3682 Pond View Pt: , ,.. , INSPECTION REC-4RD
CITY OF EAGAN • PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
i'liF!!s •v' l 1 t! ! rtfJYdll?_?F4f •. [ ?? f. i 1 - '` '?r ?,F
PERMIT SUBTYPE:
TYPE OF WORK:
ifi'. i i ? : , (r:
WII I
c?.•t.fi!,?t
u?. : 1 ?? ! •e?.
INSPECTION .• • .A
1 1'4 A I
?,n?:R•.?,. ??rr?? . 1, u r??tok r ?, ia :,cI.rV r- ANn UaiV i
F
L
. ? ?
*iI6
Permit No. Permit Holder Date Telephons M
ELECTRIC
PLUMBING Q 911--fl !j 'J
HVAC i?
Inspoctlon D Insp. Comments
FOOTINCiS 11/6/4 ,J
FWND
FRAMING LC? (S 1
vr?
ROOFING
ROUGH
PLUMBING
p_?Q-
PLBG
AIR TEST
?? .
ROUGH
HEATING
-q 30 .S
?Z -
?sr VC << It
INSUL
GYP BOARD
FIREPLACE
FIREPIACE
AIR TEST
FINAL PLBG
ft
FINAL HTG ?.
ORSAT
TEST
.
BLDG FINAL ??.? /
I? ,?I rC / ` ? L ?•
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FlNAL
L
?
?
Wertijicate vf cccupanc?
wim o f Cfagatt
Weperhac«t of 8xitbiug Judpecrioa
This Certifecate issued prersuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of t/re Ciry regulating buildiitg construction or use. For the following:
Use Clissification: g' DE Bldg. Pcrmit No. 25850
Oocupaocy 7yrpe R31I Toning District R3 Type Consi. SM
Owner of BuildingOOM VALIlE }OES
BuiWng Address 3W2 ME VI1W Ff tocalityLl l- R I, Em ywd jOWNH'j?$S`
om,: MARCH 15, I496
POST IN A CONSPICUOUS PIACE
Address 3682 HRID VIEW PT Zip 55122
Lot 11 Blk 1 Sub rorID vIEW 'tnwrHaEs
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 03 / 15 / 9 6 Yes No Inspector: In/--
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUwrb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
6 4 ? ./"?0 // 7,9,?'?7-
Reques Date Fire N. ough-In Inspeclion Repuiretl
t ell inspecror when reatly)
(YOU m
us Inspecfion Other Thaugh-In
Now Will Notify Inspector
Reatl
'4- IT5 ,,?
,?
? y
??e
s N. OaleReatl
IPficensed 'contractor ? owner hereby request inspection of above electrical work at:
Job Address (SVeet, Box or Route No.) Ciry
3b f?rd? 'PF. Eca an
Secfion No. Township Name or No. Range No. Counry
D l
Occupant(PRINT) Phone No.
Power SupPlier Atltlress
DLaLala J'x
Electncel Contraqor (Company Name) Coniraclors License No.
? p.QLC4')iG
Mailing AdAress (COniraqor or Owner Making Instellation)
40 - rn
Authorcmed 51 ntrac Mek' Isialla?ion) Ph ne Nui
MINNESOTq 5T 60AR O ELECTRICITV
II iH15 INSPECTION REQUEST WILL NOT
GriggsMitlw Itlg. - Room 5128 I II I ? ? I? II II II I I
I I BE ACGEPTED BY THE STATE BOARD
1621 Unlversiry Ave., St. Paul, MN 55104 UNLESS PFOPER INSPECTION FEE IS
Phone 16121 642-0800 U . . ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
10. See insVUCtions for campletin9 this form on bxck ui yellow copy.
"X" Below lNGrk, Gnvered by This Request
or EryB"00001-09
„?7 / 7Q??-
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
Offier(specity) ConVactors Remarks'.
Compute Inspection Fee Below:
# Other Fee 1! Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Poal 0 to 200 Amps i L 0 to 100 Amps 56-
Transformers Above 200_Amps . Above 100 -Amps
Si ns Insoeaors use ony: TOTAL
Irrigation Booms 50
S ecial Ins ection
Alarm/Communication THIS INSTALLATION MAY BE ISCONNECTED IF NOT
Other Fee r50 COMPLETED WITHIN 18 M THS. /
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Roughin
F'nai f C• oab"7_,,I
oate ?G .
OFPICE USE ONLY This rvquest voitl 18 monfis fmm
l-X CITY (tiF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.T.N.: 10-58361-110-61
DESCRIPTION:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
3682 POND VIEW PT
LOT: 11 BLDCK: 1
PQND VIEW TOWNHOMES
(ZERO LOT LINE)
Bruild3Yi'q,,permiC Type SF DWC
Building Wbrk 7ype NEW
{'SCRUPdn?cyR-3 U-1
CotiskrUCtfan 'Ty-lp!;e V-N
29nYh19R-3
°Bu3l?ding LejigtFY= - 28
BUi1d3aijj lda.dth 74
- ?s?oP',?e5
?Fee-? 1 s 810
E:q k k%?ixx
?. ?
4j
? 34(£
? &n
REMARKS:
PRV 5& W PLBR - C& W SEWER AND WATER
L?
r.:.?
surNG
025850
96(13J95
FEE SUMMARY:
VALUflTION
Base Fee
Plan Review
Surcharge
SAC
SAC %
8AC Units
Subtotal
$892.25
$312.29
$50.50
$850.00
100
$2,105.04
$101,000
MSSCEILANE0U5 $1,892.50
COPIES $1.50
Total Fee $3,999.04
CONTRACTOR: - Applicant - sr. Lzc. pWNER:
600p VALUE WOMES 17559793 0001583 GOOD VALUE HOMES
9445 E RIVER RD 9445 E RIVER RD
COON RAPIDS MN 55433 COON RAPIDS MN 55433
(612) 755-9793 (612)755-9793
I hereky acknowledg;e thet I have; road t;his applicat;tan anck state ChaC Che
3n'formaCian 3s correct ancF agree, to camply viith all epplieable 5tato b'f Mri,
Staiutes andC3ty of, Eaqar? Ordinances. -
?
?
Awj V?"r--.-
APPLICANT/P MITEE SIGNATURE -M&U B SIG URE
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: euiLozrvG
3830 Pilot Knob Road Permit Number: 025850
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 19 / 95
(612) 681-4675
SITEADDRESS: P'=•N.: 10-583e1-11e-01 APPLICANT:
LOT: 11 BLOCK: 1
3682 POND VIEW PT G000 VALUE HOMES
POND VIEW TOWNHOMES (612) 755-9793
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
DE3CRTPTION (ZERO LOT LTNE)
INSPECTION
FOOTING3 D. .
FOUNDATION .A
FRAMING ROOFING
IN5ULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: PRV S& W PLBR - C& W SEWER AND WATER
? ?
3830 PIL'OT KN B RDN 55122 4J,aaq. 04
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
Ngw Construetion Reauirements RemodaVReoair Reauirements
? 3 regfstered sfle auneys ? 2 wpiea of plan
• 2 coDies of DlanB (indude beam 8 window sizes; poured fnd. dealgn; etc.) ? 2 afle surveys (exterbr additiona 8 dedcs)
? 1 energy ealalations ? 1 energy calwlations for heated eddkions
? 3 coDies of Un pmsenation plan 'rf lot platted aRer 711l93 '
required: _ Yea _ No
DATE: I? I? CONSTRUCTION COST
DES?RIPTION OF WORK:
?
STREET ADDRESS: _
f-c0
LOT
N4w IOwH
Tn aytr ,t ,.•j
BLOCK
SUBD.lP.I.D. #:
PROPERTY Name: CC ?° D ?? ?k4 ??f S Phone #: '72S"17 S1
OWNER '"•'
Street Address• 5?i 9 -1 -c"4r
City: Cc.c.N Tapm? State: tLl0 Zip: s` s 43?
CONTRACTOR Company: ??^Y Phone #:
Street Address: License #:
City: State:
ARGHITECT! Company: S^-^+
ENGINEER
Name:
Zip:
Phone #-
Registration #•
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber: ? e, Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is corcect and agree to wmply with ail
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ? ?ENED
Certificates of Survey Received ? Yes _ No •"' I 'ry 1 9 1995
Tree PreservaGon Plan Received Yes No ---- -----------
OFFICE USE ONLY
BUILDING PERMIT NPE
W&eK?
0 01 Foundation o 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
k02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. 0 17 Swim Pool
0 03 SF Addition o OS 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-piex •? 14 Firepiace o 21 Miscellaneous
0 05 SF Misc. 0 10 -plex Deck
WORK TYPE ?/lv - LOT -L/N
,?PL 31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Footprint sq. ft
Planning Building
?i 0-7r? MC/WS System °e-
3-zo City Water ?
Fire Sprinklered
PRV wes
Booster Pump
Census Code.
/, 8/4? SAC Code 0L
& ti
° Census Bldg i
? t1°
Fy ",,,v Census Unit ?
?y
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Pertnit
S/W 5urcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
0- N Basement sq. ft.
57--1 Main level sq. ft.
R-1 wi sq. ft.
X--3 sq. ft.
1 yrtsMr sq. ft.
z8 sq. ft.
1.50 /, l 76
<.SK2.rz} " G
/ 6 x z? ' 4_
l? 370 xsY =
r?.r K et ?«
? Po? c'+
e1724 _
s /, 3 '7o
It Z70 x
i?l, DS`
=
ZZxzo = Y040 x16
?
Valuation: $
/n<1iN Ctvcc
/O K (D ? ll90
f"
b X i 6 _ lofl
7oyo
l?? 07?
. ,: CERTIPICATE OF SURVEY
for
GOOD VALUE HOMES
PROPOSED BUILDING ELEVATIONS 8 gq. 5 5da?#
Top of foundation ?? • - Front of houae . O NoA"7p
Garage floor Rear ot house 0
Lowest floor Walkout
?- arrow denotes drainoge direction per development plan.
890E denotes existing spot elevatian
890P denotes proposed spot elgvation
BENCHMARK USED• 5'?
I ToP a SP I KE IN PowE2 E 5¢. ?8 0,?? oolsL?
Pot.E @Sa.si oG aF ?uGLe2.r
OPPaS17E
I . _
(I
I?
EDGE
!
OF WATER
o`
?'If
,-,?-Lots 11,12,13 & 14 Block 1, POND VIEW
TOWNHOMES REPLAT, accordin to the lat of
record thereof, Dakota County, Minn sota.
• DENOTES IRON MONUMENT - FN"fJ 17a59
( o DENOTES WOOD HUB SET
FOR EXCAVATION ONLY
DASHED LINE DENOTES DRAINAGE
-ANO UTILITY EASEMENT AS PER PLAT.
PA4SE EN(}INEEB1Na INC 1
HEqIBTERED PROFE9910NALiLAND SURVEYORS ,
9446 EA9T RIVEA ROAD, SUITB 208
4 s r'•° '; " COON RAPIII9. MN 66488
_ Te1. 1812) 756-6240 Fu. (612) 766-1982
IJC' NO:+' 95=00 ISCALE:1 INCH =__30__FEET
.C
d I = BCoa.7 S ,+? .t - -
EAGAN
REVlEM ED
Na?c s
PeopOSEQ SAr,,ITA0-Y
5EWeP- a. W4re2 511ovaN
hereby ceriify thot this survey was
prepared by me or under my direct
supervision, ond that I am a duly
Licensed Land Surveyor under the
laws of }he state of Minnesota.
Donold E. Sigety, MN ?Lk. ?t?Yo. 23945
Date: ZqS
BOOK:98 PAGE: 31 IDRAWN BY: CKP
-A.D
`P LEGAL DESCRIPTION
; ?_..
?
<
?i
V"D 0 •
byp ? .
ID? 0 0 •
IYD D •
r,? n n •
GVi] D •
q/ 0 0 •
r,Y n n •
n -
p •
LOT 8?RVEY CHECRLIST FOR RESIDENTIAL
71PPLICATION
PROPERTY LFGA t
Dat• ot 8urviy:
Reqistered Land Surveyor Qiqaature and company
Suildinq Permit Applicant
Leqal descrlption
Address
North arrov aadinr ccale
House type (rambler, walkout, rplit v/o, split entry,
lookout, etc.)
Directional drainaga arrcws vith slope/qrndient t.
Proposed/exitting savar and water serviaes
Street name
Drivaway
D?0 0 • Sewer aervies
D 0 • Lot corners
D- ? • Top of curb at the driveway
??? • Elevations of any existing adjacent homes
Prooos
Q
, e
Carage tloor
EV D D First lloor
0? D 0 • Lovast axposad alovation (valkout/window)
ID? 0 D • Proparty corners
l?/D D • Front and rear of home at the foundation
? ??p
• P9NDING ]?MAS fif afle»cabl.i
EasemenL line
D C9? D • Nwi,
? LYD • awi,
D 17? ? • Pond # designation
D 13
?1]
•
Emergency overllow Elavatioa
DZMENS2olIs
DO?n
??
?n o
D?D D
fl P/
Oetober 19
• Lot lines
• Riqht-ot-way aad atreet width (eo back of curb)
• Proposed home dimensions including any proposed dscks,
overhanqs qrsatar than 21, pozches, etc. (i.a. all
structures requiring permanent tootlnqs)
• Show all easements of record and any City utilities within
those easements
• Setbacks of pzoposed structure and setback of adjacent
existinq homes
P
B- ?o'?
/" ; o eS
c3`
10'M
?N SILT FEHCf ? 853.0
DOT SPEC 3887 _
? 54.5
Z6 17
m. c?l ? 1 + + +
? + v0
854 5 1 °°1 +? ± a
o: N ? Ln
6"- N V N E 6" u
I0 N
' -1
k M N ? 5?
tT Trl-? I iIALVE VALYE
. A?i 2 ? ? 4"PLUC ~ ti0'
? lAoIRRIGATION ?1? ?g° ? k SERVlCE ?
6° I I If4° i
4508E o+o
?STA 5+24 F
s' x B ?
J?X MIN.10'
?a.. _. ,? :: ?• ?? ,? ?J ?+ .. 'r
R<?? ,
. _,. _ ...?• -?nCV OF ??i
FOr? rj
f.i:??.`\a CLE?,?F' IOi?S. T ?` Y At,1 •?
1.,
,:? fA? 1i? PURPOS
IVG IT SHOUL dG?ti?Y T` 0 `
Pc?SQ:!v
???c??enqf{ THESITE. 4e ?
o ? 00, `
c- ?S
COPPER (7YP) o ,p I ,v? NOTE
• _ 6" YALVE .\° e?p ?• ?? Op I. ALL RISEI
- ? ?ce'?Ee1 ? .. v \ocON Co '?' SDR 26 8
.
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7.g? MI
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.
. FIT7INE
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PRbJ, F>47 :
tOJ; # 7: : '.
?: ? .? 1•
'0.4% ,-
? EXFSTt
. . . p 6+90, 8`•RT. ;
857.7
E.N. .843.
.ES.: 842.
? • : 8":DiA:
: : • -16428; -
2 1
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Q N ? U ?
1. N. 84257 SNEET "
I. E 838.04
-
W 837.99
I L
.
p of
4
0 SHEETS i ?
POND VIEW TOWNHOMES , ? ?f ? •
1 1
' n"GY CONS.R1'i,TION SJPP!_NrhT TO BJILDtnG ?c"RMiT APPLI:ATIOh
This supplement ie prorided to assict :he applicant in comnuting
=F,IOR ENVr.,T 0?E AI'ERACE "L"' FAC2'DR IN£ORHATI0N. :his infoxma-
tion ie required so the BUII.DING QFFICZAL can determine that
submitted plans comyly with Lhe ENERGY COASERVATION DESIGN CRITERIA
of the STATE SCtILDING CODE (Section 6000). It is the APPLICANT'S
respon5ibility to accurately compute the da:2; reflecL :he proper
DESZGtt Cr.ITEF.IA in the plans; submit produet speci:ications, i:
needed to suppor: [he "n" and "li" facLOrs used; and to assure
construc:ion is per approved plans.
JOB LOCATIOA' 11 -TT4E "
DWNER(5) !?70ai_j \?\L17F_ F?N4?"s5 PHONE _ ?75''^ 9793
CONTRACTdR PHOWc'
A. Determine the Total :xposed i;all Area es 7DllDH'S: ?
1. iotal wa17 window area 111.3
2. 7otal .door. area 40
3. Total siiding glass door area ? 0_
4. Total fireplace wall area- lOd
b. Total wall framing area (average 1DA) i 3 9.0
6. Total net wall area above floor
7._ Total rim jgist.area:
SUbTOTF,L: iotal exposed wa71 area above floor l3? D _
8. Total Toundation window area
°.
Total
net ioundation area above graae ?
SUBTOiAL: Total exposed fioundation area
"uRAPID TOTAL 7XP65E`D WALL ARzA 1?40
B. Multiply the GRA14D TDiAL "cXPpSED 4lALL nRcA X-.tk = Item I
C. .Det=_rmin_ tn= Total cxposed koof/Geiling krea es r'ollows:
10. Total skylight area N 1 a
11. 7ota1 roof/cei)ing framirtg area , 17-7.0
12. Total net insulated roof/cei7ing area 1143
6RAND TOTAL 'cXP05LD RDOF CEILING AP,'cA 1 2-1 0
D. Multiply ± h= 6RAND.707AL EY.PQSEED RDDF/CEILIN6 AR A x•a zat,=
Item II
,oZ.
E. Determine Yhe "U" value of each seqment (1-9) and mu ltip7y by the area as follows:
i. ?1l,3 z oun 4a = ,r4• 5
2. 4o X °u, ,k-5 - 5._1 -
s. 40 x „U„ , 51 = 7Zo,A
a. 10 o x„U'i ,o s = S.o
5. 1 3q z „u" _cql = rZ,6°
:.._ 6. 95?.-7 x „u„ 41.3
7. rl?A X „U„ --
s. x „u.,
9. ?4( A z .,U„
ADD 1- 9 FOR TaTAL WALL SEGtENTS = Item III .O
F. Determine the "U" value of each segment (10-I2) and multiply by the area as follows:
10. I? f !? X "U" _
_ ii. 1 Z?. O x,l U„ eo3 c? = 3, S
12. 11?3 xlluii , oz z = ?5• !
ADD 10 - 12 FOR TOTAL ROOF/CEILING SE^uMc'NTS = It=m IV 22,.?
G. If Item No. III is the sam= as, or less than Item No. 1, you have m=_t tn= intent
of State Building Code 6006(c)2.
-H. If It=_m No. IV is the same as, or less than Item No. II, you have m=_t the intent
of State Building Lore 6006(c)i.
1. Add Item No. I 1SZ_? + Item Ro. II 33•0?- = 1 BS.a
J. Add Item No. II I 13°I : Q + It=m No. IV 'Z $1 9 _ (h_7.9
.
K. If thersum os Items III and IV are less than Items I a nd II, you have met the intent
---- -= of-the code for total envelope system (State Building Code 6000 and MPS 607-3.5. .-
=- Overall Structure Performance Alternative).
__.:.. ._ . The und_rsigned, as apQlicant fior a Building Permit, hereby
aT'firms the abave infiormation has been prepared and submitted
., by himself or under his direc tion, herehy acknow7edges the
information to be correc,; and accurate; and hereby pres=nts
' the information with required plans in support of the Building
- Permit Applica.;ion. ?
:
P.uc4rldl-
='1> .? f?a
ww Ge. P.II 1 fat ?'.E i NG, R,,m I l?ntth ! c7 WWLL 10 Fkirfa 1 p R r
Vao? aid Doon---Cr¦clw aed A maa
wru ?- If?\
H? 1? MM ?1 YN F?. .1 V?1 LL
11{1111 N?t? ?A
72 I S o ! z5. o
1 _ f I I c?f.l &o
3?iv??ao ?
25 ?• 50
? ?
IZG7
rr,:: } 4n ?,q iai?
=sp. wall 2d'J ?
N=t erp. WaX 1 16o I 4.21 67
3nL wall r I I
F1sm 100 I z ( ZOO
tei 100 1 Z ?o O
; oW $m I 4253
rZrwircd sq. ft. r D.R, oc ap. inL C1.A. Lc+eer area ?
1F FUQ/i??47,Roe=d Lsn;sh 23 fe Widc6 i O 4?h: t e?
7=34s snd Door+?acl:sg- aad /v ca
lvlcla
H6 C1 baM Mnint
I•? P\w? I na. ?t ia?W LL.
?If111? ? P( C6LI. ??a
?. r
3 1 30 1 i6o 1 ? I 25 3?.?
V I 2?l I 6o I ? 14 i o
?I 2 ?
3- i ( 8 3
1
4 l 3b f 80 ! 1 1c(.3 20 lc?-:.i Rru
j; ??Yation
( '[fo ?
I
sb) ?+
-j31 7
Cl= I ?,S ?.'?l 33'7G .q
?. Id,du I 14-7S I I
NeLCP-? ? ??4.5? 4•-'.Z? ??o?',?ti.cS
- Fat rciIl I '
F'°°' 1 4Z31 ? I 84?
C- i 4z3 2 I e? i?
- I IUOE
ft r D.R or aq. iaz W.A. Ltaccr rrea ?
irlTA Hoom
?F'm??ws and Docrs-Gr;:case and p na
wwu w.?et I nr ot' L..?! si
?1C 6! faw? Cf e?w IIChu ?1 m?Ck I?.w
S. tL
•.
I I I
1 ! I .
I I I I
I I 1 I I I?.{ ?
. L-.Flaasica ? I I ?
.sp" wa
Jtvt cxr- ws.I!_ _ 1? 1 dc Z I 53? Co
"'L ",all ! I
2D8 2 I I lo
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CITY USE ONLY
L BL ? RECEIPT #: ?779q
SUBD.('gs,nP ?IAi_ut' . ?1e41,un?bliana.? DATE:
1895 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
• (612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on fumace
'?k
_ Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date:
I??
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Addi6onal 50 M BTU 6.00
? Gas Outlets (minimum of 1 required Q$3.00 each) ?-CD
? 5tate Surcharge .50
TOTAL 3f7 - Sv
SITE ADDRESS:-
OWNER NAME: (??ct JC.t_Q_t.-2 ?UfYt2_?) PHONE #:
INSTALLER
STREET ADDRESS: Lcfqcp uju'x_?'e` ?? tj-
cin: _&u-AQ .PaA- STATE: ZIP: -55q<)-S
13
PHONE #: ( 69) 1) 533- 435-7
lA
.5fU
* h
L BL
SUBD.
CITY USE ONLY
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaUindustrial buildings.
? multi-family buiidings when separate permits are = required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION
DESCRIPTION OF WORK:
FEES: P $25.00 minimum fee 2E 1% of contract price, whichever is greater.
p Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (InnaROVenneNrs oNLv)
INSTALLER:
ADDRESS:_
cirY:
PHONE #:
RECEIPT #:
DATE:
INTERIOR IMPROVEMENT
TELEPHONE #:
STATE: ZIP:
SIGNATURE:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
? s
CITY USE ONLY (
L BL ? RECEIPT #: ?r?7?y
S U B D s-r nl? ',.f' oc.u?tc.eo DATE:
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x Ls • W
Water Closet 3.00 x d1 = 1- ao
Bath Tub 3.00 x f = 3• cv
Lavatory 3.00 x ? _ (o• CD
Kitchen Sink 3.00 x
Laundry Tray 3.00 x 3•cro
Hot Tub/Spa 3.00 x
Water Heater 3.00 x
Floor Drain 3.00 x i = 3• ?
Gas Piping Outlet * minimum -1 3.00 x ?3-
Rough Openings 1.50 x 4' So
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 20.00 =
U.G. 5prinkler * home under const. 3.00 =
Alterations "' to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL (? • I?
SITE
OWNER NAME: C-?'? vC&LU aomuA
INSTALLER
STREET ADDRESS: U? ? ? ? ?
U? '
CITY: T??(W STATE: ZIP: 55L13$
PHONE #:
STGR'AT17REOF'PF-R19f I'TTL
. il `1
L BL
SUBD.
OFFICE USE ONLY
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for. ? all commercialfindustrial buildings.
• multi-family buildings when separate pertnits are pgl required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of genp2 fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: -
ADDRESS: -
ciTr:
RECEIPT #:
DATE-
STE. #
STATE: ZIP:
PHONE #: SIGNATURE:
OFFICE U5E UNLY
APPLICANT
SIZE: " DATE: INSPECTOR:
9a 9,`s
20071tESIDENTIAL BUILDING rExMiT arPLicnTioN
City of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons Wcfian ReQUirements
7 regislered site surveys shovring sq. ft. of lot, sq. ft of house; and ag raofed areas
(20%maximum lot cwerage adowed)
1 So1s Report if proposed bwlding a W he placed on d6Wr6ed soB
2 copies of plan shavnng beam 8 windmv sizes; poured faund design, etc.
1 set of Energy Calculafions
J copies of Tree Preservafion Plan if lat pWtted after 7/1193
Rim Jai:t Detail Optians sHecOOn sheet (buil(fingswilh 3 wiess unils)
Minnegasco merhanical ventilatian fortn
e;? -/ z o 0
RemodeVReoair Reouirements Offce Use Onlv
2 copies of plan showing footings, 6eams, joists Cert o( Survey Recd _ Y _ N
i set of Energy Calculations for heated addiEons Sails Repqt . _ Y_ _ N
1 sitesurveytar additions & decks Tree Pres Plan Recd
- _Y. _N_
Addilian -indreatei(on•sifesepticsystem TreePresRequired _Y _N
On-;i(eSeptlc$ystem^'`
ni....? .. ?:.a.....a -t,l:, ii.,iocc itnil state thPV are trade secret and the reason.
Date Construction Cost
Site Address 1DO,&,4 41.- 'f w Unit/Ste #
_?; ?
Description of Work o,-rr-
Multi-Family Bldg Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner LfilLg ? ?ft?SC?Cth2-t"lOd?? Telephone#(?s/) !/>?
Contractor (C Vb? CU`?p'9/??? '/?'?'?' ?o?'C •
Address 12'e - City
Sfate /4? Zip '5 Telephone # (7G5 ) 5Sv • c?% ?/?(
- D2- ? s5-7
COMPLETE THIS AREA ONLY IF CONSTRUCTItdG A NEW BUILDING
- Minnesota Rules 7670 Careeorv 1 _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Su6mitted Submilted
• Energy Envelope Calculations Su6mitted . . In the lasT 12 months, has the City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address.of moster plan:
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby app}y 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 pecmit, 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 0 ,C? 4A o c?
Applicant's Printed Name
?
ApplicanYs Signature
Use BLUE or BLACK Ink
r I For Office Use I
City O v I ew Permit LlY
7r of E MIR
Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff:
I
Lg 2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 3 Site Address: .3 Po~da~"ea Q~ Unit
Name: end view ~Wr7 ( u~ 17~ dC- WC Phone: LEI ` 693 ' d
Resident/ ~ i
Owner Address / City / Zip: P . t 9 !
Applicant is: Owner w Contractor
T e of Work Description of work: T&0 ~l • i f ~~t' $~C&
Yp ,p
Construction Cost: 0 ( 49o 1 Multi-Family Building: (Yes / No )
-
Company: CDW5 Contact: , Gt W1 5 ~~7
Address: % 1l~- V~ City: Awl< cZG,
Contractor ` 1(
State: Zip:: f'5 Ltrl2-/Q Phone: D
I License 9 ! Lead Certificate Z1V3 2 5-0
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
a
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:
i 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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m st be completed within 180
days of permit issuance.
X_ 6V74-e-r x
Applicant's Printed Name p icant's Signature
Page 1 of 3
For Office Use
EAGANPermit ff: /119.:Z ."-6
.......10.1111,,
Date Received:
3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-5694 Staff:
buildindinspections@citvofeadan.corn L. .0
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
(1)4b. 4,
.A4i. OM q- .4. 3 13 v bn(X. KAI) 19'b..- IVI
C.:Y-11--IV) Site Address: 6
Name:nxviok \C\rie, (CnoVheito A"bwi*bArte5-)Phone: CO I a'—'C6°k-\—SI 1
Resident/
Owner , Address/City/Zip: 1 Li I SY\0)\i.CY.-"V a . ,,.aJ)404A4 l'AINJ %C)\
1
1
Applicant is: Owner '''')<4Contractor i
Type of Work
,„,,.r,s, _r. . ,_
Description of work: k-f.,,LAY () c (A An Yfit6C i
1
1 Construction Cost: 11.73\3 Multi-Family Building:(Yes X i No
. . .....
Company: ORXIVIS. COM-')\-v".“ 40-010/1 Contact: Lr'\ (-)Warq/kiUilA
. 7x7 Vo-w- LAVW.— M\kif
Addre • City:
Contractor Address:1 -- '
statel'AM Zip: YS3)6L1 Phone: ca-q11,0-GM9 Email: 4\1\OLVALE-CO DerIVWV.11
. License#: )C-5 i :q.1 k4, Lead Certificate#: LC—iD 01-3 °Ai
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 the Information may be
classified as n• • blit if •a .rovide specific reasons that would •- it the to conclude that the 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.citvofeagan.comtsubscribe.
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,00nherstateonecall.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.
x giLate-A 0/ ,
tiat
p „i/ tirik:
Applicant's Printed Name Applicant's Signature