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4725 Pebble Beach Way'?rrqp 'i.s CASH RECEIPT ? . GITY OF EAGAN 3830 PILOT KNOB ROAD ^ EAGAN, MINNESOTA 55122 DATE ',j 19I I_ FIEcerveo ' ? - FnoM AMOUNT & DOLLARS loo D CASH 1?1 CHECK ? ? . ? r • .? sv f C13752 vabw-aose? cocy ? Phk-Fie Copy Thank You SEWER & W44TER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN 55122-1897 DATE ?,/24f9Z METER # CHIP # OFFICE USE ONLY METER SIZE ISSUE DATE PERMIT DATE ?,64?4% :I PERMIT # 12024 B.P. RECEIPT # ti 11752 B.P. RECEIPT DATE 1'2/C4/ 1 _ PRV % BOOSTER PUMP SITEADDRESS B@aCh 1"rEi3? LOT "?BLOCK SEC/SUB FA&r-wa3, Hj l 1:1 13rd APPUCANT: i''•trl:,..'1,? ADDRESS: 121E CIN, STATE S I - ZIP ? "' ? 77 PHONE: PLUMBER: ADDRESS: jo1m f?/1c?:?• ?ds ?[]/r-Y: i T r? r? (_ CITY,STATEf'!Q?:• ? ??? J ZIP `?K?3n PHONE: ER9 ' 41y 9 OWNER: <-AMr Q,S AK1(0k;JT' ADDRESS:_ CITY, STATE PHONE: - ZIP PERMIT REQUESTED !'-SEWER 'T?/VATER _ TAPS - COMM/IND '- - RESIDENTIAL 1-- NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Qeduct Meters. ?` - - I AC? eEE T,O'COMPLY CITY OF EAGAN,OF0IWANCE SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. CITY aF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 INSPECTIQN RECORD I Control No. ' PERMIT TYPE: Hi? l I R t No Permit Number: AAMr 1 h Date Issued: 03112197 SITE ADDRESS: Lor: y 13 1, r) C' t: 1 47?6 PI88LL' BEACH IaAY FAIRiJAY Hil.l.8 3R0 PERMIT SUBTYPE: UtCk - APPLICANT: NcoaMALn coMSt INc (617) 608-7061 TYPE OF WORK: ? PermR No. Permit Holder Date Telephone # S!W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Dete Insp. CommenTs Footings I Foundation Framing Rooting Rough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orsat Test Final Pibg. Plbg. Inspector-Notify Plumber Const. Meter Engr./Plan Bldg. Final Deck Ftg. L G v v(?? I'f'(//G% 7 ?1lSLrf/ ? Deck Final ? r. .Z weli Pr. Dlsp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: ; i ?A:, I rst AcN WA•r F?': I F?I lH i 111 I L'c? .iKCt 1 f, t,' 1 ti•dd Mf r!Ai r- N. I 1, i ri,l -1 PERMIT SUBTYPE: TYPE OF WORK: NfM! I•t ?:, I f f 1???i t IiA', ) Permit No. Permit Fiolder Date Telephone # S/W PLUMBING HVAC ELECTRIC ELECTRIC Inspectlon Date Insp. Comments Foolingsl Foundation Framing Poofing Rough Pibg. Rough Htg. Isul. Fireplaca Final Htg. Orsat Test Finai Pibg. Plbg. Inspector - Notify Plumber Const. Meter Engr./Plan Bltlg. Final Deck Ftg. Deck Final weli Pr. Disp. NYTl?'??RF . , .r. : . _ , o2.r.-..-1, ?rp•? . ?.r .--.--??+="?1Pl?° ? CITY OF EAGAN ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100 BUII.DING PERMIT for S! Receipt # Site Address 4725 PES= D?t,.?ACH YA1f Lot .9_ Block 1 Sec/Sub. FAIRWAY gILtS 32 Parcel No. W Name MCDDK?1.a CONSTQt1C?IdY 2nc ? Address 1212 3i.1]BSILL EAY YD 0 City BL1BKgVI1.I.E Phone 688-7061 Name V 4 Address it City Phone Address Clty _ Phone 1 hereby acknowlege that I have read this application and state that the inlormation is correct and agree to comply with all applicable State ol Minnesota Statutes and Ciry of Eagan Ordinvces. Signature ot Permitee A Building Permit is issued to: ?WOOMCD OMTRUCTIOh on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official '• , + ? OFFICE USE ONIY 1991_ Occupancy 8"3 JJL-j FEES Zoning R!'1 (Actual) Const -V2nN Bldg. Permit 773, (AJ1O1H8ble) Surcharge 69•00 # oi Stories Pl n qeview 502•? length a Deom sac. cry 100.00 S.F. Total - snc, Mcwcc 6??? S.F. Footprinls _ t C W 6?.oo On Site Sewage _ a er onn On Site well water Meter 93,00 MwCC System x City Water X ??• ?Posit ?•? PAV Required S/W Pertnit 30.? Booster Pump x glyy Surcharge .50 Trealment PI 276.oo APPROVALS qpad Unit 370+? Planner Council - Park Ded. Bldg.Otf. ^ _ Copies VarianCe - TOTAL 3,353, N2 19253 Permit No. . Permit Holder Date Telephone # WATER ???, - ? i ?? ?1l SEWER PIUMBING oI 90 c'-Jr 011 H.V.A.C. ? 7I? ?l TvU-?? ELECTRIC ? ?/ y/ cy? ? Inspeclion Date Ins . Comments Footings I 151l Foundation (o-J 3 f/ .6" Framing ? /cl_ ji J S Roo(ing Rough Plbg. 7-p X Rough Hlg. `l !; IsuL Fireplace 7//, ?/`' Final Htg. / Orstat Test Final Plbg. Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan Bldg. Final ?_ZL'7 pL Deck Rg. Deck Final Well Pr. Disp. (gtxfifxra#it of (Orrupury Cirp of (Eagari arpcr#meit# nf lrildittg jwrrtintc Thts CerG[frarte issualpursuwtt to the requirwnenLS oJSeciort 306 of the Uniforne Building Code aertifyixg thua at tJte lime of rssuance thissvuclure xws in complianae with the rariaus ordinanas ojlhe Crty negulaofng building c+onuructian or use Fvr !he following. u,e clald&zem SF DWG/GAR BW& Paoik Nm 19151 oww,,7 Tra R-3 H-1 z.,;?D6vja R-1 7*C,,.,e V_N ow= of owid;,s MCDONALD CONST Addmm 1212 SL-IFEBIL.1_ BAY Rn e„adAdd„m 4725 PEBBLE BEACH HAY..;ry L9- B1, FAIRWAY HII.i.S 3Rp p„C MARCH 20, 19 POST W A COPlSPICUOUS PLACE INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: .' •' ??; F1c' Eagan, Minnesota 55122-1897 Date Issusd: (612) 681-4675 SITE ADDRESS: tur APPLtCANT: •? ?;? ??? r ? t 1 HI:A(:N 6JAY fA t k i-1 A Y i it U ( b(.' > td 84 r. I N h . , PERMIT SUBTYPE: TYPE OF WORK: PI f 41 :( -1-ct: A S cINt 7 J ' FiF HAft F '.. qSf PAkA iF I'f irM 1 I ['; IZ} [ilt i F;h H f(1K ANY t t It: 1T 1 1.AI +?Mk? ELECTRI-_ PLUMBING Perrnit Ho;der -eiephnnrn --- HVAC Inspection Date Insp. Comments FOOTINGS_ FOUND FRAMING W ROOFING ROUGH PLUM8ING PLBG AIR TEST ROUGH HEATING GAS SVC TEST - INSUL n ? GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PIBG FINAL HTG ORSAT TEST 6LDG FINAL ~'$ BSMT R.I. BSMT FINAL DECK FfG DECK FINAL °,s SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knab Rd. ? Eagan, MN 55122-1897 DATE 9.55,? 2 U / 9 1 OFFICE USE ONLY METER # 4 9 73 PERMIT DATE 06/04/ 9l CHIP # n/.S? l° a a1? PERMIT # 12024 METER SIZE B.P. RECEIPT # C 13 752 ISSUEDATE?Z 91 B.P.RECEIPIDATE o6/o4/41 ._ PRV (? BOOSTER PUMP0,.,--X 8-1)' f/ SITE ADDRESS 4725 Pebb3e Beach way PERMIT REQUESTED' '?EWER _ WATER _ TRPS LOT r)...,,Q BLOCK ;11-SEC/SUB FBWtaay Hi 1 1 5 ilrd _ APPLICANT: ADDRESS: 1'2_ 1 Z_ 6' CITY, STATE !`•Jti Zip S$??-] PHONE: f; `i OL I - PLUMBER: ADDRESS: ??? ?`?ou,•??ds ??r_? Te rY A C t' CtTY, STATE MfJ ZIP 5 Sq2D PHONE: B2 4- N I?-I 9 OWNER: 'AME a S aaPi ca?Qr ADDRESS CITY, STATE ZIP PHONE: , PLEASE ALLOW TYYO WORKING DAYS FOR PROCESSING. CALL ' SEWER PERMITS, CONTACT ENGINEERING DEPT. COMM/IND 'fJEW `"rRESIDENTIAL EXISTING Lawn Sprinkler Meters are to be lnstalled Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for peduct Meters. ??/-?`-r?- C1TY OF ISSUED FOR STORM I I? I II U981 111111*111 REQUEST FOR ELECTRICAL INSPECTION Minnesota Stata Board of Electricity 1821 Universky Ave., Rm. S- 28 St. PaulMN 55704 .* 2 5 Phone (612) sa2-oeoo j?;j(o . Home up ec Apf. Bldg. Olher. New Addn Commercial Indushial Farm Remod Re air Air Cond. Htg. Equip. Woter Htr. Load Mgmt. Ofher: D er Ran e Elec. Heaf Tem . Service "X° above the work covered by this requesf. ?E?nter remarks in this space and on fhe back of the whife copy only. G.?(Qd f OK?",- Calculate Mspection Fee - This Inspection Request will not 6e accepfed without the mrtect fee: Other Fee ak $ervice EMrance $ize Fee Circvih/Feeders Fee Mobile Home Park Stall 0 to 200 Amps : o 100 Amps L $heet L}g./TraHic $ig. Above 200 Amps Amps bove-00 Transformer/Generafor INSPECTOH'SUSEONLY ? 70TA? s^ $ign/OuHine Ltg. X(mr. L 4 Alarm/Remote Confrol Swimming Pool I hereb cerM1 tMf I im eded tha eleanml' tion dev ' rein n ihe dates sMted B Irrigafion oom eouqh-in ?k ?c ?. $pe cialln spedion • "'? / InuaetyWwe Fee sv • ? F??ai ? ? THIS INSTALLATION MAY BE ORDERED DISCONNECTE P NOT COMPLETED WITHIN 18 MONTHS. 2 5 9- V T V '? PCEA E PRINT OR TYPE p?,C? OSE ONLY This reqoal void 18 manlhs irom volidoAOn dole pAnkd 3 a/?? Requssl0ah a_a3i 9? Roueh-in inspeclion reqwred2 ?Y ? No (Y°u must mll the inspeMr whm reodyi Inspecnon OMer Thon Rough.lre Q Raady Now ? Will Coll Date Ready li ensed contractor ? owner hereby request inspedion of Ihe abave elecfrical work at: Job Address (Slreet, Boa, Roum No.) ? ? Gry (_- CAV\l Zip Code Sedian No. Township Name or No. Range No. Firc No. Caunry S? bA ? ^ 11 1 ?o e 6?.?&.ncec S ?/'_?1 01_ Phane Na. 4'7 ? ? ?( Power Sopplier Pddrtss Elechicol Conhncror (Compony Nome) c tCA?, ConrtarJOr licenu No. C?s??19DJ Masbr lic No. (Plont EIeU- Only) Moiling Pddress (ConVOCro Owner PeAorming Inst lofi(onIl/? lanhorized Sigw m (Con r or Owner Performing Ins latio Phoiu N?oy. 2? l ?'J EB-00001A10 ' STATEB RUCOPY-SEEINSTRUCiION50NBACKOFYELLOWCOPY 11 _" d RE: DATE JUN 4, 1991 4725 PEBBLE BSACH WAY (MCDONALD CONS?RUCTION INC) x Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. _ Your Sewer & Water Permit for the above property cannot be completed for the following reasons: - Your Sewer & Water Permit for the above property has been completed, but tbe meter cannot be issued or occupancy allowed until further notice. - COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: ? e Be" Lot Blk Sec/Sub These items were/were not complete at the time of the final inspection. Yes No 3-za_gz Final grade (6" from siding) 11? Permanent steps - garage Ll_? Permanent steps - main entry ? Permanent driveway ? Permanent gas Sod/seeded grass Trail/curb damage Porch ? Basement finish ? Deck ? {? f h0 GO ?2 Please varify vith the builder tha removal of roof test caps from the plumbing system andthe shut-off of water supply to the outside lawn faucet before freeze potetttial exists. White - City copy Yellow - Resident copy Pink.- Contractor copy ?/? /C 2 ? REQUEST FOR ELECTRICAL INSPECTION ?/_???1..'*?' ?/ O/?'/ /d^ See inatmctions for completing ihis form on beck ai yellow copy. M'0 1--? J ? X" Below Work Covered by This Request ew ^ Type of Building AppliancesWired EquipmentWired Home Range Temporary Service Duplez Water Heater Electric Heating Apl. Building Dryer Loatl Managemem Comm./InduShial Furnace ,a- . a, QNe[ (. ec ) Farm Air Conditioner " I Diher (speny) ConVacrorS Remqrks: Li " Iz Compute Inspection Fee Below: # Other Fee # ServiceEnhanceSize Fee # ?- lrtu stfe r$i Fee Swimming Pool O to 200 Amps o to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspector's Use only: TO Irrigation Booms Special Inspedion Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNE TED IF NOT O[her Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, here6y Rough-in oaie certify that the above inspection has been made. Final Dale OFFlCE USE ONLY This request void 18 monihs frwn ? ? 1 90 ct M 0 RequeNOale I Fre No. Houg i Inspection Requi ? NOTICE: You Must Call Electrical Inspecmr IF A Rough-In inspection _ ? [I Ves No Is Required. 1Xlicensed contractor ? owner hereby request inspection ot above electriral work at: JW Atldress (Straet, Box or Route No.) Cay ? 2 e Section No. Township Name or No. Range No. County ? ? Occupant (PFIM) 1 OV Ph e No. ?O?" ? PawerSUpplier Atltlress ElecViwl ConVactor (COmOany Name) ? ConVactor5 Licen9e No. Mailiig Adtlress (Contrac[or or Owner Making I s?allaGon? 2 ?SfI?'?U 1 ?5 , < <.u AuthOnzetl Sgnature nhactotlOwner Making Installation) Phone Number l 1A JelvdAv t ?G 7/ - MINNESDTA STNTE BDAPU OF ELECTBICRY THIS INSPECTION REQUEST WILL NOT ? Gtlggs-Mltlway BIGg. - Room 5493 gE ACCEPTED BV THE STATE BOARD 1821 Universiry Ave., SC Paui, MN 55100 UNLESS PROPEP INSPECTION FEE IS Phone (612) 6424800 ?? l? 'LS ?" • t ENCLOSED. l CITY OF EAGAN N2 .19151 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 , BUILDING PERMIT PHONE: 454-8100 Receipt # O, I 3-l S'a ToheusedFOr SF DWG/GAR Est.Value $138,000 Date JUN 3 101 _ Site Address 4725 PEBBLE BEACH WAY Lot 9 Block 1 Sec/Sub. FAIRWAY HILLS 3R Parcel No. wlName MCDONALD CONSTRUCTIDN INC o Address 1212 BLUEBILL BAY RD City BURNSVILLE Phone 688-7061 o Name 5AHE I ;i? Address City Phone tg Name ?= Address aw City Phone I hereby acknowlege ihat I have read this application and state that the inlormation is correcl and agree to comply with all applicable State ot Minnesota Stawtes and City oi Eag n OrdiQ nces. Signature of Permite 3 A euilding Permit is is to: M DONALD C NSTRUCTION on the express condition at all work shall be done in accordance with all applicable State of Minnesota S1aWtes antl Ciry of Eagan Ordinances. 8uilding Oflicial OFFICE USE ONLY Occupancy R-3 M-1 FE ES Zoning R-1 (ACtual)Const -Y_N BIdg.Permil 773.00 (Nlowable) V-N Surcharge 69.00 N of stories 64 ' Plan Review 502.00 Len91h Depth 46 ? SAC, City 100. 00 S.F.Total - SAC.MCWCC 650.00 S.F. Footpnnts _ 660 00 On Si1a Sewage _ Water Conn . On Sire Well - Water Meter 95.00 MWCCSystem X Ciry Warer X ?t. Deposit 0 30.0 PRV Required SAN Pertnit 30. nn Boosler Pump X g/yy Surcharga .5 0 Treatment PI 0 276.o APPROVALS RoadUnil 370.00 Planner - park Ded. CounCil _ BIdg.011. _ Copias Vananca - TO7AL ? • »j. ??? F i c- rirer Ene i neer- i na e.;= 19488 F'. 472 •=S 'k Pt01N ? engin * *?Ir ? CI V I L ENGI NEERB lPN4PLANNERS•LANOTiCAPE 2422 Enterprise Drive Mendota Heights, MN 55120 (612) 681-1914 Certificate of Survey for:__' ^V_'c5?0N?? ?0A15TAuCT-,0frJ -,'(r.N, / NQRtH --, h? ? ? / \ \ / ;-5 ?_• s ? 600 ? -,, 13?6 R;? ? ?11 9 is,ar ;?,? °o k T? 1{{{??Ir ?/ Ny I Of,-? •°?? ? 1 ?2f ? :^30 0 47 ? a Q / p Q O? ? 'j / re 0 f? a °o ro38,o ? Op ti, T? ?,8 ?pIO / A\N ? V? ? STER PUMP 11:??N RlqGjN?'EI j?G REQUiAED_?... ? 9c?U•o 4enote5 Exis/rn EleVation DEQ?' h'FdOGp5E0 HOUSE ELEVA • oa.a aenvtesPropo?ed Elevafrorr Cowes FloarElevOior? ,030.l;,7 -------- penotesUrama PFUliliy Easement Topat,QlockElevation Joss. 67 ?o3s.3? ?---?-- Denales Drain¢e Flo?n?1?'Direcfian 6ara0e.51a1)E1evatio1? o Oenc7tes MonuAenf Bearin?s shawn are 6ssumed 13Uer10es oj`jse 74 LDT '9 ,BLDCW 1,rA/k'.VIIAY HILL:?7 3RD. A-DDITA Q,Q KOyJp COUNTy, M/NNESOTA f herebVi certify th,t thls swv?y, pten or report wes7417 pre??°r3d by my vr unNrr my dirac( sun?:ryision and th, t I am dWy Aeplslersd Lsn ? urveyvr u.?dEr the laws of the State of M1nnSSUtO. D?tBd this ?jr,iay of A.D. 19-e/- A4Z -?--- Z ,?/ ND. F?09f IHiCH L .5- RE'. Jcale , 1? -40 ? ql?,nLt. ROB S q 97?23 RESIDENTIAL BUILDING PERMIT APPLICATION cinr oF eacnN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Conatructbn Beaulrementa • 3 regWered stte surveys slwwing sq. ft ot lot, sq. fl. ot house; antl ig rooled areas (2096 m)dmum bt coverage albwetl) • 2 copies of plen showing beam & window size&; poureA found design, etc.) • lsetafEnergyCakulatbns • 3 coples W Tree Preservel'an Plan N bt pl2tled aller 7l1/93 • Rim ,bisl Deteil Opllons selectbn sheet (bldgs wfih 3 or less untls) DATE SITE ADDRESS NPE OF _ FIREPLACE(S) _ 0 _ 1 _ 2 ? APPLICANT b'2Ge ?'??3? 2?cT?-?/ STREET ADDRESS rt )'0_l CITY ???;"-J STATE MAZIP ?/:I- r TELEPHONE #r?,-A q.0- /c121-CELL PHONE # (4'r? q90 bC7 s5" FAX # 61*V Or7_ ?-3 PROPERN OWNER '216L TELEPHONE # 6 SI iW'7 Cl 6 V ?s 1 "t l .'-1 S_ COMPLETE THIS SECTION FOR -NEWa RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submission fyye) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submined • Energy Envelope Calculetions Submitled Plumbing Contractor: Plumbing system includes: Mechanical Conhactor: Mechanical system includes: Sewer/Water Confracfor. _ Air Conditioning _ Heat Recovery System APR 2 6 2002 I hereby acknowledge Thai I have read this application, state that ihe Information is correct, and agree to comply wiTh all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appllcanf OFFICE USE ONLY _ Water Softener _ Water Heater _ No. of Baths RemadeVHeoalr ReauhemeMe • 2 copies of plen • isetWEnerqyCakulationsforheatedadd'?ions • t sRe surveyfor MerioraddHions & decks . Indicate If home served 6y septic system lor aAdWm Phone # Lawn Sprinkler No. of R.I. Baths MULTI-FAMILY BLDG _ Y /t_ N VALUATION % b7 ? Fee: $90.00 Phone # ???m Iff Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OB 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 Parch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 Lower Level [3 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous O 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Additbn ? 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 applicaM 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) _ FinaVC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ 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 Water Supply & Storage S8W Permit 8 Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector , • ' l + ?? ? ? ? 1991 BDILDING PERMIT APPLZCATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCUTATIONS MULTIPLE DWELLINGS 1 COPIl7ERCIAL 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES 6iHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MiJST SHOW A LICENSED PLUMBER. ? To Se Used For: '?'Wqle ?? Valuation: Date: 5^ 2(4-9 I Site Address Lot 9 Block _J_ Parcel/Sub 'Rtrw4c., I????S 3`rd Owner McTNW4?a CC'AtuCto'-? T..?c Address 121'3 QJyfbl 11 Bwu 1? 4 City/Zip Code -Rurn?svJle, n'1N SS333 Phone (c15$-7010I Contract Address City/Zip Phone _ Arch./Engr. Address _ Phone # I.?8,OC70?` OFFICE USE ONLY Occupancy -R 3 M -1 Zoning I<-1 Actual Const V-N Allowable V -N # of stories Length Depth 46 S.F. Total Footprint S.F. On site sewage_ On site well MWCC System ? City water ? PRV Booster Pump ? APPROVALS Planner _ Council LTZS 9/ Bldg. Off.,F Variance FEES Bldg. Permit 773'00 Surcharge ?D Plan Review SAC, City /0000 SAC, MWCC .00 Water Conn. 0,00 water Meter 9$+ Acct. Deposit 30.0J S/w Permit iJ,UJ S/W Surcharge 1 () Treatment Pl. ?? (?1 ,0 Road Unit 39 D,00 Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL ?551 Sfi4,.?? agrees that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. City/Zip Code r ?ARaU? 32 xz2- _ ?oU ? 2 __----- ?? ? X l?- lo ZvJ % 1 3 0 ?t .?2 2 ?ST FL,?vFc ?02 3?D ? 1???'??Iw= 1??40 ?35m 7-, ? a ?c ao ? a Li o 12K12~ lyLl 3K?o? ? ?153= 3z5?i? 13 9 Z I 2 0< I"??I COID 111- * PIONI ? eng* o • CI V I L ENGINEEIIS 2422 Enterprisc Drive Mendota Heights, MN 55120 LANOUC11F6 PqGM'r6GTS (612) 681-1914 certiricAte of survey for: NicUnNA[.o G'oivsrRUCTro?Y, ZN .-?-s _- F i onaer Ene i r-.._er i ns J V i . \ s?'3 S? ? ?y R1` BY _ /. 5819438 F. E+2 e'MO d°o4.° \?v 2h?` 0 R a0 ga ? ? -.?r i?- ? , a °o ib38.o / op ?e4!N? ?a. q ORIVe5Wly / ?,? NORTH ? }V?? Date pSTER PUMP EAG`q? ENGI?EE REC?UIRED__.., %.9aU•o Der7otes txisfin Elevafion RI?G DEpT ?vasW HousE FtCV47-1 ^ 00.0 denwfesPropoEievafiai-r CoweS floorElevaior? ,030.6? - -- DenotesU.ahna PFUfilif Easement Toppt'"QlockElevation ioss.67 --}---y- Oenafes DrYr??Qe F(oDireclion Gai a?¢c qlab Elevatiort /03E ,33 Q Dertofes Monu?tenf B?arin?s shown are c?s.sumed dDE'/7ip QS 0?'r5P I-Lb 4. LDT 91BLOCAI l,rAI?eN/AY H/LLs 3xo. A-D-0.1770A DAKpr,a COUNry, M1NNESOTA 1 here6y certlfy that fhls iurvey, plen or report wec preWr;d by me or undNr my dir@,( supcrvision and tnat I am duty F9vp7stered Lend Survevor umdpr thB laws bf the State of MinpCCGta. Dat¢tl this,.Z.f rJAY pf --1ka4 -A.D, 19-I'L, -^? ? ? f ROB RT E. SIKICH l.S. REt':. Np. 1489 Sca! ?=40 -? , ? / ,-S ?_• ^M S F 9 is,as???'°a 6 a0 19 , ?, <<? • MINr`SOTA STATE ENERGY CODE CALCUIFly--NS ` BASED ON CHAPTER S OF THE MODEL ENERGY CODE - 1983 EDITIOIJ Adoption Effective I/1/ i Owner Phone Site Address 1-- ? Contractor I /Ir/(:?l N121/4 Da te hone 8uilding Classification: Type A1 (Single Family b Ouplex) 1_* Type A2(Residential) (3 stories or less NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories) GENERAL INFORt1ATI0N N 1. Building Perimeter!!? ? ft. 2. Wall height (ground to eave) \A ft. 3• 1. x 2. (above) gross wall area ft 2 . % 4. Building dimensions (L) --" x(W) 7S ft.Z roof E floor area = t --?- 5• Square foot area of rim joisl - Floor joist size (2 x - ` - (;S X Perimeter = Rim -- - - joi st area ft2 12 ? CJ71n 6. Doors - Areall Ii)c) Thickness in. U factor ?? , Type of Cons[ruction Perimeter ft. Manufacturer ]. To[al door's perimeter ft. 8. Windows: Manufacturer I r'???''l ! eJ State approved U factor --- TYPE SIZE AREA (Ft.z) NUh1BER OF TOTAL FEET 2 EACH UNITS 9• Total ft.2 Glass 2!?L) '! 10. Fireplac ,e area; W1,dth X height = X = Ft.2 z 11. Exposed'Poundation: Height X Perimeter of.9? X Ft. COMPLETION OF TIiIS FORM IS REQUIRED FOR ALL NEW CUNSTRUCTIOIJ, PIr1JOR REMODELING AND BUILDINGS BEIN( MOVED WHERE EPJERGY, OTHER THAN THE htltJlhlAL CODE ALL041APJCE, IS USED. l2. '?raming area = 10% of gr?o?s wall area. 13. Gross wall area Z???'IE ??' ft.2 Windo>i area A Z5q 175 ft.2 U windoris = ,?j(Q U x A- Rim joist area A ft.2 U rim joist = , 04-1 U x A= _ 2 Door area Aft. U door area = U x A= l?; 9)(i' DZ ,{ r .?j;F?p)•ace area A ft. U,f ?ylace = 1`'I"1 U x A= 1o? 1t Tll Exposed foundation A ft.Z U founda tion = b5•U x A= 5#01 Framing area A Za/D ?(Ift.? U framiny area 0?5 U x A = Z7' 55 Net wal l area A ft. U wall U x A= 5 57 V_'? ? (139) 70TAL . . . . . . . . . . U x A = 2 I' i 14, Gross wall area x 0.11 (A-1 single family & duolex = allowable U x A/Code (13. above) . x 0.23 (A-2 other residential) x .23 (Qther buildings) x.23 (Ovei, 3 s toi•i es ) A 1' lo`I ?? x U Code 5 I B?F. 13Btabovearger than 15. Ceiling framing area (Af) equals 10% of ceiling area or the. same as) 15A. Gross ceiling area = (L) ---- x (W) I,?^ ?? ft.2 15B Joist area (Af) = lOb ceiling area ft.z 15C. Net ceiling area (A.) (15A - 15B) = J Z????? ft.2 --r- U ceiling x A c= i OZ?7 x > Uframing xAf= x_ 15D. TOTAL U x A ........................................ 16. Ceiling area (15A) x 0.026 (A-1 single `amily S duple>: - code allowable U x A x 0.033 (11-2 other residential) x 0.06 (other) C) _7,(p - BoU11 I•tust be larger than 150 (above) A(15.4) x U (code)= F (or the same as) NOTE: Use U and A values obtained from pages 1, 3 and 4. CERTIFICATION: I hereby certify that I have calculated the "U" factors and "R" values _ herein and that the building here described meets or exceeds the S[ate of Minnesota Energy Conservation Act. te gnature ? ?. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 6UILDING 02688@ 12/19/95 SITEADDRESS: P•I•N.: 10-256e2-e9e-01 LOT: 9 BLOCK: 4725 PEBBLE BEACH WAY FAIRWAY HILLS 3RD PERMIT SUBTYPE: SF PORCH APPLICANT: 1 HOME ENHANCERS INC (612) 884-6106 TYPE OF WORK: NEW (3-SEASON) DESCRTPTION IFOOTSNGS IFINAL FRAMING REMARK3a A SEPARATE PERMTT IS REQUIRED FOR ANY ELECTRICAL WORK ; . -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Permit Number: Date Issued: e2o5o 9(a ?' BUILDING m26880 12/19/95 SITE ADDRESS: P.I.N.: 10-25602-090-01 4725 PEBBLE BEACH WAY LOT: 9 BLOCK: 1 FAIRWAY HILLS 3RD DESCRIPTION: (3-SEASQN) Building-.Permit Type 5F PORCH 'building ktctrk Type NEW Census Code ??. 0434 ALT. RESIDENTIAL r i \. . .. REMARKS: A SEpARATE PERMIT IS REQUIRED FOR ANY ELECTRICAL WORK FEE SUMMARY: VALUATZON $12,000 Base Fee $187.25 Plan Review $65.54 Surcharge $6.00 Total Fee $258.79 CONTRACTOR: - Applicant - ST. LIC OWNER: HOME ENHANCERS INC 18846106 0001949 ZOE DAVIp 8609 LYNDALE AVE S 201 4725 PEBBLE BEACH WAY BLOOMINGTON MN 55420 EAGAN MN 55123 (612) 884-6106 (612)687-9631 I hereby acknowledge that I have read this applicat.zan and state that the informatian is carrect and agrae to comply with all appLicable State of Mn. ? Statutes and City ofi Eagan Ordinances. ? c ? APPLICANT ERj IT SIGNATURE ISSUED 8Y. IGN E ------ ? CITY OF EAGAN 4, 1A r?q 3830 PILOT KNOB RD - 55122 ILIVO 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL) rfl ?.G 681-l675 ""? NMN Conshuctian Reouirements ? 8 registered aite surveys RemodeVReoair Reouirements ? 2 copies oi plan ? 2 eopios af plans (hdude beam & window eizea; poured fnd. design; etc.) ? 2 eke surveys (exteftr edtlRions 8 dedcs) ? 1 eirergy calwletions ? t energy ealwlatlons for heated addftions ? 3 copies M bee pieaarvetion plan H lof pletted after 711/93 requfred: _ Yes DATE: Na CONSTRUCTION COST: ? S DESCRIPTION OF WORK: STREETADDRESS: LOT BLOCK SUBDJP.I.D. #: x?? ? I ? ??7^ `?/ PROPERTY Name: Phone #: C fJWNER ' '°?j? ? ? Street Address ( City: ? State: Zip: ? ? NTR ? / CO ACTOR Company: Phone #: L Street Addre:?(o d 5 ?- ywc? ?? -(?License#- IIf Y19 City: State: ?5 ?` zC? Zip ARCHITECTI Company: Phone #• ENGINEER Name: Registration #• Street Address, City: State: Zip: Sewer & water licensed plumber: Penalty applies when address change and lot change are requested. once permit is issued. I hereby acknowledge that I have read this application and state that the infortnation ict and agree to compiy with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No D E C 1? 1995 Tree Preservation Pian Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE , . 0 01 Foundation o 06 Duplex a 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dweiling ? 07 4-plex o 12 Multi RepaidRem. 0 17 Swim Pool 0 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Pubiic Facility ,0'?04 SF Porch o 09 12-plex o 14 Fireplace o 21 Miscellaneous a 05 SF Misc. 0 10 _ plex o 15 Deck WORK TYPE 0 31 New o 33 Alterations o 36 Move ,K 32 Addition o 34 Repair o 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Pertnit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: _ Basement sq. ft. MCM/S System _ Main level sq. ft. City Water _ sq. R. Fire Sprinklered _ sq. ft. PRV _ sq. ft. Booster Pump _ sq. ft. Census Code. _ Footprint sq. ft. SAC Code G/ Census Bldg / Census.Unit ? Building Engineering Variance Valuation: g /Z, o00 . Z2- S7,?SyJ % SAC SAC Units INSPECTION RECORD ControlNo. 0030 CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMITTYPE: euiLoiNs Permit Number: 000015 Date Issued: 0 3/ 12 / 9 2 SITEADDRESS: LoT: 9 BLOCK: 1 4725 PEBBLE BEACH WAY FAIRWAY HILLS 3RD PERMIT SUBTYPE: DECK ? APPLICANT: MCOONALD CONST INC (612) 688-7061 TYPE OF WORK: ADDITION ? PERMIT Control No. 0030 CITYOFEAGA N 3830 Pilot Knob Road PERMITTYPE: suzLorNG Eagan, Minnesota 55123 Perm it Number: 000015 (612) 681-4675 Date Issued: 0 3/ 12 / 9 2 SITE ADDRESS: 4725 PEBBLE BEACH WAY LOT: 9 BLOCK: 1 FAIRWAY HILLS 3RD DESCRIPTION: BLilding Permi t Type DECK 8ailding Wprk Type ADDITION /? 4 t i ? I ( ? /A J ! i REMARKS: E 1-7-7 Ln 0 FEE SUMMARY: Base Fee $25.00 5urcharge $.50 Total Fee $25.50 CONTRACTOR: - Applicant - sT. QWNER: MCDONALO CONST INC 16687061 0002 76 MCDONALD CONST INC 1212 BLUEBILI BAY RD 1212 BLUEBILL BAY RD BURNSVILLE MN 55397 BURNSVILIE MN 55337 (612) 688-7061 (612)688-7061 ? I hereby acknowledge that I have read this application and state that the information is aarreet and agree ta camply with all applicable State of Mn. Statutes and Gity of Eagan Ordinartces. ! .. ?_ i APP CANT/PERM17EE SIGNATURE I "ISSUED BY: NATURE ? CITY OF EAGAN • . • 1992 BUILDING PERMIT APPLICATION 681-4675 MAR 0 5 RECD "tLl 3` ) v SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re uest is made lot chan e is re uested once ermit is issued. Date 'f_ / ° / a Yaluation of work Site Location: Pp ?c= Lco,_c?o. STREET STE M N ?e T t N 0 enan ame: LOT _9 1 1 BLOCK ? SUBD. 3 44L P.I.D. # Descri tion of work: DeE k The applicant is: tO Owner MContractor ? Other coes«;ne> Name Sit x1 Fz. Phone Property u5T \(„ fIRST Owner V Address STREET STE 0 City State Zip Company Phone 6 qg- 7 ? ? ( Contractor Address !r2 !oZ 131 u F_ 6 , License # (oOo c;7,374 City PDRASVAg State /V1e\ Zip :?3 7- Company Phone Architect/ Engineer Name Registration # Address City State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. c I IL Si ( S l t f A l i !'f/l CIJO l t 5 s gna h a . ure o pp vt can : t OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 02 Single Family 0 03 Two-family ? 04 Multi-fam. T.H ? 05 Apt. Bldg. WORK TYPE ? 90 New P 91 Addition ? 92 Alterations ? 06 6arage/Accessory ? 07 Fireplace p 08 Deck ? 09 Basement Finish ? 10 Swim Pool ? 93 Remodel ? 94 Repair ? 95 Tenant Finish GENERAL INFORMATION Occupancy Zoning Const. (Actual) (Allowable) # of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? 11 Res. Add./Porch ? 12 Comm./Ind. New O 13 Comm./Ind. Add ? 14 Comm./Ind. Rem ? 15 Public Fac. ? 96 Move ? 97 Demolish ? 99 Undefined Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance ? Site ? Footing ? Waltboard X?lqFinal Permit Fee 2S valuac;m: Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Road Unit Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: a S• s ? ? Framing ? Oraintile g /Dc^n / ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? Insulation ? Fireplace SAC % SAC%Units INSPECTION RECORD CITYOF EAGAN PERMITTYPE: euILorMe 3830 Pilot Knob Road Permit Number: 021522 Eagan, Minnesota 55123 Date Issued: 07 / 19 J 9 3 (612) 681-4675 SITEADDRESS: Lor: 9 BLOCK: 1 APPLICANT: 4726 PEBBLE BEACH WAY HEAT-N-GLO FIREPLACES FAIRWAY HILLS 3RD (612) 890-0758 PERMIT SUBTYPE: TYPE OF WORK: FIREPLACE NEW DESCRIPTION (6AS) INSPECTION .. . .• FIREPLACE F --1 J -? CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55123 (612) 681-4675 PERMIT ? PERMIT TYPE: Permit Number: Date Issued: BUILDING 021522 07/19f93 SITE ADDRESS: 4725 PEBBLE BEACH WAY L07: 9 BLOCK: 1 FAIRWAY HILLS 3RD P.I.N.: 10-25602-090-01 DESCRIPTION: , " , (GAS) Btfild'ing_Permit Type Building Work Type ; ?. / .._? ?. \ - ^ Tp /: ?t` [ S ?-. FIREPLACE NEW REMARKS: FEE SUMMARY: Base Fee $25.00 Surcharge $.50 Total Fee $25.50 CONTRACTOR: - APplicant - s7. LIC OWNER: HEAT-N-GLO FIREPLACES 18900758 0002960 ZOE OAVID 3850 W HWY 13 4725 PE88LE BEACH WAY BURNSVILLE MN 55337 EAGAN MN 55121 (612) 890-0758 (612)687-9631 T hereby acknow3edge that I have read this applicatian and state that the informstion is correct and agree to comply with all applicable State of Mn. Statutes and City of Eagan Ordinances. L APPLICANT/PERMI7EE SIGNATURE ,,a R o?? ? --?s eo a sTdNaruaE c'r? ,-?? REACTIVATE._ PERMIT N .1' -422 CITY OF EAGAN ' 1993 BUILDING PERMIT APPLICATION 681-4675 2`;`0 SINGLE & MULTI-FAMILY 2 sets of ptans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy caics. 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 or 3) lot change is requested once permit is issued. Date r / /.S Valuation of work Site Address: I IYIU` STREET SUITE M Tenant Name: (commercial only) IAT ? BIACK SUBD. r1?W Al aA?J,? ,CY P.I.D. it ` Descri tion of work: !/I _,w ?1?(i; ' (Z, i?t?4 The applicant is: ? Owner ? Contr,actor ? Other coe6«sbe> Name C, ' t " 1-t Phone &,N Property LAST F1R5T Owner pddress 4u ? 7"?IJ?B?'Ck) STREET STE # City L?fv?Lj State rn2? Z;p s? lZ' ? Company ?a?- `A)- Phone Contractor Address 59-0 (t) &U14 ?13 License ? Exp. City R' lr? State ?, Zip Company Phone Architect/ Engineer Name Registration # Address City 5tate Zip Sewer & water licensed plumber . Processing time for sewer & water permits is two days once area has been approved. 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 M9nnesota Statutes and City of Eagan Ordinances. ?vU 4 zl Signature of Applicant: !L 2? OFFICE USE ONLY BUILDING PERMIT TYPE ? " ? ? 01 foundation ? 06 Duplex ? 11 Apt./Lodging ? n ish 16 Bant4i ? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. -a i`r3wf-trr"PCd1-"4- 0 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Comm./Ind. ? 04 Sf Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public facility ? 21 Miscellaneous WORK TYPE ? 31 New O 33 Alterations O 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning d of Stories Length Depth APPROVALS Planning Engineering REQUIRED INSPECTIONS ? Site ? Wallboard Basement sq. ft. lst F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total footprint Sq. ft. On-site well On-site sewage Building Variance 0 Footing ? Final ? Framing ? Draintile MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments ? 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 P1. Road Unit Park Ded. Trails Ded. Copies Other Total: vati.c;a,: $ SAC % SAC Units „? ? ? -7,;?/ 2006 RESIDENTIAL BUILDING PERMIT APPLICATION City OfEagan 3830 Pilot Knob Raad, Eagan NIN 55122 Telephone 4 651-675-5675 FAX 4 651-675-5694 New Constmction Reauiremenis 3 regisiered sile surveys showing sq. fl. of lol, sq. ft. of house; and all roofed areas (200A maximum lol coverage allowed) 2 copies of plan showing 6eam 8 window sizes; poured found design, etc. 1 set of Energy Calcula6ons 3 copies of Tree Preservation Pian if lot platled a(ter 711/93 Rim Joist Oelail Options seleclion sheet (buildngs wilh 3 or less unifs) Minnegasco mechanical ventilation form RemodeVReoair Reouiremenls 2 copies of plan showing foofings, beams, joish 1 sel of Energy Calculalions for heated additions 1 site suNey for additions & decks Addifion - indicale ii on-sife seplic sysfem ga ?? ?l Officel.U52-:i7hIV CertofSurpey.Recd Y :N 1'1Ae Pre5 f'12n'.fiecd ?`f sN, TreePiesf?e:Gyifeti '(.Y _N Dc?sileSepticSys?em N Date dS l / ? Construction Cost SiteAddress A6? UniUSte # Descriptian of Work ? (2t. T Multi-Family Bldg _ Y_ N Fireplacc(s) _ 0 _ 1 _ 2 Property Owner Telephone #(i-V 4765 a bs ? - <o D Contractor Address t 6h1 ?-(-d _ City ,, State /?lt77 Zip Tclephone # ( -r'j53? o9/,L- iIl.t z COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672 Enetgy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissiontype) Submitted Submilted . Energy Envelope Calculations Submilted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Mechanical Contractor Il !I II Telephone #( MA'r 8 7 ;.?J;;; Sewer/WaterContractor 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 Fagan 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, that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. 4'aee.. 24'aZ'1_J - czL Applicant Printed 141me Ap i ant's Si ture uu tvu'I' W?tl'I'E f3L:L0W'lfllS l.,iNL --??'- Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ,I , , 20 Pool ? 30 Accessory Bldy ? 02 SF Dwelling ? 08 06-plex ? 16 f-ireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-MWti ? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt-SP ? 04 02-plex ? 10 08-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 ? 25 Miscellaneous Work Tvoes ? 31 New ? 35 Int Improvement ? 38 Demolish Interiar ? 44 Siding )S?- 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolrtion (Entire Bltlg) - Give PCA handout to applicant DeSCflptlOfl; Water Damage _ Yes Valuation t L) (o) Occupancy MCES System Plan Review / . 1000/c or _ 25% Census Code ? ? 1. V Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width _ Foolings (new bldg) _ Footings(deck) ^ Footings (addi[ion) _ Foundafio? _ Drain'I'ile Roof _ Icc c4c Watcr Final _ Fruming _ Fireplaee _ R.L AirTest Fmal Insulatiou / Approved By: Building Inspector Base Fee Surcharge Plan Review MGES SAC City SAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other Total REQI7IRED INSPLC'CIOIVS Shcctrock FinaUC.O. - I'imiVNo C.O. HVAC Ollicr Pool , Ftgs ?_ .1idGas Tests </ Pinal _ Siding _ Stucco LatL S[one Lath ? I3rick Windows -- Retxituug Witll Address: POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS Applicant Name: R;c-r h,11 - ? A GENERAL INFORMATION ? U x o z a ,ZI ? ? Applicant name and contact information .Z ? ? Properry owner name 0 ? ? Address of property 21 ,B ? ? ? ? North arrow, scale (1" = 30' or 40') Site Plan, drawn to scale showing location of house, pool, and other existing or proposed structures, including retaining walls. Jd ? ? Location and name of all sueets adjacent to property fd ? ? Directional drainage arrows (existing and proposed) ELEVATIONS Existin Ja ? ? House corners ;2 ? ? Propeny comers ?0 ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height Proposed ? ? ? Finished pool deck comers ?,171 ? Top of proposed retaining walls (if any) and at each different elevation (if it changes) Z ? ? Pool bottom (or max. depth) DIMENSIONS Existina .? ? ? All property/lot lines ,0 ?? All Easements on the property Proqosed fd ? ? Pool ,0 ? ? Pool plus integrated deck/patio ,a ?? Shortest distance from outside edge of pool deck to lot lines and house Reviewed: NamLkj Date G:FORMS/Pool Pemit ChecklisU02-13A7 Fi??ne?r Er'i?airiaerine 6:=19 4 E; _: F.ri 2 i -,?III\ - ' ^? ¦I¦ * PfONEER * engineering„ * 4t *? TFGTS 2422 Enteryrise Orioe Mendota HPights, MN 55720 (612) 681-191a ce?c;ricAte or survey for: __N1 G 1?oA1A!_D CoAI5T'RUGTr4N, ZN, ? ? / ? k 9rjvv Denates ^ 40•O ae?riOfeS "'---" Denotes --?---?-- pendes 2? fs ? y? s? ? ? NpRTH 1 ?WED-&l By_ FA(3AN ENGINEERING DF.P'[: s ?oo o C7er7ofes Monuffient Bearirlis shawn a%e 4 LoT 19 RocAI I , FAl,e p q Kora CDUNTF', MlNN£SOTA ER PUMP UIRED__ wock Elevati on Slab Elevatrvn rurr,Fn' o l7arh I hzrebY certi(v thdl ihls furvey, plBn or report wa?a ?pr?s9arsd bY mz or unnrr my rJirftt svACl?i6ion and that I am dt,ly F¢g6<ler5d LSnd Sutveyor undnr (hr IowS of the State of MirtnRCGtO. DBt?d thiS...S..SP,?!(.I({ly pf 112a4_ A,D, 19?, SywvEYOR5 • Clv It ENG WEERS --, i" .? cyo yyd g??n¢ ROBf4TP.SiKirHL.S.AEG.Nn.3n89. { ?TV UUAY HlLL5? 3RD. ADairjo) Valley Pools & Spas Customer: Rich Dahl Date: 5-2-D7 Revised: 5-4-07 Scale: 1"=20' Pool Size-16'x32' Deck Size- 24'x40' Pool Elevation is 6" below siding , -, ? 16'11 21'1\ r / / -- ,? ? i ? ?-?- - 5' ? Garage Driveway ¢ o o p ¢ o :o: o c \ 0 , 16'x32' , ,, ' i6 Deep, A 0 a a o'? o a? ?o o- o a o `'??? Motc IS?J I , 40'0 1 1 1 1`, 1 -?-I House 1 -- l ? 5' ? I I 1 1 l J I r 10' Easement s? [30 % ? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New ConsWCtbn ReauiremenLs 3 registe2d site surveys showirig sq. ft. of l06 sq. ft, of house; and all rooted areas (20% maximum lot coverege allowed) 1 Soils Report if propwed 6uilding is to be placed on dislurbed soil 2 copies of plan Showing beam 8 windovr sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan d lol platted aRer 7l1193 Rim Joist Detail Options selection sheet (buildirgs with 3 orless unils) Minnegasco mechaniral ventilation fortn Plans are considered RemodeUReoair Reauirements 2 copies of plan showing footings, beams, joisLa i set W Erretgy Calculations (or heated additbns 7 site survey for additions & decks Adddion - indicffie Aar-stte sepfk system Office Use Onlv Cert ofSurveyRecd _Y _N SoilsReport _Y _N Rree Pres Plan Recd _ V_ N, Trce Pres Required Y_ N Oneite Septic Syslem _ Y_ N, l/K/' ;-?1 C ctfACL information unless Construction Cost secret and the reason. Date?/ 11 /(r? SiteAddress 4725r / Ck_.) Unit/Ste # Description of Work Mul[i-Family Bldg _ Y K-N Fireplace(s) _ 0 _ 1 _ 2 Property Owner ti LA Telephone #( 6(7- ) 366 - SGCI,` Contractor ?-(q e 0 v?t '6 ?`'?'A Address i9 da ?uS?rMd? ? r'-,.A? Ci[y State 111A) Zip Telephone#(Itt) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cate orv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission rype) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 monThs, has the City of Eagan issued a permit for a imilar plan based on a master plan2 _ Y _ N If yes, date and 1dy?s?f Rn?St?l: lJ 1, ll Licensed Plumber ? Telephone # ( ) _ JUN Mechanical Contractor Telephone #( Sewer/Water Contractor C& Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accura that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of N Statutes; I understand this is not a permit, but only an application for a permit, and wark is not to start withom permit; that the work will be in accordance with the approved plan in the case of work which requires a review a approval of plans. MPlE ?U?NDUvI sr Applicant's Printed Name Ap iant's Signature DO NOT WRITE BELOW THIS LINE Sub Tvoes ? 01 Foundation ? 07 05-plex ? 13 16plex ? 20 Pool ? ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (&sea.) ? ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? ? 04 02-plex ? 10 08-plex OY 18 Deck ? 23 Porch (screeNgazebo/pergola) ? ? 05 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work T ?1es 3lXP 1 New ? 32 Addition ? 33 Alteration ? 34 Replacement D@SCfIpt10I1: Water Damage 30 Accessory BI 31 Ext. AR - Mul' 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 ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Yes Valuation 3i DCp, - Plan Review 100% or 25% Census Code ?l 3 Y SAC Units # of Units # of Bldgs Type of Const Occupancy 1 2-3 MCES System Zoning R- I City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width Footings (new bldg) ? Footings (deck) _ Footings (addition) Foundation Drain Tile Roof lce & Water Final _ Framing _ Fireplace _ R.I. _ Air Test _ Final _ Insulation ? Approved By: REQUIRED INSPECTIONS _ Sheetrock FinaUC.O. ? FinaUNo C.O. HVAC Other Pool Ftgs Air/Gas Tests Final _ Siding _ Smcco Lath _ Stone Lath _Brick Windows _ Retaining Wall Building Inspector Base Fee Surcharge Plan Review MC/ES SAC city sAC Utility Connection Charge S&W Permit 8 Surcharge Treatment Plant License Search Copies Other t- (AT Fe?p - v ** * .'f 'k PtONEER * eng ? e?ring,. 2422 Enterprisc Diive Mendota Heighcs, MN 55120 LAN?KAFE PRGMi6GT5 (612) 681-1914 CertiricAte of survey for:_._N!G DpNALV C0A1srRUCTroN, •Z,N? i ° i ? T . \ ?•. ,, ? 8 S e s`?, a\ ? , J ?,?'? GAIN NORTH s (SoL o ` T ?0 ? b //J ? 4e ??JQ ? 00. 'Z 5 ry? Q? i1. ; a o e c ? ??/ACAN REV! IEW ED ?.?E: (00-7 ,O? 1,¢??piNG INS'"ECT{OVLS C?AlbS30N 90 _xb _V,.,?C? Yo`a? ?? 3 ? re ,' io38,o? ? 0 ? tiD?F. E?2 / /?vv o° Af\/ / , _? O5TER PVMP -....,?a ?y?-- REQU'RED____. , pp.p DEF7' h'F'Pa05E?0 HvUS? ELfVA * 9C?U•o Der7otes Exislitt¢ EleVafion berroles f?ropo3`?d ?'levafro?r Lowes FloorElevv ior) o3a.67 - -- DenotesU+?r/na ielnI EUfil;?fyEasement Topf3/ockElFVp'tion !s8.?, -?-?--- Denafes Ortirln F(ouJ"Direction Gai-cr?e Slab Elevatrort /o3s.33 o pc?nc?fes Monu B2arir7?s shawn are s.sum? oUe/JQ e5 o?jSP Ili6 La?r ? ,Bt ocW I , FAI?WAY 14ILL-:7 .?RI). ADn1T1o1 D A KOT,A COUNTy? M1A/NE50TA i herabvi cerlify N1at th3s fUYV4S, PlBR Of IBPOrt wap6 -pr'ELqe rad 6y mr; or u?Adl my direcl supcrvis%'B',T wn apd that 1 a?++duW Ae9isteryd Lend,7Surv//e11YOr ? i?n?l@r the Iaw= af ihe S1afe of MinnssGta. Dat¢d thi=?J(1ay Of ?-A.D• 1q- .? .?r1J??-yln . /?. (j/ / ? ?I'n¢ B. SIKICH L.S. REl7. NU. l?? ..? h' / ?^tL? F ionaE.r Ena i naer i rra n815488 sunvcroFtEr • "7g7o? ???_?a 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan C,4 a?lq 3830 Pilot Knob Road, Eagan MN 55122 << Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements R eVFte air R uiremenis Office Use OnN 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas of pWn showing footings, b?ms, joials Cert of Survey Recd _ Y_ N (20%macimumlotcoverageallowed) I set ert?yCalculetionsforheatedadditions Soi?Report _Y _N 1 Soils RepoA if proposed building is to be placed on disturbed soil 1 stte ey for additions & decks Tree Pres Plan Rea! _Y _ N, 2 copies o( plan showing beam 6 window si:cs; pou2d found design ? rtion - indicate if onaRe sep6c sysfem Tree Pres Required _Y _ N 15etofEneyyCalculations O ? On-srteSep6cSyslem _Y _N 3 copias of Tree PreservaUOn Plan if lot platted after 711193 ? RimJoistDefailOptlonsselectionshcet(buildingswifh3orless Minnegasco mechanical ventilation fortn . ' • Plans are considered ublic information unless ou state the are trade secret and the reason. Date.?W / 3 / eZ.?? Construction Co ? zD00 i, Site Address 4-1a 5 PebN7[A WoV`W Q` Unif/Ste #? E.A ?.n mN ' SS Ia Description of Work m ??(1Q,. ?Gt (r W??? ` Multi-FamilyBldg _ Y e s _ 0 K 117- 1 _ 2 ? PropertyOwner Telephone # (?? ) 340 -4 goQ ? -- __ Contractor ffum p ?`? fl I U ? Address 16117 $cCCi1C. ?hf*S pA, City iAA-, {? aoorft State M N Zip $53tW Telep one #W)7Z0 ? t} V 34 COMPLETE THIS AREA ONLV IF CONSTRUCTING ABUILDING? ---------- - - - Minnesota Rules 7670 Cateeorv I Minnesota Rules 7672 Energy CAde Category . Residential Ventilation Category 1 Worksheet - • New Energy Code Worksheet (4 submissian type) Submitted Submitted . Energy Envelope Calculatlons Submitted ? ' In the last 12 monThs, has The City of Eagan issued a permit for a similar plan based on a master plan? _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone #( Telephone # ( Mechanical Contractor Sewer/Water Contractor 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 s a permit; that the work will be in accordance with the approved plan in the case of work which r ' es a review an approval of plans. Aka.4h.?e ,t CoR¢7s5v"in r\ ??5 / Applicant's Printed Name ApplicanPs Signature ? DO NOT WRITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex Nr?'l 6 Fireplace ? 21 Porch (3-sea.) ? 31 E#. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Wo k T es 31 New 2 ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ?., 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 ReplaCement .. 'Demolition (Entire Bldg) -G ive PCA handout to applicant DCSCNptl011: Water Damage _ Yes Valuation 13, 000 Plan Review 100% or 25% Census Code SAC Units # of Units - # of Bldgs ---? Type of Const ?- Occupancy MCES System ? Code Edition Zoning City Water ` Stories ? Booster Pump r Sq. Ft. 'r PRV J Length Fire Sprinklered W idth REQUIRED INSPECTIONS _ Sheehock FinallC.O. Final/No C.O. HVAC Other _ Footings (new bldg) _ Footings (deck) _ Footings (addition) _ Foundation Drain'I'ile Roof Ice & Water Final Framing / ? Fireplace y R.L ?Air Tes[ IlL Final Insulation _ Pool Ptgs AidGas "I'ests Final _ Siding _ Stucco Lath _ Stone Lath _Brick _ Windows _ Retaining Wall Approved By: /?/(iA?q/L , Building Inspector Base Fee Surcharge /, $v Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total i ?'? 7 ?qg<,,_ 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nrx ConsWctian Reauiremenls 3 registered site surveys shovring sq. ft. M lot, sq. R of house; and atl roofed areas (20 % maximum bt coverage allowed) 1 Soils Report if proposed builtling is lo be placed on disWrbed soil 2 copies of plan showing beam & window sizes; poured found desgn, e[c. 1 set M Energy Calalalions 3 copies of Tree Preservation Plan if lot platted after 711193 RimJoislDetailOptiom sHecdonsheet (buildingsvnth3orlessunits) Minneqasco mechanical ventila6on form P(ans are consiaerea uouc mronnauvn u?..??? .... o _ --- Date SiteAddress d Y' ? - ConstruMion Cost # 1 ?? ??? - - Description ot Wor k ?eg .'pa 7 Multi-Famity Bldg YN Fireplace(s) 0 Propertywner/ hone- Tel?,? ??? F6 Contractor Address 1?i 7T ?/?`?!?d't State ?: ./ ??• ?/'? C'Ty Zip Telephone # qe? e9ill- RemodeliReoair ReauiremenLS 2 mpies of plan shovring footlnqs, beams, ]dsfs Offise UseOnN Cert of Survey Reid _Y: :.. _ N N 1 set of Energy CalcuWtions for heated additiore Suils Repat " _ Y Y _ N tsitesurveyforadditlons8decks TreBPresPlanReW re - _ Y , _ _N AdtlNOn-indicafei(onsitesep6csystem d TteePresRequi _ On-sile Sephc Syslem _Y . _N _.,«e +tio., nrp tradP secret and the reason. COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEw esU1111.40Inu , Minnesota Rules 7670 Cateeorv t Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheel • Naw Energy Code Worksheel (4 submission type) Submitted Submitted . Energy Enveiope Calalations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master planZ Y _ N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Coniractor 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 star[ 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. pp icanYs Printed Name Telephone #( / ppl' ant's Si atttre DO NOT WItITE BELOW THIS LINE Sub Tvpes ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SFDwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch(3-sea.) ? 31 Eut.Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) 0 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebolpergola) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex ? 25 Miscellaneous Work Tvpes ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Poundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement "Demolition (Entire Bldg) - Gi ve PCA handout to applicant D05C1'iption: Water Damage Valuation Plan Review 100% or Census Code SAC Units # of Units # of 81dgs Type of Const _ Footing's (new bldg) _ Footings (deck) _ Footings (addition) Founda[ion Drain Tile Roof Ice & Water Pinal _ Framing _ Fireplace _ R.1. _ Air Test _ Final _ Insulation Approved By: Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Tota I Yes 25% Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered Width REQUIl2ED INSPECTIONS _ Sheetrock _ Final/C.O. _ FinaUNo C.O. HVAC Other Pool Ftgs AidGas Tests Final _ Siding _ Stucco La[h _ Stone Lath _Brick _ Windows _ Retaining Wal] Building Inspector 2007 RESIDENTIAL PLUMBING PeRMiT aPPUCaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete #or modifications to existing residential dwellings. Do not combine inside and outside plumbinq on the same application; separate applications and permits 8re required. Date?/??/ /n/ II Site Street Address e?hle OetC'"' Unit# Property Owner Telephone #( ) Contractor ('- 4.9 ^) % v`p-A Telephone # Address ? g-1 City Kj SState ekW Zip 57S--.3'7 The Applicant is: _ Owner & Occupant le-idicensed Plumbing Contractor Refurbished Submit 2 sets of plans and MPC license Septic System New Includes County fee _ _ $ 100.00 Per as-built $ 10.00 Fire Repair (replace hurned out fixtures, etc.) $ 90.00 This fee a lies when extensive lumbin re airs are made to a buildin . Alterations to existing dwelling ? $ 50.00 _ Add plumbing fixtures to main level lower level. This fee includes installation of a water softener and/or water heater at the same time. If you are installing onlv a water softener and/or water heater, do not complete this section; move to the next section and place a checkmark next to the appliance(s) you are installing. _Septic System Abandonment : _ Water Turnaround (add $136.00'rf a 5/8" meter is required) Other: ? Water 5oftener _ Water Heater $ 15.00 _ new _ replacement 4ZCawn Irrigation _RPZ ?PVB _new _repair _rebuild $ 30.00 State Surcharge $ .50 Total I hereby apply for a Residential Plumbing Permit and acknowledge that in confortnance with the ordinances and codes of the City of Eagan and only an application for a permit, work is not to start without a permit a? a plan " r/eq-uired to be reviewed and approved. /U?rt ApplicanYs Printed Name Ap?l complete and accurete; that the work will be e that I understand this is not a pertnit, but dance with the approved plan in the event      öïö    ÿî ü  û ýüü  ûûúú     øüü  ùúÿ öïí áí  ô øòýï  âá þý ýüö  úùø÷í  ö ð õ ùø÷Þô ý ÷í  ö ð Ü ýý    ÷ é   éýý ú à  ýû  ü  ý÷ ûèáæ  ü ÿ àü éíèß÷ äçÿçÿÿ õø   äçáçá  ôóò ö ñð ÷÷   ò ß   ÿÿõ  úú õ ø ü ü  àÞï èáæÿï  úø ô  ë  ý ÷÷  ý  ê é ý    é÷øô  ÷÷ ú   êàý    ý ðøêü  ì  ýç ÷÷ ó é  ýý ø    i" Use BLUE or BLACK Ink I For Office Use I l f 7353 j Permit 1 ~~Q ~T I My 01 EaEdn I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 j Date Received: Phone: (651) 675-5675 I Q~~ Fax: (651) 675-5694 1 Staff- I ~ I - l ~j 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: - ° D 122 Site Address: L 4 ~6p P L Unit Name: I L4G -E- Sv +((L' N C- OA *f L_ Phone: Resident/ F7 C' PAWW Owner Address /City /Zip: tN Applicant is: Owner Contractor Type of Work Description of work: P_C-PZALC- V1l1&Wc)w& ( 4(VW(- AW!2 &1ZAC Construction Cost: + 1;7 f ©oo Multi-Family Building: (Yes I No AJ X Company: M'J Ta S Vii" r: I ~ontact: &; AW" Contractor Address: City: l r"' ° L ( S State: / Zip: Phone: License* ~JG 0 77~i~ I -27 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i VY W'J06 Qv i L-T f k-FTJaIZ 11 1 b COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.ciopherstateonecall.ora I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. X A- L2, ~VVP,10 A WJ}>Id+ ~W x Applicant's Printed Name -1TVtTS PAA INC Applicanrs gnat re Page 1 of 3 q 1) 5 Pebbtt &Ack L)o DO NOT WRITE BELOW THIS LINF /1-7353 SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) _ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of Plex _ Lower Level _ Pool _ Miscellaneous _ Accessory Building WORK TYPES - New _ Interior Improvement _ Siding Demolish Building* _ Addition Move Building _ Reroof _ Demolish Interior Alteration - Fire Repair _ Windows _ Demolish Foundation _ Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 0 aL Occupancy MCES System Plan Review Code Edition SAC Units (25%_ 100%4 Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final I C.O. Required Footings (Addition) j( Final / No C.O. Required Foundation HVAC _ Gas Service Test Gas Line Air Test Drain Tile Other: Roof: -Ice & Water -Final Pool: Footings -Air/ Tests -Final Framing _.X Siding: _Stucco Lat Stone Lai -Brick Fireplace: -Rough In Air Test -Final Windows ' 4- Insulation Retaining Wall: _ Footings _ Backfill 4 Final Sheathing Radon Control Sheetrock Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge ~ct Plan Review MCES SAC L A,, - City SAC Utility Connection Charge S&W Permit & Surcharge 0 L20 Treatment Plant),, Copies N' TOTAL q(000 Page 2 of 3 4101' City of EaQall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 0 JAN 1 1 2016 r Use BLUE or BLACK Ink For Office Use Permit #: j �y 7(/ � 1 c(ji Permit Fee: [ / �6 x 762 V Date Received: /—// -// Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1/3/2016 Site Address: 4725 Pebble Beach Way Unit #: Resident! Owner Name: Rick and Shirene Dahl Phone: 651-261-1030 4725 Pebble Beach Way Address /City /Zip: J, Applicant is: Owner ✓ Contractor/.<—' Type of Work Description of work: Interior Remodel Construction Cost: $130,000 Multi -Family Building: (Yes / No ✓ ) Contractor Company: Awad & Koontz Architects Builders Inc Contact: Ali or Jim Address: 10 W 58th St City: Minneapolis State: MN Zip: 55419 Phone: 612-243-0540 Email: ali@awadandkoontz.com License #: BC033713Lead Certificate #: na NAT ` _ lC6� -1 If the project is exempt from lead certification, please explain why: original home built after 1978 In the last 12 months, Yes No COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Fire Suppression Contractor: Phone: Phone: Phone: 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 they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 S = : Building Code must be completed within 180 days of permit issuance. f:J / Applica is Printed Name Appli { I 246. xdr /a PS Page 1 of 3 X–C(tL9L SUB TYPES Foundation Fireplace Single Family Garage _ Multi Deck _ 01 of _ Plex Lower Level DO NOT WRITE BELOW THIS LINE _ Porch (3 -Season) Porch (4 -Season) — Porch (Screen/Gazebo/Pergola) Pool WORK TYPES _ New _ Interior Improvement Addition Move Building ;,Alteration — Fire Repair Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100% Y) Census Code # of Units # of Buildings Type of Construction REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: Ice & Water _Final Framing Fireplace: Ni Rough In _Air Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Occupancy Code Edition Zoning Stories Square Feet Length Width Test )( Final (1/4)::). Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building _ Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: Stucco Lath _Stone Lath __Brick Windows Retaining Wall: _ Footings _ Backfill — Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: Reviewed By: J L..- , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge SSW Permit & Surcharge Treatment Plant Copies TOTAL xdo 4)-t\io4),Xaa ocr'f-)ro X20 vv, go Vi#0 Jan, 22. 2016 1:18PM City of Eaiau 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED IAN 222016 Noy 2124 E of'_ 1ACK Ink For Office Use Permit #: 13 ♦ 9 Permit Fee: (120 ' VV Date Received:1 OZ OZ (91 Stefh/ 2016 RESIDENTIAL PLUMBING PERMIT APPLICATION Date; 1 /22/2016 Site Address: alt Pebble Beach Way Tenant: e e; Resident/Owner Name: Phone: Address / City / Zip; :Contractor Name: Silver Tree PIb. & Htg License#: PM058743 Address: 3185 Terminal Dr #200 City: Eagan Slate: MN Zip: 55121 Phone: 651-319-4200 Contact: Ryan Email: ryanb a@silvertreepandh.com Type of Work New Replacement Repair Rebuild ✓ Modify Space Work in R.O.W. _ _ Description of work: Master bath, kitchen, 1/2 bath and laundry remodel Permit Type, RESIDENTIAL ✓ Water Heater Water Softener Lawn Irrigation (_ RPZ I PVB) Add Plumbing Fixtures (_ Main / Lower Level) _ Septic System _ Water Turnaround New Abandonment RESIDENTIAL PEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing 'Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (Includes State Surcharge) Fixtures, Septic System Abandonment, Water (Includes State Surcharge) Turnaround` (includes State Surcharge) TOTAL FEES $ (add $280.00 If a 3/4" meter Is required) New (includes County fee and State Surcharge) 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.gopherstateonecali 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 Eagen; 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. xRyan Baker Applicant's Printed Name X Applicant's Signature FOR OFFICE, USE ,; Reviewed By: Date: Required Inspections: . ' Under Ground ' Rough -in • Air Test'. ' Gas Test Final Meter Related Items: ' Meter Size Radio Read Manometer "Staff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ity of Eagan Permit Type:Building Permit Number:EA150314 Date Issued:06/29/2018 Permit Category:ePermit Site Address: 4725 Pebble Beach Way Lot:9 Block: 1 Addition: Fairway Hills 3rd PID:10-25602-01-090 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Richard Dahl 4725 Pebble Beach Way Eagan MN 55123 Sela Roofing Remodeling 4100 Excelsior Blvd St. Louis Park MN 55416 (612) 823-8046 Applicant/Permitee: Signature Issued By: Signature