1498 Rocky LaneCity of Eapli
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Permit #:
Permit Fee:
Date Received:
Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 7/x/6 Site Address: /! 9 r 'i- /1/ / 4/1t)
Suite #:
Tenant: //v 6' L "i
RESIDENT / OWNER
Name:
Phone:
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: 44c 'i4*Ara,-?-l"'"S`--
Construction Cost: /' I/ 9 73 Multi -Family Building: (Yes / )
CONTRACTOR
Name:„le ey Znevy License #:;erfm /# ‘r7/4,r 7.2at
Address:7'9 ..C714.1etedid(si o
City: Z/9404,442/ . 1 State: Zip:
Phone: 273 % Contact Person: C,,A4'7 u,t�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
('1 submission type) • Energy Envelope Calculations Submitted
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:
Sewer & Water Contractor: Phone:
Phone:
OTE: Plans and supporting docu en
he information may be classified
that you submit are considered to be pub
n public if you provide spec fi reasons th
elude that they are trade sacra
latonPorta
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is r •t to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of
Applicants Printed Name
App cants Signature
Page 1 of 3
City of Eaan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
ermit #: 4="•\16‘0.101Z'
Permit Fee: oitAtC2VC,
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 102//6) Site Address: NV #e-c4c`, 6/1
Tenant:
Suite #:
RESIDENT / OWNER
Name: CJ C19 c-1-.... Phone: C'S ( Li V-2 3 C5S
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK
Description of work:
Construction Cost: Multi -Family Building: (Yes /�NNo )
CONTRACTOR
Name: C <JY ee-r, r` S -e )ki C License #:20 S. (S QS U
Address: 13-% Qbg- S City: t41 (4.10-(4.10--k-l.O-`'
State: PAN-1Zip-S.<At'Phone: C' \ 2- ri 3 5 ,„..--7-D-...„
Contact:C-21 571'. 165 y Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
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 and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting documents that you submit are, considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the Ciiy-to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to rt without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
VS )-e.
Applicant's Printed Name
x
Applicant's Signat
Page 1 of 3
I'17"%31' j?S;?ip^ `.' y, "Ff
BEAU RVA'IED FOR DEM
ROBEWRT :."rUMN - 688-I
BUILDrNG PERMIT
ts.
%r' F T Vr CNVHIY
Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
Site Address _ 1448 Awzy 1_M
Lot 2 Block 2 Sec/Sub. s1>lE1:iMM DOWNS
Parcel No.
W Name J05MM N MLWL_COUB272MOR
o Address 181111 CEDAR AMR B
City EARMING11IN Phone -6 41-7mi
Name SA11P
Address
WW Name
Iu Address
C" City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to compl all a able State of
Minnesota Statutes and City of E n O a s.
f
Signature of Permitee
A Building Permit is issued to: COMET
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Receipt #
0 Date
MAY
6 1 91-L-
OFFICE USE ONLY
Occupancy R,-3 -BL-1 FEES
Zoning JLM1
(Actual) Const ?H Bldg. Permit 675.00
(Allowable) limp Surcharge 41111-
#of Stories
Length Plan Review AIR-[]O
Depth 100.00
SAC, City
S.F. Total 1
S.F. Footprints SAC, MCWCC 630,
On Site Sewage Water Conn Go.
On Site Well Water Meter 95.00
MWCC System 30
00
City Water X .
Acct. Deposit
PRV Required X SM Permit 30.Ota
Booster Pump S/W Surcharge _ 0
Treatment PI 276.00
APPROVALS Road Unit 370.00
Planner Park Ded.
Council -
Bldg. Off. Copies
Variance -
S0
TOTAL 3,379.
. . Permit No. Permit Holder Date Telephone #
WATER S Y 9
SEWER.
PLUMBING • - s h*
H.VAC.
ELECTRIC Q O ?1 a
inspection Date Insp. Comments
Footings I _ g
Foundation
Framing ?_ ??.. ! S
Roofing
Rough Pibg.
Rough Htg.
Isul. ??s 7 q !
Fireplace
Z g
Final Htg. ! y„d
Orstat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
? . a N
+17 c !i -?
Y
(grrtif irate
Citp of (ga4an
ior bmd of tualm.3uuprrum
t
This Certifurrte issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structwr was in compliance with the various
ordinances of the City regulating building oonstr wdm or use For the fogowfing.
SF DWG/GAR 0017
use Ciuti owtim R BW& thmh Na
POST IN A CONSPICUOUS PLACE
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE April 2 9 19 91
/' OFFICE USE ONLY
METER # `1 Q PERMIT DATE 05/14/91
CHIP # aL' PERMIT # 11987
METER SIZE f filf -C B.P. RECEIPT # C 13337
ISSUE DATE B.P. RECEIPT DATE 05/09,1 1
x PRV - BOOSTER PUMP
SITE ADDRESS 1498 A n r k y L a n e
LOT ' BLOCK ," SEC/SUB 5 h e r w n n d :,)n w r. s
APPLICANT: j a g sp h W , i4 } II 1: • r C? t?s t = n c
ADDRESS: I Rl VA C a da r AU So
CITY, STATLr i3 rm i n izr n n- Mn 7? r 1 4 ZIP
PHONE: 4 3 1- 2 0 0 1
PLUMBER: a e-r! a R p a m
ADDRESS74 5 So, Robart Tr
CITY, STATE Bngomnunr n ZIP 5 X064
PHONE: 4 23 -1 14 4
OWNER:
PERMIT REQUESTED
x SEWER WATER -TAPS
- COMMAND RESIDENTIAL
X NEW _ EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic- ,Meters on Water Line.
Credit WILL,NOT,b6iveD4or Deduct Meters.
TO COMPLY WITH
ADDRESS:
CITY, STATE ZIP
PHONE: E WHE ED
PLEASE ALLOW TWO WORkING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 1 I j1 If "I'
3830 Pilot Knob Road Permit Number: "
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
''Ivy IANI - Illllll i•Iri: h Ital.
{iJ I.l;tllt„ L!II1(4', l t• s , j , ;; IJ0,I
PERMIT SUBTYPE:
:I
TYPE OF WORK:
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
RF MARKSa A SUPARATF PVRfM1 1 I
Rt IIULFtI I) FOR ANY Pi 1JIMPIN41 OR U11 Et:TtttI.AI WWI
Permit No. Permit Holder Date Telephone •
ELECTRIC
PLUMBING /? 3 s 79- Gy/G
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING r
PLBG
AIR TEST
ROUGH
HEATING 1 /
^
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG 1:j 6
.7
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address: 1498 ROM LANE Lot 2 Blk 2 Sac/StMMMD DOWNS
These items were/were not complete at the time of the final inspection.
Date; q Yes No
Final grade (6" from siding)
Permanent steps - garage V
Permanent steps - main entry
Permanent driveway UI
Permanent gas
Sod/seeded grass
Trail/curb damage /.?
Porch
Basement finish ??
Deck
Please verify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists.
?EMI[ORR?
White - City copy Yellow - Resident copy Pink.- Contractor copy
Wpj?/ 9/ le) / x-;5-
? 0 4 4 3 5 4.2 44nw-?Apv'?
Request Date
6-12-9i Fire No. Rough-in Inspection
Require
_ es ? No ???!
Ready Now L? w Notdy Inspector
When Ready?
I i-eHMensed contractor ] owner hereby request inspection of above electrical work at:
Job Addr 154V9 B???1?4q.?ANE Cty EAGAN
Seclipn No. Township Name or No. Range No. Coun{y AK OT A
occopam Pd f, MILLER CONSTRUCTION "01T 2-431-2001
Pewers`B'AeKOTA ELECTRIC ASSN Address FARMINGTON, MN
Elearical-Czftb AC?„panjjrg,CTRIC, INC.
No.
Contly1m 610
I
Mailing A? ?s?IQonlr?atpr?rTHer ST1?1EETIdn,WEST, APPLE VALLEY, M
(
w
(i
N 55124.
Autnonzetl
re ICO
n
ac er g Inslallalion) Phone Number c,
612-432-6688
MINNESOTA STA E BOARD OF E ITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. -Roam BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642.0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
III See instructions for completing this form on back of yellow copy.
X" Below Work Covered by This Request
..+n, :•y"P, EB-00001-08
2•e40
VG.?,, sy?
-J0il
eiv Add Rep. Type of Building Appliances Wired EquipmenlWired
Home ange Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial urnace
Farm i Conditioner
I Other (specify) Contractors Remarks-.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 01o 200 Amps Ill to 100 Amps I illy
Transformers Above 200 _ Amps Amps
Signs Inspectors Use Only. / Fo
OTAL
Irrigation Booms y[
(y3, SV
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M HS.
I, the Electrical Inspector, hereby Rough-in oars' t Jp
4
I b
certify that the above inspection has
been made. Final 4
e
OFFICE USE ONLY
This request void 1B months from
GCS _ C?? REQUEST FOR ELECTRICAL INSPECTION ee-oooof-os/
1111 See instructions for completing this form on back of yellow copy. ?C L
??60(pp [ 3179-1 f - "X" Below Work Covered by This Request (R'04 New Add Rep. Type of Building Rtes Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace - Other (Specif )
Farm Air Conditioner
Other (specify) Contract Remarks- 'n /L 2 ?n
Compute Inspection Fee Below: ??"?""
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps ove 100 -Amps
Signs Inapectors use Only. TOT L o
Irrigation Booms C
?O? Q
Special Inspection
Alarm/Communication -
THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MOWS.
I, the Electrical Inspector, hereby Rough-in ` Oslo /?
certify that the above inspection has
been made. Final oat
OFFICE USE ONLY
This request void 18 months from
0
964 ?v?q o ?-?; 4? 9 ?3
?? 8 5 a (;51
Re uest Pa e _
_
/ Fire No. Ro h-In Inspection A uiretl
(VOU %Il inspector when ready) Inspecton Other Than Rpug -1,
? gead/ Now I`Q
WIII Notify inspector
as [I No \
Dale Reatl
A
?
I
, ensed contractor
owner hereby request inspection of above electrical work at:
Job Add, trteest. Sox or Route No.)
yr
< City
p
6C
/ D ' i 1
Section No. Township Name or No. Range No. County
Occupant (PRI T Phone No.
Power Supplier Add...
Elect. .tractor (Company Name) Contractors License No
+
Mailing A?d-ddrr (Contractor or Owner Makin. Insrallfltiop)
C /O /? J
Auth Vd Signature (Contractor/Owner Makinghrslallafion) Phone Number
MINNESOTA STATE BOAR LECTRICRY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Ro m 5-1 BE ACCEPTED BY THE STATE BOARD
1111111111111111111111
INSPECTION FEE IS
1821 University Ave., Bt. Paul, MN 100
UNLESS BE
or...... 1.11, ancnem cnici .can
CITY OF EAGAN. 9 1
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
3
BUILDING PERMIT Receipt # _ C1 1
<33
To be used for SF DWG/GAR Est. Value $110,000 Date MAY 6 tg91
Site Address 1498 ROCKY LN
Lot 2 Block 2 Sec/Sub. SHERWOOD DOWNS OFFICE USE ONLY
Parcel No. Occupancy R-3 M-1 FEES
R
1
Zoning -
W Name JOSEPH M MILLER CONSTRUCTION (Actual) Const -Y---N Bldg. Permit 675.00
o Address 18133 CEDAR AVE S (Allowable) Surcharge 55-0D
City FARMINGTON Phone 431-2001 xotstories
681 Plan Review 438.00
Length
o Name SAME Depth 3911 SAC. City 100.00
d Address S.F. Total
SAC, MCWCC 650.00
¢ City Phone S.F. Footprints
t
C
x
60
00
W
On Site Sewage a
er
onn
.
-
F
W
_w Name On Site well
Water Meter 95.00
Address MWCC System _
it 30.00
A
t
D
Mill City Phone City water X cc
.
epos
PRV Required X S/W Permit 30.00
1 hereby acknowlege that I have read this application and state that the Booster Pump
0
SAN Surcharge .5
information is correct and agree to comp all a able State of
Minnesota Statutes and City of na s. Treatment PI 2 7 H - 00
Signature of Permitee APPROVALS Road Unit 370.00
A Building Permit is issued to: JOSEPH M MT T.T.FR CON ST Planner Park Dad.
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 ?
?l i 4 1 mi Variance TOTAL -i+-3 / y • ?O
T
y . .
0•*
675.00+
55.00+
438.00+
2j211.50+
31379.50*
675'00+
55.00+
438.00+
2,211.50+
3)379.50*
?uoed st W - nec in lljgature
1991 BUM TIPLICATION
SINGLE FAMILY DWELLINGS
CITY OF EAGAN
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.
Q G J?
To Be Used For: Valuation. Date: / t /
Site Address 1?r%hlr G
a
Lot . Block
Parcel/Sub
Owner
Address
City/Zip Code
Phone
Contractor
Address ( ?j C._ELtCIC v C(,cJ cil [,
City/Zip Code ?'Cv -SSA _?-4 y
Phone `/ 3 ?- 2-ar
Arch./Engr.
Address
City/Zip Code
Phone #
1)01000' OFFICE USE ONLY
Occupancy R-3 M-1
Zoning X- I
Actual Const V-N
Allowable V-N
# of stories
Length
Depth 39
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System ?
City water ?
PRV
Booster Pump
APPROVALS
Planner
Council
Bldg. Off. ?S S ( pi
Variance
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Is i P/
675, oa
55, rx?
OV
II C)
0,00
?br0
5,oo
30,00
sy?
7 ? 6,Otl
3T]o,uo
Q iy( Q? C?e vCSCLc_t agrees that all work shall be done in accordance with
((Signature of Contra or)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
VA?unn? ,
GA+12 A &Z
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57z
x ,sue ?sgv
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165m7 ILl-73
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on l,v` Cava
F 1 oneer- Ene i neer- i ne
6819488 P-03
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$Lh
2422 Enterprise Drive
Mendota Heights, MN 551217
I (612 681..1914
t
9
1
C w
da6g.31 `?, ? `_.
s?3o,i7zo ?.Poe
(,. N
Si
0
q N k
?p ?p
U11.@Y. v r-AT
s NO. 00 Denotes Existing Elevations _PJWBUE0 HOUSE &EVAT(ON$
K oo.oo Denafes proposed Elevations Lowest Floor Eleyolion ra20•
- Denotes Drama e (//tiny Easemenl r,oo of Block EYevolion a7 !'. Z('
Denotes Drainoge tow Arrows Gora?+e Slab Elivafion 572..93
o Denoles Monument
Bear+'n¢s shown are assumed o Denoles aff'sel Atub
LOT Z, , BL OCOW 2- 914ERWOOD DOWNS
DAKOTA COUNTY, MINNESOTA •M j subject to easements of' record
I hereby certify that this survey, plan or report was p?re?qr Bred by ine r under my direct supervision end that I am duly Registered Land Surveyor
under tht laws of tke State of Minnesota. Dated this-049W, of A.D. 19-2?-?
q Scale,,nch _ 40 e-1 ; . .
z7 s l .5.X1614 L. .R O.ND. 1,6893
Certificate of Survey for:` OSEP ' 114' MILL EAT? CONS " " CO.
NORTH
1
Y m
i ti° tra n
y4° %7'
a / 811.1 M v
I z'O ?W
for Z
3m s \
0
o N ,?
#121/4
Owner
Site Addre
Contractor
MINNESOTA STATE ENERGY CODE CALCULATIONS c10.717 /{.
BASED ON CHAPTER 5 OF THE i f?
MODEL ENERGY CODE - 1983 EDITION
Adoption Effective 111104
Phone Date
Building Class(fi'cation: Type Al (Single Family b Duplex)_-Type A2(Residentlai)
(3 stories or less
NOTE: Complete pages 3 and -4 fl'Tst.
(Other) (Over 3 stories)
GENERAL 'INFORMATION
1. Building Pe r,imeter ??? CQOlL? $ll'
2. Wall height (ground to eave) ft.
2'
3. 1. x 2. (above),gross'wall area ;ue A ft.
4. Building, dimensions, (L) X (W) O ft.2 roof b floor area
5. Square-foot' area of rim joist - Floor joist size (2 x ? Y ) I Gfs -f t2
7 X Perimeter = Rim oist area
12
6. Doors - Afea
Thickness In. U factor
Type of Construction Perimeter ft.
Manufacturer
7. Total door's perimeter ft.
8
TYPE
SIZE
??,b wdzyg_. skr
State approved
AREA (Ft.2) NUMBER OF TOTAL FtET 2
EACH UNITS
i .
9. Total ft .2 Glass ZLj 5
10. Fireplace area; Width X height X i
11. Exposed foundation; Height X,Perimeter ?p???X =
COMPLETION OF THIS 'FORM IS REQUIRED FOR ALL 40_ RUC ION, MAJOR
MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS USED.
Windows: Manufacturer
U factor , 41
Ft.2
Ft.2
REIN
.Framing area = 10% of gross wall area.
Gross hall area ??/D/a9?2
Window area A IiS 4 ft.2
Rim joist area A 14S ft.2
3 2
12.
13
69or area A
`f-i-reparea A ft.2
Exposed founda tion A ft.2
Framing area A 1i?0? qzc ft.2
Net wall area A' tal ft.
qo W ko
ft.2
U windows F_ , U x A - 1J9
U rim joist = U x A =. 'Jr+
U door area = , I U x A T
U fireplace = r ?7 U x A= d
U foundation U x A = 10 Al
U framing area a ,0950 U x A =?
Uwall UxA - 7.-5 77
' (13B) TOTAL . . . . . . . . U x A
14. Gross wall area R 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 .23 (Over 3 stories)
r? I UH Must be larger than
A - - IVOL - x U Code, ??? 13B above
15. Ceiling framing area (Af) equals 10% of ceiling area (, or the, same as) 1
.. 2
15A. Gross ceiling area ,= (L) x (W) l Sl °o ft•
15B Joist area (Af) = 10% ceiling area 9? Ci Z ft.2
15C. Net ceiling area (Ac) (15A!- 1513) ft.2
U ceiling x A,c= ,f7212. x = 30,5
U framing x A f= ?•?Z3 x
--------------
15D. TOTAL'U x A ..................................V...'
• 'I
16. Ceiling area. (15A). x 0.026(A-1 single family duplex' lowable U x A
x 0.033 (9-2 other residential).
x 0.06 (other)
00, BaUH • Must be larger than •15D (above)
A (15A) J ?J1O x U code = F (or the same as)
NOTE: Use U'and A values obtained from pages 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 S gnature•
2.
L BL a2 CITY USE ONLY RECEIPT#: 'Oe'
? a.
SUBD. z16??n4boa DATE:4?5
1995 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
FIXTURES EACH NO. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
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 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL
SITE
OWNER NAP
INSTALLER
STREET ADDRESS: S-96 0 lJrju kt, d2ri t,4-9
CITY: I `1 r l ?" STATE ZIP:
PHONE#:??2-)
l 'SIGNATURE I TEE
OFFICE USE ONLY
L BL RECEIPT #:
SUBD.
DATE-
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for. . all commercial/industrial buildings.
mufti-family buildings when separate permits are 0.45 required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS:
CITY:
PHONE
METER SIZE: DATE:
STE. #
SIGNATURE:
OFFICE USE ONLY
STATE: ZIP:
APPLICANT
INSPECTOR:
PERMIT # CITY OF EAGAN G
1992 BUILDING PERMIT APPLICATION
s 681-4675
T'15N7
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans; 1 set of
specifications, 1 copy of_energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re guest is made r lot than a is re guested once ermit is issued.
Date H Valuation of work 7-)Z O
Site Address: 1498 RcGIGL IAw?
STREET STE Y
Tenant Name: -{ Ob CY& arJ
LOT _ BLOCK d1 SUSD. P.I.D. 0
'Description of work: C
The applicant is: Owner ? Contractor ? Other (Describe)
Name ?,YbAr\j Phone 1oS'F ?$.?3
Property LAST FIRST
Owner Address 1 i-f 18 6C Jc" I .Q-r\-?-
STREET - STE 0 -
City Eq ? S ra State Zip C-35 7 JAS
Company Can rr X Phone
Contractor Address License it Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of,
Eagan Ordinances.
,
Signature of Applicant:k? c`? -
Vrri" {,IBC VIYLT
BUILDING' PERMIT TYPE
? 01 Foundation, ? 05 Apt. Bldg ? 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. )R 08 Deck ? 12 Comm./Ind.
WORK TYPE
.14 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
? 99 Undefined
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft..
Sq. Ft.' total
Footprint Sq. ft.
On-site well
On-site sewage -
Building
Variance
? Footing
11 Final
? Framing
? Draintile
3Z
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surchargge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
Vsluatfon: f
. ° '9
? 13 Public Fac.
? 14 Agricultural
? 15 Miscellaneous
MWCC System
City Water
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
F' i or??er Er-, ?a i n?•er i na
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rl
* engirr
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Y
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2422 Enterprise Drive
Mendota Heights, MN 55120
6ti
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Fs`/SU p?s..?,
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681 9488 F'. Et=_.
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x 900.00 Denoles &Wmg 8evalions PROESEQ ROUSE ELEVATIONS
x oo.oo Denoles Proposed Elmh ns Lowest Pror EfevafiM 1170. zfex
--- - Drnofcs Drillnaje ((/llily Easement lip o8lock E/¢volion 373 , x?
- -- Denoles Draino a l/ow xlrrows Gara e Slab Elevation X72..93
o Denoleq Anument
Bearings shown ore assumed O Denoles q/pe/ Iluh
LOTZ , BLOrv Z 5l4wwooD DOWNS
D.4Xom Cot WY, MINNESOTA •M subvert to easements oy"rerord
t hereby certify that this survey, plan or report wasppp/re?gr awd by me-Ipr hd rr my direct superws+on and that I am duty Registered Land Surveyor
under the laws of the state of Minnesota. Dated thls_?.a1 dey of A.D. 19 ,+7
9oZO?o.z y Sca/e : Inch r 404 ?
-
---? n'JB_ i , SW.IGH 4 R [?. NO. 14091
(612) 661-1914
Certificate of Survey tor:JO15EP1J M. MILLER CoNST Co. G
S ti NORTH
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: P.I.N.: 10-67670-020-02 APPLICANT:
LOT: 2 BLOCK: 2
1498 ROCKY LANE WOODMARK INC
SHERWOOD DOWNS (612) 937-8037
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH
BUILDING
026701
11/13/95
ALTERATION
INSPECTIONTYPE
FRAMING DDATE INSPTR. INSPECTION TYPE
INSULATION DATE INSPTFI.
ROUGH IN PLBG FINAL
REMARKS: A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
F
f
7
s` CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-67670-020-02
DESCRIPTION:
PERMIT TYPE:
Permit Number:
Date Issued:
BASEMENT FINISH
ALTERATION
Ce-D 4 6`9
BUILDING
026701
11/13/95
S6 r
PERMIT
1498 ROCKY LANE
LOT: 2 BLOCK: 2
SHERWOOD DOWNS
Building'.Permit Type
Building W'ark Type
4.
j
r
1
REMARKS:
A SEPARATE PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$35.00
$.50
Fee $5.00
$40.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
WOODMARK INC 19378037 20039266 CYGAN ROBERT
15709 HIGHLAND HEIGHTS DR 1498 ROCKY LN
MINNETONKA MN 55345 EAGAN MN 55122
(612) 937-8037 (612)688-8823
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances. J
t? cEOAr+A4 N i
PPLICANT/P MITEE SIGNATURE ISSUED B : SIGNATURE
RD
1G10 CITY OF EAGAN
3830 PILOT KNOB B RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
?40
c0.Viet r I - ?3
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 7 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93 `S
required: Yes _ No $/ q
DATE: I I O /g? CONSTRUCTION COST:
sr
DESCRIPTION OF WORK: IN' 54 )0J L__0 c,
STREET ADDRESS:
LOT BLOCK
SUBD./P.I.D'. #:
A
PROPERTY Name: L?yC,A(J I ? ot? ?T Phone #: 6 fg_ 020'
OWNER '"°°
Street Address-
City: an/ State: to Zip: 55«.;,
CONTRACTOR Company: o°pN4AP / / Phone #: 7522,
Street Address: S :?-b "L-ApjpLicense #: )20395
City: NNfLTUU State: _ Zip-
ARCHITECTI Company: Phone M
ENGINEER
Name: Registration #
Street Address*
City: State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
Signature of Applicant:
Yes No
Yes No
NOV 0 6 1995
OFFICE USE ONLY . ?1{
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New -Z-33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment Pl.
Road Unit
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
1-50b
o/
D
% SAC
SAC Units
1 11 City of Eapu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
---------------
Permit #: ?G ?
I/v
I Permit Fee:
I
? Date Received:
Staff. I
----------------I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ??ZL/C S
Tenant:
Site Address: /Y?r
Suite #:
RESIDENT / OWNER Name: cIa=-C/' Phone:
Address / City / Zip:
Applicant is: - Owner
Contractor
TYPE OF WORK /?
/J!ltczir t L r rrs
Description of work: !
r
Construction Cost: /4 925 Multi-Family Building: (Yes No>K_?
CONTRACTOR e- < ft ^ License #: L+cvo Z4 G iT?ue ors 'y°x
Name: n
//
Address:'l?? S7?4e4woee ""(
Zip:
City: z';76 siL/"4 ?S/sue State:
?o
Phone: ??-s'? :,2738 Contact Person: Z.e.{'r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE°`Plags and supportin"gydocuments thatyollsubmit are considered to be;pubffc information, ,,Powtions of
the information maybedass>fied as non-public if yna provide spec{fic reasahs thatwdtildpermttthe City to
conclude that fhe are trade secrets
--
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is pt to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of?ank.
L r 7//
Applicants Printed Name App cants Signature
Page 1 of 3
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