1482 Rocky LaneCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA098079
Date Issued: 02/24/2011
Permit Category: ePermit
Site Address: 1482 Rocky Lane
Lot: 9 Block: 2 Addition: Sherwood Downs
PID: 10-67670-090-02
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Scott R Malm
1482 Rocky Lane
Eagan MN 55122--380
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
- 3830 Pilot
BUILDING PERMIT
Tn ha umrr Mr SF DMG/GAR
CITY OF EAGAN *10 18550
oad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
ress 146j u«.ILx 10IR
Site Ad
g
SHZRVM BMW
Lot Block Sec/Sub OFFICE USE ONLY
. R_3
Parcel No. Occupancy _?1 FEES
JOE KILLER HOW Zoning TN 664
00
Name (Actual) Const Bldg. Permit .
W
18133 CEDAR A
1
? Address (Allowable) S
char
e 53'50
g
ur
City Phone # of Stories 6e 432.04
? Plan Review
SAM Length
4
100
00
p Name Depth City
SAC .
t
0¢ Address S.F. Total . 600.00
SAC, MCWCC
City Phone S.F. Footprints 625.00
Water Conn
On Site Sewage
W Name On Site Well -
- Water Meter
00
?'
E Address MWCC System ? 30.00
00
i W
City Phone
' City Water Acct. Deposit
30
00
SNV Per
it .
PRV Required - m
I hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge .50
information is correct and agree to compl with all applicable State of 252.00
Minnesota Statutes and City f Eagan rdl nces. Treatment PI
APPROVALS
355.00
Signature of Permitee
? Road Unit
JO8 itfILLaIR Bons Planner
A Building Permit is issued to: 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. Off. Copies
3
00
232
f "' s M
Building Official }
Variance
TOTAL .
,I
.
4
I
Permit No. Permit Holder Date Telephone 8
WATER +a:
SEWER
PLUMBING ?x G!J
H.VA.C. ._ t, 1J ///lP iO
ELECTRIC
Inspection Date Insp. Comments
Footings I ?l flk? &-)
Foundation
Framing Z'
Roofing
Rough Plbg.
I
AP /
G
l- - ® 1-7
Rough Hlg.
Isul. - -
Fireplace
Final Mg. -s-
Final Pibg. - 7
Cont. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Final Z - Z . 9
Deck Fig.
Deck Final
Well
Pr. Disp.
1
v • w
(gutiftratt of (Orrupartry
Citp of eagan
lrpwbum of WwlwVq 3Mptrum><
This Certficate issued pursuant to the requirements of Section 306 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 conm ucdon or use For the following:
Me CwnMeltion SF DWG/GAR Bldg. Pka A No. 18550
7?pe R3JM1 ZbcWg Dimia RI T?PCow VN
FA1 ?1V
OVM" of smog JOE NMM HaSS Add. 18 M aMM AVE S.
1482 R[l LANE I9, B2, SfMM DOW
l 12. 1991
11' I of ? 11
POST IN A CONSPICUOUS PLACE
qwc'v+..yl"7.-._wc n,.
PLUMBING PERMIT
CITY OF EAGAN
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122
PRICE PHONE 454-8100
Site Address
Lot ? Block
City
COMMAND. FEE - 1% OF
APT. BLDGS. - COMM. RA
BLDG. TYPE /
Res. I?
Mult.
Comm.
Other
For
PERMIT # -
RECEIPT #
DATE: A
o-- NO,., FIXTURES
Ol Water Closet - $3.00
/ Bath Tubs - $3.00
Lavatory - $3.00
'hone / Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
FEE Floor Drains - $1.50
Water Heater - $1.50
MINIMUM - RESIDENTIAL FEE $119
MINIMUM - COMM.IND./FEE $2(
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
THE
Lv TOTAL
$ E77
Gas Piping Outlets - $1.50 / S
(MINIMUM - 1 PER PERMIT-NEW CONST.)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50Y
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C: ' SV
GRAND TOTAL: • S U
CITY OF EAGAN,-,
3830 PILOT KNOB ROAD, EAGAN, MN 55122
DATE PHONE 454-8100
Site Addres
Lot Block c
L Name
Address v,
c City
Tv
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
Y?A BTU
M BTU
M BTU
tzs M BTU
CFM
CommAnd. Contract Price x 1%
PERMIT FEI
PERMIT # -
RECEIPT #
DATE: _
BLDG. TYPE WORK DESCRIPTION
Res. New Const._&-
Mult. Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON S
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MINIMUM - 1 PER PERMIT-
NEW CONST.) - 1.50EA.
COMMIIND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 SIC PER EACH $1000.00 OF PERMIT FEE)
?---
ss.?,:
r SEWER &'WIATER PERMIT
CITY bFrAdAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE Nov. 8.'"1990
OFFICE USE ONLY
METER # PERMIT DATE 111191"'
CHIP # PERMIT # 11729
METER SIZE B.P. RECEIPT # C 11114
ISSUE DATE B.P. RECEIPT DATE 11 6 90
- PRV _ BOOSTER PUMP
SITE ADDRESS 14 1 Z o c k y. i. - u e
LOT 9 BLOCK ' SEC/SUB Sharwond Doti.+a
APPLICANT:.
ADDRESS:-
CITY, STATE
PHONE:
ZIP
PLUMBER: Gees-Ryam FluabinK
ADDRESS: 14745 S. Robert Tr.
CITY, STATE itosamount, MN Zip 55068
PHONE: 423-1144
OWNER: -Tea Millar Rome•
ADDRESS: 119133 C e d„r A V e q-
CITY, STATE FATMintton, MN ZIP S5074
PHONE:
PERMIT REQUESTED
SEWER WATER _ TAPS
COMMIIND X RESIDENTIAL
I NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Cr ' WILL NOT be given for Deduct Meters.
1 AGREE TO COMPLY WITH CITY OF
EAG4N ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER &'WATER PERMIT
CITY OF EICGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE Nov. 8- 1990
1 OFFICE USE ONLY
METER # ??// `f 4 a a g / PERMIT DATE 1 15
CHIP # 616 3996 Y5- PERMIT # 11729
METER SIZE -5A 12 ECK B.P. RECEIPT # C.11114
ISSUE DATE f - 10-7/ B.P. RECEIPT DATE Z 16 ??
PRV -BOOSTER PUMP
SITE ADDRESS 1492 R a- k y I. a n e
LOT 9 BLOCK-SEC/SUB ShRrwnnA Dmmj3a
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE:
ZIP
PLUMBER: Gens-Ryan Plumbing
ADDRESS: 14745 S. Robert Tr.
CITY, STATE Rosemount. MN Zip 55068
PHONE: 4 2 3 -- 1 - "!4
PERMIT REQUESTED
X SEWER IWATER -TAPS
COMM/IND RESIDENTIAL
NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Creoi?WILL NOT be given for Deduct Meters.
TO COMPLY WITH CITY OF
OWNER: -Tne ;Mil ler HGma a CAUr'S vnNlll
ADDRIrSS: 18 1 31 C P A a r AYe g,
CITY, STATE Farmington MN ZIP 95024
PHONE: 4!41 9A "i SIGNATURE WHEN
PLEASE ALLOW TWO WORKING DAYS FOR PROCES IN1G. CALL 454-5220 FOR INSPE
SEWER PERMITS, CONTACT ENGINEERING DEPT.
FOR STORM
7 AM
Date Time A0 5 A PM
WHILE YOU WERE OUT
X3411-
M
of
Phone C)
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU URGENT
RETURNED YOUR CALL
Mssage /
,.rW I
Ad
Operator
AMPAD REORDER
O r EFFICIENCY® #23.006
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
I !f ' - Il
--
Mr / ,
FUND r fu
sy_
.C 11114
vowe- 412"s OW
Yew--fts" co"
Pb*--FV cam
RESIDENTIAL
BUILDING PERMIT APPLICATION
1-q7 5 CITY OF EAGAN '7O O0
3830 PILOT KNOB RD - 55122
651-681-4675
New Construction Requirements RemodellReoairReguirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; ancall roofed areas 2 copies of plan
(20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) 1 site survey for exterior additions & decks
• 1 set of Energy Calculations Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE ` 3 - D / VALU91ON
JOB SITE ADDRESS ?`f ka ?c?Y Awl
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER Sco-P lWalr?i
TYPE OF WORK_2
APPLICANT
ADDRESS
PAGER #
FIREPLACE(S) - 0 2
PHONE# 60& ?SaFt?ao3?/
CODE ? 37W
3?9 69-3q FAX # 952 So g' F,96-
2-NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
1 Workshee nn M
(check one) Residential Ventilation Category ed
D I? I I U
Energy Envelope Calculations Submitt
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted f t
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor: _
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
comply
I hereby acknowledge that I have read this application, state that the information is correct, andagree to
with all applicable State of Minnesota Statutes and City of Eagan =-L4GZ:)
Signature of Applicant Certificates of Survey Received Tree Preservation Plan Received - Not Required
Updated 1101
uJe/ l-eve/ Frh
l3yt..
CELL PHONE #
Water Softener _
Water Heater _
No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Baths
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 PlbgXY 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
A 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Dad au
Valuation Occupancy MC/ES System
Census Code y3 y 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)
Footings (addition) _
Foundation
Drain Tile
Roof _ Ice & Water Final
Framing
Fireplace X R.I. X Air Test Final
Insulation
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
Final/No C.O.
Plumbing
HVAC
_ Other
Pool _ Ftgs _ Air/Gas Tests -Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By
--------------------------------------------------------- Building Inspector
-----------------------
/ w EA L&vEL !' r?vl S H
?1 ' C/ U
Address: 1482 R(Y,1CY LANE Lot 9 Blk 2 Sec/Sub SHOD DMS
These items were/were not complete at the time of the final inspection.
DALE: FEBRUARY 12, 1991 Yes No INSPECTDR:
Final grade (6" from siding) L/
Permanent steps - garage 1I-I
Permanent steps - main entry 1e?
Permanent driveway
Permanent gas v
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.
White - City copy Yellow - Resident copy Pink - Contractor copy
CITY OF EAGAN NO 18550
3830 Pilot Knob Road, P.O. Box 21-1 99, Eagan, MN 55121
PHONE: 454-810 0
/,1 4
BUILDING PERMIT Receipt # l=
i w
To be used for SF DWG/GAR Est. Value $107,000 Date NOV 16 , 192Q-
Site Address 1482 ROCKY LN
Lot 9 Block 2 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY
Parcel No. Occupancy R-3-M-1 FEES
R-1
Zoning
W Name JOE MILLER HOMES (Actual) Const V-N Bldg. Permit CFA _ nn
Address 18133 CEDAR AVE S (Allowable) V-N e 53.50
Surchar
City FARMINGTON Phone 431-2001 # of Stories g
4
74' 32.00
Plan Review
Length
c Name SAME Depth 391 SAC, City 100.00
u< Address S.F. Total 600
00
.
SAC, MCWCC
City Phone S.F. Footprints
Water Conn 625.00
On Site Sewage
Ww Name On Site Well Water Meter 90-00
z- Address MWCC System
30
0
v
a
City Phone
City Water Y .
0
Acct. Deposit
nn
SAN Permit 'An
PRV Required _ _
I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge Rn
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City I Eagan O . ances. Treatment PI 252.00
Signature of Permitee '?...1 APPROVALS
0
Road Unit 355.0
A Building Permit is issued to: JOE MILLER HOMES 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. Off, Copies
Building Official &tn ? AL?A• ? I'? Variance
0
TOTAL 3,232.0
RE: 1482 ROCKY LN
DATE: NOV 19, 1990
(JOE MILLER HOMES)
X 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.
1111R4119 ? REQUEST FOR ELECTRICAL INSPECTION °S $ ?ay?a?
f? See instructor for completing this form on back of yellow copy. ?.' ?f
It'll 3 91 1 6 `X" Below Work Covered by This Request d 0
e Add Rep. Type of Building Appliances Wired Equipment Wired
R Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./industrial ' Furnace
Farm Air Conditioner
Other (specify) Contractors Remarks:
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 010 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps 0 Amps
Signs Inspectors use only: TOTAL
Irrigation Booms 5
Special Inspection
Alarm/Communication - THIS INSTALLATION MAY BE OR D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS. -
I, the Electrical Inspector, hereby Rough-in Date y
/'~
certify that the above inspection has
been made. RFlreI .. , oely
pry
OFFICE USE ONLY -
This request mid 18 months from
AoZ
H
39116 ? "
Request Data Fm No. Roughin Inspection
q ?
? Ready N. will Natty Inspector
12119190 yes ? No m Reedy?
icensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Street. Box or Route No.) City
1482 /lock Lane Eagan
Section No.
Townslup Name or W.
Range No.
County
I [Dakota
Occupant(PRINT) Phone No. '
aoQ mi.QQe2 Kome6 431-2001
Power Supplier Address
!Dakota U,2ciLic faitmirLgioyz, ON 55024
Electrical Contractor (Company Name) Confers a License No.
Midland £kect/tic Inc. 041610
Mailing Add." (Contractor o, Owner Making Installation)
14055 Gzand Ave So, Suite £, Bazn6vi2ee, PIN 55337
Authorii COMrectorA7wner Making Inalelle ) Phone Number
892-6688
MINNESOTA STATE BOARD OF ELECTRICITY' - - THIS INSPECTION REQUEST WILL NOT
GrlgprMbwry Bldg. - Room 5-177' - BE ACCEPTED BY THE STATE BOARD
1521 Unlvera5y Aw., St. PaW, MN 55104 - UNLESS PROPER INSPECTION FEE IS
P w (512) 542-COW ENCLOSED.
PERMIT#
RECEIPT DATE: 0 /')'V U
USIDENTIALL PLLWINGH PERMU APP11CATION
C" OP I AeM
S$SO PD.OT KNOB RD
KAGM, MN 55121
651-6$1-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET fnDf?R"ESS
CITY: ?In
Place a check mark next to the permit work type
5c_;0tf MAIM
TELEPHONE M
(AREA CODE)
New residential dwelling unit under construction and not owner/occupied $ 90.00
_ Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work:
?nr.Sh
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge .50
$
T
l
t `
$ 56
o
a
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-w/ya/ylleeasement.
SIGNA URE OF PERMITTEE
? single family dwellings
? townhomes and condos when permits are required for each unit
backflow preventer for irrigation system
)a
Updated 1101
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 ?% ( 0 ? V
651-681-4675 n, (p?.,,,, , I
ewConstruction Reaulremenh GV 13?S?I?D Remodel/RegoirReauirem-ats
> 3 registered site surveys showing sq. & of lot, sq. ft. of house 2 copies of plan
and SSM roofed areas (2096 maximum lot coverage allowed) -7 (j- G U 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sizes; poured fnd. design: etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
> 3 copies of free preservation plan If tot plafted after 7/1/93
s?a
DATE: - R - fJ C? CONSTRUCTION COST:
DESCRIPTION OF WORK: a X I ?e
STREET ADDRESS: I q Ro C- ky
LOT: l BLOCK: SUBD./P.I.D. #: S t' 1-e V W CTU (?J N) W a S
PROPERTY
OWNER
Name: r a, I ',Y\ Phone C
Last First
Street
I`i(? Z KoC, ky
City -6'`1°`0'\ State: fW A) Zip: f5 1 k a
Company: 1?ra gs w &04. c Phone#: 9?a 3b9 68 3
(area code)
CONTRACTOR Street Address: Lf I ? 46 ?-O' I3ytk- 5T ut:ense # a0 n ro13 F,(p. moo /
City 's State: Zip: 3
ARCHITECT/
ENGINEER
Telephone #: ( )
Name:
Registration #: _
Zip:
Sheet
City / State:
Sewertwater licensed plumber
I hereby acknowledge that I have read this application, state that the
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Phone #: (
correct, and agree to comply
Certificates of Survey Received - Yes No .,C 9
Tree Preservation Plan Received - Yes No Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex
? 02 SF Dwelling ? 08 06-piex
? 03 01 of _ piex ? 09 07-piex
? 04 02-piex ? 10 08-piex
? 05 03-plex ? 11 10-piex
? 06 04-piex ? 12 12-piex
WORK TYPE
IM 31 New
? 32 Addition
? 33 Alteration
? 34 Repair
? 13 16-plex ?
? 17 Garage ?
6a 18 Deck ?
? 19 Lower Level ?
Plbg Yor-N ?
? 20 Pool ?
21 Porch (3-sea.)
22 Porch/Addn.(4-sea.)
23 Porch (screened)
24 Storm Damage
25 Miscellaneous
30 Accessory Bldg.
? 36 Move Bldg. ? 43 Reroof
? 37 Demolish (Bldg)* ? 44 Siding
? 38 Demolish (Interior) ? 45 Fire Repair
? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code 0
No. of Units
No. of Buildings
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning _
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
Building Engineering
Valuation:
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
A 0,0
? 31 Ext. Aft - Multi
? 33 Ext. Aft - SF
? 36 Multi
SAC Units
% SAC
*Pill
* Qngir
Certificate of Survey
2427 Enserpi'ise Drive
Mendota Heights, MN 55720
(6121681-1914
M. MILLER CoNST. +
4.
?.
. NORTH
?. ?:..: /9!y 24 EP
j•7.° -?O,oy tut
a D 61. _ t a y¢.13 a It sir . I . N,
lip
l 4 _ rr.73 V+ a 1<9.
23 b Ile
'
r N. ..+'Sy:4
30.0 9
,7.000„E.
Jill
5 r
Ilk 0
r-300.00 Denotes txi5fing Elevations P£taE3zfJ? A-W$& 44EXATiF _
• _00.04 Denotes Droposed Elevations Lowest Fieor Elevah;7n 876 13
Denotes Drama a U/itif?Y Easement rep oe^8lock i5il lon 879,.66 .
Denotes Drains a Ftow Arrows Garile f66 Elevation g7f,3A
o Denotes Mw7unt
&UHIS shown are assumed o Denotes o, set !tub
LOT 9 , BLoCAl. Z , SNFRwaoo DOWA15
NAM COUA/ry, MINNESOTA •1+ 5objW to easemilroh of"record
t hereby certity that this survey, plan or report was prepared by ril under my direct supervision and that 1 am duly Reptstared Lama surveil
under the taws of the State of Mlnnawte. Dated thls ?r day of IYO& A.D. 18` P, /7i
Scale 1'^ I: 404 e?
-fo Ee*'36
I _I
R550
1990 BUILDING PERMIT APPLICATION
CITY OF FAGAN
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 WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: Valuation
Site Address 148a Lch
Lot 9 Block
Parcel/Sub4 " MA k ml)-An
Owner
Address
City/Zip Code
Phone
Contractor a
Address 1
City/Zip Code
110V 9 RECD ?X1 Q o-
/071,000- bbODate: I ` U ` 1
OFFICE USE ONL
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage
On site well
MWCC System
City water
PRV
Booster Pump
K-3 M-1
V- N
v-N
39'
?h I APPROVALS
Phone Planner
Council
Arch./Engr. Bldg. Off. i I,5r
Variance
Address
City/Zip Code
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
JS
66q.0
53Z
432, 0o
J00,00
,oa
6? a
ia0
30,00
30,0
sya
160
252,00
356,00
-3x2oD-
Phone #
1: i
GAR A,6vE
z2 K ?z = z.q
z4 xzo? 480
G 1? Z = Cl 2)
I?SSM 7
?Z X33= 138
Z x 1,5 : 3 0
Cl -= 403)
HousE
I b Z.
VALuA?IOtJ
10,01 80
1455 x 14 = Zo, 370
7-x« = Zo
SSM-r = )455-
r7 -75 xst=
S?
?d6S'7S
T.T
* Pran
* engtn
2422 Enterpeiss Drive '
Mendota Heights, MN 55120
(612) 681.1914
JOSEPH M. MILLER CONS T. CO.
Certificate of Survey for:
NORTH
aoD ?
A.
' i
Q
}
i
??y1
Y]`JyN
?
9 WSSIO
u,
1 8x ?
,, ?'. ex 85.07
ti
B o
M
92,7-0
1iSc?tcm ????
EA ENGIR
d
DEPT
r 300, 00 Denotes Exisfing Elevations PROPn M PWSjE EftEIAT[ONS
f oo.ao Denoles Phr posed Flevalr'ons Lowtst door Elevation 8746.3-3
- Denotes oralna e l/AM?y Easement 7-op Block clevollon 97V,M
Denoles Drain e f-low ;brows role 5Y7b Elw?ofion 97f--33'
0 Denoles Monunt
6earils shown ore assumed ? nenofcs 0MCI Nub
LOT 9 , BLOCLI 2-- , 5i1- NWOO4 DsOWN5
D4(M COI/N7y1 M/NA/, S50M n Subject to easemcnh of'record
I hereby certify that tbis survey, plan Or report was prepared by, nlfx, under my direct sup/e?rv,{l'S1ion and that 1 em duly Registered Lard Sumybr
under the laws of the State of Minnesota, Dated this-494 day of .^?.?.. A.D. 1901E
SCa/e : 1 mch : 404 eel ,
'foZgS •J?S A086RT 8. SIKICH L5. REG. NO.30891
1 *'°
1 ?
i F4-0 ? 2a
MINNESOTA STATE ENERGY CODE CALCULATIONS q0_ 74 7
BASED ON CHAPTERS OF THE
MODEL ENERGY CODE`- 1983 EDITION
Owner
Site Addre
Contractor
#121/4
Adoption Effec ve
Phone Date'
Building Classification: Type Al (Single Family E Duplex)*^_Type A2(Resldentla0
(3 stories or less
NOTE: Complete pages 3 and 4 first. (Other) (Over 3 stories)
GENERAL INFORMATION
1. Building Perimeter Ste, CDO?? ??"
2. Wall height (ground to eave) ft. ,
2
3. 1. x 2. (above) gross wall area t..
4. Building dimensions (L) X (W) mft.2 roof 6 floor area
5
6
7
8
Square-;foot area of rim joist - Floor joist size (2 x CJ s ) /?/i :ft2
1 X Perimeter Rim oist area
12
Doors - Area
Thickness In. U factor
Type of Construction Perimeter ft.
Manufacturer
Total door's perimeter ft.
Windows: Manufacturer
U factor ?f
TYPE SIZE
S5?"b I,UO2K, !!7-y r
AREA (Ft.2)
EACH
i
State approved
NUMBER OF TOTAL FtET 2
UNITS
9. Total ft.2 Glass
10. Fireplace area: Width X height X Ft.Z
11. Exposed foundation; Height X!Perlmeter 1X I Ft'Z
COMPLETION OF THIS FORM IS REQUIRED FUR ALL C A TR ON, MAJOR RE- MODELING AND BUILDINGS BEit
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
12
13
14
15
ISA_.
Framing area - 10% of gross wall area
Gross wall area
window area A Z`J'7 ft.2
2
S
Rim joist area ft.
A I`T
Dgor area A 2,
3 ft. .
/
-F+ area ,{
A ft.2
Exposed founda tion A ft.2
2
Framing area A
•
7. 61 q we ft
Net wall area A ft.
ft.2
U,windows = r U X' A =_ 119
U rim joist = ,Dd iI U x A a 5
U door area U .x A =_ 7,
U fireplace U'x A
U foundation = , D1 V U,x A =
U framing area = 0S U x A=
Uwall = 7 UxA Z.
(13B), TOTAL . . . U A
a
Gross wall area x 0.11 (A-1 single family & duplex = allowable U x A/Code
(13. above)
x 0.23 (A-2 other residential)
x .23 (Other buildings)
x .28 (Over 3 stories)
BTUH Must be larger than
A Z0g5 1 P?j or. 13B above
x U Co e
Ceiling framing area (Af) equals 10% of ceiling area (. or, the, same as)
'C ft.2
Gross ceiling area = (L) x (w) I Sl o
15B Joist area (Af) =
15C. Net ceiling area
U ceiling x A c=
lJ framing x !
15D. TOTAL' U x A
f=
10% ceiling area = S Z -ft.
2
(Ac) (15A - 15B) _ ft.2
7"z. x?
x = 3;,
.. 35 , .
,I
16. Ceiling area. (15A) x 0.026 (A-1 single family i duplex - code allowable .U x A
x 0.033 (9-2 other residentiiial)•
x 0.06 (other) .
BV" • Must be larger than 150 (above)
A (15A) ! rJIO x U ode - F (or the same as)
NOTE: Use U and A values obtained from pages 1,•3 and 4.'
CERTIFICATION: I hereby certify that I'have calculated the "U" factors and "R" values
.herein and that the building here described meets or exceeds the State of Minnesota
Energy Conservation Act.
Date Signatures
.
2.
WALL
SECTION
STUD
SECTION
2ND WALL
SECTION.
'10 IS LuLaI It
U VALUE CALCULATIONS
VALUE, U VALUE
Inside air film .68
Interior wall • (Nall) U - l
Insulation
Sheathing Z?OCO
Siding •(07.
OuteLde.alr film .17
R TOTAL Z3.p3
Inside.air film I .68
Interior wall .q?;
o?'aJ
.T_
i
4,, stud R- 4,38 (Framing) U • R
Sheathing 1z,V(p
Siding .(07
Outside air film .11
R TOTAL i o • 53
Inside air film R=-.68
Interior wall
Insulation
Sheathing,
Exterior wall covering.
Exterior air film' R -..11
• o''I•S
(Wall ZU
R TOTAL
RIM
JOIST
Interior air film Rz .68
? Insulation 1
t.wood R=1.88 (Rim U - -
lh inch s 0
Joist), M I
1\r Sheathing I 7-.0(.0 Exterior alr film R= .17 • 07(O
R TOTAL ( 3 •??
M
`Exposed Aock
Exterior will covering tol
_ Exterior air film R= n.177
R. TOTAL 7 ?O
_ interior air film R=• .68
Insulation 11.0 1
Foundation 1-7-8 (Fdn.) U °.K =
CEILING WITH VENTED ATTIC SPACE ABOVE
R V LUE -N-VALUE
FRAMING CEILING
Air Film 0.61
;c,> Insulation:
s 3g
•
0.61
Z.
.C Z3
Joist
Ceiling .SCp ..
Air Film 0.61
Total R 4L:?• 70
. O ZZ
U a T1
FLAT ROOF OR CATHEDRAL CEILING
R a ue R VALUE
FRAMING CEILING.
0.61 Inside air film 0.61
Ceiling
Joist (Stu
Insulation
Air space
Roof decking
Insulation
Built-up roof
0,17 Outside air film 0.17
Total R
I U
dindow infiltration 5 cfm/lineal foot of crack
residential door infiltration 0.5 cfm/square foot.or door and minimum code requirements.
-ion-residential door infiltration 11.0 cfm/lineal foot of crack
Jb 12" concrete block no insulation = .47 R 2.11
Jb 12" concrete block insulated cores = .26 R 3:8'
Jb 12" lightweight block .32,R 3.1
Jb 12" lightweight block insulated cores a .12 R 8.3'
J single glass = 1.13; with storm window .54
J double glass = ..55---
J triple glass = .41
j ,
All exterior walls and ceilings must have a vapor barrier (0.10 perm max.).
:apor barrier must be on the inside (heated side) of wall.
iapor barriers of the polyethelene thin film have no R value.
4. .
X?MXCXt?Y?RXi?iMXCX:kYti9Fh47kY,ihY?YWX:i;<X:iYX:X(Y,'(XtX: VAxi?nUX+*0%
CITY OF EAG;AN
CASHIER: JS TERMINAL. NO: 748
DATE: 08/30/99 1'IMEI iF,3:! 4C..
ID
N'AMEs HROCSTA;D CONSTRUCTION INC.
3210 2001 1482 ROCKY I...N 111.25
21:.'7,5 9001. 1482 ROCKY LN 2.50
Total Receipt Amount %, 11:3.75
CR11M6 i
LEER .10: JAN
?k nY„h''7kX<hY1;>XW7%h'`h':7Y.W,.;:k:;iY"fi7i 7F>nXt7h%r',XhYMiX>i:X'•7?:;;'X'>?M7YX<
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF 3830 PILOT KNOB RD 55122
651-681-4675
New Construction Reautrements Remodel/RePaIr Reaulremenh
D 3 registered she surveys showing sq. it. of lot, sq. fl. of house 2 copies of plan
and all roofed areas (20% maximum lot coverage allowed1 1 set of energy calculations for heated additions
D 2 copies of plans (show beam R window sizes; poured fnd. design; etc.) 1 she survey for exterior additions E decks
1 set of energy calculations
D 3 copies of tree preservation plan R lot platted after 7/1/93
DATE: 5-:30- 9°l CONSTRUCTION COST: ?5?
DESCRIPTION OF WORK: ///?? C`2-6n o l ?am"'
STREET ADDRESS: /'1'6.4 °
LOT: l BLOCK: SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name* sCo-? Phone 9
Last First
Street Address: kOGk?C
City CD:c e1A State: zip:
Company: ?a+Sir C 00714 ? C Phone #: /P / 2- 3?? 6? 35
(area code)
Sheet Address: -4122 /-E)LJe.,r (3`i" S'? License EExP3-3/-6 0
City t~2 State-/7?Kj Zip:SS37 ?/
Company: Name:
Telephone #: area code (
Street
City
Sewer S water Licensed plumber (required for new construction only :
State:
Penalty applies when address change and lot change is requested once permit Is Issued.
Zip:
I hereby acknowledge that I have read this application, state that the Informafio correct, and agree to comply with all Icabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _
Tree Preservation Plan Received
Yes No
Yes No - Not Required
Registration #:
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-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 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 ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
. (Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee 1 l . a
Surcharge - S
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: Valuation: $
k
SAC Units
% SAC
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1482 Rocky Lane
Lot: 9 Block: 2 Addition: Sherwood Downs
PID:10- 67670 - 090 -02
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: Replacement
Description: Fumace & Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Contractor:
Wenzel Plumbing & Heating
1710 Alexander Rd
Eagan MN 55121
(651) 452 -1565
Jenny Hanson
ME - Permit Fee (Replacements)
Surcharge -Fixed
Total:
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Owner:
Scott R Malm
1482 Rocky Lane
Eagan MN 55122
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
$50.00 0801.4088
$0.50 9001.2195
$50.50
Mechanical
EA078689
07/06/2007
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA109969
Date Issued:04/16/2013
Permit Category:ePermit
Site Address: 1482 Rocky Lane
Lot:9 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-090
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:vanity sink, shower faucet
Daniel Thelen
21034 Chippendale Ave.
Fee Summary:PL - Permit Fee (miscellaneous)$55.00 0801.4087
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 -
Scott R Malm
1482 Rocky Lane
Eagan MN 55122--380
Farmington Plumbing & Heating
21034 Chippendale Ave
Farmington MN 55024
(651) 463-7824
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114892
Date Issued:09/19/2013
Permit Category:ePermit
Site Address: 1482 Rocky Lane
Lot:9 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-090
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Scott R Malm
1482 Rocky Lane
Eagan MN 55122--380
(651) 485-0274
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119236
Date Issued:11/20/2013
Permit Category:ePermit
Site Address: 1482 Rocky Lane
Lot:9 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-090
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
Scott R Malm
1482 Rocky Lane
Eagan MN 55122--380
(651) 452-8378
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138173
Date Issued:08/15/2016
Permit Category:ePermit
Site Address: 1482 Rocky Lane
Lot:9 Block: 2 Addition: Sherwood Downs
PID:10-67670-02-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 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 -
Scott R Malm
1482 Rocky Lane
Eagan MN 55122--380
(651) 330-8367
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
7
r For Office Use
�, • 0,. E AG NPermit#:
..'• Permit Fee:
(�"�' Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 E'""'E'VEr
(651)675-5675 TDD: (651)454-8535 I FAX: (651)675- 4 Staff:
buildinginspections ancityofeagan.com MAY 2 1 2O19
2019 RESIDENTIAL BB = - - - -1 IT APPLICATION
Date: /1 51 fel Site Address: l -182 g 1 Unit#:
Name �7� �/v LYVL Phone: (P(2-g30'0
Resident/
Owner Address/City/Zip: ) (�( gC` V`t LA) S
Applicant is: 'Y Owner Contractor 6-4 Pr,1 Mql @__�1 q l °ao w`
Type of Wont
Description of work: A-Q)c E Co L r It
Construction Cost:_41PLUS Ems- Multi-Family Building: (Yes /No )
Company:• tvt I LY Contact:
/�
Contractor Address: � � � C` city: I S iv/LWOpd cete4S
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 Cityto conclude that they are de 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.org
I hereby acknowledge that this information is complete and accurate;that the work will be i onformance 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 w 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 f p n
X 5-- 1 //14 L' t.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE `` g�' eoL -mac /S -.7L3
SUB TYPES
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 4 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 27 Occupancy Z//1,G •/ MCES System ..--
Plan Review / Code Edition p0/5 SAC Units
(25%_ 100% f_/) Zoning n -1 City Water
Census Code 1/3/i/ Stories Booster Pump
#of Units _ / Square Feet — PRV
#of Buildings / Length Fire Suppression Required ....--
Type
"'�Type of Construction 1.4s Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 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 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: , Building Inspector
RESIDENTIAL FEES
Base Fee /Q 3 "
Surcharge
Plan Review ? -'
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3
POOL PERMIT — APPLICATION SUBMITTAL REQUIREMENTS
i /P1P -3
Address: iltsa, � . L 1,11
Applicant Name:
b
GENERAL INFORMATION
• <
O z ¢
❑ ❑ Applicant name and contact information
.9 ❑ ❑ Property owner name
' ❑ ❑ Address of property
� ❑ ❑ 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.
/1Z1 ❑ ❑ Location and name of all streets adjacent to property
�] ❑ ❑ Directional drainage arrows (existing and proposed)
❑ p" ❑ Lot Square Footage
❑ 21 ❑ Lot Coverage
ELEVATIONS
Existing
❑ ❑ House corners
j ❑ ❑ Property corners
❑ )1 ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ 331 ❑ Finished pool deck corners
❑ ;d' ❑ Top of proposed retaining walls (if any) and at each different elevation(if it changes)
❑ ❑ Pool bottom(or max. depth)
DIMENSIONS
Existing
f0 ❑ ❑ All property/lot lines
❑ ❑ All Easements on the property
Proposed
, f ❑ ❑ Pool
❑ Y ❑ Pool plus integrated deck/patio
12i ❑ ❑ Shortest distance from outside edge o •001 deck to lot lines and house
Reviewed: A,44
Name` Date
G:FORMS/Pool Permit Checklist/11-20-12
r
* 2473 Enterptise Drive
* PI NEER Mendota Heights,MN 55120
** *.� 9 6811914t�izy ss� s�a
Certificate of Survey far:
JQSEPH-H /h. MILLER COAST CO.
EAG-'A,N -1 ORTH '
f1E ,l E.l�VE --Tri"
X: — — By r %�Jrrvl.
/J //9 Date S--- Rl 1 \ ' .
DA i D` EAGAN ENGINEEKINi.>; DIA:
EV flLOiNG ii .r ! IONS DIVISION
_ . . ... _ 9 ii5"J 5T',j3"E
��
/91. 20 074) i
pub. r.
ti d N.,.
�M +J ts�9 ,,nlc � �t I�)AM�r" .
0 3 ,fie+ o 1q O✓w 9� .e'. e5� Ss:v�
s
t /� 4 x.73 ../ °
4g.. . ' `_ , fir
e,I •
..,.,'1'.
' e t. " . t,
$ .5, E; . .
1.6...., :fg; ot ,f ,
, � /
$ Imo Denotes Existing Elevations , Pgt pg o disk&EMT LONL
.oa) Denotes Proposed Elevations Lowest Fear Elevatrvn _176...t3 ' ',
------ -- Denotes Orono e €l/lili f y Eagemen� TO c^Block Veva/Ion ��•
-____, Denotes Drain e Flow Arrows Goraae Slain Elevation . 979.,3a
0 Denotes ,Nvr1u ant . ,
&orui4s shown ore =owned o °moles o;sef 114 ,
LOT 9 , BLOCK 2.. , SHERVvOOD DOWN5
04kor4 CouWry, Minwesor4 ,fr+ Subject to easements of record
I hereby certify that this survey. Plan Or report wai prgpared by t'+'t(a%r under my direct supervision and that t em duly Registered Land Survaybr
under the taws of the State of Minnesota,Dated this�,�,g�Jt'dqy of /N`(w A.D.78a]2
Scale : 1' ; 4O f 16? i!L
• '
• fiOO6iiT B.SIKICN LS.PEG.NO.t4a81