The URL can be used to link to this page

850 Rogers Ct Receipt ~ PLUMBING PERMIT Permit Na CITY OF EAGAN ' Fee ~ FiII in numbered stioaces S/C -°-~i= ~ Type or Print /egib/y Toi. >G- ~l~ 1. Date 2. Installation Cost Xl*'~ ~ ~ ~ _T- ~ fi~' . ,z ~i rl,E. u/ 3. Job Address rt'_. ~ s-- Lot Blk. ~ Tract x~ J 4. Owner ,1 ~~1 iJ t~17'~~ ~ ' ~ _ 5. ContractoC~~~~~"~~~ Phone ~'4~ 6. Address /I ~I ~ r : ~L--: ~ , /1 i~C_ 7. City State r~~ 2ip ~~v;~.~. 8. Building Type: Residential ~1 / Commercial ? Institutional O 9. Work Description: New'~ Add ? Alter ? Repair O 10. Describe 11. No . Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank ~ ~avatory 5oftner ~ Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink ~l Gas Piping-Outlets 12. I hereby certify tFs~t theiabove information is true and correct, and I agree to comAJy with all ordinadcesi7nd codes gover ' is tYpe of work. Signed : for Reugh Final Inspections: Date Ins~i. Ddte Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 Racfipt ' MECHANICAL PERMIT Pormit No. CITY OF EAGA?N Fa~ - ~ ' Fil/ in numbered speces S/C ;'a Type w Print /egibly - , ~ Tot , 1. Date ~ r -~2. Installation Cost ~CE- , ` ~ ~ ' ~ , f~ ;a'iG~cS.E :.a'"'- ` ' 3. Job Address r~:,~~? ~ Lot `,~r Blk. ~ Tract %j~.:,~c, , J,• 4. Owner • .1`~_ i~~ ,,r1 ~ • '_~'';G / ~ ~ . ~ • 1.~. , 5. Contractor _ - - (~S~' Phone 8. Address ~ , `x - - ' t : - - - ! fi 7. City . / Stste i~:~' Z~p 8. Building Type: Residential L~' Commercial ~ Institutional ~ 9. Work Description: New`,~] Add O Alter O Repair ? ' 10. Dssaibe Fuel Type 11. No. F.qui~uent STU - M. Ea. No. Eauiament CFM , ) ~,F~ced Air Air Handliny: ; Mfg. BO1~en Mech. Exhaust Mfg. Unit Heater Mfg. Other Air Cond. AAfg. Gas, P'iPing Outlets 12. I hereby certify that the above information is true and correct, and I agree to oomply with all ordinances and c~,o~overning this type of work. Signed : ~ ~i. •J'' for RouyH F insl Inspections: Dete Insp. Dete Insp. This is your permit when numhered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition NORTHVIEW MEADOWS ~ot 40 a~k 4 Parce~ 10-52100-400-04 Qwner 5treet 85Q ROGERS COURT State EAGAN 1~II+1 55123 Improvement Date Amount Annual Years Payment Receipt Date STREETSURF. 1JH4 76.75 ~,bZ ~:65 10 61.41 A014952 12-13-84 STREET RESTOR. GRADING ' SEWER LAT 5 1981 5. . 11.94 A014951 12-13-84 SAN SEW TRUNK 5 ~~c 1981 138. 48 6.92 20 103. 88 " " SEWERLATERAL TRK 1984 275.22 8.3418:35- 15- 238.54 A014952 12-13-84 R 1981 22.2~8 148 1~'1 ~Ots 14.88 A014951 12-13-84 WATERMAIN ~ 1984 70.67 4.71 15 6I.25 A014952 12-13-84 WATER LATERAL 5 1981 18.65 1.24 .133 ~ 2~915 12.45 A014951 12-13-84 WATER AREA 19H1 13H.4H 6.52 ZO 1O3.HH WATER LAT 198Z 29.52 1.4't ~~S 20 22.17 " " STORM SEW TRK ~ lgg4 3g2, 32 ~g,~39-~3 if1S 235.40 A014952 12-13-84 STORM SEW LAT DRAINAGE S. 1984 33.97 3:34 3-:~' 0 27,19 A014952 12-13-84 CURB & GUTTER ' SIDEWALK STREET LIGHT Road Unit 4~48571 12-26-84 WATER CONN. 4~0.00 " " 9UILDING PER. ~ ~T SAC PAR K . , R cITY OF EAGAN ~ ~ ~ ~ ~ _ 383~ Pilot K~ob Rosd, P.O. Box 21•199, Eagsn, MN 55121 PHONE:454-8100 : . QUILDING ~ERMIT R~ia ~ T~ M w~ fw ' ' ` . Est. Volue ~ Date ` - . 19 ` 1; . Erect ~ Occupancv Site Addreas , , T : - . Remodel ? Zoning Lot Block SecJSub. ' ' Repeir ? Type of Const. Pa?cel No. Enlarge ? No. Stories . . ~ ' , ~ ; Move ? Length _ . W N~1e Demoliah ? Depth ~ ~ , r,:,-~~ r~,; : '~:v}; Address ~ . Grade ? Sq. Ft. City Phone ~ ^ ? ~ ~ ~ ' Install ? Approval~ Ft~~ ~ ~ Name - , , S~ A~~ Assessment Pem?it . ~ City Phane Woter d$ew. SurcFa~ Pollce Plan Review ~°L Name Fin S/~C s~ Addresa Erq• Water Ca+n. ~ W City Phone Wonner Woter Meter Coueuil Road Unit 1 hereby acknowiadge thot I horre rood this opplicotion ond stote that Bldg. Off. ' Park~ fhe inlormotion is tcrrect and agrea to camply with all applicobl~ APC Total Stot~ of Minnesoto Stotutes ond City of Euflon O?dinances. Var. Date Sipnoturo of Pern+itt~e h Buildi~q Parmit Is iuued to: , ~ , on the ~xpresf conditlo~ Iha~ dl work shall be done in accordance with oll opplioobla Stote of Minnewta Stotutes and Gty of Eapon Oerlinonces. Builainp Offitiol P~rmk No. PKmk Holdu Ost~ Telephone it Pluwbinq l'~ ~ ~ / p-v~ 2r 1'~ H.VA.C. ~ ~ p 3 ~ 1~ ~ t ~ E~~ Uo~ I ~ '~1cfi 1~5 4 s~ Soh~r Insp~ction Data Insp. Other Footin~ I ~ Foundation Fnmina 3 Roofing _ _ ` Rouyh Plbq. t~ ~ _ x 3. I~~- ~ Rouph HVAC Inwlation ._~,j - Final Plbp.~ Final HVAC ~ ~ ~ Final ~ c«~voa. ew 3,D ~ W~~~ p~scrib~ Loution: • $l ~A _ ~ ~'Y" 9~ 7.Cl~/ VWII ~ ~ ~ ~ ~ ~ ,~~,~JQ/~_ S~vrsr Pr. Disp. CASH RECEIPT CITY OF EAGAN P. O. BOX 21-199 EAGAN, MINNESOTA 55121 DATE I ~ 'o~ ~ ~g~~` neceivin PROM AMOUNT $ , I 7 ~ ' , , c ? ~ , , I 1j _ ~ U DOLLARS ~oo ? CASH CHECK FOR t r ~ ~ ~ ~ , ~ ~J ~ - - . ~ ; ; i J~ ~i ,_.~J / ~ ; _ . , FUNO CODE AMOUNT Thank You ~ BY White-Payers CopY Yellow-Posting Copy Pink-File Copy j CITY OF EAGAN WATER SERVICE PERMR i 3830 Pilot Knob Road P. 0. Box 2119g PERMIT NO.: I Eagan, MN 55121 DATE: , ~ 'l.~ No. of Units: 1 ; r: T'nivpr.saL ~3Ui7.c'~r~ j llddrosx ~~Ite /lddress: s' S0 o r ~ f~ i ' ? , ` : t ^ttc cr V ~u/rl(?Rf• L~,i_hJ1~l!-, ~ ~'`.~i~it Metar No.: ~ 9 0~~ r~' f ',C~b^~op'"~F+orye: _ Stze:.~~a-<-4. t_ Acaount Deposit: ~ ' . 4 9 ~ ~z a ~ .s-~ - • , - Permit Fee: I Mn~ to oonrolr wieh li~ Ciry of E~ye~ Surcharge: • Oe~iueap~. ~ ~ ~ , (lr) ~ Misc. Choroes: n{.= n:et er TotoL• ho rn ~Y Dots Poid: Qato of I nsp.: `i I- b Inap.: - ~"''~`-r'~. CITY OF EAGAN SEWER SERVICE PERMR 3830 Pilot K.nob Road 72~g P. O. Box 21199 PERMI7 NO.: Esgan, MN 55121 DA~: ~/2~1~~ ;~i~: 1~I No. of Units: 1 , Univerdal Bu3ld~rs ' Address: ~ Site Add?ess: 850 P.o ero Court L~+Q B4 Pia Meadows Plumber: C~z $n P umbin~ b He~ting ~ 425.00 pd ' 1 yrM to eee+fl~r wllh !Iw Ci~f of t~s~ Connactlon C~w+pe: o.eieaeee.. /kcoune Deposie: 1 S. 00 r d _ pe~ _ _ lO.Od pd Surchorpe: 50 od gy Misc. Choroes: Dote of tnsp.: Total: ! Data Pctd: Insp.: _ ~ ' CITY OF EAGAN WATER SERVICE PEitMR 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: , . Eagan, MN 55121 DNTE: 1'~. Z~~~; FI No. of UMts: T'niversal ~uilders Addrosr. R 50 I~,ng ers Caurt I'~ ~o °:~ctows ~ ~ ;r,; SiM Addrcss: ,^enz r}•?n r: ~i~-L, ~ Pium6er. ~ 4 70 , f!0 pc~ Meter No.: Connectian Charfle: . - - Size: Atoount Deposit: ~ Reader No.: Permit Fee: . - . 1 Nrar te oo~+~1p ~ l1N City ~i E~y~s Surcharge: Mise. Choroes. 6~.t1~? r~'. ~.~c~ter ' ~i"O"°~' an ~ ho rn Total: gy Dats Poid: Date of Insp.: ~~P•~ . • . ~i ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN ' ~ p~ INCLUDE ~ SETS OF PLANS, 0 CERTIFICATES OF SURVEY ` ~F DW4.~(a,4(Z ~ SET OF ENERGY CALCULATIONS To Be Used For: ~G.uc..~?,cr- _.Valuation: ~z.~-~-~ Date: ~2 i~,~~ Site 2~ddress: -~o-r -d-o, 8~` - ~,h(~ Q,~,~ ~ S`~,o00. ~ ~ - Lot:/{D Block:'~ Sect/Sub:fjJp,,,,~~/,~~/~~n?Erect: X Occupancy: R_3 Parcel Remodel: Zoning: R-I v~Je-rs~;9 ~~l Repair: Type Of Const: ~ Owner: ~s Enlarge- # Stories: ~~~'~E~ ~~O Move: Length: ~ Address: r~! ~,~~~r~J6.~~ti~ ~~~Gy Demolish: Depth: City/2ip Code: ~A/,~,~ 5S iDq Grade: Sq. Ft.: Phone # : < Contractor: Sr L ~ ~ Address: Assessments: Permit: ~ I~.`~ City/Zip Code: Water/Sewer: Surcharge: 2 1,~` Police: Plan Rev.: ~Q~.- Phone Fire: SAC: 525.°' Engr.: Water Conn: 4~0.°= Arch./Eng: Planner: Water Meter 6 3."-° Address: Council: Road Unit: Z(o0.°" Bldg. Off.: ~~~~~Q Parks: City/Zip Code: ,~pC: D-- Phone#= Variance: ~ ~ ~ ~a.~ c} 13 ~ 3~ = 4C~g x~ 4' Z 5272 ~ X 2~ - I`~o KS~1 - °i ~ 2c~ I~nl~ ~ ~ 41 - 1254~ 29~t22 ~3g t( ' ~c~t~ Sq-SS~ ~ , CITY OF EAGAN g 816 ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ' PHONE:454-8100 S 7~ BUILOING PERMIT Re~~a # Te M rwd for SF DWG/GAR Esr. Volue $55~000 pa~e DECEMBER 26 ~q 84 850 ROGERS CT Erect ~ Occ~panev R SiteAddr40 4 NORTHVIEW MEADSRemode~ ? 2oning Rl Lot Bloek Sec/Su6. Repair ? Type of Const. V Parcel No. Enlerga ? No. Stories UNIVERSAL BLDRS Move ? Length - ~ ~ Name Demolish ? oepth 44 = Addresa 511 N. LEXINGTON PKWY G~aae ? sq.Ft. ~ City ST PAUL phone 647-1852 Instail ? App~orab Feas ~ Name S~E Assessment Permit .OO ~ Address CitY Phone Worer 8 Sew. SurcFwrye 2 5 ~ Polica Plen Review 149.00 FW ry~e Fire SAC SZS.OO ~Z-,V Address Erq. Woter Conn. ~.~00 ~W City Phone Plonner WaterMeter~~~ Countfl Road Unit ~~+n nQ I hereby ockrowledgs that I hove read this apD~~~ation and store that Bldg. Off. 12 $ Parks tM intormation is correcf and ag~ee fo comply with oll applicoble AP~~ Total ySl 797 S(1 Stafa of Mimxmta Stotutes ond City of Eogon Ordinances. Var. Date $iqnofure of Permittee A Bullding Permif Is ~ssued ~o: UNIVERSAL BLDRS on the axpreas Cordiflon Iho~ all work sholl be done in accordanca w II apo~~wble St te o'M_!s"~to Statutes ond CiN of EaOa~ Ordirances. Buildirq OfNNoI 'J 5~~ p~ REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa ' See inslructions for completi~q this form on beck of Yellow capy. ~ I~~ lU A ` ~ "X" B@!aw Work Covered by This Request I oi Add Rep. Type of Buildina APP~~enCes WireE Equipment Wi~ed Home Range Temporary Service Duplex Water Heater Lightin Fixtures Apt. Buildinc~ Oryer Electric He2tin Commercial 81dg. Furnace Silo Unloader industrial Bldg. Ai~ Corditioner Bulk Milk Tenk Farm Other ~ ~her (SUCCify) ~ er ueci(y Ot ¢r Other ~ ompute nspeciron Fee Below p F e ServieeEntreneeSixe k Fee feeders~5ubfeedars N Fen Circufte Oto200Am 5 Oto30Am s ~ S~ Oto30Am Above 2 0 Am s ~ 37 to 100 qmps 31 [0 100 A s Swinttning Pool Above 100_Am s Above 700_Amps Transformers Ini tion Booms R, Partial~'Oth ee Signs Special Inspection ,uq TOTAL \ fle~rerks r S~~ V V / '~iI / RouBh-in Date ° ~ . 3,~_~ «a E~a ~nsaectnr. ne.ehv c Ity thet the abova Finel °l ^~e ( ~ inspection has saen :"~i ~ ~ T' meda. Tida iequeat vald 18 montne irom This repuest void ~ ~ 78 months (rom ~aV ~ ~ A~10~715 L~f D B Novie~.r a. a Req s ~ala fira No. Roogh-in InsOer.tion ~5 ~ p ~ ' fle~qu, ired? ? ~Aeadv Nuw~ WiII Nn1itY. InsOac- ~ ~mYes Nn ~ur When Ready ~Licensed Elecvica Contnctor 1 hereby requasx inspaction ot above ? Owner aleclrical work ins~elled at: StrG~i AAdress Box or Floute No. ~ Cif ~ 'C' `-UU;~ ~'9 9~~N ecLOn o. Townshi0 Name or No. qange. No. - County ~ Occ venilPflINT1 Phone o. ; t1 ~ ^ ~ (.!J S, - Power SupD~~er Atldr ~ G G ~C- , G~"I~,7c S.`>G~~ ~ %2 ,~-i [ rJ~~s ~n1~'tu ecnical Contractor ~Co/mpanv Namel,~ /J Contracmr's License No. / 'i,U~ r /T ti.~t'~ \I~;~~'L b Ma~ ~ng Addresa (Cpntrac[or or Owner Maki Instailation) `~.3Ci l~~v v,~ "e;~ t~ G1. 53~~32 Autp rizetl SignaWre IC S[ra or Owner Making Installa ioni ~o~Number /u~ ~ < < ~ ~i d MINNESOTA,$T E BOAND OF ELECT111CITY THI INSPECTION qEQUEST WILL NOT Griggs•Midway BIdO• - peom N•191 ~ BE ACCEPTEO BY THE STATE BOAND 1921 Univoreity Ave., St. Paul, MN 65104 UN~ESS PNOPEN INSPECTION FEE IS ae..... Iet21 29].2111 ENCLOSED. R- ~a.oe~ ~36~ ~ ~ C~~~ O~ LLL~LL~ j Permit# ._~~~i ~ C'~ ~ ~ Permit Fee: ~ I ~ ~ 3830 Pilot Knab Road ~ ( i Eagan MN 55122 j Date Received: Jf j Phone: (651) 675-5675 i i FaX: (651) 675-5694 I Stan:_ I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ~~~J UC_(~(~~~ l~ Tenant: Suite RESIDENT/OWNER Name: ~-I`C" ~~`~~~___phone: 1~J~1' ~~•~O Address / City / Zip: Applicant is: _ Owner ?Contractor - TYPE OF WORK Description of work: ~ ~ Construction Cast: C7c~'"I Multi-Family Building; (Yes No ~ CONTRACTOR Name: ~ ~ ~ License#: d~~~~'"I ~ Address: City: ~3T1'~O.x)l'1f"~,r State: 1~ ~lu Zip: 55~~~ Phone:~Jl'-1~1~"1 ~O ContactPerson:~~j~ COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING _ Minnesota Rules 7670 Cateoorv 7 Minnesota Rules 7672 Energy Code . Residential Ventila[ion Galegory 1 Worksheel • New Energy Code Worksheet CatB90fy Suhmitted Submiried submissiOn type) • Energy Envelope Calculations Suhmitted In the last 12 months, has the City of Eagan issued a permit tor a similar plan based on a master plan? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contrector: Phone: Sewer & Water Contractor: Phone: NOTFPIansand5~p„pnrtlt~~cto~tameRtst6~jK¢~st~~lraetaY~a St : t~1~~P~i ~ Eck'~i= ,c I r e z~ ax 7. ~ x,a a i i~- t~ z ~ fhednf.'orma~?ton~~~~~~s~'1~~as~ira~f'-~r~~~yo3ry~twr fi~~s~~tif " r r ~ ~ w' ni~ Y{ -x ~ ~a ~q Sd . ~ i.~.+ar 'II~ R#4`x.. . ~~.4 _l~~ R~S:~~~~d~,_ .7t'.~~.>. tu i 9.zGi ~j~ ~ i~',{ y~i H . . I hereby acknowledge thal this information is complete antl acwrate; ihat Ihe work will be in confortnance with the ordinances and codes oi the Ciry of Eagan; that I untlerstand this is not a pertnit, but only an application tor a permit, and work is not to start without a permit ihat the work will be in accordance with the approved plan in the case of vrork which requires a review and approval oi plans. x f~n~-~ n~,a. l_, ~~--~1 X~-~g~. ~ ApplicanYs Printed Name Applicant's Signature Page 1 of 3 ~ RESIDENTIAL BUILDING b l.~ f~~~ . Permit Application b City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 New Construdion Reauiremenls RemodeUReoair Reauirements Office Use OnN 3 regislered sile surveys shmving sq. ft of bt, sq. fl of house; and all rooted areas 2 wpies of plan Cert of Survey Recd (20°h maximum bt coverage allaved) 1 set ot Ene~gy Calculations for heated additions Tree Pres PWn Reoi 2 mp'~es of plan showing beam 8 window sizes; poured (ou~ design, etc. 1 site survey for additions & decks Tree Pres Not Reqd lsetofEnergyCalculalions Atldifion-indicafeifon-siteseptksystem _OnsileSep6cSystem 3 copies of Tree PreservaGon Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bidgs witli 3 or less unBs 2f( D Date V Jl ~O ~ l Construct/ioyn Cost _~i ~OQ SiteAddress ~SQ ~0~1.5 ~~~'Y~~ /l 1l'l J`J~/C..7 UniUSte # Description of Work ' Multi-Family Bldg _ Y Y N Fireplace(s) _ 0 _ 1 _ 2 ~ Property Owner Q V Telephone #(~S~ 705~ ~/'yO Contractor MINNE80TAR11$C0, INC. Address ~ ~ D°'re City State Zip Telephone # (q,lj~ ~Q COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) ~ Submitted Submitted • Energy Envelope Calculations Submitted ~I~ 2 , Licensed Plumber I I~' Telephone ) NiAR u 5 2C^3 ~~i ~ Mechanical Contractor Tele hone ) Sewer/Water Contractor Tele hone ~ I hereby apply for a Residentia] Building Permit and aclrnowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. I~i~u' i VD~.~s L - Applican's Printed Name ApplicanYs ignature OFFICE USE ONLY Sub Types ~ . ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 O6-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 Eut. Alt - SF ? 04 D2-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multl Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-pleX Plbg_Y or_ N? 25 MiSCellaneOUS Work Types ? 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 WindowslDoors ? 34 ReplaCement *Demolition (Entire Bidg) - 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 ~Tk~': 4~~C~~..M~e 0~~'~~ ~f.'.vv ...14,91.!i! REQUIRED INSPECTIONS _ Fooungs (new bldg) FinallC.O. _ Footings (deck) FinallNo C.O. _ Footings (addirion) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ 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 1'7(• 75 RESIDENTIAL PAIO SEP 13 20~~ BUILDING PERMIT APPLICATION 15 CITY OF EAGAN ~ ~ _ 3830 PILOT KNOB RD - 55122 651-681-4675 New Conetruction Reauirememe R~nodel7Reoair Reouiremama . 3 registered site surveys showing sq. ft of lot, sq. R of house; and all roofgd areas • 2 capies af plan ' (20% mazimum lot coverage ailowed) . 1 set o( Ene~gy Caladatiore for heated additioris . 2 copies of plan sfwwirg beam & window s¢es; poured fou~d design, etc J . 7 site survey far extenar additions & decks . 1 set of Energy Caiculatior~s . IndMale'rf hane served by septie system Por additio~ • 3 copies of Tree Preservaflon Plan H lot plaCed after 7M193 • Rim Jaist OeWil Optbns sdection sheet (bldgs wiN 3 or less unib) DATE ~ 0 ~~Ol VALUATION ~~l rSI / JOB SITE ADDRESS FSSO C:~L~~ ~ ~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? SF PROPERTY OWNER ~ OR TYPE OF WORK a?'~¢ ~o ooi. ~s ~ ~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT _ ......~~wRa ~~ww ~uw PHONE# ADDRESS ~~MaIN ZIP CODE pAGER # FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMR~ETEL~(~ ~ ,1~ ~ ~`4 Energy Code Category _ MINNFSOTA RULES 7670 CATEGORY L, F ZC~Z (check one) - Residential Ventilation Category 1 Wor~csfieetjSubmitted , - Energy Envelope Calculations Submitted j MINNESOTA RULES 7672 ' , - ~^~r_- " - New Energy Code Worksheet Submitted ~ Plumbing Conhaetor. Phone Plumbing 5ystem Includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor. Phone # Mecharucal3ystem Includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water Controctor: Phone # All above information must be su6mitted prior to processing of applfcation. I hereby acknowledge that 7 have read this application, state that the information is correct, and aqree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. l f~~~ Signature of Applicant ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Require _ Updated 2002 OFFICE USE ONLY • O 01 Foundation ? 07 I~5-plex ? 13 16-plex ? 20 Pool ? 30 Accesso Bld ~Y 9 ? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 "07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 ',08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 ' 10-plex O 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 ,:,12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New I,O 35 Int Improvement ? 38 Demolish Qnterior) ? 44 Siding ? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) 0 45 Fire Repair ? 33 Alteretion ~i? 37 Demolish (B~dg)' O 43 Reraof ? 46 Windows/Doors ? 34 Replacement d 'DamoliGon (Entire Bldg only) - Give PCA handout ta applicant Valuation Occupancy MC/ES System Census Code ' Zoning City Water SAC Units ! Stories Booster Pump Nhr. of Units ~ Sq. Ft. Nbr. ot Bldgs I Length Mllifl ~nklered Type of Const Width ~ . :~vr. ~u: ~ a~~•St'$ t44 ' REQUIRED INSPECTIONS _ Footings(new bldg) FinaUC.O. - _ Footings (deck) FinaUNo C.O. - _ Footings (addition) ~ _ p~umbing _ Foundation ?~p~ Drain Tile Roof _ Ice & Water Final _ Other _ Framing _ Pool _ Ftgs _ AidGas Tests _ Final _ Fireplace _ R.I. _ AirTest _ Final _ Siding Smcco Stone _ Insulation _ Windows (new/replacement) ' Approved By , Building Inspector Base Fee ~ Surcharge Plan Review I MC/ES SAC City SAC Water Supply 8 Storage S8W Permit & Surcharge ' ` Treatment Plant Plumbing Permit Mechanical Permit License Search . Copies Other Total 1 ~ p ~ ~ ~I 2~0~ ~ ~ ~ CITY Or EAGAN I ~ `~A` I «41~ RPPLICATZON FOR PER'~IIT • " SEWER AND/OR WATER CONN£CTIODT (PIEASE PRINT) 1) PROPERT~' ADDRESS: g~ ~ OG'E~t .S L"-~7 ~r r.ECau. DE..~uprzcv: L~'i~ -Yo. ~oc,~~ /Uo,~. .f~+.!Uh~~~~'X7dw~ (Lot/Block/~i~,bcLivisicn or~ aY P~IJ_ ~i~r~er)~ ~ I'r' .-'^~_„I~:'=:G S?'FLC~'~^;2E, DA'I:.'. O~' ORIGliIAL :aiILDP:G ~,~:`Si ZSJ~ri:C:: Y°~SL"" ..^.:7IiF;/P??OPOSr~ C'S: 1 5~.~,iGI,: cP'~SLY . ? R-2 DUPT~._.="? {Tv'O L'::ITS) ? n-i 'iCF.•:Nr?CLicg + L~1ZTSi r,JNI^_51 F.-~ AF~c7'_TM,^IT/CC:7~CCi~!S`]I[,~I ( [7PiIT_Si ? CGL~RCL~I,/RESAIL?Or"FIC=: Q ~'DliST2L~L Q IP:STI:T.'TIO~IAL,/GGV~iL~n~'T Z) AppISC=~iT _ (PLEAJE ?FINij N~r1E: ~J/~~/~FQ Sf/J ~U~L,?~~7~ C /NC' r~nv.~ss: ,S// ~i~°73¢ L~X//L,l~r~7Lt) ~ ,~.PKL~/f! crr~r, sT~~~, z~_ ST /~~UL~ JIIN .-SS/dS~ Pxo~: 3~ P~~~~ N~~• PLEASE PFINTJ FOR CITY I1SE ONLY (;ENZ-RYAN P&H ~D~ss= 14745 S0. ROBERT TRAI;L PLl1H6EPS LICEYSE: . ~',.J Active CZTY~ STATE, zrP: ROSEM~UNjt MN 55068 0 Ezpired a~ed Q Not of Record PHONE: ~o7,~j-~~t~~ PLIIMBEA LICENSE N~~~/yf vY.~,.~~ at nitia 4) OC~I7?ANP/(7viIER (PLEASE PRfNT) N~~tE : ADDE2E55: CITY, STATE, ZIP: PHO^IE: 5) INDICl,TE S~IIICH PERMIT IS SEING REQUESTLU: ~ COVNECi'ION 'TO CITY S~r7ER Ct~N~I~'IQ;I 'IO CITY tVA'I'ER ? diE~R (PIT1'1SE DESCf2IBE) 6) Ir:DIG~':'~ C:+'E: ~ PLE~SE F?OZD APPRCNID PEf2.'VLIT FOR PICF:-UP SY ONE OF ABGyE ~ PLFASE b*.~SL APP?20VID PER~LLT 'IrJ 1. 2. ~3 4 AGUIIE (Ciscle one) 7) SI~~.TL`RE: ~~''~k~~~~ DATE: ~0'1 ~ . ~4 R cR:il-iwl~s.iv ~ i1 s! lr:aica ~e s r+[~:aat~ra i is s rFSari~:l~ a! li! wk]l~aesy~~ ~ S rs! i~s'aY FOR C ITY USE ON;,Y ~ PERMIT ISSUED ~ ~ F°~S : $ / O~ SEi^iER nraa~T~^ ( I`.IC:.•-`1D orc;. _ ~ su..~..aRCL~ S _ / _ ~$-O W~TE~ PE~1IT (IiICL'u'DE SliRCHAZGc.) $ G3. WeaTER METER/COPPERHORN/pUTSIDE REi,D: R S WATER TAP (INCLUDE CORPORATION STCP) ~ SE:vE4 T?P $ __~..;'-i::;'T ~?C•SI= _ a_.~=3 S ~sJ F'd ACCOliNT DFPOSIT - F7AT~R S e--d WAC $ SAC ~ TRliVK WATER ASSESS~-IE:IT $ TRliPdK SESvER y55ESS.IE:iT ~ LATERAL BE~IEFIT/TRUNiC SE?•:ER $ LATERrIL BENEFIT/TRUNK WATER $ OTHER ' $ TOTAL $ ~ r., AI~1pL'NT.PAID/RECEIPT ~~r~ p ~p DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGiiT OF WAY? YES IF YES, THEN A"PERMIT FOR :dORK WITHIN ~ FUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIV:SION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: • APPROVED SY: ~--j~~,~ TITLE:.~„~/ ~ DATE : ~ ~ ~R-~ ~ ~ w'~ ~ ~c~ ~e ~cw wt±~ w ~ w ws~ w~+~ ~t~ w ~s~ ~a wE ~ w w~a r~~ ~a w a SURVEYOR'S CERTIFICATE UP~IUERSAL BUILDERS ' ~ _ t' / ~ ~i ~ - ~ \ ~ o ,~D~~E 181.48 i N gp 31 ,o,oo ~ 1~ ~ ~ O1 48.37 _ - - PON~- - - ~ . ~ ~ (1 ~ J ~ ~ i~ 3765 ~g06 ~ 6 .1-~ sc v 4 ~ ~ ,~r 0~ ~ 1 ~ _ : ~ ti~ ~ 00 ~ ; ~ ~ (p~ ~ ^ o s m 4 ~ ~ ryo. . , , ~ ~ ~ ~b PR~~aO . ~ /4v \ ~ h ~ Q h / 5 f \ !l1 ° ~ M _°aiivFrye°" „ ° o 0 0 2 ~ \ ~i Q Ar . 0 2 Z ~u ~ r ~ / ` ~ ~ /O ~ - ^ 0 ~ Q ~ ll ~0 \ 3 ~ \ O ~ \ / ~ ~ 9~+ • q ry\~e\ 4 ~P ~ \ \ ~sy k-; 22.33 ~ ! ~`i 0 / - \`6\ ~ ~ J ~ ~'I 4~ ~ ~ m o Q / ~ r1 J ~ S6`2o FSps $'i ~ I =PQv J N . < 29, ~Qe Q C i Op.. \ a¢~" s F ~ A ,R ~ r /~?~S h\/ cs ; t. ~ ~ ~ 31.9 ~uE ( ~ / ~~,~A~6q,3L~ .v' ~ , ~ ~l ~ L~ --E-- DENOTES PROPOSED SURFACE DRAINAGE O DENOTES IRON MONUMENT SET SCALE: 1 INCH = 30 FEET • DEPlOTES IRON MONUP1ENT FOUND PROPOSED GARAGE FLOOR = 976.3 FEET X000.0 DEPlOTES EXISTING ELEVATION. PROPOSED LOl4EST FLOOR = 973.4 FEET (000.0) DENOTES PROP05ED ELEVATION PROPOSED TOP OF BLOCK = 976.7 FEET I HEREBY CERTIFY TO UNIVERSAL BUILDERS THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF: Lot 40, Block 4, NORTHVIEbJ MEADOWS, accordirg to the recorded olat ther~of, Dakota County, Minnesota. AND Of THE LOCATION Of ALL BUILDIh65, IF ANY, THEREON, ANG ALL VISIBLE ENCROACHh1ENTS, IF ANY, FR014 OR ON SAID LAND. AS SURVEYED BY ME THIS 24TH DAY OF AUGUST 1484. SIGNED: JAMES~R•., H L, INC. ~ j ~ ~ ///A ~y ~ , (1l~'.I~„Jt/`. ~ ~~it l~'1 BY: HA LD C. PETERSON, LAND SURVEYOR MINP~ESOTA LICENSE N0. 12294 PROJECT NO. BOOK / PAGE ~AMES R. HILL, INC. 84856 planners / Engineers / Surveyors FILE NO. 8200 Humboldt Avsnu~ South FOLDER stoom~naton,Mn. 6sa3t et2-se4-so2~ _ . . ~ . ~ ~ ; - ~',j/. ~3~- er' EXTERIOR ETJVBLC.^-i AVERAGE "'U ` COi;?JTATI0:3 ow~uEa ~~~r1.~TN 1~1. L~~u.~s~ ,D/B~l~- ~.~Ni~1E/~5~4d.,~~i.~~,t~i'~ SITE ADDAESS CONTRACTOR ~ /5i/~,~lj.~z" DAT~ ~ PHOI~IE /~5~, Determine rrorking square footage of each. 1. Total exposed wall area ~J~3~_sq. ft. x.ii 2. Totsl roof/ceiling area ....~sq. ft. x.026 = Z4~~~ , Total exposed -rrall area ahove floor = a. ^_'o~al wall vrinzevr area . . . . . . . . . . . . . ..~~D s~ - 6 L b. Total door area R/_ ,~f c. Total sliding glass area Rn•Q~ d. Total °ireplace orall area e. Total wall framing area {average i0~)... /~~.1 ,DQ f. Total net mall area above floor ,o~ g. Total ri~:,Joist area Total exposed fou.^.dation area = h. Tctal foun3ation r;indow area i. Total net foundation area above ~~ade Determine "U' value of each r{a11 segment. a.~-7p~_ x "U" f~~ = 7Z.5 ~ ~ b._~~7~~ x 1~Ur; _ -~!9~ ~ ~ W.iJDOU.~ C . X "U" ~,(~Z ' D. X "U;` ° -8-a , Ooo~~ e. s X '~U" e~ f.~-~ x ,:U~: ~,E~4' _ -~9.~~ X ~~U~. k~`~ - . h.~ X aUr n i. 6'S2.4~F X ~:U~~ a - 3 ............................................Total = ~27,(0 $ If 3ten #3 is the same as, or less than item N1, you have met the intent of S3C 60~J6(c)2. • . - ~ . . ~ Total exposed roof/ceiling area = ~ Z :otaJ. skylignt area k. Total roof/ceilin~ framin~ 2rea (average 1Gf• ~ 1. lotal net insul~ted reo:/ceilir.~ area Determine "'U~ v21ue for each roof/c211in~ se.~r,:ent. ~ . x ~.u,: _ k. 3.H x ~U~- :~Z~ = 20,59 1. ~~Z, x ,:U~~ , oZ ° -1-_°`~- 4 .........................................Total = 3 Z-~ Zf total o: f.`~ is the sa^~e as, or less tnan f2, you have r~et the intent of SBC 600o(c)1. Alternate Buiiding Envelcpe DesiFn To ut111ze the total envelope syster. nethod, the values established by the sun of i~ems ~3 and 1t~ shali nct be greater than the sur.:_of ite;is nl an3 h2, ' 1. ~O.Z + 2.~, S~ _ ~ ' , 3• ~z~.b8 + u.~Z>~~ _ ll ~ _ CITY OF EAGAN - i~= PfINIPIUM "U" VALUE A~\*D R-FaCTOR AT ROOF, WALL, RIPI !u\D CONCRETE BLOCf, • ~ . . , Provide insulation baffles in every ' nQO~ ! ~~4LjNG • I~ ~ ~ ra~ter s~ace. ~R~ VA~ . ~ i0 It~TE~to~ ~:is~ F(~~ ? ~ S~s" GYF E~, ~ . ~ ~ OO lNSULAt~ofy • y _ O EXjER;o~ AlR FI~~'1 . ~ ~ j J ~S~«~, _ i/ ~rUn ~ iz - _o_ S -~~TA~ CR~= G ~ ` . ~ - ~ . WALL . r~) ~ ~ _ . s . ~ p tr~ ~~r-t~~~ AiR ~t~.M ~ /ALc R Q ~{2`- G~(P.' ~D." . . - ~ . . " ~ 1NSU~ATIot~ 51d1' • • Q 2S~~ll poL'7-~'1Tc ~M~=oNljc stDtrG u ex;~~ lat= At~~ F~~r} . ~ ~ ~ ti !~R _fo~~kL (R) _ _ , ~l I"1 ~ ~ i2 I . - ' ~ <R) Va~U ~ ~Z IriT~tr~lor~ ~~r. F~u,~ . ~ ~ . ~3 13 cJ ~/Z~ ~~'S~1~.~1TICj-J . - . . ~~y ~`r ~l 2 Fl[L-. R1P~1 .Sa1S`C . ~ - is ~s zsJ>z gv:~-~.-~iT~ . _ . _ . . • ~ u- C'~F;Sor~tTe s~otiN~ • 1- . tiQ _ ~.XT~Rt~R A~R ~I~['1 ' . . . . _ o ~ . . ~ • - ° u V ~ = t ~R = , J~' . To-~P.~ (R~ _ . v° . ~ - ~ . 0 . oO . fQ~~I~ATIOt'ti . ~ Ctz~ V~~u~ ~ ~3 ~N ~Et?t~~ Auc F«t~t - ~ . ~s Q On ~ o' . I`i ~ -~~1 ~ - p A 1~ ~t ~ I~~X C_pI iG. $Lh~ - ~ o ~ o i YP-~~'~~~`'i R.5 - v. ~ ~ . ' . E7;jc~.lo2 AIR F1LM e c7° _ n u ~ • u = t ~ 2 = , r; , ToTp~ (r<) = Floors ove,- unheated spaces must have m.ininu~ R-factor of R-20 (tuc?:-under garages). Floors o~~= outdoor air (overhangs) pust tiave a riinimum P.-factor of R-33. - . ~ cuic~uue ro (a) ~~ncruas rron ;snn:.r nn:~oni _ ar Trriu,ur us~o rnooucrs . IR) (R) . Inlerior Air Film (Valls) O.GB Gypsum or plas[er baard j/8" p,jz Enterlor A~r Fllm (Walls) 0.1] Cypzym or yiaster Loard I/2" O.y$ ~ In~~rior Ri~ Film (Vcnted Ce~lin~) O.GI Cypsum or n~:+ster 6oard 5/~" 0.56 Extcrii.r Air film (Vrnted Ccilin9j 0.61 Plywood j/8" 0.47 ~ Inlcrlor Air Fi1n (Ilcn Ven[eA) U.GI Plywood ~/2" 0.62 Ex[erior Air Film (Ilon Vented) D.17 Plywood ;/4^ U.91 . Sheat~inq, reg. density 1/2" 1.;2 Alu~~inum Sidina 0.61 Sheathin9, reg. density 25/32" 2.06 A~um{~um mlph Oacke~ 1.82 Nail-Aase sheathing 1/2^ ~.~4 Alum~~um w~~h Backcr d Poiled 1.96 - . 1/2 a 8 Lao Sidinq (kaod) . 0.8~ Builf-up Roofs U.73 ~ . ' 7/16 x 12 Ilordboard Sidinq 0.67 Asbestos-cement shinqlis 0.21 6sbes[os SiAin9s 1/4 Lapped 0.21 Asphol[ roil roo~ing D.IS - S[ucco (Oro::n and iinish Coat) pspahl[ Shingles U.44 j;4" Ilood Svbfloor or Sheathing 0.94 Insulation: 2-2 3/4^ PiberGlass 7.00 1/2" Plywood Sbcathinq 0.62 Insulafion: 7 I/2" Fiber9lass Ih.00 - ' ~ 1/2" Patpic7c tloard 0.6G Insula[ion: 6" Flber9lass 19~40 YOODS: g(OWlllf, 1JOOL5 ~ . - _ . . ~Ir, pinc G similar soft Voods I I/2" I.89 Approx. 9.00 ~ 2 1/2" 3.12 APProx. 4 1/2" 13.00 3 1/z" 4.75 Aoprox. 6 1/4° ig.ao ~ ~ 5 1/2" 6.87 ApProx. 7 I/4" 24.00 . . " npprox. 14" . 30.00 ~ ~ ' Approz. IB" 40.U0 ' . A11 other insvlation materials muzt be . . ~ ~ Fitled verified (R Facror) . ~ (R) Vermiculife - ~ B" Contrc~e elock (5 E G 0.eq.) 1.93 ~ . 12" Concrece elock (5 L G Reg.) ~.28 ;.~5 , ' ~ 8" Liqnt Vei9ht 2.18 5.03 . . 12" Li9ht 1;ei9ht 2.48 5.82 ' . . ~ *r^.;.~e.-.e~n;...acyynf~,-;~~.~.~ . . . NOTE: ~0) x Area Square Fect . . . , AlI NlnAOwS ' . . . ' - . (w/Stoms I" to 4" Space) .Su ~ Removal Oouble Llazing (ROG) .55 Tnermo or welded 3/16" ai~ space .69 ~ 1/4" air .pacc .65 ' I/2° air space .58 . - . (Other wlndows specifically testeC can use better ra[in9s) - ~ ~ 3~4 Solid core daor .46 • ~ ~ ++/i[orm, wood .)1 . ' N/scorm, metal .26 - , . Pease StcelDaor Insl/~./CL 7.458 .13 ~ - ~ ~ Sllding Class Door, Nood .65 . ~ Me[al .115 . . 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 'J,C~ L~ 3830 PILOT KNOB RD - 55122 "~.U 9 65'I•681-4675 ~ New Constructlon Reaulremenfs ~ Remodel/Reualr Reaulrements ? 3 registered sNe surveys showing sq. fl. of lot, aq. ff. of hovse 2 coples of pian ~ and all rooled oreas (20% maxfmum lot covemae allowed) ~ 1 se1 of energy calculattons tor heated addRions ^r 2 copies ot plans (show beam S window alzes; poured ind, de5ign; e1c.) 7 ake survey for exierior addNions 3 decks i Set ot energy calcvlations : 3 coples M tree presenatlon p~an H lot platted nHer 7/1/93 DATE: I~o - 9/ CONSTRUCTION COST: ~ Y 3 Z ~J . Q 3 DESCRIPTION Of WORK: ~Cfri~IIC'. G..~.JD ~Z Pl~ IC]~l~p ~C~cJt ~a2m ~'rn['.~.e!a.. STREET ADDRESS: ~iSO ~~2R.. CT LOL• ~'I v BLOCK: ~ SUBD./P.I.D. ~ \ ~ V 1 ~ (k-C"1 C' ~ Name: ~A.1~ ~~.f Phone Co~ I- - Z ~ ~ PROPERTY ~a F~~~ OWNER StreetAddress: ~iSO ~p~P2~ C.t City C4CGnJ State: m~ Zip: Z`~~ Company:~l2e-~rL`~i hp/Y~e ~1rnD Phone#: (area code) CONTRACTOR ~r cr1~ Street Address: ~oC155 1~i~D License # 7.01 ~Z~iS Exp.~=ZIX~ City Q~P Y('i ~~e~ State: ~N Zip: ~~Z~~ ARCHITECT/ ENGINEER Company: Name: ' Telephone area code ( ) Street Address: Registration City State: Zip: Sewer & water Ilcensed plumber (reauired for new construction onlv): Penalty applies when address change and lot change is requested once permit ts issued. I hereby acknowledge that 1 have read thls application, state thaf ihe information is conecf, and agree fo comply with all applicable State of Minnesota StatvFes and City oi Eagan Ordinances. f~ Signature of Applicant•~+ OVLR ~ k~s~ ` i. OFFICE USE ONLY I~ I j~~ ~ 0~ Certificates of Survey Received _ Yes _ No I~ i• ~ Tree Preservation Plan Received _ Yes _ No _ Not Required ~'1~~--- ~ - - - OFFICE USE ONLY BUILDING PERMIT TYPE i ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea:) ? 02 SF Dwelling ? 07 {`5-plex ? 12 12-piex ? 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-piex ? 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/Soffts/Fascia ? 32 Addition ? 36 Move Bidg. ? 40 Gas Insert ? 44 WindowslDoors ? 33 Alteration ? 37 Demolish Bldg. ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish Qnterior) ? 42 Reroof GENERAL INFORMATION Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/ES System Length ' ' sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MGFS SA.G City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies ` Total: SAC Units % 5AC /1 RESIDENT OWNER Name: ezft4 L I"- Phone: I 2/ (7 47 Address City /Zip: u- ui Applicant is: X Owner Contractor TYPE OF WORK Description of work: 1 3 s J Construction Cost tea` f ,J Multi- Family Building: (Yes No. CONTRACTOR Name: •/I License Address: City: State: Zip: Phone: Contact Person: COMPLETE In the last 12 months, has 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: _Yes Licensed Plumber: Phone: Mechanical Contractor: Sewer Water Contractor: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. City of Eagan Date: Tenant: 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675 -5675 Fax: (651) 675 -5694 Applicant's Printed Name 2009 RESIDENTIAL BUILDING PERMIT APPLICATION L/ 1 Site Address: Esc k CALL BEFORE YOU DIG. can Gopher State One Call at (651) 454 -0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval tars. LIT/ A-7 x-7 Cf- ForOffice Use Use BLUE or BLACK Ink Pernik Permit Fee: K! Date Received: Staff: C G Suite SUB TYPES Foundation Fireplace Single Family Garage Multi Deck 01 of Plex Lower Level Accessory Building WORK TYPES J`„ New interior Improvement Addition Move Building Alteration Fire Repair Replace Repair Retaining Wall DESCRIPTION Valuation Plan Review (25 100% Census Code of Units of Buildings Type of Construction VC-) DO NOT WRITE BELOW THIS LINE C 714 Porch (3- Season) Porch (4- Season) Porch (Screen /Gazebo /Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width Siding Reroof Windows MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Demolish Building* Demolish Interior Demolish Foundation Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Egress Window Water Damage *Demolition of entire building give PCA handout to applicant REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final C.O. Required Footings (Addition) Final No C.O. Required Foundation HVAC Drain Tile Other: Roof: Ice Water Final Pool: Footings Air /Gas Tests Final Framing Siding: Stucco Lath Stone Lath Brick Fireplace: Rough In Air Test Final Windows Insulation Retaining Wall: Footings Backfiil Final Meter Size: Radon Control Erosion Control Reviewed By: Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit Surcharge Treatment Plant Copies TOTAL Page 2 of 3 SURVE'VOR'S CERTIFICATE UNIVERSAL BUILDERS PROJECT 140. 84856 FILE NO. FOLDER BOOK 1 PAGE N 8 4).311°°11E 40 I HEREBY CERTIFY TO UNIVERSAL BUILDERS THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: Lot 40, Block 4, NORTHVIEW MEADOWS, according to the recorded plat thereof, Dakota County, Minnesota. eft6u. HA 'LO C. PETERSON, LAND SURVEYOR MINNESOTA LICENSE NO. 12294 DENOTES PROPOSED SURFACE DRAINAGE 0 DENOTES IRON MONUMENT SET -SCALE: I INCH 30 FEET DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR 976.3 FEET X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR 973.4 FEET (000.0) DEMOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK 976.7 FEET AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS 24TH DAY OF AUGUST 1984. SIGNED: JAMESIb.. H L, INC. JAMES R. HILL, INC. Planners Engineers Surveyors 8200 Humboldt Avenue South Bloomington, Mn. S5431 812-1184-3021) r For Office Use , ��* � � ��r ::::ee: C �� .....• ,"c Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections@citvofeagan.com J 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -1-2a-IQ Site Address: is 6o kat.cs c-4.- E4NQo rsi M N Unit#: Name: Phone: Resident/ Owner Address/City/Zip: Applicant is: Owner Contractor , Type of Work Description of work: G,-&fot' Construction Cost: Multi-Family Building: (Yes /No ) t Company: r�o.ko CarlS4nnC•fOn Contact: Arc1c.et.,&) Address: 171 1n10,1 r1 VST CI Y'Ck City: t,O r1 Contractor State: Pt Zip: 55i�.3 Phone: 6�1-3?N-OT36Email: (V1o,k.aconvirv,aion ( D �a111(OM License#: 3 C 6567 5 3 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: NOTEPlans and supporting suPpolilliiiiriablenti,that you submit are considered to be public information. Portions of the information maybe classified as nOniiPtibli ,i you`providespec i'creasons that;would permit the Cly to conclude that they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.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.orq I hereby ac 9owledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of Eagan; ••.11 understand this is not permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accor•=► e with the app d p case of work which requires a review and approval of plans. Z-tP" /"..-- -----s. x AmireW teXfbod •pplicant Prin ed ame Applicant's Signature