684 Shelerud DrC!tyofEaaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit #: q 14 1-/�
Permit Fee: (9g,?`
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Tenant: dea.0
Site Address: (7g! c__ --1�
Suite#:
RESIDENT / OWNER
Name: 'Jl_cE.-$0. C% Phone: ( _'7 G o �
77
Address / City / Zip: e79 , Sz"-1' 9b cqz ,.� l
3'
Applicant is: >e Owner Contractor
TYPE OF WORK
Description of work: V bl b
Construction Cost: Multi -Family Building: (Yes / No
)
CONTRACTOR
a/
Name:G/ � �'-�(iediavt t c License #: 9Y?5—
Address: &7 cs`,a�/ f' pe City: e-CGt ,0V-�
State: /Y2/0 Zip: Z-7.51:2'? Phone: / -360 "6l y7
Contact: 24-X.-1/ Email:
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: Phone:
Sewer & Water Contractor:
Phone:
NOTE' Plans anal supporting'docum nts a 9submit are con dered toy• a public i • rmat on
"the informationmaybe class f e0G as no = public if ou o a a e spe so at t fro it er tt a Cfty o
co , Elea they retradesecret
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 onforma e the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, andnot t�,.t. hout a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and - �;y•llans.
x/✓Y 0, ,rrrs�� / ��Ii��
Applicant'g Printed Name7 W71 : 1 is Signature
JUN 2 I 2010
Page 1 of 2
kq —C6-(EFUCI
DO NOT WRITE BELOW THIS LINE
7L/24iVy
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Fireplace
Garage
Deck
Lower Level
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Interior Improvement
Move Building
Fire Repair
Repair
(25% 100% y)
Census Code
# of Units
# of Buildings
Type of Construction
V 11
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Meter Size:
Reviewed By:
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
TZ
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: _Footings _Air/Gas Tests Final
Siding: Stucco Lath Stone Lath _Brick
Windows
Retaining Wall: _ Footings _ Backfill Final
Radon Control
Erosion Control
, Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
;<)( c;o2-c
Page 2 of 2
* PIONEER
gqaeic-JM1Vn/_' Pfz-i4,**ang near ng
Certificate of Survey for:
LA
4,44 G111,1 ,1 „rul
Mendota Heights, MN 55120
RK�EN3 CML ENG NCE98 (651) 581-1914 FAX:681ti9468
R5• LAN0SC ARC ARCINICCTS
625 Hlghwoy 10 N.E.
Blaine, MN 55434
(753) 783-1980 FAX:753--1583
MANLEY BROTHERS CONSTRUCTION
884 SHELERUD DRIVE
- I I�
> U_ > >
n1 940.1
> )
EAGAN, MN BUYER: SPEC
SHELERUD DRIVE
939.5
31.47
(4,49.7E1
,MAILOX N89'49'48"W
'1 q 40 41939.9
q-Z;o:-1rs l 'f
I
o
I \ PROPOSED
r \\ 0 VEWAY
BENCH MARK `a 38.5 10100 4113)
TOP OF SPIKE -________________.
ELEV.=939.27 9)389 la
12.00
,D) L10
63.57
9
A=05'01'40
EB
939.9111TEL
1739.4
r-
Q
stn
939.0
O
7(T0,7)
l
I5
I
n
( 0 1. BENCH MARK
/ ------- TOP OF SPIKE
20.00 I- We,'ELEV.-939.03
I / 939.0 940.3
CV
`38.1
16.0
7.8
93$
938.3
Eo
N
939.0
20,0
932.9
(q51,0) g3Z,0) 10!00
937.5
-
q32,
20.00
;2 rt)
4.31.3
( Ct5I:*)
(930.8
5 _
�i I ---X930.9-
lJ � s _ 1-� 3
of .1--------,----� 95.20 I N
�TT929.T N86'29 03'8
-T��_
i
EDGE OF WETLAND' to
PER PLAT
SX
CN
Z
m,
934.5
931.5
...7/
t L?
MARK
TNHELOT 1, BLK 1
ELEV.=938.68
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN 8Y: PIONEER
--_ __-- DRAINAGE & UTILITY
- EASEMENT PERPLAT
-----
(WETLAND)-
vi
S89'49' 48"E
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PUNS FOR BUILDING AND
FOUNDATION DIMENSIONS.
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED 014 THIS LOT BY THE
SURVEYOR. THE SUITA8IUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: 1195 CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN
THOSE SHOWN ON THE RECORDED PLAT.
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION
THAT 1H1$ IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 9, BLOCK 1, NATURES EDGE
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR
ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 15TH DAY OF AUGUST, 2003.
SCALE : 1 INCH = 20 FEET
3200 102046.015 TJW
95.00
PROPOSED HOUSE EI E`{AAT N '302,0)
LOWEST FLOOR ELEVATION-
TCP
l
aQ•f.'T
OF BLOCK ELEVATION•
GARAGE SLAB ELEVATION•
X 000.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES 79080080 ELEVATION
- - - OENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
-2r DENOTES SPIKE
$ DENOTES OFFSET HUB
SIGNED:
REVISED 8-15-03 STAKED HOUSE 8Y
SII1p1os
SERVICE INV. ELEV. = 927.5 PER PLAN
HOUSE TYPE = 2 -STORY
WALKOUT
LOT AREA = 15,308 sq. ft.
HOUSE AREA = 2,071 sq. ft.
DRIVEWAY AREA = 742 sq. ft.
PORCH/ PATIO = 179 sq. ft.
BUILDING COVERAGE = 14.7%
IMPERVIOUS COVERAGE = 19.5%
PIONEERI ENGII Imola RING, P.A.
1
Dan Westergren Reg. No. 19790
ms ~~~~3 ~.~o,~
1,~,~ ~..6r.~ 1 ~sinErrr[ac, suu,n P~ 79'~ `7 Sz~
W ~ Permit Application
fo f 79S S6 d-7 ~ ~
( City OfEagan S~ ~
~Gt,-t~l,L1~S ~~R-- 3830 Pilot Knob Road, Eagan Mn 55122 Ce~-~~'" 1~
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCfionReouirements RemodellReoairReauiremenis (O ~ ~ ~ iceUseOnl
3 regisle2d site surveys showing sq. ft. of lot sq. ft of house; and all roofed a2as 2 copies of plan ert of Survey Recd
(20°k maeimum lot coverage allowed) 1 setof Energy Calculations for heated additbns 7ree Pres Plan Reoi b Y~C
2 copies of plan showing beam & window saes; poured (ound design, etc. 1 site survey for additions 8 decks _Tree Pres Not Reqd ~
t set of Energy Calalations Addrtion - indkate ff arsite sep6c system _ On-sde 5epdc System
3 copies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Defail Options selection sheet (bldgs wifh 3 or less unAS a~ -~t~j ~J-l~
K_J"~r .S b d .S l"Y .
g/L-r c~3
Date ~ / 2~ / a~ Construction Cos ~ Z`~ l~/~J~ ~)n
Site Address ~r~~ S~l P/f'i'( L' Cl~ ,~l i?~ UniUSte #
Description of Work n~ C V~~5f12! C~/ r/^1
Multi-Family Bldg _ Y~ N Fireplace(s) _ 0~! 1 _ 2
Property Owner ~P !7 c'
~~v/~~~ f' ~!~i' Telephone #(C~? I) 2 U r"I- 77~ ~
Contractor / v( ~ ~ii ~ P P" S /
Address d{ ~ ~ ~j ~ N` ~M . City Y /A /J~ ~
State / / 1 Zip ~~j 22 Telephone # h ~~Uq- `77~ ~
COMPLETlE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cate o?~~ ~ 1y ~1 Mi~nesota Rules 7672
Energy Code Category , i f' } I~
Residential Ventllation Catego p ~~wksheet New Energy Code Worksheet
(Jsubmissiontype) ~ Submitted ~ n~!C ^`1 LJ~~ ~',~I' Submitted
. Energy Envelope Calwlations Subinitted U
Licensed Plumber ~ ~ /l//'I~~ ~Telephorie~#~ ~Z)
Mechanical Contractor U/ Telephone #~f~ ) ~
SewedWater Contractor ~ ) //I ' Telephone #
j~~L)`~`~ l ~ /
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.
/~--L/Gf~E~I~~S~ d~l~~~~ .//_ir~.t .
Applicant's Printed Name ApplicanYs Signature
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 Ext. Alt - SF
? 04 02-plex 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 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 81dg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 33 AlteraGon ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitlon (Entire Bldg) - Give PCA handout to applicant
Valuation J_ / /U~17 Occupancy ~y~ MC/ESSystem
T-T-
Census Code Zoning City Water
SAC Units Stories Booster Pump ~ ~n~
Nbr. of Units ~ Sq. Ft. ~ PRV ~1~/rT
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ?/J Width ~N
~ REQUIREDINSPECTIONS
Footings(new bldg) FinaUC.O.
_ Footings(deck) ~ FinaUNo C.O.
Footings (addition) Plumbing
Foundation _ HVAC
_ Drain Tile p~~
~ RooF _ Ice & Water _ Final = Pool _ Ftgs ~Tests _ Final
Franilng Siding Stucco ' Stone
~ Fueplace ~ R.I. ~ Air Test ~ Final ~ Windows (new/replace
Insulation Retaining Wall
Approved ByT2 _ , Building Inspector
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Base Fee
Surcharge ~ d~~ r ~ ~ y ~C 'S ~ l ~ ~ l ~
~
Plan Review
~ MGESSAC m~'.,r~J 12~y ks°~~Z V~~
City SAC /J ~ ~ ~ ~ 5try, ~ tJ~ / 9 /
1
Utility Connection Charge 0
S&W Permit & Surcharge ~~n ^l'~ ~ ~ ~ ~ ~ ~ ~ 9 ~ y
Treatment Plant ~Clt/1!
License Search (Iz1'r / Cl(,~ x ~ p = J / ~Ji~ .
Copies , S/~v~ ~ ° ~ ~
Other I ^ ~ ' ~ ~ ~
Total ~
Permit Numba
REScheck Compliance Certificate Checked By/Date
2000 Minnesota Energy Code
REScheckSoRware Version 3.5 Release Ib
Data filename: C:1Program Files\Check~ILESehecklmbc0077.rek
COTJNTY: Dalcota
STATE; Minnesvta
ZONE: 2
CONSTRUCTTON TYPE: Single FamIly
DATE: 08/26/03
DA7'E OF PLp1VS: 8/27J03
PR07ECT INFORbIATTON:
T.ot 9 Block 1 NaUUes Edge
COMPqNY TNFORMATION:
Manlty Bros COnstructi0n
COMPLIAT7CE: Passes
Max.imum 'CIA = 485
'Your Home ClA = 424
12.6°/, Bettcr Tl~an Code (UA)
Crross Glazing
Area or Caviry Cont. or poor
Perimeter R-Value R-Value iJ-Factor UA
Ceiling 1: Raised orEnergy Truss 1274 44.0 0.0 28
Wall 1: Wood Frame, lb" o.c. 290 19_0 0.0 13
Window 1: Abovo-Grade:Vinyl Frame:Double Pane with Low-E 74 0.350 26
l~'a112: Wood Fxame, l6" o.c. 1332 19.0 0.0 62
Window 2: qbove-Grade;Vinyl Frame:Double Pane with Low-$ 248 0350 87
Door 1: Solid 41 0350 14
Wall 3: Wood Frame, I6" o.c. 2256 19A 0.0 62
OV;ndow 3: Above-Grade:V~nyl Prauie:bouble pane with Low-E 202 0.350
Basemenx Wa11 1: Solid Concrete or Masonry 1091 11.0 0.0 61
Wal] height: 8.8'
Depth below gade: 8.2'
Insulation depth; 8.8'
Fumace 1: Forced Hot Air, 90 AFUE
iProposed and Maximum TJ-Factor Averages
Proposed Maximum
Average T7-Factor Allowed U-Factor
Above-Grade Windows and Glass Doors 0.350 0.370
Inclucles Foundadon Windows ~ 5.6 ft2
9'd L1l£'~N l X0~ WtldO~ll EOOd '9d'Q~d
• 1
COMPLL4NCE STAT'EMENT: 'I'he proposed building desig~ dcscribed here is consisunt with the huilding p]aas, specificarions,
snd other ca~~ulations submitted with the permit applicahon. ihe proposed buitding Las been designed to meet the 2000 Mianesom
Energy Code requirements in gEScheck'Vcrsioa 3.5 Release ]b (formerly MECchec~ and to comply with the mandatory
requirewents listed in the S checklnspcctio ~ ecklyst.
i G
Builder/De$lgner l Date !1 G~~
~ ~d c1zs~~N ~ xo~ wdao~~~ ~ooa sa~s~y
RESch¢ck Tnspection Checklist
2000 Minnesota ~pergy Code
REScheckSoftware Versioa 3.5 Release lb
T3ATE; OS/26J03
PLAN REVTEW A1Vb INSPECTION ISSITE5
This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the
Minnesota Energy Code. The items apply to Group R, bivision 3 Occupanc;es, one- and twafamily resideqtial
dwellings. The items msrkad with apply only to dCtached ono- and two-family
residential dweilings.
PLAN REVIEW ISSTTES
FOITNDATIOIV INSpECTION
foundation wall insulation R-S minunum
foundation insulation extends from top of waU down to top of C6e footing
exterior foundation insulation is covered by a protective coating fmish
CONCRETE SLq$ OR U1V'DER-ST.AB INSPECTTON
slab on grade per;meter insulation R-5 minimum
siab insulation extends from top of slab to desiga b ost 1'rne or top of footing
floors over unheated space R-30 minunum
'WTNDp'VVS / DOORS / ST~YLIGTTTS
average YJ-value is 037 maximum for windows and glass doors {excludes foundation windows)
window U-values oonsistent with building plan and RL'^Scheck Certificate
window and door azeas consistent with building plan and RES check Certiflcate
MECHANICAL'VEN1"II,ATION ISSUES
residential mechanica] ventilation systam provides adequate ventilation per code requirements•
fiunace e~ciency is consistent with FtES check Cenificate or building plan
protection against excessive depressurizstion is installed per code requirements'"
EATVET,OPE YNSULA'ITON FOR PLAN RE'y'YEW
intezior basement insulation R-5 minimum (if no exterior insulation)
[ j ceilings witi~ attics R•38 minimum or consistent with buiiding plan and RES eheck Certificate
wa11 framing and insulation level is consistent with building desig¢ and RES check Certificate
INSPECTIOIV ISST7ES
COIVCEALED IN8ULAITUN
Framrng orrd Sheathrtmg
wind wash ban-ier installed at attic edge
exterior wall corners framed so that insulation can be installed after exterior sheathing is installed
inCersections of interior partition walls and exterior walls framed so that insulation can be insta7led between the
partition and exterior sheathing after exterior sheathing is installed
~ j Saps beT~'een &aming less than one-half inch aze eIiminated by securing frazning together or are insulated at the
time of assembly •
all peneUations between conditaoned and unconditionul spaces made prior to framing inspection are sealed "
e~d «as ~N i xo~ wezo:~i Eooa ~sa~Q~y
.
, InteriorAirBmrier
[ j alI fire sWps are air sealed
pipes, ducu, wires, equipment and flues and chimneys thmugh the interior air bamer are sealed
a sealed continuous interior sir barrier is installed on the warm side of the building envelope at ceiliags, waf]s,
and floor rim joist areas •
sir barrier behind tub and shower is sealed and protected
[ j recessed light fixc„res are sealed
k5ave7ope Insulation
[ ] bascment insulation R-5 minimum
wind wash barrier on wall separating house and garage is sea[ed
loose fili insulation is prevented fi,om entering the eaves
insulation on skylight sLafts and walls exposed in attics is supporbed on the unconditioned side
.4ttic Insulation
artic access panel insulated to TL-38 for ceiling panel and R-19 for watl panel
[ j aRic card attached to framing neaz access opening
[ J notification of attic It-vslue and date of installation posted near building permit inspec$on card
This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the
Department of Public Secvice Information Cenur at 651-296-5175 or 1-800-657-3710.
6'd LLlE'~N ! X0~ WHEO ll EOOZ '9l'a~tl
4
t •
TREE P,~~,F 1/ T ` :r~',k.:
_ r ,
, ~ OF~,- _ ~ ~ .
~0 ; t F
~M. : .
(SEE ATTACHMENTS)
Development f 1 ~ ( U~~S ~'J17~
Lot Number R Block Number ~
Address ~~EL~'iIZU~ n121VFi
Builder YY~~I'Nl.~'f $IZUS. C01v1T,
/'oUrv~[? : I~~N
!'I~~ b~2-94f7-3S3/
Tree Protection Reauirements:
Tree Fencing
Oak T~ee Pruning (Immedtately seal wounds during April 1 to July 37)
Therapeutic Pruning
ReWining Wall
Other:
Reulacement Trees:
Not Required r
As Follows: Z ~aF f} _ ~s ~ / M , n q a ~ _
/ / /
Attachments: /n r ~14 ~ f ~T/ ~Ge ~ ( ~v.. `
a~~~~~l~w~
Yes
No
_ Additional Notes: ~AGA(t( ~A~.S~Y ~Id~`~~
~~~1
_
~ ~ ~ ~ ~
H:\ghove~2002fi1e\Veepres\Tree PreservaBOn Plan Summary-2002
* ~ MmOOta Heighta,VMN 55120
* PIONloA ,~.t,.., . e.. t~+) en-iws ?~x:am-aee
. * enp neer ne ~ a~~~+~ ~~~n ezs w9n.eY 10 N.E.
Blaine, MN 55634
* s rt * (7!t) 7!S-t!!0 IAfh70.F~!!3
Certificate of Survey for: MANL Y BROTH RS .ON TR .110N
BBI SHELENUO OR11E E0.GAN, MN BUYER: $PEC
l
- I I I -I -I
7
~o° i
U`C[ _ > 6~ _ > - _ ' ~
+ SHELERUD DRIVE
~ .~ai .~..e 31.47 ` 'N"
ax.~
q.~ N89'49'4B"W 63.57 ~p5'Ot'40"
e
o» a m~ i o `~8.
~~~o. . i
` r- -----1
9~4on
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I ^ ~ ~ ^ .
` ~ ~ o ~Ewn° i n
BpEpNGIMgMKE ~~~a.5 1~ - Q4l~~i ~wa.o ~~1A~,S) ]O.OOI ~BpEpNOFM5MpKE
ELEV.~939~3
¢1E~9382] ' __~c '_____""__'_'_T____"_~_
~ t2.00 ° 20.00 N j0 i af.o sw.~
~~,o~ p~ \ ° PORCH . i- I
~ S~
m r~n GARRGE 23.00 ~ ~ om.
~3dA•z/ ~ g Z
~ ~/y; I ~10.40 Zo.O , ` ~
~ g / I \ ~ ~
/ 2 .00 Y
( Q685 ~ I ivn.a q3Q.Q PHOVSE~ $ ~
I i ~ - I °a~'s
n
I i e. I
I i . R39.o o ~ ~ ema
' q'Y;.o .y.o ~ i wx~ aa.ob m.oo I ~v
/ 1 _ j(_ I.J
I ~Z.O~ 10.W Q~Zi ~ 2fC~~ [~jl:~
\ ~ ,K
i 9 r32. ) I~K ~ i
- ~ ~ ~.Q..~~~-ao' v~nnNO I 9ro.e
SETBACN
I %9]0.8 - 1
5 i 3
~ .
N 1____________~ 9520 ~ N ~
~~oxe.~ N88'Y9'OSE ~ ~.i+~~~
O ~ ~
T i i T
O ~
~ ~ ~ EDGE OF WEiLAN~ V1
PER PIAT
j .
~ ~ vi
) ______ORAINAGE & U LITY ri
~ ` i
c' EASEMENT PER•PLAT
,v ~ ,`1 `
BENCH MARK (WETLAND)
TNH lOT 1 B~K 1 ~
EIEV.=95B.68 i
~
r
i
~ ;
i ~
S89'49'48"E 95.00
uart: nnaoum cx~oes swwl xx cxiwwa vw~ ec na~ux . ,
xOIE: d1WNO LYMLX9W6 4MNN /.xf rOq NOPoid~*K I.N~ KNncl.t tOGnax
C( $IPUCNRp pILV. SQ MtlYRCNK PlAM4 fpl CUI?NE MO '
rqmolnOx mR~9avs . .
NOR: NO SEOfC 50.4 M[STW~W MA4 BCkN CqPE1E0 M MS l0i BY TIE
wn~tiw. m[ sur~mum a sms ro wwan* mc mcrnc narsc
onamm rs xo. mc ~c~avaurv a iric smcwn.
~ T' \ SERVICE INV. ELEV. ~ 927.5 PER PLAN
XpIE: 1N5 LpTFlCAR OCES HOi PURPd1t t0 SIIOM EA411FMi9 OT6P T4M p 1
~pg yp~ q~ ~ p~~p~p p.~t, lOWEST FLOOft ElE`/RPON: . HWSE TWE = 2-STORY
rqrt: cwnuciaxuuSrWRxdm[N~ro[m~. TCP OF BLOCK ELEVAPON: qA'I(t WALKOUT
xorz: ecriexcs s~vix u~ e~uu ax w i~sswm o~nu GARACE SUB EIEVAnoN: I,OT AREA 75,308 aq. tt.
K aaam oupns [usnxc ¢[v~na HWSE AfBA = 2~071 e9. tt.
~~~y ~y ~RIVEWAY AREA 742 aq. tt.
WE HEPEBY CERTIFY TO MANLEY BROTHERS CONSTRVCl10N - ppp~y p~µ~,~ µo murc uYUCY~ PORCH~ PA710 s 77g ap. ft.
TNAT 1H15, IS ~ 1RUE ANO CARRECT FEPRESENTATION OF A ppofrg p~,w~q ~py~ wr¢cnw BUILUING C0~'ERAGE = 11.7.5
SURVEY OF THE BOUNDARIES OP: ~p~ y~E . IMPERVIWS CO~ERAGE ° 19.5R
LOT 9, BLOCK 1, NATURES EDGE . -a- ~^~°"g""a
DN(OTA GOUNTY. MINNESOTA -
IT DOES N0T PURPORT TO SHOW IMPRObEMENTS OR
ENCMNOACNMENTS. E%CEPT AS $HONN. A$ $URYEYE~ BY ME OR '
UNOER MY OIRECT SUPERNSION TMS IST1 DAV Of AUGUST, 2003. 51 ED: PIONEEP ENGI RINC P.A.
SCALE : 1 INCH = 20 FEET pEhSEO 9-15-03 ST.ixEO HWSE BY:
200 10I046.013 TJN' ~7j ~an . Wsslmgrm Hp. Na. IB790
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F LOT SURVEY CHECKLIST FOR RESIDENTIAL
^ BUIl01NG PERMIT APPUCATION
PROPERTY LEGAL: ~LotIG Iv A,~~JV2,S Wq.Y_.
~ATE Of SURVEY: g• I g' 03
LATEST REVISION:
m
a
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t
Y? D (ag ~E 5 4~~e1 evu cl 2~.
O Z Q DOCUMENT STANDAROS
~i ? 0 • Registered Land Surveyor sgnature and company
~ ? ? • Buiiding Pertnit Applicant
$ ? ? • Legal descripfion
~ ? ? • Address
~ ? ? • North arrow and scale
• House type (rambler, walkout, split wlo, spiit entry, Iookout, etc.)
j~ • Directional drainage arrows wifh slope/gradent %
0 • Proposed/existing sewer and water services & invert elevation
~ ? 0 • SUeet name
~ ? ? • Driveway
? ? • Lot Square Footage
~ ? ~ • Lot Coverage
ELEVATIONS
Existin
~ ? ? • Sewer service (or Proposed)
~l C ? • Property comers
y~ • Top of curb at the driveway and property line extensions •
• Eievations of any existing adjacent homes
? • Adequate footing depth of structures due to adjacent utiiity trenches
~ ? • Watenvays {pond, stream, etc.)
Prooosed -
~ L~ ? • Garage floor
~ 0 ~J • Basementfloor ~
~ ? ? • Lowest exposed elevation (walkouUwindow)
~4 ? ? • Property comers
0? • Front and rear of home at ihe foundation
PONDING AREA (ff ap~lipble)
~ ? • Easement line
~ ~j ? • NWL
? ,Bj 0 • HWL
~ ~ ? • Pond # designation
0 ~ ? • Emergency Ovefiow Elevation
? 0 • Pond/Wetland buffer delineation
DIMENSIONS
? 0 • Lol IinesBearings 8 dimensions
• Right-of-way and street width (to back of eurb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all sWctures requiring pertnanent footings)
? • Show all easements of record and any City ulilides within those easements
J~. • Setbacks of proposed structure and sideyard setback of adjacent existing sUuctures
• Retaining wall requirements, H any
Reviewed: ~ ~ - zq - O ~
Name Date
G:/FORMSIBuilding Permit Applitation
. , ' , r.
2422 Enterprise Drive
- ' I Mendota Heights, MN 55120 ~
* i~IONEEF! IAND SURVEYtMS ~ CINL EN(#NEEFS (851) 881-1914 FAX:881-9488
~ eng neBr~ng UNO FL~NNERS- LANDSC~PE MCHIIELTS 625 Highway 10 N.E.
~ * Bloine, MN 55434 .
~ * * (~a:s) ~es-~eeo Fax:~a3-~ees
~Certificate of Survey for: MANLEY BROTHERS CONSTRUCTION
~ 4 SHELERUD DRIVE EAGAN, MN BUYER: SPEC
/
~ - I I I I I I ~ 1
-~6 OGl =
` . - ~ _ _ ~ ) _ ~ - ~ - ~ - - _ ~~Z- -
~ ~ SHELERUD DRIVE ~
940.1 -y 939,5 ~ ~ " ~
~ 936.1
Q~~ ~~MAILBO%~ N89'49'48"W 63.57 p-05'01'40" %
M,L 938 7.6 f
~ I"1~/`I 939.9
93$.
959.9 T~ ~ 0 938 3
~~959.4 - o - I
i- _ ~
I M
o M
I ~ o ~
M ~ ~ ~ n
I PROPOSED i \ ~ ,o~ BENCH MARK
BENCH MARK ~a
p39.5 Oj00 ~ ~[~t 3 ~ ~q~ S) ~ ~------'-TOP OF SPIKE
939.0 X 20.00 i- ELEV.=939.03
~ --------io----- I
TOP OF SP - p T------- 39.0 940.3
ELEV.=939.27 e~s o 20.00 0 , i
12.00\ in
/ i
(GjLVrL , o~ I~ o-- PORCH ~ ~ r~
, --(~34. 1 =x
- ~°n 23.00 ~n i
~ ~ N GARAGE vi 93s.o ~~„z
O . I ~10.00 Zo,O ~ N ~
~ °o ~ \ oo (O
~ I 2 .00 ~ I ~
sa~.s q3C{,i~ PROPOSED
a~g ~ i ~ HOUSE °o ~ e3a.5
I I N\ ~ I
I ; ' s.oo ~ I
~ i „ -Mi9~° oo ~ ~ai.s
~~~~i'D~ 932.9 I ~ 932.4 O1 33.00 20.00 i~~
\ _I'_1________'__~ 31.3
/a72~0J 1~.~~ "I~Z~S 9322
I r~2,~ x~t i C~jl,o~
i 9 r
~ - - -i ~ / ~ ~~~'-3 SETrBACKND I 93o.B ~
~5
3 5 I X93~.6 - _ - X930.9 - - ~ / ~
° I ~ N
N 95.20
~~s29.~ N86'29'03"E ; ~ O
O ~
~ i - i
0 5 8 ; o . '
~ ~ EDGE.OF WETLAND'~ ~
` N j PER PLAT ~f
- - - _ i i"' ~
i
~ ~ ^
N ~ DRAINAGE & UtILITY N ~ ~
e :s~.~ l EASEMENT PER~ PLAT ~ ;
BENCH MARK N_~ (WETLAND) ~ ~`:4 1~ C~~~
TNH ~OT 1, BLK t i , ~
ELEV.=938.68 -i i g .
,~~n~C~ u~ ; ,3t~ ~~E~~
~ ~
'i, . . U - p ~ i %
/ c_ .
~b
S89'49'48"E 95.00
~g
NO7E: PROPOSED GRADES SHOWN PER GRADING PLAN BY: PIONEER Iv , I
NOTE: BUILDING DIMEN90NS SHOWN ARE FOR HORIZONTAL ANO VEFiICAL LOCATION . ~ L
OF STRUC7URE5 ONLY. SEE ARCHItECNAL PLANS FOR BUILDINC AND -
FOUNDATION OIMENSIONS.
NOiE: NO $PECIFlC SOILS INVES71GA110N HAS BEEN COMPLETEO ON THIS LOT BY THE
SURVEYDR. iHE SUITABILITV OF S~ILS TO SUPPORT THE SPECIFIC HOUSE
f'ROPOSEO ~5 NOT THE RESPONSIBIIIiY OF THE SURVEVOR. PR S T IJ SERVICE INV. ELEV. = 927.5 PER PLAN
NOTE: 1HIS CERTIFICATE OOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN LOWEST FLOOR ELEVATION: ~
THOSE SHONN ON THE RECORDED PLAT. Q ~O~ ~ HOUSE TYPE = 2-STORY
NOiE: CON7RACi0R NUST VERI~Y DRIVEWAY OESIGN. TOP OF BLOCK ELEVATION: `~I,'~ WALKOUT
NOiE: BEARINGS SHONTI ARE BASE~ ON AN ASSUMEO DANM GARAGE SLAB ELEVATION: , LOT AREA = 15~3OS sq. ft.
x ooo.oo DENOTES E%ISTING ELEVATION HOUSE AREA = 2,071 sq. ft.
( oao.oo ) OENOTES PROPOSED ELEVATION DRIVEWAY AREA = 742 sq. ft.
WE HEREBY CERTIFY TO MANLEY BROTHERS CONSTRUCTION oewo~s oRnu+nce nNO umiTr enseM~r PORCH~ PATIO = 179 sq. ft.
THAT 1HIS IS A TRUE AND CORRECT REPRESENTATION OF A ~ oeNOres oRqiNnce Row o~aecnow BUILDING COVERAGE = 14.7~
SURVEY OF THE BOUNDARIES OF: DENOTES SPIKE IMPERVIOUS COVERAGE = 19.5~
LOT 9~ BLOCK 1, NATURES EDGE DENOTES OPFSET HUB
DAKOTA COUNTV, MINNESOTA
IT DOES NOT PURPORT 'f0 SHOW IMPROVEMENTS OR
ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 15TH DAY Of' AUGUST, 2003. SI ED: PIONEER ENGI RING, F.A. ,
SCAIE : 1 INCH = 20 FEET REVISED 8-15-03 STAKED HOUSE BY:
~('~I Dan . Westergren Reg. No. 19790 ~
3200 102046.015 TJW ~
Address: 684 Shelrud Dr Zip: 55123
Lot: 9 Block: 1 Subdivision: Natures Edge
! " '
THE FOLLOWING TTEMS WERE/WERE ~OT COMPLETE AT FINAL 1NSPECI'lON ON Z9• OLf ~
Yes No Comments
Final grade - 6" from sidin ! R14~D/A! eT CeMP
Permanent ste s- ara e
Permanent ste s- main entry
Perrnanent driveway
Permanent gas
Sod/Seeded lawn ?
Traillcurb damage
Porch
Lower level finish
Deck
Fireplace
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 65 L675-5646 prior to working in right-of-way or installing
irrigation system.
~ BUILDIIVG INSPECTOR; ~ ~ " 6 v ~
CONTRACTOR:
Manley Brothers ConstruMion
646 Lexie Court
Eagan, MN 55123
Cities Digital Quality Control
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~
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA112184
Date Issued:08/01/2013
Permit Category:ePermit
Site Address: 684 Shelerud Dr
Lot:9 Block: 1 Addition: Natures Edge
PID:10-49950-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Renae Frienwald
2200 Hwy 13 W
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley D Vanhorn
684 Shelerud Dr
Eagan MN 55123
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA114556
Date Issued:09/17/2013
Permit Category:ePermit
Site Address: 684 Shelerud Dr
Lot:9 Block: 1 Addition: Natures Edge
PID:10-49950-01-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
Carbon monoxide detectors are required by law in ALL single family homes .
William Krech
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 -
Bradley D Vanhorn
684 Shelerud Dr
Eagan MN 55123
(651) 295-1585
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120792
Date Issued:03/03/2014
Permit Category:ePermit
Site Address: 684 Shelerud Dr
Lot:9 Block: 1 Addition: Natures Edge
PID:10-49950-01-090
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 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 -
Bradley D Vanhorn
684 Shelerud Dr
Eagan MN 55123
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use •
411° Permit#: z2,I
City of Eaali i01
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
buildinginspections(a.citvofeagan.com Staff:
2017 RESIDENTIAL L BUILDING PERMIT APPLICATION
Date: /" 5" 1 Site Address: (O l `S '-e'i-ew Da- Unit#:
j Grp
Name: Phone:
Resident/ 5 �, �� 551 3
Owner Address/City/Zip:
Applicant is: Owner X Contractor
Description of work:
Type ofIVork II
Construction Cost: \( cpO, coMulti-Family Building:(Yes /No )
Company: Clact�, � i e f L6-c. Contact:
1
Conlra�t®r
Address: 9y.1 I S City: �lY C?•
zip:
i .SS37)-Phone:State: p:
License#: Lro461y.SLl 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:
NOTE;Plansand supporting documents haf you s} cr#nside lobe � 7 c a fon }fPortions.o t
information maybe classified as non-/3
� d oxide specific reasons tha wou . mai#the G►ty a that they
are trade secres n'
i: . r �... . rx
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.cityofeagan.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.qopherstateonecall.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; tha I understand this is not a permit, but only an application for a permit, and work is not to startwithout a permit; that the work will be in
accordanc: ith the appN ed plan in the case of work which requires a review and approval of plans.
x Ix UGteob : ?O11
Applica '`'r;rinted Name Applicant's Signature 7
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA153605
Date Issued:01/07/2019
Permit Category:ePermit
Site Address: 684 Shelerud Dr
Lot:9 Block: 1 Addition: Natures Edge
PID:10-49950-01-090
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Bradley D Vanhorn
684 Shelerud Dr
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA157623
Date Issued:08/29/2019
Permit Category:ePermit
Site Address: 684 Shelerud Dr
Lot:9 Block: 1 Addition: Natures Edge
PID:10-49950-01-090
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Ralph T Tapper
684 Shelerud Dr
Eagan MN 55123
(718) 607-1278
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
. /� �j
For Office Use I ;-d 1)
EAGAN
er* ,
` ee rr
, Peit#: / 1 `7/- i.
err
Permit Fee:
,,.........,.
CEIVEiic,-51 ,,
III) ve• �>V
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD:(651)454-8535 I FAX:(651)675-569 Date ReceiJAN 2 4 2020 Staff: NI�►
L_
buildinginspections(a citvofeacian.com
2019 RESIDENTIAL BUIL -PPE'NM1T APPLICATION
Date: 1� L/1 t 9 Site Address: ( ,/ 5`j('/ilc/IZ/C' Unit#:
Name: 7//7.2 ��e•(--- Phone:
R, Sidentl
Owner Address/City/Zip: �# —. , . .ti—it.7, L ;0.p Al "$37
Applicant is: Owner .--k-''Contractor _ ." (.10-6"S rc
Type OT"On(
Description of work: l/JG.Seri i ., ;J 4/i,'"
Construction Cost: Y7 yit Multi-Family Building:(Yes /No/\c)
CompanyS ,S -f, rr5. -contact: J /C'de% l3rri '4"
Contractor
Address: JY / I4, /? / City: W1"�/���
State:n7/4�s s Phone: leS72//'V(0ii: ..s , d7 4v, Ca,�
License#:'C6,3 42 V 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:
NOTE:Plans and supportingliocumentssupporting that you submit are coidered to be public informabon. Portions of tin,information may be "
classified as non tic/f vide Ac reasons that woad the C to conclude thatthey 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.citvofeaaan,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.aopherstateonecall.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 s - without a permit; that •- work will be in
accordance with the approved plan in the case of work which requires a review and approval of
plans
x ‘-5/ :.. e2 . ,-G " x
//���Applicant's Printed Name •pp(' ant's ignat. e
DO NOT WRITE BELOW THIS LINE 0/1 .c1'e-(c-f2ikd 0 /2 , / 59
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex / Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation (J ° Occupancy # MCES System
Plan Review Code Edition ji SAC Units
(25%_100%4) Zoning �"'_ City Water
Census Code Stories �'� Booster,Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Vr. Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests _Final
- Framing 1, 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 12/ , Building Inspector
RESIDENTIAL FEES 1)—
1 tt
Base Fee
Surcharge
Plan Review _
MCES SAC y -® / '( {2
City SAC t(
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
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r For Office U e
%�� Permit#:EAGAN
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Permit Fee:
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:
buildinginspectionsAcityofeagan.com
020 RESIDENTIAL PLUMBING PERIT APPLICATION
•
Date: i.. `
I Site Address: VU /erq ,Dr
-
Tenant: Suite#:
: �� r Phone:
tesiResident/OwnerName
: t
Address/City/Zip: ,.4 >
Name AIL :� //; ,• $ ' i ,/,i License#:�),$ q7L (
Addres-"Pd (/ Atli' 1 Ai 1 4 City:A34."'" ,
Contractor cC ////,,..,,
State. Zik, 50/4 Phone: b/( -- 61 --* /&2
Contact: Email: AbellV ' /11,4i r WI
Type of Work New _Replacement Repair _Rebuild _Modify Space _Work in R.O.W.
Description of work:
Tankless Water Heater Lawn Irrigation( RPZ/_PVB)
Standard Water Heater
Add Plumbing Fixtures( Main/ Lower Level)
Description Water Softener
Description.
Septic System
New Abandonment Connection to City Water from Well
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $200 for Radio Read = $550
*Sewer&Water Permit also required for connection charges
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.gooherstateonecall.org
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.citvofeacian.com/subscribe.
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 w r 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 approv of p ns.
x
A plic3r(iE's rin ed Name Cr(1431V App is Signature
Page 1 of 2
FOR OFFICE USE
Reviewed By: Date:
Required inspections: Under Ground Rough-in Air Test Gas Test Final
meter Related Items: Meter Size Radio Read Manometer Staff.
1
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: (651)675-5694 buildinginspections(a�citvofeagan.com
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