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1474 Rocky LaneCity of Eaan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink Permit #: 6 j Permit Fee: `-? 0. 0_ Date Received: Staff: 2011 RESIDENTIALt BUILDING PERMIT APPLICATION Date: . '/vim// % Site Address: /'1 7 ( R &GA Unit #: RESIDENT l OWNER Name: CH /`T is 7//"'/ f�- )'BX%i/v Ol (Cff" Phone: 6$7 " bei I YYe% Address' City / Zip: /1/111 T ? O C }� C,4 � .�f C /t/ 3-31ROZ Applicant is: Owner y Contractor TYPE OF WORK Description of work: FLS 7- /2 Construction Cost: .5.e/1,95, Multi -Family Building: (Yes / No X CONTRACTOR Company: / /A/ C/7 ' SO¢ 4/ `+ / Contact: J t JE J 1e6N?I> e Address: ( r cpd/E ,L 6 City: /0 TS State: )V Zip: 55V 'tB Phone: 95d ? 5/ - 85 ®© 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: 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.aooherstateonecail: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 workwhich requires a review and approval of plans. 51 'e `gig vs kiniziyei4. Applicant's Printed Name x Applicant's Signature          ùö  ÿ þ þýý  üûüùû     øýý ûú÷úôêë ý öóó ââ  þýô  ýüûúùøóëöòöüúùø öúùøóëöôóë÷ø ì öø ü òüòññíüø ù ðÿ ýïü öî ìøöäì  ìöïüöìö ûöìê õ öÿóóøÿþ õöõö ìÿ  ý øêò õöõ ø õö  ê ò öûìéö ööïüöûù óÿõ ìù ìê  îçæçê êñ òø  ýüö öÿ è ü çæçê åêå è ü þê  ñð ô ïî øø  ÷ó öýäú× ä åòüù÷ òñâñ÷ù  ÷äãô  ÿ ãô  á àññâââ  öûù óÿ   äö   øø     õöì öö  ÿöìøùó   øø ûý  õã ý ü òùõ ÿ íö ê øø ë üùýÿ üö SEWER & WATER PERMIT CITY OF E%GAN 3830 Pilot Kr*b Rd. Eagan,, W-55122-1897 fay 1??,1991 x METER # - CHIP # - METER SIZE ISSUE DATE SITE ADDRESS ! '+ % L ', o c I Y L A n e LOT ! 1 BL0GW 2 SEC/SUB °,harWOOd noW119 APPLICANT: I na e p .) K1 M i 11 e r Eons t_ Inc ADDRESS: 181 31 Carla r Ay So CITY, STATE E9rminr*nn, ?in 55014 ZIP PHONE: 4 3 1-2001 PLUMBER: Catnz-Ry as ADDRESS: 1 /4 7 4, So Robert T r CITY,STATE i.osemount, Mn ZIP 5SOS3 PHONE: '+ 2 3 -114 4 OWNER: ADDRESS:- CITY, STATE PHONE: - ZIP USE ONLY PERMIT DATE 60L' ' PERMIT # 1204( B.P. RECEIPT # C1 38 3 5 ?Q B.P. RECEIPT DATE PRV - BOOSTER PUMP PERMIT REQUESTED X SEWER X WATER TAPS COMM/IND :4 RESIDENTIAL X x NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. I AGREE TO COMPLY WITH CITY OF EAGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. w.. CASH RECEIPT CITY OF EAGAN , 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 nECENEO ---? 1. "1 FROM ,k AMOUNT S r ,l ,r , 6 DOLLARS ioo ? CASH CHECK 4-7 ?) U -ij BY J-l 1 C 13835 wNte--Payom Ywow--Posting Copy Pink?lls Copy 4 Thank You HOUSE HEATING TEST ItEGORD ADDRESS lz:!• 44-4 ?.N - APT. FLOOR CIT4?4UBURB OCCUPANT OWNER HEAT LOSS DATE HTG. INST. f SOLD BY INSTALLED BY n Electrical Work By Gas Line By S+© ?-+- TYPE OF HEAT GA FA _?-Z,_HW STEAM SPACE HTR. UNIT HTR. OTHER AS DESIGN MAKE MAKE OF BURNER _ Model Model Serial a $ li Max. BTU Rating - INPUT MAKE OF FURNACE Model Volvo L ?F ?C 1J _ Limit L? Limit Settin g Fan Setting Pilot Type Pilot Make - ? Pilot Model Pilot Timing L.W. Cut Off Pressure C_-Percent CO 2 Input CFH Percent 02 Stack Temp. Percent CO Form 235 CONVERSION Vent Six* KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size Number Chimney Location Inside Outside Chimney Construction Smoke Bomb Draft Door Pressui Wiring Lighting Inst. Date Tested AsLA- Congwny Testing ?-a ''?? ??? Home of Tester SEWER & WATER PERMIT CITY OF E)?GAN 3830 Pilot Knob Rd. Eagan, MN 551-22-1897 DATE :iy 29,1991 - PRV BOOSTER PUMP SITE ADDRESS 1474 Rocky Lane LOT 1 1 BLOC3k"kJ&-SEC/SUB S h e r ,ro o d A o wTi s APPLICANT;, Joseph ti i 1 1 e r E s t 7 ne ADDRESS: 13 13 3 Cedar Ay 3n CITY, STATE 7armi.ttpton, Mn 55n24 ZIP PHONE: "t 3 1 -- 2 0 01 PLUMBER: (,r_x a n ADDRESS: 1 4 7 4 5 So R n h o r t It CITY,STATE Rosemount Mn zip 55065 PHONE: 423-1144 OWNER: - ADDRESS: CITY, STATE OFFICE USE ONLY METER # 114 q6 731 PERMIT DATE 617191 CHIP # 6 /7 7 ?d 61 PERMIT # 12046 METER SIZE A) B.P. RECEIPT # (" 13835 ISSUE DATE /I?-9f B.P. RECEIPT DATE 6/7/91 ZIP PERMIT REQUESTED X SEWER X WATER - TAPS COMMAND RESIDENTIAL x NEW EXISTING SIGNATURE WHEN METER ISSUED 454-5220 FOR INSPECTIONS. FOR STORM SEWER Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. ITVAL FM DEM-5/1/92 z. .. .e, ,.,. . -?- nP--.•--?i:.?rsv??s+. PAS„.P&R2q Rot -452_-64gq CITY OF EAGAN `3 t t 3830 Pilot Knob Road P O Box 21-199 P. an MN 55121 I • • 1 9 PHONE: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Site Address 1471A Qtt]m yx Lot _ I I Block 2 Sec/Sub. 8HE1tt VW DOOM Parcel No. W Name JOSEPH M MILLER CONS RUMOIR 3 Address 18133 CHQwS ?Y$ S c City' FARMING= Phone 431-2001 Name SAmw to Address L City Phone Name _ Address Phone that I have read this application and state that the and agree to comply with all applicable State of d City of Eagan Ordinances. A Building Permit is issued to: JOSEPH N MILLEY CONS? on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official ' Receipt # OFFIC E USE ONLY occupancy R-3-111--l FEES Zoning -RL-1 _ (Actual) Const --V-mN Bldg. Permit 808.00 (Allowable) _VM9 Surcharge 74.? # of Stories Length 60' Plan Review 525.00 Depth s ?Z SAC. City too* ' S.F. Total SAC, MCWCC 650.00 S.F. Footprints On Site Sewage Water Conn 660.00 On Site Well Water Meter 95.00 MWCC System 3 Water City 0. 0 0 Acct. Deposit PRV Required ? n n ? S/W Permit 30, Booster Pump S/W Surcharge a Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg. Off. Copies Variance TOTAL 3,618.50 Permit No. Permit Holder Date Telephone # WATER Q 7 SEWER PLUMBING q/ ?fror.3' H.V.A.C. ?f 7 / '1'' 0-4,069A ELECTRIC Ifs 9? ?7 Inspection Bate Insp. Comments Footings I 9( Foundation Framing Roofing Rough Plbg. - -? Rough Htg. N Isul. 7/j6 l ? " Fireplace Final Htg. 16- Orstat Test Final Plbg. "1 Plbg. Inspector - Notify Plumber oust. Meter EngrJPlan Bldg. Final / lq( Deck Fig. S uJ Deck Final 9 Well Pr. Disp. r7 =M;JrLVAZ KIR OW-5/ 1/92 Or (Infifira#r of (Orrupau,ry Cttp of Cagan appt'h![ w of at" jttl pant t This Cerdjkate issued pursuant to the requirements of Section 306 of the Uniform Building Cade certifying that at the time of issuance this structure xw in compliance with the various ordinances of the City regulatvtg building hpw uc im or use- For the following POST IN A CONSPICUOUS PLACE ,-,artY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-189 (612) 681-4675 SITE ADDRESS: t 4t , ., ,, v 1of'KY 1, ANI 'iHL RW000 DOWNS PERMIT SUBTYPE: INSPECTION RECORD PERMIT TYPE: Permit Number: 7 Date Issued: APPLICANT: :4l . . ill TYPE OF WORK: [ill I I D 1 N (i q?Ni; K 1,11111,1 tj" NF II INSPECTION TYPE .DATE INSPTR. INSPECTION DATE INSPTR. J Penult No. Permit Holder Date Telephone # ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG Z? DECK FINAL DA E? 6/7/91 1474 ROCKY LN.. L88, BZ, S HEKWUUV DOWNS 1493 ROCKY LN., L13, B39 SHERWOOD DOWNS Re:, 1 887 BASSWOOD LN.. L5, 136, SUNRISE HLMS SL a Your Sewer & Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON. Your Sewer & Water Permit for the above property cannot be completed for the following reasons: Your Sewer & Water Permit for the above property has been completed, but the meter cannot be issued or occupancy allowed until further notice. COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance. WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC. - REQUIRED BY LAW. CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY. Secretary, Building Inspections Dept. Address: 1474 R(yM LANE Lot 11 Blk2 Sec/Sub SHERWDDD DOWNS These items were/were not complete at the time of the final inspection. Date: 8/16/91 Yes No TnRpPrrnr- W Final grade (6" from siding) Permanent steps - garage v Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded grass 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. RELl6 FO NRP White - City copy Yellow - Resident copy Pink.- Contractor copy I CITY OF EAGAN N2 1919:1 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 /t BUILDING PERMIT Receipt # ? I (1 To be used for SF DWG/GAR Est. Value $148,000 Date JUN 6 tg91 Site Address 1474 ROCKY LN Lot 11 Block 2 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY Parcel NO. Occupancy R- 3 M-1 FEES 1 R Zoning - W Name JOSEPH M MILLER CONSTRUCTION (Actual) Const V-N Bldg. Permit 808.00 Address 18133 CEDAR AVE S (Allowable) V-N 74 00 ° City FARMINGTON Phone 431-2001 a of Stones Surcharge . 601 Plan Review 525.00 Length Q Name SAME Depth 42 r Cit SAC 100.00 i , y g40 Address S.F. Total - SAC MCWCC 650.00 City Phone S.F. Footprints - . W t C 660 00 On Site Sewage a er onn . W 'a Name on Site Well M w 95 00 w ater ater . ual Address MWCC System R Acct. Deposit 30.00 aW city Phone City Water X 30 00 PRV Required SM Permit . 1 hereby acknowlege that 1 have read this application and state that the Booster Pump S/W Surcharge 0 .5 information is correct and agree to comp) with all applicable State of Minnesota Statutes an ity of Eagan Ord awls. 11 Treatment PI 0 276.0 Signature of Permits k-1 - APPROVALS Road Unit 370.00 JOSEPH M MILLER CON A Building Permit is issued to: Planner Park Ded. on the express condition that all work shall be done in accordance with all Council applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg Ofl Copies Building Official ? .!?ru11I 0 a ?Ql(l 1I „? LI Variance TOTAL 3,618.50 ?- o 9 04442 14 Request Date 6 -13 - J. File No. Rough-in Inspection Regm ? ReaOy Now l Notify Inspector - as . N. When Ready? I Lr icensed contractor J owner hereby request inspection of above electrical work at: Jab Address (Street Box or Roule No.) City 1474 ROCKY LANE EAGAN Section No. Township Name or No. Range No. Coun`YDAKOTA Occupant (PRINT) Phone N0. JOE MILLER CONSTRUCTION 612-431-2001 Power Supplier Adtlress DAKOTA ELECTRIC ASSN FARMING'ON, MN Elecvical Oonlradur (Company Name) Contractor's License No. MIDLAND ELECTRIC, INC. 041610 Mailing Address (Convector or Owner Making Installation) 7630 145TH STR T WEST #214, APPLE VALLEY, MN 55124 ApthoraedB a p a-( mglnatallahnn, Phone 612-432-6688 MINNESOTA STATE BOARD OF ELECT I THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room S. -BE ACCEPTED By THE STATE BOARD 1821 University Ave.. SL Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 6920800 ENCLOSED. /?) l[jr REQUEST FOR ELECTRICAL INSPECTION ? See instructions for completing this form on back of yelloor copy k-AK. U "X" Below Work Covered by This Request OW Rep. Typeaf Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other (specify) Contractors Remarks Compute Inspection Fee Below: Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool / 0 to 200 Amps / t 0 to 100 Amps Transformers Above 200 Amps A Amps Signs Inspector's Use Only: ![ M\ 7Q q/I, ? l•(/ Irrigation Booms .. 5? ?7 (,0 Special Inspection Alarm/Communication THIS INSTALLATION MAY BE,ORDEREDPISFONNECTED IF NOT Other Fee COMPLETED WITHIN t THS I, the Electrical Inspector. hereby Rough-in ((f T certify that the above inspection has been made. Final ate -? OFFICE USE ONLY This request void 18 months from /0.2 -1 70 5 C6 r? ??7 43 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Ced of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey far additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System _ Y _ N 3 copies of Tree Preservation Plan if lot platted after 7/1133 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date/ A k / 65 Site Address )4-+ Description of Work Construction Cost 6 r Gla Unit/Ste # U4 I Multi-Family Bldg -`? Y - N Fireplace(s) - 0 - 1 - 2 r-t2' p?1? Property Owner 5'tCl.LSL j lJb k-Q-no y 1c" Telephone # ((05 ?) lQ 0.a ^ c VO J Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 651-264-4777 State License #20130983 City Telephone # ( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( 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 app oval of plans. Applicant's Printed Name Applicant's Signature I Ar" `' 5 2605 I It RESIDENTIAL BUILDING PERMIT APPLICATION C 7 3 / ( CITY OF EAGAN to ?e `f 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Requirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) • 2 copies of plan showing beam & window saes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plan if lot platted after 7/1193 • Rim Joist Detail Options selection sheet (Ndgs with 3 or less units) DATE I '?D/l 5 11---)D .-11? RemodelfReoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • l site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION Ps ooo . 00 SITE ADDRESS 14-14 2lOC1Ll, L2ne- MULTI-FAMILY BLDG _Y TYPE OF WORK _-7/ V?-N FIREPLACE(S) _ 0 _ 1 APPLICANT ! U$1OD01Iy M®®C®g & 51CRIMg, Rn?. STREET ADDRESS _ 49 SOUth OWaSSO Will. TELEPHONE # Mile Celli NN 55117 CITY-STATE-ZIP PROPERTY OWNER QA-)y-\c?a ?I oy ^cno ?ey? TELEPHONE# _N -2 COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • Residen9al ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor: _ Mechanical system includes Sewer/Water Contractor. Air Conditioning Heat Recovery System Fee: $90.00 rc ' r Phone # Fee: $70,00 -T 1 ! 2 Phone # -------------------------------------------------------------------------------------------------------------------------- I hereby acknowledge 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 Ordinances. Signature of Ap cant - - - -- - ------ - ------ - - ------------ - --------- - - - - - -------- - - - OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 Water Softener _ Water Heater _ No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths OFFICE USE ONLY ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex ? 07 05-plex ? 13 16-plex ? 08 06-plex ? 16 Fireplace ? 09 07-plex ? 17 Garage ? 10 08-plex ? 18 Deck ? 11 10-plex ? 19 Lower Level ? 12 12-plex Plbg_Y or_ N ? 20 Pool ? 21 Porch (3-sea.) ? 22 Porch/Addn. (4-sea.) ? 23 Porch (screened) ? 24 Storm Damage ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi O 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 Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile _ Other 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 Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total -Z N 5 - z.5 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 40 651-681-4675 New Consfrudion Requirements • 3 registered site surveys showing sq. ft of lot, sq. ft. of house; and A roofed areas (20% maximum lot coverage allowed) 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 set of Energy Calculations • 3 copies of Tree Preservation Plant lot platted after 711193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less units) DATE / I -t ) OZ SITE ADD TYPE OF ULTI-FAMILY BLDG Y N FIREPLACE(S) _ 0 - 1 - 2 APPLICANT -Tc?fS1 ler?t . STREETADDRESS -101 (?) blvd CITY STATE_ZIP TELEPHONE # 21514 141%-o CELL PHONE # FAX # PROPERTY OWNER CYIrt a, `l olLenoV vCx1 TELEPHONE# U%k--o --C 3?S COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672 (J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted Energy Envelope Calculations Submitted Plumbing Contractor: Plumbing system includes: Mechanical Contractor. _ Mechanical system includes: Air Conditioning Heat Recovery System Fee: $90.00 Phone # C-===, ,IJ) I r_'' .'Fee;. Sewer/Water Contractor. Phone # ` --------------------------------------------------------------------------------°---------- -- _- I hereby acknowledge that I have read this application, state that the information is correct, and agree to with all applicable State of Minnesota Statutes and City of Eagan Ordinances. I?. Signature of Applic n- . OFFICE USE ONLY Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4/02 Water Softener _ Water Heater No. of Baths Phone # Lawn Sprinkler No. of R.I. Baths Remodelliteoair Requirements • 2 copies of plan • 1 set of Energy Calculations for heated additions • 1 site survey for exterior additions & decks • Indicate if home served by septic system for additions VALUATION 12,000)-OC? OFFICE USE ONLY ? 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 ? 03 01 of-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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous ? 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 Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS - Footings (new bldg) _ Final/C.O. - Footings (deck) _ Final/No C.O. - Footings (addition) _ Plumbing Foundation _ HVAC Drain Tile Other Roof - Ice & Water _ Final _ Pool _ Figs _ Air/Gas Tests Final - Framing _ Siding _ Stucco Stone - - Fireplace - R.I. -Air Test - Final _ _ Windows (new/replacement) Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector PERMIT I 1119/ CITY OF EAGAN 1992 BUILDING PERMIT APPLICATION 681-4675 LEe//?_ "PR 2 9 Reso SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, I set of specifications, I copy of energy talcs. Penalty applies when typing of permit is requested, but not picked up by last working day of month in which re nest is made r lot than a is re nested o ce permit is issued. Date _hPxd._ /2,9 / q2- Valuation of work Site Address: 14-)u ( Lx"k Ln STREET STE / ?2 Tenant Name: PAL, i MA-6Q_ Eyl]r 1??^1 LOT BLOCK SUED Q® / P.[.D. 0 Description of work: The applicant is: Owner ? Contractor ? Other (Describe) Name fV f 1a-; Y oY`n Pip ? Phone LIS Z {24 ci:l Property - LAST FIRST Owner Address 14-)-4 Egc w L_r_ STREET STE / City ?(Q?1 State Zip "Sl d? Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ . Engineer Name Registration # Address City State Zip .Sewer & water licensed plumber 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 Sta a of Minnesota Statutes and City of Eagan Ordinances. D Signature of Applicant: / Urri" Uat UNLT BUILDING PERMIT TYPE ? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish ? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool ? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch ? 04 Multi-fam. T.H. ® 08 Deck ? 12 Comm./Ind. WORK TYPE ,U 31 New ? 32 Addition ? 33 Alterations ? 34 Repair ? 35 Tenant Finish ? 36 Move ? 37 Demolish ? 99 Undefined GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning I of Stories Length Depth APPROVALS Planning Engineering Basement sq. ft. 1st F1. sq. ft. 2nd F1. sq. ft. Sq. Ft. total Footprint Sq. ft. On-site well On-site sewage Building Variance REQUIRED INSPECTIONS ? Site ?I Footing ? Wallboard (1? Final ? Framing ? Draintile T ? Insulation ? Fireplace Permit Fee 2S VeLwtial: Surcharge so Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surchar gge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: s' ? 13 Public Fad. ? 14 Agricultural ? 15 Miscellaneous MWCC System City Water PRV Required Booster Pump Fire Sprinkler Census Code SAC Code Assessments SAC % - I SAC Units Pioneer Ensineerlns 6819488 P. 0.5 PIOIN * eng * ?t 7f 2422 Enterprise Drive Mendota Heights, MN 55120 r4 J612) 681-1914 Certificate of survey forJO$EPP M. MILLER CONS T CO. NORTH cU $9?•L?To,1. Is v ? L5,48-.7 30 01.0 gyb 5 a48.z? . M 1 Ne9 6??3c}-4o1Ib?f ? . ? v wqI ?"1 = V? 9bq." ?14 - 1t n L sl.°? ? ?rl W (0 1A o t) f ? (? -r- o .5.5 ;P1 1 N b wlrr 1 N LA V ?aDF,p A c?7` oS 9dz.Zb µo e,a s f >y xg96 I a - V0 1 f9, s ?S;6 59e SI `. S>, ~ \ C.?1 9PD•0o Denotes fxisfing flevations ?q't I -E2e&D A10W.- ELEVATIONS oo.oo Denotes Proposed Elevotions lowest Floor Elevotion 89h 3a --- - - Denotes Oramo a (/ Pr fy Easement 'q ot'Block f/evolion 894, a? Denotes Drainoge flow z/rrows Dora a Slob Elevahon 818" 7_ o &noleo Monument Beorvn4s shown ore assumed 0 Denolcs of{sef flub LOT It , BLOCS 2 , SYEc?WOOD DOWNS 0010M COUA17y, MINNESOTA Subject to easements ov'record 1 herehy certify that this survey, plan or report v+? s p a ared by me ors uwner y direct supeerv/lslon and that 1 am duly Registered Lad Surveyor kinder the taws of the State of Minnesota. Dated this L3 ?dey of Y ?A.D. 59?. Scale : 1 i^CT4-0-?f Q yQZ06`38 noor MT &/X e. S KICH L5. REG. No. 14091 z-1AN ENGINEERING DV I 14141 1991 BUILDING PERMIT APPLICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS _# OF RENTAL UNITS _# OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT n l? PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE RMIT HAS BEEN C MP ET. PERMIT MUST SHOW A LICENSED PLUMBER. jW 3 1991 ?U{ New Home To Be Used For: Valuation: e? Da 1991 Site Address 1474 Rocky Lane J OFFICE USE O C Y ONLY l J I i Lot 11 Block 2 1 FEES ? ? Occupancy 1Z-3 M- Bldg. Permit b ,00 Zoning '2-I Surcharge r) U, DcD Parcel/Sub Sherwood Downs Actual Const V-N Plan Review Z ,o Allowable V-N SAC, City 00,00 Owner # of stories SAC, MWCC ,DO Length ! s r Water Conn. p, 0 0 Address Depth y2 Water Meter .r 00 S.F. Total Acct. Deposit o,00 City/Zip Code Footprint S.F. S/w Permit o,oo S/W Surcharge 5-D Phone On site sewage_ Treatment Pl. 2q1, On site well Road Unit 73 p,oo Contractor Joseph M Miller Const MWCC System ? Park Ded. 8133 Cedar Av _So city water Trail Ded. Address PRV Copies Booster Pump City/Zip CodeFarmington, Mn 55 024 SUBTOTAL APPROVALS Penalty Phone 1, 3 1_2UUI Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. (p?5 Variance Address City/Zip Code Phone # .\ ? A. ei4 agrees that all work shall be done in accordance with (Sign ure of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. Gi bT p. V16, LLA 10tuo ZG x28 .?'?25? s ` Y6 r2 35x2= ? ST ?ta a2 L6rr1T_ I t'3i k.?3= 5?9?i3 girl - ? 31 ! i 21kS ? r 2. 1K?3? r3 rx? ? ? G 7 f p3 ?I{ l U? of J t d Pioneer Engineering 6819488 P. OS * P1on * englk T 2422 Enterprise Drive Mendota Heights, MN $5120 r/ (612) 681-1914 Certificate of Survey for: JCv Lr-PN M. MWE/-S CONS I . CO. NORTH r? Y y 15,48 30 $g7•o LANE 69i" 5 89 ? Z7 .... M I^ ?i. N !6A ?w 60 3`? i so I - \ 90 ,46% i n" (9p AP \ e5 ON o w1? ?Rµo?3E u I A, S) r -'ti ? o ENGINEERING DEPT rr? r x goo. 00 Denotes E%r5finj flevahons s o?oD Dendes proposed'Elevafions Denotes oramo e 111,11?y Easement Denotes Drninae how xfrrows o Denotes Monument PlggpqrEO Nouss &EVAT1ON5 lowest /'loor 61evohm 830 %'j o?'elock Elevofion 894. a age glob E(evabi In 896.7 Bearinj.q shown are assumed a Denotes a? set flub LOT l , BL OCrl 2 , SNEAIWOOD DOWNS DAKOTA COUNTY, MINNESOTA sobject to eafemenk olnrecord 1 hereby certify that this survey, p6n or report was p?apared by me oyr?undar y direct supervision and that I am duly Registered Land Surveyor dnder the laws of the State of Minnesota. Daated this 22f3?T'day of y 4 YL? A.D. 19 91 ,./ Sca/e 1 he r "l" a?f 9 o7-06138 zzz ROBCAT q, S KICH L.S. REG. fJO14891 af<9Ir? -? o 1- 04 t N 1 ? - 1,.? 9•r".Ip 02 .? t4I t it INlESOTA S'IAIE EuERuY CODE CALCULAIIOi1S DASEIiOii ZUFITEn S'bf 'iu IMEL.Ell ERGY CODE - 193 ED 1T1011 Ad- Ft i Effective 171/Qll'c Phone M-3a3 D a t e__._ Owner 1 ?•• - ~Slte Address O ?+ SLOCA shone Contractor G.Uuplex) _TYfe A2(Resld r ess?,. Dullding Glas56flcatlon: Type Al (Single Family (3 stories o or NOTE: Complete pages 3 and li first. (Other)(Over 3 stories) GEIIGRAL IIlF01U1AT IOII I 1. Dulldlny Perlu,etef ? ? • 2. Wall height (ground t•o eave) 2 34? ft. ), I. x 2. (above) gross wall area 031 , x (w)__ (?j7 Ft.2 roof •c, floor area Ir• Dullding 'Jlmenslons (L) ,• Square foot area of rim joist - Floor Joist size (2 x ) (-? q ft2 5 . % Perimeter ° Rln, ?i st area 1I /- 15m 6, Doors - AI•ed Jhlckness In. U factor ^ ft. Perimeter Type of Constr'uc[(on 1lanufacturer ]. Total door's perimeter r Q, 411ndows: 1lanufacturer l/Vf State approved, .; • U factor AREA (F1.2) IlU11DER OF TOTAL FEET 2 TYPE SIZE EACH UIIITS d 9, Total f(.2 Glass Z % Ti - Ft.2 x 10. Fireplace area;' Slldth % height I x c ° ?? Ft.2 L .-_. _ C ll. Exposed f IlREQU X Plmeter,(?1. 1111111iALLClOUE ALIL041IACE,U11S USED. EItUIE Il?siIG AIIU"DI11LU(IIGS DE 11 EIIIIEREO 1111S FOR" EI ERGY,OIIIEIISTIIAIUITIlED FOR ( ea - 12. ryaill! 119 area lUX of 91-055 lial?r* ft•2 . ??v I Gross wall area>' ?J IJ. 2 U windows ?? U % A ft. NIi1Joa area A L? ) 2' U rim Joist °U-% A • I Z`1 ? ?'? ft. '. ?Y?• . film Joist area ?_- ICJ ft. 2 U door area Door area A 2 U X A I`? 11'L ??tirr10. (,?' ° ft. y! U.> W-eplate• ° L - F4helllace"area A _ 01 LO U X. A =?- 'I(7 ft.2 U fUUllddtiOB' Exposed'fou'ndatlon A ?5 U x A ° ft .2 U framing area I c A??1 I p u x A framiny area U Z A ZIJ (07 t t. wal l ° Ilet wall area A U x ° G I? TOTAL '. '. . . . . . t ° alluvrable U x A/Code 14. Gross wall area x 0.11 (A-1 single family S duplex (13. above) ,x 0.23 (A-2 ocher residential) x 23 (Other buildings) ' x 2O (Over 3 stories) CC zpTUll, 11ust be larger than 133-0 13B above. n? I?>Vj x Utgde.? Il -= ( or tlte,. salve ash .' 15. Gelling framing area (Af) equals 10% of ceiling are.d J ocy ft.2 15A. Gross ceiling area ° (L) l? ft.2 f 150 Joist are5 (Af). 10-' celling area ° ft.2 . f Ilet ceiling area (Ac) (15A - 150) r 15C. ? ° L. I i (A ?7s5 I? T Z x U ceiling x A c" A nli?J x _Ito °. - U framing x A f=, _ 115U. TOTAL' U x A A-1 single family &,duplex - code allowable U x A, . Ce I I Ing area (15A) x,0.026 16 )L 0.033 (A-2 other residential): . x 0:06 (oilier) 0 UII 14ust be larg@r than .•150 (above ,OZCv I b1: (or tll•e. samesas). A is.nx U (end) - . -' • • • i, IIOTE: Use U.and A values obtained fr0m pages 3 and h. CEcRelnl.andlOll,at I lneLeby certify that I have mcalcuoutexceeds "U" factors and 11" val Energy Conservatlon Act. Signature Dale -L ..?1?A1= - ........... _ 115xC z? z?......_ I ......... _ , -lox co I - ._. _.. _ --°.-•------- o ? - 'It I fir'' ?ICItAI 1110 ? ?I CEhLll10 1111, Film U.OI ??1..00 9(p, lnsu?aNan ?j_ G •? Joist , ,?(D Ceiling / p_ -- All- [11111 U.G1 •1oto1 R 1 o l 07 ? U = R a ZU a ?hn : [LAI moo t)Il millunAL CE1L1110 R VALUE: V Valise CEILIIE litsIde Alt' M111 U.611 Cull Ill Joist blia) "--- Insulation ' All- spacd huof decking Insulation Uulit-up roar uutside dlr HIM 1.11 '"?' total h . iludoN Inllllrallon 5 clmlllueal lout of crack lesldentlal door Inflltratlon 0.5 crm/square loot or door and minimum code re(julrement': fou-l esidpntlal duorjn1III;v3t.lou It-0 c(m/lineal loot at crack 12°'toncrete block no (nsulatlon a ,41 It 2.1 1l: Jb 12i1 toncr.eLe.block Insulated cores a .26 it :]2 It 3. lb 12" 11911twelght block ` Jb 12'1 Ilghluelght block Insulated'cores :12 n a,J ' 1 011g1i! glass = 1.13; wILh storm wIndoa .54 1 double glass - .55 J triple glass = .41 , 111 dxlprior [:ails '110 callings must, leave 1 v? )or barrier (0.10 perm m"J lapor barrier must be on the inside (heated s de) of wall: Iapor barriers of the palyelheNne thin (I1m hale no It value. CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT PHONE; (612) 454-8100 RECEIPT ..... DATE: PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS: LOT: P_ BLOCK oZ SUBD. INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount, MN ZIP: 55068 T':ONE #: _ (612) 423-1144 c(at?5 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK SUBD. INSTALLER: ADDRESS: CITY: PHONE FOR: ZIP: FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: COMPLETE THE FOLLOWING: N0. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 -ter WATER CLOSET 3.00 BATH TUB 3.00 ?r LAVATORY 3.00 _ KITCHEN SINK 3.00 LAUNDRY TRAY 3.00 _a_ HOT TUB/SPA 3.00 WATER HEATER 3.00 FLOOR DRAIN 3.00 GAS PIPING OUT. (MINIMUM - 1) 3.00 : v ROUGH OPENINGS 1.50 _ OTHER _ WATER SOFTENER 5.00 PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ y% S ST. SURCHARGE .50 TOTAL: $ (SIGNATURE) CITY OF EAGAN CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN MN 55122 PHONE: (612) 454-8100 990"Ag" ADD-ON MINIMUM HVAC 0-100 M BTU ADDITIONAL 50 M BTU GAS OUTLETS - MINIMUM OF 1 PER PERMIT ?tESIDENTIAL` PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE , FAMILY TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ------------------------------------------ WORK DESCRIPTION FEES NEW CONST ADD ON REPAIR _ OWNER NAME: SITE ADDRESS: LOT: INSTALLER: \_NZ` y\ i 0 Q-:) 1 \ c-- V-A \ ( ADDRESS:?O• 9 o"? CITY: v?ZIP: PHONE #: SIGNATURE OF PERMITTEE DWELLINGS & $15.00 24.00 6.00 3.00 $ 36.x© .50 $.'? COMMERCIAI/INDUST RIAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/ INDUSTRIAL BUILDINGS, APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. ------------- CONTRACT PRICE: OWNER NAME: SITE ADDRESS: LOT: BLOCK _ SUBD. INSTALLER: ADDRESS: CITY: ZIP: PHONE #: FOR: SUBTOTAL: STATE SURCHARGE: `'\ S TOTAL: FOR CITY USE ONLY PERMIT RECEIPT #?- DATE: 9 FEES 18 OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. PROCESSED PIPING = $25.00 $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE TOTAL: (SIGNATURE) CITY OF EAGAN ?yF rR ?Sk?Xcrk?yh 5k?#X<%c?? kc?C7Kk??XC 7kM?kSkXUk r%5krK5K5k%? rk?5k5k CITY OF EAGAN CAStflERe S TERMINAL NO: 39 DATP 06/27/97 TIME: 0:0008 ID. NOME.,, DOUGLAS I7 MCF'ARLANTj 3210 90DI 1474 ROCKY LANE 50.00 205 9001 1474 ROCKY LANE 0.50 Total Receipt, Amount-, 50.50 CRO76398 USER II: NANCY r%k? 5Y?X ?:'t m rk'?k'X•:Ic k? ? Xe ? r k Y,t ?>k kc ?C>k Xt %k ? rk?k %? ? X? X? 5e rk :,' c vt # w XbX PERMIT CITYOF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT TYPE: Permit Number: Date Issued: BUILDING 030328 06/26/07 SITE ADDRESS: 1474 ROCKY LANE LOT: 11 BLOCK: 2 SHERWOOD DOWNS P.I.N.: 10-67670-110-02 DESCRIPTION: er•mit Type kn? Yype DECK NEW 434 ALT. RESIDENTIAL T$ s s a r ?s REMARKS: FEE SUMMARY- Base Fee $:50.00 Surcharge 00 Total Fee X50.50 CONTRACTOR: OWNER: - Applicant - ti MCFARLAND DOUGLAS ` 1474 ROCKY LANE EAGAN MN (612)688-24A5 Z hereby a't? K"o0,4)1, 4 h1q- ,eve reams " 1 ,:. e toss vk"'0 :faire t1 of t ref zr€? s tz is o rr ,a'+id. _ la to lq?q 'y Vi Statutes a ?. ? APPLICANT ERMITEE SIGNATURE ISSUED : SIGNATURE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD - 66122 681-4675 ? 3 registered site surveys ? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 1 energy calculations ? 3 copies of tree preservation plan if lot platted after 711/93 required: _ Yes _ No 97 N DATE: P L CONSTRUCTION COST: DESCRIPTION OF WORK: / 1 X STREET ADDRESS: l ` LOT I I BLOCK SUBD./P.I.D. #: PROPERTY Name: Ia6 ?D Phone #: OWNER Street Address:/ 7(4 e, y ?AJ kxk tVc-3 36D City: State: CONTRACTOR Address: City: - State: ARCHITECT/ ENGINEER Street City: State: Sewer & water licensed plumber (new construction only): and lot change are requested once permit is issued. I hereby acknowledge that I have read this application and state that the informabo6 is State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required SenodeUBugEICHagullagut? ? 2 copies of plan ,/ ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions r Zip: ;; i / 2 z Phone #: License #: Zip: Phone * Zip: change with pil applicable RECEIVED JUN 2 4 1997 BY: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? 33 Alterations 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit SAN Permit SAN Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: ? 11 Apt./Lodging ? 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory o 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous Deck ? 36 Move ? 37 Demolition Basement sq. ft. MC/WS System Main level sq. ft. City Water sq. ft. Fire Sprinklered sq. ft. PRV sq. ft. Booster Pump sq. ft. Census Code. Footprint sq. ft. SAC Code ?( L Census Bldg Census Unit _ 0 Building Engineering Variance Valuation: $ % SAC SAC Units * pion * engir 2422 Enterprise Drive Mendota Heights, MN 55120 LANE Certificate of Survey for:JOSCP1"7 114 114IZ4EK CONST CO. NORTH O?`r Q'bo03q . 4" .`"7 04? J d x7 ? ? ? 9?o at oYO a,°ia rI to r o w 1-,. ? 4 Q' bq'?•L'F •A ?z^ q5?t . DQpyro • \ ? s,.o ?aHpaS >n P 98 ...,°tFe qtr 5/..yY ---, t5.4S x 5- z g98•z`? ? .. , B9°?Z' 39'"LtJ !6A N _ •6 ? S( y? ? o ??LK 9a49 L ? 06Z,Z(O, (612) 681-1914 Q s 3a ? ? `! b`?' 1 ?9 w`? t- s SX rl?+ ? +900.00 Denotes £xisfrng Elevations oo.oo Denotes Draposed ?levaf+bns ----- -- prnolcs Drolrro e {'Uldily £a9emenf Denotes Drain ge Flow 14rrows o Denolo Monument Bearmis Shown are avivema+ G IA.I't ENGINEERING DE! '3 COOP QQJ?V,SED ktUSE &ENAVON5 lowest Apor f(evahl n 83o dip o^8/pck f/evol(on 894. a Garaile S/ad E(evahon 8,78.7_ o Deno{es a 5ef flub LOT /I I BLOCtl 2 SNERWOOO DOWNS OA!!Or,4 COUNryr MINNESOTA 5ubj e& to easements o?'record 1 hereby certify that this survey, plan or report vras prrred by ma pr under y direct wpervislon and that 1 am duly f4gistered Land Surveyor under the 1e or the State of Minnesota. Dated this Zji z Jay of Q A. b. 19 / 2 Scale 1 f^? = 4?f?f goZ06.38 041 / ?r noarNT 9. 5 xlcH L.S. nE0. NO. 14091 vac DLUC or t3LAl:K InK I For Office Use Permit 3 City of EanoR I Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: Phone: (651) 675-5675 j Staff: Fax: (651) 675-5694 L _________________I 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: S' LS Site Address: N~7 / 1 / R L, k u , Tenant: r Suite Resident/Own.. Name: Phone: Address / City / Zip: Name: p r U>O- L s P1\AVW6%,n, License Won ?h-N Contractor Address: 11g~~~ !R1^~,,~ 5eyort - ~j PLO City: ~ry~uy State: Y4\lr\. Zip: S 52~03 Phone: U a Q ga Otpq Contact: -~O-Q yy\r (W rv&,. ( Email: ~ % h ` v a k o. cow\ Type of Work - New V "'Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater I Water Softener Permit Type Lawn Irrigation L- RPZ PVB) Add Plumbing Fixtures Main / Lower Level) Septic System New Water Turnaround Abandonment 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 $ 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. C x- op "6yiY,%CK x Ov J Applicant's Printed Name Appli nt's Signature FOR OFFICE USE Reviewed By: Date: Required Inspections:: Under Ground ___Rough-in ___Air-Test - Gas Test_ Final---- CityofEaan 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 #: 1 a00443 Permit Fee: tQ S a S Date Received: I l i 3 if Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: J ��'� Site Address: Contractor /V7y /Zai /1) Unit #: J Name: Phone: Address / City / Zip: /V7`/ XcieY GA/ Applicant is: Owner i/ Contractor Description of work: Construction Cost: Multi -Family Building: (Yes / No ) Company: .577/VV Cf- b-x!'4E." Contact: J Address: TP6 /'l,•✓•'& $T1 f e S' City: Ye:gm • u / ! State: /77,V Zip: SVD SPhone: 6 57 Z = n-84 License #: 'c J333 Io 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: 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 the 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.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. 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 iii;765 �rosn.✓ x Applicant's Printed Name Applicant's,: ignature Page 1 of 3 City of EaQaR 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use �(, ca Permit #: " ` f�DLi Permit Fee: Date Received: Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Contractor Name: J die_. Vo..% Address / City / Zip: %y IZ7 /20c*, Applicant is: Owner .V Contractor Unit #: J Phone: Description of work: 1,,9.1--1 a v S /12o Construction Cost: Multi -Family Building: (Yes / No k ) Company: Address: c%/4 SY3 Contact: ? //tib State: M/1/ Zip: C 5 3 -?- city: S`--" Z- �/ 3 D License #: Lead Certificate #: gc G 5 C 7S> 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: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: 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 the 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.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. plicant's Printed Name Applicant's Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA123289 Date Issued:06/03/2014 Permit Category:ePermit Site Address: 1474 Rocky Lane Lot:11 Block: 2 Addition: Sherwood Downs PID:10-67670-02-110 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Scott Follese 5182 West Broadway Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Steven T Yokanovich 1474 Rocky Lane Eagan MN 55122 Golden Valley Heating & Air 5182 West Broadway Crystal MN 55429 (763) 535-2000 Applicant/Permitee: Signature Issued By: Signature For Office Use % Permit#: fi , �_ '!. EAGAISECEIVE Permit Fee: MAY Date Received: ���/✓`�' 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 MAY 2 1 2020 (651)675-56751 TDD:(651)454-8535 I FAX:(651)675-5 G Staff: buildinginspectionsecitvofeagan.com BY: -----j 2020 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �/9'z-° Site Address: / 117 I A?'ock/ La plC - Unit#: Name: u Si e aidCh( S J/ytaLYae0104(cAphone: 12-- (� � Resident/ /`/79' g �l �l Owner Address!city!zip: 7 "� CjC Applicant is: y Owner Contractor 411 Type of Work Description of work: Replace deck " i i l�Gt� t-5-1i1 ���. k Construction Cost: Cr.)O Multi-Family Building:(Yes_I Nod( ) Company: Contact: Contractor Address: City: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: 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-public if you provide specific reasons that would permit the City to conclude that they 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.citvofeaaan.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.aopherstateonecalLorq 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 th- •%rk will be in accordance with the approved plan in the case of work which requires a review and approval of pla cl-,e. e 10 key-t Applicant's Printed Name Applicant's Signat e L / / / 7/ /7qôcV 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family) Single Family Garage _ Porch(4-Season) Exterior Alteration(Multi) _ Multi X 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 7 Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window Water Damage Retaining Wall *Demolition of entire building—c ve PCA handout to applicant DESCRIPTION Valuation #5, /47e,00 Occupancy :C 1 MCES S. stem Plan Review A Code Edition•aee0 t,t' 26_ SAC Uni' (25%_100% ) Zoning ' / City Watt • Census Code Stories Booster Pimp #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction v`( Width REQUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) X Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood Roof:_Ice&Water _Final Pool: Footings Air/Gas Tests Final Framing 30 Minutes_1 Hour Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco Lath _Stone La, , _Brick_EFIS Insulation Windows Sheathing Retaining Wall:_Footings_Baci ill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In Fir it Braced Walls Erosion Control Shower Pan Other: --,„---- Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee IJLG (o' Surcharge Plan ReviewL L 4/j, 0 c 2 % ( /6 0. Co)MCES SAC 5-r X City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant Radio Meter Read Copies TOTAL Page 2 of 3