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.
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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
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BENCHMARK,
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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
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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
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I Staff: ?
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--------------
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?
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B
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es _
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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.
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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.
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LOT COVERAGE _
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or Retalning Wall WiN
Be Required
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? 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
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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:
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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
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Be Required
LOT SQ. FOOTAGE = 26,457
HSE SQ. F00 TA GE = 9, 861
L 0 T C01/ERA GE = 79'
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# 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
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-_____.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
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rde
y
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y
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.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