1349 Quarry LaneCITY OF EAGAN Remarks ./ ?'o "
Addition Section 10 Lot Bik Parcel 10 01000 01L0 30
Owner t(>l r Street 1349 Qua-rry State EaganiMN 55121
. -:?1 o ?, _ L
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 82 6 0. 2' o. lo 008614 10-11-83 '
STREET RESTOR.
l
GRADING
SAN SEW TRUNK u ? 18o.oo 2,5 Paid
SEWER LATERAL ? -
- -
WATERMAIN
.? WATER LATERAL {.
WATER AREA
STORM SEW TRK 1984 495.00 33.00 15 4 -g
STORM SEW LAT 1984 495.00 33.00 15 495
- -
1
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 130.00 9402 11 -8&;7 3
BUILDING PER.
sac 100.0 11- - -_
PAR K
14?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
• 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
• Rim Joist D'etaif Options selection sheet (bldgs with 3 or less units)
DATE ?I ?1?I??I
- -
.lOB SITE ADDR
IF MULTI-FAMILY BUILDI,NG, HOW MANY
PRQ?ERTY OVNNNER
TYPE OF WORK
APPLICAt
ADDRESS
PAGER #
FIREPLACE(S) _0 _1 _2 _3
?(f)'??? ?OVIJ
?
PHONE
ZIP CODE
rAx # _TG J ?X5 ?G - 06 -7 ?0
NIE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Phone #:
Water Softener Lawn Sprinkler
Water Heater No. of R.I. Baths
No. of Baths
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
? (Rin
11 pnd agree to corr
I hereby acknowledge that I have read this application, state that the information is c
ail applicable State of Minnesota Statutes and City of Eagan Ordinances. _
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required i
RemodellReaair Requirements
. 2 copies of plan
• 1 set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks
• Indicate if home served by septic system for additions
VALUATION (EXCLUDING LAND) .?\??. -73
Updated 1/01
GELL PHVNE #F
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of , plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
0 11 10-plex 0 19 Lower Level
? 12 12-plex Plbg_Y or _ N
Valuation ?
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bidg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg oniy) - Give PCA handout to applicant
Occupancy MC/ES System_
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
W idth
_ Footings (new bldg) .
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
REQUIRED INSPECTIONS
FinaUC.O.
_ FinaUNo C.O.
_ Plumbing
HVAC
_ Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
--------------------------------------------------------------------
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
Approved By
, Building Inspector
RESIDENTIAL
BUILDANG PERMI I APPLICATION
CITY OF AG, N
3830 PILOT KN B R P - 55122
651-681 46 5
New Construction Re4uirements ( RemodellReoair Requirements
• 3 registered site suroeys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan ?
(20°a maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions ?
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calcula6ons
• 3 copies of Tree Preservation Plan if lot platted after 7l1/93
• Rim Joist Oetail Options selection sheet (bldgs with 3 or less units)
DATE VALUATION (EXCLUDING LAND)
JOB SITE ADDRESS ?,?i?<JC, r r-v GGz- Y? e__
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER-7-f'1o,,,,"0,--t "ll' A?-ri,y 2(j1c-06C-f'"
TYPE OF WORK er?A oG[e-,1??enlA?GC /.I,/jh oWS FIREPLACE(S) 40 _1 _2 _3
APPLICANT
PHONE #
ADDRESS ZIPCODE SS/? l
PAGER # C E L PHONE # RIPT 7 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 -
(check one) - Residential Ventilation Category 1 Worksheet Submitted ??? Q nn ?
- Energy Envelope Calculations Submitted U
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing, Systecn Includes:
Mechanical Contractor: _
MCCh.LIIICaI SV5LC;I11 II1C1llC1LS
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with
ali applicable State of Minnesota Statutes and City of Eagan Ordinances.
?
Signature of Appiicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Water Sottener ?
Water Heater
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Badis
Updated 1/01
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ piex
? 04 02-plex
? 05 03-plex
? 06 04-plex
0 31 New
? 32 Addition
x 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Firepiace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
elbr25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bidg)* ? 43 Reroof ? 46 Windows/Doors
''Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation / ?T Occupancy
Census Code Li 3 y Zoning
SAC Units 0( Stories
Nbr. of Units O Sq. Ft.
Nbr. of Bldgs l Length
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
X Framing
Fireplace R.I. Air Test Final
Insulation
---------------------------------
3ase Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
1"reatment Plant
?lumbing Permit
Vtechanical Permit
_icense Search
:,opies
Dther
Total
? .? MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
REQUIRED INSPECTIONS
FinaUC.O.
? FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
Siding Stucco Stone
? Windows (new/replacement)
Approved By
, Building inspector
VICIAG? -r3F EAGAN
3795 Pilot Knob Rood
Eagoe, MN 55122
Zoning: n-1
Owner: JSeDh
Address:
WATER SERVICE PERMIT
PERMIT 1V0.: 1338
DATE: 11 8 73
No. of Units: 1
Site Address: ?'?/ '%"""-J " "'"' L(4'
Piumber: 89me
Meter No.: 22802618
Size: -5/8, Rock
e de o.: 68 06
? e?fo com" p y w?? tFei ogan
? s
Or mances. ?
By
Date of Insp.
Connection Charge:130.00
Account Deposit: ?0
Permit Fee: 10•00
Surcharge: . 50
Miscccppw9: 8M0
Total'ieter 60.00
Date Paid:
Insp..
vILL?QE,OE EAQAN SEWER SERVICE PERMIT
3795 Pilot Knob Rood PERMIT NO.: 2106
Eagoe, MN 55122 DATE: 1118/73
Zoning: R'1 No. of Units: 1
owneT: Joseph Kellner
Address
Site Address:
Plumber: Same
e
I agree to comply with the Village of Eagan Connection Charg?15.00
Ordinances. Account Deposit: 15.00 o4/4e.
P . F 10.00
By:
Date of Insp.
I Insp.:
erm?t ee. .
Surcharge: • 50
Misc. Charges:
Tocal: -t"
Date Paid: -- 1// +?`
?! Z--3
. ,
EAGAN TOWNSHIP
, BvI I LD I N G I? E Rt? l''
.• ..
Owner --- ........ a?y?--••---. ?1?s.?....... -•---•---•--
Addre resent; 1-.--' ..... ?~Z??.?,?J?'
--------•-----U??
Builder -----:--- - ? -
? ---•. -- ?C??=-•'--- - ---------------•--•-------- •--
Address __
---------• ---•---------•-----••••-----.?% ?.- ••••-----------------------•----•-- -
/Av9 DESCRIPTION
NO. 310
Eagan Township
Town Hall
Date?-?: _..--u_':'--s.?
?
5tories To Be UseeFor Froni Depth fieight
, Est. Cost Permit Fee Remarks
/ 61
LOCATEON Streef, Road ,os other Descriptiosa of Locafion I Lo3 Block Addifion or Tract
d? f :L? ltn.l ? ?
This p?rm?it does not autlprize the usa o# staeets, roads, alieys or sidewalks nor does if the owi or his agent
the riglit,iro create any situation wtsich is a nuisance cr which presents a hazard to the health, safety, te6nvenience and
general welfare to anyone in the community.
THIS This is to certif fha ?_ _?__ _____ PREMISE WI?ILE pFiE 'I?JORK IS IN PROGRSS. p
?NE PERMET MUST KEPT ON? THhas ermiss'son to erect aL --??--`--??='_°?':?__________________.________u on
the abov descrxbeei paq ? e.?t_ to trxe provisior.s of the Building Qrdy?aa?ce for Eiaan Tov??ip ado?oled I?pril 11,
1955. _ -? T ?
.,
._.............. -•------•---------•-V---- __ . _....??• ?--- ••------•-••-•---- Pea ------------------------------•--•-----------•-----------•-------••-•---------•------•----.._..----•
Chawrman of T" Board B1f1ICIYf1J Inspecioa
/
/
/
EAGAN TOWN S H t P
BUILDIfVG PERMIT
Owner ...--- - -- -•••----•-°--- -? '---F-' - - -- -..... --................
Address (Preseni) ..---•hei?.•-I-••-•-?•??i.....:--•l/-------••--?-•--
Builder ..-•- - - •-•....---•--------------••------••---•----•-----------••-••-•• --
f
Address ---•-•-••--•--•-•--•---•-----•--------•---------•------•--------•--...•----•--------•-----•--
DESCRIPTION
N° 1306
Eaqan Township
Town Hall
Date -•--....................
5iories To Be Used For Front Depth Height Est. Cos! Permi! Fee Remarks
' ?? µ'¢"a "70 ?
LOCATION
Slreet, Road or o2her Descripnon oi Locauon I Lo2 I tslocK j aaauion or -rract
D/DO0 a 9'a 30
This permit does noi suthoriae the use of s2reets, roads, alleps or sidewalks nor does it give fhe owner or his agent
!he right to create any situalion which is a nuisance or which presents a hazard to the health, safety, convenience and
general welfare to anyone in the community.
THIS PERMIT MUST BE KEPTO,N T-??,PREMISE WHILE TIiE WORK IS IN PROGRESS.
This is !o ceriify, that._.?_ . t........................................ has permission to erect a........... ............................................upon
the above described preffiise subject to the provisioas of the Building Ordinance for Eagan Township adopted April 11,
1955.
............... ...4:F...........---?"...-:.__.Y ...... ................................. Per ._...-•-----•
-- --••-••--•--•--••••••............. (-•---g ----•-p•-•---•---.....----•------••--•-•
d Buildin Ins ector
Chairman of Tnw5B.21
FROM DRK CTV SOC SVC 9.18.1991 6=25 P. 1
DAK OTA COUNTY
=i
PUBLIC FtEALTH DEPARTMENT
COMMUNIT`T' SERVICES OiVI51GN
? PubliC Health Nursmg
Services
QONNA M. ANDEflSbN
PUBUC HEql.t H DIRECTOR
(612) 450•2614
Env_ironmentel tiealth
• ??tyl?es,
REPLV ro.
C NorfnOrn S9rVC9 ClMer
aa EeSt wontwonn avenue
Wlv 51. Poui. MN 55tf9
(812) 4S0•Zett
fs? 1812) dg0.2048 '
X WeetMn Service Centaf
74955 Gsiaxie Avenva
aDPle Velley, MN 55124
(4121 aOi•7500
Eaa. (.44-31 W1.-1421
Emergency MediCBi
Services
DAKO*rA CoUNTY pUSLiC xEALTFt DEYAttTMErrT -- WATER QUALZTY MANAGEMErtT
WESTERN SERVrCE CEtJ'rER, 14955 Galaxie Ave. West, App].e Va11ey, MN 55124; (612)89I--7556
' FACSZMILE (612) 891-7473
M[iN7CIPAL NOTICE OF WELI, PERMIT ,APPLICATION
SEND T0: , ???
! Or?n nl?r f MUNICIPALITY:
OFFIG?: TELEFHONE: ( ? -- wFACSIMILE: (
FRQM: ?'?..._,_IN5PECTbR MI?-7 TELEPHONEsA..... ) `? ???
DATE/TIME FORWARDED: COIIIIENT5: REFER TO WELL PERMIT N0. bAxoTa couNTY WATER QUALYTY 1'lAANAGEM$NT HAS RECELVEn THE WELL PERMLT APPLiCATZOy(s) DE-
SCRI$ED BELOW, PLEASE NOTE: IF YOU REQUTRE FURT[1tR REVZEW OF THYS APPLTCATIO;I(S) OR
IF YQU HAVL ANY QUESTIONS OR CONCERNS ABdUT Ir, CONTACT OUR OFFICE AT 891-7556 OR Tti-E
EPivIR4NTMENTAL HLALTH SPECIALIST LZSTED ABOVE. Yr THERE IS NO RESPONSE FRQM YOUR OFFICE
wITHIV 24 HOURS (EYCI,UI?TNG WEEKENDS AND HOLIpaYS), STAFF WTLL ASSUME THAT 'YOL' EWVC .110
--------
OB.JECTIONS TQ THE ISSllANCE OF THE PERMIT. ALSO PLEASE NOTE THAT PERMTT YSSL•ANICE IS
ALG,'AYS CONUITIONEU 0N THE OBSERVANGE OF AND CO.fPLIANCE WLTH aLL APPLYCABLE LOCAL RE-
QUIREMENTS ANU aRDI\dyCES. A COPY OF THE WELL PERMIr tJILL BE FORWARbID WHEN COIMPLETED.
PROPERTY OWDtER1 SWELL OWNL•'K:_._C'O?w.2 ,
LU(:ATION 0F WELL(S) : ADnRESS /,3'[j/ [? ?UoLT ?Q
PROPEEtT'i Ib NO. COORDIyATES : Ol' OF 0F OF SECTI0;1
wtJ:15H71'__Q?2 NORTH. RANGF23WEST. MIJNICIPALZ1Y:_jrVVhW
WELL DRII,T,ER: 'DATL' RECORDED:
ANTICIpATEb DRILLYNC/SL'ALING llATF (IF KhOTJN) :
tJF,T_LM DESCRTPTIO\; PlLLMARY USE NEIJ CONSTRUCTION RECO\TSTRUCTIQY
TE*iP0[tAKY CAPPING? PL•'RMANEN'1 SLALIyGXaN\liaL `LaINTL'NANCE: RECLAITtED REGISTEkED.
jJGLL D1:e1NirTEIt t' I\Gl{ES. 14LLL DT:PTH FCL•'T. AQI?I aI'FR
NoT ; Y? a???Y o?; ?'f'
1? lt tncMe ?_wskrlo 'a?+ ftA: • ^.
s ` ? r w; -- ._4g,-PMy??,e Je.tof-L% 1-??? ?AP?val I E a`ulc,
•\N F<:??? ::-°?:':ti•'? e'•?'r., c'?
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
------,
j For Office Use I
I ?
? Permit #: ?) 3 i.53 ?
j Permit Fee: d? I
I --- 1 ?
? Date Received:
I Staff:
L ----------------I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION ?Ia?cc? S1,-21
Det@: 5ite Address:
Tenant• ?a- r" Suite #•
RESIDENT / OWNER Name: r-- - j 4 14fgr" ", Phone:
?
Address / City / Zip:
r? C?Gc- ?-+?
Applicant is: X- Owner Contractor
TYPE OF WORK Description of work: r^t °? /le sr. ou /'." J„?? zles? l?-t T/ 6 r io ?ob
.?.6 ?.
Construction Cost: t?d o Multi-Family Building: (Yes / No2?-j
yy
?? ?? 3'" 5
CONTRACTOR Name: License #: ( o o
Address:
Ciry: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY tF CONSTRUCTING A NEW BUILDING
^ Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code • Residerrtial Ventilation Category 1 Worksheet • New Energy Code Worksheet
CategOry Submitted Submitted
(4 SubmiS310t1 type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a simtlar plan based on a master plan?
_Yes4No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor. Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submif are cons)dered to be publlc information. Portions of
fhe information may be classified as non public if you provide specific reasons that woutd permit the Cfty to
conclude that the are trade secrets.
I hereby acknawledge that this infom?ation is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that f understand this is not a permit, but only an application for a pemtit, and wotk is not to start without a permit; that the work wiA be in
accordance with the approved pian in ihe case of wortc which requires a review and approval of plans.
x/o?4--c
ApplicanYs PriMed Name [E?EAppllcanYs Sign re
D D Page 1 of 3
M?AY 1 S. 2008
?
DO NOT WRITE BELOW THIS LINE
SUB TYPES
0 Foundation ? 05-plex ? 16-plex ? Accessory Buildfng ? Pool
'?K Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multf
0 01 of _ Plex 0 07-piex ? Garage O Porch (4season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex ? Deck O Porch (screen/gazebo/pergola) 0 Multi Misc.
? 03-Plex ? 10-plex ? Lower Levei 0 Stomn Damage
0 04PIex ? 12-plex D Miscellaneous
WORK TYPES WWV /) riti k?-1%'1 zi0'6?l ??T?? el?? V,? d un-
? New ? InieNor tmprovemeM 0 Siding ? Demolish Building*
? Addition ? Move Buliding 0 Reroof ? Demollsh Interior
)z- Alteration ? Fire Repalr ? WlndowS 0 Demoilsh Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation (?19? Occupancy 1,
MCES System
Plan Revlew Code Edition ?2,o L2-(f SAC Unlts
(25°/a 100°10 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buiidings Length Fire Sprinklers
Type of Const. Wfdth
Footings (new bldg) Sheetrock
Footings (deck) Ftnal/C.O.
Faotings (addition) ? FinalMa C.O.
Foundatton HVAC
Drafn Tile Other:
Roof: _Ic:e & Water TFinal Pool: _Foot+ngs _Air/Gas Tests _Final
? Framing Siding: _Stucco Lath -Stone Lath _8rick
Fireplace:_R.1. _Air Test TFinai ? Windows r/)1-rv-0 YA?i5yL
Insulatfon Retaining Wall
Reviewed By:
----------------------------------------------------------- Buildtng Inspectar
-------------------------------------------------
--------------------------------------
RES/DENT/AL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC ???'v?J
Utility Connection Charge
S&W Permit & Surcharge J
Treatment Plant ?
Gopies 0 C,?2-V
Total
Page 2 of 3
r - - - - - - - - - - - - - - - - -
wi uo ?
? Permit #:
I . (? I
? Permit Fee:
I ?
? Date Received: ?
? I
? Staff: I
?
----------------- I
?
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: J _30 ` d " Site Address: R' ` I QvctrfZ- LA`
Tenant: J-1 "IA u C?A _ Suite #:
RESIDENT / OWNER Name: J-11 ?'v1 3_?k L4 C? Phone: 65(v Z 5?- ?4??
Address / City / Zip: " Sot tM,'e- e?
Applicant is: Owner %_<ontractor
TYPE OF WORK Description of work: ' 11 C' - 1''o pP 1wC?
Construction Cost: 4 5 560 `,? Multi-Family Building: (Yes / No ?
CONTRACTOR Name: ? l 0Te r°lfia vl ?e_Sm (o`Ce5 AC-? License #: 2o3jI 60a "3
Address: ? ? 76 ?> ?I i ?? `? ? e, ??? ?
? I 11 ?J Y ? ?t' ? '- j ? ?
City: 5?rap k t y n C'??";? State: A/ Zip:
Phone: 7(0 3-!5&(` 6a130 Contact Person: A"J aF6 -7g TJ' "67JVa 0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
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 anii address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 ns. All_kx
x I`? ?'1, I?I 4vl dq-? X ?
ApplicanYs Printed Name Applicant's Signature
age 1 of 3
Alk$- City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
Date: Site Address:
Tenant:
n
Suite #:
RESIDENT / OWNER Name: <!:;I,? '(-" 4r, ^) e- Phone:
, o-•-?T
Address / City / Zip: ?y? ? /" /??
Z5
Applicant is:
Owner Contractor
TYPE OF WORK Description of work: JJ? G?
Construction Cost*qSO ?0 Multi-Family Building: (Yes / No ?
CONTRACTOR Name: License #:
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ON?LY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
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 Contractor: Phone:
NOTE: P/ans and supporting documents that you submit are considered to be public infarmation. Portions of
the information may be c(assified as non-pubiic if you provide specific reasons that would permii the City to
conclude #hai the are ftde secrets.
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 1%l???s T X _
Applicant's Prin d Name ApplicanYs Signa e
?-----------------
i For Office Use I
j Permit #:
i Permit Fee: J J v' D O ?
? Date Received: / ` I
I Staff: c
I
--------- - /
APPLICATION C-`- 71??
D ???U \_V/ a Pagelof3
D
JuL 0 7 2008
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of _ Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-Plex ? 08-plex 0' DeCk ? PorCh (screen/gazebo/pergola) ? Multi MisC.
? 03-Plex ? 10-plex ? Lower Level ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
,Q New ? Interior Improvement ? Siding ? Demolish Building`
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
? Replacement ? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation -3, Occupancy MCES System
Plan Review Code Edition YlR4 SAC Units
(25% 100% Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
?
Type of Const. Width REQUIRED INSPECTIONS
Footings (new bidg) Sheetrock
_?o Footings (deck) Final/C.O.
Footings (addition) Final/No C.O.
Foundation HVAC
Drain Tile Other:
Roof: _Ice & Water _Final Pool: _Footings _Air/Gas Tests _Final
? Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace:_R.I. _Air Test _Final Windows
Insulation Retaining Wall
Reviewed By: Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
4b? City 0f Eapn
3830 Pilot Knob Road
Eagan MN 55122
(651) 675-5675
RESIDENTIAL BUILDING PERMIT APPLICATION REQUIREMENTS:
New Construction Requirements
? 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
? 1 Soils 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
? Addifion - indicate if on-site septic system
Office Use Only
? Certificate of Survey Received
El Soils Report
n Trei?, Preservation Plan
? Tree Preservation Required
? On-Site Septic System
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EAGAN
REVI EWED
Blfi .721/
711 /n8�
�' UtIDING INSPECTIONS DIVISION
DECKS SHALL NOT BE SUPPORTED BY
CANTILEVERED I -JOIST HOUSE FRAMING
WITHOUT SPECIFIC ENGINEERING.
ft
Fiapvi e, OC
'` 4' fie ck
oNsi
end k fag
WALKING SURFACES GREATER THEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT.A.4"-SP.HF.RFWILL.NOT S.THROiJar _ ._.
S
LEDGER MUST
MINIMUM (2) 3/8" X it LAG
WITH WADS EVERY LAG
W
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA139686
Date Issued:11/03/2016
Permit Category:ePermit
Site Address: 1349 Quarry Lane
Lot:004 Block: 030 Addition: Section 10
PID:10-01000-30-040
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Thomas J Kladar
1349 Quarry Lane
Eagan MN 55121
Storm Group Roofing LLC
7308 Aspen Lane N, Suite 118
Brooklyn Park MN 55428
(612) 559-2449
Applicant/Permitee: Signature Issued By: Signature