4304 Pintail Ct
------------,
? For'(NF,ice Use I
I Permit #: T7 ?
I
I
? Permit Fee:
I Date Received:
I ?
? Staff: ?
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ] Uk{- SiteAddress: 4fJ?4 -P l`1"?\? G?•
?-
Tenant: ?doQ1V'jO 050 V' l'0 Suite #:
RESIDENTlOWNER Name: [ic(L70.YJa QSOr1O PhoneC?S' q
Address / City / Zip: -3!:4 Wr1k7 1 G4• CQqC(,VI
, ??" , Ss ( ZZ
.
CONTRACTOR Name: CI ieks t' i 0Wl b;Vla License #: Yo3 2-+F- P, I,
nddress: 3953 1 +11 ',f• WtS+-
Ciry: T-OSeW10J ?I 1 State: N? Zip: 'rJ 5069
Phone: I&(2) 210 °"4+018I Contac[Person: Mad O?1 6 11 d.S'
TYPE OF WORK 4,New' '_-Reolacem2ht _ Repav _ Rebuild _ Modrfy Space _ Work in R.O.W.
Descri tion ot work:
PERMIT TYPE RESlDENTIAL
Water Heater Water Sottener
_ Lawn Irrigation ?Add Plumbin Fixtures
? RPZ PVB) ? Main . Lower Level)
Septic System _ Wa[er Tumaround
New
A6andonment
RESlDENTIAL FEES:
$50.50 Minimum Water Heater, Water SOftener, or W ater Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge)
"Water Turnaround (add $136.00 it a 5/8" meter is required)
$100.50 Septic System New ($70.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 Sta[e Surcharge)
' - a ? -- TOTAL FEES $
I hereby acknowledge that this infortnation is complete and accurate; that the work will be in conformance vrith the ordinances and codes of the Gity of
Eagan; that I understand this is not a permil, but only an application for a permit, and work is not to sfart without a permit; that ihe work wiil be in
accordance with the approved plan in the case of work which requires a review and approval ot plans.
X Marton E(icrs X
ApplicanYs Printed Name ApplicanPs Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: _Under'Ground _Rough-In _Air Test _Gas Test " _Final
53 S/ ? RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
New ConsWction Reauiremenb
• 3 registered sile surveys shawing sq. R. o( lot, sq, ft. of house, and all roofed areas
(20% marimum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found desgn, etc )• 1 set of Energy Calculafions
• 3 copies of Tree Preserva[ion Plan d lot platted after 711193
• Rim Jokt Detail Ophons selection sheet (bldgs wilh 3 or less units)
DATE ? / C gl-lo2
SITE ADDRESS J3077 ?nl
TYPE OF WORK
APPLICANT JUZAXS[??.'UG?C.4/2?"J ,
STREET ADDRESS
TELEPHONE 41??d?au.cELL PHONE #
113 "
RemodeVReoair Reaufremenb
• 2 copies of plan
• 1 sel of Eneqy CalculaUOns for heated addibons
• 1 site survey for exlerior addilans & decks
• Iridicate if home served by septic syslem for addNans
VALUATION
MULTI-FAMILY BLDG _Y _N
_ FIREPLACE(S) _ 0 _ 1 _ 2
V16 STATE ?IP
FAX #? 1-74 `
PROPERTYOWNER TELEPHONE#
--------------------------------------------------------- ---°-------------------°------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ NII.VNk:SO'1'A RULES 7670 CA'1'LGORY 1 MINNESOTA RL'LES 7672
(J su6mission type) . Residential Ventilation Category t Worksheel Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing system includes:
Mechanicai Confractor:
Nlech,miril syslem includes:
Sewer/Water Contraefor:
Water Softener _
_ Water Heater _
No. of 13aths
Air Conditioning
Heat Rccovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
---------------°-------------°--------------° °-----°-------------------------------• --------°-----------------------
I hereby acknowledge that I have read this application, state that the i rmation is c rect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan nces. ?
Slgnafure of Applican
OFFICE USE ONLY
_ Phone #
Lawn Spnnkler
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-ptex Plbg_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 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demofition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Fooungs(new bldg) _ FinallC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Foutings (addirion) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Wa[er _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
Fi;eplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_
Insulation _ Re[aimng 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
Address 4304 PINTAIL COURT ZIp 5512 2
IAt 1 Blk i $Ub MALLAFD PARK 4TH
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass ? U?-
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the rerooval of roof test caps from the plumbing syscem and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contac[ engineering division at 681-4645 before working in righ[of-way or installing underground sprinklet system. ?
White - City Copy Yellow - Resident Copy Pink - Contrxtor Copy
[;TT'Y i;i M:AA[
E;"2s ,}5 i'Ii::RM10taL i:ii:; Or'F;
i41tL:: 031091OCt 1 ti4!:.a i.i MAN
iD::
MfE.,: : PONT lE!k S:UtlS' f'f'L'r.l'Itliti :LWi].
2210 ?l:iC;:l. 4304 F..COtA:tL.. C,"i A.nU
34;til 9001 Q0)5 f'INI;'v7:1. C1 0.215
'.r':L:..'iFi .`af?fl± 4304 f''1N-+A7.1_ C:l' 0,50
?
t
7c>i:.7.t I.;ere.i.pl. Ampurv!;;: 60„75
GR3 2491c? .
IISE'R .I:i?a _I41id
1 ,+0Wl[kV::N;rbk'1['Y_W.r['.;'1:'/.:kY,;;'.;YS':kz:S:ik:.°:'s:X?..k?1i91?y!' : "
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4875
Remodel/Reomr ReaulremeMa
D S reOsferetl Yh wrveys showiny KF R of M. W. fl. W house 2 ooplea of pian
aitl Al roofed areaa (4D96 mmdmum bt covemae dbwedf 1 set d energy cdcWallons for haatetl aHt&ftons
D 2 coples ot Plcuq (show beam & window sixea; pouretl Intl. desipn: etc.) 1 rife uweY lor exieAOr adtllHOna R decks
D 1 fei ot en6ryy cdcWoqotu
> 3 coples oi hea Presenallon Plan M bT plalled afbr 7/1 /93
onTE: 3- a -a o 0 o coNSreucnoN cosr: 600
DESCRIPTION OF WORK: Ne'-^? 0,z c, f ('
STREET ADDRESS:
30? P?•,?q! / e? .
,.`,,?'_(? ? ,? - ?/ (,?^
LOT: ? BIOCK: SUBD./P.I.D. i: /?? ? Y?`?`??l?-w? w v?- ? T V\ '
Name: f'<14 Chen?Co S/qVA PhoneO: 6Sl Z- -? r?0 Z
pRQpEgjy Last Fusf
OWNER '1361I )pih-ia,'l C? .
Sheet Address:
Clfy g.A.BA^' Sfate: lifj- Zip:
Company: /-'?ak' +reh CUh.e?? Phone#: 612 YI/?-77$'O
(area code)
CONiRACTOR
Slreet Address: lS-06 6 Wr1 dqewa • Q1')?i ucense n,2e0610?/0 Exp, 3 3) ?,?
Cffy s-A state: Mti Zip:
G
ARCHITECT/
ENGINEER Company: NA Name:
Teiephone fr: ( )
Sfreet Address: Regfshaflon p:
i CHY
StOF6:
SewerJwater licensed plumber (H installina sewerlwaterl: Phone #:
21p:
SS37S
I herek-eacknowledye Mwt I have read Mds applkalbn, slate that the Wortnalion is cortecf, and agree to comWY wMh ap appAccble State
of Minn solc StaluFes ond Cify of Eapan Ordinances. ??11
t Signalureo(Applicant
OFFICE USE ONLY
certificates or suNey Rer.ervea _
Tree Preservation Plan Received ?
Yes _ No
Yes _ No
- Not Required
NIAR 2 r/F
?
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
0 01 Foundation ? 07 OS-piex
? 02 SF Dwelling 0 OS 06-piex
? 03 01 of _ plex O 09 07-plex
? 04 02-piex ? 10 08-plex
? 05 03-piex 0 11 10-piex
? 06 04-plex ? 12 12-plex
ORK TYPE
?
31 New
O 32 Addition
O 33 Alteration
? 34 Repair
? 13 1&plex
p 17 Garage
\ 18 Deck
O 19 Lower Level
Pibg _Y a _ N
? 20 Pool
O 21 Porch (3-see.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Stortn Damage
? 25 Miscellaneous
0 30 Accessory sldg.
E3 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)' ? 44 Siding
O 38 Demolish (Interior) ? 45 Fire Repair
0 42 Demolish (Foundation) O 46 Windows/Doors
• Give PCA handout to applicant for demolition permit
GENERAL INFORMA TION
SAC Code
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
W idth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq.ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building 'L? Engineering
sq.ft.
sq.ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
.-- , ?*
O 31 Fxt. Ait - Multi
O 33 Ect. Alt - SF
O 36 Muttl
21T-
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5NV Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ I '?
? C9 k.,
?
SAC Units
% SAC
CITY USE ONLY
LOT ? BL RECEIPT #:
SUBD? RECEIPT DATE: I I" / I Q i Iq- 1g
MECHANICAL PERMIT #? J ?
1999 MECHANICAL PERM[T (ftESIUMIAL)
? CITY O£ EAfiRN
3$30 PILOT KNOB gD
EAfiAP b1N 551 EE
(651) 6$I-4675
Date:
Complete this section onlv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner /occupied.
• HVAC: 0-100 M B T U $ ?
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @$3.00 ea.) .60
?rr?-_ State Surcharge .50
g""?e Total $ '3 O
?rd er
Complete this section onlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
New Alteration
Repair _ Other
Reminder: Ca11681-4675 for inspections.
Furnace
_ Air exchanger
Air conditioning
Other
$ 30.00
State Surcharge .50
C Minimum Total Due $ 30.50
-t--
SITE ADDRESS: '`},/ 011 -f ,I?
OWNERNAME: }?ebQ(4 q?..rQ V-155fJCicLAeS PHONE#:
(AREA CODE)
INSTALLERNAME; 'V:?L_ r n PIc? ?4-9?
° PHONE#:(oS (A? i -44(n?z- ??'
?
STREETADDRESS: 9,1 b3LI (.h,00NinALIP v
?f .
CITY: STA7'E: ry)_ ZIP: --S50R
i? M-ep
SIGNATURE OF PERMITTEE
L BL
SUBD.
APPROVED BY:
INSPECTOR
RECEIPT #:
RECEIPT DATE:
MECHANICAL PERMIT #:
1999 MECHRNICAL P£RMIT (COMM£ftClAL)
CITY Of E4fir4N
S$SO f'ILOT KNOB ftD
ERHi41V, MN 551EE
(651)6$1-4695
Please complete for: all commerciaVindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE:
DESCRIPTION OF WORK:
NEW CONSTRUCTION INTERIOR IMPROVEMENT
FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
T07'AL
SITE ADDRESS:
OWNER NAME:
TENANTNAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS:
CITY:
CITY USE ONLY
PHONE #: -
(AREA CODE)
STATE: ZIP:
($.50 per $1,000 of permit fee due on all permits J
PHONE #:
(AREA CODE)
SIGNATURE OF PERMITTEE
CITY USE ONLY
L L 1 N'
SUBD. ` 't _
RECEIPT#: ? L
RECEIPT DATE: r JI Z &Lq
PERMIT # ? J` 7'" ! Q
1999 PLUM$INfl PEtMTP (RUIDENTiAL)
CITY Of EAfiAN
3$30 PILOT MNOB iZD
EA6AN, MN 55122
(651) 6$1-4675
Please complete for: ? single family dwellings
> townhomes and condos when permits are required for each unit
% backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x $
Floor drain 3.00 x = $
Gas i in OUtIBt ` minimum - 7 3.00 x = $ 3
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $ ;<
Laundr tra 3.00 x = $
Lavator 3.00 x ta = $
Minimum fee alterations to existin dwellin 30.00 x = $
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem ab:ndonment 30.00 x - $
RPZ ,iaw installatien/r2pair 30.00 x = $
Rou h o enin 1.50 x 1?>
Shower 3.00 x l = $ _3
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x t _ $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x ---- _ $
State Surchar e .50 --> ----> ----> $ 50
Total
--?
--?
----? .___> $
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-•----?----ck----?--•---------------------------------------I ----------------------------------------------------- --------------------------
I hereby anowledge that I have read this applicafion, state Nat the infortnation is cortect, and agree to comply with all applicable City of Eagan ordinances.
It is ihe applicanPS responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facili6es constructed under this permit within City property/right-of-way/easement.
SITE ADDRESS: _ y3C7 y P; yl W? ?ye-
OWNER NAME: : H2bQIf-4 p? K?Q ?S?-iyCiq,4 S TELEPHONE #:
(AREA CODE)
INSTALLERNAME: „n??n Plc? I ?70 TELEPHONE#:
11 (AREA CODE)
STREETADDRESS: a I()-AU C{,:r%nrtAAnlF 11 UP_
` .y
CITY: Etb.(`yv?iv?G?'fv, STATE: rnn ZIP: ?
--? ?0 (?n , . , Q L. ;7 Q?2n,.
SIGNATURE OF PERMITfEE
Cl:7Y Oi 1=iAGAN
CASNTLRr. 5 l'W.RMINAI_ N(Je, 6F0
DA7E:: 03/24/99 '11MI-: 14;;43:04
ID.
NFlME? M f' IIELst_RT & ASSfJCZFl'TE'a .T.NC
2?56 9001 4304 i'.T.t.T'AI!._ CC' 47961.59
To+,a1 Feccip?t Ainaun+,; 4y9f,1..53
CR:L049E,2
t.15F'.F' 7D: NFiNL'Y
%?>k%??yF?X X<*?myF>?%<?he#Xt 'M??k?XX??k>X?XX??kYF?k%c?k?k?>X?k?k?Kkck?
- ??
City of Eagan
3830 PILOT KNOB RD
EAGAN, MN 55122
(651) 681-4675
Site Address:
4304 PinTail Ct
Lot: 1 Block: 1 Addition: MALLARD PARK 4TH ADD[TION
Description
Sub Type: Single Ramily
Work Type: New
Description:
Census Code: i-Single Family Detach
Permit Type: Building
Permit Number: EA034771
Date Issued: 03/24/1999
=-54 ?'s `l D
UBC Occupancy: R_3 ?
jjP?
_ Construction Type: V-N
? Zoning:
Single Family
Squpre Fe?t:?=: , 2,444
?o . '?;,p1P711I1t3?
Remarks: Plan reviewed by Craig Novaczyk.
5& W Plumber is Farmington Plbg phone 4651-463-7824.
Fee Summary: Sewer & Water Permit Surcharge 0.50
Valuation: $160,000.00 AccountDeposit 30.00
Sewer Permit 50.00
Water Permit 50.00
State Surcharge 80.00
' city snc 100.00
Water Meter 518" 114.00
TreahnentPlant 468.00
Water Supply & Stoxage 825.00
Plan Review 86434
Contractor' plicany?e Famity Home
- SAA pWner' 1,050.00
? p
Base Fee 1,329.75
HERBERT M.R. ASSOC INC. St. Lic.: Hebert & Assoc. $4,961.59
8439 W. 143RD STREET 8439 143rd Street W
- APPLE VALLEY, MN 551240000
6129533699 Apple Valley, Mn 55 124 612-953-3699
li
I hereby aclrnowledge that I'?ave read ?3 application and state thaY the information is correct and agree to comply with all
applicable State of Minnes,dta Statut?nd City of Eagan Ordinances.
Signature
PERMIT
?-Ls=?4 _ et'?_e /m
ued By: Signature
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
asao ru.oz xxos xn - ssiaa ? C?
(esi) e81-4e75 New Construction Reavirements RemodellReeair Reauirements
? 3 registered site surveys
• 2 copies of pians (include beam & window sizes, poured fnd, design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan if lot platted aRer 7/1/93
required: Yes No
DATE: c W l e'// 9p4
DESCRIPTION OF WORK:
? 2 wpies of plan
• 1 sfte survey5 (exterior addfions 8 dOCks)
? 7 energy calculations for heated additions
CONSTRUCTION COST: / 0 'W' QDO. ;??
STREET ADDRESS:
r y
. A
LOT: ? BLOCK: ? SUBD./P.I.D.#: NLtc?irr? nnK ?14 r7qp,7ro.N
= az'5t :
PROPERTY
OWNER
Latt
L (c9J2 %
Fia[
Phane #: P?3^ / `` /
Street Address:
City
66 -0/-6? State: oe_w L?f Zip:
1 _
Company:z ??7G---112 % p zs,S d C • ?hsC phone #: J-Fe-l/ /
CONTRACTOR
Street Address: j Y License # Exp. 6 1? ?s
Ciry L d? 41-- C? State: Zip: 5::T-/ 2?
ARCHITECT/ //
ENGINEER Company: L/l?L/C [7 Phone #: 75Z?U 7 ZL/
Name: D 6v1 Registration #:
Street Address:
City State: Zip:
5ewer 8 water licensed plumber (new construction only): f"*e'i d.? LvF-?i/.?-fl Penalty applies when address
ohange and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the information is correct, and,agreo comply with all applicable
State o! Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant
G
OFFICE USE ONLY
Certificates of Survey Received V Yes _ No
Tree Preservation Plan Received _ Yes _ No
RECEIVED
I
MAR 11 1999
? NOt Required B1'??
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
a 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ? Basement sq. ft. t (a 33 Census Code ( b f
(Allowable) ? Main level sq. ft. I Lp 4-5- SAC Code ol
UBC Occupancy CL -? C6sq. ft. P> l l Census Units J_
Zoning 2" l sq. ft. Census Bldg /
tt of Stories SfLtf sq. ft. MC/ES System
Length _Q! D sq. ft. City Water
Width 4bZ Foatprint sq. ft. 2 c Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning
Building
Engineering
Variance
Permit Fee Valuation:
Surcharge tt- 'r7344T'¢1j
Plan Review
License
MC/ES SAC
? FtN "'
City SAC b? (JIU? . _
Water Conn.
Water Meter
Acct. Deposit
S/W Permit OZL x
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
g t59 , 3Z°j
?
84a 4 X 51 = 45Z?12
785 q? x.! S' = I L?25 =`-
??
t Z Ci. 7&? °-?
TUrA,- = V s9 , ?-7
% SAC
SAC Units
?EI3E12GY CODE WORKSHEET FOR 1& 2 rAMILY DWE LINGS
SITS AUDRE55 F+? 2 SSOG, CITY
COMPLETED 8Yi PI[ONS N DATE
4
BOILDING CLASSIFICATION: Eles
lSINIHUM CRITERIA
Foundation Ineulation-R10
Slab on Grade Ineulation-R10
Floor over unheated epacee-R24
Foundation Windowe 1/2"
ineulated Glaso.
-F7ood or Vinyl Frame
STSP 1 Window & Door Area
A. Total Window & Door Area in Sq. Feet
WINDOWS (Including FoUndation Windows);
WINDOW MANUFACT[]RL+ NAFfB;
WZNDOW MAtNPACTORE TYPB:
NI'NDOW MfiDTOPACT[IRS O FACTOR:
R. O. QuantiC
Dimensions Y ?9?f?.Area
? ?, ? r
??.u Xd_:?
-:?
i ?;?i
z : 'x -Z'
f r{f??
J i ?tG
I
?
Z-G' X `7-`G? /
X
V+br x
-,? aM X
G. X j1.
? l
X
X
DOOpS :
3 X?
X
Total Area oE
Windowe b Doors n- q,fl.
=±?
77
B. Total Wall Area in Sq. Ft
Wall Total fieight Area
Perimeter
777.
7bta1 Area oE W_lls __L[?_Gy?i?3.[t
1 (ntendard) or
Walle 4 Wiodowu
(See l:able on reverse side
for allowable percentages)
vent
Roof Attic IneulaCion:
R44-WiGh Attic No Ileel
R38-IJith Attic Raieed Heel
R38 6 RS-Solid Rafters
ST6P 2 Calculata area ae a percetit o£ wall
C. From Step 1 divide box A(47indow & Door
Area) by box 0(total wall aiea) Limeo l00
equals the window and door area ae a
percent of wall area (box C).
Aox? ZSL? X1oo= c
STEP 3 Deoign Featitren
A.SS6M6LY
PRAMSI7C TYPE:
STAIIDARD FRAMING" studs 16" o.c.
ADVANCED FRTMING rtude 29" o.c.
CAVITY INSULATION h P -I
SHBATiiItIG TYPB:
I.ESS Tf1A14 a R-5 ?
R-5 a OR 1-0ORE
U-FACTOR L7
From ttie ta61e, (reveree eide) deCermine the
maximlim percent window & door area for tho
design options aelecLed and enCer the Q value
in Box D helow Uar,ed on the window mfg. U-
fac[or:
I-fyl °
The t value from Clw 1n61e in Oox D ehall be
cyval to ar greaCel [han the 1 in pox C
•
ONE- & TYVO-PAMILY RFSIDENTIA[, p(JJLD(NG pRESCR1PME (CppK-HOOK)
API'ROAC'3i
MAXIMUM WINDOW AND DOOR AREA AS A PERCGNT OF OVERALI, WALL
AREA
FMM Minn Ritio. part 1670 047C,- WWrt 2. 3!_ F
Fremi Cavlt Extarior Wlndow U-Faetor
n Ineu{ation 5healhin 0.49 0.36 0.31 0.27
STqNDARD R-13 2 R- 7 13.49'e I7.85'e 21.39'0 24
39'
STANDARD
R•13
R- 5
12.4%
16.4°/s
19.7% .
0
12
5q
STANDARD
R-IS
> R- 5
12.9%
I7.19'n
20.170 .
u
23
9y
STANQARD
R-18-19
< R- 5
12.190
16.0%
18.8% .
,
22
0%
STANDARD R-18-19 R- 5 14.096 18.6% 21.870 ,
25
3%
ADVANCED R-I9-19 < R- 5 12.9% 17.1% 20.1% .
23
4"/
ADVANCED
R-18 -19
Z R- 5
14.59'v
19.29'0
22.59'a .
0
26
1%
STANDARD R-21 < R- 5 12.8%. 17.0°Yo 19.9% .
23
1%
STANDARD R-21 > R- 5 14.59'. 19.396 22.59'0 .
26
1%
ADVANCEQ R-21 < R- 5 13.696 18.1% 21.2% .
24
6%
AfJVANCED R-21 R- 5' 15.09'a 19.9% 23.29'0 .
26.9%
Notes:
Window arce equals rongh opening minus lnstallation clearances.
Wfndow U-faclor musl be determined by either the Nationa! Fenestration Rating
Councll standard 100-91, or ASHRAE 1993 Nandbook of Fundamcntals, Chapicr 27,
Table 5.
Pos41t' Fax Note 7e71
n
Additlonal plc?lat?m
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILpING PERMIT APPLICATIOpJ _ ,
PROPERTYLEGAL:
DATE OF SURVEY:
U
?
m
LATEST REVISION: _
W N
? N
?'o o v DOCUMENTSTANDARDS
a Q ca
N
Q Z ?
? :1 Registered Land Surveyor signature and company
? ? :
Building Permd Applicant
0 ? legal description
?
? ? Address
7 a- ? • North arrow and scale
? • House type (rambler, walkout, spfrtw/o, spfit entry, lookou; etc.)
C3 ? Directional dreinage arcows with slope/gredient %
? ? :
Proposed/ebsting sewer and water services & invert elevation
? - Street name
? :3 ? Dnveway
? Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Existina
n-?a ? • Sewer service (or Praposed)
Z3, c ? • Property comers
3' ?-j • Top of curb at ffie driveway
ci? C ? • Elevations of any existing adjacent hames
Proposed
e'- ? ? • Garage floor
p- ? ? • Frst floor
oo ^ • Lowest exposed elevation (walkouWvindow)
o'a o • Property comers
7"C3 ? • Front and rear of home at the founda6on
PONDING AREA (if aooGcable)
? o • Easement line
? a?f . NWL
? o" o • HWL
? a?? • Pond # designadon
? H" ? • Emergenc.y Overflow Elevatian
fil?
DIMENSIONS
M?G o • Lot Iines/Bearings 8 crimensions
er-o ? • Rightoi way and street width (to back of cuPo)
?? ? • Proposed home dimensiona indudng any proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. aA structures requidng permanentfooUngs)
a? a • Show all easemenb ot record and any City u01Nes within those easements
01?a y • Setbacks of proposed structure and sideyard setback of adjacent epsting structures
ao • Retaining wall requirementa, ff any
Reviewed:
Merch 7998
CRAIfJBLDOGNMT FM
? CITY USE ONLY
L ? L '/
?
SUBD. ?? A
RECEIPT#: 1 ?-Iql
RECEIPT DATE:/ S^ g' O D
PERMIT # - / D /
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT ICNOB RD
EAGAN, MN 55122
651-681-6675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
CIYTIIRFS
EACH ll
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum • 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavatory 3.00 x = $
Se tic System new/refurbished • requires Mac itc. 75.00 x = $
Septic S stem abandonment 30.00 x = $
RPZ new installation/repaidrebuild 30.00 X = $
Rou h openin 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dweiling is under wnstruction 3.00 x = $
Under round sprinkler if existing dwelling 30.00 x = $ 1,0
Water closet 3.00 x = S
Water heater 3.00 x = $
Water softener If dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water tumaround 30.00 x - = $
State Surchar e 50 -> -> -> $ .50
Total --? -? --? ---' $ Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
----------------------• •---------? •------------•----------•---------•• -------•----------•--------- °----------------------------•---------
I hereby acknowledge that I have read this application, state that the infortnation is corcect, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibiliry to notify the property owner that the City of Eagan assumes no liabiliry for any damages caused by the City dunng its
normal operetional and maintenance adivities to the hacilities wnstructed under this pertnit within City property/righ4of-way/easement.
SITE ADDRESS: Zlr`3ey
OWNER NAME: : ,,,c v'-".s? G4 _ -7 /-- n TELEPHONE #: ?a S?JO ?
(nRE+ cooe)
INSTALLER NAME: ,CCa7 iei-7 C5;c:? TELEPHONE(A??7??
STREETADDRESS: r??0 0
CITY: STATE: dL?a-_ ZIP:
?
SIGNATURE OF PERMITTEE
.70o gt°
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,4 --?-o . ov
Gt iw 9/2 . .&0`?
NQw Construcdon Reauiremenb RemodellReoair Reauirements 4fika Use OnN
3 registered site surveys showing sq. ft. of lot, sq. ft. of house, and ell roofed areas 2 copies of plen CeA M Survey Recd: ,
'_ N
_Y
(20% maicimum lot wverage allowed) 7 set of Energy CalculaQons for heated additions Tree Pms Pian Recd? _ Y_ N.
2 copies of plan showiig beam & window s¢es; poured found design, etc. i site survey tar addttions & decks Tree Pres Required ' _ R-_ N
isetofEnergyCalculations AddEon - lndlcefelforrslesepticsystem On-si[eSeppticSystem _Y _N
3 copies of Tree P2servation Plan if lot platted aiter 7M193
Rim Joist Detail Options selection sheet (buildings with 3 or less unRs)
Date 0_4 / 05 Construction Cost ? ? or)
Site Address 1-f Al UniUSte #
\?, sbz
DescriptionofWark 9-ecK in ? gasemenE \ufi)?s.
Multi-Family Bldg _ Y ? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner E (y u a ! ? C) C S p c `I p Telephone #
Contractor
Address ? City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CG
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission lype) Residenfial Ventilation Category 11
Submitted
• Energy Envelope Calculations Sul?
Have you previously constructed a building in Eagan
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
A NEW BUILDING
O??Minnesota Rules 7672
\ • New Energy Code WoAcsheet
v Submitted
#(
Telephone # (
Telephone # (
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
F C1 v c? d c? c? O S O f,
Applicant's Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? Di Foundation ? 07 05-plex ? 13 16-plex 13 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
x 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowsfDoors
? 34 ReplaCement `Demalition (Entire Bldg) - Give PCA handout to applleant
)
-yo
Valuation Occupancy MCES System
Census Code %'J4
T- Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const L?d Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Footings(deck) Y
` FinaVNo C.O.
_ Footings (addition) ? Plumbing
_ Foundation ? HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
_x Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
?G Insulation _ Retaining Wall
Approved By: ( L , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
LG
6 1 lr?srt
d/ 7C2
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
--------------
? .?.??.
i ?Qt=O{fIC@;,USC I
? Permit#:
i Pertnit Fee: J?? •? V ?
? Date ReceivedO -40b I
I ?/ I
1 Staff. A/? I
I----------------I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 72'lq' 0 g Site Address: u? 0 Zt f i yI I' a i ? C Y"
Tenant:
Suite #:
RESIDENT 1 OWNER Name: _Er1 .: n a Ac? 0SO Y? a Phone: G S 1-S 3 q
AddresslCity/Zip: CI?bLl P,ntn;l C? ?oL %ci. n?f'lN 1; S
Applicant is: -2/-Owner _ Contractor
TYPE OF WORK Description of work: /2 Q cv? ? v o e? m i n A?e ? u,c e nc Y4-Y
Construction Cost: C) o d Multi-Family Building: (Yes No ?
CONTRACTOR Name: 1?' d j o r? O CD S 0,c O License
Address: (-(3 O LI Pr n T er ?I C?.
City: F a a e. n State: IA t?_ Zip: S 12
Phone: G,SI-33 5-?94G ContactPerson: EAQa(Ao OSOY,n
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 CateqoN 1 Minnesota Rules 7672
Enefgy COde . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submiSSion type) • 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?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water ConVactor: Phone:
NOTEr P/ans and supporting documents fhaf yoo subrnit aie'consideredYo bepublic information: Portions'of,
.
the information mey be'classified a's non-public if you provide specific reasons fhet would permifUie City to:
,..
conclude"thatthe are trade secrets. °--
I hereby acknowledge that this information is complete and accurate, that the work will be in confortnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permd, and work is not to start without a permi[; that the work will 6e in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x F_ CvctirA a CSOC o
ApplicanYs Printed Name
Applicant's Signature
Page 1 of 3
f
a
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex
? Single Family ? 06-plex ? Fireplace
? 01 of_Plex ? 07-plex ? Garage
? 02-Plex ? 08-plex ? Deck
? 03-Plex ? 10-plex ? Lower Level
? 04-Plex ? 12-plex
WORK TYPES ? ?orm/ 600n'OOM
? New / ? Interior Improvement
? Addition j ? Move Building
>9:? Alteration ? ? Fire Repair
? Replacement
DESCRIPTION: O vO
Valuation
Plan Review
(25%_ 100%?
Census Code
# of Units
#,of Buildings
? Accessory Building
? Porch (3-season)
? Porch (4-season)
? Porch (screenlgazebo/pergola)
? Storm Damage
? Miscellaneous
? Pool
? Ext. AIL - Multi
? Eut. Alt. - SF
? Multi Misc.
? Siding ? Demolish Building'
? Reroof ? Demolish Interior
? Windows O Demolish Foundation
? Egress Window ? Water Damage
" Demolition (entire building) - give PCA handout to applicant
Occupancy Plu MCES System
Code Edition ? SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklere
Type of Const -46- Width
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
_ Footings (addition) ? Final/No C.O.
_ Foundation ? HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _AirlGas Tests _Final
1C
-
? Freming _ Siding: _Stucco Lath _Stone Lath _Brick
? Fireplace:_R.I. _AirTest _Final Windows
? Insulation _ Retaining Wall
Revi
--- - - ewed By:
- ----------- Building Inspector
- -------
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
SE.W Pertnit 8 Surcharge
Treatment Plant
Copies
Total
?/V 6Y!
? 1,9 l.v
Page 2 of 3
1
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Repuirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 5oils Report if proposed building is to be placed on disturbed soil
? 2 copies of plan showing beam & window sizes; poured found design, etc.
? 1 set of Energy Calculations
? 3 copies of Tree Preservation Plan if lot platted after 7/1/93
? 20% maximum lot coverage allowed
? Rim Joist Detail Options selection sheet (buildings with 3 or less units)
? Minnegasco mechanical ventilation form
Remodel / Repair Requirements
? 2 copies of plan showing footings, beams, joists
? 1 set of Energy Calculations for heated additions
? 1 site survey for additions & decks
? Additron - indicate if on-site septic system
?0fficeUseOnly;?
? ?' C
rtrficate of Surve
Received ,?;
it
e
yi
7,
?l
-
0
-------- --
5ods Repoi#
- -
W( : i)
?n
;
?? T?eePreservat
on Plan
,
i
,. > 7
`
? ?;
? ? ?'?
? 0 Tree Pre`servation Re
uired
?
-
, ?
?
?
?
q ?
, _
,,
: _
E On 5ite Septic Systsm
'
?
a
Page 3 of 3
. ?
.
SuRw,YFbR0HEbuRT ? kssoci INC#
Top BLoI.K (? ? Y
?,_?s?.9o ;? AOOPE55 Pf2 ti?iK - 43oq- P???rn?? ?Uv_.r ?
m q45.5 ?u6 hlor& : No FAo?A.sE 1\0 1,u,nnt?,EP_ 'g,
d ?n EtF?I?r94S.61 ,•94(097 ?o.b± Top &
? - ? Co?. 3(0 Exie,,.= a44.ot, :?
_ N 54 i i o Z1. W E?O.: q?.5?
a ?tna. '
30 ? 5D, op 1 ?e ? m
10 =
y? 1 j" --- - aa5:o
50 ??-10-.007- ----" ?!r-_------ o.?"'
446.? 22 33 445.7 µ I
? ct ? N o
z7 `? ?A qAfj.4r
d" m 2.0 ? • I 2s.?7 944.9 - ?
Q N
R f'o_
-?
J z - -? 9?? l (?V _
-- J (a ?1p ? LL/
w`? ? v? N qaa s tiC o
? ? o `', N
4w.0
° ? ?? I ? ?U • / ? -`
Z ° m r a. ? i //
_
?
?, 33
9? 944.1 Cl./
a 1
^' I ?
? ? a°? i \?c9'?? ? •?? c?? ? T?
?0aBZ?
G ap u) ?
?a'/0 2?'
-roP HUg
24.
943,
?Z
` ORITu 4 Top 4? ii TRAAY?Yf?Q ? ?
? ? ?I?G?}7? ? E'?`'•=94i.$4 3 W ' -? s
? ssumed
?p? rt?? i 1?r ?7g Q? ?• ' l I F ? N Bearings are a
f1 ?
t?2 ? 8c?93P5
a /? Subject to eaeementa oi ?ecord if any
I4.'Y oIO C,UUFR.
SEUjW #?R-M?? O Danotes aet or Yound iron pipe monuments
AS F3uu,r rR?)J FtV C?7,4
$ Denotea setwooU hub snd tack?t
Propoeed garage iloor elevation f`
Tg,{p Denotes exiating elevation_
j?---
Proposed top of block elevation gq.p Denotes proposed finish grade elevatT
• 94Q. I Denotea direction of surPace drainage
Proposed Lowest floor elevation
SCG Q-, N I n ch = D Rt
I hereby certity that thia ia a true and corract repreeentation oi e survey of the boundaries
of Lot 1, Block Z, %L1ARD PAfZ?4TN ??/?n1M?Cou, ?KorAnty, Minnesote as on file and of record
in the Otfice oi the County Recorder in and tor eaid County, also showing the proposed location
of a house as ataked thereon.
Thet I am a duly Ragiatered I.and Surveyor under the Lawa of the State oi Minnesote.
Da ted: mARCA 8, ?999
VWU,o: mneeA tb, 10A9 ly,
Allan R. Hastinge
Mlnneeota Registration No. 17009
212 East First Av9nue,
Suite No. C
Shakopee, Minneaota 55379
Phone 612 495 4027
?
,
IS u RvFy FoR o? ?BwT ? ?JC,
.
I
TpQ BLe[A? Y
?u,=as?.9o ??? AooeESS Pr? 4-3o4 F ?vrn?.. Iv r ?
?94(v97?O.o t?•••,•,3D3`?445.5To 1-??16 tSorF; tJo Fao,bnE_ 1`.,) }.,J'M(',f_Y- ? •
d ?i ?1,-A45.6? ?o.b_ EA-ev.P944.96 "
,
rj
8-? I? 1 E?o.- qaa.e? '.?
? 3o.3p = ? ?? 5D. op ? - ? 4oI ? 0 Z ? i ? ea ?as,o m
50 ? I .Ir a:
? b
I Ld 946.O1 22.33 445.7 -? '
^
?
? N i 35
Z7 445.8
cfl ?v'Qt^ m
! i M
Ut
.-? ?? ? ? / ? ? ?
, 19
J 9? N7.?o1 q 9 ? ^O co tv I)
I ?? ? ?
? . ? ? 30361 ? 1 I
L ? N3 ?s • ? rtd.o O \ / / / . I/^
°
2 p
n/
? ?-?
?9 IC-- 9 '
? q44.1 JA ?
icj1: - ? ? ??N ? lw
i- ?
? 6,
k? (Z`
0 'ls ?-
•p?
R= 3sa. o ? 124.3 EL? Hg43,24 2 ? 45
?
. ?N T°P 144t%.??? ??3" u"`j
-=
} F ? ? ? Bearings are assume3
1..0,- Aa?A : ?to,s7e o$?. - a?"????39s
Bu??o?aG AeF2: 242(0 ?1?? E 6ubject to eeeemente of ?acord Sf any
14.4 % cJVF-C.
?Denotee set or Yound iron pipe monuments
AS Rui?r ?`?-?u F?Q C`?.t sPK ,? ;
? 4a ? $ Denotes aet wood hub and tack•: :: ?F• ; t?
1? ?l
Propoeed garage iloor elevation
'Tel{p Denotea exiating elevation
?
?
?`•^ k!
v?
1.. {_ .
a??•? propoaed top of block elevation gq.p Denotes proposed finish grade elevati 71??
• ' Denotes direction of surface drainege
94D. Propoaed lowest floor elevation
SCG QJ N I'l n Ch = D Rt
I hereby certify thaL thia le a true and corract repreaentation oi a aurvay of the bounderies
?)AKoTA
of Lat Slock 1,Nql.1qRDPARK6.TIAQpITI4ounty, Minnesota es on file and of record
in the Office o1 the County Recorder in and ior seid County, also showing the proposed location
of a houae as ataked thereon.
That I am a duly Regiatered Land Surveyor under the Laws of the State of Minneaota.
D.ted: MaRcA a,wa9
ROU'o: mmqA 1b1 16A9 NY,
Allan R. Haetinge
Minnesota Regiatretion No. 17009
212 &sst Firat Avanue,
$uite No. C
Shakopee, MSnneaota 55379
phone 612 445 4027
?:.
,'
c�va�cci� Coe
113011 Q%n\o \ C; •
agan, MN S5lL2,
‘3)o-serA£tr\-
A VAPOR BARRIER MUST lir
NSTALtEDc 111E Alp VIDE OF
At! WA! +SANC) ATTIC
SMOKE DETECTORS ARE REQUIRED
ON EVERY LEVEL OF THE HOUSE AND IN
EVERY SLEEPING ROOM AND IN EVERY
HALLWAY LEADING TO A SUPPING ROOM
DP
BY:
EAGVIIED �-- `J
.CiNG 1NSP C 10 S D VISION
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA177574
Date Issued:07/08/2022
Permit Category:ePermit
Site Address: 4304 Pintail Ct
Lot:1 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-010
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Eduardo & Edith Osorio
4304 Pintail Ct
Eagan MN 55122--222
(651) 335-2999
New Life Contracting Inc.
9050 Highview Lane
Woodbury MN 55118-5512
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature