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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