4490 Ridgeview Dr CITY OF EAGAN ' Remarks
Addition CHES MAR lst ADDITION Lot 5 Rik 2 Parcel 10 17100 050 02
owne~ ~?/",qw st~eet 4490 Ridgeview Drive Eagan, MN 55123
State
I(olprovement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK a 1 C00$212 12-14-78
* SEWERLATERAL 3 3755.18 C005212 I2-14-78
*
WATERMAIN
* WATEA LATERAL
,t WATER AREA 1977
* STORM SEW TRK 1977
* STORM SEW LAT 1977
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN. 270.00 13798 4-9-79
BUILDING PER. #.rilt}7
sac 525.00 13798 4-9-79
PARK
„ l = CITY OF EAGAN
3795 Pilot Keob Road Eogan, MN 55122 N2 5 147
PHONLs 454-8100
BUILDING PERMIT ReceiPt
Te be uted for :'r' ;J41l~` Est. Value Dote 19
Site Address 71CI``' •`^Ij~ Erect ? Occupancy
Lot ' Block Sec/Sub. 'ar lst: ' •Alter ? Zoning
Pcrcel # ~ ' . Repafr ? Fire Zone e -
Enla?ge ~ TYPe of Const.
oe Name Move ? # Stories
W . , .
; Addross Demolish ? Front ft.
Phone Grada ~ Depth ft.
o Na~ Address L^Z7ist~'1E~']t CC?. Approvob Fees
Z ' n ; Z1C,-, ` • : Assessment Permit
,
Water 8 Sew. $urcharge
Ci Phone
Police Plan check
W W Ncme • L-n IC'~ ' Fl re SAC '
s(5 Addreu n'' ` Eng. Water Conn.
:zZ
~W Ci ~l Phone Planner WaYerMeter
Countil
I hereby acknowledge that I have rood this cpplication ond state that gldg. Off.
the information is correct ond ogree to comply with all applicoble APC Total
State of Minnesota Statutes and City of Engan Ordinonces.
Signoture of Permittee A Building Permit is issued ta on the express condition thof
oll work shall be done in accordance with oll oppliaable State of Minnesata Stotutes ond City of Eapon Ordinonces.
Building Official ~
;
•
co. i..w+ Apr"
Plumbing 1~
Mechanical b- L~'~ ~ l L
9
INSPECTIONS DATE INSP• Rouph-In Finol
Footings Date Ir+ap. Date Irup.
Foundation ~ • Plumbing
Frame/ins. ~ x~Ct•,.~cL~ ~7 2~7~ ~ Mechanicnl Z- 7
Final
~
Remarks:
~Ge-r'°fiLa.r.Ca ~ ~"•-s O~'~"
A4L,
~
;
~ . ~
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE
RRCtivEO
FROM
AMOUNT $ I
' ~ ~ & DOLLARS
~ao
? CASH ? CHEGK
' f
,t
< aj
IUNC CODE AMOUNT
I
- -i' -
~ r
4
~
~ ~y ct i r~ ~
T ank Yau
sr ~ •
; r ~ ~ 7 $ White-Peyers Cc~
Yellow-Postin,.
Pink-File Co
CITY OF EAGAN WATER SERVICE PERMIT
3795 .Eilof Knob Rood PERMIT NO.:
Ecgan, MN 55122 DATE:
Zoning: No. of Units:
OWner;
Address:
Site Address:
Plumber:
Meter No.: Connection Charge:
Size: - Account Deposit:
Reader No.: ' Permit Fee:
I agree to eomply with fhe City of Eagan 5urcharge:
Ordinances. Misc. Charges:
Totol:
By Date Poid:
Dote of Insp.: _ Insp.:
SEWER SERVICE PERMIT ~
CITY OF EAGAPI
3795 eilot Knob Road PERMIT NO.:
'"rogon, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber: -
1 ogree to aomply with the Citr of Eogan Connection Chorge: ' •
Ordinances. Acwunt Deposit:
Permit Fee:
Surchorge: gy _ Misc. Chorges:
Date of Insp.: TotaL•
Insp.: Date Paid:
. • cinr oF EaGAN
3795 Pil ~ ~
ot Knob Rood
Fagan, Minnesofa 55122
Phone: 454-8100
`t!]'4T ~"X' PERMIT No. 1482
6-29-'?-) 14961
Date: Receipt No.:
4490 T'idC.eview WVe $ingle I
Site Address: Residentiol
2 ChEs iKBr 18t I
Lot Block Sub/Sec. _ Multi Res., Comm./Ind.
?{in:3sbort Cbzp.
Name New/Alter./Repair
~ 2345 Riae St,, S`Ii.te 20:~
3 Address Cost of Installntion
55434 483-663_6 City Phone: Permit Fee
'~.l Heatfr~g & A,/C . SO
Nome Surchorge
~
~ 3242 92t1d Cy ~xt~ 7Avr=.
P Address
e ~1 I~
V L i• 'J
City Phone: Total
This Permit is issued on the express condition thnt all work sholl be done in oaordance with oll opplioable Stote of
Minnesota Stotutes ond City of Eogon Ordinances. .
Building Officiol
. • ' CITY OF EAGAN
3795 Pilot Knob Road
, Eagaw, Minnesota 55122
Phone: 454-8100
PERMIT No. 1369
? 11,69
Dote: 5-30-79 Receipt No.:
4490 Ridqeview Mive 5in91e Ix
Site Address: Residentiol
Lot S Block 7- Sub/Sec.ChCg 1-UW lAt A&Irl• Multi Res., Comm./Ind. I
Nome C-had New/Alter./Repoir
3 Address 1?~ A`''• Cost of Instnllation
O
City St' paut Phone: E99-5439 Permit Fee 20''30
me SUEM Plupbim ~ Surchorge • Sn
i Addreu 2001P4OC* $tbi1E'' L81'e
e
0
V nM1c '~fir...(1^~~, z•^,~t.f~
City - - Phone: Total
This Permit is issued on the express condition that all work shall be done in atcordante with oll applicoble $tate of
Minnesota Statutes and Ciry of Eagan Ordinonces.
; . J!•
~r i c. L' ~ r ~
Building Officiol -r ; V',
cITr oF E?GAN
3795 Pilot Knob Road Crogan, MN 55722 N! 5147
' PHONE: 454-5100
BUILDING PERMIT APPLICATION Receipt
To be wed for SF D1,719 & GaYage Est. vaIue 81,000. Date 4-9 , 19 79
Slte Address 4490 R1dQ2V1G'W I7Y1Ve Erect 0 Occupancy R3
Lot 5 Block 2 Sec/Sub. Che5 MaY ZSt. Ad(3T1. Alter ? Zoning ~
parcel # 10 17100 050 02 Repair ? Fire Zone 3
Enlarge ? TYPe of Const. V
~ Name Chad Jewett Myve p # Stories
z Address 1760 Stanford Ave. Demolish ? Front 52 h.
Ci St. Paul Phone 699-5439 Gmde ? Depth 48 ft.
~
o IriVE'StI[I271t Cn ApProvala Fees
Nome
Zti 2345 Rice St. Assessment 3/28/19 Permit 187.00 _
o Aderess 40.50
u~ St. Paul. pho~g 483-6617 Water & Sew. Surchcrge ~3~ 5
Poiice Plan check
G~ Name Fairi IdeatiOns Fire $AC RRRX9&525.
~W 2345 RiCE St Eng. Water Conn. ~270
x~ Address
<w ci St. P3111 p~~ Pianner WaterMeter 60•00
CAUncil
I hereby ocknowledge thot I have reo thi appl' ation and e that gldg. Off.
the information is correct and ag with all p licable p~PG Total 1,1~6.0~
Stota of Minnewta Statutes a d f an Or a
Signoture of Permittea
A Building Permit is issued ro: on the express wndition thot
ntl work shall be done in accordonce ith oll applieable of Minne tatutes and City of Eagan Ordinances.
Buildirg Official ~
mmnesota State noard ot tiectricity
954 University Ave., St. Paul, Minn. 55104-Phone 645-7703 fF 0rb
REQUEST FOR ELECTRICAL INSPECTION P 63591
PECK BELOW WORK COVERED BY THIS REQUEST
Type of 8uilding New Add. Rep. Chmk Appliances Wired For Check Equipment Wired Faa
Home ? ? ii-; Temporary Wving ?
Duplex ? ? ? ? Ligh[ingFixtures ?
Apt. Bldgi ~ Electric Heating ?
Commexcal Bldg. ~ Silo Unloader ?
A"W
Industrial Bldg. ei Bulk Milk Tank ?
Farm List
Othei Here ~
COMPUTE INSPECTION FEE BELOW
Service Entcance Size: n Fce Fcedets&Subfeeders: u Fee Circuits: # Fee
0 to 100 Am s. 0 to 30 Am eres J. ,:c 0 to 30 Am eres
101 to 200 Amps. 1 to 100 Amperes 31 to 100 Am eces'
Above 200 Amps. Above 100 Amps. Above 100 Amps.
Tnnsformers 11 RemoteContxolCirc. Partialoio[herfee .SY>
Si ns Special lns ection Minimum f O 0`CJ
Remazks TOTAL EEyO~41X~ ~qS-O
t th$'etb, n{spect on has eeryFn^a,g_
theElec)rical Inspector, hereby certi Date
Rou~in Iv
(Final) ,Date~/_ ~i
This request void 18 months from '
This request void 18 months Erom , G+G D
°d
° -~-Date of this Request P 63591
I, as ? Licensed Electrical Contractor 0 Owner, do hereby request inspection of the above electri-
cal wiring installed at: L rJ^ rao_~,
Street Address or Route No. -~j 49 L) 1~L~ry e y1 gi;,~ City !
a f
Section Township Range County ~
.
Which is occupied by
(Name of Otcupant)
Is a roughin inspection required on this job? No ? Yes 2' Ready Now ? Will Call 2^
PowerSupplier ~AddressH3U0
Electrical Contractor Contractor's License No~~O~7
(GOmpany Name) .
MailingAddress , (o C-O NrVe_(%,e,L L,,e w~
( I ri a tracto r wnar Makfng This Installat n)
Authotjzed Signature c Phone No y5-2_- /JZ S
(EI Ical Controctor or Ow er Making This Installatlon)
STATE 'BOARD C0py This inspection request will nat he accepted by the
State Boardunless proper inspection fee is enclosed.
. . . ,
~ .G..,.. ..Z - ,...y.. .
~rrti~irttfp nf (~rru,ptttcr~ ~
. y~
Citp of Cagan
lgrpttritttrni nf 'BuilDing Jnspedimt
f ~ ~I!r
Tbit Ctrtifirate irrued purmaru to tbt +equirepeentt of Section 306 of tlx Uniform Barldrng r
1" k{ Codc cnti(ying tbst at t!x time a f irruanue thrt nrurtun war in rom pliance with the vuriour
ordiuantet o f t!x City rtgulatimg bralding ~onnsrution ar r~re. For tix fallouing:
~ 5147
UaeCYmGwYm SF Dwla & Gara4e BIdg.PemutNO.
`p,~I o~wo.riYV~ R3 iYPC~utttt V_Fi..z.. 3 z~rmow~n-Rl
'rl
~1 OvmafMdlAing c•had ,T~rt Aaa. Fa4an. ~"mT
A Y i QP_Vl2W T)t'. LaWiIY Fag-an., M .
4 uy
oni u.t.: July 25. 1979
n ...,,*Corditton listed on ba'
~ - .•,@
. . ~ , ' i. ~e'' : 5.,;~J ~~.s?.J~';~
u.
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
I I 3830 PILOT F{NOB RD - 55122
651-681-4675 .2,
New ConsWCtion ReQUirements Remodel/Reoair Reauirements
? 3 regislered site surveys showing sq. R o/l04 sq. ft ofhouse ? 2 copies of plan
and all roofed areas (20•/ maxfmum iot eovereae allowedl ? 1 set of energy calculations for haated additlons
? 2 copies of plans (show beam & window sizes; poured (nd. design; etc.) ? t site survey for exterior addiEons 8 dedcs
? 1 set of energy plwiations
? 3 wpies of tree preservation plan if lot piatted atter 7/1/93
J
DATE: 3/aa I 1 l CONSTRUCTION COST: S~~ Dooe
DESCRIPTION OF WORK:
STREET ADDRESS: q990 W~) ~~UG4w~ S I -
LOT: ~ BLOCK: SUBD./P.I.D.
Natne:` E I` Phone
PROPERTY L~t F~`
oWNER See
Street Address:
City ~ Sta[e: _ Zip:
Company: I p[I n t l » . Phone 612- Y-v~ U ll----
CONTRACTOR
Street Address:~ o ~ License # )oloaDY7 3 ~
City ~e (.~llee S[ate: Zip:
ARCHITECT/
ENGINEER Coinpany:------ Phone
N:une:---- Registretion -
Street Address:
City Stale: Zip.
Sewer & water licensed plumber (reauired for new construction onlv):
Penalty applies when address change, and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application, state that the informatio i correct, a agree to comply with all appiicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
~
OFFICE USE ONLY 2 z Ic3~g
I~
Certificates of Survey Received _ Yes _ No I
Tree Preservation Plan Received _ Yes _ No _ Not Required -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage ? 22 Porch/Addn. (Msea.)
? 03 1 of _ plex ? OS 6-piex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration 0 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/E5 System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS '
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Pian Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/4V Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
DATE
BIIILDI`4G PER"*.Il' APPLICATION
Include 2 sets of plans, 1 site plan w/elevations and 1 se t 0~~rcaieuations.
To be used for f~15'~!5/y _ Valuation
~ .
Site Address:
0
Lot Block Sec./Sub. Parcel Nur:ber /J~~0 050 tja_
5' z l.r~'v /i~~>~ ~2~~ ,~'~'~~,.r2.?
Owner Vi4~~4jJ ~111~~9 Telephone lgy" • 'a°~~~
Address N?O
Contractor (~~p A Telephone --14" ' l,eea?z
Address yJ
Arch/Eng. ~i/? ~Qt~7/O/f`.~ Telephone
Address a~t7~ /G.c- ~
OFFICE IISE ONLY
Erect ~ Occupancy /S S7
Alter Zoning
Repair Fire Zone 3
Enlarge Type af Const.
Move 0 of Stories
Demolish Front S'o2 _
Grade Depth A/ rr
Date of A roval andiInitial ~ Fees
Assessment Permi[
Water/Sewer Surcharge
p % Police Plan Check /.3
Fire SAC
^ sa
Engineer Water Connection a ~O
Planner Water Meter lo Q
Council 'vu ~.~lLs,.!?
,
Bldg. Off.
A. P. C. TOTAL
,
oh
-
o
7~.4'
w ~
A 69° 50'22`~ ~ • p p ~
,r
,n
'
a y _ ~ ~ y/ . . ~ V~ ' ~i ~
{ / lLn ~i~
31
3V' i
41 < t ' ' _ . - • ! . ' . . / I
. - ' " . . . .
~
~
; . ,
~ ' i~ •
~ _ _ . . . ` _ • , ~ f
. . . ' ' ?9"
,
. _ ,
i
I
i
~
•
~
II ~
i
( I
I
~
1
Far
~ ~ ' ' CHAD JEWETT_._ ra r~enT~a~s
~ iVCr! c~~il~_;;~,- '1345 RICc STREcT
'WJRTH
SUITE 208
r:L V!4 JACK J. WELCH
4£3-6618
~ -
o,~,!' l ~
q~3, 6b
EXTERIOR ENVELOPE AVERAQE "U' COA9PU7'ATTOPI r 7
OWNER . Chad and Sue ,7ewett
SITE ADDRESS Ches Mar First aaa, siocx. z Lot s
CONTRACTOR The Kingston Corporation DATE 3/21/79 pHpNE 483-6616
Determine rrorking square footage of each.
1. Total exposed wall area 3764 sq. ft. x.Qrj ° 639.88 W~
2. Total roof/ceiling area 1604 sq. ft. x.0t ° ao.zo
Total exposed wall area above floo'r = slzz
a. Total wall window area 424
b. Total door area zi
c. Total sliding glass area 40
d. Total fireplace wall area 470
e. Total wall framing area (average 10$)... 19o_
f. Total net wall area above floor
g. Total rim joist are2
Total exposed foundation area = 642
hA. 1. „ noox Zo
h. Total foundation:.v;inclow-area 141
1. Total net foundation area above grade . 226 coNC.
i A. 11 1. 230 WD.
Determine "U" value of each wall seEme
g, 424 X r'jTt: .27 = 114.48
b, 21 "IJ~; .36 ~ 7.56
C.-ro- X ttU`t •36 = 14.40
D.~ g f'p~° .06 = 28.20
E.190 X l`U_12 = 22 an -
f1709 X "U°t ,py = „tm sa
. 9.268 X tlU! .02 ° S zC,
h.141 X "UT` _27 6 3a m
1.226 X nU° ,30 ° - 67 Rn
hA 20 X "U" .36 = 7.20
. lA 230 X "U"- .04 = 9.20
3 ' Total = 417_F,
If Stem #3 is the same as, ox less than item #1, you have met the
intent of SBC 6006(c)2.
~i .
Total expoged rooe/ceiling area = 1954
Tbtai skyltght area -o-
k. Tdtal•roof/ceiling framing area~(average.l0 ,
1. iotal net insulated roof/ceiling area ~
Determine "V value for eaeh roof/ceiling segment.
J. o XuUs: o a o
k. 128 x~tUn .14 a 17.92
1. 1476 XOU+d .02 a 29.52
4 ........................................TOt81 ~ 47.44
If total of #4 is the same as, or less than F2, you have met the
intent of SBC 6006(c)1.
Alternate Buiiding Envelope Design
To utilize the total envelope systera method, .the values established
by the sum of items #3 and #4 shall not be greater than the sum of
items #1 an3 #2.
1. 639.88 t 2. 80.20 = 720.08
3 417.61 } 4, 47.44 z 465.05
4:3 0 , 5 0
RESIDENTIAL MECHANICAL PERMIT APPLICATION C~•~ . I6 ( 9 G
City Of Eagau
3830 Pilot Knob Road, Eagan MN 55122
' Telephone # 651-675-5675
Please complete for. single family dwellings & lownhomes/wndos when permits are required for each unit
Dete
Site Address Unit #
Property Owner ~ i ~ LA~ ~ Telephone # (cs
Contractor
Street Address "ADn Rti HEATIN6 &/11@ 661N611TI(1111NCa City
410 WEST LAKE STREET
State NaINNFA20IIS, MN 55408 Zip Telephone# ( )
612-824-2656
Bond Expires:
The Applicant is _ Owner ~Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
X` furnace _Additional )lReplacement
' air exchanger
airconditioner _New _Replacement
other
State Surcharge $ .so
Total $ Fat) . S:::)
[ hereby apply for a Residential Mechanica] Permit and acknowiedge that the information is complete and accurate; that the work will
be in conformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an appnccmrwl a permit, and work is not to start without a permit; that the work will~ ' ccordance with the
appro d plan in the c hich requires a review and approval of
72&e!!!2~
Applicant's Print d Name Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. commercial/indusfial buildings
multi-family buildings when separa[e permits are not required for each dwelling unit
Date
Site Street Address Unit #
Tenanf Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
S[ate Zip Telephone # ( )
Bond Expires:
The Applicant is Owner Convactor Other
Work Type
_ New Construction _ lJnderground Tank _ Install _Remove ""see below
_ fnterior Improvement _ Install Piping _Processed _Gas
Nature of Work:
"*When installing/removing undergmund tank, call for inspection by Fire Marshal and Plumbing /nspector
Permf[ FBes: $70.50 Underground [ank installation/removal
$50.50 Minimum (includes State Surcharge)
or
Contrac[ Value $ x 1% Permit Fee
• If ermit fee is $1,000 or less, add $.50 $ State Surcharge
If ermit fee is over $1,000, add $.50 for
every $I,000 ep rmit fee $ Total Fee
i hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the work
will be'in conformance wiih the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; 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.
ApplicanYs Printed Name ApplicanPs Signature
Approved By: Inspector Date:
70. DO
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
- 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtlon Reauirements RemodeVReoair Reauirements Office Use Onlv
3 registered stte surveys showing sq. ft. of lat, sq. ft of house; aiM all mofed areas 2 copies of plan Cetl of Survey Real _ Y_ N
(20%maximum bl coverage allowed) 1 setof Energy Caladations for heated additbns Tree Pres Plan Recd _Y _ N,
2 copies of plan showing beam & window sizes; pou~ed found design, etc. 1 site survey for additions 8 decks Tree Pres Required _ Y_ N
1 set of Energy Calculations Addltion - iiMkete fion-sRe septic system Op.-s@e Seplic System _ Y_ N
3 copies of Tree Preservation Plan 'rf bt platlad after 711193
Rim Joist Detail Oplbns seleIXion sheet (buildings wiN 3 orless units)
Date 4 / / 05 ' ~ Construction Cost
bq'~a
Site Address I jalel y( Q V\/ Unit/Ste #
Description of Work ~~I ~rQ~n I Imm.sa vI 1'14 1
Multi-Family Bldg _ Y Yj N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C had p nd Aac,rl JewW Telephone N(b 5 I)45 4" ~00 q
Contractor
~
Address 14M_amlias pAw City
State Appb wlky' ~ 66124 7
Telephone # ( )
MN LIe. t 700O437
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitled
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone ~
Sewer/WaterContractor 7elephone#( )
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.- n! u D
~1PIlJ p1rkPi-P 005
Applicant s Printed Name Applicant*Signrature LI11
Ey__ 7
OFFICE USE ONLY
Sub Types
? 07 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OS OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Exl. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 38 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 08 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 Windows/Doors
O 34 Replacement "Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bidgs Length Fire $prinklered
34%w%
Type of Const Width y~faty gqlleeutn @(;~,8p,t
~J:. •:`2r.:'., ~.a'^.~idG-fQ'r ; ~
REQUIREDINSPEC'I'IF3ATS35:. n±t§yt
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
*Lay afbin
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FZEC �'v D
01 212011.
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee: / .,
/-to
Date Received:
Staff:
72012 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 5-�� 12 Site Address: 94QO CR\� ®r
Tenant:
Namei 5L r' ZeuJeV,
Address / City / Zip: j4Q® R tgeUtetJ Or
Name: ton(( ec w d-1cf15, "tilC
Address: t 13 ✓4(l� l:. ki e
Suite #:
Phone: 195 34_
N 55a3
License #: 05r 1 O7 -PM
City: thCI:W-.
State: _ t\) Zip: 553q 1 Phone: °5 445'4603
Contact:ja(The
Email:
___ New Replacement __ Repair Rebuild
_Je ___ Modify Space
Description of work: 1 � wale"- h cr
RESIDENTIAL
_!Water Heater
Lawn Irrigation (___ RPZ / PVB)
__ Septic System
New
___ Abandonment
____ Water Softener
___ Work in R.O.W.
__ Add Plumbing Fixtures (__ Main / __ Lower Level)
___ Water Turnaround
RESIDENTIAL FEES:
$60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $189.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES$iQO•c
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x Mk
Applicant's Printed flame
Ap cant's Signature
Use BLUE or BLACK Ink
For Office Use j
12z~7~1
CitPermit of ~aR
J I / _ I
I Permit Fee: V~
3830 Pilot Knob Road I I
I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff:
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: \ Site Address: t3 '~k -Z Unit
Name: Phone:
Resident/
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work: ie roa Construction Cost: N C1 NM Multi-Family Building: (Yes / No }
Company:
Ze~vrch~ w\ Contact: -SaZD%-~
Address: 'lc MMefse ~t iv 4 1
Contractor c- 9' \ ~ City: ~1~ey~~
State: rW Zip: r3S\--b Phone: Vii) ZUt3 - y`r3~7
License '1'1% Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
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:
I
I
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
f III
i Sewer & Water Contractor
_ Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x
x
Applicant's Printed Name A ant's Sig
Page 1 of 3
For Office Use I 11
® # ° Permit#: /11 eg
*, ,,,,,, .,,,# ,,,,, E AGA N
4....
Permit Fee: "! ) ej
- `„ z/?S
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 /
(651)675-5675 I TDD: (651)454-8535 FAX: (651)675-5694 APR 2 5 2018 Staff: ��
buildinginspections(Wcitvofeacian.com L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
q
J S7
Name: ;'r/� t5i9 Phone
Resident/ ,/` -
Owner Address/City/ p: f '' U/e w /✓/ �� i'7/- g7/
� /C'l-
Applicant is: , Owner Contractor 1/7 v" '
i
1 T Of WOr k
1 Yp Description of work: /f ee-k (t' L�'/'1 S Yl�f cr,lit' ! �i(� Ds
/
Construction Cost: - — ' /S Multi-Family Building: (Yes /No x )
Company: ��e�� o act: ph&A �t771.1/. /S
Address: qty, A/5We./
Contractor (:),F9- l S G(`
State: Zip: Phone: Email: ( 6 Si 47 '7 - .;,0 9
License#: Lead Certificate#:
•
If the project is exempt from lead certification, please explain why:
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
} NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be
classified as non-•ublic if ou • ovide s•ecific reasons that would •ermit the Ci to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of.plans.
x � SJ%� �e irtJ x . --qefcjAA),-Pl/Applicant's Printed Name Applicant's Signat
DO NOT WRITE BELOW THIS LINE j-//Lt� C p 6 Li` j-67 / 37
SUB TYPES ( L) .
Foundation Fireplace Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family 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 7 86(�, Occupancy 2:12‹.ZG ` f MCES System
Plan Review Code Edition ryl4 Zvlj SAC Units
(25%_ 100%O Zoning p --1 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. Required
Footings (Addition) 'j Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests Final
ii' Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In _Air Test __Final Siding:_Stucco Lath _Stone Lath _Brick— EFIS
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: / Dr'1/ J,�l1,�t yn , Building Inspector
RESIDENTIAL FEES
Base Fee -j Z y art'. Fl'" ,' y Ss. a 6) 59" ' 17
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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