4331 Sean Ct4*City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: 802 -
Permit
0
Permit Fee: 90- alb
Date Received: owl ts% / 11
Staff: `,
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
J
Date: Site Address: Unit #:
RESIDENT /
OWNER
CALL
Name: ¶ r.�wk ►.L.. -t fes.) Phone:
Address / City / Zip: ( < P(✓
Applicant is: Owner k) Contractor
TYPE OF WORK
Description of work: C� v\ f T Z f &,, .... Z‘. -/N. .••--5
Construction Cost: a cl.0-0" Multi -Family Building: (Yes / No )
CONTRACTOR
Company: q -Fy •\, z, i,.. ., tl�c `S Contact: (----r ,I&A
Address: 'D.- k-(.0 0 \ \k( -1\.3-"-N. City:
State: Vii'-' Zip: _..--C41 "1 Phone: £ (D- Y( 4- DLCra-
License #: Lead Certificate #:
Does this project require Lead Remediation? 0 Yes lNo (see Page 3 for additional information)
If no, please explain:
In the last 12 months,
_Yes _No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
°NOTE: Plans and supporting documents that you submit are considered tobe public information. Portions of }
the information may classified as non -public; if you, provide specific reasons that would permit the Crty to
conclude"that they are trade secrets.- '-' -*'' ' -
ecrets --
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 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 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.
x S
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
~ % IN INSPECTION RECORD
. C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: ;ii,; t E , APPLICANT:
~ AN ft
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION D. .
. ~ . . . j , ~ i .
, . . ~ ' , ~ ~ ~ . 1. . ~ , . .
; ,
„
~ . . _ . ~ . . . . . . . . . , . . . . .
Permit No. Permit Hvlder Oate Telephone N
• ELECTRIC
~
PLUMBING 7 9(;&-7717
HVAC
Inspectlon D Insp. Camments
FOOTINGS
!
FOUND
FRAMING `'%a g 7
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST ~
INSUL
GYP BOARD
FIREPLACE
~w
FIREPLACE
AIR TEST
FINAL PLBG _ d /LLp f~
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
85MT FINAL
DECK FfG
DECK FINAL
Address 4331 senN cx Zip 5512~
IAt 14 Blk 1 Sub LEX PTE 11TH
THESE ITEMS WERE / WERE NOT COMPLET'E AT THE TIME OF THE FINAL INSPECI'ION.
Date: a-7 9 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Perroanent gas
~
Sod/Seeded grass
TraiUcurb 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 ro
the outside lawn faucet before freeze potendal exists.
ContaM engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
~S BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675 q . ~ Sv
Naw ConslrueUon Reauiremeou RamodellReoair Reauirements
. 3 registered site surveys showirg sq. ft. of IM, sq. R of house; and all rooted areas • 2 coPies of pWn
(20% maximum lot coverage allowed) • 1 set of Energy Calculalians for healed additions
• 2 copies of plart showing heam & vrindow saes; poured found design, etc.) . 1 site survey for extenor additions 8 decks
• 1 set o! Energy Calculadons . Indicate if home served by uptic system for additions
• 3 copies of Tree Preservatbn Plan'rf lot platted a%er 7/1193
. Run Joist Detail Options selection shaet (bldgs with 3 or less unds)
DATE VALUATION a~/
SITE ADDRESS MULTI-FAMILY BLDG _ Y ~I
TYPE OF WORK~a~ SL~ °1-'(`eXTA FIREPLACE(5) P~0 _ 1_ 2
APPLICANT Catastrophe Restoration Services Inc.
STREET ADDRESS 2489 Rice St Suite 70 CiTy Roseville STATE M~ZIP 55113
TELEPHONE # 651-734-9433 CELL PHONE # FAX # 651-483-0219
PROPERTYOWNER TELEPHONE#r ~-LI5U-G9(a
/
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category
_ NiIVIVESOTA RULES 7670 CATEGORY 1 MINNLSOTA RULES 7672
(d submission type) • Residential Ventilafion Category 1 WoAcsheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submilted
Plumbing Contractor. Phone #
Plumbing system includes: _ Water Softcner _ Lawn Sprinkler Fee: $90.00
_ Wa[er Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Confractor. Phone
nn 1
I hereby acknowledge that I have read this application, state that the information is orrect, and agree t ply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. By
Signature ofAp _
Ar----- -
OFFICE USE O
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
I ~-Ir9 o
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impravement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Oemolition (Entire Bldg only) - Give PCA handout ta applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ plumbing
_ Foundarion I-VpC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tesu _ Final
_ FI'aminB _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee ~
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Tatal
PERMIT # 0 ~ RECEIPT DATE:
8008 RMIDENTIl4L PLUM$1Nfi PEfiMIT APPLICATION
crrY oF EAsa4x
S$SO PILOT KROB RD
EA6AA, MN 55122
651-681-4e75
Please complete for: single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
SITEADDRESS: 4-7-7I SQctVN C ~ •
OWNER NAME: : TELEPHONE
(AREA CODE)
INSTALLERNAME: CCpei4f~~~ TELEPHONE#: S~ q~96)
STREET ADDRESS: 2 -Z -7d tv're,c ( (E+REA CODE)
CITY: &41 ~Ji fl'e, STATE: pIq G'L ZIP: S`S0 7 T
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: AddiGonal consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
_ Adding fix[ures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rehuild $ 30.00
I-awn irrigation system P v ~ t/ 'Jup
Replacement/additional: _ water softener _ water heater $ 15.00
State Surcharge M .50
U
007~ . ~ V
7ota1 R 2 9
Y
I hereby acknowledga ihat I have read this application, state thatthe informadon is correct, and agree to complywi a app i nances. It
is the applicanYs responsibilily lo notify the property owner that the Ciry of Eagan assumes no liability for any damages caused by the Cityduring its nortnal
operetional and maintenance actlvi6es to lhe facilities consWCted under this permit within~yprop~ !n hto ~wa /e sel ent.
1
SIGNATURE OF PERMI EE 1102
CITY USE ONLY 2Z? rcy
L 8L RECEIPT N: a U
SUBD. RECEIPT DATE: 7- V "(X)
PERMIT a q/5 7)
8000 PLUMSINfi PEfiMiT (RESIDENTIAL)
crrY og swsax
S$SO PILOT KNOB RD
ERfiRN, b!N $5 12E
651-681-4e75
Please complete for: > single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Alterations to isting dwelling - mini m fee
Describe: ~e~.~ o Uv~A~ ~ vZ i~ $ 30.00
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outlet ' minimum • 7 3.00 x = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
Se tic S stem new/refurbished • requfres MPC Ile. 75.00 x = $
Se tic S stem abandonmenc 30.00 x = $
RpZ new installation/re air/rebuild 30.00 X = $ ~
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under consweion 3.00 x = $
Under round s rinkler itexisun dwenin 30.00 x = $
Watercloset 3.00 x = $ ~
Waterheater 3.00 x = $
W ater softener If dwelling under eonstructlon 5.00 x = $
Water softener if existm dwemn 30.00 x = $
50-
Waterturnaround 30.00 x $ 00
State Surchar e Sp $ 50
Total S D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-
-
- .
-p--hle-City--of Eagan-ordinances-
-appli-
-correcC and agree to comply with-all-
-that-the infortnaGOn•is-
-plicafion,-state-
- this ap-
I hereby adcnowletlge that 1 have-read -
It is Ne applieant's responsi6ility to notity the properly ovmer Nat the Ciry of Eagan assumes no liability for any Camages causeE by the City during its normal
operational and maintenance actlvities to 1he facilities consWCted under this permit within Ciry property/right-o(-way/easement.
SITE ADDRESS: 133 , J °4_yl " `
OWNER NAME: : FCvWt I~t n5 TELEPHONE 1D'n 1S4 Q' ~11
(AREA CODE)
INSTALLER NAME: TELEPHONE
(AREA CODE)
STREET ADDRESS:
CITY: TP` ' Z~P.
SI A RE OF PER ITTEE
? ' ' ciTr use oNLr 7
L BL RECEIPT#:
9Z
SUBD. A RECEIPT DATE:; V211
1997 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 pertnits are required for each unit
• backflow preventer for underground sprinkler system
FIXTURES EACH NO.. L~
Shower 3.00 x 1 =
'Water Closet 3.00 x = D
Bath Tub 3;00 x
Lavatory 3:00 x
Kitchen Sink 3.00 x I_ = 3; Do
Laundry Tray 3.00 x I_ = 3.OD
~let-~uqlSpaQ~~_ a,ro~;~~ 3.00 x = (a".Gkl
Water Heater 3.00 x I = ~
Floor Drain 3.00 x M = ~
Gas Piping Outlet ' minimum - t • 3.00 x I
Raugh Openings 1.50 x a ,
Water Softener ' for dwellings under wnstruction 5.00 x =
Water Softener ' ror existing dwening 20.00 x =
U.G. Sptinklet ' for dwelling under const 3.00 =
U.G. Sprinkler 'forezisting-dwelling 20.00 =
Alteretions ` ro existlng residence 20:00
Water Turn Around 20.00 =
Private Disposal System ` Dak Cry lic. 75.00 =
(new and refur6ishad systems) - ' -
Private Disposal Systems "Abandonment 20.00
STATE SURCHARGE
~ TOTAL 5~~p
I hereby adcnowledge that Iheva tead this application, state Mat tha fnormation iswned, and egree to compywith all epplicable Ciry -ot Eagan ordinances. ft is the epplicanKsresponsibllky to notNy the proparty:owner that the Cityof Eegart:qssumes no I(ability for any
damages ceused by the Ciry during iLa nortnal operetional and maintenance acfivities to tlietaGlities construGed under this pertnft within -
City properry/rightaf-way/easement
SITEADDRESS:
OWNER NAME: r -7y -
INSTALLER NAME:fx~~ C Y'll TELEPHONnE '~T rI I~
STREEMT ADDREGC• ,LA ~
STATE: ZIP:
c1 9~1 ~~Cwv~Q3~
SIGNATURE OF PERMITTEE '
J CITY USE ONLY
LOT ~ BL ~ RECEIPT 79r9 9
SUBD. RECEIPT DATE: YA`5/9 ~
1997 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
8 J lj _ J p~
Date: (612) 681-4675
Complete this section only if vou are inatalline HVAC in sinizle familv, townhome, or condos that are
under construction and are not owner /occuoied.
• HVAC: 0-100 M B T U $ 24.
ADDITIONAL 50 M BN 6.00
• Gas outlets ( minimum of one required @$3.00 ea.) ~-6d
• State Surcharge: .50
Z7t5"
• TOTAL:
. Complete this section only if vou are remodeling, addin¢ to, or repairine existine sinele familv
dwellings, townhomes, or condos.
Add-on furnace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITEADDRESS:
OWNERNAME: 7-ON Y f Un~T~~ l~/ CO~S/ ~ UC P1I-A'' PHONE
INSTALLER NAME: G~!7 Y/" N7"`l d I~% ! L PHONE
STREET ADDRESS:
crnr: srnTE: ~ zrn: SS~ 6~
V SIG61ATtR OF PERMITTEE
CITY USE ONLY
L _ BL _ RECEfPT
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681a4675
Please complete for: ? all commercial/industrial buiidings.
D mufti-family buiidings when separate permits are not required for each dwelling
unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of ermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (innPROVenneNTS oNLr)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
*%;CYF)Im *A iF)F.A `n
A30FiN 401 ?:i.:l;iill
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£i913 =t]N I'Jidl:W8:11 8 "'i31:Hfid:J
NV.`.iVA 30 A.L1C!
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~j
3830 PIL'OT KNOB RD - 55122 ~ UlJ~~
651-681-4875 II~~ 7,New ConshucHon ReaWremenh i3~DO Rertwdel/Reoair Reauiremenia
c~'
~ 3 reyisteretl tiro wrveys ahowiny sq. H. of lot, sq. fl. of house 7"(D 'd G 2 copfes of ptan
and glj rooletl arem (20X mmdmum rot coveraae albweA] 1 set ot energy cdculaHons for heated addiflons
> 2 coplea ol plana (ahow beam 8 wlndow sizes; poured Mtl. deslgn; etc.) 1 sife wrvey lar extedor addiHons d tlecks
> t set ot energy calculatlona ,
> 3 caples of hee preEervatlon plan if IW plaltetl after 711/93
DATE: L. I a-S 16 a CONSTRUCTION COST:
~ ~I.~. .
OESCRIPTIONOFWORK: ~A~¢-f'nA-?~~ i ~J%VS~
_4
STREET ADDRESS: 33 I ~c7¢C~ C~ ' F e~n M~ S`71 '3
LOT: ~ BLOCK: SUBD./P.I.D. Ire~X i Yl 6 f° X, 1 I
Name: h-1 Jl ~ ( 1JCvL~ ` Phone ~ ~T AiVA- O 1 -7~-
PROPERTY Arsf
OWNER SheetAddress: c---
Cffy f"~G-~ State: f'~ VV up:
. Company: Phone lf:
(area code)
COMRACTOR
Sfreet Address: LicensA # EXP•
Cny Stafe: ZiP:
ARCHITECT/
ENGINEER Comparry: Name:
Telephone ( ?
Sheet Address: Regishaflon M:
Clfy State: Zlp:
Sewer/water licensed plumber (H insWllirw sewer/water): Pho^e L~
I herebY acknowledge Mwt I have read Ihis cppikaFbn, date ihaF ihe infortn ' is ecf. and agree to compiy wNh ap apPQeable StotE
of Minnesota Stalufes and Ciy of Eagan OMinanees.
Signalure of ApplicanN.
OFFICE USE ONLY
CeRificates of Survey Received _ Yes _ No 2 9
Tree Preservation Plan ReCeived Yes _ No _ Not Required
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 76plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Att - SF
? 03 01 of plex ? 09 07-plex 18 Deck ? 23 Porch (screened) ? 36 Mutti
? 04 02-plex ? 10 08-plex ~19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg or_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex O 20 Pool ? 30 ' Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
2 Addition ? 37 Demolish (Bldg)' ? 44 Siding
33 Alteration ? 38 Demolish (Interior) 0 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
" Give PCA handout to applicant for demolitlon permit
GENERAL iNFORMATION
SAC Code C) 5 # of Stories s4• ft•
No. of Units 0_ Length sq. ft.
No. of Buildings _I Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code z/3N
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee 460'S U Valuation: $ lUfO D U
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies -
Total: ~60. 7S
SAC Units
% SAC
'G4'N"bF EA64IrFA#11' ~
3838 PILOT KN4B RD
EAGAN, MN 55122
651-681-4617
BtTpi: AD2
S-A-L-E-S 04iFFi
75675286
nomm
REF: M
IA T4PE. UISA
TR IYPE: RIM
INk 1 ,
DAIE: NW 17, 99 3618
~
TOTAL $60,75
(ICET:4SS99T16138SE649 F77P.85~&i
AP: 8171AS
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T IEREON Af8 Atl~S TO PH~II
T I6ATIdS SET FptTH liE
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1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
3830 PILOT KNOB RD - 55122 ~w-~ ~
651-681-4675 I --1 ~7, Q
f ~
New Conshuction Reauirements Remodel/Repalr Reauirementa
? 3 registered sNe surveys showing sq. IT. of lof, sq. H. ot house 2 copies of plan
and QII roofed areas (40% maximum lof coveraae allowed) 1 sei of energy calculations for heated addiTions
? 2 coples ol plans (show beam 8 window skes; poured (nd. design; efc.) 7 sBe survey for exterlor addNions & decks
: 1 sef of energy calculatlons
> 3 coptes of tree preservation plan M lot platted aRer 7/1/93
DATE: C-511'7 CONSTRUCTION COST: I a~
DESCRIPTION OF WORK:
STREETADDRESS: ~~Al~
LOT: ~ BLOCK: SUBD./P.I.D.
Name: Phoner-}Sq A l-7b
PROPERTY Lost Firn T
OWNER
Street Address: 4-3-';
City ~?f/~q a-v.. State: ~N Zip: S-SI)3
Company: Phone
(area code)
CONTRACTOR
Street Address: License # 6cp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
' City State: Zip:
,Sewer & water Ilcensed plumber (reaulred for new construction oniv
PenaHy applles when address change and lot change Is requested once p rmit i s ed.
I hereby acknowledge that I have read this applteation, state that fhe Inform n s c ect, and agree to comply wRh all applica6le
$tate of Mlnnesota Sfatutes and City of Eagan Ordinances.
Slgnature of Appllcant: ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
OFFICE USE ONLY -
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments X? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration O 37 Demolish Bidg." ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) ain level sq. ft. SAC Code
UBC Occupancy sq. ft. 115% 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 Sprinkiered
APPROVALS
Planning Building A-L/ Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/VV Permit S/W Surcharge '
Treatment PI.
Park Ded. `
Trails Ded.
Other
Copies ~
Total: '
SAC Units
% SAC
TRI-LAND C0.
- ~
SURVEYING
SERVICES -
SITE PLAN FOR : Ppro -~re-~~ ~ C~A,
LEGAL DESCRIPTION: LOTL. BLOCKL, i4"
ACCORDING TO THE RECORD PLAT
THEREOF L~ekotv COUNTY, MINNESOTA
ADDRESS:
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SCGIY 1 sc
LEGEND INVERT ELEVATION AT SERVICE EXTENSION= 9~R•
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATtON•
a DENOTES WOOD HUB SET PROPOSED FIRST FLOOR -ELEVATION=
°1'a% DENOTES EXISTING SPQT PROPOSED BASEMENT FLOOR
ELE VATION E LE VATI ON
~~881 OENOTES PROPOSED SPOT 'Z_ g~pr L, C ELEVATION
~ DENOTES DRAINAGE DIRECTION NOTE ~ VE IFY ALL FLOOR HEI6HTS WITH
FINAL HOUSE PLANS
I Mnby certify that thi: surwy,plon or
report wos prspand by ms or under my
direct suparvision and ihat 1 am a duly Bradley J. san, Mn. Rey. No. 15233
^ Re9i:tsred Land Surveyor under the . o, 9~
. Laws of tho Sfafo of Minnesota. Dott •
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PERMIT
~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B uILo r NG
Eagan, Minnesota 55122-1897 Permit Number: 0 3 0 4 0 6
(612) 681-4675 Date Issued: 0 8 J 11 / 9 7
SITE ADDRESS:
4331 SEAIV CT
LOT: 14 BLOCK: 1
LEXINGTpN POINTE 11TH
P.I.N.: 10-45095-140-01
DESCRIPTION:
r=
Building-Permit Type SF DWG
Building WdrJc Type NEW
s' UBC Occupancy',_ R-3 U-1
Cpnstructin:n 7y" VN
Zoning PD
Building Length l, 60
` Building width 39 '
Bwi'ltiting ns.tOries2
Squ~;e Fe2t 2,091
Cen,sus -Godle 101 1- FAM. DETACH
~v ip,
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REMARKS:
S&W PLUMBER - THOMPSON PlUMBING
FEE SUMMARY:
VALUATION $173,000
Base Fee $1,252.25 MISC FEES $1,539.50
Plan Review $813.96 Total Fee $4,642.21
Surcharge $86.50
SAC $950.00
SAC % 100
SAC Units 1
Subtotal $3,102.71
t
CONTRACTOR: - ppplicant - sT. I.IC OWNER:
TONY PONTRELLI CONST 14529256 2002584 TONY PONTRELLI CONST
1023 WALNUT RIDGE DR 1023 WALNUT RIDGE
EAGAN MN 55123 EAGAN MN 55123
(612) 452-9256 (612)452-9256
I herehy acknowledge that T heve read this application end sCato thet the
information is correct and agree to comply with ali applicadle State af Mn.
~ Statutes and City ot Eag1[f OrdLnances. .
APPLICANTlPERMITEE SIGNATURE ISSUED BY: TU
1997 BUILDlNG PERMIT APPLICATION (RESIDENTIALP ~ 4za 1
CITY OF EAGAN
3830 PILOT KNOB RD - 65122
681-4675 0 ~
New Construction Reauirements RemodeVReoair ReauiremeMS
I
? rogiaterod site surveys ? 2 eopies M plen
?•~1 coples oi plans pndude beam 8 window sizes; poured hM, design; etc.) ? 2 ske aurveys (exterlor additbns 8~c(a)
1 energy celculatbns ? t energy ealculationa Por heated addRlons
'~---a-w~iee9ftree presenetion plan H lot platted after 7/7193
required: _Yea _ No '
DATE: _G-o~B- 9J CONSTRUCTION COST: AL-2'sO OW ci--4Z'
DESCRIPTION OF WORK: ~JV SZZJi'-~`~ .fJd4z)
/
STREETADDRESS:
LOT /L/ BLOCK SUBD./P.I.D.
PROPERTY Name: T.r>y Phone
owNeR w,.
Street Address:- y33! ~ 5~7~-~cJ GT
City: State: /'-"i,L/ Zip:
CONTRACTOR Company: 7,~t~~n~L~` (4,,-,~,~frc~•--~ Phone
Street Address: License
City:_ State: 11?.tl Zip: 5-5`7-~3
~ . _
ARQK1,TECTI Company: ~iulc~s~•~r~' lc--u-rvcA-- Phone 4~L'7 &q7`f
ENGIN6ER
Name: Registration
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): (~y~'ws~~+-+~ Penalty applies when address change
and lot change are requested once permit is Issued.
I hereby acknowledge that I have read this appliption and state that the i is co and agree to comply with all applicable
State of Minnesota Statutes and City ot Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY / D
Certificates af Survey Received 1/ Yes _ No J U~
~
Tree Preservation Plan Received _ Yes _ No _ Not Required B
OFFICE USE ONLY
< <
.
Y
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
~ 02 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 5wim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
n 05 SF Misc. 0 90 = plex o 15 Deck
WORK TYPE
31 New ? 33 Afterations o 36 Move
0 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) ~ N Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy k~ UI sq. ft. Fire Sprinklered
Zoning ~ sq. ft. PRV
# of Stories ' sq. ft. Booster Pump
Length ~ sq. ft. Census Code. t I
Depth f2~ Footprint sq, ft. 7- 0~1 I SAC Code i91
Census Bidg I
Census Unit I
APPROVALS Pianning Building Engineering Variance
Pertnit Fee Valuation: $ 1 r] OOO, 00
Surcharge
PlanReview
License ' - • - - ' MC/WS SAC
City SAC
Water Conn. I S?- -i,~ ~-7
Water Meter `
Acct. Deposit
S/W Permit )
S/W Surcharge ZND Fz R
Treatment PI.
Road Unit ca
Park Ded.
Treils Ded.
Other
Copies
rotaL•
°k SAC r`
SAC Units
)2d00o
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r. ;
n TRI-LAND C0. ,
L~ SURVEYING
~
SERVICES
SITE PLAN FOR :~p~.,~-~-,~e~~ L C~A
LEGAL DESCRIPTION: LoT//, BLOCKL, xi"Qtom PT I I
ACCORDIN~Jc~'a TO THE RECORDLkb PLAT
THEREOF kot.q COUNTY, MINNESOTA
ADDRESS:
: : - - _ ~ -
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y~..~.~f. 10 0
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I t0 ~1~0 25 6
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S c~ ~e 1 30~
. LEGEND INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEYA710N=
~ DENOTES WOOD HUB SET PROPOSED FIRST FLOOR- ELEVATION= tfj'A
DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR =
ELEVATION ELEVATION
DENOTES PROPOSED SPOT 2•. S~'pr L. C ELEVATION
DENOTES DRAINAGE OIRECTION NOTE'~ VE4IFY AlL FLOOR HEIGHTS WITH
FINAL HOUSE PIANS
I hreby wrtify thot this survay,plan or
report wos prspond by ms or undar my
direct supervi:ion and that I am a duly Brodlay J. son, Mn. Req. No. 15235
^ Reqistered Land Surveyor undor the
Lnws of tne State of Minnesota. Date •
LOT SURVEY CNECKLIST FOR RESIDENTIAL
, ~UILDING PERMIT APPLICATION
PROPERTY LEGAL:
y
DATE O SURVEY:
LATEST REVISION: ~
DOCUMENTSTANDARDS
~ 0 • Registered Land Surveyor signature and company
? • Building Permd Applicant
? ? • Legat description
? ~ ~ • Address
~ ? • North arrow and scale
? ? • House type (rambler, walkout, split w/a, split entry, lookout, etc.)
? • Directional drainage arrows with slope/gradient %
~ ? • Proposed/eristing sewer and wafer services & irneR e(evaNon
? • Streetname
? ? • Driveway
ELEVATIONS
/ F~dstina
o" ? ? • Sewer service (or Proposed)
C~/ ? ? • Property corners
C7" 13 ? • Top of curb at the driveway
? ? 0 • Elevatlons of any ebsting adjacent homes
r osed
Z
0 ? ? • Garege floor
~ ? ? • First floor
~ ? ? • Lowest exposed etevation (walkouUwindow)
[d' ? ? • Property comers
ca" ? ? • Front and rear of home at the foundation
PONDING AREA Cd aoolicablel
? Lr"" ? • Easement line
? O,'~ ? • NWL
? E5' ? • HWL
? ~ ? • Pond # designaBon
? ~o • Emergency Overflow Elevation
DIMENSIONS
~a ? • Lot IinesBearings 8 dimensions
? • 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)
['1 ? ? • Show ali easements of record and any City utilities within those easements
? ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? • Retaining wall requirements, if any
RevieHted: Z-fzz z 7
N e /D e ~
January 7996
CRAIf31998I8L0GPRMT, FM
. . , I y ~~r.::~ I .
11 F
CITY OF EACAH ~ EXTEflIOfl EHYELDPE AYERAGE 'U' CONPUTATION
ONNHR:
SIiE ADDRFSSt .
CONTAACTOR: DAiEa pNOHEs
Determine working square footage oF eachs
_
. Tatal"WXpbs`4t1-*gTT"'h`Fea -:,~P-.,4.~..-» ~f:~»» ,~,o,~~.
sq. rt. x.tt
• _ ' ,
2. Total roof/cetling area sq, ft, x.U26 1,,' E ¢8
~
Total e:posed wa11 area abnve floor ~~I ~f
a. Total wall windou area
' 'b. Total dOOw 8YB9
c. Total a]Urei glass erea •,~g
d. Total fireplace Wall area ~
• i ~ o
e. Total wall framing area (average 10~) !33~ ` f. Total net wall area above floor
~ . ._:ri g. Total rim joist area ~ ' 2y~ -
.
;j
. ;
Total
exposed foundation area
, n.: . . . , . 3. . . '
• . , .a . E - ~ ' w,t ,
~ i
h. Total foundation window area......
. ~ O
I. Total net foundation area above grade.....,.`....;.,.:
_ s
Determine IU' value of each wall aegmenb: '
a. x OuI
c . x ~ u+
d. a x ' U' - -
e. 33'S. x IUI 210~-
f. 219;t x 'U' • -l„2
g• Z`l 7 x' u' o - I l. 8 S
h. p x +U, I _
x +U!:.'
3 . . . roeei _ ' 2i 9. 4-
If item 03 is the same as or less than item 61, you have met the,intent of SBC
6006(c)2.
Total exposed roof/ceiling area = ~¢g O
t,
3. Total skylight erea
k. Total roof/ceiling framing area (average 10$)
1.. Total net insulated roof/ceiling area , 133 2 '
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116103
Date Issued:10/03/2013
Permit Category:ePermit
Site Address: 4331 Sean Ct
Lot:14 Block: 1 Addition: Lexington Pointe 11th
PID:10-45095-01-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul R King
4331 Sean Ct
Eagan MN 55123
(651) 454-0176
Minnesota Rusco
5558 Smetana Dr
Minnetonka MN 55343
(952) 935-9669
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118195
Date Issued:10/29/2013
Permit Category:ePermit
Site Address: 4331 Sean Ct
Lot:14 Block: 1 Addition: Lexington Pointe 11th
PID:10-45095-01-140
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Chris Haqq
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Paul R King
4331 Sean Ct
Eagan MN 55123
(651) 454-0176
Abelard Construction
6200 Shingle Creek Parkway, #545
Brooklyn Center MN 55430
(763) 503-6610
Applicant/Permitee: Signature Issued By: Signature