4737 Pebble Beach Way? ?
?' • • ? .
*
Ttr#ittratt af Orrupanry
Citp of eagatt
appartmmt of lu??? ?trtim
This Certifrcate issued pursuant to the requiremenls of Section 306 of the Uniform Building
Code certifyiieg thai at [he time of rssuance this smrcture ww in campliance ?vith !he Narious
ordinances of the City regulating building conslruction or use. For the following.-
Uae Qatfation SF DWG Bldg. Rrmit Na. 567
oauwar iYx R311A'[l Zmmg ni5uici RI Trae cAw,.
o,,,wr of BdmngFEA1T1_: BtJIIIERS A,,drem 15513 IAGARIO AVE, B' VIIJ,,E
auMwg ,aaarm 4737 PE8ffiE BEAaI WAY ???tyL2,B1, FAMTAY [IIIZ.S 4IH
? , .. ' Dawz 8/20/A2
Building OHida
POST IN A CONSPICIJOUS PLACE
C°"
IN5PECTION RECURD I u°'"°.
, CITY-OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road PeRnit Number: 40*b6l
•6/i9/97
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: i nr j z i APPLICANT:
4)37 PEBBLE BEACN WAY fEATURV BUII.OER;i
FAIRWAY FiIkLS 4114 (612) 496-8443
PERMVT P
,,qPTYPE:
TYPE OF WORK:
m
?
tP1SUl.AtIUM
FIRFPl,ACk
?
frkaL
fYt MARk `.- liUOS l"E it P11MP S ir W CON T RAC T8R -- HUKANSQN PLl1fi
- Permk No. Permlt Holder Date Telephona #
I SNU
•PLUMBING ZYV--
HVAC ? 7 L 9r--a3?
ELECTRIC ,J 2
ELECTRI My,e/(p
Inspeetlon Date Insp. Commtnts
Footings I
!
Foundation
Framing -l ?
Roofing
Rough Plbg.
Rough Htg.
ISUI.
t z? !l
r1? v?
FireplaCe /
Final Htg.
?o•
Orsat Test
Final Plbg.
0 6
( {;V Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final • 209 S
Deck Ftg.
Deck Final
Well
Pr. Disp.
')-x392 ?.S 2-s
7 Z-
15??19a
6 ?
94
542
J ? IK
fleque Da[e Fire No. ? Rouofrin Inspeclion
RequireE3 3
? Feetly Now ? Wiil Notily Inepei
?- ? Ves ? No When ReetlyT
I " ensed contractor p owner hereby request inspection ot above electrical work at:
Job Atltlress SheeL Box or POUte No.)
'??3 Cily
Section No. Tawnsnip Name or No. Range No- Co ty
Occupan?(P )
? Phon .
Power p lier MOress ?
?
?.
ElecVicyl ractor IGompany NameI ? Contactor5 i ense No
MaJing Aadress ICont ctor or ownerMaking Installatan) ^
I /
Amhonzetl S aNre iCOnVacloU wner Maki Inslallatio
? h? ?
4rj Phone Number
-
19
MINNESOTA STATE BOAFD OF ELECTRICITY ? iN15 INSPELTION REOUEST WILL NOT
GrigBe-MiOway BIEg. - Room S173 BE ACCEPTEO BY THE STATE BDARD
1821 llniversiry Ave., SL Paul. MN 55100 UNLESS PROPER INSPEGTION FEE IS
PMne (611) 642-O800 ENCLOSED.
/`-7'? RE?UEST FOR ELECTRICAL INSPECTION ea ooom oe
?? /? ? See instructions 1or completing Ihis form on back ol yellow cnpY.
y^
l l. 4?/1 /. 5 „X•• Rwlnw Wnrk CnvwrPd hv This F7enuesl
ew
Adtl
Rep.
TypeofBuiiding ?
AppliancesWired
EquipmentWired
Home Range Temporary Service
Duplez Watei Heater Electric Heating
ApL Buildinq Dryer Other (Specify)
Comm./Indus[rial Furnace
Farm Air Conditioner
Other(speciy) Conhactor's Pemarks:
Compute Inspection Fee Befow:
# '. Olher Fee # ServiceEntrenceSize Fee # Circuils/Feeders Fee
Swirnming Pool 0 to 200 Amps 0 ta 700 Amps
TranSformers Above 200 _ Amps Above 100 _ Amps
$ign5 Inspector§ Use Only: TOTAL
IrTigation Booms ?
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee :iaL COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
ceniry that the above inspection has
been made. Rough-in
Final ? oe?e
oa
OFFICE USE ONLY
This request voitl 18 mon[hs Gom
?'-?` 7 ?
? ivu 7a /
? 0 4 6/a - i • ? °? ? °°
RepuesbDate ? ve No.
? Roug?-i
Reqvi 9
- speclion
? Reatly Now ?I Notity Inspeclor
R
?
W
e ? No hen
eatlY
I.Gr ncensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress (Sireet, Box w Route
?J Gity
Section No. Township Nam¢ or No. Range No. Cou
Occupa tIPR )
u PhOne No.
Power
plier AOtlre55 .?
44
Elecmcal G ctor lCOmpany Namal / ConUact r licer5e No.
Mailing qtltlress ICOn mcror or Owner Meking Installalion,
S l j
/
Avmorize0 Si nature ICOnVacloriOwner Makl?9- n Insta?lal o ? Phone Number
MINNESOTA STATE BOAHD OF ELECTRICITY -? THIS INSPECTION.REOUEST WILL NOT
Griggs-Mitlwsy 9ltlg. - Raom 5173 BE ACGEPTED BV THE STATE BONFD
1821 Oniveralty Ave., SL Paul, MN 55106 IINLESS PROPER INSPEGTION FEE IS
Phone(612)863-0900 ENCLOSED.
?,Z/REQUEST FOR ELECTRICAL INSPECTION
5?0 9 4? See myructions fo1'compleling Ihis torm on Oack oi yellow wpy.
'X" Below Work Covered by This Request
eeooooiver?
??;r' 10?O g ?
/
e Atld Rep. '"' TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Building Dryer Other (Specify)
Comm./Intlustrial Fumace
Farm Air Contlitioner
Olher (spECify) Conlraclor$ Remarks:
Compute Inspection Fee Below:
# 01her Fee # ServiceEnlrenceSize Fee X CircuesiFeeders Fee
Swimming Pool 0 to 200 Amps ? 0 to 100 Amps
Transtormers Ahove 200 _ Amps Above 700 _ Amps
Signs Inspecmr5 Use Only: ? TOTAL s0
' Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY 8E OR RED DISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 M S.
I, the ElecUical Inspecror, hereby Rougtl-in
, ?-
certifY that ihe above insPection ha5
been made. Final ? Daie ,?j
y
OFFICE USE JNLY
This requesl voitl 18 monihs irom
Address: 4737 PEBSLE BEA,1I WAY LOt z Blk I Sec/SubFAIIddAY HIIJ,S 41H
These items were/were not complete at the time of the final inspection.
Date: 8/20/92 Yes No TnAnprfnr!
Final grade (6" from slding)
Permanent steps - garage
Permanent steps - main entry
Permanent dtiveway
Permanent gas ?
Sod/seeded grass
Trail/curb damaga
Porch
Hasement finish
Deck
Please verify with the builder the removal of roof tast caps from tha plvmbing
system and tha shut-off of water supply to the outside lawn faucet bafora
freeze potential exists. ?
uc.amr.x.
White - City copy Yellow - Resident copy Pink - Contractor copy
---------
? Fo[6fficeUse /
j
? ---------
r I
1 ?? j
?
Pertnit #:
i Permit Fee: I
I Date Peceived: j
I I
I SfaR: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: V? - ;ZP "Pd Site Address:
Tenant:
Suife
RESIDENT / OWNER Name: S Phone: 657- /
a87-
Address ! CiTy / Zip: q73-7 Ve ?.'/L? ' Nm2C/r1 wQz
Applicant is: _ Owner -?-Contractor
TYPE OF WORK Description of work: Pe,?OO ?
Construction Cost: 9`7lTd.- ? Mulii-Family Building: (Yes _/ No ?
CONTRACTOR Name: !")frvlz `; 070S R06 f irlg License#: ` 0?29Y3107
Address: ? S
city:? 17 e state:)n J?'/ zip:.?71-4,
Phone: t??^ 6?C2--Q+ (9tl-k Contact Person: .yl U6-,J?ej & f`c: 5
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Enef9Y Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Categary Submitted Submitted
(4 Submission type) • Energy Envelope Calculations Submitled
In ihe 1as112 months, has fhe City of Eagan issued a permit Tor a similar plan based on a master plan?
_Yes _No If yes, dateand address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTEi Plans and supporting documerrts=thaf you submit are considered to be pubfic information. Porteons of
the lnformatlon may be classified as non-public if you provide spectfic reasons that would permif the City to
conc/ude that the are 7ade secrets.
I hereby acknowledge that lhis iniormation is compie[e and accurete; that the work will 6e In coniormance with the ordinances and codes of ihe City of
Eagan; that I understand Ihis is not a permit, but only an application tor a permit, and work is not to start without a permil; that the work will 6e in
accordance with the approved plan in the case ot work which requires a review and appAr val of pians. -
?t.-?l ?-_,?-l QVW`9 1cQ? //!/ l.t?iti {(? V"?--
ApplicanYs P?nted Name pplicant's Signature
Page 1 of 3
t c? ? S'. 7 S
o
(9 o?
2005 RESIDENTIAL BUILDING PERMti' APPLICATION
City Of Eagan ?,?Q l (
`-P
3830 Pilot Knob Road, Eagan MN 55122 j GG "(i
Telephone # 651-675-5675 FAX # 651-675-5694
Nevr Construction Reauiremenis RemodeNteoair Reouirements Office Use Onlv
3 registered site surveys showing sq. R of bt, sq. ft of house; and all roofed areas 2 cop'es af plan Cert M Survey Recd : _ Y_ N
(20% maximum lot coverage allowed) 1 set W Energy Calalations for heated add'Nons Tree Pres Plan Recd. _ Y_ N,
2 copies of plan showing beam 6 windax sizes; pouRd found desgn, etc. t sfle survey for adddions & decks Tree Pres Requlred _ Y_ N
1 set of Energy Calculafbns Addition -indicete don-site septic sysfem On-site SepUc Systam _ Y_ N
3 copies of Tree Preservalion PWn if lol platted after 717193
Rim Jaist Detall Optbns selectbn sheet (bulldings witA 3 or less units)
Date V? / ?25 I0S Construction Cost
SiteAddress 9737??6 6t.E/jfFcr/ GU/??i , ?L?16/.fN /9JN Unit/Ste #
7rls.?:.a
Description of Work
e
Multf-Family Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ Z
ur .? -7z5--345g0
PropertyOwner Jojj/))E 6 NDA?,s Telephone #(?SJ) ?87 oSrfD
Contractor 'r'I bp ?
nddress ?/737 PE66L' C 6EStu-! LU*
Y city
State , Zip ?SJZ. 3 Telephone # (.(?5/ ) 637 OS lO
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(4 submissiontype) 5ubmitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informadon is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the 5tate 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.
?? -HoV2e
Applicant's Printe ame
,.?
Applicant's SignatfiO?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex W 20 Pool ? 30 Accessory Bidg
? 02 SF Dweliing ? DS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt- Multi
? 03 Ot 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 (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
,K 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 RePIaG0m0nt 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ts Occupancy MCES System
Census Code 4 Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V/i Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundazion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
_ FinaVC.O.
_ Final/No C.O.
_ Plumbing
HVAC
Other
? Pool y Ftgs ? AirlGas'fests '>CFinal
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: 1-2, , 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
Total
100 C)L
.
EAST METRO 2112 SHALE LANE
SURVEYORS EAGAN, MN 55122
INC. (612) 452-0134
Certificate of Survey for:
FEATURE BUILDERS
c???'??Gocx1)
DT M F- N STOR5
Lenc??+ x 1r/?d+?,
b X b
GDNc?tf re 1.x41e'
V?•F-i° Sov+?
°s`??
w?r
L = 4.00 70
R = 330.00
L = op.czv
hc?q R = 152.82
SCALE : 1It.= 30,
lak!
PEBBL
LEGEND
a DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES EXISTING SP07
ELEVATION
1?p3,?41 DENOTES PROPOSED_ SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
. ?L?v?-n???
D?'?.?rJoaG?
CF?rr'posr??j) I
3?`,: Pool iiofiho?t
?Ls'? HSE 3 8?'?QA
fi?`?1 N ? ? t??
1°?'i' U.
?
E BEACHR?q?y RED
k.l?ca?r ?.4r? . _ ?03? . s
WoPo5e-D
INVERT EI.EVLITION AT SERVICE EX7ENSION=
PROPOSED GARAGE FIOOR ELEVATION= I •5.
PROPOSED FIFtST FLOOR ELEVATION = 045•5
PROPOSED BASEMENT FLOOR = 1035•5
ELEVATION
NOTE` VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hereby csrtity ihat this swvey;plan or
report was prepared by me or under my
diroct supervision and that I am a duly ?
Reqistered Land Surveyor undar ths
Laws of the Stato of MinncsoTa. Date : Ylt i I? Aq2
45"X?CLAN ENCIRI'4RIFrQ?DE
? 88'53 I lo? l.? laENp
LOT? ,BLOCK I, FAIRWAY HILLS 4TH ADD
ACCORDING TO THE RECORDED PLAT
7HEREOF DAKOTA COUNTY,MINNESOTA
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
D 651-681-4675
New ConMruc1lon Reauirements
• 3 registered sile surveys shovring sq. @. of bt, sq. ft. of house; aM all roofed areas
(20% maximum bt coverage allowed)
• 2 copies of plan showing beam 8 window saes; poured found design, etc.)
• 1 set of Energy Calcula[mns
• 3 copies of Tree Preservation Plan if lot platted efter 711/93
• Rim Joist DeWil Options selecfion sheet (bldgs with 3 ar less uni4s)
DATE
3
SITE ADDRESS ???-hble ?£ck? ?
TYPE OF WORK- «o
APPLICANT J C-btwtGl%t-
RemodellReoairReauiremanls
. 2 wpies of plan J ?
• 1 sel of Eneryy Calculatbns for heated addiUons
• lsilesurveyforexlenaradditions&decks
• Indicate if home served by seplic systam tor addilions
VALUATION
'9?C} , a,9 O `
MULTI-FAMILY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREETADDRESS 16 '2- .N? -kt /`'"Z- CITYG??•?-,pl? STATE^"J ZIP
TELEPHONE #'?II Z E88 - YSrfr9 CELL PHONE # L?z-zz(-qGd ? FAX
PROPERTYOWNER -F OC?a ` _pp
TELEPHONE#
--------------------- ----------------------------------------------- --------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(d submission type) • Residential Venlilation Category t Worksheet Submitted
• Energy Envelope Calculadons Submitted
Plumbtng Conhactor:
Plumbing systein includes:
Mechanical Contractor:
Mechanical sysiem includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $70.00
-------°-----------------°-----------°-------------------------°--------------------°- ----------------°-----------
I hereby acknowledge that I have read this application, state that the i f ati n is c rrect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ord nce ?
Signature of Applicanf
.___________---------------- -°---- '------------ -"'-------------- -----°°-°-°-----°'--°°---.....__-------______--------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
No. of Baths
P}lone #
L.awn Sprinklc
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Altera5on ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr, ot Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings(deck) FinallNo 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
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
INSPECTION RECORD I Control No. 0457
CITYOFEAGAN PERMITTYPE: auiLoiNC :
3830 Pilot Knob Road Permit Number: 000567
Eagan, Minnesota 55123 Date Issued: 05/ 19 / 9 Z
(612) 681-4675
SITEADDRESS: LoT: z BLOCKx i APPLICANT:
4737 PE88LE BEACH WAY FEA7URE BUILDERS
FAIRWAY HILLS 4TH (612) 435-8443
PERMIT SUBTYPE:
SF DWB
TYPE OF WORK:
NEW
INSPECTION
FOOTINB ., .
FRAMIN6 ..
INSULATIOM FINAL
FIREPLACE
REMARKS: 800STER PUOlP
1-
S& W CONTRACTOR - HOKANSON PL68
? ?
PERMIT C°nt ° N°. 0457
..k CITYOF EAGAN
3830 Pilot Knob Road pERMITTYPE: BuiLoiNG
Eagan, Minnesota 55123 Permit Number: 000567
(612) 681-4675 Date lssued: 0 5/ 19 / 9 2
SITE ADDRESS:
4737 PEBBLE BEACH WAY
LOT: 2 BLOCK: 1
FAIRWAY NILLS 4TH
DESCRIPTION:
c )
tJ
. _ .?...:,..?"? ..
°$:nl.kdi:ng Permit Type SF DWG
? Buildiag`^Work Type NEW
ItB'C Oacupan`'cy R-3 14-1
Zoning R-1
?Bt+ilding lgngth-, 64
r 8uilding Widtb ' 52
?
?
?
. t
,, - -
?•
REMARKS:
BOOSTER PUMP S 6 W CONTRACTOR - HOKANSON PL68
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtotal
VALUATION
$790.00
$513.50
;71.60
$700.00
180
1
$2.075.00
$143,000
MISCELLANEOUS $1,610.50
Total Fee $3,685.50
CONTRACTOR: - APPlicant - sT. Lz pWNER:
fEATURE BUYLDERS 14358443 000116 FEATURE BLDRS
16513 IOGARTO lN 15513 LOGARTO LN
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(812) 435-8443 (612)435-8449
I hsreUy aaknawkedlge that I have reatl this applicetion and state that tha
irYformation is correct end qgree t:o comply with all applicable 5tate of 19n.
Statutes anrd Cfty ot Eagan Ardinences.
APPLICANTlP ITEE SIGNATURE
IS ? : ?GNA?URE??
SUEO
PERMIT #` CITY OF EAGAN , .' :?? ? 1992 BUILDING PERMIT APPLICATION
681-4675
MAY i 4 REGp
SINGL & 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 typinq of permit is requested, but not picked up by last working day
of manth in which re uest is made or lot chan e is re uested once ermit is issued.
Date ?/?/ 122 ? Valuation of r?ork S'#?, Ooo ?- -?
Site Address: 11 7 3 7-
STREET " STE /
Tenant Name: (cormnercial only)
lOT °I BIOCK ? SUBD. P.I.D. M
y
Descri tion of work:
The applicant is: ? Owner I?l Contractor ? Other coes«;be>
Name EK- _?t? Phone (f35-- 51443
Property LAST FIRST
Owner Address i Sgl 3-;+,"-a ?°??
,
STE 0
STREET
City 5tate '22t4n . Zip lq"S'337
Company Phone 435 8442
Contractor Address 1 SS"! 3---?a.an?? License # 00oIIG9 Exp.-S"93
C i ty POWv4? State Zi p 5-5 3 3 7
Company ? Phone
Archi tect/
Engtneer Name Registration t
Address
City State Zip
Sewer & water licensed plumber (i?i?u(?" . Processing time for
sewer & water permits is two days once area has been approv d.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applica6le State of Minnesota Statutes and City of
Eagan Ordinances.
lz
f
Q
?
A
v
v
Signature o
Applicant:
o
T
-
o
_v
? ?.
OFFICE USE ONLY
?
BUILDING PERMIT TYPE
O 01 Foundation ? 05 Apt. Btdg ? 09 Basement Finish ? 13 Comm/Ind New
pf 02 SF Dvrg. ? 06 GarageJAccessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. O 15 Comn/Ind Rem
? 04 Multi-fam. T.H. ? 08 6eck O 12 Res. Porch ? 16 Public fac.
. ? 17 Agricultural
WORK TYPE
E(31 New ? 33 Alterations O 35 Nove
El 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System Y"s
(A1Towable) 1st.Fl. sq. ft. City Water Y?"5
UBC Occupancy [L 3 M-i 2nd F1. sq. ft. PRV Required
Zoning R_I Sq. Ft. total Booster Pump Y£5
f of 5torias Footprint Sq. ft. Fire Sprinkler
Length -?? On-site well Census Code o?
Depth < Z- On-site sewage SAC Code 6/
APPROVALS
Planning Building ; Assessments
Engineering Yariance
RELIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Mallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Mater Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units I_
'790,0?D
21 1 ??
,s4
30, o 0
30, DQ
.so
3olJ.oo
3 Bz), o?1
v.tL.c;a,: 0 43, Q
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3?xk? : I'3 SU
11,r,7?6
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?.' 3 ,k'
/ X /? `
I'?z K ? - I 2
L4
y5$- ?JZv?
?31?
.
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EA3T` METRO 2112 SHALE LANE
SURVEYORS EAGAN, MN 55122
fNC. (612) 452-0134
Certificate of Survey for;
FEATURE BUILDERS
LEGAL DESCRIPTION: LOT? ,BLOCK IFAIRWAY HILLS 4TH ADD
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
k
10 S ?4' 3
0
w
L6
?
OD
0)
O
LV z
bA17-
?T
U?
By
?I ? 4' 45„?C? ?GIIV?IR 1?t?T ? y
I DRAINAGE 8 UTILITY i
I EASEMENT ?
? LoT 2 15
N
I N
r103? 5 I 3
? I lo3y \ p? ?a3(-' (D?S?? NsE
4-65-°
?
?
Io-
? ?--- ?N co ? f)
I X ??• ? ?I??? i ? ?
12.0 1t.o ? I ? ?
_ ?_? Qk?5 U
pz`r
h
I ?
L = 4.00
R = 330.00
--- ?
i
0
31
DEPT
?
R= 52 82 BV?T
. r= oUIVIP
1040
?? PEBBL
SCALE : I .= 30'
LEGEND
o DENQTES IRON MONUMENT
? DENOTES WOOD HUB SET
?p4.2% DENOTES EXISTING SPOT
ELEVATION
o DENOTES PROPOSED SPO7
ELEVATION
? DENOTES DRAINAGE DIRECTION
I haraby cartify ihct this survsy,plan or
report was preporsd by ms or under my
diraci supervision anE ihat 1 om a duly
Reqistered Land Surv*yor undar ihs
Laws of tAe Stota oi Minnesota.
ED
E BEaCH RE
WAY Qt?-
0,nt.ka3-r 65?Le.:r. _ l037 . s
LF?t?t
RzoPa.?,E-n 5 /?Eu9A•'jPLri -Wro 4-7-4
INVERT ELEVLITION AT SERVIGE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= I•5
PROPOSED FIRST FLOOR ELEVATION = 1045-8
PROPOSED BASEMENT FLOOR = to?•5
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
fC10 .
Dafe •
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432•2044
EXTERIOR EA;'JEI.OPE AVEHAGE "U" COMPUTA`1'ION
14kME Ft:.AT1?E ?CMEGi pLA.*, p7[JeER : y' -442- ZrR
Deter.nine world^.g square footage of each
1. Total exroosc-d wall area...... ?r51S sq.ft. X .11
2. motal roof/ceiling area...... 13q(0 SQ.rt. x. .026 3?.Z91P
Total exposed wall 2rea ahove floor = ZI(o8
a. Total wall orindow area . . . . . . . . . . . . . . . . . . i g9 t 3
b. Total door area ......................... 40,3
c. Totzl sliding glass door area........... 70.0
d. Total firenlace wa11 area .............. I
e. Total wall framing area (average 109)., Z5 7.t>
f.,Total net wall area above floor......... L?, 10, s?
g. Total r1m Joist area ..................:. 151, 0(.?
Total exnosed foundation area = 15,
h._ Total foundation window area............ -
i. Total net founda.tion area above grade... 75,
Determine "U" value of each wall seLzsnent
a. X "U" .52 = 98.?{6
b. g nUn .139 = 5•(00
C. i X itUit ,52
d. x "U" .68 = -
e. g ,lUff .096 = Z'-VI 5
f, g ttUn ,043 = /n9I 27?
g, g "Lrt .042 = ?•!9
h.: g flUll 52 _ .?
i. x,luff .082 = 6,15
3. mra.r .. . . . . . . . . . . . . . . . . . . . . . . . . 2 6 , S
If item #3 is the sar:e as, or less than item.#1, you have
met the intent of SBC 6006 (c) 2. "
-1-
f ?
..q
Total exoosec. roof/ceiling area = 15310
Total gross roc°/ceiling area
J. Total s'r,ylight 2sea ..................
k. Total roof/ceiling framirg area....... 16,o
1. Total net insulated roof/ceiling area.
Deternine "U" value fo^ each roof/ceiling seQnent
J.
k.
1.
4. ToT.4L.........
If total of #4
met the intent
- x nUn 152 ? _ _?•
_ yr ttl7n .024
- ?
Y nUn •'De = Z(n,7/-?ip
? D 1?1
..................... Zq .qS2
is tl:e sa-me as, or less than #2, you 2'.ave
oi S°C C046 (c) 1..
To utilize the total envelope systen method, the values
established by the sum of itens #3 and #4 shall not be
greater than the stun of items #1 and #2.
1. + 2. _
3. + 4. _
P9aterials Thermal resistance "R" -
Exterior air.........
SidSng material........
Sheathing............ '
Insulation.........
j Sheetmck...............
Inte^ior aSr..........
Studs ................
Rim ................
Cor.crete blocks......
-2-
? CITY OF EAGAN
B?? ?N.'Ixv 7"? MEECELAMCAL
SiJBD.
G81-4675
?T
RESIDENTIAL
RECEIPT# C, 19F;?
DATE 7- -
PLEASE COMPI,ETE UPPER PORTION ONLY FOR SINGLE FAhIII Y DWELLIrTGS. ALSO, COMPLF.TE FOR
TOWNHOMFS/CONDOS WHEN SEPARATE pIItM11'3 pBE REQUIRID FOR FACH DWEId1NG UNIT.
OWNER: AL ? FEES
STI'E ADDRFSS: ?/
4 3 t'E 63ZF- &"xkt r,Jq f G ADD ON/REMODEL (EXISTING
ONSTAUCfION ONLI) $ 15.00
WSTALI.ER: ?Qo??S s?i .? (-? L FIVAC: 0-100 M STU 24.00
PHONE #: "'.{} o ADDITIONAL SO M BTU 6.00
ADDRFSS: Ll Fe?. GAS OUTLEIS . MINIMUM 1@ $3 EA.
CITY: ASwICE ZIP:S?3'j SURCHARGE: $ .SO
SIGNATURE: TOTAL: $ "I,,?
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCLWINDUSTRIAL BUILDINGS. ALSO COMPLECE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUII,DINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DR'ELLING UNIT.
R'ORK DESCRIPTION: 11 CONTRACf PIUCE:
196 OF CONTRACl' FEE.
STATE SURCHARGE IS $.SO FOR EACH
$1,000 OF PERMTT FEE.
PROCFS5ED PIPING - $25.00
MINIMUM FEE - $25.00
$
_ CITY OF EAGAN FOR CITY USE ONLY
? 3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT #
PHONE: (612) 454 8100 RECEIPT rr?
DATE: _IIr -/ya
1 . ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
????????-----------------------------------------------------------
WORK DESCRIPTION
NEW CONSTx_
ADD ON _
REPAIR _
OWNER NAME: T^Y [.Lh -L1'?E'- 211-1 lCI'F'JI.I)
SITE ADDRE55:4-12s-i l?2{C?k_- leinCYl LLlky
LOT:C;k BIACK ? SUBD.
INSTALLER: f-I[l?k O?On ?ha rAh D`..
T{?T ?
ADDRES09I-74 ?.lY Y1'1 ?&+_ IYI
CITY: f 1LiU ,lJ ZIP: f6,4 ?34
PHONE #:--Igz4 -'-4-IGcQ
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? 5HOWER 3.00 .?.
WATER CLOSET 3.00 ?
I BATH TUB 3.00 ?
L LAVATORY 3.00
I KITCHEN SINK 3.00 ,?2i_
L LAUNDRY TRAY 3.00
i HOT TUB/SPA 3.00 ?
? WATER HEATER 3.00
L FI.OOR DRAIN 3.00
GAS PIPING OUT.
? (MINIMUM - 1) 3.00
? ROUGH OPENINGS 1.50 45
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
ll.G. SPRINKLER 3.00
SUBTOTAL S ?JI . ? JV
ST. SURCHARGE .50
TOTAL: s ' bD
PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FEES
18 OF CONTRACT FEE.
STATE SI7RCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
FOR:
CITY OF EAGAN
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA108869
Date Issued:01/22/2013
Permit Category:ePermit
Site Address: 4737 Pebble Beach Way
Lot:2 Block: 1 Addition: Fairway Hills 4th
PID:10-25603-01-020
Use:
Description:
Sub Type:e - Water Softener
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Jolene Mehle
17484 Goodland Path
lakeville, MN 55044
952-953-4643
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Todd E Hopps
4737 Pebble Beach Way
Eagan MN 55123
Dakota Water Treatment
17484 Goodland Path
Lakeville MN 55044
(952) 953-4643
Applicant/Permitee: Signature Issued By: Signature
EAGAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 [ E IVE
(651) 675-56751 TDD: (651) 454-8535 I FAX: (651) 675-5694`
buildinginspections(cr�.citvofeacian.com P ; �� 0 2019
2019 RESIDENTIAL BUI F .
Date:
9//o iy
Site Address:
1/73 % ?°6/t cc c L4)ei/
r
For Office �e n /�
Permit #: / f /C 5 C` 9 11t
Permit Fee: /11.7
—7
Date Received: q�
Staff:
APPLICATION
Name: 1 diVC h /4°r2,5
Address /City /Zip:
y~13% Pr61 Lt 8e-cG1 ("LAI
Applicant is: X Owner Contractor "PPS �� ti 00 . co,„,.
Unit #:
Phone: &5.7 s ZYs -$'iri t
Description of work: At /nc1 e/ /Cie I to
Construction Cost: Multi -Family Buuildi es / No X)
Ar /-,
Company: TA 2 w Contact:
Address: City:
State: Zip: Phone: Email:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of theinformation may be
classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets,
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.citvofeaaan.com/subscribe.
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.
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 ' the case of work which requires a review and approv�plans.
//(0,),‘,/
Applicants Printed me Applicants Sign ture/
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
Single Family
1 Multi
01 of Plex
WORK TYPES
New Interior Improvement
Move Building
Fireplace
rt Garage
Deck
Lower Level
(47z7 i°bkple-g&izicli /-7gq
Addition
Alteration
_ Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
# of Units
# of Buildings
Type of Construction
Fire Repair
Repair
REQUIRED INSPECTIONS
Footings (New Building)
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (Deck)
Footings (Addition)
Foundation Foundation Before Backfill
Roof: _Ice & Water Final
7(Framing30 Minutes 1 Hour
Fireplace: _Rough In _Air Test _Final
7(, Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Siding
Reroof
Windows
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
is/
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Service Test Gas Line Air Test Hood
Pool: __Footings _Air/Gas Tests _Final
Drain Tile
Nk Siding: _Stucco Lath __Stone Lath __Brick EFIS
// Windows
Retaining Wall: Footings Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: ' , L,/ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
( V) X20
a6o
Page 2 of 3
Oct.22.2019 11:01 Hessian Plumbing Services 6516818306 PAGE. 1/ 1
e r
_JO-4 r +0 44
1. r For Orrice Use /
"►a � r pr°air '1/41))91p PerZ'Y
E AGA N Per
l'
1^r� Date Received:
3830 PILOT KNOB ROAD I EAGAN, M 122-1810
(851)875-5675)TDD:(651)454-853 FAX:(651)675-5894 ,/i o •a a-/Y i o : r•ie staff:
puiidinai nsoectionsficitvofeaasm ogr 1
2019 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: )U'2D- /1 Site Address: t{ 1 31 PQ b fl P` c h tva
Tenant: Suite 0: .aror_
Name: v a N o IPl0 s Phone: („ r 1 3 y f S T /
Resident/Owner
Address/
Name: )4 ..s.r;en I I„►+�61r) ,.. S2 r i c:a SLicense*: PC S, 3 S g"
Contractor Address: P O . 1 o 1 r) 11 a City: ,,wS°,r�
State: YYN n/ Zip: LS 1D a Phone: to S I" (0 8 ) S Z.
Contact: VtC Email: kxr c �7 z S s ir1+� ,�1 r.r, (s i ue s • tor.
Type Work _Now _Replacement Repair ✓Rebuild _Modify Space Work in R.O.W.
ofDewtlon of work: e e r.,<J.Ia I
Water Heater
Lawn Irrigation(_RPZ/_PVB)
Water Softener
Description Add Plumbing Fixtures I_Main/ Lower Level)
Septic System
Description:
New
• ^Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$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
$100.00 New Residential(fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well'+$290 for Meter and$190 for Radio Read=$540
*Sewer&Water Permit also required for connection charges 4
TOTAL FEES$ ( y ' G
CALL BEFORE YOU 010, Call Gopher Stas One Call at(601)414-0002 for protection against underground utility damage. Call 48 hours before you
Intend to dig to receive locates of underground utilities. www.aooherstateonecali.org
You may subscribe to receive an electronic nodfcation from the City of proposed ordinances by signing up for an small update on the City's
weblike at www.citvolasuan.com/subscribq.
I hereby acknowledge that this Information Is complete end accurate;that the work will bo In conformance with the ordinances and codes of the City of
Eagan; that I understand this is nota permit, but an application forpermit, and work is withoutthe workbe In
0 only ppnot to alert a permit; that will
accordance with thea roved plan in the case of work which requires r
e a review and oval of lane.
pp9approval p
Applicant's Printed Name A pitcant s Signature
Page 1 of 2