4299 Pintail Ct, _; . INSPECTION RECORD
CIl'Y OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
t?i,ir? ntw?;
Sh:'tNi!!iFti •
SITE ADDRESS: APPUCANT:
1t11: 1.' NR41CK° •
? ?N F trI l I'i ,1111 I AkD F'Ahi 4 Ifi (fst.') 4 it 41 3;?
PERMIT SUBTYPE:
.
TYPE OF WORK:
INSPECTION .• . .•
1,,?r?;+???
I I1A I
MnNt •? ?•,S, +a F•t i?i?HE N a WF"t. 1 f ti T? fif AYt_nr k. F`F1v
Parmit No. Parmit Holder Dafe Telephone N
ELECTRIC //4/45.4 9 lQ / f ?
PLUMBING S ?a?`aGPI
HVAC
inspectlon Insp. Co mments
FOOTINGS ?3G
Q7
FOUND
C, Q Q7
FRAMING C?IS T ?! /'P 7 CL[7 ` `? L,
ROOFING
ROUQH
PWMDING
PLBG
AIR TEST
ROUGH
HEATING
??Q "Is'q
o
L
GAS SVC
TEST -ls
INSUL $/y/q7r,?L. t-
GYP 80ARD
FIREPLACE ?
AIR TESTCE -11 Z / a -
FINAI PLBG x// / ?r?y?
/
FINAI HTG /< <t
oRSAr
TEST
BLDG FINAI ?
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAt
l
" ?
Wx,rtifica#e of cccupanc?
(FRj of Cfagatt
Mcparbsent of 13anks augloectioa
This Certificate essued pursuant to lhe requirements of the Uniform Building Code
certifying that at the time af issuance this structure was in co?npliance with the various
ardinances af the Ci1y regulating buelding construction or use. For the fodlowing:
ux clmification: SF DWG Bwg. P„„„ Na. 30056
p_UF_y 1ya R-3 U-1 z,,,?g ? R-?. Type Const. Vn
o,,=,fB„iid;,,g BUTLER HOUSING CORP aa*m P 0 BOX 24597. APPLE VALLEY 55124
4299 P1NTAIL CIT LocW;ty L12. B1, MALLARD PARR 4TR
? f nur
Bui1din8 OW.ial
POST IN A CONSPiCUOUS PLACE
f
??CjRIj
TY OF EAGAN PERMIT TYPE:
IA-Pilot Knob Road Permit Number:
_,,-'Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
?T-
SITE ADDRESS:
? • ? ?? . i , {4 .
PERMIT SUBTYPE:
Isnt! IetN+
4) 1 .•?I / 0
rrt}i l'rN Irk,
APPLICANT:
. i ..
TYPE OF WORK:
,., , I ; , , . i ,,,
f-: AM I Mi1
M 3[, Ff r'1 F 1.
AU0 ' T' 1 Wi
,tlui ? NJ ri
? • t AN R!'VIPWFII FiY t? I ! 1 AI)All!'s .
?I 1 , •1 ,. f , r' e . '' s Pi? • , . i LLF
?
?
- --- -------------------------------------
:2,2-974
Permit Holder Date Telsphone M
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FDUND
FRAMING
ROOFING
O
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTI V I TY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
Address 4299 PINTAIL CT
Lot 12 Blk
Sub
MALLARD PARK 4TH
Zip 5512 :O?,
TEESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: V/f r/'J Yes No Inspector. 44,
Final grade (6" from siding) V?
Permanent steps (garage) tz,
Permanent steps (main entry) (/
Permanent driveway ?
Peimanent gas
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement Snish j/ -
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuaoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division ai 681-4645 before working in rightof-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy ?
7 ? 1G 7
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsVuction Reomrements RemodNlReoair Reqwrements Office Use OnIY
3 reqistered ste surveys showing sq ft of lot, sq. fl. of house; antl all roofed areas 2 copies of plan showing foohngs, beams, 7oists Cert of Survey Recd _Y _ N
(20%maximumlo[coverageallowetl) lsetotEnergyCalculatlonstorheatedaddiGons TreePresPlanRecd _Y _N
2 copies of plan showing beam & window s¢es; poured fountl tlesign, etc 1 site survey fw atlditions & decks Tree Pres Required _Y _ N
1 set oi Energy Calculations Addifion - indicafe if on-sife sepb'c system On-site Sep6c System _ Y_ N
3 copies of Tree PreservaGOn Plan if lot plattetl after 711193
Rim Joist Deteil Options selecfion sheet (buil0ings with 3 or less umts)
Mmnegasw mechanical ven[ilation fonn
Date 12- //_3 /0 Construction Costi/v, tl U J",-
Site Address y J/ /?! 2r? ? ???J Y 1' UniUSte #
Description of Work
Multi-Family Bldg _ YYN Fireplace(s) _ 0 2
ProperryOwner ??wt-al Telephoneti(&-q ) 49s
Contractor ?jYl'1'?'+n C(???j?7'Ci:????
Address 3)gg City
State ba::6? vN Zip 4--1 n 5 5)2ielephoni ) ?l2 ?i 07 ?v °175?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv ] _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) gu6mitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 monThs, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Wpter Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and wwk is not to start without a
permit; that the work will be in accordance with the approved plan in the ca of work which requires a review and
approval of plans. ;
Applicant' Printed Name ` Applica 's S gnature
DO NOT WRITE BELOW THIS LINE
Sub Tvqes
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bfdg
? 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 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demol'rsh Interiar ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Buiiding' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire 81d g) - Give PCA handout to applicant
DeSCriptl011: Wa[erDamage` Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Wdth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ FinaUC.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Ice & Water
Roof Final _ Pool Ftgs AidGas Tests Final
_
_ Framing _
_ Siding _ Stucco Lath _ Stone [,ath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Pian Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
G[TY UF ERGAN
CAFiH.T.[:Fi: 5 TkRM.T.NAL N(7: i£ii
UFaTE: 08120/98 TTM[:: 14:52.35
IIi e
NAMEe 7At1AftA K HSGGS
320 9001 42:39 F'Tt4TATL CT 74.75
^C1JJ 9001 4293 F'TNTATL. CT 1.50
J
7otal, Receip4, Amount: 76.25
CRO9f:,46i?
USr'R .T.Dr NFlNCY
FERMIT
.-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.a 10-47253-120-01
4299 PINTAIL CT
LQT: 12 BLOCK: 1
MRLLpRD PARK ATH
DESCRIPTION:
SCREENED
Bu,i'ldin`gaPermit Type
Building;Wprk Type
GAnsus Cctde
.-?
(
.?
_, '-
SF PORCH
ADDITTON
434 AL7. RESTpENTIAL
y ? i f
e i.f
, "+.a" , .ac" •. ,, f'w
REM&RAS?EVIEWEO BY BILL ADAMS.
CflLL'445-2840 RE6ARpING ELECTRICAL PERMIT AND INSPECTIpNS
FEESUMMARY: vALuATZON g3,000
Base Fee $74,75
5iarcharge $1.50
Total Fee $76.25
CONTRACTOR:
f
.
L
PERMITTYPE: suxLozNs
Permit Number: 0 3 2 9 7 0
Date Issued: 0 8/ 2 0/ 9 8
T hereby acknowledge tha`t T have readthis application and state that the
information is correct and agree to camply with all applioab].e State of Mn.
StatuCes and City of 6agan Qr.dinsaogsw.. APPLICANT/PERMITEE N URE
HQW?ER: - Hpp.?icanz -
G MTCWAEL
9299 PINTAIL C7
EAGAN MN 55122
(651)896-0730
.
ISSUED : NATUYVU
-1
s1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
ssso rn,ar KN??xn - 55122 New ConsWetion Reouirements
? 3 registered site surveys
? 2 copies of plans (inGUde beam & window saes; poured fid. Eesign; elc.)
? 7 energy calculations
? 3 copies of trea preservation plan iF lot plattad after 711/93
required: _ Yes No
DATE: 9 E (Qff
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: I BLOCK: SUBD./P.I.D. #:
RemodeVReoav Reauirements ?; % , '? 5
? 2 copies of plan
? 2 si[e surveys (exterior addkicns 8 decks)
? 1 energy calculations for heated additions
CONSTRUCTION COST; 106002a'
Name:?AwK,-) ? , N I i a1 aeA Phone #: " ( OCl 'Rq '
PROPERTY Fint GIiraY4'--- W (p - 09
OWNER ACG"I
Street Address:_?
City State: Zip:
CONTRACTOR
ARCHITECT/
ENGINEER
Street Address:
City State:
Company:
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
Penalty applies when address chang
I hereby acknowledge that I have read this applicatlon and state that the infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFPICE USE ONLY
Certificates of Survey Received -,& Yes _ No
Tree Preservation Plan Received Yes No
Zip:
Phone k:
Registration #: _
State: Zip:
License #
.,: 0,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dweliing ? 07 4-plex
? 03 SF Addition ? 08 8-plex
)M,04 SF Porch ? 09 12-plex
D 05 SF Misc. ? 10 = plex
WORK TYPE
?31 New
32 Addition
? 33 Alterations
? 34 Repair
OFFICE USE ONLY
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building _a
16 Basement Finish
17 .Swim Pool
20 Public Facility
21 Miscellaneous
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. -?
SAC Code
Census Bldg
Census Unit ?
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ ?
°k SAC
SAC Units
.,* ? Surveyor's Certi,ficate
SURVEY FOR : eutler
DESCR I BED AS : Lot i 2, Block 1, MALLARD PARK 4TH ADDITION, City of Eagan, Dakota County
Minnesota and reserving easements of record.
„
i
? Vq
9q, ?
^?. '/ / 9q39 ?
? ? SI. 293 ?3
N ??^? ,3•.
o ?
'C?
^ 95.0 ? bp
?
Gl / / h 2g 997.5 ??. /?y
10 a- ? ` 95b.2
C). p /
) ? ? am ?j ?o v,y o? • ? 498.fo
945.0 0 ay.,° t o°°'"'"?Op 99),/ q4,5,
• \ O S Q U o° ?/ 3
<' _ qqS ,?0 qi u3 .?`L
p0 S? ?d ry?. 950,9 37 / rr is. 997.F
?`-
cH,yA
' ? ??p0 Jq ! ^J 10 x ?
s3 ?o ? \ o p?0' 9so, % .9 /??
? rO
110,
9 V
3C4 \
?,
995.3 2s
?
945.3
LOT SQ
PROPOSED ELEVATIONS
Top of Foundation = 953.,
Garage rloor =qsi,o
Basement Floor = 995.9
Aprox. Sewer Service = 437s4
Proposed Elev. = 0
Existing Elev. _
Droinage Directions =
Denotes Offset Stake = .
FODTAGE _
12, 09,t-QGAN
, -?
?L u
u?-- n? EPT.
?G'd?;ra n??
? ?',.L7lNG INSE
Ercv= 952$1
SCAI.E: 1 Inch = 30 feet
MIN. SETBACK REQUIREMENTS
Front - so House Side - io
Rear -13 Garoge 5ide-5
N0:
HEDLtlND f HEREBY CERTIFY THAi 7}i1S IS A TRUE AND CORRECT REPRESENTA710N
OF iHE BOUNDARIES Of THE ABOOE DESCRIBED PROPERN AS SURVEYED
BY ME OR l1NDER MY DIRECT SUPERYlSION AND DOES NOT PURPORT TO
PL,iNNING 6NGINE6RING SURV6Y7NG SHOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS 5 WN.
2005 Pin Oak Orive -
Eagan, MN 55122 ppTE
Phone: (612) 405-8600 RE D. IINOCREN, LAND 5 VEYOF
Fox: (612) 405-6606 MINNESOTA LICENSE NUMBER 14376
9IR-obn
E+atVer 9l
Surveyor's Certificate
SURVEY FOR : Butler--
DESCR I BED AS : Lot 12, Block 1, MALLARD PARK 4TH ADDITION, City of Eagan,_ Dakota County
Minnesota and reserving- easements of record. -- --?_
i
? Vy
Cq
? / 4q3q ?
^?/ i ?39
ry
N? / / N 445.3 9453 ? / \ ? ? 74'9 ? 2?
q95,o \ ? ?o
/ h 2g 4475??./?
b? ? \ 450.2
o?ro?
9 O
0 ^ \
? ??\ 9v5o o a?`?3\ c?ao 99I.
?'y
Q<o
\ O S I omCj oa \ ? R4$3
i_ ? q95.r W' Sp 'f.?`v °? 1 y
? 997.g
cqN? \ \ 4OS . ?p
^ WhF)0 a 9 ?1 , / ?
S y0 ? p? 950, (,?q
01 ?• ? /
O
'44(.q / /4O?'h
`?// \
8 ? X/ ??
.82 ?
y.5)?
•? ?
f?
2s
-?F
94`,g
LOT SQ
PROPOSED ELEVATIONS
Top of Foundation = 953.5
Garage rioor =asi,o
Basement Floor = q95.9
Aprox. Sewer Service = q37.5 r
Proposed Elev. _ C=D
Existing Elev.
Drainage Directions =-
Denotes Offset Stake = .
FOOTAGE
= 12, 094
SCALE: 1 inch = 30 feet
BENCHMARK, rNH , n,i13/1
Elew 952.31
MIN. SETBACK REQUIREMENTS
Front -ao House Side - 1o
Rear -15 Garage Side-5
N0:
HE,?L??? 1 HEREBY CERTIFY THAT THIS IS A TRUE ANO CORRECT REPRESENTATION QlR-O(nD
OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERN AS SURVEYED
BY ME OR UNDER MY DIRECi SUPERVISION AND DOES NOT PURPORT TO BOOK: PAG
PLANNlNG BNGINSER/NG SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS 5 WN.
2005 Pin Oak Orive -
Eagan, MN 55122 DATE CAO FILE:
Phone: (812) 405-8600 FR ?. LINOGREN, LANO S VEYOR
Fax: (812) 405-6606 MINNE OTA LICENSE NUMBER 14376
Butler 9l
SU?D? B u.Q?cwt? ;? 14?0-
New Receip ? ? -
ReceiptDate ,J I
=W2-1; 315
Order Fox Payment
DateRequest for Inspectinn Number on tlris job y111^ 53?0
Date Piled / ? 4 ?
ElectricalInstaller LicenseNo.-?-AOCQ I?
OwnedOccupant w ?..5>.. County2?-P
JobAddress 'Hl:;??J?I City,
?
iAdditional Rough-in inspection was required.
_?4_A shortage of fees on the above job.
_Reinspection Fee.
A Copy of this order must be retumed with payment to the;
Eagan Municipal Center
3830 Pilot Knob Road
Egan, MN. 55122
Phone: 681-4600
Pee
Please retum this with a check in the aznount of
The above order must be complied with by (date) 10- ]
to the City of Egan.
Electricai Inspectar Chris Brinkliaus, 1026 Oak Rd., Shakogee, Mn 55379 (612)4969615
CITY USE ONLY
LOT ? BL ? RECEIPT #:
SUB17(iI"' l2P??? RECEIPT DATE:
1997 MECAAIVICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
/ 1
Date: ??
/
(612) 681-4675
Complete this section onlv if vou are instaltinE HVAC in sinPie family, townhame, or coodos that are
under construction and are not owner /occued.
• HVAC: 0-100MBTU Itido OM3?y?UN41L $ 24.00?
ADDIT:ONAL SQ-M B'i`LJ E.00 ?-
• Gas oudets (minimum of one required @ $3.00 ea.) 6 40f
r,ufiaat'. CWti
• State Surcharge: .50
• TOTAL: aAky
Complete this section oniv if you are remodeline, addin¢ to, or repairinE eaisting sinele familv
dwellings, townhomes, or condos.
Add-on furnace
Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
i otal: S 20.50
SITE ADDRESS:
OWNER NAME:
INSTALLER NAME:
STREET ADDRESS:
CITY:
PHONE #: -7 d I + / 1J(/'
PHONE #: 9;J '6k6/
_ STATE: ,// , ZIP: 5 S I?
5
SIGNATURE OF PE IT7'EE
10
L _ BL _
SUBD.
RECEIPT#:
RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAC,AN
3830 PILOT KNOB RD
EAGAN, MN 65122
(612) 681-4675
Please wmplete for.
DATE:
CITY USE ONLY
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee pc 1°h of conUaet price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of °ertnit fee due on all permks.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWkER tdAME: TELEPHONE #:
TENANT NAME: (mnPROVEMENTS ONLv)
INSTALLER:
ADDRESS:
CIn': STATE: ZIP:
PHONE #:
SIGNATURE:
? all commerciaUndustrial buildings.
• multtfamily buildings when sepa2te pertnils are W required for each dwelling
unit.
1
SIGNATURE OF PERMITTEE CITY INSPECTOR
L?LtL- BL _L CITY USE ONLY RECEIPT #: ??"0
? r Z. ? as/9
SUB . ? ? DATE.
1996 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Piease complete for: ? single family dwellings
? townhomes and condos whEan permits are required for each unit
FIXTURES EACH bQ TOTAL
Shower 3.00 x (0,60
Water Closet 3.00 x
Bath Tub 3.00 :< .2. _ (0:00
L8V8C01y 3.v0 X , 0 ?
Kitchen Sink 3.00 :c -?, 0 0
Laundry Tray 3.00 :c ?t = 6,00
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 x ! = 3,60
Floor Drain 3.00 :< 40.00
Gas Piping Outlet ' minimum - 1 3.00 ;< A7 _iotoo, f?- d a
Rough Openings 1.50 :< sv
Water Softener 5.00 x _L = S, o0
Private Disposal ' Dakota Cty. lieense 65.00 =
(new and refurbished systems)
U.G. Sprinkler ` home under const. 3.00 =
Alterations ' to extsting 20.00 =
Water Turn Around 20.00
STATE SURCHARf3E .50
TOTAL - -;i? 7 9, o a
SITE ADDRESS: !?d 9 9 /01v? -At'r0 Co u rf
OWNER NAME: 15 u 4le r /{o u S;"
INSTALLER NAME:--? +?? a t/ /o c?? Ss? C
STREET ADDRESS:- / So 9 E/-/w y/ 3
CITY: ,&rhs vi//o STATE: IM IV ZIP: SS337
PHONE#:(bia) '36L) `
?? ?iZ ?
l _
SUBD
BL _
OFFICE USE ONLY
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-familq buildings when separate permits are = required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION _ ADD ON _ REPAIR
DESCRIPTION OF WORK:
IS WATER METER REOUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WIIL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U G. SPRINKLER SYSTEM? YES NO.
IP SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINi:LER PERMIT.
FEE: $25.00 minimum fee or 1°k of contract price, whiche%,er is greater. State surcharge of $.50 per
$1,000 of oermit fee due on ail permits.
CONTRACT PRICE X 1%
STATE SURCHARGE
TOTAL
uiT'c Ai7DrRE3S
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
cirr:
PHONE
RECEIPT #:
DATE:-
STE. #
SIGNATURF:
OFFICE USE ONLY
METER SIZE: " DATE:
STATE: ZIP:
APPLICANT
_ INSPECTOR:
(;ITY10F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PEIZMIT
4293 PINTRI1. B7
LpT: 9.2 SLQGK: 1
MF1Ll_ARD PaftK47H
P.I. N . . 10-4 7253--120-e1
??? -/ Ll q 1 l,?,
PERMITTYPE: auzLuzNc
Permit Number: 0 3 0 0 5 b
Date Issued: 05/ 3 0/ 9 7
DESCRIPTION:
Bu4,fda???}"???er•mit 7ype ^aF OWG
E3 ?fC1 tf;i;, ?zt?..,,kFC??;,h, T ype N E 6d
? AR-3 t1-1
at:{s0 JS Vr_u?a;,tz¢'rifiEYPIL 'JN
"
{S'-% Z-AfY,117,f„?
?. "?.'. zk.kx.3.kL??tfi? Gell?? 66
?`.. VetJk"Ic3;a;rt? 53
.,.i.'.Zs? 1495 1-? FAM, pETACH
W",
tY
x§rSv
Q ;?#?;Ee4
?`? A ?s?,?r K°.? ???? vu:?
r
REMARKS:
5&W FLUi+98En^. = WEI_"ER & 8 LA YGOCK
FEE SUMMARY:
vuLuAmzON
Base Fee
Plan REV3ew
Surchal•ge
SFC
SAC t
SAC UniYs
Si.ibtotal
y1o23?.25
t,604 .21
$85.00
$950 , 00
1.00
1
P Rv
$170, 0e0
nzsc tf_Es
7uta1 Fee
_1i L3 e.sm
$4,616 .96
CONTRACTOR: - Flpplicant - st. L sC. OWNER:
SUTLF.:h'. HOUSING Cf1RP 14314132 0001715 #3UTLER NOUSING CqRP
P 0 E30X 24597 P 0 BQY, 2059;
APPLE VALLEY MN 55124 APPLE VRLLEY MN 55124
(siz) 431-41.32 C612a431--4132
t
S ? ? Y
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APPLICANT/PERMITEE SIGNA7URE
I lN ?.Il R,R,t;G I m ?
?I UED B: 51 NATU E
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
S? CITY OF EAGAN
6 5830 PILOT KNOB RD - 55122
681-4675
New Construction Reaui .meMn RemodeVReoair RecuircmeMa
2
? 8 regiatered site aurveys ? 2 wpies ot plan
• 2 eopies of plans (indude beam & wirMOw sisea; poured fid. design; etc.) • 2 site surveya (exterlor addftbns & tledca)
• 1 eriergy calwlations ? 1 energy celwlatfons for heated additlons
• 3 wpies of tree preservation p n H bt plaped efter 7l7/93 (/Jp-?",?/p/d..? .
requiretl: _ Yes No BYI ? ?
DA7E: ?f 111511,n CONSTRUCTION COST:
DESCRIPTION OF WORK:
61-1--
STREET ADDRESS:
LOT ? BLOCK
PROPERTY Name: Phone#:
OWNER
StreetAddress ? ?• .?oX
City; State: ZiP:
CONTRACTOR Company: ;-?.?fi/?r Phone #:
Street Address: DJ< Z S y License #: ? 715
Ciry: State:
ARCHITECTI Company: 9" Phone 6co
ENGINEER Cl/ Name: 2 e l?vL- Registration #:
StreetAddress:
City: State: /I Zjp; .5?
Sewer 8 water licensed plumber (new construction onty): penalty applies when address change
and bt change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is corcecf and agree to compty with atl applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?-r\ ?
Signature of
OFFICE USE ONLY
RI ?/? '?..'~D
Certificates of Survey Received ?es _ No
MP,Y "I i?91
Tree PreservaGon Plan Received _ Yes _ No Not Required 441?
BY:.._..
GFFICE USE ONLY
,
BUILDING PERMIT TYPE
n 01 Foundation n 06 Duplex o 11 Apt./Lodging ? 96 Basement Finish
n 02 SF Dweliing ? 07 4-plex o 12 Muki RepaidRem. 0 17 Swim Pool
,0' 03 5F Addition o 08 8-piex ? 13 Garage/Accessory n 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace a 21 Miscellaneous
? 05 SF Misc. 0 10 _ plex o 15 Dedc
WORK TYPE
.d}31 New o 33 Alterations o 36 Move
? 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ? N Basement sq. ft.
(Allowabie) J rJ Main level sq. ft.
UBC Occupancy 2-3, J-? sq. ft.
Zoning sq. ft.
# of Stories z ? U sq. ft.
Length a` sq. ft.
Depth s 3' a Footprint sq. ft.
APPROVALS
Planning Building Mg
MC/WS System
If -?q City Water ?
a ei (, Fire Sprinklered
?30 PRV
Booster Pump
Census Code. lep I
SAC Code v ?
Census Bldg
Census Unit ?
Engineering
Permit Fee Valuation:
Surcharge
Plan Review
License
MC/WS SAC $ "
City SAC
WaterConn.
Water Meter g - 1 '7 u '
Acct. Deposit 17,
S/W Permit '? v 3
S/W Surcharge ? " 3 • v7 .
Treatment PI.
Road Unit
Park Ded. 00s
Traiis Ded.
Other S? 3 Y?
Copies I x y• s
Total: Z= ?
zS?c 3c/
96SAC a. ?75-
SAC Units z K G_ 3?(
... i?YB
variance
$ t?_?r???v•?
88
B
?bZ
?
$7. T
sl
yo.d
ie a b ?lis
rB tq
ti.S
k834 44Sq, 19o3`,
g Sn
iZ.7
. 144
-- ?'-g
q?sq =
A f , 2vo.-
C4??
20 u3Z
2z. 5xa/ c.? 0
7Sa4?, 14. 411e8a
4 s 2 / --7 8'LI - -
i,6? 1 6,2-S. -°
Surveyor's Certificate
' SURVEY FOR : Butler
QESCR I BED fis :Lat 12, Block 1, MALLARO PARK 4TH AaDITION, City of Eagan, Dokota County
Minnesota pnd reserving easements of record.
BY
i, .!? S qCN,yr DATE
BUILDING INSPECTIONS DEPT.
^ry / \ 4439
.
? / ? 8S7 ?93 ?
<o ?? ?/ x qA53 q453
? lb?
? ?' / h• 293 947.(0
zo ?42
0O
4,,..-? y?. \ ? A^ 1 0n? \ `198b
a •\ ? 948.b
4973j \\ ? 995.o v2`Slk60 S
?Q,
9Jd9e O? a97,(? ?
91
^q??.po 7
3 ry`O^ QSOq `? V /
40 ^ '
??8
?. 4 ,' ? S qqb9 ?? ? ?
0 `aso
()v oi
/?bo?h
?
VAV.
? ~ Qti
495,3 Y
9-?.? ?
LOT SQ
FODTAGE _
12, 094
p 0
L ILi ?
G°a
PROPOSED ELEVATIONS
Top of Foundation = 453.5
Garage Floor =95i.o
Basement Floor =9qs.q
Aprox. Sewer Service = 931.5
Proposed Elev. _ ?
Existing Elev. _
Droinage Directions =
Denotes Offset Stake
SCALE: 1 inch = 30 feet
BENCHMARK, rNH@ u,io/
tieu= 952.11
MfN. SETBACK REQUIREMENTS
Front---a House Side -10
Rear -15 Garage Side-5
H?????? I HEREBY G1ERTiFY Tl1AT iHIS IS A 7RUE ANO CARRECT REPRESENTATION
Of THE BOUNDARIES OF THE A90VE DESCRIBEO PROPERiY AS SURVEYEO
BY NE QR l1NDER MY DtRECT SUPERVISIQN AND DOES NOT PURPORT TO
PLANNING SNGlNS&RING SURVEYINC SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT,pS SHOWN.
2005 Pm Ook Orlve 7
Eagan, MN 55122 DATE .,,??'? ,?1? '7
i
Phonr. (612) 405-6600 - F D. LINDGREN. L4110 SURVEYOR
Fax: (612) 405-6606 61INNESOTA LICENSE NUMBER 14376
N0:
q7R-obo
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PROPERTY LEGAL:
DArtE OF SURVEY: _--5-
LATEST REVISION: _
OOCUMENTSTANDARDS
• Regisfered Land Surveyor signature and company
• Building Pertnit Applicant
• Legal descriptlon
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directionai drainage arrows with slope/gfadient %
• Proposed/emting sewer and water services & invert elevatloa
• Street name
• Driveway
ELEVATIONS
Eostina
?? O
?? ? • Sewer service (or Proposed)
• Property comers
m-'a 13 • Top of curb at Uie driveway
C3 • Elevatlons of any absdng adjacent homes
Prooosed
0' 13 0 • Garage floor
Z' C3 0 • Firstfloor
2r' c2 o • Lowest exposed elevation (walkouWvindow)
13? cl o • ProQerly comers
2-113 12 • Frant and rear of hame at the foundation
PONDING AREA frf aoolieablel
0 • Easement line
? ar, ? • NWL
? e ?
5
0 • HUVI
1
Cl
C3 • Pond # designatton
• Emergency Overtlow Eleva6on
DIMENSIONS
D-?0 Cl • Lot IineslBearings & dimensions
?0 o • Right-of-way and street width (to back of curb)
?11 ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
0 porches, etc. (.e. all structures requiring permanent footings)
• Show all easementa of record and any City utiliCes within those easements
cl
c3
r' • Setbacks of propased structure and sideyaM sethack ot adjacent exasting structures
c
c • Retaining wall requirem if any
Reviewed:
Name / Data
/
January 1998
CMIG/WbBLOGPRMT.FM
LOT SURVEY CHECKLIST FOR RESIDENTIAL
at m rnur ocouir nooi irernu
nATF wnwxcuFFm FOR 1& 2 FAMILY DWELLINGS
? ? ? ?J1I.
GI'( / •
8IT'.!C ADD&S99 C
4 CITY
3 I" I.3 7-
-
ze
z DAT8 S I?O y?
_tPHONR p
COMPL8T8D HY s
_
BIIILDING CLASSIFICATION: ? category 1(muet inalude vsatilation) or ? category 2(staadard)
NIDiIDtVlS CRITS&IA
PoundaCion Insulation-R10 Wall• fi Windowr RooE Att1a Inrulationt
-R10
ti
d
I
l (See table on Yeverse side
for allowable percentagee) R44-With Attic Na Heel
on
e
neu
a
Slab on (ira
R38-With Attic Raieed Heel
Floor over unheated epacee-R24
Foundation Windowe 1/2" R36 & RS-Solid Raftara
inaulated Glaaa,
-Wood or Vinyl Frame
ST$P 1 Wladow G Door Area STSP 4 Cslculate asoa ar • 8e=aeot oP wall
A. Total Window & Door Area in Sq. Peet
on Windows):
i
WINDOWS (Includinq Foundat
J
f
?ot
? C. From Step 1 divide box A(Window & Door
u
WINDOW YAtNFAC1RR8 DTA1S8;
te.rn Area) by box B(total wall area) timea 100
WINDOW 2(ANOFACTtTRB TY88+f rC) rea ae a
o
win
d
b
t
e
ox
(
area
p
of wa2l
rcent
NfS2iDpyJ MAIi08ACTURB V 8ACT0&t 2?.
C
?
R. p, Quantity eq.ft.Area m/?, yn t
/ X 100 a
O A
BoX B ?o`
?
5
Dimeneione ?, 7
gTgp ; Deriya Featurse
X
ASSEMSLY
X
X BRAMING TYP&s
STANDARD FRAMING ?+euda 16" o.c.
X
utuds 24" o.c.
ADVANCED FRAMING
c
? G? ? ?i CAVITY INSULATION R?-r
X
X / G TYPH o
(/ S?F HATHIN
?
L85S THAN e R-5
X
R-5 > OR MORE
X
3 lq. ? U-FACTOR 9
X -
From ehe table, (reverea eide) determine the
DOORS: maximum percent window G. door area for thn
e
l
u
n optione selectad and enter the F va
desi
7z g
based on the window mf9. U-
b
l
r ow
e
in Box D
X
factor:
C?W, 420 o a
x
Total Area of A. aq.£t
Windowe & Doore
The k value from the table in Sox D shall be
8. Total Wall Area in Sq. Ft. equal eo or greater than the t in Box C
Wall Total Height Area
Perimater
?- Q , .
?
B= q
f
Total Area of Walle •
Page 1 OF 2
U?TLIR t}QUSINC CORPORATION
C__ALQULATIONS FQR_ 4299 PINTAIL COURT,_ EAGAN,_ MN.
------------°------------------------------------
WINDOW AND DOOR SCHE?ULE
------------------------------------------------
QUANTITY TYPE SIZE FACTDR WINDDW
OPENING
--------------------------------------------------
0 HASEMENT 27 X 14 2.60 0.00
2 PATIO DR 6 A 6 36.00 72.00
3 CASEMENT 20 A 32 4.40 13.20
6 CASEMENT 26 % 32 5.80 34.80
3 CA5EMENT 24 X 44 7.30 21.91
6 CASEMEHT 26 A 49 7.90 47.90
4 CASEMENT 26 X 56 10.10 40.40
3 CASEMENT 20 % 68 9.40 28,20
6 CASEMENT 20 X 56 7.80 46.80
6 TRANSOMS 20 X 18 2.50 15.00
0 DBLE HUNGS 16 X 28 6.20 0.00
0 DBLE HUNGS 20 A 20 5.60 0.00
0 DBLE HUNGS 32 X 26 13.64 0,00
0 DBLE HUNGS 32 A 16 7.10 0.00
0
--------- SIDE LTS.
---------- 1%
--- 1.
--- 3
----- 6.20
--------- 0.00
-----------
39
---------
--------- TOTAL GLASS AREA: 319.71
-----------
-----------
---------
--------- ----------
DOOR
---------- ----°
SCHEDU
------ -----
LE
---- ---------
----°-- -----------
-----------
QUANTITY TYPE SIZ E FACTOR DODR
OPENING
---------
1 --°------
THERMATRU ---
3' ---
-0" -----
A 6 ---------
19.00 -----------
19.00
2 THERMATRU 2' -S" X 6 16.80 33.60
0.00 0.00
0,00 0.00
0.00 0.00
---------
----------
---
---
----- 0.00
--------- 0.00
-----------
TOTAL OOOR AREA: 52.60
Page 2 OF 2
TOTAL WALL WINDOW AREA:
TOTAL PATIO DOOR AREA:
TOTAL BASEMENT WDW AREA:
TOTAL WINDOW AREA
297.71 0-VALUE 0.361
72.00 U-VALUE 0.367
0.40 U-VALUE 0.421
319.71
TOTAL DOOR AREA: 52.60 U-VALUE 0.066
TOTAL AREA- WINDOWS 5 DOORS: 312.31 [A]
TOTAL AREA OF WALL: 3,971.75 [B]
ACTUAL. WOW & DOOR AREA AS $ OF WALL: 10.12% fA] \[Bl
?STANDARD WALL FRA!lING1
3REATHING >R_51 INSUL._ R=19, WINDOW U.36 = 14.009 MAX WD41/DR ARSA
-w ::................
CALCULATIONS FORt 4299 PINTAIL COURT,_ 6AGAN,_ MN.
BOTLER HOUSING CORPORATION
?_
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Use BLUE or BLACK Ink
For Office Use I
Permit
ins
City of Ea Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: L~Q -7 6
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 1 (P ' Site Address: CZ 1 C, Unit
Name: V t tn./Z(, :t ham" si Phone:
Resident/
Owner Address / City / Zip: G-. C~,
Applicant is: Owner Contractor
Description of work: -4
Type of Work /
Construction Cost: ! Multi-Family Building: (Yes / No
~4 z Contact: 905,0 Sa-12 (,4 Z
Company:
Address: City: lof,~~~_ n ~G
Contractor
State: Zip: S~ S 62- Phone: (O U :3 / u 2 Z
g
License #:&,6C C3 Lead Certificate
~n _
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
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.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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 co leted within 180
days of permit issuance.X_ S~t C x
Ap ica t s Printed Name Applicant's Si at re
Page 1 of 3
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: -1 2/V LI a l
Permit Fee: '105. as
Date Received: ' & I i It / f y
Staff:
20147RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - I 6 _ J
Site Address:
Resident/
Owner
Contractor
Name:
\i\-QA,011- 12--e y
Unit #:
Address / City / Zip: 9 Z 9
Phone:
Applicant is:. Owner Contractor
Description of work:
Construction Cost:
c S14,2_ C5h (y,
5 , 0t°
Company: h 1 7- et--7,J--64ic-fl�
Address: 1S 3 3 �/' f City:
Multi -Family Building: (Yes / No )
Contact:
/14 ,Cam d 7
State: /V Zip: ;cS (j Z Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
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 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.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 State Building Code must be co •• •. •• d within 180
days of perm' ce.
Applicants Printed Name
' Ap. ica ignature—'
Page 1 of 3
RE'C I'VE
-ii./1/)
2018For Office Use
MAY
;, 5 Permit#: z �7/
MI M /
k,,, t, 0"''' g N Permit Fee: 4=2:9'
Date Received: Uc-1 S
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /)l
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff: j'J`1
buiidinclinspections@cityofeagan.con, L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
, i o
Date: I I Site Address: 4 a C1 a1 tv' 1 \. e* 0 • a-1(N nit#:
Name: � � JI S LM Phone: bei ( (-1 1
Resident/ , 1
Resident/
el" Address/City/Zip: (-f3\9t.9 1 f l" i C �✓1 VY' V t �- s
i
j Pp 1 er xC .. �
Applicant�s Owner Contractor
Description of work: R e..{t.CL(L. �k_ " - D Q-V-i
l Type of Work 1
1 Construction Cost Multi Family Building:(Yes /No Y )
f Company: Contact:
Contractor Address: City:
State: Zip: Phone: Email: v
License#: Lead Certificate#:
If the project is exempt from lead certification,please explain why:
4(2•--"\
F
7.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12v/�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:
k
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
)
1
Fire Suppression Contractor: Phone: f
i
NOTE Plans and supporting documents that you submit are considerer/to be public informedly& Ponidris of etre Information may be
classified as non ub is#you providesprecifie masonsfhat would riirft f)re City to conclude Moth atelrade acres_
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.citvofeaoan.comisubscribe.
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 Cali at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. ww .gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; 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.la
x_____ 474[; ni A N;Q)'56AA x
tzt.,...... K.L.L-......._
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE 7.99 ,"<>1/7.9<1 Ct-. / ��-
SUB TYPES
— Foundation _ Fireplace — Porch(3-Season) _ Exterior Alteration(Single Family)
— Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
— Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
—
01 of_Plex Lower Level Pool _ 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 Occupancy MCES System
Plan ReviewCode Edition 00440 15/ SAC Units
(25% 100%X) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction f Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) >(, Final I No C.O.Required
Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool:_Footings __Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In _Air Test Final Siding:_Stucco Lath _Stone Lath _Brick EFIS
Insulation Windows
Sheathing Retaining Wall: Footings Backfill Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: ,/ ,Building Inspector
F
RESIDENTIAL FEES (p
Base Fee , , r`.� ./ 1 ,^ ;,
Surcharge , "
t, i. �.
Plan Review F, ,` 9 ii -
MCES SAC (I ' , .. ,
City SAC - t
Utility Connection Charge
S&W Permit&Surcharge . _IV q
q 10
Treatment Plant /��,✓ `7
el
Copies
TOTAL
Surveyor 's Certificate / 7q6
•
SURVEY FOR : Butler /-7. 9c1 R7?/--gli C- ,
DESCR I BED AS : Lot 12, Block 1, MALLARD PARK 4TH ADDITION, City of Eagan, Dakota County
Minnesota and reserving easements of record.
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N // x945.3 // \ 719 2 p.
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947.3 ao �'
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�\ 94 .0 �\ c°Qua '� o A` app 9qI/ I
� Q / ai' G X04 \ / 5,3
s3. �° N `3J gip 'w 405 , A9�69 . V/ /
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SS; ^� /oo y// \ /� , •, pc0 if
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9_4`
LOT SQ. FOOTAGE = 12, 09tAGAN
Elas-
,
.__?
.4, r-
PROPOSED ELEVATIONS VFE A AiEPT.
��LDING INTI ' 7-N1-1@ 11,104
Top of Foundation = q53•5 Eley 952.31
Garage Floor =g5i.0
Basement Floor = 995,q
Aprox. Sewer Service = 937,51
Proposed Elev. = c MIN. SETBACK REQUIREMENTS
Existing Elev. _
Drainage Directions = Front —30 House Side — io
Denotes Offset Stake = • SCALE: 1 Inch = 30 feet Rear —15 Garage Side-5
JOB NO:
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
HEDLIIIIIINDBY ME OR UNDER MYOF THE BOUNDARIES ODIRECT SUPERVISION AND DOES F THE ABOVE DESCRIBED ENOT PURPORTRTY AS E TOD BOOK: 91R-060
PAGE:
PLANNING ENGINEERING SURVEYING SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS S WN.
2005 Pin Oak Drive
Eagan, MN 55122 DATE In/_13/� d. CAD FILE:
Phone: (612) 405-6600 FR D. LINDGREN, .LAND S VEYOR
Fax: (612) 405-6606 MINNESOTA LICENSE NUMBER 14376
Tatler 91