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4675 Parkridge Dr BUILDING PERMIT :-.' T. v w.d ia. Parcel No. W Na„e ; Address ' 1r ; Z f:' b City Phone ti cr , t? Neme ? u Address + l u , 1- Citv Pheno City Phone Receipt ?j $11 U, 00C n,,.. VIA Y? f? I 9b 4? - I hereby ocknowledge thnt I haw reod this applicotion and stete thot tFe iniormotion is correct and agree to comply with all eppliwble Stab of Minnesata 5totutes ond City of Euflan Ordinances. 5ipnoturo of Pertnitt" A Buildinq pertnif is issued to: 'all work sholl be done In occordance with all oppllaoble State of Mfr Buildinp QifiCiol CITY OF EAGAN 103102 3830 Pilot Knob Road, P.O. Box 21-198, Eagan, MN 55121 ?-- - PHONE: 454-8100 Erect LT Occupancy !4? Remodel ? Zoning ? Repair ? TypeofConat. Enlarge ? No. Stories Move ? Length i5 4 Demoiish ? Oepth 3 v Grade ? Sq. Ft. Assessmant Wnter b Sew. Pol ite Fin E+w• Plonner Caurxil S/ 5 eid9. off. .? APC Var. Date Plan Review_ 5/1C ..(.V •'lV Road? Unit ---rT TD 0 Total I an the sxpress tondltlon tlwi y cf Eapon Ordirwnces. „_.... PKmit No. Permk Holder Drtft Tel one h Plumbing 641 ? 7 Ii.V A.C. q Ebetric 32- ? I,'`' Softsnwr Ifqpection Date Insp. Other Footinyt ?tZ 7 Foundation Frsminp 71?0 ? _17- RooNng Rough Pibq• Rouqh HVA Inwlation ? Final Plbp. Finsl HVAC j? Final Grt/Occ. I ?- Witer Desai6e Loution: YYell Sower Pr: Oi?p. ' • - ? GIT Y Uh EAGAN ' Fae . Fill in numbened spaces S/C TYAe or Print /egibly Tot. 1. Date 2. Installation Cost ? . .. A c 3 J ... - _ . . . , ' ob Address . Lot Blk. Tract 4. Owner ?-. - - ? ? 5. Contractor Phone - " " 6. Address ~ 7. City ? State Zip 8. Building Type: Residential 0 Commercial O Institutional ? 9. Work Description: New fl Add ? Alter 0 Repair ? 10. Describe Fuel Type 11. No. ' Fquiament STU - M. Ea. Forced Air No. Equipment CFM Ai Mfg. r Handling: Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other i Air Cond. ._ ' Mfg. Gas, Piping Outlets ?r 12. 1 hereby certify that the above information is true and correct, and f agree to comply with all ordinances and codes governing this type of work. , 5igned : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 464-8100 Reoeipt ? PLUMBING PERMIT , .. . CITY OF EAGAN fill in »umbered spaces Type os Arim /egibly Penoit No. Fes 3/C Tot, ? -- 1. Date 2. Installation Cost 3. Job Address ? ?'???? "Lot ? y Blk. Tract 'k 4. Owner 5. Contractor Phone - ? 6. Address 7. City v State Zip - 8. Building Type: Residential ? 9. Work Description: New ? Commercial ? Institutional ? Add ? Alter ? Repair ? 10. Describe 11. No. Fixtures Water Closet No. Fixtures I f l/D i C ' Bath tubs n ield eSSpoo ra S i T k Lavatory ept c an $ f ShOwer tner o W I I Kitchen Sink e Urinal/Bidet O h Laundry Tray er t Floor Drains Drinking Ftn. Slop Sink Gas Piping Outlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 4644100 CITY OF EAGAN nddition pARKGLIFF 2ND ADDN Owner l,ot 8 Rik 3 street 4675 PARKRIDGE DRIVE 10-56701-080-03 E6GAIV NIIV 55123 improvement Date Amount Annual Years "Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK a - SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA $ R D/ 117/ - IF'S STORM SEW TRK - 1984 642.60 128.52 S 51. / ,71 q" STORM SEW LAT 1983 283.64 56.72 S 140 / 9/ CURB & GUTTER SIDEWALK STREET LiGHT WATER CONN. 500.00 BUILDING PER. 2 sac 525.00 PARK 3830 Pilit Knob Road - P. O. 8ox 21199 PERMIT NO.: "=?•' Esgan, MN 55721 DATE: - Zoninp: ' No. of Units: ` OwMr: ',DeT '?L?Prt Add?QfS: Slte Addrcn: - Plumber. Meter No.: Connection Ckorpe: Stu: ^ccounc Deposit: Reoder IVo.: Permit Fee: I yns !e eoepty wkM MM Cihr of iows Surcharga: . OrJiMwaM. Misc. CF+aroes: Totel: 1:1etE: By Dote Pa1d: CITY OF EAGAN SEWER SERVICE PERMIT 3830 Pi:ot Knob Road P. O. Box 21199 PERMIT NO.: - Eagan, MN 55121 DATE: ' Zoninp: - n? No. of Units: Ownar: Address: Site Address: Plumber: _ ;-3?-.?s5 -,;,•5?-. t Mn? to eeoplp wilA tiw Gty oi Eye¦ OfnMwOM. C«,nection Cho?ge: 4 25 o a G?r! Account Depcsir. -- Pamdt Fae: Surctwroe: By Misc. Charyes: Dote of Irup.: Total: Insp.: Dote Poid: RESIDENTIAL BUILDING PERMIT APPLICATION ? 'I ? CITY OF EAGAN ? ? ? 3830 PILOT KNOB RD - 55122 651-681-4675 a J 4 ?- NewConMruction Reouirements RemodellReoairReauiremeMs . 3 2gislered sKe surveys shaxing sq. K of lot, sq. ft of house; ant911 roofed areas . 2 apies of plan (20%maximumbtcoveragealbwed) • 15etofEnergyCalalationsforheatedaddNOns • 2 caples of plan showing beam & window sizes; poured found design, etc.) . 1 sile survey for extenor addiUons & decks • 1 set of Energy Calalatlons . Indiate d home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 717/93 . Rim Joist Defeil Opibns selecUon sheet (bidgs wifh 3 or less units) DATE VALU,410N S?vo. 91o JOB SITE ADDRESS S?67f ?°`?' ??. o?/?- • IF MULTI-fAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER C/ TYPE OF WORK 1-4?19 0 4- FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ?-A Z191?/.?c?-- Gor r7? jn ?• PHONE# 9lJ-..z?l -o' 71'1'1 ADDRESS_%r//? ZIPCODE fr/-_? ?/ PAGER # CELL PHONE # FAX # NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RUI.ES 7670 CA'PEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted _ MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: Plumbing Syslem Includes: Mechanical Contractor: Mechanical System Includes: Sewer/Water Contractor: _ Water Softener _ Water Heater _ No. of Baths Air Condiaoning Heat Recovery System All above information must be submitted prior to processing of application. Phone #: Lawn Sprinkler No. of R.I. Baths Phone # Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that ihe info;,matian_is correc#,_qr3eL-ad with all applicable State of Minnesota Statutes and City of Eagan Ordinan?c ° Signature of Appllcant v ' Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ to comply Updated 1101 OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling O 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 31 New ? 32 Addition ? 33 Alteretion ? 34 Replacement Valuation Census Code SAC Units Nbr. of Units Nbr. of Bldgs Type of Const W idth REQUIRED INSPECTIONS Footings (new bldg) Footings (deck) Footings(addirion) _ Foundation Drain Tile Roof Ice & Water Final Other Framing _ Pool _ Ftgs _ AidGas Tests _ Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone Insularion _ Windows (new/replacement) Approved By Base Fee Surcharge Plan Review MClES SAC City SAC Water Supply & Storage 5&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other ? 07 05-plex ? 13 16-plex ? 08 06-plex 0 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Pibg_Y or_ N 0 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 37 Demolish (Bldg)` O 43 Reroof ? 46 Windows/Doors *Demolition (Entlre Bldg only) - Give PCA handout to applicant Occupancy MC/ES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Final/C.O. FinallNo C.O. Plumbing HVAC Building Inspector Total ClTY OF EAGAN 3830 P7a Knob Hoad, P.O. Box 21-199, Esgan, MN 55727 PHONE: 454-8100 BUILDING PERMIT Ts 6e rrd /M SF DWG/GAR ReceiM # N_ 10302 $110,000 pate MAY 30 gite Adciren 4675 PARKRIDGE DR ? (I omamw R3 Lot 8 PARK CLIFF 2ND Block 3 e...le..y Remadai ? Zoninq Rl , Repeir ? Type of Comt. V Paed No. Enkrye ? No. Stwies nnam ? Langen 64 N? DEVELOPERS CONST p?„o??? ? p?pih 3? = ? qyd,m, 1101 CLIFF RD G,ade ? Sy. Ft. c;p, BURNSVILLEpho„e 890-6194 i,tami O 9f N SAME Avwa.•h Fbas . K term Addran ? ChV Phare Name _ ndd.es citv _ 1 hdeby ackrowledps thof 1 have read thls ag tM inlomation ia oonect a ree to con Stob of Minnasrno Srotu tos'arA UN of fq6 SIywMUe of Permitta ? A Buildirq Vamit i: issued ce ?EVF dl worlc sholl 6e dona In aeoordanee with oll BWldinp Offlcial otion and storo Mwt with all appliwbla OrdinorIGss. Assesamem WaMr 8 Sar. Police Firo Eno• Plonoe. CovKil ema.otr.5 28/8 5 APC Var. Date _ Pamif v $urChorga 55.00 pim peWaw 229.00 ,AC 525.00 yyaho, Co,,,, 500.00 wme. Mmsr -2?0 0 Rand Unit T.P. 132.00 Total 42.60 _ an tha axpreas epditlan Ilwt erd GH of Eapon Ordironcet This reQUest wid h 3 ?°2 ?. ??? --?( Z1$ 7 pQU4'7 'Oata Fve No. Iluugh-in Inspe ?i n Bepuired? 0(teatly NowXWill NoLty Insoec- Wres ?No lor When Neatly Iff.Lwensed Electnral Gontmcrot 1 herebY repuast inspacM1On of above ? Owncr eleeMiwl work installed at Street Address, Box or Noure No. ' 6 11 Citv ? C e?- 6 76 ? j ,t a l ecuon o. Townshlo Mame or No. Raage No. County E) crlZ o f? Occupam IPRINTI 0 O Phane No. VQ4 .?ve s el'5t Power s.oolier Atldress e, ?rmin , Elec ncal Con[racmr (CO ny Name) t 7 Contwctor's License No. zc-c. ? o ? z1 k - 3 Mai ing dress ICOn[racror or Owner Ma 'np ImWilaGOn) ? H `7 r S Sc Authori ed Signa[ e(COntmcror/ r king Iretallalionl ?? one Number S1 %lr -3555 MINNESOTA STAT BOARD OF ELECTRICITY THIS INSPECTION flEQUEST WILL NOT Grigps-Midway eldq. - Boom N491 . BE ACGEPTEO BY THE STATE BpppD 1827 University Ave., St. Paul, YN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 2972111 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-ooomm /? p , See iretruetions for completi?q this fmm on back of yellow copv / 3 Z!+ p5' "'X" " Below Work Covere,Q'by This Request S ' AAd Neo. Tvoe of BufiEina Aooliancea WireO Equipment WireA Water al k Mi k Fee ServweEnhenceSize k Fee Feeders/5ubfeetlers b Fee Crtcurts 0 to 200 Am 0 to 30 Am a to 30 Am Above 200 qmps 37 to 100 qmps Q" 31 to 100 qm Swimming Pool A6ove lOD_Am Above 100_Amps Transformers Irtigation Boorns D Part?al'Other Fee Remerks Signs Special Inspec!ion S (u ?? j TOTALrFEE, ? Houph-in Date \ , iha Elec ?cal Inspector, heraby rtify that the nbove Final r ?:?teC nispection has Eeen ?. d?3 ?aa. TMs repueatvolOlBmonft from t:r ', . . ?----------------- i i' ? Pertnit ? ?i? 5? ? ? Pertnit Fee: ? ? ? Date Received: ? I ? Staff: C ?y ? L - - - - - - - - - - - - - - - - - 2008 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: SiteAddress: q ? ` ??2*?i?1??e 4C Tenant: Suite #: RESIDENT / OWNER Name: 4L Address/City /Zip: W??7? ??7C/?C?`? CONTRACTOR Name:License#: Address: City: State: Zip: Phone: Contact Person: TYPE OF WORK _ New _ Replacement _ Repair _ Rebuild L Motli-fy Space _ Work in R.O.W. Description of work: PERMIT TYPE RESIOENT/AL Water Heater _ Water Softener vCawn Irrigation Add Plumbing FiMures ? RPZ PVB) Main _ Lower Level) Septic System _ Water Turnaround New _A6andonment ?.i7CYV v'L?? ? ? ? RESlDENTIAL 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 Tumaround (add $136.00 if a 5!8" meter is required) $100.50 Septic Syst2m New ($10.00 per as buiit) (includes County fee and $.50 State Surcharge) $90.50 Fire Repair (replace burned out appliances, duclwork, etc.) (includes $.50 State Surcharge) TOTAL FEES $ I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ortlinances antl cotles ot tne c;ity oi Eagan, th derstand this is not a permit, but only an application for a permd, and work t to start wit t a pertnit; at the work will be in accord ce w the approved plan in the case of work which requires a review and approva plans X o?T ??v1c?N(? x Applicant's Printed Name ApplicanYs Signature , /E'Q- :, FOR OFFICE USE - ' ; Reviewed By: ?Date - Required lnspections: _Unde'r;Ground :_Rough-In _Air Test Gas Test -Final - ?? 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 F° /O; dD 6-1?e.( 0/05 d'i New Conslmdion ReauiremeNs RemodeVReoair ReauiremeNs Difte UseOnlv 3 registered site surveys showing sq- fl of lol, sq fl. of house, and all roofed areas 2 copies of plan Cert n£&uFVey Recd [, Yt?N (20% maximum bt coverege allowea) 1 sel of Energy Calculahons (or heated additions FfCo Brees Plen ReCtl ` _ Y.,_. N_ 2 copies of plan showmg beam & window sizes; poured found design, etc 1 siie survey for addtlions 8 decks FrpR AreS 9Cpyi{Cd .Y.Fl iselofEnergyCalculations AddRron-indicate6onsitesepticsystem Di?sileSeptiaSyslem _.Y:N 3 copies of Tree Preservation Plan rf bt plaNed after 711l93 Rim Jast DetaA Options selechon sheel (buildngs wAh 3 w less units) Date Site Addreas I Il Construction Cost ?/l , )' V E UniUSte # Description of Work "? ?'n \ S`(1 1 o w C;r ?? V 2 I Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2 Property Owner ? W ?5 ?W/ 1 Q Telephone Contractor ??i• t Y ?WN Y?1V Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate¢orv 1 Minnasota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan fee applies. l a similar plan? _ Y _ N If'so, 25176 plan review Licensed Plumber Mechanical Contractor Sewer/Water Confractor Telephone #( Telephone #{ Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit? at the work wil e in accord ce with the approved plan in the case of work which requires a review and appr al f pl Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? DB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 Porch/Addn. (4-sea. ) ? 33 Ect. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Muiti Misc. ? 05 03-plex ? 11 10-plex ?9 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex , plbg_vor.2(?N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair 12r' 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg) -Give PCA handout to applicant Valuation !),,0a09 Occupancy MCES System CensusCode 434t Zoning CityWater SAC Units ? Stories Booster Pump # of Units O Sq. Ft. PRV # of Bldgs / Length Fire Sprinklered Type of Const 1//;( Width _ Footings (new bldg) _ Footings (deck) _ Footlngs(addiUon) Foundation Drain Tile Roof Ice & Water Final ? Fruning - Fireplace _ R.I. _ Air Test _ Final / Insulazion REQUIItED INSPECTIONS FinaUC.O. / FinaUNo C.O. Plumbing ? HVAC Other _ Pool _ Ftgs _ Air/Gas Tests Final _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: 6 P-Building Inspector Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Pertnit & Suroharge Treatment Plant License Search Copies Other Total ??6a? RESIDENTIAL BUII.DING Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?lag.aS? NewConsWCtlonReauirements RemodeUReoairReuui2menls- OKaeUseOnlv 3 registered sile surveys shaxing sq. ft af lot sq. ft of house; and ?II roofed areas 2 mpies of plan Cert of Survey Recd ? (20% mazimum lot coverage allaxed) t set of Energy Calculations br heated addNOns Tree Pres Plan Recd 2 mpies of plan showmg beam 8 window sizes; poured found design, etc. 1 site suney for addilions & dedcs Tree Pres Not Reqd isetofEnergyCalculations Add'Aion - irMiceteifonsifesepficsysfem _On-siteSepticSystem 3 copies of Tree P2servation Plan'rf bt platted after 717193 Rim Joist Detail Oplions selection sheet (bidgs with 3 or less uniGs Date 3 / 3 1 / v S Fl (4'?.7 Construction Cost Site Address ?-{ (p n '7 S f GL ?k r cJo 1\ s d Y{'? - Unit/Ste # 4 ? L ' Description oF Work 0 _ " r-L 1 !9_0 Multi-Family Bldg _ Y-'0 N Fireplace(s) _ 0 _ 1 _ 2 O P t s G D' '-f ` I' 5? " hone #(?S Tele roper waer y t U v1 1 CY Y ( p ?V contractor R(CWC R(Z()EM & Sn = M Address 183 CLEVTLAM AV E. $E, City State C+roN* MN 55142 Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential VentilaUon Category t Wwtcsheet • New Energy Code Worksheet (Jsubmissiontype) Submitted SubmiUed ' • Energy Envelope Calculations Submitted Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # Telephone #( Telephone # ( ?- 1': APR 0 1??003 I hereby apply for a Residential Building Permit and acknowledge that the informatj.,on is comp ete and ? that the work will be in conformance with the ordinances and codes of the City of Eagan and the State Statutes; I understand this is not a permit, but only an application for a permit, an ?,iWerlc-is-not-ia-start -v permit; that the work will be in accordance with the approved plan in the c of work which requires a rei approval of plans. &4 ; I w Lo ?wl c-(c-,,V? Applicant's Printe ame ApplicanYs ignatur NN and OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plhg_v or _ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding ? 32 Additlon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Remof ? 46 WindowslDoors 0 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units 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) FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVpC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final _ Fratning _ _ Siding Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total 5 3 a? o RESIDENTIAL BUILDINCP RMIT APPLICATION GTY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 I New ConstruMion Reouirements • 3 registered sde survays showrzig sq. ft. of lot, sq. ft. of house; and all roofetl areas (20% mazimum lot coverage allowed) . 2 copies ot plan showing heam 8 windaw s¢es, paured found desgn, etc.) • 7 sel of Eneryy Calculations • 3 copies af Tree Preservation Plan if lot platted after 7A193 • Rim Joist Delail Options selection sheet (hldgs with 3 or less unils) DATE - 211 7/C? Z- _ Water Softener _ Watcr Heater _ No. of Baths ? J !l f'I VP MULTI-FAMILY BLDG _Y N SITE ADDRESS ??v7J?" / d/'k???r ?JGP n TYPE OF WORK 'I?.W ?, iclL 00FIREPLACE(S) _ 0_ 1_ 2 APPLICANT STREET ADD TELEPHONE #W 25?g NG?j CELL PHONE # PROPERTY OWN FAX # TELEPHONE #9 "I 7' S? J 3_ ------------------------------------------- ------------------- ------------- -------°----------- COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ yIINA'F:SOTA RUL&S 7670 CATLGORY 1 MINNFSOTA RULES 7672 (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Energy Code Worksheel Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: _ Plumbing systecn includes: Mechanical Contractor: vlechanical system includes: Sewer/Water Confractor: Air Conditioning _ Heat Recovery System I'ee: $90.00 I p I? ? Phone # 1U1 1 7 i hereby acknowledge thai I have read this application, state that ihe information with ail applicable State of Minnesota StatuTes and City of Eagan Orjjn?c s. Stgnafure of Applicant OFFICE USE ONLY RemodellRenair Reauirements • 2 copies of plan • t set of Energy Calculations forheated additions . 1 sAe survey tor exterior adtlitions 8 decks • Indiwteifhomeservedbysaplicsystemfaradditians VALUATION 77 ?? Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 02 SF Owelling ? 03 01 af _ plex ? 04 02-plex ? 05 03-plex ? 06 04plex ? 07 OS-plex O 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 OS-plex ? 18 Deck ? 11 10-plex ? 19 LowerLevel ? 12 12-plex Plbg_Y or _ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch(screened) ? 24 Storm Damage 0 25 Miscellaneous ? 30 Accessory Bldg ? 31 EM. Alt- Multi ? 33 Ext. Alt - SF ? 36 Multi ? 31 New ? 35 Int Impravement ? 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 Occupancy MC/ES System Census Code Zoning Ciry Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Foorings (new bldg) FinaUC.O. _ Footings(deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice& Water _ Final _ Pool _ Ftgs Air/Gas Tests Final _ Framing _ _ Sidmg Stucco Stone _ _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insularion _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector 1985 BUILDING PERNIT APPL2CATIDN - CITY OF FAi NO?E: ALL CONTRACTORS MUST BE LICENSED HITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTZFZCATES OF SURVEY 1 SET OF ENERGY CALCULATIONS IID?q?o. To Be Used For: Valuation: Date: Site Address: ??p1 f Qn-*- V 1?7y ? OFFICE USE ONLY Lot: -4 Block ? Sect/Sub /= E ect X Occupancy r2-3 Remodel V Zoning ?-l Parcel ll Repair , Type of Const _--\-L Enlarge ll of Stories Owner Move _ Length _64 Demolish ? Depth 130 Address Grade Sq Ft City/Zip Code ---------------------------------- Contractor 7? Address City/Zip Code Phone 0 Arch./Engr Address Phone S V) APPROVALS Assessments Permit Water/Sewer 5urcharge Police Plan Review Fire SAC Engr Water Conn Planner Water Meter Council Road Unit Bldg OffS lElf SParks APC rT ' Treatment Variance TO'IAI. av 55• - 5 25 . °-• 2G5o. °-° P1 1 2 ?- ? V ? I5T X. 20 = 420 K sy- = 22Cao q?5 ?( qf, ' (D?So ?-54-? 351 00 S? (p 24 x 2-?' = I S X 28 9 Zo r 41 1?22v 2r0 X 2,C? "6 1 o l? Q(- Z1116 , (Dlo,S 2_ CITY OF BUILDINfi DEPARTMENT ' EXTERIOR ENVII,OPE AVERA(3E "Uti C0I4PUTATION • (To be submitted with building permit application) One or Two Family Dwelling ,4-_ Owner All Other et+e e,?,?,.oee Contractor PcyELOF-I2S 8onvST. TwC . z156, sd4-r 2 - STaRY LINEAL FEET OF -r EXPOSED 1',IALL SF-E "lt,om SHEET?? 0?AQUE WI:LL COP:STRU7TIO17: "U" Value x Area Detail - AkgwE flUff • 0¢3 x S2. ref'erence r'D?C' tiU" '098 x SQ. from "Ull 104D x SQ. attached "Ull x S@. sheets lUn x SQ. 'NINDOWS: "Ull Value x Area Date Pho n@ fte above grade = & TOTAL E}L°OSED dYALL ARr^,A SQ. FT. FT. 3S•2= t3•oS(U)(A) FT. .2.0= 7•9 (U) (A) FT. _ (U) (4) FT. - (U)(A) FT. - (U)(A) FT. 6? 5°.9g- 113.99 (v)(n) Make & TYPe JNSVL• CSN1?7 'lUn • Sl x SQ. FT. 241•50 = /Z3AO (U) (A) nUn x SQ. FT. _ (U)(A) ° n etUu x SQ. FT. - (U)(A) n ° nUv X SQ. FT. _ (U)(A) DOORS: "Ull Value x Area :<I"e & Type _47L. INSVL. flUll .IT x SQ, u n --PA"I70 nUn x SR. upll X SQ ' _ nU? x SQ. ToTats 349S.4z sQ. AVERA(3E "Ull TOTAI, (U) (A) VALUES Zqg (Dq _ DIVIDLD BY TOTAL S?ALL AREA ,?? AVERACiE "Ult e9)0 r lesa for 1&2 family dwe111nge ROOF/CEILIN(3: TOTAL AREA: IZ4(Q FT. _ (U) (A) FT. _ (U) (A) r'T. Z98. ?9 (v)(n) Detail reference IVUlt •02./ x SQ. FT. /Z4? = Z?(U)(A) from nUu x SQ. FT. . (U)(A) attached sheeta. liUll x SQ. FT. _ (U)(A) Describe ouenings flUff x $Q. FT. - (U)(A) in roof. flIIff x SQ. FT. - (U)(A) TOTAI, (U)(A) VALUES DIVIDED BY Z? = l.4j TT?t Zv/(oCU?> AVERAGE °Ull , 25 for ventileted roofs. FT. 7]•00 =10•70 (U)(A) TOTAL R00F/CEII,IYdCi ?EA f ze?.(p • OL? FT. 2?00 = I?i (U)(A) ,. I' 041RK SdEET ?? 6gov-s' ?XPcz? G7Aric- q-+3¢ 4- ZS*l S) = x, Z72 .?Z. 9,svX ?24t?+lQ-) = s89.oo S.oo ,c ss = 4?¢. o0 g.ov x(,8+7) _ I Zo. ov tZ. ?- CoAx. . &7 X ?SStSS?Z8+18? = 1/S. z4 $,?X ?gt?, - !20•00 L ?S • z4- ? L9 x?sT .83X (68+68+Z6+78t¢?= 199•Lo? WiNAows ZSxI(o= 3•1 X 1= 3•l0 1lox 3l0= 4•v X I _ /Io.oo ZoK 3fo= S•a X I= S•oo to x 40 L &•7 X 40• zo Zox roo = 8•4 x s= W•z o t9'X 3& _ (0'0 )( t= fo .OD t4X48= 8-0 X Z= /(o•oo Z4 X4t = ?•o X.1 = ZS•oo Z4xbd= !o•oo x?- loo.vo Z41. sv ? A?Xs sn.. wJI sc. srf- SEA Z?- 5u • Sm (v° PATI0 = 3s,oo = zl•oo = Zl.ov 12,00 f 19.00 ? ,Fp G1?ou.. Ec?vALS 1Le-T ?ffb? ?-? Z&x. zJ = s?{p /3X z8= 3l04149 t4 = 33(v ------------- l? ZQ?p.00 ? &RoSS WRU- 3,445. 9 Z ?Eyf CoNC. 235.2¢ ?r ??/?/ lY9•Lo ?, w?s z41•so -'794.9¢ ?, Doo?2S lr9.oo ?-- z, 650.98 ? --WALL SECTIOS-- Determ3ning "Ull valuea at Roof$ Wallp Rim, and Conc. Block ROOF/CEILIAIG (R) VALUE 1.) Interior Air r'ilm 0.61 z.) 5/81, Gyp. sd. .56 3.) Inaulation If oo 4.) 5.) Exterior Air Film .61 (STILL) nIIn = 1/R= .OLI tOTAL (R)=4S.7S yALL (R) VALUE 6.) Interior Air Film 0,68 7.) 1" Gyp. Bd. .45 8.) Insulation (q.Do 9.) Z`-?3zN $vrc7- I?rTE Z• 04 10.) Masanite Sidin6 .07 11.) Exterior Air Film .17 ,lUll = 1/R= . 0¢3 TOTAL ? (R)=Z3.oj RIM (R) VALUE 72.) Interior Air Film 13.) Insulation 14.) 2" Fir Rim Joist 15.) Ls/?zr avwr-P,rt?E 16.) Masonite Siding 170) Exterior Air Film 0.68 l9•vo 1.88 Z.? .17 nUn = 1/R' .04Q TOTAL (R)=2j.44 ? FOUNDATION (R) VALUE 18.) Iaterior Air Film 0.68 19.) 20.) 21,) 12" Concrete Block 1.28 22.) RWb lNSww? • g.oo 23.) Exterior Air Film .17 nlTn c 1/R= ..?- TOTAL (R)= I0.13 ?- +---- .? ? i 2/84 CITY OF EAGAN 7 APPLICATIGN FOR PERiMIT SEWE R AND/OR WATER CONNECTION (PLEASE PRINi) 1) PROPERT?' ADDRESS: ? 7-S rFraI, DESG2IP'?'ICV: !5? (LOt/Slo ..ubdivisicn or a;t Parcel I.D. Ntsr,>er) 5I'RL'CM?E, DAT' 0F CRT_GMAL riiII.DI::G :=,= ISSZ?;?_NC:: PP?SLT ,,:':7Iiv?:/F?OPOS? IIS: ? R-1 SZ=- F?MSL'i ? ? R-2 C'JP= (Z•.:'O L'iNII:S) ? R-3 ^.C7.^.?CCIcE (?g'D.^ + L=ITS) ( Wi I^_S) ? R-4 C'i•rrr:Ii.?i ( ? U.,'I_'S) ?.-.r ? ? CC?.?SERCL?I./RL;nAZL'Cr"FT_C:: ? ?Cr:s7.RT-A.i, ? L`:STI:L'TIO`LAL./GG"'=V.=T 2) p,P?Z.I= IPLEASc PRIIi!) NAi•SE: C0 .e ? e?.I e? n, r n=1f?e+I I s- Lz? , T _ ADoREsS: C=, SUa-E, ZzP: PFoN.E: ?. s q_ G Y 9 c? 3) p??BER (PLEASE PHINI) FOR CITY USE 04LY y? li 1 n l x k (JT bL PDDRESS: rj //C ` ?• i? ? , 'fr? PLUHBERS LICEYSE: ? Active CITY, STATE, ZIP: 7/?l T k N?' H? ?? y? ? S3 ( t-r - 0 Ez ir. PHO?IEa U 7? ?fHai;r. -Lj u PLIIMBER LICENSE N?? 7JV No ecord 47 0CC[JP7uN7T/C!NTIER NAME. o lrLcaat YN1NI) / ADDRESS: ? CITY, STATr-, ZIP: PfiC}:IE: 5) INDIGCI'E Wl-IZCH PEFIIIIT IS BEItiG RDQUESTID; ? COz;NFC.TION 'ICJ CITY Saim ? CO:.TIECPIC;] TO CZT1' ;VATER ? di[IEf2 (PLT'.A.,E DF_SCRIBE) 6) INDIG,:. C2:E: ? PI: 1SE-F!OID-RPPROVFD PER'^ST FOR-PICi:-L'P BY ONE OF AP,OVE ? °LF1+S'E b1AIL APP?,OVID PEF:LIT TO 1, 2. 3, 4 FaBCNE (Circle one) 7) DATE: S-D '- ""?? i F 0 R PE°MIT " TSSUED vv?s: g fl-zv C I T Y U S E ON;,Y -? $ 5 $ `? ? ?U Ci - ?`er g S C a S $ S . $ $ $ U (_? ? SL.':LR TJC?\1T'^ ( _ I_ ..i.... \ I?;, ?^ JURC:.l?GLJ WATEi2 PERDtZT ( ILICiuDE SuRCF?ARGc) WATER METER/CO PPERHORN /OUTSIDE REnDER WATER TAP (INC LUDE COR PORATZQV STOP) SE:dER TA? ACCCUVT D°POSZT - S•7AT°3 wac SPC TRU`IiC WAT°R ASSGSS.'SFi:T TRli:7K Sc.:'iER caSSESJ.•1F\lT Li,:EP,AL BED;EFIT/T3UVK SE'.= Fc L1aTERtIL BEVEFZT/TRUNIK WATz'R WATER TREATMENT PLA\TT SURCHARGE OTHER: TOTAL Ati1OLNT PAID;'REC°IPT ; ? f?-,r, G DOES UTZLZTY CONNECTION REQUIP,E EXCAVATION IN PUBLIC RIGHT OF WAY? ?YES% IF YES, THEN e't "PERPIIT FOR TAORK WITH'1N PUBLZC ROADWAY" MUST BE ZSSUED BY THE ?J NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUEJECT TO THE FOLLOWIDIG CONDITIONS: APPROVED BY: ? TZ.LE: DAT_°: mqqp?mva?w w wswsAq wc? Ot IM 044MM Maa wE = M W?PW w40 WW it sr ? M RESIDENTIAL BUIELDING Permit Application ? I City Of Eagan `? (?j C3 (j (o C) (1 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWCtion Reauirements RemodeVReoair Reauirements Ofice Use Onlv 3 registered site surveys shaxirig sq. fL of lot, sq. R of house; and all roofed areas 2 copies of plan CeA of Survey Reoi Y_ N (20%maximum bt coverege allowed) i setof Eneyy Calalations for heated additions Tree Pres Plan Real _ Y_ N 2 copies of plan showirg beam & window sizes; poured found design, etc. 1 site survey for additrons & decks Tree Pres Reqd _ Y_ N 1 sef of Eneigy CalculaEons Additbm md7cafe iton-site sepfic system On-site Septic System _ Y_ N 3 copies of Tree Preservatian Plan "rf lot platted after 7/1193 Rim Joist Delail Optians selectlon sheet (bidgs wllh 3 orless units Date Site Address V(pr/S PqV'K/'42 Construction Cost o1Q70 ? Vo.P UnitlSte # Description of Work f/ aJ?q?1Q _ZJU${7;i l Multi-Family Bldg _ Y_V?N Fireplace(s) _ 0 t- 1 _ 2 PropertyOwner "X7O H '?7vIYIDnJd • Telephone #(($/ ) 994 - 8'a! 3 Contractor ( n 6J kbllPA At tC, ' Address ;21a10 E-LnrJ Rt State '(h W?; t5c?i-n )G City Zip gsUZtl Telephone #((,?,4 )?JL, O-lnri 2 2- COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672 Energy Code CategOry . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet (4 submission type) Submitted Submitted . Energy Envelope Calculatlons Submitted Have you previously constructed a building in Eagan with a similar pian2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone I(D J Te epo7, R 4 p?; Telephone IVY- m I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. ApplicanYs Printed Name licant's ignat e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 70-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous Work Types ? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Founda5on) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Daars ? 34 ReplaCement •Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings(new bldg) FinallC.O. _ Foorings(deck) FinallNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Ftaming _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement) _ Insulation _ _ Retaining Wall 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 Building Inspector 2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION City Of Eagan / t+ I3830 Pilot Knob Road, Eagan MN 55122 lo q Telephone # 651-675-5675 4 Please complete for: single faituly dwellings & townhomes/condos when permits are requircd for each unit `3 3cl) .s-6 Date y / C! y Site Address CI C1P C) f`?ue Unit # ? Property Owner ? C L'ii-} °l- n) 1f1'? e-, Telephone # ( (C ? ? ) ? ? ? - ? %? 13 Contractor ? Controlled Air ? Heating & Air Conditiomng ? Street Addres? Ventilatron aud Fueplaces Ci?, ? 212 10 Eaton Ave. Farmmgtoo MN, 55024 I 651-460-6022 Fax 651-460-6276 State Telephonelf ( ) µ,?? .wntrolledaie net ? --- ---- - -- J Bond #: Expires: The Applicant is _ Owner Contractor _ Other Add-On or alteration to existing dwelling unit $ 30.00 / t ? f Additi l JR l acemen urnace _ ona ep air exchanger / ? airconditioner _New / Replacement other State Surcharge $ 50 T°rai APR 3 0 200 J. I hereby apply for a Residential Mechanical Permit and acknowledge that the informati o? s compCete and accurate that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a per[nit, hut only an applicarion for a pernvt, and work is not to start without a permit that the work will be in accordance with [he approved plan in the case of work which requires a review and approval of plans. ? lr* zFQ.?1 App icant's Printed Name Applicant's Signature ? 2004 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for. commercial/indusVial buildings mulp-family buildings when separaze permits aze not rcquued for each dwelling unit Date Site Street Address Unit # Tenant Name (if app6cable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip Telephone # ( ) Bond #• Expires: The Applicant is _ Owner _ Contractor _ Other Work Type New Construction _ Underground Tank _ Install _Remove *`see below Interior Improvement _ Install Piping _ Processed _Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector P01'iWC F¢¢5: $70.50 UndererounA tank installation/remnval $50.50 Mirsimum (includes State Surchargc) or ContractValue $ x 1% _ $ PermitFee • If pemut fee is SI,000 or less, add $.50 ? $ State Surcharge If peraut fee is over $1,000, add $.50 for every $1,000 en rmit fee $ Total Fee I herehy apply for a Commercial Mechamcal Pemu[ and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand dris 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 requues a review and approval of plans. Applicant's Printed Name Applicant's Signature Approved By: ,Inspector -3-0 ? Gg ?f. 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 ?-?-0 , QT ( aCW 9?/16_ 4411 New Construdion Reauiremenls RemodellReoair Reauiremenls Offa lke6nfd 3 registered site surveys showing sq. H of lot, sq. fl of house, and all roofed areas 2 capies of plan Cer! of 3urvey Recd " .. Y','? N (20°6 maximum lol coverage allowed) 1 sel o( Energy Calculations for heated eddifions Iree PteS PIo Recd ' Y??_ Rl. 2 copies of plan showing beam 8 window sizes, poured found design, etc. 1 stla survey for adddions & decks 'freePree ReqUired % ,,,,Y -N 1 set of Energy Calculahons Add'Aion - mdicafe if orhsAe septic system 9"ile SepGc Syste(n ' _Y _ N 3 copies of Tree Preservation Plan d lot platted afler 711/93 Rim Joist Delail OpUons seleclion sheet (buildings with 3 or less unds) Date 7-l 1/ 105 Construction Cost C (7)00 Site Address y[., 75- ?,>• UniUSte # Description of Wark n Vr?L W/T? S ,? s Multi-Family Bldg _ Y-i.K N Fireplace(s) _ 0 _ 1 _ 2 PropertyOwner SceW ,?G1rno,?d Telephone#(e,_- )gq?/??d2/.3 Contractor VLc. Address ? c / / ?? City 27-7°G'Q ,0 State 719 Zip .S? /.2.3 Telephone #(6 S/) a95-3Y?Z COMPLETE THIS AREA ONLY IF Energy Code Category Minnesota Rules 7670 Cateeorv 1 _ . Residential Ventilation Category 1 Worksheet (J submission type) submitted • Energy Envelope Calculations Submitted A NEW BUILDING Minnesota Rules 7672 . New Energy Code Worksheet Submitted In the last 12 monihs, has the City of Eagan issued a permit for a similar plan based on a master _ Y _ N If yes, date and address of master plan: V Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( Telephone #( ? I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; t t t e work will be in accordance with the approve an in the case of work which requires a review and approva f ans. ? ?,? Applicant's rinted Name Appli anYs Signature OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 04 02-plex ? 10 08-plex ;,"( 18 Deck ? 23 Porch (screen/gazebo) ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ?( i ? 32 Add'Rion ? 33 Alteration ? 34 Replacement valuation 2. Dc.v v Plan Review 100% or. Census Code L?/ SAC Units # of Units # of Bldgs Type of Const ./a Footings (new bidg) 7,??' Footings (deck) _ FooUngs (addition) Foundation Drain Tile Roof Ice & Water Final _ Framing - _ Fireplace _ R.I. _ Air Test _ Final Insulation Width REQUIItED INSPEC'I'IONS FinaUC.O. FinaUNo C.O. _ Plumbing HVAC Othcr _ Pool _ Ftgs _ Air/Gas Tests Finai _ Siding _ Stucco _ Stone _ Brick _ Windows _ Retaining Wall Approved By: Building Inspector 8ase Fee Suroharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? -t ? 30 Accessory Bldg ? 31 Ext.Alt -Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building* ? 43 Reroof ? 48 Windows/Doors 'Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System 25% Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinkiered fo f'?q - ,,... u . . Developerb c;ongtructlon, Inc, , iioi cisrr aoaa , Burnnville, Minn, 55337 DELM/8R H. SCHWANZ LANOSURVEVOR 5,` {U[ Raqistewp Vntler Laws o/ The State of Minnesola 4978 - IABTH STREET W. - BOX M ROSEMOUNT, MINNESOTA 56088 Q?'? ,6 SURVEVOR'SCERTIFICATE (6? a;P ?I^O ' ? pNb Scale: 1 inch - 30 feet ()P? =1?c•y ? An p0 o g^? p Denotes iron monument F'?? yq.D 3 99S•? ? o A^w Propoaed ? House ? n, barncw ? 06. 9 ro//u,B S Y .,% 0 98f, 09 s.c T?? NNB ? L ? t ? ? • ??? s. ? ? ? + , r y: 4 a. i 7 ? 17 1 \ '. N89- sv-v7E 1,9v.8/ I hsreby certify tha.t thia ie a true and correot representation o1,' Lot 8, Block 3, p9l?iCCLIP'F 21dD pDllT']'ION, according to the recorded plat thereof, Dakot:i County, Nflnneeota. ; A1eo ehowing the location of a propose@ houae an staked thereon, i Dated : TAay 14, 1985 ? ,u ? y y? ?i:, ? MINNESO7AIREGIS ATION NO 8615 y./ l? o\ tib \\ a 11. LQ -r `. ., .i ' r. i PHONE 812 423-1769 ? Denotes set wood huh O Denotee proposed elevatior.'? 976•ZDenotes existing elevatior `: r1 ??'• S4' tfooNwB . ? a \rn y 8 Proposed garage floor elevation 9?(? f-- -- - - ? if ?i \\ / \ \ \ V Drainage and Utility Ease;nant a ? 6 ? ? G -C ..... ..... Developerc.c;onetructlon, Inc, ., 1101 Cliff Road ? Burnsville, Minn, 55337 ? DELMAR H. SCNWAIVZ - LANDSVRVEVOP S, `0(- ' RaqitlenC V nGer Law1 0/ TM Stab of Mibnesob 2978- 146Tl1 STREET W. - BOX M ROSEMOUNT, MINNESOTA 66089 SURVEVOR'S CERTIFICATE (2-?D/ o _ )- O Dcnotee aet wood hub 976•ZDenotee existing elevatior Scale: 1 inch - 30 Peet O I3enotes proposed elevation; . o Danutea iron monument ?. Pp' ` 34 a? 13 ? 1 ? b 9BS•? ? q,?y' Prop ed Ho e / A ? e T6. q a? ?`?,.ry? ? ??8 S y ? 0 o• q • /? \ ?9Bf. oq s TD?•??e , z ? ? ? ? N8 ?D -r h V . \ ? ? r1 ??. 34 r fq° NK6 ? ,. f ? Propoeed garage floor elevation ?----'- . (-PqcfoS?? d•-?-? , i ??. .? i PHONE 81$ 923-1769 ' .. 1 ? ; `. `. and Utility F,ase;nent \t \A? 1 ?? . NB?- s5/-v7E i,q'/.8/ S hereby certify thait thio is a trua and correot representation ai Lot 8, Bloek 3, PO???CLIFF 2ND ppllY7.'Ib1V, according to the recorded plat thereof, Dakota County, M1nneuota. A1mo showing the location of a propoeed houae ars staked thereon, ; I Dated: Ma.y 14, 1985 ' fd y I. ? MINNESOTA REGIS ATION NO 86?5 ,? 8 ? i ? G Z 'l. Use BLUE or BLACK Ink t I For Office Use Permit " City of Ea an I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 I Date Received: Phone: (651) 675-5675 j Fax: (651) 675-5694 I Staff: 2011 RESIDENTIAL ~PLUMBING MATT APPLICATION Date: Site Address: Tenant: /Suite RESIDENT/OWNER Name: Phone: Address / City / Zip: / ('f/ CONTRACTOR Name: License Address: City: State: Zip: Phone: Contact: / Email: TYPE OF WORK _ New Replacement _ Repair _ Rebuild - Modify Space _ Work in R.O.W. Description of work: PERMIT TYPE RES/DFAI-TIAL Water Heater Water Softener Lawn Irrigation RPZ PVB) Add Plumbing Fixtures Main Lower Level) Septic System Water Turnaround _ New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnarounds (includes $5.00 State Surcharge) *Water Turnaround (add $166.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; t I and rs d s not a per it, but only an application for a permit, and wo ow- rk is not to41 start without apermit; that the work will be in accor n wi plan in th se of work which requires a review and approval W., X hwu),L6 X Applic ant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final VAPOR BARRIER MUST BE INSTALLED ON THE WARM SIDE OF ALL WALLS AND ATTIC CEILING. A FOUNDATION WALL MOISTURE BARRIER IS REQUIRED BETWEEN INSULATION AND FOUNDATION WALL FROM F OOR TO GRADE. ®LL, v d ®w 0 CL o ,w CO wo `Iv u s rilwI L)C(f / / V ILLUMINATION IN OF THE TOP LANDING. SHALL BE PROVIDED WIT HS THE IMMEDIATE VICINITY j3' ,, -rorA -15a 0 0 r ENCLOSED USABLE SPACE UNDER STAIRS MUST BE ENTIRLY FINISHED WITH GYPSUM BOARD OkAAN'k oftiA r, Urge DETECTORS REQUIRED ON AL. LEVELS OF THE HCU rE IN All SLEEPIAG ROOMS. ON LEVE .} CONTAINING SLEEPING AREAS. CENTRA IMAM MAME DETECTORS IM HALLIIeNI!- rt Lbw t O� REVIEWED BY DATE or" BUILDING INSPECTIONS DEPT.,