976 Pointe Way4. . . . .. . ., , - . . . ? _ _ . . . . , .. . ', .. . . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O! Box 21-199, Eagan, MN 551 1ki 1$439
PHONE:454-B100 - ?"
BUILDING PERMIT Receipt #
To be used for ?ECK Est. Value $1 * a00 Date OCT 9 , 19 9d
Site Address 976 POINTE iJAY
j,g?(jj??pH p(?j?g
10 Block j SeclSub
Lat
? OFFICE USE ONLY
.
P3fC@l NO. Occupancy - FEES
D? ??r Zoning
2 S
?
W Name (Actual) Const _ Bldg. Permit •
3 AddreSS ? ?I? ?Y (Allowable) -
• ?
0 ?H Surchar e
9
City
Phone 68??6 ?Y ot Stories
201 Plan Review
Length
?
o ROB VALTFR
Name
Oepth 14'
snc
city
zi?-
U
Address 12209-A 17TH AYE
S.F. Total ,
~ C11y B??SVi?? Phone 8$Z?Z? S.F. Footprints _ SAC, MCWCC
Wat
r Conn
? On Sile Sewage _ e
W w Name On Site Well W
t
M
w
??
$6
AddreSS
MWCCSystem -
_ a
er
eter
Acct. Deposit ?
i W City Ph0112 Cfty Water _
PRV Required _ S/W Permil
I hereby acknowlege ihat I have, read this application and state that the
' Booster Pump - g/yy Surcharge
infprmation is correct and agree to compl?,w?h all
licable State ol
Minnesota Statutes and City?of Eagan Ordinances: ?- Treatment PI
Signature of Pertnitee ?- 1 APPROVALS Road Unil
A Building Permit is issued to: ROB HALTSR A Planner - park Ded.
on the express condition that all work shall be done in accordance with all Council - 1.30
applica6le State of Minnesota Statutes and City o1 Eagan Ordinances. gldy. pff. _ Copies
Building Official - Variance - TOTAL ????
Permit No. Permit Holder Oate Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Insptttion Date Insp. Comments
Footings I
Foundatan
Framing
Roofing
Rough PIOg.
Rargh Hlg.
Isul.
FreplaCe
Fnal Htg.
Final Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final
Deck Ftg. 4" Z y. G ?.S
Deck Final
weu
Pr. Disp.
?• '1'-?w?? ?k ?43?0 a- ; PERMIT #
MECHANICAL PERMIT RECEI PT #
CITY OF EAGAN
3830 PILOT KNOB R OAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE PHONE: 454-8100
Site Address '; " = "T ?- ,?E•Y
BLDG. TYPE
Wl1RK DESCRIPTION
LotBlock L
$ec/Sub
`
J?
i
Res. New
f
t. ?
m
Name
.,
Mult
C L
Add-on
air
R
m Address omm. ep
c
City Phone ' Other
Name ' FE
RES. HVAC 0-100 M BTU ES
-$24.00
c
p Address
City
Phone ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM - 1 llln - 1
PER PEk
50 EA
( r
.
.
TYPE OF WORK COMM/IND FEE - 1% OF CON TRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - R ES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater
Air Cond. M BTU
M BTU
MiNIMUM COMMERCIAL FEE
STATE SURCHARGE PER PER REMODELS - 12.00
- 20.00
MIT
50
Vent CFM (ADD $.50 S/C IF PERMIT PRIC - .
E GOES
Gas Piping Outlets # $ BEYOND $1,000)
Other
FEE:
S/C: SIG U RMI EE
TOTAL•
FOR: CITY OF EAGAN
0 CASH RECEIPT is
CITY G?F, EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? 19 ?
? '. ? _ . ..._
/
, AMOUNT $ '+)
?
DOLLARf
+oe
n CASH [] CHECK
?; .( L S
rOR
j t.,_ 1'-?'-c- ? ?? ?lJ l•t? C<<t_.l ? f? / C.
BY
}r ?? " S 4 White-Payers Copy
? `? ? Yellow-Posting CoPY
Pink-File Copy
Thank You
BLDG. PERMIT N0.
. ',
01-3210 Bldg. Permit
01-3422 Plan Check --
?
01-3445
Surch./Adm. ^.. ?
?
01-3446 SAC/Adm.
01-2155 Surcharge _. 1 i ?..
17-3860 Road Unit ?-- ? -
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 5ewer Permit
?
79-3866 Sewer Conn. / - ' ?' U C
11-3855 Par# Ded.
TOTAL Y ''. J -1 ?) I L-K
CITY 4F EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for ? ,' »W(;/I;"
Est. Value +'77•000) Date
Site Address 976 POI N't'E +::;Y
Lot 1`` Block 3 Sec/Sub. L-EX14GT(11 POIN7'E
Parcel No.
or Name SOWS CONST CO
z Address ?? ?NORE
° City 1.`'.GAN' Phone 4)2-51151
o Nam?e S A;iF,
e
.
o ? Address
<
U P
City Phone
?Q
V W
W
W
Name
s ? Address ?
Q W City Phone
I hereby acknowiedge that I have read this application and state that the
mformation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan O?dinances.
Signawre of Permittee
ABuilding Permit is issued to: 1,;;•.T (;C)
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official_, _
Receipt #,
??3G9
OCrvaEa 30
19 ±7
OFFICE USE ONLY
On Site Sewage Occupancy R3
MWCC System ? Zoning
On Site Well (Actual) Const Vtl
City Water X (Allowable) yn
PRV Required * of Storiea
Boaster Pump Length 4o• 6
Depth 48
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit ? 423.00 '
Planner Surcharge 38.54 '
Council Plan Review 211.50
BIdg.Off. SAC,City 1W•00
515'00
Variance SAC, MWCC
525.00
Water Conn.
WaterMeter 47•00
;
Road Unit 3Li 5_ OO
TreatmentPl 1SU.UU '
Parks ,
?
TOTAL ??
?
Y. ? cirY oF EaGaN
3830 Pilot Knob Raad, P.O. Box 21-1 99, Eagan, MN 55121 ?
PHONE: 454•8100
BUILDING PERMIT Receipt#
To be used for Est, Value 77 t aate ?19
Site Address ?? "'• s OFFICE USE ONLY
t Bl
k S
L
S
b Qn Site Sewage Occupancy
o
oc
ec/
u
.
MWCC System Zoning
Parcel No. ll
O q Const
t
A
n Site We ua
(
c
City Water (Allowable) ?
cc Name
W PRV Required # of Stories
3 Address
gooster Pump
Length
? City PhOne
Depth
p Name ' j S.F. Total
?Q Address FootprintS.F. ,
?M_ City Phone APPROYALS FEES
W Engr./Assess. Permit
?
W u y
?- Name
Pianner
Surcharge
?? Address
Council
Plan Review
`W City PhOne gldg. Off. SAC, City
i hereby acknowledge that I have read this application and state that the
S
f Variance SAC, MWCC
tate o
information is correct and agree to comply with all applicable
Mi
t
i
f E
i Water Conn.
nnesota S
atutes and C
ty o
agan Qrd
nances. Water Meter
Signature of Permittee Road Unit
A Building Permit is issued to: Treatment P1
on the express condition that ail work shall be done in accordancewith all parks
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
TOTAL
Buildinq Official
, Permit No. Permit Hold.r Date Telephone ?t
Plumbing ?.
4 1)
H.V.A.C.
EleCtriC
Softener
Inspection Date Inap. COt11111@RtS
Footings I
Footings II
Foundation
Framing Z -/.0
Roofing
Rough Plbg. ,f. c•r
Rough Htg. 01-2- y 2?p
Isul.
Fireplace
Final Htg.
Final Plbg. - ?- x ! • , .
Bldg. Final
Cert. acc.
Temp. LP r
Deck Ftg.
Deck Final ?
Well
Pr. Disp.
CONTRACT P
Site Address .
Lot
m Name .
? Address
c City -
Name .
3 Address
p CitY -
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121
,,, [, it, PHONE 454-8100
BIDG.TYPE
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESiDENTIAL FEE - $10.00
MINIMUM - COMMJIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF
FOR: CITY OF EAGAN
Res.
Muit
Comm.
Other
rt
PERMIT # _
RECElPT #
DATE
WORK DESCRIPTION
New
Add-on
Repair
Np. FIXTURES
O1 Water Closet - $3.00
Bath Tubs - $3.00
" L8VetOnl - $3.00
_Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
_Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping OuUets - $1.50
Sottener - $5.00
Well - $10.00
, TOTAL
($
f ?
?, -
t`
Pnvate Disp. - $10.00
- Rough Openings - $1.50
FEE 32
' STATE 3/C:
GRAND TOTAL• - ? ??
..
'. Site Address
MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE: 454-8100
BLDG.TYPE
Res. XXX3IX
Mult
Comm.
Other
PERMIT #
RECEIPT a
DATE _
WORK DESCRIPTION
New XXX XK
Add-on
Repair
?) N8R1@ , ucaw-ec?? ran
? Address 14745 South Ro
c City ROSettwunt, MN phone
Name _
c Address
0 City -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent.
Gas Piping Outleis #
Other
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC iNCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PE
- $24.00
- 6.00
- 1.50 EA.
COMM/IND FEE - 1°r6 OF CONTRACT FEE
75L M BTU p APT BLDGS. - COMM. RATE APPUES
M 8TU TOWNHOUSE 8? CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADd-QN 8
M BTU REMODELS - 12.00
M BTU R MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
CFM $
r
1 1 (ADD $.50 S/C IF PERMIT PRICE GOES
?
? BEYOND $1,000)
25.50
FEE: _J1! " •
S/C: ' 50 SIGNATURE OF PERMITTEE
TOTAL: Zb • wJI
, FOR: CITY OF EAGAN
?.-.
.
?
?
(Jltrtif iratit af COrrupanry
Citp of (Eagan
EP}tarf3nPltf of lliilbttt J jm}1PtltOtt
This CeMiftcate issued pursuant to the requirerrsenis of Secrion 306 of the Uniform Buildfag
Code cern, fying 1ha1 at the time of issewrece this structure wos en compliance with the various
ordinances of the Ciry regulaling building construction or use. For the following.-
ube classificauoo Sldg. Rrmit No. ,
OceoW-Y TyPe Zoning Disi?ci '. i Type Canat '• •' ;
Owmd&olding sa'?Iii ?'?t?J?,I':?J''; i: ??
BuiWingAddrm (.AY LDplity f_Ii). R3. 'Zaa'TON PQ?1?'LI
Date:
PDST IN A CONSPICUOUS PLACE
CI'tY OF EAGAk Permlt Np:_
3830 PIIot.Knob Road Meter No??.S Qata
P.O. Box 21199 Size: S/?'? o c/? .
Eagan, MN 55121 Reader No;
-r-?,.;f•- Date:
Owner. ;-o,;:-t_ -
StteAddress:
Piumber.
Chg: ?
Z.,
ermit Fee: LEr'I-IIt` cft IV ?? C4
urcharge:
Tr. PJant
Meter, ft n ? e8Mrith the City of Eagan
,
Misc.:
By
_ WATER SERVICE pERMIT
CITY OF EAGAN -!?ermit No: : -- - date: ! ?-io-is 7 !
3830 p'ilot Knob Road B/P No: _ 71371': Date:
P.O. Box 21199
Eagan, MN 55121 ?
Site Address: ')/GPoin;e Way LIO 113
Plumber: -- •70hs4socr"' E=c/R C i Iu.m.bir fr
?
MWCC: C 1 Zoning•
City Chg: 100•Qd d No. of Units:
Acct. Dep:
Permit Fee: in-wpd I agree to comply wifh the City of Eagan
Surcharge: "Ourl Ordinances.
SEWER SERVICE PERMIT
i
CITY OF EAGAN' "; trmit No: ?'-''9 3 Date: 1 -"'16-F'7 ?
3830 Pilot Knob Road Meter No: Stze:
P.O. Box 21199 Reader No: Date: ;
Eagan, MN 55121 ?
n..,,,o„ ..'.?Ons CoZSt. j
Site Address: •" " L vu+tc yvay ,i.s..; u., a.,cni.a?zic,va. rvuak c
Plumber Jot-.naarr ?xcavatiaF/R C Pluribir.q
Conn. Chg: "25 •fl?12-0, Zoning:
Acct. Dep: ?5• 00;t?: No. of Units: z ;
Permit Fee: Z o- oolhi ?
Surcharge: . Son.l i agree to compty wiih the City of Eagan
Tr. Plant Ordinances. {
?
Meter.
Misc.: By
; WATER SERVICE PERMIT
?
?- - -- - - -- --- --------- - -_ ._ -- _. ....?
: CASH RECEIPT •
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINN OTA 55122
ATE 19
AECe? so ?ne
w
AM¢SUNT $ ` ,?U U
/ v `I
vurvo cooe wn?ourar
?. ? Ea
)
od
p ? G
Thank You
BY
N2 79865 White-Payera Copy
- Vellow-Posting Copy
Pink-File Copy
DOLLARS
? CASH ?? CK
..Ww-
T11i5 lapuESl VOIC/?
18 momhs from
D 30496
I -? rY /
Eleclncal Conlrector
C]Reatly Now,
1 hereby reQUesl mspacLOn ot above
..m?ineal wnrk mstdll0tl at
/19 ?--
/ .T_7
II Nnvfv Inspec-
- When Ready
U Lwoer
Sveet AdAress, eot or.Rapu?te No.
M
/ / &
ecuon o. Townshio Name or Nn.
aner. No.
Citv
County
/?-?./ • / T
Occupn^t WAINT) ,
? Phon?e N7o.
G?????
S?? Vi/ lU7 < V
Powe, Supplier
?" ? Address ?!
? - /?
Ele?tncal Cnntractor (COmpanY Name) .
Convacm?'s Licuns? .
??IC
Mailin0 Address IConvactor or Owner Ma
-rk Wnp Installatmnl
GA ????I2
T
&Z i D
Authonzed Si namre ICOnua 0w r .?k?n Installat?onl Phone Numbe.r ?
• ?TI ?HF(111FST WILL NOT
MINNESOTA STATE BOAP61F1F ELECT0.ICITY BE ACCEPTED BY THE STATE BOARD
Gruggs•Mitlwey Bldg. - poom N•191 UNLESS PPOPEN INSPECTION FEE IS
1821 Universitv Ave., St. Paul. MN 55104 ENCLOSED.
Phone 16721 642-OB00
Thns request w'tl
18 nqnths Irom a ?
E 4 3 8 0 2 .?
flenuest Date ?.
/ `? ? `? `,
Q Fire No. Pouph-i nsuecUOn
Reqwre 0ieatlY Now ? WiII NntrtY.lnsuer
lor Wh
R
CP ?
?Yes No en
eatly
? Licensed Electncal Convacmr 1 hereby request insoection ol above
Owner electrical work installed at:
Street [Aw?d'dre^/ss, Bon or Route No.
L ( / Ci?v / ?Ay
eCbon o. Townshi0 NTme or No. an9e o. Count?
OccuVantAIF#INT)
1
/-,
'C Phone No.
-
G ?
G
Power Supoler Aad•ess
EI Con[rac or (Company Ndmel ? Cnnlrar.loi's Lmense No.
? /?I f? .?/ ?? d ya ?l q?
q
M AdJress Contractor or Owner Makin Instailatmnl
A /
1J411
e
4X
/z sAARA- c- ?
Authon d S?gnaWre lCOntractor/ ner Makfng InstallatioN
Phone Nomber
1 ? ?e 46 9/
MINNESOTA ATE BOARD OF EIECTRICITY THIS INSPECTION NEQUEST WIIL NOT
Griygy-Midwev Bldg. - Noom N-191 BE ACCEPTED eY THE STqTE BOARD
1821 UniverxiN Ava.. St. Peul. MN 55104 VNLE55 PROPEP INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL WSPECTION ece/-o-o/ooi-os
p 1 See mslructions tor com0leling this form on bnck of yellow copy ?
E?,`t 3 H 0 2 .-' '-x" Be/ow Work Covered by 7his Request
Mea AAJ Heo. Tvoe of Bwltlmg Applmncea WireE Eqmyment Wired
Home Ranye Temporary ServiCe
Duplex Water Heater Lightiny Fixtmes
Apt. Bwlding Dryer Electnc Heatin
Commercial Bldy. Fumace Silu Unloader
Industnal BIAg. Av Conditioner Bulk Milk Tenk
Farm Ojh«r Soeci v Ispecify)
t er Sucufy 01hoe Oth.r
Comuute Insoecbon Fee Below
p Fee ServiceEntre.ee5rsa n Pae Feeders/5ubleeders u Fee Circurts
U to 200 qm 5 0 to 30 Am s 0 to 30 AmDs
Above 200 qmps 31 to 100 qmps 31 to 100 Ai
Swimming Pool Above 100_Amps Above 100_Amps
Transiormers 1rrigation ? Partia6"
er Fee
Signs
T
F?E
HerrNrks
flou
Bh-in I
7
D,, le
1 ihe Elect al
sp ereby
erudy that the above
Final ?'}Le? insoac
m UOn hes bee n
Bde.
Thie repuesi voiE 18 monihs irom
/105/3?j REQUEST FOR ELECTR',CAL INSPECTION ee-ooooi-os
/ ? See insGUCpons for campleting ehis lorm on beck oi yellow ro L C' G
py '?--
? 3006 "X"' Below Work Covered by Ihis Renuest
Adtl Fl ltl?ng qpplwncne WneE Enuipment Wired
Ranye orary Scrvice
Water Heater ny Fixtuies
c? Drye, ric Heatin
Bldg. Fumace nloader
V
idg, Air CondiLOner BLI]k
Milk Tank
ome, sori,rv
(y O1M1ef
Om nld e lnc na?tinn Fe? a,.i,....
AFea
9`l'' Serv?ceENranceSize
0
200 feeders # Fee
to
Am s s 0 m 30 Am
A bove 200 q?nps Ps 31 to 700 q
Swimming Pool Amps
= AmpS
Above 1p0
Transtormers ms _
Partial/Other Fee
S'gn5 Special
ecbon S ?
?
TOTAL f
?
Rouah-in °
I. the Elactnce
Inspeclaq hereby
Final ? UA e eerhfy Ihat ehe above
?
l' insuection has been
d
rni. mnuna?.n?
n ,a m„?me «„m S ma
e.
_..
CITY OF EAGAN N° 14 3 6 9
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHONE:454-8100 ?I ls? I q
BUILDING PERMiT Receiptn ?
7obeusedtor SF DWG/GAR EstValue $77,000 Date oCTOBER 30 1 y87
Site Address 976 POINTE WAY OFFICE USE ONLY
LEXINGTON POINTE
Lot 10 Block 3 Sec/Sub On Site Sewage _ Oceupancy R3
. MWCC System X Zoning Rl
Parcel No. it
ll
W A
t
l
C
t Vn
On S
e
e )
ons
_ (
C
ua
a Name SONS CONST CO Ciry Water x (Allowable) Vn
3 Address 4606 LENORE PRV Pequired - # of Stories 48
6
o City EAGAN phone 452-5355 BoosterPump _ Length .
48
DePth
, p Name SAME S.F.Total ___
? a AddrCSS FootOrint S.F.
i- City Phone pppROVALS FEES
?w Engr./Assess. Permit 423.00
w Name
w
ri PlannBr Surcherge _ 38.50
i- Address
211
5
U= Counal Plan Review .
0
a W City Phone Bldg. Off. _ SAQ City _ 100. 00
1 here0y acknowledge thatI?pave read i appl' tron antl sta[e that lhe Variance
- SAC, MWCG
-- 525.00
sZ 5
00
mformation is correct anQ/a¢ree to
all applicable Slate ot Water Conn. .
--
MinnesotaStatutesandQ;NotEa n s WaterMeter ?
67.00
-
Sgnature of Permrttee Road Unit . -30 5,.00
A Building Permit is issued to:_ SONS _CONST_ CO Treatmenl P7 _ 180.00
on the express contlrtion [hat all work shall be done m accortlancewdh all Parks
applicable State of Minn ta Statutes a ?rty of
Eagan Ordinances 375.00
$2
?
BuildingONicial__ TOTAL ,
CITY OF EAGAN
3830 Pil
l K
b R
d
P
799
O
B
21
E
M g 18439
N 55127
(
'
o
no
oa
,
.
.
ox
-
,
agan, (? `C5 C
z
PHONE: 454-8100 a
BUILDING PERMIT Receipt q '
To 6e used for DECK Est. Value $1, 000 Date OCT 9
_
, 19.90
Site Address 976 POINTE WAY
Lot 1 Block _3_ SedSub.LEXINGTON POINTE OFFICE USE ONLY
P8fC01 NO. Occupanty - PEES
Zomng -
w Name DAN MCKEAG (Actuaq Const _ Bldg. Permit 25.00
o AddreSS 976 POINTE WAY (Allowable) - Sn
Surcharge -
City EAGAN Phone 683-9046 •otstories -
201 Plan Review
Length
o Name ROR WAI.TFR Depm 14 ? SA4 Cny
? AddfeSS 12209-A 17TH AVF. SF.TOIaI -
¢ SAC,MCWCC
? City nIfRNSV7T.T.F. Phone 899-0958 SF Footprmts -
Water Conn
On Sile Sewage -
?
? W
W
Name
on ste weu
-
M
t
l
W
w
d
rESS
MWCC System er
a
e
ei
az ?
C
ph0?e
Qty Water ? Acct. Deposn
V
i
S
P
PRV RBquired _ /
J
erm
t
I hereby acknowlege tha ave r,? his appliC ion and s te that ihe
? Booster Pump - SMI Surcharge
iMormatwn is correcl a d a Ib
com ith al li.ab?e S te ol
Mmnesota Sfatutes and ?ry f Ea . n Ordi ance . Treatment PI
SignaWre ot Permtlee _ APPROVAIS Road Umt
A Bulldin9 Permn is issued to: ROB WALTER Pianner - park Ded
on the evpress condition that all work shall be done m accordance with all Council
1
50
applicable State ot Mmnesota Statutes and City of Eagan Ordinances.
u eld9 Off. _ .
Copies
BuiltlingOtfiaal ?10T ?Q1f I?1.?1
' Varianca - TOTAL 27•00
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
---------------
? ?ofUffiCA;?68 I
, Parma a: ? .
? I
? Pertnit Fee: ?t?60 ?
I ?
? Date Received: ?
i ?
? Staff: ?
--- --_•. -
2008 MECHANICAL PERMIT APPLICATION
Date:UGW/vb Site
Tenant:
?u
RESIDENT/OWNER Name: ?An /l'Phone:
?
3
Address / Ciry / Zip: -
C Wzigl
CONTRACTOR Name: ?rl,«0;?-' G License#:
"
4
Address: d
?:
Ar
CIty: '?-i? SWte:?Zip:
Phone: - Contact Person:
'TYPE OF WORK - New ?Replacement _ Add'Rional _ Alteration _ Demolition
Desc(ption of work:
NOTE: Both rool mounted and ground mounted mechanlca/ equlpment is requlred tb
be screenad by Clty Code_ Please contact the Machanlca! Napector a one of the,
Planners for fnfoimation on rmltted acreen/n mefhods. .
RESIDENTIAL COMMERC/AL
PERMIT TYPE ? Fumace _ New ConstruCtion _ Interior Improvement
Air Condidoner _ Install Piping _ Prxessed
Air Excharnger _ Gas _ Exterior HVAC Unit
•
_ HVAC unks must be screened
? Heat Pump Under / Alwve ground Tank Install /_ Remove)
Other " When installinglremoving tank(s), call tor inspection by Fre
- Marshal and Piumdn I ctor
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (inciudes $50 State Surcharge)
$90.50 Fire fepair (replace bumad out appliances, ductwork, etc.) (inclUd88 $.50 State SUrCherge)
$ TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x t%
$50.50 Minimum (includes State Surcharge)
Permit Fee
- If Pertnit ftg is less than 51,000, surcharge is $.50.
- If Pemi F?g is > 51,000, surcharge increases by $.50 for each =$ StBte SUfCharge
$1,000 Pertnit Fee (f.e. a$1,001-$2,000 PermR Fee requires a$7.00 surcharge).
$ TOTAL FEE
I here6y adcnrnMedge that this information is complete and accurate; Mat ihe work will be in confortnance with ordinanCes and Codes of the Ciry of Eagan; that
I understsnd this is rrot a permit, but only an applbffiion for a permit, and xrork is not to start witWpe xark will 6e in accoMence wIM the approvetl
plen in the Caze of xvrk whiCh requlres a review and approval ot plans. "
X //IrCt y" /6'IC,??./C? X
Applican r nted Name Ap{ili nYs Signature
AUG 2 9 2008
FOR OFFICE USE Reviewed By: '_-Date: .' _
Requlred Inspections: Under Ground Rough In _Air Test Gas Service Test In•HOOr Heat . Fina?
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
-?Ti 7 0 , 0 6
NewConsWdionReauirements RemodellRepairReamrements Oific
3 registered site surveys showing sq. ft of lot sq. f[ of house; and all roofed areas 2 copes of plan Cebf Stlnt9y Reed
(20%rnaximum lot coverage albwed) 1 set of Energy Calcula8ons for heated additions TrgffFreROCd.tit
'
?
?
2 copies o( plan showing beam & window sizes; poured tound design, elc. 1 site survey for additions & decks `TieePres T?eQu¢ed '. ?
MY
15etofEnergyCalculafions Addl6on-Indicaferfonsdesepticsystem QS-RAc6.emi- ,20
3 copies of Tree Pmservation Plan H lot plaked after 711193
Rim Joist Defail Options selection sheet (bldgs with 3 or less uniGs
Date ,-- /
Site Address / Construction Cost /_ /???
Unit/Ste #
Description of Work A*(/
Multi-Family Bldg _ Y Q? N
T? Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( )
Contractor
Address
State City
Zip y G Telephone #- ?
COMPLETE THIS AREA ONLY IF
Energy Code Category Minnesota Rules 7670 Cateeorv 1 _
• Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted
• Energy Envelope Calculations Submitted
A NEW BUILDING
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
Have you previously constructed a building in Eagan wiih a similar plan? _ Y _ N If
fee applies. ?
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
?v
inz S I AO
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
pernut; that the work will be in accordance with the approved plan in the case of work„which requires a review and
approval of plans. w ,
ApplicanYs Printed Name
OFFICE USE ONLY
Sub Types
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 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 ? 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 ? 11 10-plex ? 19 Lower Level ? 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
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entira Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Foorings (deck) FinaUNo C.O.
_ Foorings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Air/Gas Tests Final
Pool _ Ftgs
_ Framing _
Siding
Stucco
Stone Brick
_ Fireplace _ R.I. _ Air Test _
Final _
_
_
Windows
_ Insulauon _
_
_ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
)
? 570
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Constructbn Heaulremertta
. 3 registered sRe surveys sfwwhg sq. tt. of bt, sq. tt. of house; and all roofed areas
(20% maYmum bt cover2ge alWwed)
• 2 copies of plan stwwing peam & window sizes; poured fountl tle5lgn, etc.)
• 15B10f EI19fQy C21CU12ti0(I6
• 3 copies of Tree Preseivatbn Plen'rf bt plaNad afler 717/93
. Rim Joist Demil Opilons seleclan sheet (bklgs wMh 3 or less unNS)
DATE ??a 3?o z
BamotleMeoelr ReaulremeMs
. 2 copies M plan
• lsetofEnergyCakulationsforheatedadditlons
• isllesurveyforeMerioraddilbns8tlecks
• InOicate if home servetl by septic system for adtlttiais
?
VALUATION f55 .2Ub -
4ULTI-FAMILY BLDG _Y N
FIREPLACE(S) L?0 _ i _ 2
rS
STREET ADDRESS 12 Z4/ 7 ./J1,',-,, IIe F?v. CIN &?^wJ1e STATEMV tIP i 5-397
TELEPHONE #`ESZ CELL PHONE # FAX# ^2Sz ?o?- q q9 zlF
PROPERTYOWNER ???? / ? ( ? I?2?'S TELEPHONE#( -5_0 6 S'? - qa
-° ---------------------------------°------°------------------°--°----°--°----------° °-
COMPLETE THIS SECTION FOR "NEW» RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSOTA RDLFS 7670 CATEGORY 1 MINNTSOTA RUI.FS 7672
(d su6mission type) • Residential VenUlatlon Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculatlons Submitted
Plumbing Contracfor: __
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softener
_ Water Heater
No. of Baths
_ Air Conditioning
- Heat Recovery System
?r? C?'I??'t?IL?
? NIAY 2 3 002
I! one #
Fee: $90.00
$70.00
---------------°---------------------------------------------------°----- -°-°-------------
, ;r-------------------
------,- ?... a
I hereby acknowledge thaT I have read this appllcation, staTe that ihe information is correct, and agree to comply
with all applicable STate of Minnesota Statutes and City of Eagan O dinances.
Signature otApplicant A?'?`l ~
................................................
??._....?._....?...?......._..._._ .s_._
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
APPLICANT_ l"CvYle!?cF?
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt- Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn.(4sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Yar_ N ? 25 Miscellaneous
O 31 New ? 35 Int Improvement ? 38 Demalish (lnterior) ? 44 Siding
0 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
0 33 Alteration p 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (EMire Bldg only) - Give PCA handout to applleant
Valuation Occupancy MCiES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nhr, of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUCO.
_ Footings (deck) _ FinallNo C.O.
_ Footmgs (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Fraxning _ Siding Stucco _ Stone
_ Fireplace _ R1 _ Air Test _ Final _ Windows (new/replacement)
_ Insulataon _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
I t q39
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE iINITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING ?AY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER ML1ST DESIGNATE WHICH ADDRESS IS
DESIRED. ND CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For:'N-Df.C.J'<? Valuation
Site Address 99( ?- rOlNTE Vj/Ey I
Lot I O Block 3
Parcel/Sub L..eXING7DN FeINTE
Owner 1:-1 _ y?_ m r kCG_,r
Address c",?
City/Zip Code (?q(,,
Phone C : S? ? " 12,
Contractor
t- clC
Address On i A
City/Zip Codel'!5,(yL..?, d MN 5S3?
Phone p? Z? ?zk5 `Z
Arch./Engr.
Address
GityjZip Code
'Door Date: , U ` !) ~ 1 `?
USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.
.12O 1
/N,
F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Sldg. Permit ?S,,oo
Surcharge ,gT7
Plan Review
SAC, Gity
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies /%
SUBTOTAL
Penalty
TOTAL 49, W
Phone rx
CITY OF EAGAN
APPUCATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*KYPF': PAYMENT OF FM AT TIIE OF
aprr.zCAMoN DOEs Norr corsTzUM
APrxovra, oF rEIZZ".
• xx,?xx=xx,.=x,.,?xf,.xf,?xxf??x?,.,?....?,.,??x
Please Print ?
?1) PROPERTY ADDRESS: 276
•-
LEGAL DESCRIPTION: L fFo ;, ?v _ ?
. lLOt/ntock/SUbdivision or Tax Parcel ID #)
IF EX'STING SiRCG1i'RE. DATE OF ORIGINAL BLILDING PERMIT Z55CANCE: -
? (Iion Year
PRESENf ZANING/PROPOSID t?SE:
? C0.11MEFtCIAL/REPAIL/OFFICE
? IDIDC'STRIAL
n INSTITL'TIONAL/GpVII2NMg,'NT
F
R-1 SINGLE FAMILY
? R-2 DUPLEX (Ttno C?nits)
? R-3 TOWNHOC?SE (Three + Units) ( C?nits)
Q R-4 APAR7T7ENT/COPIDOMINILM ( Units)
2) ?
ADDRFSS:
CITY, S"fATEr ZIP:
. PHONE:
3) • u ?= "' ,p-?
NAI?E: .?C . C..
AwnxFSS: "
ciTsc, srATE, zxp:
PHONEi MASTE2 L2CENJEk
Plimbers License:
Active
Emired
rrot recoraea
StaT?itial
4) •.• • • i51•
tu `
?n?:_ s ?ai? ?
_ 1wouFSS: ,r? a 6
CITY, STATE, ZIP:_ z-z--
PHONE: 4t.5`.Z ? ?-? s--S!
5) ? v ? a• •?• : a • o• a??
[?-'-NNNECfION 1V CITY SEN? ? CONNF.CPZON 10 CITY WATER OTi-lER 6) '? • ?'• ? PLEASE HOLD APPROVFD PERMZT FOR PICK-OP BY ONE OF AMVE ---`-- -
? PLEASE MAIL APPROVID PERMIT TD 1, 2. 3,?ABOVE .
(Circle one)
7) r r• u• • _ l-e-f'.G?._.e_ 7?"`-?-r ??C!' Y-? /'-2-
INsPnMoiv oF SEWM rNo/Ot NAMM
xrsTALLATrorrs wnL Nar as SCHED--
ULID UNTIL PIItMffT AAS BF:F1J
APPRCNID.
FOR CITY USE 4NLY
PERMIT # ISSUED
7,2- 93 -?
Pd w/Bldg. Permit FEES:
$ $ /d . s-v
?
SEWER PERMIT (INCLUDE SCTRCHARGE)
$ $ 40 S-?-) WATER PERMIT (INCLUDE SURCHARGE) .
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOLNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRLNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ zj? $ WATER TREATMENT PLANT SIIRCHARGE
$ $ OTHER:
I ? GYL% $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST
S
.
A A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY;
TITLE:
DATE: F/
?
r.1
10
RI - LAN D C 0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
SONS CONST. C0.
LEGAL DESCRIPTION; LOTISZ,BLOCK-3L--, I FXINC,TON PDINTE
ACCORDING TO THE RECORDED PLAT
t THEREOF DAKOTA COUNTY,MINNESOTA
LOT 9
?
, Q' ? %'1S
S ??q966
? _.
O
,p? ?
-
? ?.
?
0 , r:•
r;
A
()a CA
%- ?
"0
p i- c.....
'? 7yx 4=
I
L_UT
? Ln
\ cpi?NO
\ oN?.
`
\
. /? /0,
44
S ??39
i
L
?5136,t ?
05.()0
`52g6
5
3
ii
N
LEGEND SCALE' I"=3O'
INVERT ELEVATION AT SERVICE EXTENSIUN=
Q DGNOTES !RQN MONIMENT PROPOSED GARA6E FLOOR ELEVATION =
o DENOTES WOOD HUB SET PROPOSED F1175T FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =
ELE VATION ElE VATI ON
DENOTES PROPOSED SPOT
ELEVATION NOTE'? VERIFY ALL FLOOR HEIGHTS WITH
? DENOTES DRAINAGE UIRECTION FINAL HOUSE PLANS
I hxeby certify that this survay,plan or
report wos prep(ired by me or under my
9irecl supervision and that i am a duly
'eqistered Land Surveyor undK the
lws of the Stote of Minnesota.
Bradley J. igf/enson, Mn. Req. No. 15235
Date- uI I iHIRI)
. . .
. . / ? .
` 1987 BOILDING PERMIT APPLICAT H- CITY OF SAGAN
SINGLE FAMILY DWELLINGS
IHCLDDE 2 SEfS OF PLANS, 3 CERTIFICAiSS OF SORVEY, 1 SST OF ENERGY CALCOLATIONS
HOTE: ADDRESSES FOE COSNER LOYS - CONTHACTOR/HOMEOANEH MQST DESIGHAiS AHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE AL,LONED ONCE BDILDING PfiRMIT IS ISSIIED.
HQLTIPLE DiiELLINGS - RFSIDENTIAL
INCLUDE 2 SETS OF PLANS, CfiR'
1 SET OE ENERGY CALCULATIONS
CONAIERCIAI.
RENTAI, IIAITS FOR S9LS IIHIYS
OF SIIRYEY - CSBCK WITH SLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS 6ND 1
ENERGY CALCULATIONS,
+ o $2,000 LANDSCAPE BOND
& STRUCTURAL PLANSt
SET OF
,
To Be Used For: Valuationt ?_ Date:
i n i?
Site Address OFF]
000-
Lot / 0 Block 3 ? y On Site Sewage
Mwcc sygtem ?7
Parcel/SubLeyl?,wr6ti% pviijTe On Site Well
City Water
Owner 5o.v} Co,dst (to
Address
City/Zip Code 4?Ad-Au
j1) 1-L
Phone y SJ- - 9PPROV9I.S
Contractor S vwS CO'°' ?T (:9 Assessments
Water/Sewer
Address ??oG? L?,WC?zti Police
Fire
City/Zip Code t?}&aN Y-0 i L- Engr
Planner
Phone t/ ?)-- S3ii Council
Bldg Off
Arch. /Engr. )312-44,v/ f4 ?-s ria4 APC
Add
??
b? ' ? ???r
?
?? Variance
ress i
i
? ??, e
City/Zip Code _&G.qti% Y fl z ?-- -
Phone li -/) ) - Z ? 5-?'
Oecupancy R'3
Zoning K -1
Type of Const
(Actual) V-N
(Allowable)
# oP Stories
Length ?
Depth yf3,0
S.F. Total
Footprint S.F.
FEES
Permit 923•Oo
Sureharge ?8.50
Plan Review 2 4 r, sn
SAC p City 160,
SAC, MWCC
C
25.0
Water Conn SZS.Oo
Water Meter 69 ,Do
Road Unit OS '
Treatment P1 ? 60,00
Parks
Copies
TOTAL Q 37 C.
GaRAGE , I , ,.
22x 20= 4WO )? r 2= 52 $D
i!?1
N7 XZ6= 1222x1q- Irl?oB
Isr FLooR
y1xZ6= 1222?
2xio= 20
12yU xyy- 5y560
96 9 q8
g-)- Z 30
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55122
„ 5 ?.
o
S??
?
1C/,S
/ ? r`•
?
nn' ^
OT 10
LEGAL DESCRIPTION: LOTIQ,61LOCK_3_, l FXINC;TON POINTE
ACCORDING TO THE RECORDED PLAT
? THEREOF DAKOTA COUNTY,MINNESOTA
L.oT 9 Vp7yx 4?
V
??
O
?
?
?
v-
Z /1
Qo 0:.:
W CA
?L 1
SITE PLAN FOR:
SONS CONST. C0.
r. _
?_UT
\ N
?
? O
S`Jo
$N?
\ m
?
`
,
?
/o-
5
3
ii
PD,N?E
?E7UNP RKVJPY IV
?6
.00
q-?--05-
`52g6
LecEroQ SCALE:
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES ORAINAGE DIRECTION
1 hsrsby certify thut this survey,plan or
report wos prapared by me or under my
direct supervision and that I am a duly
`epistered Land Surveyor under the
lws of the Stata of Minnesota.
I °= 30'
INVERT ELEVATION AT SERVICE EXTENSIUN=
PROPOSED GARAGE FLOOR ELEVATION=
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR =
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. $iVenson, Mn. Req. No. 15235
Date : "• I i RIA)
E%TERIOR ENVEIOPE AVERAGE "U" LOMPUTATION
Ob1ryCR: nniNCY III ModEl '
SITE ADORE55: f G LEXIAfGTON rOINTE 1''RftlwJPt4 ,
;)NTRACTOR: SONS CONSTRIICTION CO. DATE:
DETERMINE NORKiNC, SOUARE FOOTAGE OF EACH:
PHONE: 452-5355
TOTAL EXPOSED WALL AREA,,,,,,,, 141 (o sq ft x"U" .11 . 2?7•3?a
?. TOTAL ROOF/CEILING AREA,,,,,,,, 1 2 5¢ sq ft x"U" .026 . 3 2•`e
i.? TOTAL EXPOSEO IJALL AREA CALCULATIONS:
Total exposed wall
area above floor,,,,,,,, sq ft
a) Total wall wtndow area:
4lazed...... ? 3 2, sq ft x "U" , 59 . 711,8$
qlazed...... sq ft x "U" • `t 20
?
b) Total door area ,,,,,,,,, 4? sq ft x "U" • 2 3 °
c) Total sliding glass door area:
glazed...... 4 o sq ft x "U" . Sb ? 23.20
qlazed...... ?
sq
ft
x
"U"
?
d) Total flreplace wall area sq ft x "U" ?
e) Total wall framing area
(Averaoe 10:!).......... I L? sq ft x "U" .I O e Ilo,l O
f) Total net wall area above
fioor (Insulated)....... 1451 sq ft x "u" , 04 s 5$,04
q) Total rim JoTst area...... !?'j `L sq ft x "U" 4.06
Total foundation
area (Exposed).......... sq ft
h) Total foundatlon
Wtndow area............. sq ft x "U" ?
t) Total net foundatton
area above qrade........ sq ft x "U" ?
?? ry? ?t
s• TOTAL a) thru I) •
?,?0
If ttem p3 ls the samc as, or less than item P1, you have met the intent of
2?1CAR 1.16008 A and 0.
Page 1
4. TOTAL EXO05ED NOOF/CElllltf CALCUlAT10N5:
Tota) exposed
roof/ceiling area........ 1 2 S+ sq ft
j) Tota) skyltaht area....... sq ft x"U" '
k) Total roof/cellinq framing
area (Averaae 1n9,)...... t?5 _sq ft x"U" •???? ' 3.45
1) Total net insulated , 0 2 4 . 2 7?? O
roof/ceilinq area....... I 1 2 g sq ft x"U"
? 4, TOTAL J) thru 1) 3° •S$
If total of d4 Is the same as, or less than N2, you have met the intent of
2 MCAR 1.16008 A and 0.
ALTERNATE BUILDING ENVELOPE DESIfN
To utillze the total envelope system method, the values established by the sum
of Items 93 and N4 ahall not be greater than the sum of items H1 and 02.
1. + 2. '
3-
+ 4. °
t E R T I F I C A T I 0 N
I hereby tertify that I have calculated the "U" factors and "R"
values herein and that the hufldinn here described meets or exceeds the State
of Minnesota Enerqy Conservation Act.
Slqnature
(Date)
Page 2
NSTRUCTION
AMING SECTION:.
k
u
WALL SECTION (INSULATED)
R VALUE
--(1 Interlor air ftlm f1.hR
-(2 D re i.wn L ? .45
I F1 :U L, 2p,p O
-{? OTNIFIG 7,p(?
--{5 ..sc . ?7
-(F Extertor air film . 7
TOTAL R - 2 .03
U - 1/R s .0¢
RIM J015T SECTION:
C
--(i Intertor atr film 11.68
-{Z INe.UL-. L O.V0
-?3 i'iz" woov 1.88
-{4 sHr cYN iuG 7,04
--(5 Stc>% .,G I 47
-{6 Exter or a r Ilm 0.17
TOTAL R - 25.4G
D
p ?':?•O
e,-'-- •.
.• , • ?•q,
• .
d • A.
A'o•_a
Exterior a r i Im ().17
TOTAL R a
U o 1/R =
? ? ? 'u .•, a
SLAR ON GRADE
E ?
FOUNDATION INSULATIOtI REQUIRED:
Min. R-5 on entire wall DR U- 1/R ?. O 4
Min. R-10 down to frost depth
FOUNDATION SECTION:
-{) Interior aIr film n.hN
{3
{4
(5
(6
•• a ? a' rCi
,
A
Q'Q• ?, ??:,,
Heated 51abs:
'', •';,? Minimwn R = 8.5
Unheated Slabs:
,• 'v .'. Minimum R = 6.2
C..
Q•AG,.??? ' '.'???: ..q;?
?.:? •1 4'a .r?•'.,: .!? .'? Q
4
1 • 4• ?: I? . I .?; • •? ?.•.• _
?. a Ll .? ' ?4 , ? • ?..d ,??
•4
S ? ? ? ' •
i
•Q
? . . .. . ?
a
•,, , q, ?i. .• '?
• .. ;• .
, . 4 • . ? a • c 9 ' • •
. • ? Q ,'
•? • • 44 11
.4'• . . .4. ?.,..o ?
Page 3 -
U - 1/R - .1o
.
CONSTRUCTIDN
R VALUC•
CEILING SECTION (INSULATED):
I Interior air f11m 0.61
AIR 2 UKYWOt- L •5G
CHUTE 3 '?•l 2'3 L' •c o
4 Exterlor air fllm stlil ?.F1
TOTAL R+4 I. ? 8
U - I/fl s .024"
l -
CEiLING
1
2
3
4
5
FRAHINC, SECTION:
Interfor atr ftlm c1.61
24?6,, pRywAtk- .56
1 u o,\PL-. 30,00
Interior a r film (still) 0. i
nches so t wooA 4 3 6
TOTA1(o
U m 1/R m OZil.
CEILING
1'
2
3
4
SEf.T I ON ( I NSULATED) :
Intertor air film 0.61
Fxterior air ilm sti ff. 1
TOTAI R -
U- 1/R-
VENTED
CEILINr,
1
2
3
4
5
FRAMIHr, SECTION:
Interior air ftim D.61
Exterlor air m sti ?.
Inches soft wood
TOTAL R
U- 1/R-
11
1
2
4
S
Inside alr film n•Al
Outslde alr ilm ?• 7
ToraL n - _,
U- 1/R-
Page 4
0 ` ' RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauiremenb RemodeUReoairReauirements Office Use Onlv
3 regLstered site surveys showing sq. fL of lot sq. h of house; and all roofed areas 2 copies of plan Cert of Survey Reoi _ Y_ N
(20%maximum bt coverage aRowed) 1 set o( Energy Calculations forheated addi6ons Tree Pres Plan Reoi _Y _N
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site suney for additions & decks Tree Pres Raqd _ Y_ N
isetofEnergyCalculatqns Addition - irMiceteAon-sifesepfasystem On-site Septic System _Y _N
3 copies of Tree Preservation Plan if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bidgs wBh 3 or less unAs
Date
7
/ ,),,3 1 0-3 Construction Cost ? 0 0c)
-
-
Site Address 76 0/ aG L-(.(l UnitlSte #
r '
Description of Work ?l TfOIJ >-d -
40 if s
Multi-Family Bldg _ Y?i N Fireplace(s) ?C 0_ 1 _ 2
Property Owner Telephone # (i?5?) VA -3 - / OV4'J
?
Contractor V?L ?vJ S/ r ? 1
Address Cih' ,V--7
4?'
State ?,
Zip Telephone # (P?/ ) L(S tI/`
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CategOry , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calwlations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
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 wark will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; 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 ofplans.
? M ?I ? Lr R?u C
Applicant's Printed Name icanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OSplex ? 13 16-plex
)Ir 02 SF Dwelling ? 08 06-plex ? 16 Fireplace
? 03 01 of _ plex ? 09 07-plex ? 17 Garage
? 04 02-plex ? 10 08-plex ? 18 Deck
? 05 03-plex ? 11 10-plex ? 19 LowerLevel
? 06 04-plex ? 12 12-plex Plbg_Y or _ N
Wo rkTypes ??A+lt A•? / 0 6?L/
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screeNgazebo)
? 24 Stortn Damage
? 25 Miscellaneous
ADD-?)L7t[fAo
? 30 Accessory Bldg
? 31 Eut. Alt - Multl
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundafion) ? 45 Fire Repair
)S[ 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 ReplaCem6nt 'Demolitfon (Entire Bldg) - Give PCA handout to appliwnt
Valuation ?j' 019a Occupancy -at MC/ES System
Census Code ?'3 L/ Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
Footings(deck)
? Footings (addition)
?C Foundation
Drain Tile
Roof Ice & Water Final
?C Framing
Fireplace _ R.I. _ Air Test Final
Insularion
Base Fee
Surcharge
Plan Review
MC/ES SAC
city sac
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIREDINSPECTIONS
FinaUC.O.
-?c FinallNo C.O.
_ Plumbing
_ HVAC
Other
_ Pool _ Ftgs _ Air/Cms Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
_ Retaining Wall
Approved By Building Inspector
----_____?_?----___--
? r? 449/
3
i
?19 ooyo
?yd
l4-???, X J? - 31
LL?'??JZ?xvrv?? b X
? y, ???
0 L
YANKEE DOODLE ROAD
A. MINNESOTA 55122
LEGAL DESCRIPTION; LOTIQ,BLOCK-3-91 MNGTON PDINI'E
ACCORDING TO THE RECORDED PLAT
? THEREOF DAIOTA COUNTY,MINNESOTA
9
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tz'
, 0
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1 9?2?34??? ,,
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10 ? cn
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-A-1 &O-46
SCALE._I"=30'
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
DENOTES E0.EVIATION?T
DENOTES PROPDSED SPOT
ELEVATION
? DENOTES DRAINAGE DiRECT10N
PROPUSED GARAGE FLOOR EL
PROPOSEO FIRST FLOOR ELI
PROPOSED BASEMENT FLOOR
ELEVATIOM
a
NOTE : VERIFY ALL FLOOR HEtGHTS WITH
cINeI ?+cxisF PLsNs
Mar 25 03 05:33p Desi6n Claasics 952 802 7942
? • Forat for use with Minnesoh Rnles part 7670Ai75. Sabp. 2
.--? 18c 2 Fam?y Reajdenlial'Cook6ooY Mefhod
Jlw-i .i?_. /1n_ tiG+n.
p.2
?r+.. . / II iIG r. ?+..
SrirEADDRIESS4??
USY J!??6A-Aj
'nLDER ,? ,? v?, - r n!S , °?` - ?
henknum crberb:
m
Rimla¢ R-19immia6on FamdwaVirmdrvx lendaadgbs.1/2'afr5p+ee4w90dor.inyl6
Eopry d? lil iodzadid wood silh stannorLetlQ
SMI VAqdOw&D0wA!'EO
Total Wtadow & Doar A:ea m Sq. Feft
wIIiDOws (mchiding fouDdafim wiodows):
Dimemmoms QWy Ais
. x s a
, _- 15L- S
: 3 .2
- _ ?
x
x
z
X
:
:
T1f1f1RC•
E ?
x '
Toml nrea or
Vfrudow dt Dom dO?
'Ibtai Wadl Acea in Sq. R
Wail Tdal PrmaCW Ha8h1
r«dnm
Acea
Si'ZP'12 CmIkubdeallYmlpasOPdLOFwA
Hoz A(window & door aeea)_dividcd D7 Hooc B(to[al
wall aRa) rimrs 100 eqasls We Vmduw amd dawaRa
s a peioeot afva1i =a (Haa C?
seacn Z100 -
=
BMB
b'TB'P3 DesipFmtm+es
ASSIIMBLY OMON
FRAMEWat i •
SMtDutDFRAMM B
ADYAI'(CED FRAMM
cavrnrn+sucAnsar x 1
SHE`TtM. t.EssTHAvas ?
= R-SORDIORE
WMMwS (emnpt 6mm&iaa w'sde.s)C
U-FACfOR O- r3 Wumbw
thc table. demmum dc MMEMM ?en?vthe
r mea ?rthe desip op?ims
io box D 6ebw:
.? 60
smcz=caebmm=ereqvmdma=a
,
v
-im
TC 12. A service agreement with American Engineering Testing, Inc. was approved and
designatcd City staff was authorized to execute work orders for requested engineering
services.
TC 13. The preparation of a feasibility report by WSB and Associates, Inc. far Projects 859
(TH 55/Lexington AveBlue Gentian Rd - uitersectioii lmprovements) and 877
(Lexington Ave [CSAH 43], Lone Oak Rd to TH 55 - Street Improvements) was
authorized.
TC 14. The final assessment roll for Project 764R (Selmark/Harvey/Bumiew - Street
Overlay) was received and a public hearing was scheduled for October 7, 2003.
TC 15. The final assessment roll for Project 875 (Lexington Place/Lexington Place South -
Street Overlay) was received and a public hearing was scheduled for October 7, 2003.
TC 16. The final assessment roll for Project 876 (Drexel Heights - Street Overlay) was
received and a public hearing was scheduled for October 7, 2003.
TC 17. The bids for Contract 03-12 (TH 13 & Silver Bell Rd - Intersection Improvements
were rejected and re-advertisement for bids in early 2004 was authorized.
TC 18. Change Order No. 1 to Contract 03-01 (Town Centre Area - Street & Access
Management Improvements) was approved and the Mayor and City Clerk were
authorized to execute all related documents.
Craig/HD 19. Staff was directed to proceed with developing a proposal for transition of the
Volunteer Fire Department from an organizational entity to a City Depar[mcnt.
TPBJV 20. The transfer of the General Fund fund balance designated for bond retirement to debt
service funds was approved as presented.
PUBLIC HEARINGS
JH/Mike 21. A 6-foot variance for Dan & Annette McKeag to the minimum 30-foot structure
setback from a public right-of-way for an addition to their home and a deck at 976
Pointe Way, legally described as Lot 10, Block 3, Lexington Pointe, in the northeast
quarter of Section 26 was approved.
JH/Mike 22. A S-foot vanance for the City of Eagan to the minimum 10-foot side yard setback for
living space at 3966 Arlene Couri, legally described as Lot 15, Block 1, Perron Acres,
in the southeast quarter of Section 24 was approved.
TC 23. Consideration of a vacation of public right-of-way known as Yankee Drive between
Yankee Doodle Rd and TH 13 was continucd until December 1, 2003.
TC 24. Project 893 (Diffley Frontage Rds - Street Improvements) was approved.
" /?A C}3
?
09/03/2013 14:25 7635020227 WILLER CONSTRUCTION PAGE 01/01
Use BLUE or BLACK Ink
For Office Use - -
Y~ ^ I
. Permit
C14 (if Eagn I Permit Fee: ' J • oc~ I
I I
8880 Pilot Knob Road '
Sagan MN 55122 j Data Received l
Phone: 16511675-5675 I staff. ~ I
I I
Fax: 1651) 675.5694
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: site Address: N^ / unit
YI'A: i 17. ,br I1 I
Fp~ I
!I i,'ll II I :t~f111~. 1!I J _
Phone:
6Q _ n 7rY"[ ~r.1' =mot L~~Ow~
~11~~ 11181rf11`
riipM(~II1!1( ~ P,ddress/ clty / zlp:
IPl.,irp, r ,pip r I rI/. r I~ I I.
(I'rli4 :ill nfl^,'J1i) f;~~~PIiII:fIP,I'Pj!'I11jIAIII
0:'111,1 M Flppiicant is: Owner 1_1~' Contractor
r f?.
.2
il,i;-..,P'I••ll , 1P ~,~1,~,Yj+1!(~I Description ofwork: If ptoc&_ 112- 0,e
it"'gel f I; h,IPi.+F ~{f ~Ipt 'I!'
onstruction U wo d Multi-Famlly Building: (Yes _ I No
~;I.ail•1 i,f. i•„f!„ ~ I'I a„~„ , c Cost:
hill It q
,,I,I~. ,i. Illllp I~A1 1' 1 1 rl. ' 1
err h ,1±i,p~IP1;
lie
(;..pan,:
L'~'z&1/ ~j, l~ //L e CRY: ~ /K Le
i~ddress'
tii I VIf 'iq lillj 11: li,l r;, p ll``I I r^ r ?
i~'i`fl;;„il• (il,'i L,r 1IP111(+ te• .ZI 7 ~7 d~ Phone:
J=7
Ita
1.Icense rk; Lead Certificate
do h IS-
If the project Is exempt from lead certification, please explain why: (see Page 3 for additional information)
ham GyGr~ '0 X79-
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 Conti actor: Phone;
S CI I7il'E~
!rl,,ll ~ P I`llw 'V' ,,r I ' 1,x;1 , ~ p 1 ~ r ' r,P ~ ,
r... r .i r Y.,'1~ y. r,. L::: i •.o.,l':..r r l 41w-r1~1. 1'I SI ' 1'.i # I I k ...I', r ..l•..`.+!.;~ ; i:.11?;;;dp•I ! 1+ ' e.Ilfl~ .t ,
• d.. •.I,
.rP Illtl i,1,, 1 ..I+~ I..r. „Ir t r I`:;.;
il:c'i . I 1 II .p P.
, , rr6111., .I" r......,j`~
V ~ ~ w I ';1' 1, i
CALL BEFORREOIJ.DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage, Call 48 hours
before you intend to dig t" receive locates of underground utilities, www,aoahorstateonec_aJ.orq
I hereby acknowledge ftit this Information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the CIN 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; diet the work will be in
accordance with the appioved plan In the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 190
days of permit Icsuancu.
X I l'icr
Applicant's Printed Maine- plicant's signature
Page 1 of 3
Use BLUE or BLACK Ink
• r_________________.
I For Office Use �
� � Permit#: �� �� I
City of �a�a� _ � . . r" 3� �
Permit Fee. I�i
3830 Pilot Knob Road I l I
Eagan MN 55122 � Date Received: �d`-��"� �
Phone: (651)675-5675 � �
Fax: (651)675-5694 � Staff: � �
�----I ����
------------
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
C°�
�� ��'�y
Date: Site Address: Unit#: ��,
�-�� �n;� x���: Name. �� ��, �. 'i. �r�"'�-�°'' Phone: ���.�`J �..�jr-`�� 3
e ` �
� Address/City/Zip:�< b�'��I,�v�;�� VL"4; ;r
Applicant is: Owner �Contractor
, /r
Descriptionofwork: �k'``'>��� Cf' _c.�/� L,� ��t.:c,4v�� i.. �;��t V'���,'��'`E,���i`� h/�dt�i'G'iai's�''Z f;ki
��€y� �-
Construction Cost: `;�'�{,`'��.r' Multi-Family Building:(Yes /No � ) N�"�
Company:,�^7�� �u,J`��/^�;;.t,;�•�c;t =�r�V r� c�.5 Contact: .�i/1� ���./L�r
. a 3 c�
Address: `�� ��G�P t�v�c�;•� �'^I`� .i�! City:,/�'7� ��[� �^�
�
State;✓'�'1✓�i Zip:_�.�5 '?�`f Phone:�..--�� �-- ' ail:T) 6 r
�� . � , �, °
��; License#: ���G ��„5����G � Lead Certificate#: �"'�=��'11r� �'���
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:
ka. �.,
-F , a s . . o i ocu e t` ub r
� r o .a � : -, e � : , Q
� co,_-��a1� a. �
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.aopherstateonecall.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 completed within 180 '
days of permit issuance. '
x J'�l � ,���' �G�1�G?'p'' X ��?� �/`�x...--= I
Applicanfs Printed Name ApplicanYs Signature
Page 1 of 3
��� ��.�-.-�-� �.-�.�4 � ,
DO NOT WRITE BELO THIS LINE � ���3�--
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
� Single Famity _ 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 �l� "'� Occupancy �� r � MCES System �"
Plan Review �� Code Edition �,Gl�7 SAC Units --
(25%_100% �' ) Zoning � City Water "
Census Code �y�4 Stories �- Booster Pump —
#of Units �_ Square Feet r PRV "
#of Buildings _�_ Length "' Fire Sprinklers `
Type of Construction �_ Width `"
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings(Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation � Windows
� Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls - Erosion Control
� Braced Walls Other:
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee /Q.f �'-i
Surcharge
Plan Review � ? ��
MCES SAC
City SAC
Utility Connection Charge
S8�W Permit 8�Surcharge
Treatment Plant
Copies
TOTAL
Page2of3
•
-
Use BLUE or BLACK Ink
r -.
For Office Use
:::::e:
[3City of E aal
3830 Pilot Knob Road ���,409
Eagan MN 55122 IN ;d C t i 13 tri Date Received: I'
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
tilq
2016 RESIDENTIAL BUILDING PERMIT APPLICATIONtt, t�P
Date ///'//6 Site Address 1,,,__,,..,„,,,„„,„.„_„_,...,T,„...„,„,„ r J Q// '` 1/ 4 Unit#: etel
Name: �' C7 1(t Phone: 5 ---Sc1 Z.- )...,,
Resident I }�
I Owner Address/City/Zip: /q 7‘ I 0 ' /r 1,1'V
I I Applicant is: Owner Contractor
I Description of work: 4ell �> '7 /�, ( ,r'1 ell / tinier e ,15,x.. r
Type of Work A // �6
Construction Cost: / 56:71?) Multi-Family Building: (Yes /No X ) r
I
I
Company:/713b (a, 7'�/Y4 C �,'/1 i� z i�tS Contact:,') />/te t/c,l' r
SIS/' Ao55wcrt F/e
Address: y� if/ City: �G! v`�vP
Contractor I / I
State:/ /Zip: 4S3 it Phone: /,�2-730— mail: ,M;ke,M;/'eCyt ear 74(c)., fn/-/414,1.co7\
1 < License#: @ 1- '‘3/ 3 d Lead Certificate# 4/ '/ J/$222j _ ft
r If the project is exempt from lead certification, please explain why:
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
s 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:
1 Licensed Plumber: Phone:
" Mechanical Contractor: Phone:
I
Sewer&Water Contractor: Phone:
I
Fire Suppression Contractor: Phone:
i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information maybe 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.qopherstateonecall.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 completed within 180
days of permit issuance.
x i-ie P,/1(1-- x ., ----7-""---rA-------
Applicant's Printed Name Applicant's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE 137 ' '3
C�
SUB TYPES 9.--hp f',„ L-LA1
Foundation Fireplace Porch(3-Season) Exterior Alteration (Single Family)
Single Family Garage s" ` 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 t Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100%_) Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O.f... Footings (Addition) X Final/No C.O. Required
,1< 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
,C. 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: i ¢, Building Inspector
RESIDENTIAL FEES
Base Fee _
Surcharge
Y I
Plan Review
MCES SAC "
City SAC .,
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies 4TOTAL ` _
Page 2 of 3
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o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION=
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION =
DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR =
ELEVATION ELEVATION
DENOTES PROPOSED SPOT
ELEVATION NOTE: VERIFY ALL FLOOR HEIGHTS WITH
.e....-- DENOTES DRAINAGE DIRECTION PIMA! NAUSE PLANS