4897 Royale Tr INSPECTIaN RECORD I Control No. ~ J
. . r' ,_F_G~„ -
~ CITY OF EAGAN ~A~TIVATE F4R DECI~-05/06/Q3 pERMIT TYPE: M'~~
383b Pifot Knob Road MITT~LSTAEDT BROTHERS ~ONST. Permit Number: ~di
Eagan, Minnesota 55123 ~i56-4 t~~ Date Issued: a d 1~' ~ 1`~ %
(612) 681-4675
SITE ADDRESS: ~ ~ ~ ; -3 ~ ~ : i APPLICAMT:
aegr aown~.~ Y~~ rit~~tsY~~t~~ ~~or~~~ts
-r+A~'AF~i F'.ryl'AT[S .~.NEI (bl?.) A6b-91~?Ca
PERMIT SUBTYPE: TYPE 4F WORK:
~,i,E~~ NEW
,
. ~ .
F EIUt iNl, Fi2AMtNF.i
I!i!~UI.A7lOM F'INAL
F f RFf~! AE f'
klMA17F'~r• ; !v W COldtRAl'tOR MCI)QMALQ !'LBd
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IYt~~~+ti _ . C. _ ~'*-t . . ~ ~
t~ P'srmit No. Permft Holder Date Tal~phone #
. S/W
PLIIMBING ~
HVAC ~ ~ g~ '~J~,~
ELECTRIC ~ Iro? ~
ELECTRIC
Inapectlon Dste Insp. Comments
Footings ~ j~ (v
Foundation 9- Z _ 2 b c ~ . /9 . /-j~
Framing - 2 S. y~~o~~.L. r~.
Roofing
Rough Plbg. L / ^ ~ ~
flou9h Ht9• ~ '
l~ ~J
isW. ~~7~y~ ~~.~Zal lc1.~d~~
Fl~~~ 'b/y~95 fL~/
~,e~ ~9. i~ ~
Orset Test 7
tf1
Flnal Plbg. ^ 12_ Pf6g. Inspector - Mati(y Plumber
Const. Meter
EngrJPlan
Bldg. Flnai / „
a < <.~r~
o~ F~9. ~ z 3 r _ ~ ~
Deck Final 1 ~
Well
Pc Dlsp.
30 ~ (~v? /~i IL/
~ , _ . , , -
~ . y•.~ N ,y .
, _ .
.
' ~BACTIVATL F0~ DBCK-Q5/06/43
" MITrELSTASDT EROTiiBRS CONST.
- 45b-Q125
~ ~ ~ ~ ~e~#~~cate n~ ~ccu~an~~
~ a~
~cp~~e~t ~a~p~
This Certifccate issued pursuant to the requirements of the Unifor?n Building Code
certifying that at the time of issuanee this structuroe was in compliance with the various
orrlinances of the City ~gulutirig 6uilding constnrcrion or use. Fnr ihe foilowing:
u~ ~ f~~: SF DWG B~. ~ NQ. 16 7 7
R ti E VN
MITTEL DT R~~IiER A~ UN E~DR~EAGAN
s ~
I a~a~ng ada~ t.«~~y ' '
' = 01/22/43
i:.''
B~ia~ orrx~
POST IN A CONSPICUOUS PLACE
>
• ~ . '.a
~9 ~ fo83~
K/
a~- 9 ~ ~ ~ "1 ~Pg
Rep esl ~ate Fi No. Ro -in Inspaction
Re i d? ? Reatly Now ~1 Will Notity Inspecror
- - ~ Yes G No When Re9tly?
I licensed coniractor ? owner hereby request inspection of above electrical work at:
Job AOtlress ~S1reeL Boa or Route No.) Ciry
~ ~ ~I ~
$eqian No. Tawns ip N e ar Na. Range No. Counry
OccupantlPRINT~ '~!j' p Phone No.
' G 7! ~ / A/ ~.J
Pow r Supplier G Atltlress' ~ n^ ~
f~L~ /V
Elechical Canlractor ICOmpany Neme~ ConVaGYOrS Lk¢nse No.
sa ~ ~G ~y~y
Mailing Aotlress IGOmrector or Owner Making Ins~allation~
S ~l/ iJs~i(./~ ~3~'~
Aul~orrzetl 5 aWre ~C Vac~o~~Owner Making Installationl P~one Nu ber
y
MINNESOTA STATE BOARD OF EIECTNICITY THIS INSPECTION REOUEST WILL NOT
Griqge-MlCway Bltlg. - Noom S1]] BE ACCEPTED BV THE STATE 80ARD
1821 llnlvrsi~y Ave.. St. Poul, MN 551M UNLESS PROPER INSPECTION FEE IS
Phona~612~642-0800 ENCLOSED.
/~~a y'~ REQUEST FGji ELECTRICAL INSPECTIDN J~~~~ esaoooi-0e ~
K ? See irrclNC~ions for completing IM1is lorcn on back oi yellow copy Fa!3.~D O~S~p
V
"X" Below Work Covered by This Request o
e Atld Rep. w TypeofBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
~uplez water Heater - Electric Heating
Api. Building ~ryer O[her-(Speciy)
CommJindustrial Fumace
Farm Air Conditioner
Olher~syeciTy) Confractor5 Remarks:
Compute lnspecbbn Fee Selow:
d Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amp ~ 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror§UseOnly: TOT L
hrigation Booms ~ ~
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE OR~ERED D~SCONNECTED IF NOT
Other Fee COMPLETED WITHIN YS MO~J~'HS. ~
I, the Electrical Inspector, hereby Ro~9n~~~ i:'; r~ oe~e,
~r ,
certify that ihe above inspection has F;~ai ; oeie
been made. ~ ' J ; t [
OFFICE USE ONLY ' ~ ~ " ~ ~ '1r ''f.~
Thi3 reques[ wb ~8 mont~s trom
/ QddIE55 ~ 4897 ROYALE TRAIL ZlP SSLZ 2
• r ~
Lot • Z3 Blk ~ Sub SAFARI ESTATES 2ND
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ 2 Z~ q 3 Yes No Inspector: (,(f ~
~
Final grade (6" from siding) ?
Permanent steps (garage) ~
Permanent steps (main entry) ?
Permanent driveway ~
Permanent gas ?
Sod/Seeded grass i/
TraiUcurb damage r/
Porch
Basement finish ~
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of waier supply to
the outside lawn faucet before freeze potential exisis. ~
Contact engineering divisioa at 681-4645 before working in right-0f-way or installing underground sprinkler system.
White - Ciry Copy Yellow - Resident Copy Pink - Contractor Copy ~
I
2005 RESIDENTIAL BUIL,DING PERNIIT APPLICATION ~ ~ ~ ~ ~ ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~UL 2 0 2005
Telephone # 651-675-5675 FAX # 651-675-5694 ~,~b ~
New Cons4vctan Reaul2ments ~ RemodellReoalr ReauiremeMS BYotr~ use
3 registered site surveys showi~g sq. R. of lat, sq. ft. oi house; and all roofed areas ~ 2 copies of plan CeA of Survey Recd _ Y_ N
(20°~ maximum lot coverage albwed) 7 set of Ene~gy Calcula6or~s for heated additions Tree P2s PFan ReW Y~_ N.
2 copies of plan showing beam & window saes; poured found design, etc. 1 stte survey for addrtwns & decks Tree Pres Required Y~_ N
iselofEnergyCalalations Add'dion-indicateHon-s@esepticsysfem On-sila5eptlcSystem ~ _Y~_N
3 copies of Tree PreseNffiion Plan if lot platled afier 7!7l93
Rim Joisl Delail Options selection sheet (6uJdings with 3 or less unils) ~ ~ ~
~
Date ~ l/ 9 / 0 S Constructian Cost 7 JrO~_
~
Site Address ~r~97 0l/f}l~ ~/Ly/ l Unit/Ste #
E n~ .5~/~ 2
Description of Work /~.~nf
~ /ZOO~
i .
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner O/~NC LvN~ Telephone#(~r.5~) ar~/- 9ia~
Contractor ~/~L-~OQT Knor/n~ ~G
Address ,33~ I,~gr-a c~~y ..Sr ~A~J
stace dYJ,? z~p 55/07 Telephooe #(/oSl )~7- O~~ d'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Workshaet • New E~ergy Code Worksheet
submission type) Su6milted Submitled
. 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 Telephone # ( ~
Mechanical Contractor Telephone J
Sewer/WaterContractor 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 plan in the case of work which requires a review and
approval of plans.
.~R2b c~E~ll e
G~~c-T .r1' n>c~u.(
Applicant's Printed Name ApplicanPs Signature
~
OFFICE USE ONLY
Sub Types
? D1 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AR - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege ? 22 AorchlAddn. (d-sea.) ? 33 Ext. Ak - SF
? 04 02-plex ? 10 OS-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 38 Multi Misc.
? D5 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? OB 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout tu applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaVC.O.
_ Footings (deck) _ FinallNo C.O.
~ Footings (addition) _ Plumbing
Foundation HVAC
~ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Srone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ 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
5~a~s :~:~~l.~s
RESIDENTIAL BTTII.DING
Permit Applicat9on
City Of Eagan
3830 Pilot Knob Road, Eagan Mu 55122
Telephone # 651-675-5675 FAX # 651-675-5674 ` '
New ConsWction ReauiremenLS RemodellReoair Renuiremenfs Oifice Use OnN
3 registered site surveys shaxirg sq, ft of lot sq. fl of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20% maximum lot coverage aibwed) 1 set oT Energy CakulaUons for heated addiGons Trce Pres Pian Recd
2 copies of plan showing beam & window sizes; poured found design, eta 1 site survey for additio~ & dedcs Tree Pres Not Reqd ~
1 set of Ene~gy Ca~ulations AddiGon • irMicafe 'rf on-sife septic system _ On-site Septic Systern
3 capies of Tree Pmservation Plan if lot platted aRer 7l1/93
Rim Joist Oetail Opfions selectian sh~t (btdgs wiM 3 or less unBs
Date ~ I~ l~~ Construction Cost v~r ~
Site Address ~7 ~C~~~.c~ Unit/Ste #
Description of R%ork
MWti-Family Bldg _ Y ~ N FSreplace(s) _ 0_ 1 _ 2
Property Owner ~ Telephone # (G~S~ ).~~f -
Contractor .fiC~
Address ~ /GI ~ o City ~S
State Z Zip o Telephone tf (~7~~)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residendal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
. Energy Envelope Calculatians Submitted
n~ { c. ~
Licensed Plumber r1 n\'-~ t`-' ~'I~ Telephone )
Mechanical Contractor 1~1AR D 6 2003 `U Telephone )
-
Sewer/Water Contractor 7elephdne )
tv_ -
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 plan in the case of work which requires a review and
approval of pl ~
~ . ~S ~
Ap~ 'canYs
Printed Name Applica~a s Si a e
~
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 1&plex ? 20 Pool ? 3D AccessaryBldg
? 02 SF Dwelling ? 09 06-plex ? 16 Fireplace ? 21 Porch (3-sea.} O 31 Ext. Ak - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 08-plex ? 78 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 t0-plex ? 19 LowerLevel ? 24 StormDamage
? O6 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Deinolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldgj• ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement ~ •Demolition (EnBre Bldg) - 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 Fi~e Sprinklered
Type of Const Width ~
~ REQUIRED INSPECTIONS
_ Footings (new bldg) FinallCO.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ p~~~g
_ Foundation ~pC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fram~n8 _ Siding Stucco Stone
, Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
_ Approved Byv,_._ Buiiding 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
PERMIT ~°~t 12 4 0
~ `"CIT`1( OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I l D I N G
Eagan, Minnesota 55723 Perrnit Number: 0 ~i 15 7 7
(612) 681-4675 Date Issued: 10 / 2 3 J 9 2
SITE ADDRESS:
~ey~r ~uvA~.E ~r~
LOTs 23 BLOCK: 1
SAFARI ESTRTES 2N0
DESCRIPTION:
i~~
~'Builslz'nq PermiT. 7ype 5F DWC~
` Bu..iidin~~'.Work Type NEW
IfBC~ Ocr~pan~-y R--3 M-1
t~pnstruction~~ype v-N
Zozt3ng E
~3uildittc~ € ength < 76
8uilding Witlth 32
,,i
' ~ .
~`41~.q `;~~~r '
, ra r,
i
.i"• v ~ t-, `r^p r-~'," y7~.^3
/ t'~.y `~~"J~.~~`a ~.._.s~~ \,~L~~~~~~J~,~~1~, V
v - 4
REMARKS: G C~a. ~ ~OoZ/7 ~J
S& W CONTRA~R - MCUONfll,i7 PLBf
FEE SUMMARY:
VAIUATION $175,000
Base Fee $9~2.00 MISCELLANEOUS _ $1y61~D.5~
I'lan Review $686<30 Tot~l Fee $3,886.:3f
5urcharge $57.50
SAC $700,0P~
SAC ~ 10@
SAC Wnits 1
5ubtota]. ~ $2,275.80
CONTRACTOR: - Applicant - sr. ~zcOWNER:
MITTEI..STAEfJT BROTHERS 14569125 0003A43 MTl`T~L51"AECIT 6R05
785 5UNSET Dft 7S5 SUNSET DR
EAGAN MN 55123 EAGAN M14 55123
(612) 456-9125 (.612}466-9125
I hershy acknowl~:tlga that Z have read this applicati.on and sta~8 tttat the
inform~tiort is ctirr~Gt ~nd agree to cnmplq s~itEt a11 appL3~ab1e State of P1n.
Statutes and City o~f ~agan Ord'iinances.
~ ~
~,~-..~'~~-~~r-, ,~~Atra ~ 7h„~
APPLICANT/PEAMITEE SIGNATUFE . ISSUE BY: SIGNA l1RE
PERMIT B CI7Y OF EAGAN .~.~~t~~,, j!~
REN.C7IV ;fiE = 1992 BUILDING PERMIT APPLICATION #J, ~
~ 681-4675 0 C T 1 4 R~cD
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 3 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but nat picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
_ Date /D / / Valuation of work / 7~1' LQt~.^ ~
Site Address:__ ~f~'~1 `7 ~~!~E `7'~/~, ~~~,J
STREEi - SUIiE f . .
T.enant Name: (commercial anly)
IAT ~L BIACR SUBD. P.I.D. M
~ .
Descri tion of work: ~ -
The applicant is: O Owner ,~Contractor ? Other coeBC~;ne~
Name Phone
Property LAST FINST
pwner qddress
SiREET STE X
City State Zip
Company __1~~77"~Sr/~.,~T ~i2_~, Phone ~~~qs~ i
C011tPeCt01' Address 7~5 S-i.> ~r-T .!)s~ License #~~Y_3 Exp.
City ~/~-e,~3 State f~~~ Zip 352 3
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 6 water licensed plumber c.w ~°r ,v . Processing time for
sewer 8 water permits is two days once area has been approved.
1 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: ?~-l ~
OFFICE USE ONLY , ~
r A~
BUILDING PERMIT TYPE ~ ~ ~
~t ~ ~ .a
O 01 Foundation ? O6 Duplex ? 11 Apt./Lodging 1+6 B~ement Finish
~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? OS 8-Plex ? 13 6arageJAccessory ? 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
O 05 SF Misc, ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ 31 New ~ 33 Alterations ? 35 Tenant Finish ? 37 Uemolish -
? 32 Addition ? 34 Repalr ? 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC 5ystem
(Allowable) V- N lst F1. sq. ft. City Water YYEs
UBC bccupancy R
3 M_~ 2nd F1. sq. ft. PRV Required
2oning 6 Sq. Ft. total Booster Pump
of Stories Footprint Sq. ft. Fire Sprinkler
Eength On-site well Census Code Ipf
Oepth 3 Z' On-site sewage SAC Code a~
APPROVALS
Planning Quilding ~j'. 7, 4; Assessments
Engineering Yariance
REQUtRED INSPECTIONS
? Site ? Footing p Framing ? Insulation
? Wallboard ? Final O Oraintile ? Fireplace
Permit Fee vei~t~a,: S_~~5, eDO; '
Surcharge GAR,44E:
Plan Review ZZ x3~ = 836
license ~ 6 x 7~ !I1 Z~
MWCC 5AC l
City SAC 3gX32- 24 Il,S$41
Mater Conn. ~Z~~ xfs =
Water Meter IS~ ~4~; 2y o
Acct. Depasit -
S/W Permit `i ~smt= 1~Edo -
S/W Surcharge ' G~ ~ ~.L, "
Treatment Pl.
Road Unit Z~ 11 = ZZ
Park Ded, ~3S x 53= ~7~, 5sn
Trails Ded.
Copies .3 S~,tSoN ~RC~__i
Other
Tatal: IG~Iz¢ 192 x y~6= S,6Yo
zN D ~'~~u ,i
SAC Units i~ 3~X~= ~ZF~, lc'5,~,:- c./~/b
~N N6~
,~j ' LOT SURVEY CHECRLIBT FOR REBIDENTIAL
w
~ w BIIILDIN PERMIT APPLIC TI N
~ ~ PROPERTY LEGALS ~~J~~~ (;~.(.vo~~
~ ~
~ ~ ~ Date of Survey: Z._
DOCIIMENT STANDARDS
Q-~/ • Registered Land 5urveyor signature and company
GY ? ? • Building Permit Applicant
~ ? ? • Legal description
? d ? • Address
? • North arrow and bar scale
Cd' 0? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
6~ • Directional draihage arrows with slope/gradient 8.
? fi~? • Proposed/existing sewer and water services
0 ? • Street name
[Y ? ? • Driveway
ELEVATIONS
Existina
? Cd~ ? • Sewer service
B~ ? ? • Lot corners
6~ • Top of curb at the driveway
~ • Elevations of any existing adjacent homes
Pronose8
? ? • Garage floor
? ? • First floor
E-~"/? ? • Lowest exposed elevation (walkout/window)
C-~'/ ? ? • Property corners
C~' • Front and rear of home at the foundation
PONDING AREAS (if annlicable)
? L~_/ ? • Easement line
? CY ? • NWL
? L-~/ ? • HWL
? L~/ ? • Pond # designation
? CY ? • Emergency Overflow Elevation
DIMENSION6
? ? • Lot lines
L7 ? 0 • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
CiY • Show all easements of record and any City utilities within
/ those easements
Q C~' ? • Setbacks of proposed structure and setback of adjacent
/ existing homes
? Q" ? • Retainin 1 re ireme s, if any
Reviewed•
e / ate
October 1992
GeT-21-'92 WED 04:20 ]D:JRt~S R H1LL INC lEL h10:612 890-6244 lt822 P02
uuu
SURVEYOR'S CERTIFICATE MITTELSTAEDT ~os. coNST
REVISED HOUBE
LOCATION ~0-16-9~
~
af~ p ~
~G3Y1~~~~M~
N07E~ NO SPECFIC SDILS INYE97qqT10N MAS BFEN COMR.E'fED
ON TN19 LpT BY TME SURVEYDR. ThE SWTagILtTY OF
SOtL3 1p Sl1PipRT T}{E SPECIFIG Hdl$E pppppgEC IS
NOT 71~ NESPOMS191LiTY DF TH6 SURVEYAR
NOiH: BULpIN6 OIMpr5~ON5 5HOWN A(iE PD8 HDRRONTAL
9 V6RTICAL LOCATION OF STMlC7UkE OHLX S~E
ARWITPCRIAL pJ1pS IOR BUILDINCi 6 FOUH6ATION
~IMEf~1310N5. ' ~
r-- DENOTES PROPOSED SUqFACE DRAINAQE
O DENOTES IRON MONUMENT SET SCALE:1 INCH - 3Q FEEf
~ ~ENOTES IRON MONUMENT FOUND PROP~SED QARAtiE FLOOR = IOOi ~ I FEEf
XO~A ~ENOTES qpSTING ELEVATION PROP03ED LOWEST FLOOR - 943,4 FEEf
(UW.a) ~ENOTES PROPOSED EIEVATION PROPOSED TOP OF BLOCK = 10dI.5 FEET
WE HER~Y CERTIFY TO M~7TEISTAEDT ~iOS_ODNST. THAT THIS IS A TRUE AND CORR~T
REPRESEN7ATION OF A SURVEY OF THE BOUNDARIES OF;
~ot 23~ BloCk I, SAFARI ESTATES SECONDADDITION~,oCCOrdinp tothe
recora~d pfaf tbereof, Dokota County, Minnesota.
IT DOES NDT PURPaR7 70 SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT A3 ShfOWN. A$
SURVEYED BY ME OR UN~ER MY DIRECT SUPERVISION THIS ~57 DAY dF ~CT. ,1992.
SIGNED: , INC-
nlJ
r
8Y:
HAROL? C. PETERSON,LAND SURVEYOR
MINNESQTA LICENSE NUMBER 12294
x ro ~ ~ v
AI p Zc a a
~ o y )ames R. Hill, inc.
o~~ v o W m y N m~~ PLANN~RS I ENGINEERS I SURVEYORS
N 2500 W. C:TY. RD. 42 o BURN3VILLE, MN. 66337 ~ 812,890-BD44
R=95% IAMFS R HILL INC IO-21-92 09:23AM P002 #35
1
~ OC~T-21~,'92 IJED 09:21 ID:SAMES R HILL INC TEL N0:612 890-6244 lIB22 P0,3
i ~
751Wf
; SURO/EYOR'S CEHTIFICATE MRTE~s~ur g~as• °~"ST.
~ ~ ~ E~iB ~'P~'~~
~ ~ _ 1'~pI ~ . ~~A
8
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N ~ Z ~ ~ A ~ ~ ` ~ ~ ~ PLANNERS I ENGINEERS / SURVEYORS
v moy >
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N 2500 W. CiY. RD. 42 ~ 9URNSVILLE, MN. 65397 ~~12-860~B044
R-95% JAMES R HILL INC 30-2l-92 09:23AM P003 S{35
REACTIVATE ~~~a~Q~~~ CITY OF EAGAN
PERMIT,~ 1993 BUILDING PERMIT APPLlCATION
' MAY 0 5 1993 681-4675 ~(p
~~P 7/ 1~2.ibrr~'i P~?Zou~a`-i`-$~' 6c"JII~'~~
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date S / 3 Valuation of work a~~~
Site Address: ~~d4y /[~~.4~E T~2l.~~
STREET ~~TE ~
Tenant Name: (commercial only)
IAT ~ BLOCK ~ SUBD. ' ~ P.I.D. ~
Descri tion of work: ~ EG
The applicant is: ? Owner ~ Contractor ~ Other (Deseri6e)
Name Phone
Property ~~sr F,RST
Owner Address
STREET STE M
City State ~ Zip
Company /?l~ :
T~~ S~~rr17~ ~i-~..~5 Phone ~Slo`~/a-S
Contractor Address '7~''S Sae.v~~~ ~/L. License #~3~~t3 Exp.~
City ~Ari~ 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 wi all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ ' ~
a °
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish `
? 02 SF Dwg. ? O7 4-Plex ? 12 Multi. Misc: 0 17 Swim Pool ,
? 03 SF Addition ~ 08 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ~ 15 ~eck ? 20 Public Facility
0 21 Miscellaneous
WORK TYPE
~ 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ~ 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable} lst F1. sq. ft. City Water
UBC Occupancy ~ 2nd F1. sq. ft. PRV Required
2oning Sq. Ft. total 8ooster Pump
# of Stories Foatprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ~
Depth On-site sewage SAC Code
APPROVALS 4X/6 ~
Planning 6uilding Assessments
Engineering Variance
REGIUIRED INSPECTIOt~S
? Site ~ Footing ? Framing ~ Insulation
? Wallboard ~ Final ? Draintile ? Fireplace
Permi t Fee v.i~c;o~,: g ~
Surcharge ~
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
SAC %
SAC Units
.
.
S,URVEYOR'S CERTIFICATE MITTELSTAEDT BROS.O~NST.
R EVlSED HOUSE
LOC ATID N 10- IS-92
RpYA E - TRAI L ~o~.~
N N O
989.2 (t*~?5'~gg" 997.9 ~ooa~
/ N Q~26699 - ..84A8 N4°09''32"E ~oo~.s
~ 0 '~Uu=>~`~-~
U I _ Q ~ \
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989. 9 O r~ - S O ~
Ay IN ~ ~ PROP061ED Q(~ ~ ~
(4~ `a 5 DRIVEW4Y 6~ '
~ 9936 ~ 996.T ~ I r$ENCN M4RK
- a 2.24 ,~OUO $i x ;,,00,43) 20.83 70P O F PiPE
380 a 3fl0 x 998.9 D EtEV:~003.62
~ 1 Mf ~
E~E~vF 90 6/ a` ~ ~ P~R7EED L 1 OARAGE ,~J
9.0 ~ ~ cL
yy~r~ X "~3i"aD sa.o ~ (l000,9_ -~,-z4.ea - ' ~
~ 30 ,-~a f~,ncH 9fl9 ~iooa.a " iooz.i ~
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SCAI.E I INCH= 30 FEET
~o~~~~o.~i ~o
W', 1ames R. Hill, inc.
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N~ ~ y o W m I~; I yN ~ PLANNERS / ENGfNEER5 / SURVEYORS
, 2500 W. CTY. RD. 42 • BURNSVI~LE, MN. 55337 ~ 6t2-89a-8044
;
L_ ~ BL CITY OF EAGAN CITY USE ONLY
~ ~p~ PLUMBING PERMIT
SUBD. ~ (612) 681-4675 RECEIPT ~ l.. a~o~
DATE - 02- aZ
R88IDBNTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST REPAIR/ADD ON 15.00
ADD ON _ I SHOWER 3.00
REPAIR _ ~ WATER CIASET 3.00
(1~ BATH TUB 3.00 ~
OWNER NAME: l/.,~q~~_~~~~~ ~ KITCHENYSINK 3.00
~l~~~.Q~ / IAUNDRY TRAY 3.00
SITE ADDRESS: "T ~7 ~O~l~YCQ.«- ~r1- ~ L HOT TUB/SPA 3.00 ~
,L WATER HEATER 3.00
~ FLOOR DRAIN 3.00
~ GAS PIPING OUT.
INSTALLER: (MINIMUM - 1) 3.00 3'r
TL~~ ~ ~ ROUGH OPENINGS 1.50 y,So
ADDRESS: ~~~7J 11-~ OTHER
~ WATER SOFfENER 5.00 ~
CITY: ~ ____~~1
,ZIP; ~~i'~o
~ ~ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~ ~ _ W. TURNAROUND 15.00
~a~s~o
STATE SURCHARGE .50
Q 1~~ ~
SIGIATURE OF PERMITTEE TOTAL: ~
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
CONTRACT PRICE:
SITE ADDRESS: 1X OF CONTRACT FEE. .
STATE SURCHARGE _ $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
FOR: (SIGNATURE)
CITY OF EAGAN
~ CITY OF EAGAN
L~~ B ~ MECHANICAL PERMIT RECEIPT #/O~' S
SUBD. ~ (612) 681-4675 DATE D
RESIDENTIAL
PLE4SE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMII Y DWELLINGS. AISO, COMPLETE FOR
TOR'NHOMFS/CONDOS R'HEN SEPARATE PERMITS ARE REQUIRID FOR EACH D~VVELLING UNIT.
O~VNER: ~ g. , e~-~ c~- ~QS_ ADD-ON A/C ADD-ON FURNACE?
SiTE ADDRESS: p ~ / ADD ON/REMODEL (EIIISTING S 15.00
~0 % ~ D a//'2_. CONS1'RUCI'ION ONLI~
INSTALLER: HVAC: 9-l00 M BTU 4, (J~i`~ 24.00
pgoNE 12481 Rhode Island Ave. So. pDDTi'IONAL 5o M BTU 6.~00
ADDRFSS: ~ 894-0005. GAS oUTLEts - MIIdIMUM 1@ S3 EAr
~ Gj'.
CITS': ZIP: SURCHARG& $
SIGNATURE: y,~~ TOTAL: $
~(S~ c e~ c~~° d' ~j [JO PERMIT RE UIRED FO% DUCTWOR ONLY!
COMMERCIAL
PLEASE COMPLETE TfIIS PORTION FOR ALL COMMERCIAI/INDUSTRIAL BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS WHF.N SEPARATE PERMTfS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DFSCRIPI'ION: , CONTRACT PWCE: FEES
1% OF CONTRACT FEE.
STATE SURCf~ARGE IS S:~ FOR EACH
51~000 OF PERMIT FEE $
PROCFSSED PIPING - S?5.00
$
NmvnHtJrt FEE - SZS.oo
OR'NER TOTAL: $
SI1B ADDRESS:
1'ENAN'C:
SUITE Wt:
INSTAi"i.RR•
ADDRESS:
CITP: ZIP:
PHONE CI1'Y SIGNA7'URE:
SIGNATURE:
~'(~c~~ .S~~.s~
2007 RESIDENTIAL MECHANICAL PERMIT APPLICAT[ON
City Of Eagan
3830 Pilot I{nob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when pertnits are required for each unit
Date , ~ / ~ / v~
Site Address ~ ~(~X_ ' J~LL,~ Unit #
Property Owner , ~ (1 Z- Te?ephone # (l(~C~ I ) 04 b I - "l ~
Con[rac[or
3A51 W. Burnsville Parkwa °
Street Address Y City
we
State Bumsville, MN 55337 z;p Telephone# ~(S~~)~'~l~l -~-~5
Bond ~ ~ ~~€h~ ~ 1 ~ ' ) Expires: ~ I ~
The Applicant is _ Owner ~ Contractor _ Other
Fire repair (replace buroed out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteretion to existing dwelling uni[ $ 50.00
~ furnace _Additional ~Replacement _ New
air exchanger
air conditioner
heat pump
ather
State Surcharge $ .50
Total $ ~~~J
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is comple[e and accurate; tha[ [he work will
be in conformance with the ordinances and codes of Ihe City of Eagan and with Ihe Mechanical Codes; [hat I understand this is not a
permit, but only an application for a permit, and work is not to start without a pemilt; that the work will be in ac ~1ance ~
approved plan in the case of work which req~iires a review and approval of p~s. -
~ ~o~~ lUJ
-1~ ~~1~~~!/7 ~ ' _
App~~icant's Printed Name Applicant's Signature
BY