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1493 Rocky Lane' HOUSE HEATING TEST RECORD ADDRESS 1022) rOCF- (? I`! OCCUPANT HEAT LOSS ATE I SOLD BY Electrical Work By '?- TYPE OF HEAT GA FA MAKE Model Serial APT. OOR CITT 'TSUBURB .. E ; t- OWNER C u' ITC. INST. INSTALLED BX, .r Gas Line By I/ G ti HW STEAM SPACE HTR. UNIT HTR. OTHER GAS DESIGN MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE l SIZE NONE or 4- Form 235 Smoke Bomb Wiring Draft '/? - Test 1 Dow INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: X830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (651) 681-4675 SITE ADDRESS: APPLICANT: i AN1: 11 1 PERMIT SUBTYPE: TYPE OF WORK: iriI'.il :,1 1; . 1111t' II t?AMINt I: 1111,11 1 N 1'1 1;t, IN';111 ATION FINA1. REMARKS: PI AN RF.VIFWEO BY CRATR NTIVACTYk - "UPFRA'TF PERMIT 1?F0I1TRF0 FOP ANY PIUPIHINC WORI CAI L 441,--.1840 HFOARVINO F1.1-C-11 ICA1 PFRN)'T ANI? i Permit Holder Date Telephone # SEWER/ WATER 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 DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL SEWER & WATER PERMIT CIrY•GF*AGAN 3830 Pilot Knob Rd,. Eagan, MN 55122-1897 DATE { y 2 9 , 19 9 METER # - CHIP # METER SIZE ISSUE DATE _ PRV - BOOSTER PUMP SITEADDRESS 14", n K„ Lane LOT l3bLOCK ' SEC/SUBS?ierwood Downs APPLICiNT: Tosaph M . 141 I-ler Con a r Inc ADDRESS: 18113 Ce d is z Am So CITY, STATE "'armi nst on , Mn ZIP PHONE:4 " 1-2011 PLUMBER: tR m t-s A ? Gl ? IgI alt y i ? t ADDRESS:' /, 74 5 S R o b s c t . 1 CITY, STATE R n aamo un t ZIP 9 r ??'? q PHONE: 4,2 3- 1 14 4 OWNER: - ADDRESS:_ CITY, STATE PHONE: - PERMIT REQUESTED X USE ONLY PERMIT DATE PERMIT # 12047 B.P. RECEIPT # "' 13835 B.P. RECEIPT DATE 617/91 COMM/IND SEWER WATER _ TAPS Y X NEW RESIDENTIAL EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Reduct Meters. I AGREE TO COMPLY WITH CITNf OF EAGAN ORDINANCES ZIP SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd,_ Eagan, MN 55122-1897 DATE 'fay 29 _19 OFFICE USE ONLY METER # Vo 7 b PERMIT DATE 61111111 CHIP # 111 E 7 4' 7 AOT PERMIT # 19047 METER SIZE 5,-,4) S B.P. RECEIPT # C 13835 ISSUE DATE B.P. RECEIPT DATE 6/7/91 PRV - BOOSTER PUMP SITE ADDRESS 1493 Rocky L g wa LOT 13 BLOCK 3 SEC/SUBSherwood Downs APPLICANT: Jan -ah U.-bi 1.3-or- Co a s t 1P a ADDRESS: i R t a g radar Au q0 CITY, STATE a r m 1 n R 17 an iwf n Zip 5 5 0.4 PHONE:4 31 2 0 0 1 PLUMBER: FK?? ADDRESS: 14 74 5 S R-a b a r to - CITY, STATE R o a n m n» n t ZIP 5 5 0 6 8 PHONE: 4 2 3 -1 144 PERMIT REQUESTED v x SEWER WATER -TAPS COMM/IND T RESIDENTIAL x NEW - EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for peduct Meters_ TO COMPLY WITH CITY OF OWNER: c? }I?n unuiryaanp.ca ADDRESS: CITY, STATE ZIP ?'' i PHONE: S ATURE WHEN METER ISSUED PLEASE /ALLOW'TWb WORKING DAYS Fdi PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. (?i' ' i. L pet s 'r 4. Trrfi#traft of (Orrupaury Citp of (fagan iqrvwftM of Nuiij mg?' 3wpdwu T his Cemfrcate issued pursuant to the requirements of Section 306 of the Uniform Building Code c er fying that at the tune of issuance dds structure was in compliance with the various ordinances of the City regulating building construction or use For the following. use a 2PwAnd o SF DWG/CAR BW& Fac Nm 19192 0. Fj/MI RI VN "M-7 T". Moid M MIId R _ ' AVE S, FARM CM B7 I,- I "L / _ 8/23/91 POST W A CONSPICUOUS PLACE 0 .. n7r7`r'^w- ??r•r++++wa? .. _.? ... ? ?w?rf^PRT ` :1 +vf ^i •• 1 i CITY OF EAGAN t 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 t PHONE: 454-8100 BUILDING PEPIA Receipt # 630 ° ' A _ ; To be used for SIF DiiIG/GAR Est. Value $148,000 Date JIM ? f 1991_ Site Address 1493 ROC>ICY LN Lot 13 Block 3 Sec/Sub. SHERNOOD DOWS OFFICE USE ONLY Parcel No. Occupancy R-3--H--1 RL-1 FE ES Zoning W Name JOSEPH N MIUZR WNTRUCTION (Actual) Const -N Bldg Permit 808.00 f Address 16133 CEDAR AVQ S (Allowable) -JL-N . 74 00 c City FARNINC'i'Olf Phone 431-2001 a of Stories 60' Surcharge Plan Review . 32300 p Name SAME Length Depth 421 SAC Cit 100.00 = - , y OU OC Address S.F. Total - 3 City Phone S.F. Footprints - SAC, Mcwcc W 6 0.00 60 "12. ¢ W ame On Site Sewage on site well ater Conn , 95 00 iZ Address MWCC System --x- Water Meter . <? City Phone City Water X Acct. Deposit 3000 30 00 PRV Required - S/W Permit . 1 hereby acknowlege 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. Booster Pump S/W Surcharge Treatment PI • 276.00 Signature of Permitee APPROVALS Road Unit 370.00 A Building Permit is issued to: - 'JO6 EN N NI1j= CONST 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 .4 ,- -1 f Planner Council Bldg_ Off. Variance Park Ded. Copies TOTAL 618.30 Perms No. Permit Holder Date Telephone # WATER a 7 ?1/ SEWER PLUMBIN G- G y? ?a7 ' H.V.A.C. ELECTRIC ?3 /073 9? oa Inspection Date Insp. Comments Footings I 6 ,2 Foundation Framing 7- z/?gj D j Roofing Rough Pibg. Rough Htg. Isul. 7/1 Fireplace 05 Final Htg. Orstat Test Q Final Plbg. Plbg. Inspector/- Notify Plumber Const. Meter Engr./Plan Bldg. Final g 1-23 5 Deck Ftg. Deck Final Well Pr. Disp. INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: ?1 f4 14 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: i AN[ PERMIT SUBTYPE: TYPE OF WORK: Permit No. Permit Holder Date Telephone At ELECTRIC PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CASH RECEIPT . t ..: CITY OF EA+L AN' o.W..:;: 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE L - -7 J AMOLWT $ .c a DOU-V* ? CASH CHECK ` 1`17 A. 1? ?r '10 6041 "Ll f FUND OBJECT AMOUW Thank You BY _ C' 13835 :•i Address: 1493 VDM LANE Lot 13 Blk 3 Sec/Sub SHMQM DOWNS These items were/were not complete at the time of the final inspection. 8/23/91 Yes No Final grade (6" from siding) Permanent steps - garage Permanent steps - main entry V Permanent driveway Permanent gas Sod/seeded grass Trail/curb damage Porch Basement finish Deck V, I 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. xcmEO.rtn White - City copy Yellow - Resident copy Pink. - Contractor copy CITY OF EAGAN No 19192 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDIN PHONE: 454-8100 Receipt # 1. ?a PERMIT L SF DWG/GAR Est. Value $148,000 Site Address 1493 ROCKY LN Lot 13 Block 3 Sec/Sub. SHERWOOD DOWNS Parcel No. W Name JOSEPH M MILLER CONSTRUCTION t Address 18133 CEDAR AVE S City FARMINGTON Phone 431-2001 o Name SAME 8= Address E City Phone ww Name =Z Address 4w City Phone I hereby acknowlege that I have read this application and state that the information is correct and agree to co ly with all applicable State of Minnesota Statutes ar}d.City of Eagan di nces. Signature of OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actual) Const V-N Bldg. Permit 808.00 (Allowable) V-N 74 00 # of Stones Length Depth S.F. Total S.F. Footprints On Site Sewage On Site Well MWCC System City Water PRV Required Booster Pump APPROVALS A Building Permit is issued to: /JOSEPH M MILLER CONST Planner on the express condition that I work shall be done in accordance with all Council applicable State of Minnesota pStatutes and City of Eagan Ordinances. Bldg. Off. Building Official y "• 11 1\.Q?? I I ?? Variance Surcharge 60 r Plan Review 525.00 --42' SAC, City 100.00 SAC, MCWCC 650.00 _ Water Conn 660.00 Water Meter 95.00 R X Acct. Deposit 30.00 S/W Permit 30.00 S/W Surcharge O .5 Treatment PI 276.00 Road Unit 370.00 - Park Ded. Copies TOTAL 3,618.50 OG.;2 a r? J25 32o,33 s Request Date Fire No. Rough Inspection reetl? Requi Ready Now 41JPYill Notify Inspector ? Yes When Ready? I Inkicensed contractor ? owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.I City Z , t 4 vt, e- , ( ,,,V Section No. Township Name or No. Range No. County O..upanl (PRINT) A Phone No. y>? Power Supplier Address p Electrical Contra. r e KE Cpniraclor9 License No. C40 6S(Z Maing Address 10pn7rat)ororf nt VALLEY, MN 55124 Authorized Slgnalu CCoo,t, wner Making Inslallaiion) Phone Number ? j CW. 'f l 6 MINNESOTA STAT OAR ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - oom S-173 BE ACCEPTED BYTHE STATE BOARD 1821 University Ave., St. Paul, MN 55184 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424,888 ENCLOSED. W? p_ J 25232 REQUEST FOR ELECTRICAL INSPECTION ? Sea instructions for complefing this form on back of yellow copy. "X" Below Work Covered by This Request 4T ?w _{ a %q, a ne. New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service - Duplex Water Heater Electric Heating Apt. Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractors Remark C? `--? Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circults/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspectors use only: TOTAL '8' Irrigation Booms / 1 A Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORD D DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in Date certify that the above inspection has been made. Final r Uete L 6 --/(p OFFICE USE ONLY This request void to monNs from 9 04443 Request Date 6-13 - 1 Fire No. Rough in -i Inspection Requir on ? Reatly Now ill Nqlily Inspector es _ No When Reetly? Icensed Contractor ? owner hereby request inspection of above electrical work at: Job Adonfs4,(S`Jgagt. BYE ? 81pi' A N E J city EAGAN Sedan No. Township Name or No. Range No. County D A K O T A Occupant IPRiNTI JOE MILLER CONSTRUCTION Phone No. 612-431-2001 Power SVPXKOTA ELECTRIC, ASSN Address FARMINGTON, MN Electncal Contractor (Company Name) MIDLAND ELECTRIC, INC. Contractors License No. 041610 Mailing AypryS3 p(8gntrje rSgrTHer STREETo WEST #214, APPLE VALLEY, MN 55124 / U Authonzetl iSn ntra g Installatronl S Phone Number 612-432-6688 `MINNESOTA STATE BOARD OF ELECT THIS INSPECTION REOUEST WILL NOT Griggs-Midway Bldi Room S BE ACCEPTED BY THE STATE BOARD 1821 University Ave.; SL Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 6424800 ENCLOSED. /,??/ REQUEST FOR ELECTRICAL INSPECTION ? See Instructions for complex g this term on back of yellow copy i n A d,a, "X" Below Work Covered by This Request F Yvo E9-00001-08 New dd Rep, Typeof Building Appliances Wired Equipment Wired Home ange Temporary Service Duplex Water Heater Electric Heating Apt. Building r r Other (Specify) Comm./Industrial urnace Farm Air Conditioner Other lspecityi Contractor's Remarks: Compute Inspection Fee Below: 0 Other Fee # Service Entrance Size Fee p Circuits/Feeders Fee Swimming Pool 1 0 to 200 Amps 0 to 100 Amps 4d Transformers Above 200 _ Amps Above 100 Amps Signs Inspectors Use Only. TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE 0 DEREO DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 M f I, the Electrical Inspector, hereby Rough-in certify that the above inspection has been made. Final Date OFFICE USE ONLY This request void 18 months hem (Z ON (A `j 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone it 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Oft Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cart of Survey Recd _ Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod _Y _ N. 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Energy Calculations Addition • indicate ffonske septic system Onslle Septic System _ Y _ N 3 copies of Tree Preservation Plan ft lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 30 Zuftx Construction Cost 51 a ao Site Address I 49 3 19NO jar,-Q- Unit/Ste # Description of Work ? l? au l O0.a- to C[CCr Q hF l S 1 u` ? C[()? Ck/r(/1 ? ? 7 , V Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 - t - 2 Property Owner 1&0\a C:V ?1V?7 q Telephone # (ysl) 9OS - 9 138 Renewal By Andersen Contractor 1920 County Rd. "C" West Address Roseville, MN 55113 City State 651-264-4777 _ Telephone # ( ) License # 20130983 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category I _ 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 plfln in the ?qe of work which requires a review and approv 1 of plans. G (a ova Applicant's Printe ame Signature 77 Xz, odM OFFICE USE ONLY Sub Types ? 01 Foundation ? 02 SF Dwelling ? 03 01 of _ plex ? 04 02-plex ? 05 03-plex ? 06 04-plex Work Types ? 31 New ? 32 Addition ? 33 Alteration ? 34 Replacement Valuation Census Code SAC Units # of Units # of Bldgs Type of Const Footings (new bldg) Footings (deck) Footings (addition) _ Foundation _ Drain Tile Roof _ Ice&Water _ Final - Framing - Fireplace _ R.I. -Air Test -Final Insulation Width REQUIRED INSPECTIONS Final/C.O. Final/No C.O. Plumbing _ HVAC Other Pool _ Ftgs _ Air/Gas Tests _ Final Siding _ Stucco - Stone - Brick Windows Retaining Wall Approved By: , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ? 07 05-plex ? 13 16-plex ? 20 Pool ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 30 Accessory Bldg ? 31 Ext. Alt - Multi ? 33 Ext. Alt - SF ? 36 Multi Misc. ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors `Demolition (Entire Bldg) - Give PCA handout to applicant Occupancy MCES System Zoning City Water Stories Booster Pump Sq. Ft. PRV Length Fire Sprinklered vvr.,e.sv-..c suv sL.aU ltlA !OJ D/1 448D ltCnlrlThL F31°@dYLlStG'flStM - re al Janet 2001 - City of ? , 3836 Pilot Knob Road Eagan. MN 55122 To whom it may concern: Elder Jones is attthbnzed to pUn building permits forRaaewal by Audam=. Please allow Elder Jonas to provide thin service fm us in Bagsn, `lieu endiorization is valid for date beyond 616101: until a) enewal by Andrasen maeeaEer y tevoloas it in any wifft to theci any rmPest this ty- ourr bu rizatiott be accepted expedidously, as to not delay in the proeessitig of oontacxd at 763-502-.4Y706. fuxd=. Plcmc- can me If th= arc any gme3dons.. I can be Your imm9ftft attention to gas matter is aiLra6m t- sinoaiely, and-R. 'Rau ostalIation Manager Renewal by And=cn Corporation ('r?,.??TCarn-_Rs1cIPr Jn2ne??? . MWY MI n zaps W UU Received Time Jun. 1. 1'07PM PERMIT # Q v (P ?? JI ?I ? ?, ?( RECEIPT DATE: 2002 USIDENTIAL PLUMBING PERMIT APPLICATION Please complete for. SITE ADDRESS: I OWNER NAMEA iNSTALLER NAME: STREET AD DRES£ CITY: NOV4.11 CITY OF KAGM 3830 PILOT KNOB RD KAHAN, MN 68122 881-691-4676 single family dwellings, townhomes and condos when permits are required for eac?tl "roil } ? backfow, preventer for irrigation system ?r ;„ `, VVA ZIP: S3`1 9 SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note: Additional consultant fees may apply MODIFICATIOKA TERAT. !ON TO E-KIST!NG DWELL !NG UNIT, !NCLIID!NG: - Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 - Abandonment of septic system. - Water turnaround - existing dwelling unit (+ 5/8" meter if needed - $118) Other: RPZ: new installation/repair/rebuild $ 30.00 - lawn irrigation system Replacement/additional: _ water softener water heater $ 15.00 State Surcharge D I $ .50 JUN 1 7 01,1Z Total $ I hereby acknowledge that 1 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 IiabilJt9rfor any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit withir;*i(y pr rty/right-of-way/easement. /` /I/-. TELEPHONE #: V5 1 (AREA CODE) SIGNAIn OF P?7EE 1/02 RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construction Heaukememe • 3 registered site surveys showing sq. ff. of lot, sq. ft of house; and ALI roofed areas (200/ maximum lot coverage allowed) • 2 copies of plan slowing beam & window sizes; poured found design, etc.) • l set of Energy Calculations • 3 copies of Tree Preservation Plan Slot platted after 7/1193 • Rim Joist Detail Options selection sheet (bldgs with 3 or less unks) DATE )Xs 1. a5? NemodeVAeaalr aeauitements • 2 copies of plan • I set of Energy Calculations for heated additions • 1 site survey for exterior additions &decks • Indicate it home served by septic system for addigons Oo 14, VALUATION 7/ 3 r5' SITE ADDRESS / YU 0 C?c/ /1/e MULTI-FAMILY BLDG -Y _N TYPE OF WORK ;f t /'00 10 FIREPLACE(S) _ 0 _ 1 _ 2 APPLICANT STREET ADDRESS ?77S Z^K?o CITY aorI STATF?lll ZIP 515709 65?- 778- ?"fQS TELEPHONE j651 770- 90ML CELL PHONE # 6Si-zz6-S37E FAX # 5'.5'70 PROPERTYOWNER TELEPHONE#6sr VS6 bi7y COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (d 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: Sewer/Watef Contractor: Air Conditioning Heat Recovery System Fee: $90.00 Fee: $70.00 Phone # D ? ? ? ? ? 2 I D I hereby acknowledge that I have read this application, state that the information is with all applicable State of Minnesota Statutes and City of Eagan Eglao,nces. Signature of Applicant OFFICE USE ONLY Water Softener Water Heater No. of Baths _ Phone # Lawn Sprinkler No. of R.I. Baths Phone # Certificates of Survey Received - Tree Preservation Plan Received - Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of - plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbgyour_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Fin"o C.O. _ Footings (addition) _ Plumbing _ Foundation _ HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests _ Final Framing _ _ Siding _ Stucco _ Stone Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total Building Inspector Y4*"A' Y,,k>Y•">1.Pn;';<`;i:$:'1•YF$:>k:!(;,^};'ri:;t:Y,C?'<YCId%n9::Y:dM$(Y.tiX>K CITY OF E.ACAid CA',iih1:l:Ii"i?e :15i1.!S;?C 'f 1:3i;584.7 TD ?:LO catiCi{. :L4<j-; !:,:r I d:Y LPNE 50 [iO ?:'S5 900). i.49'3 ROC Y O.. 50 321.2 .90(h ROCh('Y !.AIIII.I!E (120.00 21.7;`5 1.493 ROCKY L ANF: O .'iO I PERMIT CITY OF EAGAN 3$30 Pilot Knob Road Eagan, Minnesota 55122-1897 (651)681-4675 PERMIT TYPE: BUILDING Permit Number: 0 3 4 2 9 8 Date Issued: 12 / 3 1 /98 SITE ADDRESS: P.I.N.: 10-67670-130-03 :1443 ROCKY LANE LOT: 13 81-OCK2 3 SHERWOOD DOWNS DESCRIPTION: 8tiildin`q_ Permit Type hildirnq Work Type Census Code f 3 \1 } L i BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL . n K' REMARKS: PLAN REVIEWED BY CRAIG NOVACZYK. SEPERATE PERMIT REQUIRED FOR ANY PLUMBING WORK- CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY Base Fee Surcharqe Total Fee $59.00 $,50 $50.50 CONTRACTOR: ?L OWNER: - HILI. :1493 R0 E A G A N (651)456-47174 I herebv acknowledge that I have read this information is correct and agree to comply Statutes and City of Eagan Ordinances. QL.U W. " APPLICANT/PERMITEE SIGNATURE tdpplican l- - CURTIS CKY LANE NN 55122 application and state that the with all applicable State of Mn. )'t A- SUED BY. SIGNATURE 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 31330 PLOT RD - 55122 S? 681-467S New Construction Requirements 0 3 registered site surveys A 2 copies of plans (include (seam & window saes; poured fnd. design; etc.) 9 1 energy calculations J 3 copies of tree preservation plan if lot platted after 7/1193 required: _ Yes _ No DATE: -pec- Zq 1990c;l- OFSCRIPTION OF WORK: /.? ?SE?^96j- STREET ADDRESS: Rem0el/Repair Requirements C), ? 2 copies of plan ? 2 site surveys (exterior additions & decks) ? 1 energy calculations for heated additions CONSTRUCTION COST; //V k 4-6)q-A-) 5.rf Z? Z LOT: 3 BLOCK: 3 SUED./P.I.D. #: PROPERTY OWNER Name: ?l I a eL ns Phone #: Last First Street /y173 City E -A =1 State: h CONTRACTOR ARCHITECT/ ENGINEER Company: ~ v ?- Phone #: Street Address: License # City State: Zip: Zip: Company: r 5 tZF Phone #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Registration #: State: Zip: I hereby acknowledge that 1 have read this application and state that the 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 Penalty applies when address chang correct and agree to comply with all applicabl e. //,r 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 ? 11 Apt./Lodging ?( 16 Basement Finish ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 13 Garage/Accessory ? 20 Public Facility ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 36 Move ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. (Allowable) Main level sq. ft. UBC Occupancy Z-3- sq. ft. Zoning 2-/ sq. ft. # of Stories sq. ft. Length sq. ft. Depth - Footprint sq. ft. APPROVALS Planning Building Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Engineering Valuation: $ MC/WS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Variance O O CL,? ?-lnn C,2A-u % SAC SAC Units CITY OF EAGAN 3830 PILOT KNOB ROAD KAGAN, MN 55122 PHONE: (612) 454-8100 WORK DESCRIPTION NCg5q A? PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 :hY'>Y...x.. xvwH TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. NEW CONST ADD ON _ REPAIR OWNER NAME: QU0-k-7??I.?i4x t? SITE ADDRESS: Jyv % 3 LOT:-IL-3 BLOCK SUBD. oUdvc? Azv?yo INSTALLER: GENZ-RYAN PLUMBING & HEATING CO. ADDRESS: 14745 South Robert Trail CITY: Rosemount, MN ZIP: 55068 T':ONE #: (612) 423-1144 COMPLETE THE FOLLOWING: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 SHOWER 3.00 -?? WATER CLOSET 3.00 BATH TUB 3.00 3 LAVATORY 3.00 /7F KITCHEN SINK 3.00 Z-1 LAUNDRY TRAY 3.00 :?L : vv HOT TUB/SPA 3.00 _ WATER HEATER 3.00 07 FLOOR DRAIN 3.00 GAS PIPING OUT, ag 3 (MINIMUM - 1) 3.00 ROUGH OPENINGS 1.50 p _ OTHER _ _ WATER SOFTENER 5.00 _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 SUBTOTAL $ & ST. SURCHARGE .50 ?/ "/ /-7 aU TOTAL: S .g?t1S&I: 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: FOR CITY USE ONLY PERMIT # RECEIPT # DATE: (el-31 911 FEES 1% OF CONTRACT FEE. STATE SURCHARGE - $.50 FOR EACH $1,000 OF PERMIT FEE. $25.00 MINIMUM FEE. CONTRACT PRICE x 18 $ STATE SURCHARGE $ TOTAL: (SIGNATURE) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # 4M) PHONE: (612) 454-8100 RECEIPT # /0 MCNCA7 jl'ERlI'R DATE: G RRSTGE TIAL_; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ----------------------- ---------------------------------------------------------- WORK DESCRIPTION FEES NEW CONST ADD-ON MINIMUM $15.00 ADD ON HVAC 0-100 M BTU 24.00 REPAIR ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM 3.00 OWNER NAME: OF 1 PER PERMIT S SUBTOTAL: $27 SITE ADDRESS: I ? © ^A e, STATE SURCHARGE: .50 LOT: Q) BLOCK :?3 SUBD. ?crf)?' ?bw n _ - \ YLS TOTAL: INSTALLER: vc- A ADDRESS: l h l X i cl r 1 !V 1 \? S GNATURE OF PERM TTE CITY: --Cl lye, // ZIP: PHONE #: 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: 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 e 1991 BUI1 4 OIT 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 DES DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For:111,4 111,4W 4LO-nA-e? Valuation Site /Address ??93 R04 Lot Block 3 F 1 Parcel/Sub Aw' Owner Address City/Zip Code Phone Contractor Address `Q U City/Zip,/Code j Phone /{ ?/- Z-00 Arch./Engr. Address City/Zip Code Phone # Date: Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F. OFFICE USE ONLY 23 M-1 P, -I V-N v-N On site sewage On site well _ MWCC System City water PRV Booster Pump APPROVALS Planner _ Council Bldg. Off. D9/ Variance ADDRESS IS HAS BEEN CON FEES Q?p? 7 Bldg. Permit I Surcharge `74,00 Plan Review bZS,OJ SAC, City 100,00 SAC, MWCC 5(0-0,00 Water Conn. ? ('60,9 Water Meter 5'0P Acct. Deposit ,DO S/w Permit 30.00 S/W Surcharge #_qv Treatment P1. '2. r7 6,0? Road Unit 390 10 J Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change ?/ TOTAL .,Z k' T ?Ia (??O" agrees that all work shall be done in accordance with (S nature of Contrac or) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ,01 G ?A6-:E;? Z / = (.2 y) 1-7 2 ©X lS'= LSM T- / X? , z46= ?Z Qx C: 26?( /o goo ,-I I1 - 2-I 35x 2 " o 113,15-3 -1 5-5CFY3 1?mT= ?r3? rxi3, 13 lx1 ?Y? (a ? 2x5?% Ga52(- ?? 1 °? ?rz 14??? P i urieer Er-i3 i Weer i rig 6eI9458 F'. 02 ?r lh* 2422 Enterprise OrWe * p,O iCir Q Mendota Heights, MN 55120 eng * eerins (612) 681.1914 G Certificate of Survey for:"Oje-ERN M• ' uIR GONST CO - W012TH s 10 s' b5 0?' s' rho ..-^-' 1 t ? ? z.o Rtv? ?1 L? ?a ?" t° I 2M4 .} 19.b'I 1 ?RQ'- Y W iN rn t^. 7 w d M O ? 0.8N L S V ? .4t e yb,5 ? Ih` 1 d? { rc ?.. _ .4 112 ?6 :?l 1 to lot ,,A y87°03'x.,. fit. ;r ;,; $Data EAGAN ENGINEERING DEPT e 300.00 Denales Existing Elevations PROPOSED NIXISE ELEVATIONS R o0•0o Qenofes Proposed Eleyofrons Lowest Floor tWotion eG6.76 -- Otnote5 Orai.7aoe Wlilily Easerned lip v? ?3loek Eleval on s7e. "16 Denotes Drains a low 7 rrows Dora e SIab Elevation 1376. v 3 a Denoleg 10snument BeaTitlls shown are assumed o Denotes e ,rsel t/ub LOT 13 ,BLOCK 3 914tRWOOV DOWNS OAVOTA COUAITyf MAIAMSOM , Subject to eammfnlf 0"record t hereby certify that this sorvey plan or report was prr aced by me or u er my direct sup%vision and that 1 am duly Registered Lard Surveyor under the lawn of the State of Minnesota. Dated this 23 day of Mly A.D. 19 21 ?y Scale : I .42, tf - ;ip a 9Q"106•C 5 . 3tK1 L. 0.Ea NO.1fe41 ' hlIIIIESOIA SIAIE EIIERGY CODE CALCULAIIOIIS ' OASES 011 CIIAPIER 5 OF 'IIIE • MODEL •EIIERGY CODE - 19113 ED II IOil Adoption Effective 171/G4'. Phone Ovm e r Site Addres Contractor ex puliding Classification: Type Al (Single Famlly 6.flupl ) MOTE: Complete ages 3 and 11 first. (Other) GEIIERAL INFORIIATIOil N N , 1. Uuildiny Perlmc[erll?' ?t1J ft ) 2 2, waII lielght . (ground to eave ft. , 3, I. x 2. (above) gross wall a+ea I 2 roof •t floor area ?Y-? Ft li 6ullding Jlmenslons (L)_?_ x (II)=_ e . • , area 'f rim Joist - Floo f l r Joist size (2 x l j ( t ) ( 7 (? ft2 area 5,. oo . Square ru y s x Perlmeter Rlm _ 12 16(0 ' A1 "e3 k G. Odors - 1++, U (actor ft. yhlclu+ess ? -- . perimeter Type or COnSFUCt1011 IlanufacWrer . Total door's perlmeter `II IfV?]UL n Stale approved___ , p, VIndows: Manufacturer_ U factor 2 AREA (FL• ) NUHDER OF IOTAL FEET 2 TYPE SIZE EACH • UNITS -?- 9, 'To[l ft.2 Glass_ z? I?J? • - Ft.2 4r(dth x helg4t ° x_- --- l0, Fireplace area; - Ft.I I I • Exposed fnundatlonv Ilelght X Perimeter, ( L -' FI- W-fit 0 AIIU '0 ILUIIIGS BE CUIVPLET ID F1STItUL71U?1, II OF THIS FORA IS REQUIRED FOR ALL II€4 CU MOVED t11t 1 EIIERGY, OIIIER TIIAII WE IIIFIIIIAL CODE ALLOWARCE, IS USED. , ' ?t9o-3a3 uatdt Type A2(Resldentla1) (3 stories or essr (ever 3 stories) 12. framing area - 10% of yrussgwall a 1 ?? I t .7c a 13. Gross' wa.l at e 2 ft: Will do,t area AA ft.2, Rita joist area A' 2 . ft. n 2 Door area. h r O z ft. F?fielilaCe--area A OC:1? L- rt.2 Exposed t, fouhdatloii A 2 f framing area A ?? ?? ?' t. ft. Ilet wall area A - (1 ft c • U windows r J U x ' --T-• U rim Joist U.x (o r U rea d oor a U U ¢L1eplate. = r?' U x A ?t lC?- U foundation = 10 (p • U X ° A _?- Gl;? . 2 Q 2 U framing area U x . A o U x U wall A TOTAL '. . ..U x L A° I . I} '301 1 14, Gross wall area x 0.11 (A-1 single faollly S duplex (13. above) Q.23 (A-2 other residential) buildings) 15. 15A. 1511 15C. 150 16. - allowable U x A/Code . , k x .23 (Other x 20 (Over 3 stories) OTUII liust be larger than 1311 above. n ....._? t>j x U code " --?-- ( or Lite. salne as) Gelling framing area (Af) equals 10% of ceiling area )of7 S ft 2 Gross celling area = (t) /? ft.2 Joist arett (A f). 10% ceiling area = filet ceiling area (Ac} (15A - 1511} ° ! Gl c x U ceiling x A c= 107,2 an U framing x A f=. 7iD TOTAL'U x A ' ................................... ingle family S duplex - code allowable U x A.• Gelling area (15A) x 0.026 (A-1 s x 0.033 (fi-2 other residential): nfisnl?`7 _ x u (code)---- IIOTEt Use U and n values obLalned from pages I, 3 and ll • "U" factors and "le values I her"eby certify that I have calculated the tll CERTIFICATI0i1: rRTn and l the building here ilcscribed meets or exceeds the State of nnsota Energy ConservaLlo,n Act. SlanaLure x 0.06 (other) . Zl m? livil must be larger than.•150 (above lozCa 1 1: (or ti1•e same%.as). Le ' . 2. I ..... --- U lwa .. ?I?I' _ ....._........ _ _ .... _.... ---- GI ??? .?.?.?,.. ??- o- - ' I ifs- ?- '--! -- • ??'- .............: _... • .:...:-?. yzl?.__ 107.5. t?1........---:...._ ....? _ ..._--- .. -----?----•----.... r_ ... !tl r ?i I??._ .; ... - -- ....._...._..._ ._.__......_..._ _. V4I1 021 _UI1lJ.ll l-I I? _ o 110 1 -10/, co o .I ...? 1 - v 6 ; V-s Tfoo. 1 't 1 • ' 1 h 9ALUL• I CEILIIIG *? M111110 i I Uy? _ Ah Pllui ?U.GI 9 Insulation ^L?^; ' , L Joist r .? . , MCP. call Ing p_` nir Mill u.Gl X78_ .?.I ? 1ota1 R • 1 o ZZ . loZ:i u=?. , . V [LAI Iloor oil CAlliEURAL CEILIIIG R VALUE 11 Value CEILIIIG IItAI I I RG 0.61 Inside all' film U•61 '--`- --- - Colliny t 4sEiidj i - J -` o s - InsuIatlalt -- ? - Air spacd --? - Roof deck)ng T? ^ lusulatlon , ------ - Built-up roof ?•?._?--- outside blr f11m U.11 U? total it-. -- -- -- Il Ilndo+l Inflllratlon 5 clm/lineal Pout of crack le r door dud minh,ium code requlremenL c sldentlal door Inflltatlon 0.5 cfm/square toot or . tun-fesldentlal duor.lliflltrat•loIl 11.0 cfw/Ilueal loot of cracY, a .41 R 2.1 )I, 12a' toucrete block uo (nsulatlon ,2G It 3.0 Jb 12 toncr,ete block lusulated cores a c32 It 7.1 Jb 12 lightweight block )b 12i1 llghl.welght block lnsuldted'cores il? R Ord ' 1 Singlj glass = 1.13; filth storm t+ludo., .54 double glass - .55 1 lrlple glass = .41 111 Axlerlor Halls aii4 cell Ings Mist lave A vll)or barrier (o.lu perm 0sx.)t lap or barrier must be on the inside (heated 5 1ldd of ball, lapot barriers of the polyethelene 11,11, fllm.haJe no it value. 1 CITY OF EAGAN CASHIER: S TERMINAL NO: 577 DATE: 11/2097 TIME: 14:41:16 4ME: CURTIS F HILL 3221.0 9001 1493 ROCKY LN 50.00 2155 9001 1493 ROCKY LN 0.50 Total Receipt, Amount,: 50.50 CRO83162 USER ID: NANCY PERMIT -CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: 1493 ROCKY LANE LOT: 13 BLOCK: 3 SHERWOOD DOWNS P.I.N.: 10-67670-130-03 DESCRIPTION: PERMIT TYPE: BUILDING Permit Number: 031122 Date Issued: 11/21/97 rmit Type DECK Type NEW 434 ALT. RESIDENTIAL -1 - e a' REMARKS: FEE SUMMARY: Base Fee Surcharge Total Fee $50.00 $.50 $50.50 CONTRACTOR: OWNER: - Applicant - HILL CURTIS 1493 ROCKY LN EAGAN NN 55122 (612)456-0174 f- L- J Lila RIJ ISSUED B SIG UR ' \ 111997 ,? BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB B RD RD - 55122 681.4675 ? 3 registered she surveys e 2 copies of plans (include beam & window saes; poured fnd. design; etc.) e 1 energy calculations ? 3 copies of tree preservation plan h lot platted after 7/1193 required: _ Yes _ Nq i DATE: // / 11 DESCRIPTION OF WORK: ? STREET ADDRESS: LOT /3 BLOCK 3 ? 2 copies of plan ? 2 she surveys (e)derior additions & decks) ? 1 energy calculations for heated additions COST: /9/?' ZpaL SUED./P.I.D.#: ??C ^""/? ?yc+y5 PROPERTY OWNER CONTRACTOR Name: ?V, Street City: Company: -4 Street Address: City: 23 ZYO State: Al c ?.l„las z State: Phone #: ARCHITECT/ Company: ENGINEER Name: Registration #: Street Address: City: State: Zip: Sewer & water licerned plumber (new construction only): Penalty applies when address change and lot change are, equested once permit is issued. hereby acknowledge that I have read this application and state that the information is and agree to comply with II applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: Cr/ OFFICE USE ONLY Phone #: VS 4, 0/ 7/ LJ /L/JV Zip: SY/ Z 2 Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required 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 p 31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building A- fl I; 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous MCNVS System City Water Fire Sprinklered PRV Booster Pump Census Code. SAC Code Census Bldg Census Unit Engineering Variance 5?3 y -LZ Permit Fee Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? 15 Deck Valuation: $ % SAC SAC Units pioneer Eneineerine 6819488 F. 02 2422 Enterprise Driee Mendota Heights, MN 55120 PIO EEFt 1612) 681.1914 engineering.. / TCO Certificate of Survey fonjoiEPN M•?/) ?IER ?O"/AVI ?1 1 NORTH ens ? - ba a?¢s z F-) f3 L.Hf t $73 '?i ?• l l x,o ?Rty _1 S> R G -tom i i 12.o t? _y W I t _ g?ki ?w p <;-4- vJ; o.e? i ` n a I ? ?? t ter;, t _'} li A y 4-4 $?Z•'fo 1?8gq20 CC?j'3 ?^??q ?'?I•? ' `I 7J r l Y j 7 it D J EAGAN ENGINEERING DEPT : 900.00 Denotes Existing Elevations PaoV"F NaUSE ELEVATIONS po.oo Denotes proposed Elevations Lowest Floor Elevation 86s.9s Denotes Orono a 1/tIli ty Easemenl? 7'0 of Block Elevation -- Demotes Draino?e low xlrrows ora?ie 51ob Elevofion a7b.43 o Denotes Monument Beannjs shown are aflumeo/ o Denotes yl set ltub LOT I3 , BL d C/?! 3 $NE?WOOI? a?DOrWNS DAKOTA CouAITY, MINNESOTA J 1 hereby certify that this survey, pion or report war prr ared by me or un er my direct supervision and that t am duly Hegfetered 4ond Surveyor under the taws of the State of Minnesota. Dated thls 2-3 rdey of r'1 Y A.D. 19 `. Scale . 1 inch r eelt G fl,)l7 L. Gg 0"'tT E. S, L.S. REG. NO. l ta91 - CITY USE ONLY / L ?? BL J? RECEIPT#: D S1p O SUBD. &wy? RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Shower 3.00 x 3.00 Water Closet 3.00 x 3 0 ° Bath Tub 3.00 x = Lavatory 3.00 x 1 = 3.0 p Kitchen Sink 3.00 x = Laundry Tray 3.00 x = Hot Tub/Spa 3.00 x = Water Heater 3.00 x = Floor Drain 3.00 x = Gas Piping Outlet " minimum -1 3.00 x = Rough Openings 1.50 x = Water Softener `for dwellings under construction 5.00 X = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 = U.G. Sprinkler * for existing dwelling * 20.00 = = 0 7 Alterations to existing residence 20.00 c? . Water Turn Around 20.00 = Private Disposal System * MPC tic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE .50 TOTAL J o -- --- ----- - ------ - - -- --- --- ------ ---- --- ----- hereby acknowledge that 1 have read this application, state that the infortnaticn is correct, and agree to comply wth 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/dghtof-of SITE ADDRESS: / 9 3 /?0 r-k r ZN '-,!? 4-4 S?? Z Z OWNER NAME: INSTALLER NAME: STREET ADDRESS: CITY: 9, 144 SIGNATURE OF PERMITTEE 5tZ.r-- - SA-,-I E TELEPHONE#: yJ7O oil / CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 L SUED. CITY USE ONLY BL Y'In1^0A ? aa,4- RECEIPT#:l RECEIPT DATE: Ya S >T PERMIT # ;t- 7-0) 2000 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, NN 55122 651-681-6675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH # TOTAL Alterations to existing dwelling - minimum fee Describe: $ 30.00 Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas piping outlet ' minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory 3.00 x $ Septic System newirefurbished ' requires MPC Ile. 75.00 x = $ Septic System abandonment 30.00 x = $ RPZ new installation/repair/rebuild 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x $ Underground sprinkler if dwelling is under construction 3.00 x = $ Underground sprinkler if existing dwelling 30.00 x = $ Water closet 3.00 x $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener If existing dwelling 30.00 x = $ Water tumaround 30.00 x $ State Surcharge .50 -> -> -> $ ( .50 Total -> > -> Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - - ----- --- ----- - ------ - - -- --- ---------- ---- -- I -- - ances. hereby admowledge that I have read this application, state that the irdorna6on is correct, and agree to comply with all applicable City of Eagan ordin - 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-way/easement. SITE ADDRESS: OWNER NAME:: a- ph-51 e INSTALLER NAME: STREET ADDRESS: TELEPHONE #: 6 W 4/)Z- 617Y_ (AREA CODE) TELEPHONE #: (AREA CODE) i' S1 2- CITY: CLie?e SB : , / ?? A r? IP: S SIGNATURE OF City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1493 Rocky Lane Lot: 13 Block: 3 Addition: Sherwood Downs PID:10- 67670 - 130 -03 Use: Description: Sub Type: e - Furnace Work Type: Replacement Description: Furnace Comments: Quesetions regarding electrical permit requirements should be directed to Ma rk Anderson, State Electrical Inspector, 952- 445- 2840Cindy Lilienthal 21210 Eaton Ave Farmington, mn 55024 651- 344 -4253 clilienthal @controlledair.ne t Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 Surcharge -Fixed ME - Permit Fee (Replacements) Total: Applicant/Permitee: Signature PERMIT City of Eaan - Applicant - $0.50 $30.00 $30.50 Owner: Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: 9001 0801 Issued By: Signature Mechanical EA074748 08/15/2006 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 RESIDENT 1 OWNER Name: lcl4.,t7,7 Phone: 6,5t-105 q/3 Address 1 City/ Zip: f Applicant Is: Owner X Contractor TYPE OF WORK Description of work: Pi1C,'fi Construi:tion Cost: 65+�, 49 1 _-q Multi- Family Building: (Yes No/X CONTRACTOR Name: t i�5 ire r' License* -0 I Address (.t: +L iii'' lr 7A14.)11,- �I City: j uY1t?S* a /Zix State: Zip: 55 3C Phone: 2 734 SS)C5 Contact Person: IrU"' COMPLETE In the last 12 months, has Yes No If yes, Licensed Plumber; THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING the City of Eagan Issued a permit for a similar plan based on a master plan? date end lddress of master plan: 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- publlc'11 you provide specific mesons that would permit the City to conclude that they are trade secrets. 10/07/2009 11:27 FAX LeMaster Construction 002/002 4 1/II City of Min 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 675.5694 Date: Tenant: Suite x Applicant's Printed Name 2009 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address: Use BLUE or BLACK Ink Permit /a Permit fee: C c 0 Date Received: Staff: J CALL BEFORE YOU DIG. Ci ii Gopher State One CaII et (651) 454.0002 for protection against underground utility damage. Call 48 hours before you Intend to dig to receive locates of underground utilities. www.cioaherstateonecall.orq I hereby acknowledge that this Information la complete end accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that 1 understand thls Is not a permit, but only an application fora permit, and work is nol to start without permit; that the work will be In accordance with the approved plan in the gees of work which requires a review and approval of pl- s X f l�•t Appl c t gnatur Page 1 of 3 City of Eagan 3830 Pilot Knob Rd Eagan, MN 55122 (651) 675 -5675 www.ci.eagan.mn.us Site Address: 1493 Rocky Lane Lot: 13 Block: 3 Addition: Sherwood Downs PID:10- 67670 - 130 -03 Use: Description: Sub Type: e - Air Conditioner Work Type: New Description: Air Conditioner Fee Summary: Contractor: Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460 -6022 X253 ME - Permit Fee (Replacements) Surcharge -Fixed Total: Applicant/Permitee: Signature PERMIT City of Eaan Comments: Questions regarding electrical perm 952- 445 -2840. Permit required without required inspections. 3/19/2009 - Applicant - $50.50 Owner: Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 Permit Type: Permit Number: Date Issued: Permit Category: Issued By: Signature equirements should be directed to Mark Anderson, State Electrical Inspector, $50.00 0801.4088 $0.50 9001.2195 Mechanical EA084338 07/15/2008 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 PERMIT City of Eagan Permit Type:Building Permit Number:EA117684 Date Issued:10/22/2013 Permit Category:ePermit Site Address: 1493 Rocky Lane Lot:13 Block: 3 Addition: Sherwood Downs PID:10-67670-03-130 Use: Description: Sub Type:Reroof & Siding Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. 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 - Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 Integrity Restoration Inc 6360 Sunfish Lake Ct Ramsey MN 55303 (763) 506-0200 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA143481 Date Issued:06/16/2017 Permit Category:ePermit Site Address: 1493 Rocky Lane Lot:13 Block: 3 Addition: Sherwood Downs PID:10-67670-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 (651) 492-0917 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA153729 Date Issued:01/17/2019 Permit Category:ePermit Site Address: 1493 Rocky Lane Lot:13 Block: 3 Addition: Sherwood Downs PID:10-67670-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater & Water Softener 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. Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener). 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 - Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 (651) 492-0917 Bruckmueller Plumbing Inc 3992 Pennsylvania Ave Eagan MN 55123 (651) 686-6696 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA155723 Date Issued:05/31/2019 Permit Category:ePermit Site Address: 1493 Rocky Lane Lot:13 Block: 3 Addition: Sherwood Downs PID:10-67670-03-130 Use: Description: Sub Type:Residential Work Type:Underground Sprinkler System Description:PVB 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 - RPZ/PVB/Lawn Irrigation $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 - Jeffrey G Chipman 1493 Rocky Lane Eagan MN 55122 Jay's Plumbing 25 South Sutton Lake Blvd. Jordan MN 55352 (612) 868-4102 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA171691 Date Issued:08/26/2021 Permit Category:ePermit Site Address: 1493 Rocky Lane Lot:13 Block: 3 Addition: Sherwood Downs PID:10-67670-03-130 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Jeffrey G Chipman 1493 Rocky Ln Eagan MN 55122--382 (651) 492-0917 Controlled Air 21210 Eaton Ave Farmington MN 55024 (651) 460-6022 X253 Applicant/Permitee: Signature Issued By: Signature