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4124 Oakbrooke Curve? Surveyor's Cert2f2cate SURVEY FOR : PULTE HOMES DESCRIBED A5 : Lot 8, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesota and reserving easements ot record. . . , OCk 0 fw i?EC1,1 .ypt`R AA ? 3gap, r13 9:I Meudrtnn^ S"" or Retaining ?I VO Ba Required L O T SQ. FOO TA GE = 26,467 HSE SQ. FOOTAGE = 1,861 L 0 T CO 1/ERA GE = 77, ' . . ._. .. .. -_ ; . .:._ .P_ # 18291 PROPOSED ELEVATIONS Top of Foundation = as-7.0 Garage Floor =9se.?o Basement Floor =90a.o Aprox. Sewer Service =9as.ot Proposed Elev. _ (:::--D Existing Elev. _ Drainage Directions = Denotes Offset Stake = • HEDLUND PLANNING ENGlNEER/NG SURV6YING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 ? ? 0 a. O; 'L ? \ ? o' ? , ¢°J \ E c \ 0/E \ a+ y n \ v 4r ° € `° o ? a o \ q'E o ` o d \ , \ \ ? ? ? I ` \5 _ _ _ _ _ _ _ _ _ _ T- a N89°42'35"E 71.17 BENCHMARK, c.P. , qolb [ku: 4s5.ss `Ilit PRfSPEdfou'-Q ? ? ? ? ? ? , , l ? , , , ? \ \ ? 1 \ \ \ \ \ \ \ \ \ `.. { ? ? ? ? ? MIN. SETBACK REQUIREMENTS SCAIE: 1 inch = 30 feet I HEREBY CERTIFY THAT THIS IS A TRUE OF THE BOUNDARIES OF THE ABOVE DE! BY ME OR UNDER MY DIRECT SUPERVISIc SHOW IMPROVEMENTS OR ENCROACHMEN DATE _1_/ 2g/ D Z ? ? ? ? ? ? ? , ? , , , , , , , ? , , , ?l , Front - House Side - Rear - Garage Side - JOB N0: TION EYED 02R-632 TO BOON: PACE T' w cno FiLE: , RIJ'? ii SURVEYOR Oakbrooke 5 A LIC '??? ?MBER 14376 CltY 0f EatdIl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax:(651) 675-5694 ------------------ ? EGf'Qifice.lise ? i Pertnd #: ? I ? Permit Fee: v ? j Dale Received: j I ? I Staff: ? ? I -------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oate: Tenant: Suite #: RESIOENT / OWNER ? Name: / Ot/n/ Phone: Address / City / Zip: e-e4iii /i i°"aSS-/T2 i Applicant is: _ Owner ? Contractor TYPE OP WORK I'I Description of work: ,C? ? ??°1'J eGG? '01iM / N ?) ildi Y i F il B o ng: ( es _ - am y u ult Construction Cost: CONTRACTOR Name: ense #: li?PS Sf?? ? Address: , C i e• AJ, City: Ll?jll /QfC State: ?_.?ZiP: r M3 Phone: 6/ ?/?=2LY0_ Contact Person: % DNX &614 IW COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateoorv t Minnesota Rules 7672 Energy Code . Residential Ventilation Category t WoAcsheet • New Energy Code Worksheet Category Submitted suwn+ned (d submi8sion type) • Energy Envelope Calculations Submitted In the last 72 months, has the CHy of Eagan issued a permit for a simflar plan besed on a mastev(iWn? _Yes _No It yes, date and address ot master plan: Llcensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contrector: Phone: NOTE: Plans and supporfing dacuments that you submit,a?e;consfdered to be qublic Information. Portions of the in%onnation may be cfasslfied as non-pubUc if you provide speclflc reasons that would permlt the Ciry fo conclude that the .are trade secrets. I hereby acknowledge lhat this information is complete and accurate; that Ihe work will be in conformance wi[h the ordinances and codes of the City of Eagan; that I undersland this is not a permtt, but onty an application for a permit, and work is not ro slart without a permiY, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. <? 1:.? I I I ?, T ? d [? X L Site Address: ApplicanYs Printed Neme ptlcanPs SI atur ? APR 1 ? 2??$ Page 1 of 3 2006 Minnesota Tax Return Summary Important: Your taxes are not finished urrtil all required steps are completed. I t / . I WheYe'S My ? If you do not receive your refund, or the amount isn't what you Refund? ? expected, contact the Minnesota Department of Revenue directly at ? 6512963751. From outside of Minnesota use 6006529094. You can also ? visit the Minnesota Department of Revenue web site at ? www.mndor.state.mn.us/taxpayeraccess. 2006 1 Taxable rncome Minnesota I Totai Tax TaX ? Total Payments/Credits Retum ? Amount to be Refunded Summary I Forms Included ,,: ,;? , I ? Minnesota Long Form I $ $ S $ :.4. Page 1 of 1 BalBnCe ? Your Minnesota state tax return (Form M1) shows a refund due to you Due! ? in the amount of $1,753.00. Your tax refund should be direct Refund ? deposited into the following account within 10 to 16 days: Account ? Number: 8851492756 Routing Transit Number: 291070001. DO NOT WRITE BELOW THIS LINE SUB TYPES ? Foundation ? 05-plex ? 16-plex ? Accessory Bullding ? Pool ? Single Family ? 06-plex ? Fireplace 11 Porch (3-season) ? Exf. Alt. - Multi ? Oi of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. AR. - SF ? 02-Plex ? 08-plex j9L Deck ? Porch (screeNgazebWpergola) ? Multf Misc. ? 03-Plex ? 10-plex ? Lowerlevel ? Storm Damage ? 04-Plex ? 12-plex ? Miscellaneous W RK TYP New ? Interior Improvement ? Siding ? Demolish Building' ? Addition ? Move Building ? Reroof ? Demolish IMe+ior ? Alteration ? Fire Repair ? Wlndows ? Demolish Foundation ? Replacement ? Egress Window ? Water Damage ' Demolition (entire building) - give PCA harWOUt to applicant DESCRIPTION: Dc>c) 3 - MCES S Valuation i . Occupancy ,l ystem Plan Review Code Edition Zoo "'1 SAC Units (25%_ 100%_) Zoning Cliy Water Census Code ? 3 y Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Const. Width REQUIRED INSPECTIONS Footings (new bldg) Sheetrock _?0 Footings (deck) FinaI/C.O. Footfngs (addltion) ? FinaUNo C.O. Foundatlan HVAC Drain Tile Other: Roof: Ice & Water Final Pool: _Footlngs Air/Gas Tests Final Framing Siding: _Stucco Lath _Stone Lath _Brick Fireplace:_R.I. _Air Test _Final Windows Insulation Retaining Wall Reviewed By: n Building Inspector ------- --- ---- -- - --- RESfDENTIAI FEES: ZT> e C Y, 5 Base Fee surcnarge o a1C Z` Plan Revlew MC/ES SAC Clry SAC Utility Connection Charge S&W Permit 8 Surcharge Treafinent Planl Copies Total Page 2 of 3 ° Surveyor's Cert2f2cate ? . SURVEY FOR : PULTE HOMES . DESCRIBED AS : Lot 8, Block 3, OAKBROOKE 6T1-I ADDITION, City of Eagon, Minnesota and reserving easements of record. /,. % !t Y 959.0 ? Oq C 0 q- , ?. ?o 0 pA? 9 ?h oo D' 964-.2 \ 954.8 ? / ? C ??- 4?+ 3100 L 959 b \: ? \ \ 9Sb.S a56 3 9y: 1 o?u9° 95?.? ?? N ? \ n ?? ?953.7 gp?W a? •1 Ex?s?•¢ 958•1 . ?? ap,(?o? 95oA ? .? x94g9 ? ? ? OO \ Z \ W \ ` L 0 T SQ. F00 TA GE HSE SQ. F00 TA GE LOT COVERAGE _ Q01 V I'e.A ???CT 9:1 Me)dmum SWO or Retalning Wall WiN Be Required -YACANT. .12 7 44e1 7 , \ N ? O \ 0_ O ; 51 ? I ? \ = 26,457 = 1, 861 79' \ \ \ \ \ ? \ \ ? 1 \ \ \ \ \ \ I \ \ \ , ? \ ,I 111 J-0,V M-2 0?1St???ifG?4?? ;- , ?, ? ' I\ Y: \ 1 \ \ \ ? \ \ \ \ I ` \ \ ? \ \ 1 \ \ \ \ ? ? ? ? ? ? ? , ? ? \ ?l \ \ ` \ • ` \ I' r \ F c \ u?01 \\ v % \ ? a y n ? t U O U , ?/E O \ ? ` ? I I \ ` ? ?___-_______'_ 0 36 ? N89°42'35"E 71.17 qsi.o # ,s2s, PROPOSED ELEVATIONS Top of Foundation = q5-7.0 Garaqe Floor =9 Basement Floor =qa8.0 Aprox. Sewer Service =94s.ot Proposed Elev. Existing Elev. _ Drainage Directions = Denotes Offset Stake = • HEDLUND PLANNINC ENGlNE6RlNG SURVBYING 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fox : (651) 405-6606 BENCHMARK, c.P. ? qoib Eleu= 455.55 SCALE: 1 inch = 30 feet MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side - r,. I HEREBY CERTIFY THAT THIS IS A TRUE bRRECT •.P?? TAT10N J08 N0: . OF THE BOUNDARIES OF THE ABOVE DES IB?DR??I? AS'+,S?VEYED 02R-632 SHOW EIMPROVEMENTS OR ENCROACHMENt?CEP{?T TO BoOK: PaCi OATE CAD FIIE: R ? , ? • ?Qi?l I SURVEYOR Oakbrooke 5 MINN TA LIC ?f? ?MBER 14376 f?? ! ?? MECHANICAL (RESIDENTIAL) L7 ??? Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 TelepLone # 651-675-5675 FAX # 651-675-5674 Please complete for: Single Family Dwellings Townhomes and Condos when permits are required for each unit 43o.Sa Date&/ o3 U it # Site Address n Pro ert Owner Tele hone #(? p y p Contractor Burnsville Heatinq 8 A/C Inc 12481 Rhode Island Ave. So. Street Address SBVege, MN 65378-7122 City State Zip Telephone #( qsa) b I'7 '? ?? ? The Applicant is _ Owner ? Contractor _ Other Add-on, modi6cation or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger ? air conditioner other State Surcharge $ .50 Total $ I I I hereby apply for a Residential Mechanical Permit and acknowledge that the information is (f omplete and accurate; that fhe work will be in confom?ance with the ordinances and codes of the City of Eagan and with the Mechazvcal Codes; that I understand tlus is not a pemut, but only an application for a pemrit, 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 plan . , Applicant's Printed Name Ap li anYs SignaY MECHANICAL (COMMERCIAL) Pertnit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commercial/industrial buildings multi-family buildings when separate pemvts are not required for each dwelling unit Date Site Address Unit # Tenant Name (if applicable) Prevlous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) The Applicant is _ Owner _ Contractor _ Other Work Type _ New construction Underground Tank _Install _Remove Interior Improvement Call for inspection du ring installationlremoval of tank Processed Piping Nature of Work: Permit Fee $50.50 Minimum Fee (iocludes State Surcharge) ContractValue $ x Al% _ $ PermitFee • If pemut fee is $1,000 or less, add $.50 State Surcharge If pernrit fee is over $1,000, add $.50 per $1,000 Permit Fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and aclaowledge that the information is complete and accurate; that the work will be in conformance with the ord'unazices and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a permit, but only an application for a permit, and work is not ro 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. Applicant's Printed Name ApplicanPs Signature Approved By: ,Inspector Date: - ?l ('- I ??1 /') k?0 ?-?k P Lot ?IQ5 Block9 suad. (?Kb,?oov? Sf Site address: ? = _. -- CU. (? 0 e 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protect{on, air On April 15, tightness, and ventiiation, was adopted. As a resuit, the City of Eagan is requiring that the following information e submitted prior to issuance of a Certificate of Occupancy. I hereby acknowledge lhat the above informa6on requirements. 4irey! C-Ia Mf- S CampanyName is correct and egree to comply with the Minnesota Energy Code and City of Eagan W/0-v?> Date 7his form is ths responsibility of the General Contractor, _ Thfs sVUCture: is constructad to meet minimumrequirements of the Mn Energy Code, Chapter 7670 OR ? ents of Chapters 7672 This structure: willbe consVucted W meet more restrictive requirem ar 7674 1-0 t- 76 (3 t oj 3 (? ? ? wRESIDEN Il?? BUILDING PERMIT APPLICATION CITY OF EAGAN ?- ?j le U to lo 3830 PILOT KNOB RD, EAGAN MN 5122 651•887-4675 p - rj(oC1?? &:3 aoa.'8? '10 .C;6 9 0 ??SO New ConsWCtfon Reauirements RemodeVReoair Reawromenb • 3 registered site surveys showing sq. R. of lot, sq. ft. M house; and ?II roofed areas • 2 copies of plan `---? (20% maximum lot coverage allowed) • 1 sel of Energy Calculations for heated additions j 3(03 ,? . 2 copies of plan shaxirig beam & window saes; poured found design, etc.) • t sfle survey for exterior additions & decks . i set ot Energy Calculatiorx • Indicate rf home sened by sep8c system for add'N'ons . 3 copies ofTree Preservalion Plan'rf lol platted aRer711193 • RimJoistDeWilOptionsselectionsheet(hldgswAh3arlessunBs) ? aC DATE Z-- VALUATION SITE ADDRESS --Y \ L-C ? TYPE Of WORK APPLICANT STREET ADDRESS TELEPHONE #IZ\' c1?t-?9 i? s, B 3; o MULTI-FAMILYBLDG _Y !/N FIREPLACE(S) b Y o u Jca_, b?t' PHONE V «I fAX # SSVZ\ PROPERTYOWNER??\?' TELEPHONE#`°?k ClicIll '(Agll --------------- -......... ------------------------- -------- -------------- -------- --------------- COMPLETE THIS SECTION FOR "NEW" RESIDE ?gUILrDINGS ?-. Energy Code Category _ MINNESOTA RULrS 7fi70 CA"1'GGORY 1 O? MIN??4?9'1' L1S 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Subm' d 7•?- New Energy e Worksheet Submitted • Energy Envelope Calculations Su6mitted By J=_ Plumbing Contractor•. y? 1Phone # -`d' AAZ-Z\Z-' Plumbing system includesWater SoYtAer Lawn Sprinkler Pce: $90.00 ? Water Hcater Na of R.I. Baths -L ? No. of Baths MechaniwlContractor: ?lNSLi ??. R'P?N;?^S,r Mechanical system includes: ? Air Conditioning _ Heat Recovery System Sewer/4Vater Conhactor: %elS D V2?LA?C?\ Phone # ?F_Q"?y Pee: $70.00 Phone # -- °- °---------------- ° --------------- °------------° -------- ° - --° ------------ ° ------------ ° ------------------------ I hereby acknowledge that I have read this application, state that ihe inform 'on is ect, and agree to comply with all applicable State of Minnesota Statutes and City of Eaga rdinances. Signature of Appiicant 0 ell 2 orFIci: usr orrLY Certificates of Survey Received Tree Preservation Plan Received _ Not Required Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pooi ? 30 Accessory Bldcf A 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-ptex ? 10 OS-plex ? 18 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 ? 31 New ? 35 int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ?.36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation ?v17 ? Occupancy MC/ES System ' Census Code Zoning ? Ciry Water SAC Units o Stories Booster Pump Nbr. of Units Sq. Ft. ?? • PRV Nbr. of Bldgs 1 ' Length ' ? Fire Sprinklered Type of Const Width y G, • REQUIRED INSPECTIONS ? Footings (new bldg) FinaVC.O. _ Footings (deck) _ Final/No C.O. Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof _[ce & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final ? Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/reptacement) ? Insulation ? Re[aining Wall Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&1N Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Approved By??_ . , Building Inspector ?L/v u c; q 0 06A?,r? 39?1 7o y x 4 . NNcheck COMPLIANCE REPORT ? Minnesota Enerqv Code MNcheck Software Version 3.0 i Permit # I I COUNTY: Dakota Checked bv/Date STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single,,Family DATE: 9-26-2001 TITLE: OAKBROOKE ST. J'AMgS, WALKOUT, ELEVATION #1 COMPLIANCE: PASSBS Reauired UA = 547 Your Home = 430 21.4°s Better Than Code Area or ____ Perimeter --------- Cavitv Cont. R-Value R-Value Glazinq/DOOr Li-Val ____ _ _ _ _______ _ _ ue UA CEILINGS - ---------------- --°---------- --- WALLS: Wood Frame, 16" O.C. 1291 2495 WALLS: Wood Frame 16" 44.0 0.0 19.0 2.0 35 140 . O.C. BSMT: Conc. 9.0' ht/8.3' ba/9.0' insul 738 0 p.p 11 25 BSMT: Conc. 3.5' ht/3.1' bcr/3.5' insul 70 GLAZING: Windows . 11.0 0.0 43 5 or poors, Above Grade 478 DOORS 0..s?50 167 38 FLOORS: Over Outside Air 88 HVAC EOUIPMENT: Furnac 38.0 0.0 0:350 ' 13 2 e, 92,0 AFiIE ---------------- --- COMPLIANCE STATEMENT: The AYODOS2C1 bUllCI].Z1Ct fI2S14A described conaistent with the buildinq Alan i here is s, sDec fications, and other submitted with the perm' aonlication The proposed buildina desi ned t calculations ha b g s een o meet the r i ment e innesota Energy Code. Builder/Designer Date LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: DATE OF SURVEY: ? c m L ? Y a v O Z < fl/ u ? 0' ? ? ?/ ? G / ? ? Pd G ? I?? ? ?i ? ? ? ? GX ? ? ?? G ? ? V? ? ? ? G ?/? ? t?' ? ? J V ? ? Vu LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building PermitApplicant • Legaldescription • Address . North arrow and scale • House type (rambler, walkout, split wlo, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient °/, • Proposed/existing sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Existin • Sewer service (or Proposed) • Property comers • Top of curb at the driveway and property line extensions • Elevations of any existlng adjacerrt homes • Adequate footing depth of structures due to adjacent utility trenches • Waterways (pond, stream, etc.) Prooosed ???/? ? • Garage floor ?y ? ? • Basement floor rid? ? ? • Lowest exposed elevation (walkout/window) ? ? • Property comers ?? • Front and rear of home at the foundation PONDING AREA ('rf aoolicable) / ? ? IZ • Easement line 0 ? ? • HWL ? . • Pond # designation ? ? • Emergency OverFlow Elevatlon DIMENSIONS p? ? G • G ? • L? ? ? • ?i ? G • C ? . LR' ? C • Lot lines/Bearings & dimensions Right-of-way and sUeet width (ta back of curb) Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring pertnanent footings) Show all easements of record and any City utilities within those easements Setbacks of proposed shucture and sideyard setback of adjacent existing structures Retaining wall requirements, -- Reviewed: I ;` ,S'urveyor's Cert2fzcate SURVEY FOR ; PULTE HOMES DESCRIBED AS : Lot 8, Block 3, OAKBROOKE 6TH ADDITION, City of Eagan, Minnesoto and reserving easements of record. ocT a 2 REC'o ? ? ol 954 '.2 gz?st. H 9581 TOB , AA? ??- CIJ? q53A 9!1 mwdmgm ? ? Romin6ng YM Be Required LOT SQ. FOOTAGE = 26,457 HSE SQ. F00 TA GE = 9, 861 L 0 T C01/ERA GE = 79' ; ? /? . 1? \ ? I \ \ I \ \ \ ? I \ , \\ ml F o' 1\ . \ \ '-' \ I \ 5\? ? 5 ?____--____"_T/ 1 0 ; , ? ;.?'i-. '? ? ;.a •.; ? l. # 18291 PROPOSED ELEVATIONS Top of Foundation = qszo Garage Floor =vsti.e Basement Floor =9a8.o Aprox. Sewer Service =945.ot Proposed Elev. Existing Elev. _ Drainage Directions = Denotes Offset Stoke = . SCALE: 7 inch = 30 feet HEDLUND PLANN/NC SNCINEERlNC SURVEYINC 2005 Pin Oak Drive Eagan, MN 55122 Phone: (651) 405-6600 Fax : (651) 405-6606 N89°42'35"E 71.17 BENCHMARK, c,P. ? qoib Eleu= 455.55 q37.o I MIN. SETBACK REQUIREMENTS Front - House Side - Rear - Garage Side - I HEREBY CERTIFY THAT THIS IS A TRUE Vk??.`ORRE^T R4P.R?!?TATION OF THE BOUNDARIES OF THE ABOVE DESG?216?R1?..RDFE ?ASiSURVEYEC BY ME OR UNDER MY DIRECT SUPERVISIOi D ?RO?E?'t??I.??T kPURROT TO SHOW IMPROVEMENTS OR ENCROACHMENT% E?CEPYNP,SS?OWN_!_,F DATE SURVEYOR 2 14376 02R-632 Oak6rooke 5 N0: City of EaiaIl 3830 Pilot Knoh Road Eagan OAN 55122 Phone:(65a)675-5575 Fax: (651) 675-6694 c4- U3 OoKbkcU1,c r -_____.r.__ '-. I________ ? .,. ? Permit S: ? ? ! I ? ??;. , _ i 910 ° ; PermilFee: I I Date Received: I 1 I i ? i L________________J 2009 RESIDENTIAL BUILDING QeRnniT APPucarIoN oau: % sfta naaress: q/.Z!z cr+nP?e.?? Tenarn: Suite #: RESIUENT / OWNER Name: T?) 1*^ve_ Phone: _/bL, 171D -7/910 Addreu I City / Zip: ?02// zt' f1-?s3? ? 37L i i / Applicant is Owner _ Contractor TYPE OF WORK pescription of work: ?iZis? ??"eo" ? Construction Cost: ?S Ol7 Multi-Family Building: (Yes _ J No ? CONTRACTOR Name: License#: Address: Q City: State: Zip: Phone: Contad Person: COAIIPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 EfIBrgy COde . ResiAential Ventilation Category 1 Worksheet • New Energy CoAe Wmksheet Category suemined sutmiued (4 submission type) • Ener9y Envelope Calculations Submitted In the last 72 moMhs, has the Ciiy of Eagan issued a permit tor a similar plan based on a master planT _Yes _No tf yes, date and address of master plan: Licensed Plumber. Phone: Mechaniwl Contractor. Phone: Sewer & Water CoMracWr. Phone: NOTE: Plans and supporaing docametrLS"that}rcu srtbmltare corrsldeied to'be public iriformation. PorNons"of: Nre ilrtorma6on r{tay be.class?/'red as nvn-po til ic i f y speclfc reasons; Urat wautd permrt ?e Crty w r prov rde y ? ? ? { {? ? y ? .YQYQ?S? `..Ax'Y` .'?UUCYI?Q(iGarP. Y I tierebY adenowleAge tlhat Uris m6omiaion is canplete.amt accurate; ttsat ihe vwM w01 be in conformanue valh Me acfimanoes aM codes of the Cpy of Eagan; that 1 understarM this is not a pertrrit, but only an appliplion for a pertn8, and work is not lo start wffhoul a peimit; that the work will be in accadmice with ttee appmved plan in tlre pse of worlc whid1 requires a review and approval of plans. x z ApplicaM's Printed Hame AppGCanrs Signature Page 1 oF 3 DO NOT WRITE BELOW THIS LtNE SUB TYPES _ Poundation _ Fireplace _ Porch (3Season) Storm Damage _ Sirig7e FamiiY _ Gar?e _ Poxh JA-Seaswn) ? JitLeaai?fe (5ing3e F? _ Mui6 Deek _ Porch (Screetd+Gaze4o7Pergola) ExUerior Altaration ?&Aulti) _ Ot of _ Plez ? Cuwer Leve! _ Paat ? Aocessory Building WORK TYPES Ne?v ir? bt?pruwen.vN ?Addiiian _ More Buildi? _ AlOeraFian _ Fue Repair _ Repiace _ Repair DESCR1P77Dl?t 4aluation 1?V - Ptan Review (25%_ 10Q%? Census Code # of UNffi # of Buildings Type of Construcdon ? v?r?Kl??mi?e Cu;zvc- ; ?? 7?? ? ? Denwhsh P, Reraof Demotisfi InLerior YYmdaws t3emormhFoumdation _ Egress Wimlow _ Wa4ee Damage *Dertqlition otantl,e bWWhg - 8ive PCA handwR to aPPflcaM Occupancy a?&J pACES Sysffim Code Editfon AN IvO7 SAC Units Zonfrtg Citq water Stories Boostar Pump Square feet PRV l.2rloth Fus Sprinklem Width REQUIRED INSPECTIONS _ Footirtgs (New @enldingj Footings (Deck) Footings (Addillon) FouuKla#+m Drain Tile Roof: Ice & Water Final ? FraminS Fireplace: _ROUgh In Air Test _Final ? Ir?s?lation Meber Size: SteeeVock Final ! C.O. RequEred ? Final ! No C.O. Required ? fiYAC Ot#wr. Pool: _Footings AidGas Tesis _Final _ 8ic6a8: - Stuooo Lath Stnne latle Bredc Nfmdows Retludng wall Eros3on ConVol Reviewed By: ?? . Building Inspector RESIDENTIAL FEES Base Fee suRe? Pla view LtCF-S SAC ciey sac Utility Connection Charge S&W Pe+mi! & Swcharge Treahnent Plant ?????f ,Z;00 TOTAL 11111110- Clty of Eaian 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 6?&,uL&. -----------, i y!???n,`,?,? i Pertnif #: (/(} lL' 1? in i I Pettnit Fee: I ? ? Date Received: ? . I ' j Staff: I ----------------- 2009 RESlDEAITIAL PLUMBING PER!{A1T APPLICAT[01d Date: site address: ?/?.?i% ?/?'?? ?tA2vr° ??/`????/? /5?/Z 2 Tenant: SuiYS #: RESIDENT/OWNER Name: ?O/fw f?'K.tT Phone: 1?4 ` 7/0 ' 719-0 Address / Ciry / Zip: vL94 C'. F /.a'y ST/ Z Z- COMRACTOR Name: License #: Address: Cdy: State: Zip: Phone: Contact Person: / TYPE OF WORK New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Descrl tlon of work: PEAMlT TYPE RESlDEMIAL Water Heater _ Water Softener ? _ Lawn Irrigation Add Plumbing Eiutures L- RPZ / PVB) Main P?'LOwer Level) _ Septic Sysiem _ Water Turnaround New Abandonment RESIDENI7AL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 LBwn Irrigation (includes $.50 State Surcharge) $50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge) "Wa[er Turnaround (add $165.00 if a 518" meter is required) $100.50 SeptiC System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace bumed out appliances, ductwork etc.) (incltides $.50 State Surcharge) TOTAL FEES $ i hereby acknaMedge thaz Vris irrfonmation is campiete aid aocurate; UW the srak wiH be in conbrnwm veM 1he ordinances and codes of Me C4y oi Eagan; that I undersiami qus is rrot a pennN, 6ut ordy an application ta a permit, and vrork is fmt b shart vriNrou[ a permit that the wa'k will be in accordanoe with ihe approved ptan in the case of worfc which requires a review arvf apprwaf of plans. x lhW 17*79126- x ApplicartYs Printed Name AppiEcartCa Sigrtature Use BLUE or BLACK Ink j Permit I Permit Fee: My of Eap I I I 3830 Pilot Knob Road Eagan MN 55122 i Date Received: Phone: (651) 675-5675 I Staff 10 C Fax: (651) 675-5684 1 1 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 0 Site Address: ~U Gt/`' IM*,Vxj 1,0v Tenant: Mx ~F Suite RESIDENT / OWNER Name: u Phone: Address/ City /Zip: / ;'o'e ,07AJ JT-/Z - Applicant is: Owner _jzContractor TYPE OF WORK Description of work:f f7fd(t Construction Cost: Multi-Family Building: (Yes J No CONTRACTOR Name: rl /'01 r 40Y~> s» - e, License ~d l Z Address: c "?c ?V.. City: r >Y-~ State: MAI Zip: Phone: "210 ° 7 /sp C7 Contact: 2-f ,P N Email: COMPLETE THIS AREA ONLY IF CONSTRUCTING A N , W 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) 464-0002 for protection against underground utility damage. Ca1148 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.om I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 x Applicant's Printed Name Applicants S rut Page 1 of 2 i - For Office Use 1 ,LY i~ I City of Eajan I Permit Penn it Fee: ll o 3830 Pilot Knob Road 1 Eagan MN 55122 1 Date Received: I Phone: (651) 675-5675 1 1 L I staff: 1 Fax: (651) 675-5694 1 j at", Ac- 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - ` Site Address:/~rC l~ce Cy.uG~✓~`~.~ ~~yV s3 % Z Z Tenant: Suite Phone: IZJ 7,11 RESIDENT / OWNER Name: Jf~ A) 7f}~~ Address / City / Zip: L,%11J/ 'MIO~Izevk az'4e""- Applicant is: Owner Contractor TYPE OF WORK Description of work: f'lAii-< / f Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted submission type) • Energy Envelope Calculations Submitted 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. I hereby aduXNAedge that this ' information c ompl arvt -,xxurat{e; that the work vvill be in conformance with the ordhances and codes of the City of Eagan; that 1 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 planiin the case of work wtrich requires a review and approval of plans. 1V x Applicarrt's Printed Name Applicant`s Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch (3-Season) ` Storm Damage Single Family C-araw Porch -Season) Exkvi" Ajbftvtbm (Single Family) _ Mufti _ Deck _ Porch ( ergols) ^ Exterior A.tteration (Muth) itt of - Plex Lower Level ~ Pool _ mlisceffaneous _ Accessory Building WORK TYPES New k4eriorimprovement Siding Demolish Buwkw Addition _ Move Building Reroof _ Demolish Interior Alteration _ Fire Foundation Repair Windows Demolish Replace Repair ~y ~_~y Egress Window Water Damage applicant • okbon of ~ ~:g building - gyve PCA handout to DESCRIPTION Valuate VQ occupancy MCES System Plan Review Code Edition trc SAC Units (25%100% zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprk*kws Type of Construction V_ A Width REQUIRED INSPECTIONS Footings (Nm Bail ` Footings (Deck) Final f C.O. Req~ Footings (Addition) Final / No C .O. Rehired Foundation Drain Tile Other: Roof: lee & Water -Final Pool: Footings -Air/Gas Tests -Final Framing Lath _ Stow Lath Brick Fireplace: -Rough In -Air Test -Final Nhndows UmAa# ing Wall Metier Size: Erosion Control Reviewed By: 1± Building inspector RESIDENTIAL. FEES Base Fee, Sharpe L~ y Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL r For Mice Use Cit of EaEdn ~ Permit#: lS~" I I ,Ilk y, 3830 Pilot Knob Road ; Permit Fee: Eagan MN 55122 1 I Date Received: I Phone: (651) 675-5675 Fax: (651) 675-5694 j Staff: I C',~'i dlt~;l~ 2009 RESIDENTIAL PLUMBING PERMIT APPUCATION Date: Site Address: qI,/-1~~/~i~~ /ii`~"'~~✓dv /S3%2- Z Tenant: Suite RESIDENT / OWNER Name: Je/~ /'LL~ Phone: 1~4 7/ a Address / City / Zip: 10&a4 c6'~ .'ovv 77,/ Z_ Z__ CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK /New _ Replacement _ Repair Rebuild Modify Space Work in R.O.W. Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Lawn Irrigation /Add Plumbingures RPZ / _ PVB) Main 1, Lower Level) Septic System Water Turnaround _ New Abandonment 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, Water Turnaround" (includes $.50 State Surcharge) 'Water Turnaround (add $165.00 if a 5/8" meter is required) $100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this inkmabon is complete and gate; that tRe work w be oonforrnance vdth 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. Appficant`s Printed Name Appth:ant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground _Rough-in Air Test Gas Test -Final Use BLUE or BLACK Ink r----------------� I For Office Use � � � Permit#: � v�� � City of ����� � �,; F : ���� � Pe t ee 3830 Pilot Knob Road � � Eagan MN 55122 � Date Received: � Phone: (651)675-5675 I I Fax: (651)675-5694 I Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: � Name: ��� J'�/►� Phone: �l � �� -�< <l RBSiC�efl�f / C1Wt�i?C � Address/City/Zip: �l L`-f 6 wfl �j�raof� �v�Q. ���� S S/ 2..L ` o'�a„ � ' Applicant is: Owner �Contractor I � ���� Description of work: ��"��0� �L�l '�� ��-"1 �����h �" -So'h'L ,���,i�/ I T�l�e Of�1NG1t`k : , ''. Construction Cost� �L/ �`�° Multi-Family Building: (Yes /No� , Company: ��� �'�� �1C¢�el�iS LLC Contact: �Y S �r►v'�`h . Address: IL��I �Q �� St� !�j� City: ���1�,�- GOtl�C1C�Q1` r i�� State:�"� Zip: �S��`� Phone: �'��`"4���6°�l Email: °" License#: �� ��v !C� Lead Certificate#: 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: NC?TF: Plans and suppc�rti►�g do�aments#hat you subm�t�r�''considered tt��b�p�#l�c rrrfarmation, Pc�rfians of ths fr�fc�rmatiort may�i��tassif3eal as nan`;�public�i�yc�u prvv�de spe�ific reasvns:#h�t wr�uld p�rmi#th�City tv c�rtclude#h�t the' are�rade se�rets. ': 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. vwvw.qopherstateonecall.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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Buildin Code must be completed within 180 days of permit issuance. < X C�� � �� ►�� X ApplicanYs Printed Name Applican ' ig ature Page 1 of 3