4144 Raptor Rd04/21/2014 12:19 Les Jones Roofing, Inc.
440111°City atEap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676-6876
Fax: (661) 676-5694
SAX)9528817009 P.010/011
Use BLUE or BLACK Ink
1 -
For Office Use�� u
Permit*: 1 Cs/ � 'L% q U
Permit Fee: 3� -1*r
Date Received:
Staff:
2014 RESIDENTIAL BUILDING PERMIT APPLICATION 5a2/9
Date: 474/t41/,‘ Site Address: 4ii 90 - L/,1j ' . Y/98 -111J2 -4'f Unit #:
•
> '�eI Name: o AR -O06 7 Y 4,4 /Na-. Phone: 475f - CPI- `%4 519
Address / City / Zip: Po £k Z / Z S /4Ib -12- ydLrirs /11i✓ 5'52170
Applicant Is: Owner Contractor
Description of work: /2,4001/ o 4WD L4e t 45;441/7
Construction Cost: $.g1O• 73 Multi -Family Building: (Yes X .1 No
Company:. LAS ra `5 1Ccr2FN..) 1 NIG Contact: Ct14t.S .NI3 SoN1
Address: 1 L 1 W. WI* sZy -f- City: ��t,tsiolu t.ni CT"fo lv
State: M,IJ Zip: .5-S-47-0 Phone: 9S2 -ggt Z7/ •
License #: CaS ,O Lead Certificate#: NN=;— 41;037Z- /
If the protect 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 pemtlt 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: y 4 q y n Phone:
Ab' �y� ,`,'a�r�.r�.1'S !�i%,1 yi��go° o�,yRµt��" °%�7°h� YI�T•q„�`J�L1.��+�)�a��d a�,. i��il�r: ` °.�Pf`� °A-�x"�`!l,°�: "YrO�-yl:l�� "]'�Ai 1��^.•.. % :S ?�q,(°�F� �.;
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CALL I3g ORE YOU DIG. Call Gopher State One Call at (861) 454.0002 for protection against underground utility damage. Cali 48 hours
before you Intend to dig to receive locales of underground utilities. www.aooherstaleonecall.org
I hereby acknowledge that this Information le 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 en application for a permlt, and work la not to sten without a permit: that the work will be In
accordance with the approved pian In the case of work which requires a review and approval of plane.
Exterior work authorized by a building permlt Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit Issuance.
x ei(1-4-iS 4 /•D L -S Cr
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
6 p ??0-, 7?
bt& Z ??pf ??a
? -' RESIDENTIAL BUILDING 1? F y
Permit Application 9
City Of Eagan ?-?-'? ? r.?- ? ?o
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694 SQ 6 Iil y(?
New Construction Requirements RemodellReqair Requirements Office Use Onl
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan CeR of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks ?- Tree Pres Not Reqd
1 set of Energy Calculations Addition - indicate if on-site septic system _ On-site SeptcTSystem
3 copies of Tree Preservation Pian if lot platted after 7/1193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units
Date c9 l 12- i 1)3 Construction Cost 140?
Site Address Unit/Ste #
Description of Work N,fY1f Y`Urne- CGn lvCLbn
Multi-Family Bldg J\ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?. ?. Telephone # ° ? Id?J
Contractor
Address l City l-aki/j 11-6
State ? Zip Telephone # ? ) Wd '77X
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
V Minnesota Ru1es 7670 Cateorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
• (? submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber,PuP Ll u? ? Telephone #?a?)
u ,
63
UG I, 7?" .? ul? Mechanical Contractor °? 2?G?? ATelephone #(?jal)i"?(I?3° q
Sewer/Water Contractor
Telephone # as/)
1449
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
?
Applicant' Printed ame Applican Signat e
OFFICE USE ONLY
Sub Types
? ri
? 01 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
x 03 01 of __t? 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
X 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof 0 46 Windows/Doors
? 34 ReplaCement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation _?002 oaa42? Occupancy MC/ES System --
Census Code f0A Zoning City Water `"-
SAC Units 0/ Stories Booster Pump --
Nbr. of Units d/ Sq. Ft. PRV ?---
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width ?G
REQUIRED INSPECTIONS
Footings (new bldg) ? FinaUC.O.
_ Footings (deck) FinaUNo C.O.
Footings (addition) Plumbing
? Foundation HVAC
_ Drain Tile Other
Roof ;X- Ice & Water ? Fi nal _ Pool _ Ftgs _ Air/Gas Tests Final
Framing Siding Stucco Stone
? Fireplace X R.I. V Air Test X Final _ Windows (newheplacement)
? Insularion _ 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
?---------------- ---
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Building Inspector
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MNcheck COMPLIANCE REPORT ? I
Minnesota Energy Code ? Permit # ?
MNcheck Software Version 3.0
Checked by/Date I
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 8-21-2003
DATE OF PLANS: 01/02/03
PROJECT INFORMATION:
- Greyhawk Mid Units Slab On Grade .
Eagan, MN LY/ d,0
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE:PASSES ?
Required UA = 497
Your Home = 348
29.9% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 980 44.0 0.0 26
WALLS: Wood Frame, 16" O.C. 2322 19.0 2.0 130
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 464 10.0 0.0 32
GLAZING: Windows or poors, Above Grade 119 0.480 57
DOORS 38 0.350 13
FLOORS: Over Unconditioned Space 290 30.0 0.0 10
SLAB FLOORS: Unheated, 42.0" insul. 116 10.0 80
HVAC EQUIPMENT: Furnace, 90.0 AFUE
-------------------------------------------------------------------------------
COMPLIANCE STATEMENT: The proposed building design described here is
consistent with the building plans, specifications, and other calculations
submitted with the pe,x= appli?c,?.-t'on. The proposed building has been
designed to meet therree/ments?f the Minnesota Energy Code. ?
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BuilderJDesigne, ri ? Date C? ?
01/26/04 12:00 FAX 6128927900 NFP JOHNSON CONSTRUCTION
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comrn.:nts. please cali me.
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01/28/04 12:36 FAX 6128827900 MW JOHNSON CONSTRUCTION
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Address: 4144 Raptor Road
Lot: 8 Block: 2 Subdivision: Greyhawk 2nd
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON j• Z.q • O-f
Yes No Comments
Final grade - 6" from siding NLff comp
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace
E'rb
• V erify with your builder that roof test caps from the plumbing system have been removed.
• T urn off water supply to the outside lawn faucets before freeze potential exists.
• C a11 the City's Engineering Deparhnent at 651-675-5646 prior to working in right-of-way ar installing
irrigation, system.
? BUILDING INSPECTOR: 6KM(.'-
CONTRACTOR:
?
Johnson Construction,,MW
17645 Juniper Path # ?,00
v
Lakeville MN 55044
to333? 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN ?
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 1 / N
0
Site Street Address Ll Unit #
, -
Property Owner b '?b ,k'1 Telephone # (p51)
Contractor\a
Address
The Applicant is: _ Owner
Telephone # ( I,?? )?? `C??Ul?
:liy AN-)? Star? ? ZIF•
?, Contractor Other
Alterations to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ replacement additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge i $
Total $?
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and
Q4)--\ ?]Lwa c ,
Applicant's Printed Name
plicant's Signature