4164 Raptor Rd04/21/2014 12:20 Les Jones Roofing, Inc. (FAX)9528817009 P.0111011
4111' City of Eaaa
3630 Pilot Knob Road
Eagan MN 66122
Phone: (651) 675-6675
Fax: (651) 675.5694
Use BLUE or BLACK Ink
For Office Uso
/Permit #:
Permit Fee: 361:
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION 'z52%/9
Date: 470431/54 f Site Address: WO- 4i// S/-W(a8 */?. if'4P12, Roo' Unit #:
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Name: a f� T� rt�.�" � Phone: �' �� �9
Address / City / Zip:
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Applicant Is:
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�O 01c ?� /N a2� G�o�.s 6,r�-s /12i✓ 5324ro
Owner _X. Contractor
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Description of work:
Construction Cost
p' ,4ii/t.1 Z16PMC.E44"6 -
2-9 c2 , 2. 9s Multi -Family Building: (Yes...X./ No )
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it 4'Address:
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To QaFin1C�` � nTG Contact CH�RtS �jp51�.`��
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-�City: .3.hDM.troCTT?Al
State: MLN Zip: S----.14-2-0 Phone: Si9'—$g(-2-241
License #: (aSc,O Lead Certificate #: NAfi q0.372--1
If the protect Is exempt from lead certification, please explain why: (see Page 3 for additional Information)
In the last 12
Yes _No
months,
If
Contractor:
Contractor:
COMPLETE THIS
has the City of Eagan
yea, date and address
AREA ONLY IF CONSTRUCTING A NEW BUILDJNG
Issued a permit for a similar plan based on a master plan?
of master plan: •
Licensed Plumber:
Mechanical
Sewer & Water
Phone:
Phone:
— Phone:
c"ii ` c U e4o e r, ° aro "
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CALL_BEFORE YOU DIG. CaN Gopher State One Call at (661) 464-0002 for protacUon against underground utility damage. Cab 48 hours
before you Intend to dig to receive locates of underground utilities. www.000herstateonecall otq
I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codea of the City of
Eagan; that I understand this Is not a permit, but only an application for e 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 leeued In accordance with the Minnesota State Building Code must be completed within 180
days of permit leeuence.
40.14is 47%/4e-72,5 ate!
x
Applicant's Printed Name
X
Ap Ilcant's Signature
Page1of3
Site address: Lot -I Block ? Subd. 4./ ?
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
This structure: is consUucted to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restricbve requirements of Chapters 7672 or 7674
?.-
APPLIANCE GAS ELEC MANUFAC URER MODEL 1.1 ?NS VENTING TYPE
Water Heater ? nn
LAM "
? / " [i p ?
Fumace
-
?
Dryer
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen L. X
Bathroom 1
Bathroom 2
Bathroom 3
COAI'4
? ?.
Bathroom 4
Other
.r.
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS
MAKE•UP AIR DEL TYPE CFM's
b
i hereby acknowledge that the above informaGon is correct and agree to compiy with tne minnesota tnergy uoae ana c;iry or tagan
requirements. a?IAI
' This form is the responsibility of the General Contractor.
Signature Date
/LI_
Lf? J
Company Name
?
Geo pier soil strength Engineering and special inspections Info for this address is in
the parcel file for 4172 Raptor rd
13Lr
RESIDENTIAL m p -
BUILDING PERMIT APPLICATION
CITY OF EAGAN I
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Reauirements `u
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20°k maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy CalculaGons
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE f Da-
JOB SITE ADDRESS -/CX- ?- '4ROL o4n
_t5 R?modei Reaair Reauirements
• 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 (?d
r-L 1- 3 I.? Cry r-e-
kJ/c,
IF MULTI-FAMILY BUILDING,_HOW MANY UNITS? AT_
PROPERTY OWNER "GUJG 1165d Y-) 10? ?
TYPE OF WO REPLACE(S) t/0 _ 1_ 2
APPUCANT PHONE# 5?' ? ? ? d?b
ADDRESS j _T (p 4_175 0-04 Pbrfh L4 0-f ZIP CODE
PAGER # CELL PHONE #e?Ia7PI g(n C) 7 FAX #?I.? $ Qa Sa"? ?
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMP
Energy Code Category MINNESOTA RULES 7670 CATEGORY
(check one) - Residential Ventilation Category 1 Worksheet?
- Energy Envelope Calculations Submitted ?
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: :R T P Phone #:
Plumbing System Includes: Water Softener Lawn Sprinkler
? Water Heater J No. of R.I. Baths
? No. of Baths
Mechanical Contractor: ba-? r e,
Mechanical System Includes: _ Air Conditioning
Heat Recovery System
Sewer/Water Contractor: 1bajzcI ,0 "(,e('ha f'1)CLjl
Fee: $90.00
-7O
Phone # 7(o?3473
Fee: $70.00
Phone # (,?:)G , 4 r_-5? IS 6-5
All above information must be submitted prior to processing of application.
I hereby acknowiedge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Slgnature of Applicant
v 0
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
9 o -LSO
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Updated 2002
OFFICE USE ONLY
? 01 Foundation ? 07
05-plex
? 13 16-plex
? 20 Pool ? ..-- . ?
30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
03 01 of 41 plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
,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 ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bidg only) - Give PCA handout to applicant
Valuation Bd alt? Occupancy P-3 MC/ES System ---
Census Code ? Zoning City Water
SAC Units Stories Booster Pump ?
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length 1;50- Fire Sprinklered ?
Type of Const ? Width 1;716
REQUIRED INSPECTIONS
? Footings (new bldg) ? FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
Footings (addition) _ Plumbing
? Foundation HVAC ,
Drain Tile _
? C?p//??
Other S'? Gig? /?tQ,l? 0r-?Z/?o4i'
Roof ? Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
? Framing Siding _ Stucco _ Stone
Fireplace
R.I. Air Test Final Windows (new/replacement)
_
? Insulation _
_
_ Retaining Wall
?
Approved By , Building Inspector
-----------------------------------------
Base Fee ?
----------------------?--------------
?l eI 3 ? - ------ - --------------
---------------------------
??
?9A? --------------------?---
Surcharge ?
Plan Review c3j 74r
MC/ES SAC
ciry sac
Water Supply & Storage '
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
IML
(
MNcheck COMPLIANCE REPORT ?
Minnesota Energy Code ? Permit #
MNcheck Software Version 3.0 ?
?
? Checked by/Date
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 1-2-2003
DATE OF PLANS: 01/02/03
PROJECT INFORMATION:
Lot 3 Block 2?
Greyhawk
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES 't
Required UA = 417
Your Home = 282
32.4% Better Than Code
Area or Cavity Cont. Glazing/Door
Perimeter R-Value R-Value U-Value UA
-------------------------------------------------------------------------------
CEILINGS 1850 44.0 0.0 50
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
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 permit application. The proposed building has been
designed to meet the irements of the Minnesota Energy Code.
Builder/Designer Date 01 L02 LO 3
?-
?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPUCATION
PROPERTY LEGAL: -le- g /p?
' DATE OF SURVEY:
LATEST REVISION: 12-- 2
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Q
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z Q DOCUMENT STANDARDS
q/? ? • Registered Land Surveyor signature and company
? ? • Building Permit Applicant
? ? • Legal description
610
V ? • Address
? ? • North arrow and scale
ID/ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
R/ ? ? • Directional drainage arrows with slope/gradient %
fi/El ? • Proposed/existing sewer and water services & invert elevation ,
t2/ ? ? • Street name
Ig/ ? ? • Driveway
? • Lot Square Footage
v ? • Lot Coverage
ELEVATIONS
Existin
? VO • Sewer service (or Proposed)
P/ ? ? • Property comers
?V? • Top of curb at the driveway and property line extensions
? R/ o • Elevations of any existing adjacent homes
? o • Adequate footing depth of structures due to adjacent utility trenches
0 ? • Waterways (pond, stream, etc.)
Proposed
D/? ? • Garage floor
V ? ? • Basement floor
VJ/ ? ? • Lowest exposed elevation (walkouUwindow)
0' '/? ? • Property corners
[?" 0 ? • Front and rear of home at the foundation
PONDING AREA (if applicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Pond/Wetland buffer delineation
? ?
?? ?
0' ? ?
fi?/' ? ?
[? ? ?
? VO
DIMENSIONS
W"'El ?
V? ?
g/'O ?
F,? ? ?
Wv'? ?
MI"'El CJ
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requiremei ' '"
Reviewed:
G:/FORMS/Building Permit Application
, .. Bohlen CERTIFICATE [IF SURVEY
. Surveying & Engineering FOR y a
31462 Foliage Avenue 4735123rd Streei W.
Northfield, MN 55057 Suite 200
g E Savage, MN 55378 m.w.?? JDHNSON CONSTRUCTION
Phone: (507) 645-7768 Phone: (952) 895-9212 Fax: (507) 645-7799 Fax: (952) 895-9259 ^r? 924.7
bohlen@rconnect.com bohlen-e@integraonline.com ?0o ^ 0 30 60 90
'9ADDRESSES:
4J LOT 1 - 4172 RnptOr ROad
LE/'`CAID ??1?t• LOT 2- 4168 Raptor Rond
V GIV ' v? ;LOT 3- 4164 Raptor Road . (IN FEET )
LOT 4 - 4160 Raptar Road
?
- - - - - DRAINAGE 8 UT(LITY EASEMENT PROPERTY DESCRIPTION
-----898------- EXISTING CONTOIdt- T A A:
LOT t- 35,345 sq. ft. LOTS 1 THRU 4, BLOCK 2, GREYHAWK ADDITION,
? .w.....?
LOT 2- 2,802 sq. ft. CITY OF EAGAN, DAKOTA COUNTY, MINNESOTA,
900 PROPpSED CONTpURz?? ? L?T 3- 2,700 sq. ft.
LOT 4- 3,799 sq. ft.
PROPOSED STORM SE4ER & CB • /? ,? / 7,?? I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED
? BUILDING AREAS. BY ME OR UNDER MY DIRECT SUPERVISION AND THAT
LOT I - 1,211 sq. Ft. (3.4%)
. DENOTES IRON MONUMENT FOUND /? I AM A DULY LICENSED LAND SURVEYOR UNDERTHE
? g2 LOT 2 - 1,218 sq. f t. (43.5%)
?LOT
S ? 31,218 Sq. f t. (45.1%) LAWS OF THE STATE OF MINNESOTA.
-
/ / ? Q ?\ a P?ROY
TB=926x3 DENOTES PROPOSED TOP BIOCK ELEVAT10N OT 4 1.211 sq. ft. (31.9%) H. BOHLEN, R.L.S.
DATE: 1-20-02 REG. NO.: 10795
926x0 DENOTES PROPOSED GARAGE FLOOR ? °j2p 20 ? ? r? \? N p? a DATE: 12-26-02 revised
9A (p DATE: 12-31-02 revised
? DENOTES PRpPOSED ELEVATION A,POp ?^
oaozo DENOTES EXISTING ELEVATION
? 40
DENOTES PR0POSED DRAINAGE DIRECTtON q
N g2 B
8
--
CONTRACTOR SHALL MAINTAIN 2% M]NIMUM SLOP POND l ?
FROM SERVICE END TD SEWER. _ Sp STORM W?
xxx.xx DENOTES SANITARr SERVICE NWL 917.9 9! ?
INVERT Q END OF SERVICE L]NE HWL=922.0 ? (? ? x 1 ? ?
? ? J
xxx.xx cs DENOATS?TOP pF CURH ST r v f ?? ?+~ °' ?. ?- ?-? ??? ' S89'35'18"E l
921
M, ?? • ?_ _ 1
i ID 92 x
NUTE: ALL STORM SEWER SHOWN IS PROP11ED N N _ 25x `+sa X na -- ?
°' 1 83 0 915.0 ??=9 .7 3 a2 ?_ l?
925.3 C 916.4 0 \
1? ? ??' f, ,? ? a'' I 9 5.2 CS 5.6% 926.4 S 8.4% 17.1 0
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? 20.0 ,Wx a 926x0 6x0 27x F a 928x1 ? sz I ?
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--? 6 36.az? EOF
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58935'30"E ? ?
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RECEIVED
JAN p 61003
EAGAN
ENGINEERlNG DEpqRTMENT
r
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LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
Oa
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PROPERTY LEGAL: tbfS
DATE OF SURVEY:
' LATEST REVISION: '1--
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Proposed
EY ? ? • Garage floor
V? ? • Basement floor
V? ? • Lowest exposed elevation (walkout/window)
? ? • Property comers
C? 0 ? • Front and rear of home at the foundation
PONDING AREA (if applicabie)
V? ?
92/ ? ?
CN? ? ?
G?/? ?
L?/ o ?
? g??
U/o ?
V ? ?
G7/? ?
9/ ? ?
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C3' ? ?
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
• Lot Square Footage
• Lot Coverage
ELEVATIONS
Existin
• Sewer service (or Proposed)
• Property comers
• Top of curb at the driveway and property line extensions
• Elevations of any existing adjacent homes
• Adequate footing depth of structures due to adjacent utility trenches
• Waterways (pond, stream, etc.)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Pond/VVetiand buffer delineation
DIMENSIONS
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
• Show all easements of record and any City utilities within those easements
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requireme
Reviewed:
G:/FORMS/Building Permit Application
p
? Bohlen
.Surveying &
? Engineering
31462 Foliage Avenue 4735123rd Street W.
Northfield, MN 55057 Suite 200
13 F Savage, MN 55378
Phone: (507) 645-7768 `' Phone: (952) 895-9212
Fax: (507) 645-7799 Fax: (952) 895-9259
bohlen@rconnect.com bohlen-e@integraonline.com
LEGEND
- - - - - DRAINAGE 6 UT]LITY EASENENT
- -- - -B98- -- .- --. E%ISTING CONTUUR
CERTIFICATE [IF SURYEY
F pR
J
MJOHNSON CONSTRUCTJ?N-??? , "?
924,7 _?.... ...?_ ? ? ?3 ._._.,.?
!? 9
?
ti? ,
.? a°naESSES?? 0 30' '
,60 90
W2a?9?1 LOT i- 4172 Roptor Rond
???l4• LOT 2- 4168 Raptor Rond
LOT 3- 4164 Raptor eond (IN FEET)
LOT 4- 4160 Rnptor Road
PROPERTY DESCRIPTION
TARA:
LOT 1- 35,345 sq. ft. LOTS ! THRU 4, BLOCK 2, GREYHAWK ADDITION,
..- ? .. ? /
....--' ' ? ? LOT 2- 2,802 sq. ft. CITY pf EAGAN, DAKOTA COUNTY, MINNESOTA,
900 PROPOSED CONTOUR LOT 3- 2,700 sq. ft.
? LOT 4- 3,799 sq. ft.
.`
VER 6 CB • ? % f,, ,+ / 1 I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED
BUILDMG AREAS: BY ME OR UNDER MY DIRECT SUPERVISION AND THAT
• p , LOT 1- 1,211 s4ft. (3.4%)
DENOTES IRON MONUNENT FOUND •
LOT 2-1,218 sq. f t. (43.5%) I AM A DULY LICENSED LAND SURVEYOR UNDER THE
LOT 3- 1,218 Sq. f t. (45.1%) LAWS OF THE STATE OF MINNESOTA
., LOT 4- 1,211 sq. ft. (31.9%)
TB=926x3 ?NOTES PROPOSED TpP BLOCK ELEVATION ?ROY H. BOHLEN, R.L.S.
/ . Za ; l : ; ??/ ? • s DATE: t -20-02 REG. NO.: 10795
926x0 DEI?TES PROPOSED GARAGE FI.OOR °' 20 N? ? DATE: 12-26-02 revised
f' I i; q `` -- '?i9p / '•? \ ' fp ?M? DATE: 12-31-02 revised
DATE: 2-10-03 revised
? DENOTES PROPOSED ELEVATION 14.==:
DENOTES ExISTING ELEVATION 9
?'0Of ? u DENOTES PRpPpSED DRAINAGE DIRECTION 4 . ?
?z ?
CONTRACTOR SHALL HAINiAIN 2% MINIMUM SLOP %I f . O ??Rg \ \~• ?1? ??? `?'?-- ---'^?
FROM SERVICE END TO SEWER. ? POND i 5 ? ST?RM WE. ?
I?'h NWL=917.9
XXX.X% DENOTES SANiTARY SERVICE N ry,r' I y y ? ?
1NVERT 2 END OF SERVICE L1NE °i q? HWL=922.0 crs ?
XXX.XX CS DENOTES TpP OF CURB ? L * " 1
I'll
ELEVAflON 071f 9' 21
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NpTE: ALL STpRN $EWER SFOWN IS PROPO?ED ru Co
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