4720 Pebble Beach Way.. . CITI( OF EAGAN
3830 Pilot Knob Road
v Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
ir?lit4lAi iltl l'. sko
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE: 1,41
Permit Number: ?, • r,4» 3
Date Issued: y"+ 1 1Ij / y
1.01, i HI{If
F:I p, Ji 41AY
APPLICANT:
TYPE OF WORK:
INSPECTION .. . ..
RF MARK'-.' '.; he l.l I'1 Iik - 17 1: I'1 N(i 111113', f!' ft Pl?PII
I
? -
Permit No. Permit Nolder Date Telephone #
S/W
PLUMBING ? y
HVAC R
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation ? 4.
Framing <- ' 7 n
Roofing
Rough Plbg.
Rough Htg.
Isul. ??• / ? r"' ??-?/?? ?Ti; ?-/
Fireplace
Final Htg.
?
Orsat Test
Final Plbg.
1 /7 Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
J
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
. . '" i
? •.r . ?t„
W"tificate vf cccuoanc4
crov of ftesm
?? ? sow"g 311118"dim
This Certificate issrud pursuant w the requircments of tlu Uniform Building Code
certifying that at the time of issuance this strurtune was in cornpliance with the variaus
orrlinartces of the City r+egulating building constnwtion or use. For the fallowing:
SF DWG 2U'i83
u? c????: s? ? No.
OCCUP-CY Type R3/MI Zooft Dhaid RI rype CODSL VN
owoer oi Buitding SONS ORbT O0 Addmu 4600 FAIFUAY RaIS DR, EAf'1N
Addma 4720LE W" WAY Locaw L, , AMTAY
/7'Ing --r - i'
tow JULY.7; 14q3
.
suaffini_
P06T IN A C:ONSPICUOUS PLACE
8 rr
A 20 4
Request Oale
???-? ? Flre No. flough-i.spaction
Require NOTICE: You Must Call Eledrical Inspeclor
If A Rough-In Inspection
? Yes o Is Required.
IV licensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (SVeet, Box or e No.) City
Section No. Township Name or No. Range No. Counry
Occupent(PFINT) Phone No.
?7 Y
Pawer Supplier . Atltlress
Eleclrical ontraclor (Company Name) Conlractor5 License No
Mai/ling Atldress (Cantractor /orJ paner M?ak/ing Insta/i/l@tqn),/
Authonx ignaWre (COMrecto
dO?w/nf r M?king Installation)
01
Phone Number
MINNESOTA $TATE BOARD OF ELECTRICRV THIS INSPECTION REOUESi WILL NOT
Grlgga-Mltlway Bltlp. - Foam 5-173 BE ACCEPTED BYTHE STATE BOARD
1827 Universlty Ave., St. P9ul, MN 55104 UNLESS PROPER INSPECTION FEE IS
PhOm (612) 89241800 ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION
0 ? See instmctions for completing fiis lorm on back of yellow copy.
14,05024 "X"-Below Vb'ork Covered by This Request
EB-0/00J01-OB
....' // / ?
e Add Gtep. Type of Building AppliancesWired EquipmentWlred
Home Ranqe Temporary Service
Duplex Water Heater Eledric Heating
Apt. Builtling Dryer Load Management
Comm.llndustrial Furnace Other (Specify)
Farm < Air Conditioner
Ofher (speciy) ConiraIXor's flemarks:
Compute /nspection Fee Below:
# Other Fea # ServiceEntrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror5 Use Only: Tp7pL ?
Irriga[ion Booms
Special Inspecfion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspectot hereby Rouyn4n Date
certify that the above inspection has
been made. Rnai
OFFICE USE ONLY
This request void 18 monihs Imm
? co
Repue f oate Fire No. ou8 ' pection
pqy rqp?
? ReaEy Now ? WIII Notiry Inspenor
3-16-93 ? ?NO X WhanReady7
Ialicensed contractor ? owner hereby request inspection of above electrical work at:
Jo0 Atlerass Btreet. Box or Raute No., Ciry
4720 Pebble Beach Way Eagan
Section No. Township Nama or No. Renge No, Counry
Dakota
Occupanl(PRINT) Phone Na.
Sons Construction 452-5355
Power Supplier AtlEress
llakota Electric 4300 220 St, Farmington MN
Eleclncal Comraclor (COmpany Nama) CoNraMOrS License No.
Rmas Joos Electric Co. AM01895
Matling AOtlress (COnVactor or Owner Making Installation)
2104 Great Oaks Drive, Burnsville MN 55337
Authonzetl Slgnature ICOmraaa/Owner Making Inslallabon) Pnone Number
ja, 431-4755
MINNESOTA STATE BOARD OF ELECTNICITY r/ THIS INSPEGTION FEOUEST WILI NOT
Grlgga-MlGway Bldq. - Raam S-113 BE ACCEPTED BYTHE STATE BOARO
1821 Unlvarslly Ave.. SC Paul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phona(61P) e42-0800 ENCLOSED.
I 9 93
06003
REDUECTFOR ELECTRICAL INSPECTION
? See irFVUCnor7kir-completing this brm on beck ol yaliow copy.
"X" Below Work Covered by Thrs Request
EB-00001 8
??y f
ew Atld Rep. 7ypeoieuilding AppliancesWirad EquipmentWired
Home X Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Otheo-{Specity)
Comm./Industnal Furnace
Farm X Air Conditioner
Otner(syecity) ConVactork Ramerks:
Compufe Inspection Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 1 0 to 200 Amps 0 to 100 Amps
TranSformers Above 200 _ Amps _ Amps
Signs inspector§ use only: J TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY B ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, the Electrical Inspactor, herehy Ro?yn-m oaia
certify that ihe above inspection has
been made. Finai oaie
OFFICE USE ONLV
ihis reque5t v0itl 18 mOnths Irom r
Address 4720 rEaffi.E sEctt wnY Zip 5512 3
L.ot i Blk 3 Sub FnzFaan3t mus 3im
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: p? 4/gg Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Pennanent steps (main entry)
Permanent driveway
Permanent gas V/
Sod/Seeded grass rD
TraiUcurb damage
Porch
Basement finish
Deck
Please verif9 with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists. Contad engiueeting division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
?
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reauiremen4s
3 registered site surveys showing sq. tl. of lo[, sq. fl. of house; and all mofed areas
(20% maximum lot covarege allowed)
1 Soils Repon if proposed buiiding is to be placed on tlisWrbed soil
2 copies of plan showing beam & wintlow sizes; poured found design, etc.
t set of Energy Calculations
3 wpies of Tree Preservation Plan if lot platted aAer 711193
Rim Joist Delail Options selection sheet (buildifgs with 3 or less unils)
Mlnnegasco mechanical ventilatlon fortn
RemodellReoair Reouirements
2 copies of pian showing foatings, heams, joists
1 sel of Energy Calculations for heatad addifions
1 site survey foradditions 8 decks
Adddion - indicafe i! on-sife septic sysfem
V ?
Office Use Onlw
CeA W 5urvey Recd _ Y _ N
Soils Report _ Y _ N
Tree Pres Plan Recd _ Y _ N.
Tree Pres Required _ Y _ N
OnslteSepticSystem _Y _N
Date /2- //q/
SiteAddress y7a 0-7
v Pebb/e Construction Cost iJ 5DU
&aCh WC( l/ Unit/Ste #
DescriptionofWOrk t 'eolace q ?indowJ
Mul[i-Family Bldg _ YX N Fireplace(s) _ 0 _ 1 _ 2
Property Owner &I Q ra 0111 SM ( A6 Telephone # ( ) qS 2^ 7 S 7c?
Contractor
Address Z 7,] (
State / • / N (! ?.Pi??(? e L)/?.C City- d111C
Zip C cJJ11J Telephone # ( ) [? 6
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv ( Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet . New Energy Code Worksheet
(I submission type) Submitted Submitted
• Energy Ernelope Calculations Submitted
In the last 12 months, has the Cify of Eagan issued o permit for a similar plan based on o master plan?
_ Y _ N If yes, date and address of master pian:
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
SYatutes; I undexstand this is not a permit, but only an application for a permit, and work is not Yo start without a
permit; that the work will-be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
I e!I 6 Va,?t ? r?,?iY
Applicant's Printed Name Applicant's Signature
4 q 0 ,o
??
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewCOnsWctbn Reculrements
• 3 regislemd site surveys showing sq. ft ot lot, sq. fi. ot house; and all roofed areas
(20% martimum lot croverege allowed)
• 2 copies of plan showing beam 8 window s¢es; poured found design, etc.)
• 1 set of Energy Cakulafions
• 3 copies of Tree Preservation Plan if lot plalled a@er 711193
• Rim Joist Detail Optbns seiection sheet (bldgs with 3 or less units)
DATE 7/.,7 &, 16 ?-
SITE ADDRESS y7O? 0 loP
RemodeVReoair Reuuirements
. 2 copies of plan
. i set of Energy Calculatlons for heated additions
. i site survey for exlenor additions & decks
. Indipte'rf Ywme served by sepGc system for adtlitions
VALUATION
? e"I'f 1l
? 70 Sd. ?d
MULTI-FAMILY BLDG _ Y tV N
TYPE OF WORK /e e 2 U o(-PIREPLACE(5) _ 0_ 1_ 2
7 6 4' ?e gni t, F, ^? ?? "C -
APPLICANT 5'
STREET ADDRESS 3k "/6 - c:? O 5- 74Zl?) CITy /f,uclr? STATE m?) ZIP f 5,3d -T
TELEPHONE # ;76-3-a (?3 -&015 CELL PHONE #
PROPERTYOWNER ?6h-'.?e9d Sjn?f?
FAX #
TELEPHONE #
--------------------------------------- ------------- -------------^----------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULFS 7670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculatlons Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Meclianical sysCem includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fee: $70.00
---------------------------------------°--------------°°------------°-°------°-------------°-----°--°------------
I hereby acknowledge that I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
Slgnature of Applicanf FF' (ri?.F2 IFI UR PR n
-----__...._____--------------------°---------•_.__.._..?°-°----__.._________-'-__- I --------'---------°°'---T -
OFFICE USE ONLY i ' 2. 5 ?OQ2
?; _' W -
GeRificates of Survey Received _ Tree Preservation Plan Received _ No Required -
??'•'" _ . _ _, d 4f02
Water Softener _
Water Heater _
_ No. of Baths
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
_ Air Conclitioning
_ Heat Rccovery 5ystem
OFFICE USE ONLY
? Ot 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 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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 Addifion ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout ta applicant
Valuatlon 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 61dg) FinaVC.O.
_ Footings (deck) FinaUNo 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. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retauung Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
Ciry SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
t- ?W7
Reaulremenls
? 2 copiea o1 plan
2000 STORM DAMAGE PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
DATE: 10 I L_?z_ IOc)
CONSTRUCTION COST: ?
DESCRIPTION OF WORK: 1?'??? SY uG¢??c.? If multl-famlty bldg., how many units9
INDICA7E T FOII WING EAUIPPAENT TO BE REPLACED APfD BY WHOM:
vyor ba? Homeowner Q[ Conhactor Name
?
meehamlee4 _ Homeowner g[ Contractor Name .Tokin r?ind Iancl
5f?eelvv?.Pc
"Note: If somebody other ihan the homeowner fs performing plumbing or mechanicai work, they must apply foroppropriate
permit. Only Iicensed plumbing contractor or homeowner may complete plumbing work.
STREET ADDRESS:
LOT: BLOCK: 3_ SUBD./P.I.D. #:
Name: Phone #: `? ? ? - -7S / P-
PROPERTY Wst Flrst
OWNER Sfreet Addreu: q ?O GC/bKJlp 15f?W1 UlGt?l
c?ty 1?GL4.GVVt srare: zip:
Phone #: 10.7 I
(area code)
CONTRACTOR
Sheef Address:__ ?T _ U v
City
A V (/l,e/ License # bcp.
Sfate: Zip: ;J I ?J
R.CFIVED
OCT 17 ZO00
I ' Y?:
•J
I hereby acknowledge Mat 1 have read this applicafbn, sfate fhaf fhe Infortnafion is correcf, and agree to compty with all applicable State
of Minnesota Stalufes and Ciry of Eagan Ordinances.
Signafure of Applicant.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
L 0 l:: 1 F3 L 0 i' h: ::-t
1 720 FEtiL'LE BC:ACfi WAY SOIVS COPIS-f
I-I? I HWAY iiI l L S 3RU (612) 45"'-ri355
PERMIT SUBTYPE:
? r- DwG
TYPE OF WORK:
nrw
uu?t?? r!r
INSPECTION
FooTrNr .. .
"t3AMInr, .•
TNSULA7TON FIP!A L
; fl7r-f I.Nf.C - -
R[Ml1P,KS: S& W f3L3R - i? C PLOG BOC)STFR PUMP
1-
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(672) 681-4675
SITE ADDRESS: '
f%.I. P!. , 7.0 -25602--010 -03
DESCRIPTION:
PERMIT ? oo'zq s?
PERMITTYPE: Permit Number: 0 %0
Date Issued: C 3 J 1 6! S'
117 zm rErBi.t- 6EAc:,; WAv
L or? I B L 0 r1<: ;
I'flIFiWAY HI1, LS 3R0
Slcfzc:.q ni.it: 1>>pc 5F DWG
8 ui}dfng '!A.o r!-: Type NLI,J
U@C Ciqcup%triby R-3 M-1
CanEtrz+ci„iQ.t '?Ypa V--f?
?c?n9rg .. R-1
% Bua ldinq ! enqt-h ? u l
t?uildinq Wictt; 91
a '
??.
?
C
? s
?? i? ? i ?'',i?1._' ?:c ?.1?'.= ? ?• ?'y,
, ?. ?:? . ..., r..
REMARKS
- s r t..i P 1.r;R - t; c: ,- L.IS r, sio0s,e:? NuM p
FEE SUMMARY:
VAL.URTS:OiV
fias.3 fGc
P I a n F2 c._ .i e G.r
Suri- qe
5AC
SFlC
::iAl.: Uili.ts
:alabcr?tr":L
^"riBS,iS'N
i:Si7e20
°B5,F0
$i'64i.4'161
1GJ?
'?z,3 0 0 .rm
4 , (•) !!
CONTRACTOR: - A].i.ca?it= - sT. L
.`>ONS L"f)PJ3T1?52535Fi 4700,116
?0 91 1 rzi- r;sN Y oP.
E(ltifdiV i4P! 5 12 3
(G121 q5<f--3S5?,
?
WNER:
^_;OPI3 COMST CO
4 6 5 0 t" utaA aY ii i I i:- ".<
rr,G, HN NiN 5 s??? 31
(61.:?! 452_G365
T hEreisy ?ckncjwlpdqe t.hat, I ha!.+a reaJ lhi ; app lic? t;:;•i .in' s.F, .F: r!? •. :.li€•
irforFUaSlon is ecri i-oct r?nc ?:gr€r -a r:wilp ly w: a' iOppi .eal,t,. 51'Rttr'C2S artcl Ci'ty ot Eagan RrdinAncas. .
?
' APPLICANT/PERMITEE SIGNATURE
$a1, 1 ,(I rao
i+'1:l:SCEL1_A!VEr7U5
_1..o tu1 i"_..?
'r
SSUED 8 : SI NATURE
Rl c _
PE t ?r
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION $?? 0k,-2D
G°.??V,5 -19
MRR 1 i REGp
SINGLE & MULTI-FAMILY isets of plans 3,egistered site surveys(._,opy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed ar 3) lot change is requested once permit
is issued.
Date'3- // / / 2 5 Yaluation of work
Site Address: 3?- '1?? -P°??^?A _frU 1 7lrl
STREEi SU1TE #
Tenant Name: (commercial only)
IAT BLOCK _J SUBD?
? f
?
LG
3y P.I.D. k
/
'1'L?c. -
,
s
Descri tion of work:
The applicant is: ? Owner E'Contractor ? Other ioescr;eo>
Name so" S e_uA's 7? (fe, Phane
Property LAST F[RST
Owner qddress ?6ajl f-l?Oz ba-
STREET ? STE #
City fe_-- 42 c- State Zip?sJ2?
Company Phone
Contractor Address License # Of' Exp.'?"3/-93
City State ?iti.? Zip L3
' Company re. <- Phone 1-
Architect/
Engineer Name Registration #
Address b.-
City z`-GA? State Zip SS lL`3
Sewer & water licensed plumber 12 e P L+y?rs,s-r?.- . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read t is lication and state that the information is
correct and agree to compl ith p li a State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
9 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
? OS SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1.
WORK TYPE
V(31 New
? 32 Addition
? 33 Alterations
0 34 Repair
GENERAL INFORMATION
I't
11 Apt./Lodging ?
?
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
„ MR
?14as9mc+fi't Finish
? 1f Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneaus
? 37 Demolish
Const. (Actual) V- N Basement sq. ft. MWCC System `(i:5
(Altowable) V-N lst F1. sq. ft. City Water ?E:
UBC Occupancy lz- N,_? 2nd Fl. sq. ft. PRV itequired
Zoning ?-I Sq. Ft. total Booster Pump ??a??
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code /v/
Depth qb?,,= On-site sewage SAC Code ?
J?
?d-15N2 ?''"J?i`h I-
APPROVALS ??-
Planning Building Assessments
Engineering Variance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Oed.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units _L
vetuec;«,_ $ l, 00t7 `
GARAUF_;
'<?- k I p ? ?? o)
E'?SMT; ??..,14 0 X
;99
ZLf
5x ?3= ?s
s2K13? 156
I sT FLuo,z : ? Iq 4 x 15=
psrnT= e ty?t
?--?-
>>??x5y=
?ND ?4?ui2',
??6? X r?f=- Z45CJ
3i.33x 9
''?xF1_ ? 2y
_,? 12z., i.=
I 4m-? 1pf Zq 0
I"7,lbo
?3 U''IZ
n q. `1'au s?
2422 Enterprise Drive
* Mendota Heights, MN 55120
* PIONEER ' uNO suaVEmas • CINL ENqNEERS (612) 681-7914•Fax 681-9488
* engineering LAND PLANNERS • unoscAre nRa+iTEcis 625 Highway 10 Northeast
Blaine, MN 55434
? * ,* * 1(612) 783-1880•fax 783-1883
Certificate of Survey for. SOC1S Construction, If1C.
I
House Address: Pebble Beqch Way. Eagan. MN
/
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Ic3L2
EAGAN
??aT?? GoaTRq?TatiYu
y?e?ry A?L NodsED.?,?s?oas,
?oR ro '? oc7?nrJ
???T
'k,
BOOSTER PUMP
??????E'm"'
. 900.0 Denotes Existing Elevatlon pROPOSED HOUSE ELEVATION
. 900.o Denotes Proposed Elevation Lowest Floor Elevation:1036.45
--- Denotes Drainage & Utility Easement Top of Block flevation: t039.66
Denotes Drainage Flow Direction
-o-- Denotes Monument "Garage Slab Elevation;1039.33
--a- Denotes Offset Hub Beorings shown are assumed
'-LOT 1, BLGCK 3 FAIRWAY HILLS 3RD ADD.
DAKOTA COUNTY, MINNESOTA
I Aerahy eart8y that ehis survey, plan or report was prapered by me a undermy dlreet supervisfan andtheR I am duly Registrred tsnd Surveyw
under Ihe lews of tha State oT Mlnnewta. Derod this.&12t dey o1- FBB • q;p, 119cl_? ,
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?CIIISENT BT?1T14TQ
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0 /D • Legal descziption
0 ? 0 • llddrecs
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6? 0 • Street name
D D D • Driveway
ELE7ATIONB
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• Elevations of any existinq adjacent homes
4rooosed
0? D D • Garage floor
0? 0 0 • First floor
D' D
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D 0 • Property corners
? D D • Front and rear of bome at the loundation
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D Ca' D • xwL
0 8' 0 • xwL 0? G • Pond N desiqnation
D H' D • Emergency Overflov Elevation
aixExszoxs •
C?D D • Lot lines
?? 0 • Riqht-of-vay and street width (Lo back of eurb)
D?D p • Proposed home dimensions includinq any proposed decks,
ovezhangs greater than 21, porches, etc. (i.e. all
struetures sequiring permaneat iootings)
?" Q ? • Show all easements of record and any City utilities vithin
those easements
? D 0 • Setbacks of propoced structure and setback of adjacent
D existing homes •
?D • Retainin I1 r framents, if any
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I hereby certify that I have oonQleEed t3?sw.abWe; inl? ?+?R4?1t ?? wilh !ix
Minnesota State Energy Cade. . . ,.` : '• ' °
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Signature 3 - 3'
BCSD 3-89
C('!9Ai/6574 -
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PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMTTS ARE REQUIRED FOR EACH UNTf.
NEW CONSTRUCTION
ADD-UN A/C
ADD-ON FURNACE
DATE
FEES
HVAC: 0.100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OLTTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (EXISTTNG CONSTRUCTION) $ 15.00
STATE SURCHARGE
TOTAL ?S S6
SITE ADDRESS: q7 PD foe,3? 13F~1 Gt/,4Y
OWNER NAME: (f?Q-10 TELEPHONE #:
3 7S- 7yvk
INSTALLER:&_Ij?? ??rA -?-aNG jr-A(L
ADDRESS: '?I3a 3 f /- Y/" oUTE/ A f/. /?•
CITY: (;o /_ Dgi_? L)A L? rc Z" STATE: M/? ZIP CODE: S? Y?7
TELEPHONE #: sY_2-- ll 6 4 ? q?l ??93 ?1?/ ATURE
1993 MECHAMCAL PERMIT (RESIDENTIAL)
C1TY OF EAGAN
3830 PILOT KNOB RD
FAGAN MN 55122
(612) 6814675
1993 MECHANICAL PERMTf (COh1MERCIAL)
CITY OF EAGAN
3830 PII,OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE: $
1% OF CONTRACT FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF VERM1T FEE.
TOTAL $
STTE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMEN75 ONL1)
INSTALLER:
ADDRESS:
CITY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
MECHANICAL PERMTP (RESIDEIVTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMTI'S ARE REQUIRED FOR EACH UNIT.
X
NEW CONSTRUCTION
ADD-ON A/C -
ADD-ON FURNACE
DATE
F' S
6PAC: 0-100 M BTU $ 24.00
ADDTTIONAL SQ M BTU r-6:99-
WAS OUTLET'S (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTTNG CoNSTRUCi'[oN)
STATE SURCHARGE .50
TOTAL ?_?30' 2
SITE ADDRESSA /x f e
OWNER NAME: ( 0Y?'?TY UC7"IDn ' TELEPHONE #: 4'??2 f 55
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
ADDRESS: 14745 South Robert Trail
CTT'y; Rosemount STATE: MN ZIP CODE: 55068
T'ELEPHONE #: (612) 423-1144
0
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
NO. FIXT'URES
` ?i?v?STiA
C
3 LOSET
WATER
BATH TUB
? LAVATORY
_L KITCHEN SINK
? LAUNDRY TFtAY
HOT TUB/SPA
? WATER HEATER
FLOOR DRAIN
a GAS PIPING OLTTLET • minimum -1
3 ROUGH OPENINGS
WATER SOFTENER
PRIVATE DISP. • Da&LCry.lic.
U.G. SPRINKLER • Aomc undtt const-
ALTERATIONS • w ?cing
WATER TURN AROUND
STATESURCHARGE
TOTAL:
EACH TOTAL
3.00
3.00
3.00
3.00 ? -
3.00 -3. -
3.00 -3 , -
3.00
3.00 3. ?
3.00 .3 -
3.00
1.50 S?
5.00
15.00
3.00
15.00
15.00
.50
STI'E ADDRESS: 4720 Pebble Beach Wav
OWNER NAME: Sona Oonstruction
WSTALLER
R C Plumbing
ADDRESS: 5910 Lhester Ave
CTT'y; Northfield STATE: Mn ZIP CODE: 55057
PHONE #: ( 61) 461-2096
,?? \
SIGNA URE OF PER ITTEE??.a
J
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675 '
1993 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAIERCIAUINDUSTRIAL BUILDINGS. AISO FOR MULTI-
FAMILY BUI:.DINGS WHEN SEPARATE PERMTTS ARE NOT REQUII2ED FOR EACH
DWELLING Ui::T.
NEW CONSTRUCfION
"nD ON
REPAIR
WORK DESCRIPTION:
CONTRACT PRICE: $
FEE: 1°k OF COIv'TRACT FEE.
STATE SURCHARGE $.SO FOR EACH $1,000 OF PER7KYf FEE
MINIMUM FEE $ 25.00 "
CO11iTRACf PRICE X 1%
STATESURCHARGE
TOTAL
SIT'E ADDRESS:
TENANT
OWNER NAN4E:
IWSTALLER:
ADDRESS:
CITY:
PHONE #:
$
S
$
STE. #
STATE:
ZIP CODE:
FOR:
CIT'Y OF EAGAN APPLICANT
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132677
Date Issued:08/28/2015
Permit Category:ePermit
Site Address: 4720 Pebble Beach Way
Lot:1 Block: 3 Addition: Fairway Hills 3rd
PID:10-25602-03-010
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Carla J Smith
4720 Pebble Beach Way
Eagan MN 55123
(952) 380-7609
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
r
For Office Use
a 4 t s
'y + + E0' Permit#: j_--) qi / / (L
1 ::...%: :1:: E AGA N
Permit Fee: � 0
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinciinspectionst cityofeagan.com
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2-27-19 Site Address: 4720 peble beach way
Tenant: Suite#:
I
Resident/Owner Name: Phone:
Address/City/Zip: I
// 4f�(A t
mikes custom mechanical inc
Name: License#: tG 2 -t
3
Contractor Address: po box 171 City: Champlin
II mn . 55316 763-568-7148
State: Zip. Phone:
i Email:
Contact: amanda fisher amanda@mikescustommechanical.com
_l
Type of Work —New ✓ Replacement _Repair _Rebuild __Modify Space _Work in R.O.W. l
Description of work- kitchen remodel replace kitchen sink, faucet, and gas range
i Il Water Heater I
Lawn Irrigation ( RPZ/ PVB)
Water Softener
Description Add Plumbing Fixtures( Z Main/_Lower Level)
Septic System t'� v\S A C
Description: � cr��� '�C�� i
New 4
_Abandonment
Connection to City Water from Well l
RESIDENTIAL FEES I
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
( $60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
i $100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge) 1
$60.00 Connecting to City Water from Weil* +$290 for Meter and $190 for Radio Read =$540 I.
*Sewer&Water Permit also required for connection charges / , ` =�- I
TOTAL FEES$ i
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.orq
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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. r'
xAmanda Fisher/Mike's Custom Mechanical, Inc
Applicant's Printed Name Apire*P,-A---
ant's Signa ure
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