1401 Rocky Lane-A INSPECTION RECORD
CIT`'if OF EAGAN ?c PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date issued:
(612) 681-4675
Control No. 0887
e ?ILR
ASiI/.^
Sri/3?/?2
SITE ADDRESS: LOT- h N t oc ? : i APPLICANT:
1401 ROCkY LAHE i,01LLEGE CITY COMSTROC1`IOIi
k [NOS won 2140 (612) 431--1211
PERMIT §,YPTYPE:
TYPE OF WORK: NEB!
¦
1?1,04 A14t & W COMIRACTOR -
Permit No. Permit Holder Dots Telephone #
SM
PWMBING _. .
HVAC AA? , A 4j -AI, le
ELECTRIC
ft
ELECTRIC a"
Inspnbon Dow insp. Comments
Footings f ?y?9 y c?,? A?3?93 4J
cop-
Foundation
Framing
Roofing
Rough Plbg. ?1V
Rough Htg. b ??oh
Isul. /? f Z S
Fireplace -zp_9e oS ?• ® ??` r
Final Hog. O
Orsat Test r ( r
Final Plbg. Mg. Inspector - Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Fig. .: "O ?¢ +? lJ?O . .a-a2e+cr
Deck Find
web
Pr. Disp.
m
r AEI
I
w
wwmf icate of cccupaucv
with of Wagan
Toartmcut of fuitbiag au mm
This Certificate issued pursuant to t& requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use SF DWG Bldg_ remit No. 117 2
TYK R3/M1 Zoning District R I Type Cowl VN
OwnerotBuilding COLLEGE CITY CONST. Address 6470 151ST ST, APPLE VALI
Bu;ta; Address 1401 ROCKY LANE City L5, B1, KINGS WOOD 2ND
r
i Date:'
Building Official
POST IN A CONSPICUOUS PLACE 1 ?O/9Y-
I '/C3
%W
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681 X4675
SITE-ADDRESS:
1;., . IJI11111 3.111
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
fit o„ 1k. APPLICANT:
I 111!I I 1 ill
I 1 . ! .' 1 t. ? < 1 0 JI
J
PERMIT SUBTYPE: TYPE OF WORK:
Permit No. Permit Holder Date Telephone 8
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
isul.
Fireplace
o[!/ ?f- e
??
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Nobly Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
Address 1401 ROCKY LANE Zip 5512 2
Lot' `5 Blk I Sub KINGS WOOD 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6 from siding) f
Permanent steps (garage) f/
Permanent steps (main entry)
Permanent driveway 1/
Permanent gas
Sod/Seeded grass vll?
Trail/curb damage
Porch
Basement finish
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
REQUEST FOR ELECTRICAL INSPECTION
? lee inslmctions for completing this form on back of yellow copy
d+0 7 55 4 "X" Below Work Covered by This Request
"'T` E -00001.08
ew Adq Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building
d Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Contranor5 Rema Ly???]
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circutts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 -Amps
Signs Inspectors Use Only: TOTAL
_
Irrigation Booms 36
I
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee r COMPLETED WITHIN 18 MONTHS
I, the Electrical Inspector, hereby Rough-in -
411 Date?
7
a
certify that the above inspection has
been made. Final Dat
- 4- Y
OFFICE USE ONLY
This request void 10 months from
?AnU
REQUEST FOR ELECTRICAL INSPECTION
? See instructions for completing this form on back of yellow copy.
'x" 6eill Work Covered by This Request
ff'" %, EB-000011-088
yrN Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other-(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) Co rector's Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps i'?
Transformers Above 200 -Amps Above 10 Amps
Signs inspectors use only: OTAl
?D
Irrigation Booms D
O? ?` J
0S7
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
h the Electrical Inspector, hereby poughdn Vale 1AIN
certify that the above inspection has
been made. Final y
7
OFFICE USE ONLY
This request void 18 months from
d 07
5?54?
12 no
Request Date Fire No ugh-in Inspection
i
tl7
O Ready Now ill Notify Inspector
- equ
re
s ? No When Ready?
lZrlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route N y City
M
Section No. Township Name or No. Range No, Cou
Occup (PRINT) Phone No.
Power Su r Address
Electrical actor (Company Name) Contractors License No.
Maibng A tlres Icon actor or Owner Making Installation)
Authonzed SI lure IComractovO,;h akino Installation Phone Number /
MINNESOTA STATE BOARD OF ELECTRICITY v
THIS INSPECTION REQUEST WILL NOT
OrlgganMltlway Bldg. St Room 5173 BE ACCEPTED BY THE STATE BOARD
1821 a 4612) uy Ave., SL Paul. MN 55106 UNLESS LESS PROPER INSPECTION FEE IS
Phone t61Yl 64241800 ENCLOSED.
2 4 0 3 79??
O/o a 9a- 5 ?l a'? -'Vss '
Request a
J Eire No. R h-in Inspection
'ad?
P
Ready Now DW il Notily Inspector
Wh
n Read
?
[ No e
y
I Ntensed contractor ? owner hereby request inspection of above electrical work at:
Job Address IStreat. Byx Route No)
z
City
04
Section No. Township Name or No.
1
Range No.
County
O
.4019
Occupant (PRINT) 0 Phone No,
Power S tier r Adtlress
Electrical Contractor (Company Name)
30' Corns r5 Lbense No.
74ofo??
Mailing Access IContractor or Owner Making Installation)
04 ? ICJI'fG! 6'-' -Q
Authonzetl Signal nratlon w Installation) Phone Number
yv?-amass
MINNESOTA STATE BOAKD OF ELECTRICI THIS INSPECTION REQUEST WILL NOT
Griggs-Mldwey Bldg. - Room S-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 5S104 UNLESS PROPER INSPECTION FEE IS
Phone 1812t ea2-0800 ENCLOSED.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025145
Eagan, Minnesota 55123 Date Issued: 02/21/95
(612) 681-4675
SITE ADDRESS: LOT: 5 BLOCK: 1 APPLICANT:
1401 ROCKY LANE FIRESIDE CORNER INC
KINGS WOOD 2ND (612) 633-1042
PERMIT SUBTYPE: TYPE OF WORK:
FIREPLACE NEW
DESCRIPTION (GAS)
INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR.
ROUGH-IN FINAL
J J
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
cUlIGG
BUILDING
025145
02/21/95
SITE ADDRESS:
1401 ROCKY LANE
LOT: 5 BLOCK: 1
KINGS WOOD 2ND
P.I.N.: 10-42001-050-01
DESCRIPTION:
(GAS)
B,ctldi gL.Permit Type
f Building 16rk Type
r'
FIREPLACE
NEW
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge .50
Total Fee $25.50
CONTRACTOR: -
FIRESIDE CORNER INC
2700 N FAIRVIEW
ROSEVILLE MN
(612) 633-1042
Applicant - ST. LIC
16331042 0001068
55113
OWNER:
COLLEGE CITY CONST
14750 GALAXIE AVE
APPLE VALLEY NN 55124
(612)431-1211
I hereby acknowledge that 1 have read this
information is correct and agree to comply
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
011.4
SSUE BY: IG TUR
I
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 41111610
"14§ 1995 FIREPLACE PERMIT APPLICATION
681-4675
DATE: ?• , nn I
DESCRIPTION OF WORK: INSTALL NEW FIREPLACE: r WOOD BURNING GAS
INSTALL GAS LOG ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
OTHER:
AREA TO BE INSTALLED IN: TH ` Q= l -
STREET ADDRESS:
LOT Z
BLOCK _I
APPLICANT: (circle one only)
SUBDJP1D. #: V- cw?
FIRESIDE CORNER
OWNER - CONTRACTOR 2700 N. FAIRVIEW AVE
_ _ _ . , ROSEVIL.LE, MN 55113
I hereby acknowledge that I have read this application antllstate that the information is correct and agree to
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
Signature:
FIRBt
#: k°JI - X211
Street Address*
City: State: Zip:
FIREPLACE
INSTALLER
Phone #:
Signature: A d ? u--o > )
FIRESIDE CORNER
Street Address: 2700 N. FAIRVINAVE- License #:
(612) 638-3304
GAS LINE Company:
INSTALLER
Name:
Signature:
Phone
Street Address,
City: State: Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 14 Fireplace
WORK TYPE
? 31 New
? 32. Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
<.l tc ;'','REIWARKWO" Chimneylflue must be inspected before concealing.
,n
FEES
Permit Fee
Surcharge
Other >^ -,..120 '?,EIMI
-77 1, . :; ?i .S:' SOTS
Copies G i 3 K u:V€ Ofd
°d o (S Val
Total:
CITY OF EAGAN
L B MECHANICAL681
(612) P-4675ERMIT DATE RECEIPT
SUED. #
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
OWNER e p FEES
SITE ADD
C) I ADD ON/REMODEL (EXISTING
CONSTRUCTION ONLY) $ 15.00
INSTALLER. GENZ-RYAN HEATING HVAC: 0-100 M BTU
PHONE #: 423-1144 ADDITIONAL 50 M BTU 6.00
ADDRESS: 14745 South Robert Trail GAS OUTLETS - MINIMUM 1 @ $3 EA. r9 ?o
CITY. Rosemo t ZIP: 55068 SURCHARGE: _ $ .50
SIGNATURE:
TOTAL. s°
$ ,
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
WORK DESCRIPTION: CONTRACT PRICE: FEES
1% OF CONTRACT FEE.
STATE SURCHARGE IS $.50 FOR EACH
$1,000 OF PERMIT FEE. $
PROCESSED PIPING - $25.00
MINIMUM FEE - $25.00
OWNER TOTAL: $
SITE ADDRESS:
TENANT: . .
SUITE
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #: CITY SIGNATURE:
SIGNATURE 1 1
L 5 BL ig> CITY OF EAGAN CITY USE ONLY
PLUMBING PERMIT
SUBD.?? (612) 681-4675 RECEIPT # ? !J
DATE g ?a
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: LL 4 __? ?J?y,? ??n n 1?2t?.?GtYy1
?YC?/J /ce9?xa.d?,
SITE ADDRESS:
e v
INSTALLER: GENZ-RYAN PLUMBING
ADDRESS: 14745 South Robert Trail
CITY: Rosemount ZIP:
55068
COMPLETE THE FOLIAWING:
NO. . FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
3.00 7-Z? -
3
WATER CLOSET
WATER 3.00 ??
BATH TUB 3.00 coo
3 LAVATORY 3.00 J9 crO
KITCHEN SINK 3.00 -4
_ LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
T WATER HEATER 3.00
} FLAOR DRAIN 3.00 3
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50 ?.s v
_ OTHER _
_ WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S 3
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTALLER:
ADDRESS:
CITY:
PHONE:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL:
(SIGNATURE)
PHONE #: 423-1144
PERMIT M j,QC jgdfID2
1111
CITY OF EAGAN
x,992 BUILDING PERMIT APPLICATION
Za93 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural-& structural plans, i set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made or lot chan a is re nested once emit is issued.
3 Valuation of work U o U d
Dated --7 '
/
L
Site Address: /
STREET STE 0
Tenant Name: (commercial only)
LOT BLOCK J- SUED. J P.I.D. Y
Description of work: s?
The applicant is: ? Owner Contractor ? Other (Describe) .
Name Phone
Property LAST FIRST
Owner
Address
STREET STE M
City State Zip
Company
d 77 Phone 232 2,22 Z
Contractor License #41)/=269 Exp.
Address 7
?
62
-
)
city 1444 State n Zip ?S /a y
Company Phone
Architect/
Engineer Name Registration IY
Address
City._ State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
1 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.
Signature of Applicant: --'?"
OFFICE USE ONLY
A
BUILDING PERMIT T YPE
? 01 Foundation ? 05 Apt. Bldg 'Ef 09 Basement Finish ? 13 Comm/Ind. New
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 14 Comm/Ind Add
? 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comm/Ind Rem
? 04 Multi-fam. T.H. ? 08 Deck ? 12 Res. Porch ? 16 Public Fac.
? 17 Agricultural
WORK TYPE
V 31 New ? 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. Actual) Basement sq. ft. MWCC System
(All owable; 1st F1. sq. ft. City Water
UBC Occupancy R- 3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler .
Length On-site well Census Code y.3c/
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS PA T?NLQ.??,ieWF/NOSH
? Site ? Footing 6. Framing ? Insulation
? Wallboard J( Final ? Draintile ? Fireplace
Permit Fee J a Oo v.U.tion: s
Surcharge SD
Plan Review
License
MWCC SAC
City SAC
Water Conn...
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1401 ROCKY
KINGS WOOD 2ND
PERMIT SUBTYPE:
SF DWG
INSPECTION RECORD Control No. 0887
PERMIT TYPE: BUILDING
Permit Number: 001172
Date Issued: 07/30/92
LOT: 5 BLOCK: 1 APPLICANT:
LANE COLLEGE CITY CONSTRUCTION
(612) 431-1211
TYPE OF WORK:
NEW
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION TYPE
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: S S W CONTRACTOR - /?
PERMIT Control N 0887
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
1401 ROCKY LANE
LOT: 5 BLOCK: 1
KINGS WOOD 2ND
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
001172
07/30/92
DESCRIPTION:
Building Permit Type SF DWG
Building^?Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
Zoning R-1
Building Length % 72
Building Width 53
Building stories,°' i
REMARKS: C oa 0 /S
S & W CONTRACTOR -
FEE SUMMARY-
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$765.50
$497.58
$68.00
$700.00
100
$2,031.08
$136,000
MISCELLANEOUS $1.610.50
Total Fee $3,641.58
CONTRACTOR: - Applicant - ST. LICOWNER:
COLLEGE CITY CONSTRUCTION 14311211 0001209 COLLEGE CITY CONST INC
6970 151ST ST 6970 151ST ST
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-1211 (612)431-1211
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 Mn.
Statutes and City of Eagan Ordinances.
D
L 4nt(? -
AP LI NT/P MITES SIGNATURE ISSUED V: SIGNATURE
PERMIT # CITY OF EAGAN 4-g G
`?!'`?
REACTIVATE _ 1992 BUILDING PERMIT APPLICATIO __ .. _ ,?
661-4675
jjqj Mff 2 A RE6
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies when typin? of permit is requested, but not picked up by last working day
of month in which re jest is made or lot than a is requested once ermit is issued.
Date 7 / 26 / 92 Valuation of work \a& .0b0 AJO
Site Address: en3 Pn ku TanP
STREET SUITE 0
Tenant Name: (commercial only)
LOT 5 BLACK 1 SUBD. King's Wood 2nd Addn P I;D. ?t 104200105001
Description of work:
The applicant is: ? Owner ® Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET STE R
City State Zip
Company (n 1= city CnnEtr=tion. Inc. Phone 431-1211
Contractor Address 6970 151st street License # 1209 Exp. 3-31-94
City Apple valley. C State MM Zip 55124
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber n Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
. .
? 01 Foundation
/I 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plek
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add11.
WORK TYPE
P 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 35 Tenant Finish
? 36 Move
&v
Const. (Actual) Basement sq. ft. 1?3z MWCC System .y}
(Allowable) 1st F1. sq. ft. /,92Z City Water
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning - Sq. Ft. total Booster Pump
/ of Stories Footprint Sq. ft . Fire Sprinkler
Length 72. On-site well Census Code
Depth 51 On-site sewage SAC Code of
APPROVALS
Planning Building Assessments
Engineering
Variance .
REQUIRED IN SPECTION S
? Site ® Footing ® Framing ® Insulation
? Wallboard ? Final ? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
valuatim: $ 1361000
1
7z
zP?Z _ s8
V,F zoo,
el- = z Y
l?3
Mo. At% « .a
M.16. a e4nt Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
3-+20 = fO <?
2 P,y- z = 5`O
? 0
lzys7,? l?.c/SG
SAC %
SAC Units
4( * PIONEER
? engineering
- OVIL ENGINEERS
LANOSCAPE ARCHITECTS
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 661-1914-Fax 681-9488
625 Highway 10 Northeast
Blaine. MN 55434
612) 783-1880-Fox 783-1883
Certif kite of Survey for: Colle ge Q t Qenstructi on Iric
House Address: Rock y Ld he. L.04106. M-?
--- --------------- -- --------- --- -
l -
PILOT KNOB
ROAD I
I
N 00'29101" W
S 00.2901"
E z I
'
120.22 e.00 o on
1
0
w
-
--- \ 58.87 44.58 O 4?- ( In r
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--\ ------------
51
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-
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( \ ?i Q l 1 ? L
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zfi ` ' ? CN ? \ \
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"
'74
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{9 \ `I
saes , \ \ \\s
mss, \ \
\ s
S 3S' 8
s'osh ?6
. 900.o Denotes
. 9oo.3j Denotes
Denotes
Denotes
--o- Denotes
--s-. Denotes
yc•ry i vJ ?,
/
QA1yvE GIB E?1? ...
? DEpT
?v
Existing Elevation
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub Bearings shown are
Look o.4 windows w/6 elev, -- 104.93
PROPOSED HOUSE ELEVATION
Lowest Floor Elevation Rou?
Top of Block Elevation: 965, 33
Garage Slab Elevation: 909,o
assumed
LOT 5, BLOCK 1 KINGSWOOD 2ND ADDITION
DAKOTA COUNTY. MINNESOTA
I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am duty Registered tend Sumayor
under the laws of the State of Minnesota. Doled this Z-? day of T`s 1 n - A.D. 19/g
ROBERT Q. SIKICH L.S. REQ. NO. 14891
TER
OWNER
/ELOPE AVERAGE "u" U UfR of
SITE ADDRESS
CONTRACTOR iOGLrGF_ C7-V c?Onli'r DATE _I Zl lit PHONE ?{?j I?IZI J
Determine working square footage of each.
1. Total exposed wall area ...... 7Zp04- sq. ft. x ,?J a 2Zo.
2. Total roof/ceiling area ..... (18 `70 sq. ft. X ,0.4ko - ?S•??
Total exposed wall area above floor =
a. Total wall window area.. ...................... 'z.Z 3
?
b. Total door area .................................. y 37
c. Total sliding glass door area ................ O
d. Total fireplace wall area....... .. ........... O
e. Total wall framing area (average 10%)...:........ 7 0
f. Total net wall area above floor ................. v
g. Total rim joist area ....... ....... %q7-
Total exposed foundation area = (0 4-
h. Total foundation window-area ..................... 0
1. Toal net foundation area above grade ............ to 4-
Determine"U" value of each wall segment.
a. ZZ° X "u"
b. CCCL.?.. ?
J_J
X
$lull
iIZV
= !.VT
--??
C. Q .X "u" o =
0
d. 0 X „u,, t]
e. 170 X "u" OQ2..
f. 12(00 X "u" X43 V
g. Iq Z X „u" .04..1 76-7
h. ?
X "u" O 0
I.- I o4- X „ull .0-79 - 8-V2,
3 .....................................Total 70.t
i Lfl
if item 13 is the same as, or less than item 11, you have met the intent
of SBC 6006(c)2.
MID U Vi _I.
iNDow ARE-A
A11AI-Y515 of L ,fir i ,1Q jLAZEQ ARAA5
TyP,: OF WJNAaaw
THE \ul,vDOW will-S 14AVL g[C4 rC6rt4O FOQ• ' l2•--VALN•i? "rNAY AC& As L-14140
A8oVC qA/o A14Y 41 .76siryAl 6V A 0C.914N [SSFLJ VAJ-tA.L of °R z Z. 1B9
INGLND+yG AlA IWILM5,
Fbo i n G 4.
FOUNDATION WINpoW AAA: TYPE of ?--'JJVOOW :
TMP- Vv;N,oo+? L+1+ls/IgJE. BL1.../ TEST<D Fop.*R^ vAL"r,THLYARLA.$ obl&lp A66VA Auer
m4Y Or AsslCig11-0 P pLSI(yn/[3AaL? VALUC o= -$"u Iucj- bolNq
AIQ a1LM9 ,
L'42- I?ryji • I/ _? F??•?44 i FopTA C+C : 0
SLID14; (-?1-A55 DooR ARLA: TYPL PI° D009-
!>L- C?L455 DCK>AS NHvc aLF.-4 TWA LO' Fog"R= V4"Kcy TNLY ABL ys 1-+arAp
AbOUL AdO MAI B* ASS ?•y NF•-? A n?s?G+_k Gswrq ?IALNG OF •?^f_. "JLi,-rpIwj
/!la CI&AS
urf3 -'I or% . 1! F7a•Ti.4 L- =?
D oo R f{ Ra A Typ e o r Doan :
DOOR, IJAII'r5 NAVL 6k.Cb`4 TL5TC0 A40 fOUVG 'rO NAVC AN
\/A L+.l4 CP *7. 81 INGL.H O+N fy Ate 61 .•+'13,
Lill; )/Raj FCOTAr-c IL X--.
5JPECIALS : TypL
FARM E-1 !on:„a qi - T-I"g•.7'30 .5KItVEO I
.
AND VA'
RIM So15T
)6Z r. 5LC-Ti oW5
"R° - VALUE
L__ .._ I nI T R I O /Z AIR- J<I L M
X%0 _ -I US U SAT 1o N C1z-11 )
2.0(O Ski EA r1uGt
-(0Z %Z s,oI,lc;_LAP
•`? I'h.° SoFrwoop
. 17 _,6I<TF K 1O R Air-
7-4-,139 Tor A L- • t?. ?AUL.G
j, I i 1 24.3 n
TOMFOOrASt
I OUr.1 D AT ION 1IN/ALL. AREA, CABovc C4FADX--3
R" VA L 4.E
6?" )Id TERl02 AI)Z FHL-r\
'165 6 "t
(.po 31 Fbaa et c,»w?rlc.4 (R- it )
rj EXTE-K.10R, Aja FIL-M
2 •L3 OTAL. Ajw4 VALME-
u4 - Il r I Lso
ta0.,n L•I la#06j4,
ANA•t-ysl:? O
AlzLA ;
TOTAL t AOTAr4 : I o 4
OkTt ?-Ak-vi?25I(Wt0$
7F?' ANDVU V ' '^ ANALYSIS OF yy' 41 SE.Gr ioNS
Sru r, / FKAM IN(j ARC. IN :
F( ' - VALUe
_?'?IaTeK??R RIR 1:ILN)
AS -?f?G?v.srLM ww?Lasoneo
I d
sop, rvomo
_L P 51ojucl Z
_ VA>'c)le GAa4KOXR-
L EOrLX[OR AIK. Pl"M
10-22 ?110TAL' R.. VALLAL
0" g 1/0-1 s I i1o± . .v z
a'
TorAL rmrAGC 1-70
5 u-LATE-o AKeA BcrwzaN 5T '-A Os
..R..- VALY.L
•OI IurE¢iou AIR FILM
?IQQS /Z6ypS"m WALLBopQD
?"f.? ?•' IuSU.LAT JO N (RtiI? ).
Z.O?p ? S?1pA TM ?NQ. UI C.?"rl! 7?
b l 0E
._Siolu4 ?L
vAaa?.. ?nw?c.?c?
AIR. POILM
'LZ-712 rOT A I. Aj,.rt VALUL
0y,.ULL-&a I (Z??`?to•
M I.1 I"Um. !t?'
TOTAL PoorA4a. /Z(p0
R.. ND~U" ?l"_I -. A#QAL.y915 OF "4E ?s°''F/CEILW!j SECTIONS,
JOIST/ ( JZAMi),,C1 AREA
IR4- VA LU E
•lo 1NTgRIOR AIR FILM
4.3J? Z 5OFTW000
SU ??4YP.5"M WALLSOASO
i/ Iu ?uLt.
I NTER 10R, AIR FILM
-OT q L " Rw, VALLLE
ZL 7
WWI
'Z7:73?
TOTAL FOGTA4 ,
ZNSULATL`.O AREA BE-rwLGN THE UOISTS
°R- - VAL"e.
/?1IAITERIOR AIR FILM
?` bwwtJ LLA TION CRi• j
?_??YPSUM WALLP"JLD
VAPOR. BAAR149-
?_INfLRIOK AIR fltM
-4S3L'TOTAL "R•-n' VALLLL
L4-2. zIXz
" a -1 1 oianl, rly
¢.5.3(c?
1brA6 RoorAGI. o
p?trR7 "?'?I`w?o
City of Eaaafl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
DEC 222009
Date Received:
Staff:
2009 MECHANICALCPERMIT APPLICATION
t
Date: 1 45? -09 Site Address: ` tC) oc_k t jCr)
Tenant: \ -l� l r t •J
1
J
Suite #:
RESIDENT / OWNER
Name: 1 XAIMI C\ \ e_ k Phone:1J I 4- Lo 3-c).] ;
Address / City / Zip: \ Lib 1 C ,CA__- (n. Ecccoarl .. ,;(:)
CONTRACTOR
Name: License #: U 1e� i
QURIdSVILLC 11CATINa 8r AIC, INC.
Address: 3451 W. Burnsville Parkway
Suite 120
City: MN 55337 State: Zip:
t�Buunsville,
Phone: . `QC1 --(Dr ontact Person: l na
c
TYPE OF WORK
New k Replacement
Additional Alteration Demolition
Description of work
PERMIT TYPE
RESIDENTIAL
X Furnace
COMMERCIAL
New Construction Interior Improvement
Install Piping Processed
Air Conditioner
Gas Exterior HVAC Unit
Air Exchanger
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
Other
RESIDENTIAL FEES:
$50.50 Minimum Add-on
or alteration to an existing unit (includes $.50 State Surcharge)
out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTAL FEE
$90.50 Fire repair (replace burned
COMMERCIAL FEES:
$70.50 Underground tank
$50.50 Minimum (includes
installation/removal OR
State Surcharge)
surcharge is $.50-
increases by $.50 for each
Permit Fee requires a $1.00 surcharge).
Contract Value $ x 1%
= $ Permit Fee
- If Permit Fee is less than $1,000,
= $ State Surcharge
- If Permit Fee is > $1,000, surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000
$ TOTAL FEE
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 GUThCA C311Ail
Applicants Printed Name Applicant's Signature
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #. 1k0(416
Permit Fee:
Date Received:
Staff: 51
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: ` 7 0 /PipG.. <<L( t Q L -'l Unit #:
Name: c"t r PC1 [I
Address/City/Zip: J / () 1 Pic Lce -
Applicant is: Owner Contractor
Date: —7-13
Description of work: Ile ird®rt'Pl Cc<`e
0661
Construction Cost:
Phone: 4I L '6CJ J —3 -
a� r ;e _4(e -
Multi -Family Building: (Yes / No )
Company: Contact:
Address: City:
State: Zip: Phone:
License #: 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 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:
'occtrrienttsthatyo ubmf are co srder
srf ec/ as no-oubti' yo e o r e pecr season o;
clt(de ha the are a e secr€
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.
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
4111'
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: °5-71
�%
1
Permit Fee: 1 5-3
3
Date Received: ¶ (" 13
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: C 7- (3 Site Address:
No J P DC �L)(' i_aku -L' Unit#:
Name: PCt V Phone: 612- 6 ec -321R
Address / City / Zip: 1 Lf0 I Aoc._k I .
Applicant is: > Owner Contractor
Description of work: �i S
Construction Cost: '.__ 00c)
t✓p Hg9ra'v
cetoac Jr." rdtct4
Multi -Family Building: (Yes / No
4-211
134
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
061)
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.
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.
i. l PC1 VCS( x C V
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
G/6j
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family)
Single Family
Multi
01 of _ Plex
Garage_ Porch (4 -Season) Exterior Alteration (Multi)
Deck Porch (Screen/Gazebo/Pergola) Miscellaneous
Lower Level X Pool Accessory Building
ORK 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
DESCRIPTION
Valuation
Plan Review
(25% 100%y )
Census Code
# of Units
# of Buildings
Type of Construction
V6
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
*Demolition of entire building - give PCA handout to applicant
Pt-
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: Ice & Water _Final Pool: ootings ,,Air/Gas Tests Final
Framing Siding. Stucco Cath _Stone L h _Brick
Fireplace: Rough In _Air Test Final Windows
Insulation Retaining Wall: Footings _ Backfill Final
Sheathing Radon Control
Sheetrock .- Erosion Control
Reviewed By: % , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
POOL PERMIT -APPLICATION SUBMITTAL REQUIREMENTS
Address: 141
Applicant Name: '6ei('o yL `- /Ave -k
GENERAL INFORMATION
¢ -0
o z
f2( ❑ ❑ Applicant name and contact information
❑ ❑ Property owner name
)d` ❑ ❑ Address of property
U ❑ North arrow, scale (1" = 30' or 40')
❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls and fences.
❑ ❑ Location and name of all streets adjacent to property
U ❑ Directional drainage arrows (existing and proposed)
❑ ❑ Lot Square Footage
❑ ❑ Lot Coverage
ELEVATIONS
Existing
Z ❑ ❑ House corners
51 ❑ ❑ Property corners
❑ ,i21' ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
❑ Jd' ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
)0r ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
❑ All property/lot lines
❑ All Easements on the property
Proposed
❑ Pool
❑ Pool plus integrated deck/patio
❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
G:FORMS/Pool Permit Checklist/1 1-20-12
ate
HALVERSON
LAND SURVEYING,LLC
Russ Halverson, LS
Land Surveyor
PO Box 384
Northfield, MN 55057
(507) 301-2029
russethalversonlandsurveying.corn
Licensed in Minnesota & Wisconsin
PILOT KNOB
patois, Yziiii3
51
L 1
1 \'-4
• f'oci
141
N 00'29'01" W
120.22
‘58.67-
2422 . tarp?' Drive
1.10evrato '• s. 55120
(612)- S : Fox 681-9488
;11491te Northeast
55.A.
83-1880- ax 783-1883
acInstrud.-116h, Inc. OD 7
-EF-WEDAI
By
D Date
ROA4.91
EAGAN ENG G DLPT.
Flgo4P
4/4/0104 S 0029'01" E
8.00
7 7 7 7 7 7
Lio
(LA
1
fiesz0 e•9
01-f--
-•••""
qt
FouNP
•••*
x splo Denotes Existing ElevotiOn
Denoes Proposed Elevation
Denotes Drainage. & Utility Easement
- Denotes Drainage. Flow Direction
- Denotes Monument
Denotes Offset Hub
LOT.5,
L.00k 0.).4 otvs/ t40 eta?. •••=.143 4.43,
pROPOSED.,, HOUSE ELEVATION
Lowest Flo:or 'Elewtion;101..z2
Top. of Block Elevation:1433
Garage Slab Elevation; 911c1..o
Bearings shown are assumed
KIN GSWOOP 2NPADDITIQN
DAKOTA couNTY. MtNHESOTA
I herd* certify thethis SUrtntY.11106 or risioct wasArrearsO b rri4Lof lendee rirt ettpervision that env duty aqiitired tntriorfor
under the Wes of the State of Ationeeata. Dated thk day of A.13 19 ,,, •
El;
At?, irp'insr4—
nonERT 13. Stitte '''''''''''''' 1,4,ti.1411,1
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r
For Office Use
Permit #: i' 8 Q� 5
5
Permit Fee: 1 !V 5
Date Received: t V /!0/L3
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /0-30— 1 3
Site Address:
/(10( dor .v L as
Unit #:
Resident/
Owner
Name: flq I i LI PCC Phone: 6/2-685— J-11 -Z
Address / City / Zip: l �('
/ l D ( Rack Lcii 1 . jq 5-51,„.2
Applicant is: ( Owner Contractor
Type of Work
Description of work: Rep/ad t- 1,4A &talo- -r> s ru E 37(i K 0,e i r
Construction Cost: O ® Multi -Family Building: (Yes / No )
Contractor
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and
the information
supporting documents that you submit are considered to be public information. Portions of
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 CaII 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.
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.
al\ aVC---- ?0,t/C—
Applicant's Printed Name
x
Applicant's Signature
Page 1 of 3
PriA6,
City of Eapll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
RECEIVED
APR n 1 2014
r
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: T31 " 1 T Site Address: / 6 U c L
Unit #:
Name:
eft Pqv'dL
Phone: 6/ 2 -`6E -6C-321`?
Address/City/Zip: / T 1 Acc- (C Ly -L-( I EEcc-ec6-4 g
Applicant is: Owner Contractor `!�/
Description of work: I " lam, /^C P Ctilt POIPf d C /05e f LYLece
Construction Cost: 1 t2. ()c0 Multi -Family Building: (Yes / No
Company: Contact:
Address: City:
State: Zip: Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Pskr 76' 1,99a
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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 C'e. i i ,A' PcvcJ
Applicant's Printed Name Applicant's Signature
Page 1 of 3
/c/01 /G ° v� -J1(
DO NOT WRITE BE W THIS LINE
SUB TYPES
Foundation Fireplace
j' Single Family Garage
Multi Deck
01 of Piex Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
WORK TYPES
New Interior Improvement
Addition Move Building
tAlteration Fire Repair
Replace Repair
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100% r/ )
Census Code
# of Units
# of Buildings
Type of Construction
ii31/
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In _Air Test Final
it' Insulation
Sheathing
Sheetrock
Reviewed By:
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
/7211-
I,r51
Siding
Reroof
Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests
Siding: _Stucco Lath Stone Lath _
Windows
Retaining Wall: _ Footings _ Backfill
Radon Control
Erosion Control
, Building Inspector
X 33 d @ .to ~/+
11//4041041.1
•
Final
Brick
Final
ye
P2610' eL
Page 2 of 3
City of Eagan
PERMIT
City of Eaan
Permit Type: Plumbing
Permit Number: EA121982
Date Issued: 04/21/2014
Permit Category: ePermit
Site Address: 1401 Rocky Lane
Lot: 5 Block: 1 Addition: Kings Wood 2nd
PID: 10-42001-01-050
Use:
Description:
Sub Type: Residential
Work Type: Alteration
Description: Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fixtures:Master bath remodel, Toilet, double lay., and shower
Terry Sieben
18605 Fischer Ave
Fee Summary:
PL - Permit Fee (miscellaneous) $55.00 0801.4087
Surcharge -Fixed $5.00 9001.2195
Total: $60.00
Contractor:
Sieben Plumbing
18605 Fischer Ave
Hastings MN 55033
(651) 343-6298
- Applicant -
Owner:
Darin D Pavek
1401 Rocky Lane
Eagan MN 55122
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.
Applicant/Permitee: Signature
Issued By: Signature