
O?
/
LOT
.
POND
BP-25
NwL•926.0
NHt.925.7 -
?`Plon;-y;1B201
=°P.ROPOSED ELEVATIONS
=7opd.o.f.-,Founda'tion = 934•o
,.Go,rage;:Ftoor =.q38.4
='Bbsement F.loor = 1?31 .o
?'Apr_ox;;':Sewer?
?Pr 5ervice = yzb.y±
,`oposed Elev. _ ?
? --
:?Existiqg _Elev.
?Dli?oinage. Directions =
',Denotes._Offset Stake = . •
'ClN66RING SURY6YfNC
i P,in Ouk Drive =
On,=MN:5S122 -
,(651),405-6600 ,-
(851):405-6606 '-
?06
°Oe M
3$
SQ. FOOTAGE
SQ. FOOTAGE
COVERAGE _
SCALE: i inch o 30 leel
= 9,838
= 1,680
17%
BENCHMARK, n
TNH (?Z?'?'ers?ieV? O-9
30h,Y,y Ce.kc ? o?kb,bolc?Rr.
t.: 434.i4
MIN. SETBACK REQUIREMENTS
Front -25 House Side -
Rear - 15 Gorage Side -
I HEREBY CERnFY TMAT iH15 IS A 7RUE AND`CORRECT REPRESEN1ATiON
-OF iHE BWNDARIES OF iHE ABOVE DESCRIBEY PROPERTY AS SURVEYEO
BY ME OR UNDER MY DIRECi SUPERVISION AND DOES NOT PURPOR7 70
SMOW IMPROVEMENTS OR ENCROACMMENTS, EXCEPiA45 SHOWN.
onre _L_/l 1iw
D. LINOGREN, I,Akg SURVEYOR
)TA IICENSE NUMBER 14376
?
11
•\ q_ ? ?C
>n SR?
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NO:
99R-653
BOOK:
OAKBROOKE
S _01b.-
City of Eatu
3830 Pilot Knob Road
Eagan MP155122
Phone:(651)675-5675
Fax: (651) 6754M
c? U-7?3
?-----------------
? ?
; Penn #: -7
a ?
; aeanit Fee:
?
?
? Date Received: I
?
i Stan: ?
i --- ?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
oate: SiteAddrcss: Li I06Ki3KO6KE
TenaM: Suireri:
R o(3CKi ?m r-.eso,? Phone: (c?51- 33? -?-}or?
RESIDENT / OWNER Nama:
Address / City / Trp:
qpplicaM is: _ Ovmar '. ConhactOr
TYPE OF WORK Description of wark: TEA2 oF F'- r2 4- 5 i DE
ConshuEtion Cost: Multi-Fsmity Buiidin9: (1'es _I No XJ
CONTRACTOR Name: License4r. Q0222??
State: _l.??Lzip: ?_. Phone: G61' ?? ?3;10 . Contad Person: KCICP2
COMPLETE TN1S AREA ON Y IF CONSTRUCTING A NEW BUILDING
Minneaota Rules 7670 Cateaorv 1 Vinnesota Rulas 7672
Energy Code • aestaentifll veneenon caaegory i wwfan" -• New Eneryy code wencsneet
Suhmitted
(J subCm? n type) • E„ ergy Er,vebpe CaleWauoro Submined
In the Isat tZ morrths, has the City M EOgen issusd s permk tor a Slmilsr plan 6esed rn+ a msster Plan?
_,Yes _NO H yes, date arxi address of master plan:
Licens¢d Plumber: Phone:
Neehanical Contraotor: Phone:
Sewer & Water CoMractor.
Phone:
i nxeby aparowledpe tlW Ws 'udortnatlon fs canplete aiW accvrate; tt= tM xork xiq ba in coMamarwe wNh tM ortAnances aM cotles M tlie LYty ar
Eagan; tMt I understaM 1FUS is not a perm[C but aUy an appiicatlon fir a perrNt, antl work ia not ms1srt witlwut a pem+it M tlre work w10 6e in
aaordance wim uhe epproved pen in ure case m wwk wiven requUes a review ana epproval ot vlam
x M- e0-0-?vcA xlIA .
ApplicaM's Printed Name ApPlicant's Signature PeBe 1 of 3
Use BLUE or BLACK Ink
Office UseI
I J~ b~
CRY of ~ Eap Permit I Permit Fee:
3830 Pilot Knob Road I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 1 Staff.
I
2013 RESIDENTIAL PERMIT APPLICATION
Dater TV 13 Site Address: Or. Unit
t
f
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor 5q
,1. Omm
Type of Work Description of work: d-
tg~r
f
J0
Construction Cost: Multi-Family Building: (Yes / No
Company: jAhep1 C yy;-} X nC Contact: I+
Contractor Address: = ft&cy~ aj ave, City:
State: Zip: _ S5 05k ~a_ Phone: &J l tA 29 LI-3 90
i
License Lead Certificate #:NJ4T - Imo- -
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 I
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.Clopherstateonecall oro
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 Toff permit issuance. U
x i J-. t- 1, rcl roA x x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
-VIRESS %WIDOWS fl!t UiREB
ALIS SLEE,PI ►G A, _AS. '.
I I`I''C LEAK
OPENABLE AREA
-MIN. 20" NET CLEAR
OPENABLE WIDTH
-MMR 24' KT t2.EAR
OPENABLE KEHT
-MAX. OF 44' FROM FLOOR TO
HIGHES
NOTE: HEIGH OR WIDTH (OR BOTH)
WILL E GREATER TO
OB 5.7 60. FL
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SMOKE DETECTORS ARE REQUF,
ON EVERYt.V.RE,
ON EVERY ANk
LEV
EVERY SLEEPING ROOM MD IN EVER
HALLWAY LEADING TO A SLEEPING ROC
4+7I
FIRE STOP SOFFITS AND AL
OTHER DEAD SPACES
e
E!CL.OSED USABLE SPACE
t' " :R STAIRS MUST BE t?
FISHED WITH
Lir 1UM BOARD
SEPARATE PERMITS ARE
REQUIRED FOR ANY ELECTRICAL,
OR PLUMBING WORK.
EAGAN
Bw
WED
DATE: /����rl���
07
BUILDING INSPECTIONS DIVISION- 4/ 4C/
A FOU
BARRIE
INSULAT
ROM PI
•
�4I d
0
R BARRIER MUST BE
D ON THE WARM SIDE OF
S AND ATTIC CEILING.
ATION WALL MOISTURE
IS REQUIRED BETWEEN
N AND FOUNDATION WALL
nR TO GRADF
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2 r.. 0 ' a..,.
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