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689 Shelerud Dr CITY OF EAGAN Remarks lL~u'.-. ~ ~ 1 Addition Section 36 Lot 012 Rlk 28 Parcel 10 03600 `~1~ 2a owne~ ~"1 ' ~ ' " ~'1 _C • Street ~ Dodd Rd 5tate Eagan,MN 55123 % j ' ' - ~ . S ~ - ~ Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN 5EW TRUNK SEWER LATERAL WATERMAIN WATER LATERAL WATER AREA STORM SEW TRK STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. ~UILDING PER. SAC PARK EAGAIV`r~T~OWNSHIP _ BUILDING PERMIT N° 1832 ~L Owne: ....._~-4:~r._... . Eagan Township Address (Presenf) Town Hall Builder ........Ci7.-c~_^:...---(.~k .Sit~...~!?-Y....-~....._'----- ~I~.~d ~G f' Address ! Dale .........3.~ s.:a...... ,~?~.-r-.t~~-~ DESCRIPTION Siosies To Be Used For Fronf Depih Iieighf Esi. Cosf Permif Fee~ Remarka ~'~dl.~.-~~..~... , d a 3 v ~ 7~ rr-~ LOCATION Sfree2. Aoad or olher Descripiion of Loaalion I La! B1ock Addition or Tzact ~ . 7 s t ,f(, ~~,r ~ 3~ a g /a o3c o0 oio `1'his pexmi2 does noi aulhorise fhe use of sixeels, soads, alleys or sidewalkc nor does i! give !he owner os his aqen! fhe righ2 !o eseate anp siYuafion which is a nuisanee or which preseels a hazard !o fhe healih, safelp, convenience and . general walfare to anyone in 1he eommunily, THIS PERMIT MUST BE KEPT ON THE PREMISE WHIL£ THE WOAK IS IN PAOG SS. ~ This is !o eeslify. 2hal----l~Q . :...............~-....-'----~^---".x:~..............has permission fo erea! a.... . upoa Ihe above des~ribed premise subjeei !o !he provisioas of !he Suilding Ordinanee tor Eaga Township dopled April 11. 1955. / /J,~ ~ O ' - - .l,..J...~'~'......:'.::..._..---~-------. pez ---.....---~--....,4Gf~c~_,C~...........Cd°`~-~i.c-- Cheirm3f~ of Tnwn Boar~ / Building I~speclor ~ , . * Jf 2422 Enterprise Drive * Alendota Heigh[s, MN 55120 * PIONEEA LMIO SURYEttIRS • ONL ENQNEEPS (651) 681-1914 FAX:681-9488 * ang near ng UND h1NNEq5• UNOSCAPE ARGIIlEC15 625 Highwoy 10 N.E. * * * Bloine, MN 55434 (612) 783-1880 FAX:783-1883 SEP 2 7 ~EC`D Certificate of Survey for: MANLEY BROS. CONST Lo ~ 9 SHELERUD DRIVE, EAGAN esy~ , ts ,I C~o~~o~o ~ 1'~G~ln(~A ~ /v9TNrq ~ (~34,9) N89 49'48"W 150.08 (~y%~o,s) _ 939.9 44.83 941.8 940.5 Z N ^ q'H•5 `9"~ EASEMENTxpER PLA7-~-- ~o gr---- iF- i ~ 0 L ~54~~ - ~ . ~ 3 ~e,/ 940.4 . ~qqa3) I ~ `.A i 1 ~2 \ ~ `j ~ 10 h o~ y~ ~O O~ 40.4 Ns ~ `~'~SS940 O~ryry ~q,p~~oo Y/ ~ c. ~~~j3`1,0~ 4 ~ I hi , q~F , v- s I ,~i s~ i 2 -36.4-j-'~O ?O~~p ~ 7 x ~ ~ ' / ~ ~4 20 / 60 ~O / 9~39.0 3 ~ ~Q3~ ~ ~ oROp~. o0 00 ~Rap 9v~5 ~ N " 1 J L x 'Q/~ I,10S~o40. ~83~ OCiSFF~ 937. ) I13. C b0,~~ h ~ C~I ~ ~~o\ o f Jy~S3ti9492 0 936.4 ~ ~.3 00 ~p~ ~ n.~ 17.7 ~ A3 ^-S w ~~A? 938.6 ~ ^i'~~ ,gV y ~ 3 ap ~ 2~ ~ a~'~f ao q3za~ i y~7.y) ~ se q o N R~ ~s•.S~ , ~ ~ i. sO 935.2 `SD~ `~k n O / ~ •?A O ~ ~ ~ • a-~. _ i_ ~L~ 36 ~ _ O o S z> 'ta BOPCOFMPIPE " 1 ~ ~.NG~i N ELEV.= 939J9 ~ R3g.1~ - - - - - -I ~ a ~ BENCH MARK ~937,8~ p a+ TOP OF PIPE ~=66~3~ ~49° ~N~.9~°. ~ ~ (9ya.z) ELEV.= 934.43 R=15.00 438.,,j~„% S89'49'48" ,ss3.s ~o 17.42 ~ " ' ' K=~.~ y3B --M' ' 939-~v i 3.~~~ex~~~~1~Pli1t ~ _ ~ 14.22 'S~ ; I ~ ~quit9d , > > > - > > ,o o~ ~ SHELERUD DRIVE ~ I° » ~ _ » ~ ~ (TO BE CONSTRUC7E0) j ~ ~ . , A - , a d+ t i` j"1 + LOT AREA = 14.118 SQ. FT i;~ t~, pt :i ~s~ ;,1/ HOUSE AREA = 2818 SQ FT ' ORIVEWAY AREA = 704 SQ FT + ~~n ///fff COVERAGE = 19.9 ~ BIDG } COVERAGE = 24.9 % ~IMPERVIOUS) _ _~~d~, SERVICE ELEV, = 928A „ HOUSE TYPE: RAMBLER (FLAT)'' r'p:';' ~?.~+,i:+J:ir~'~--~'~- PROFOSED HOl1SE ELEVATION NOTE: PROPOSEO CRAOES SH00.1V PER CRADING PLAN BY: PIONEER ~ LOWEST FLOOR ELEVAl10N: (93~ NOTE: 9111LDING OIMENSIONS SHOWN ARE FOft HORIZONTAL ANU VERPCAL LOCATION OF SiRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BWL~ING AND TOP OF BLOCK ELEVATION: `i'~2•Z FOUNDATION oiMENSioNS. GARAGE SLA6 ELEVAiION: q`~~•~ NOiE: NO $PECIFlC SOILS INVESTIGATION HAS 9EEN COMPLElEO ON 1HIS LOT BY 7HE SURVEYOR. THE SUITABILIiY OF SOIlS TO SVPPORi TIiE SPECIFIC HOUSE TOB ~ LOOKOUT EIEVATION: PROPOSEU IS NOT iHE RESPONSIBIUTY OF iHE SURYEYOR. NOTE: THIS CERTIFICAiE OOES NOT PURPORT TO SHOW EASEMENTS OTHER iHAN X 000.00 ~ENOlES EXISTING ELEVAPON THOSE SMOWN ON TME RECOROE~ P~AT. ( 000.00 ) UENOTES PROPOSE~ ELEVATION NOTE: CONTRACTOR MUSi 4ERIFY ORIVEWAV CESIGN. ~ENOTES OP.AINAGE AND UPLITY EASEMENT OENOTES ORAINAGE ROW DIRECIION NOIE: BEARINGS SHOWN ARE BASEO ON AN ASSUMEO OANM ~ pENOlES MONUMENT $ OENOTES OFFSET HUB WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A iRUE ANO CORRECT REPRESENTATION OF A SURVEY OF iHE BOUNDARIES OF: LOT 3, BLOCK 1, NATURES EDGE DAKOTA COUNTY, MINNESOTA IT ~OES NOT PIJRPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED 8Y ME OR UNDER MY DIRECT Sl1PERVI510N THIS 28TH DAY Of FEBRUARY, 2002. ' REVISEU s-ta-02 Cltt REVISIONS ~ SI NE PIONEER GIN RING, P,A. RENSED 9-11-02 HSE DIM. SCALE : 1 INCH = 30 FEET e 200 102046.00 BAT GjI~~IpZ Dan R. Westergren Reg. No. 19 90 5 ~ I MECHANICAL (RESIDENTIAL) ~ ~'S~ Permit Apptication City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 TelepLone # 651-675-5675 FAX # 651-675-5674 Please completc for: Single Family Dwellings Townhomes and Condos when permits are required for each unit Date / / , JJ`~ ~v/y Site Address ~ % Q,~, / I A[Y~ Unit # Property Owner Telephone # ( ) Contractor ~ Street Address ~ Ci[y State Zip Telephone # (~p~ ~ ) 7 The Applicant is _ Owner ~ Contractor _ Other Add-on, modificaHon or alteration to existing dwelling unit $ 30.00 furnace replacement air exchanger air conditioner _ other~~.,~ ~1'X1/ ~f~'i ~ ~/iy~ ~~J~~ $ .50 State Surcharge ^ ~ ~ y~ll i? 2 ~i~ L~ f Ea 0 Z~°~~.... , J To~~ ~ 3(~ . ~ I hereby apply for a Residenrial Mechanical 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 with the Mechanical Codes; that I understand this is not a permit, but only an applicarion for a permit, and work is not to start without a pernut; that the work will be in accordance with the appr ved plan in the ca e of work wlilch requires a review and approval of plans. ' ~l a n~ f r I~ Ap icanYs P' ted Name Applicant's S`,i ature MECHANICAL (COMMERCIAL) Permit Application City Of Eagan 3830 Pilot Knob Road, Eagan Mn 55122 Telephone # 651-675-5675 FAX # 651-675-5674 Please complete for. commercial/industrial buildings multi-fanvly buildings whe~ separate permits are not required for each dwelling unit Date / / Site Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( } Contractor Street Address City State Zip Telephone # ( ) TNe Applicant is _ Owner _ Contractor _ Other Work Type Newconstruction UndergroundTank _Install _Remove Interior Improvement Call for inspection during installation/removal of tank Processed Piping Nature of Work: ?erNit rEe 5~550 llinimum Fee (incl~dea Sta[e Surcharge) Contract Value $ x.Ol% Pernut Fee • If pemvt fee is $1,000 or less, add $.50 ~ $ State Surcharge If permit fee is over $1,000, add $.50 per $1,000 Pernrit Fee $ Total Fee I hereby apply for a Commercial Mechanical Pemut and aclmowledge 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 with the Mechanical Codes; that I understand tkris is not a permit, but only an application for a pemut, 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. ApplicanPs PrintedName Applicant's Signature Approved By: , Inspector Date: PERMIT # ~ RECEIPT DATE: 2002 $~SID~N'f1.~kL PLUM$INfi ~~l~411T l4Pf'L1CA~TION crrY o~ ~tst~v 3$SO P[LOT KNOB {iD ER6AN, MN 551 EE 651-681-4675 Please complete for: single family dwellings, townhomes and condos when permits are required for each unit, backflow preventer for irrigation system SITEADDRESS: ~Y ~ r 1 P_ l e~ uL~ OWNERNAME:: I'I~VL'e.I"1 IJ?d~ TELEPHONE#: (AREA COOE) INSTALLERNAME: SC~1-P/C' //~~~nO1 TELEPHONE#: q~a' U`~~-C~~3~r STREET ADDRESS: 4'6 ~ r (AREA CODE) ~ c~ ? ~ va w CITY: I'1" iJ~ p~~ ~~'i STATE: /~~~n 't Zlp; S^S 3 7 a. _ SEPTIC SYSTEM, new/refurbished (requires two sets of pians and MPC license) $ 100.00 includes $40.00 County fee Note: Additianal consultant fees may apply . MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit 5/g^ meter if needed -$118) Other: _ RPZ: new installation/repair/rebuild $ 30.00 _ lawn irrigation system Replacemenf/additional: _ water softener _ water heater $ 15.00 State Surcharge $ .50 I~,`, ~ i ~ ~ I~,';1 Total - ~ ' ~ ?n~ ~ I hereby acknowledge that I have read this application, state thatthe information is correct, and agree to co i plywith all a lipble i `a I ordinances. It is the applicanPs responsibility to noliy the property owner that the City of Eagan assumes no liability for ~y~ama cau d by the City during ds normal operetional and mainlenance activities to the ficilities construded under this pertnit vithin pro e/n 7l8as ent.---~ SIG U OF PERMITTEE 7/02 7 S~' C~ RESIDENTIAL ~ ~G BUILDING PERMIT APPLICATION ~O`3 CITY OF EACAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-68'I-4675 New ConstrucUon ReauiremeMS RemodellReoair Reauiraments • 3 registered sde surveys showing sq. H. of lat, sq. ft. of house; and all roofed areas • 2 capies of plan \ ~(J~ (20% maximwn bt coverege a~owed) . 1 set of Energy CalMations for heated additbfs ~ • 2 copies o( plan showirg beam 8 window saes; Doured fourM design, etc.) • i site survey far erzterior addilions 8 decks • 1 set of Energy CalcWatlons . Indicate if home served 6y septic system for additiom • 3 copies otTree Preservation Poan d lot platted aRer 7/1/93 . Rim Jo'st Defail Optlons selection sheet (~IGgs with 3 or less uniLa) ~ ~ r- - A lY`~ ~l ~_!__LS?- DATE `)~~~r?/YtGJr'I" I~ ca~UQr~ VALUATION U ~ ~ ~ St MP-^,~f~~t, 1'Y~GL SITEADDRESS ~ ~~-L( Q/LCLI~ i~C J~ Al1tl~-FAV?NIILYBLDG Y N TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2. APPLICANT 2 STREET ADDRESS l- . CITY STATE IvU~ZIP~~j.J TELEPHONE # ~ CELL PHONE # J" ~-~i~1~~ ~~I' ~~5~-/' / ! ~ PROPERTYOWNER ~i TELEPHONE# ` COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RiJLES 7670 CATEGORY 1 MINN~SOTA RULES 7672 (J submisslon type) . Residentlal Ventllation Category 1 Worksheet Submilled • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Conhactor: _ _ Phone # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor. Phone D~~~ I~ I I Mechanical sys[em incfudes: _ Air Condiaoning 'e~0~0 _ Heat Recovery System ~ Sewer/Water Confractor: Phone 8y ~ ~ I hereby acknowledge that I have read this application, state that ihe information is correct, a d agree to comply with all applicable State of Minnesota Statutes and City of Eagan Or in nces Signature of Applicanf J ~~.~1~ ~ OFFICE USE ONLY Certificates of Survey Received (y, Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY ? 01 FoundaGon ? 07 05-plex ? 13 16-piex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling O 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ent. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ~17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding 32 AddiGon ? 36 Move Bldg. ? 42 Demolish (Foundation) ? d5 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entlre Bldg only) • Give PCA handout to applicant Valuation ~PZ7`U Occupancy MGES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings(new bldg) FinallC.O. Footings (deck) Y FinaUlVo C.O. ~ Footings (addition) 7 Plumbing _ Foundarion HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final ~ Framing _ Siding _ Stucco _ Stone _ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By ~l~- , Building Inspector Base Fee Surcharge , ~ Plan Review MC/ES SAC SA~ ~ l~~~~ 3 os-~ W ater Supply & Storage ~ S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies ~ Other Total W 13 . . . ~~RESIDENTIAL ~ ~ ~S g g ' ~ ~o • sa ~ ~ BUILDING PERMIT APPLICATION ~ , CITY OF EAGAN ~~"°'c 3830 PILOT KNOB RD - 55122 ~ 651-681-4675 7 I~ New Construction Reauirements RemodeVReoair RequiremeMs • 3 iegistered sile surveys showing sq. ft. of lot, sq. R ot house; and all rooted areas • 2 apies of plan (20% maximum lot coverage allowed) . 7 set of Ene~gy Calculatbns for heated additions • 2 copies of plan showing beam & wlndow s¢es; poured found design, etc.) . 1 site survey for extenor addi6ons & decks • 1 sel of Eneyy Calculatiws ~ • Indicate'rf home served by septic system for additions • 3 copies of Tree P2servation Plan H lot plafled afler 7/1/93 ~ • Rim Joist Detaa OpGOis seleclion sheet (61dgs with 3 or less unNs) 3~ d DATE ~ b VALUATION JOB SITE ADDR IF MULTI-PAMILY BUILDING, HOW MANY UNITS? /V ~ (a~g -f~ e e~~GQ ~r. PROPERTY OWNER 4~~.,. Q,~( TYPE OF WORK FIREPLACE(Sj _ 0_ 1_ 2 APPLICANT PHONE# CnSI-~SL~ `~-~i'3,.3 ADDRESS I~~} £,~oc,,.~ ~ ZIP CODE ~ S 1 a~ PAGER# CELLPHONE# ~(~-~~S-~7a2, FAX#~S~-~I~~93~I NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted I Plumbing Confractor. Phone Plumbing System Includes: Water Softener _ Lawn Spi•inkler Fee: $90.00 Wa1er Hcater _ No. of R.I. Baths _ No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: _ Air Conditioning Fee: $70A0 Heat Recovery System Sewer/Water Contractor: ~ ~ Phone # All above information must be submitted prior to processing of application. D APR 1 0 2002 I hereby acknowledge that I have read this application, state that the information is c ct, and agr c ~ly with all applicable State of Minnesota Statutes and City of Eagan O dinances. ~ Signafure of Applicant ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ ~ Updated 2002 OFFICE USE ONLY ' ' ' ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ~ 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ~7 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/~oors ? 34 Replacement "*~Demqolitlon (Entire Bldg only) - G~Iyre PCA handout to applicant ~ /nyuQ~l~ ~L4`•t~•:f .~-0/~ !°uh~aiT~~rop d-F~..ocQerJ+j Valuation ~ Occupancy -3 U-J MC/ES System ~ Census Code l0 / Zoning City Water (L? SAC Units Stories ~ Booster Pump Nbr. of Units ~ Sq. Ft. TJ~,~~ PRV ~ Nbr. of Bldgs Length ~ z Fire Sprinklered Type of Const W idth 3 y REQUIRED INSPECTIONS Footings (new bldg) ~ FinallC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) .S. Plumbing ~ Foundation ~ HVAC Drain Tile OWer Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone F'ueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) ~ Insulauon _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge 3 Z.~ ~ _ ~ ° Plan Review ~~,l- 7 - ~ C MC/ES SAC 3z ~o = ~'ra City SAC j~ Water Supply & Storage z°.~' Z = S&W Permit & Surcharge Treatment Plant z ~ ~ / Piumbing Permit Mechanical Permit License Search Copies S S~ Other Total ` OWNER'S PERMIT APPLZCATSON (FOR BUILDING M09E) 0 Aate of Application: f~r ~v Z 0 Address 6 legal description of building being moned: `/Co 9S ~o Z~ _ ~ ~ ~.1 S 0 Address & legal description of proposed destination: /`~~~'.~r~s Ec~~c ~-o+ 3 (3 ~dc~t f ~c-:cs~ 1 0 Building oWner`s aame: r'fc"., I~ , Rro~~--~.r~ Co~ ~-l~.._.~-15~~.,, 8ddl`9892 '-/1 7 9 F'-h._~„~ ~ r:,,~ phone #s !05/ -'ys ~/S 33 0 Landouner~s aame: M4,~1~„ t~~tl-}~-v, L6r~`4~~._c__-E3r,a addresss Yi~S F-1-w~.,,, D~'.~r phone 0: ~ Sl ~ °/S`~- ~-/93'3 If landowner is differeat from buildin3 ovner, provide approval from landowner to operate on the property. 0 Indicate if structure is connected to: _ City sewer City water _ Septic ~ iiell _ Electric service _ Gas service _ Other (list) 0 Indicate party responsible Por utilities disconnect: _ Oimer _ Mover _ Other 0 OFFICE USE ONLY Real e~tate taxes/assessmenLs oo building Real eatate taxes/assessbents on iand Utility diaconnect: Electric Gas Sewer/xater Landouner approval 2 ~ RE: HOUSE/GARAGE MOVE I guarantee I will repair any and all damage to local roadways, utilities, and public right-of-way that may be damaged by t6is moving operation. Date By: • e ; s o c v a ~ H i ~ ~ R ~ •i ~ ~ ' ~ Y£ND TA I. ~ • £/6NTS ~6. ~ ~ ~ _ 1 ~ ~ _ / ^ ~ ~ ! ~ ~ . ~ ~ ' ~ 1 ~ F \ 1~ j ^ ~ , ~ ~ iF~ i~l r~ i' ~Q F _ ~-'L~ ~~i - ~-al.~_.__. - i 2: _ _..p; ~ _-y._"'_ _ M 6 0~~,' ~ i= Y4~;, F ~ i . ~ ~1 ~ r%' . ~s . .J ~ • ',r9n'.~~'S ' a ; F . ~ ~rt~ ~ k p ,~g~ ~ ~ . Y ~ ~ \i ~ _ . _ ~ k / ~ • ~ ~ ~ ~ p ~ - l~ / ~ ~.i • l ~ ` l` • Z ap,P~b' ' ~,;i ' i a¢_ f- i - e~t. i s i . F . 1 ~ s ~ ' ! _ ; o- ~,.._d- ~ ~ o'" ~ • i~i ~ I 1 u t""-5 ? 'l ~ ,P. . I ~ ~ ~ i:'L~'~.~: ~ r . w ~ ? ~.r % E ! e , - ~ i ~ 'Y + - - ' 4 - ; ~ ~ , ~ ~ ~ e~' - i . ~ ~ i c ` i ~g r ~ ' ~ . _ 1~: , ~ ~ ~ .J! ^ p10 , ~ K ~:.G,. r.-.,'~.e~.,~ I ~ ~ ' ~A ~ ~~eP °'n v- i : ta r,. ~ - ~ _ , ~ ~ ~ E ' y ~ • ' ~ ~ \ . p, .i, , _ ~ e~,a.,-y,~' ' .1 _ ~ F ~ ~ ~ r~, o~e 6 _ V. / Y r, . i~ T~' • I~th 'y ~-~j~ - ~p / ~ 'ls~G` :~.t~ a'"~• . ~ `~n_ "~,j~ ~ r_ 1 ~\,,`1i ~ T ^ r _,i ...~1~ F k _~y ~ • - V I ~ ~ ~e~ _ ay ; e1~~ ~ ,~e ~0I0@ ~`!,y' ~ ~ i e .r y ~ _ / ' • II p _~x • ~ i 11~,~ ( . ~ / ~ y~ ~ ~~MP r • . 1 ~ +~r . r I~ • ! , Q , ~ _ ~ ~ ~ r' i W ~ ,2t ~E 5~~~ re ' ' • ~'~j a e ' I e ~ ~ @ i~ ~ t ~ ~ I , ~ I ~ Q . . • . F , _ . ~ ~ ~ j y u _ ~ ~ c n 9 . J! ~ e f~"„$~.~ -i I ~ ~I ~e " ' °.~C+'~ . . . ~ ~ I i i .i.~~ ~ o~ I ~ f a ~ ~ ~ ~ ~ M ~1 I i l ' ~ t£ , v,ecce'r ~ I~ nnse Nr~; ~ , i l v! ~ D ~ ~ 0 ~N 1 R ' MOYER`S PERMIT APPLIC9TION (FOR BUILDING KOVE) 0 DaLe of lpplication: 0 dddresa 8 legal deacriptioa of buildiag being moved: 0 dddresa 6 legal description oP proposed destinaticz~s 0 ~eok aituation that appliea: Building presently located 1a Fagan - to be moved out of Eagan Building pre~ently lxated in Eagari - to be relxated in 8agan (9equirea Council approval) Building lxated outaide of Eagan - to be relxated in Eagan (Requirea Couacil approval) Building located outaide of Eagan - to be moved through 8agan to ' aaoEher Citq. 0 Mover's Names Address: Phone e Mover's License # submit a copy of license 0 Hi~light origin, rouLe, ~ deatiaation oa ourreat City map. IP County or State roads are used, provide capy of those permita. 0 Proposed date 6 time of move (notifq Eagan Police Department). IfOTSs fiagan Polioe vill aot aooampany ~ove ~mtil time aoordinatim Laa bs~ ~eda xit1~ nei~boring s~miolpality. 0 Sise 8 weight of structures OFFICS D58 OIPLT Mover's permit fee Parmit # auarantee to repair 3 . ' ' ~ LOT SURVEY CHECKLIST FOR RESIDENTIAL ' BUILDING PERMIT APPLICATION PROPERTY LEGAL: L o t. 3 ~o~~ ~I ct u.tiS . C~9 0, DATE OF SURVEY: 2' d~-JJ'.Z LATEST REVISION: G-/ ~-O 2 ~/~I' J/ ~ d rn c m v DOCUMENT STANDARDS :G a °v O z ¢ G~'/ i~ U • Registered Land Surveyorsignatureand company 6~/ ? n • Building Pertntt Applicant r~Y ? • Legal descnption ~ ? • Address ? ? • North arrow and scale 4r, • House type (rambler, walkout, split wlo, splR entry, laokout, etc.) ~~~C7 ? • Directional drainage arrows wRh slope/gradient ~ u ? • Proposedlexisting sewer and water services & invert elevation C~? ? • Streetname G{ ? ? • Driveway G? ? ? • Lot Square Footage p~/ ? ? • Lot Coverage f9' ? ? • Benchmark ELEVATIONS Existina C~~7 ? • Sewer service (or Praposed) Ci/? ? • Property corners 43~ • Top of curb at the driveway and property line extensions ? ? • Elevations of any existing adjacent homes U? • Adequate footing depth of structures due to adjacent utility trenches ? ~ ? • Waterways (pond, stream, etc.) Prooosed ~o ? • Garage floor ? ? • First floor ~f/17 ? • Lowest exposed elevation (walkouVwindow) CI ? ? • Property comers 0 • Front and rear of home at the foundation PONDING AREA (if applicable) ? ? • Easement line ? 4:7 ? • NWL ? p~ ? • HWL Ci ly+~ ? . Pond # desgnation i7 C?? • EmergencyOverflowElevation / ~IMENSIONS R'/ ? ? • Lot lineslBeanngs & dimensions N'/ L] ? • Right-of-way and street width (to back of curb) HY • Proposed home dimensions including any proposed decks, overhangs greater than 2', parches, etc. / (i.e. all structures requiring pertnanent footings) W/?? • Show all easements of record and any City utilAies wRhin those easements ~Y~~ ? • Setbacks of proposed structure and sideyard sethack of adjacent existlng sWCtures I'1 C~ CI • Retaining wall requirements, if any Reviewed: ~ ~ G ~ ~7 ~ Gr~- Name ~ / Date ~a- 2_ ~a ~ * 1~ 2422 Enterprise Drive * Mendoto Heights, MN 55120 * PIONEER iu~o wx.Eraas . a.a o~r+~eeas (651) 681-1914 FAX:681-9488 * eng naer ng LNI~ R.WNERS• LANDSCAPE ARCHIIECR 625 Highwoy 10 N.E. Bloine MN 554J4 SEP 2`~ REC~~ ~612~ ~83-1880 FAX:783-1883 Certificate of Survey for: MAN Y BRO CON T ~ 9 SHELERUD ORIVE, EAGAN ' ~{..ti :.4: L=? G~o~9o ~ ~ l`~..~ ~ I~~~ Jda ~ara I ~11a~r.~n / ~R34.9~ N89'_49'48"W 150.08 ~~a,s) _ 939.9 44.83 941.8 940.5 . - 0 ia ~ ~'A~`' 99L~ EASEMENTxpER PLAT J ~o r--Z-- ~rF- i . ZS4~0 1 Jao~~ 9404~ O ~940.3~ I ~ 4 ~-~o~ h? 0°~ I40.4 ~ 1 N ~ ~~yss9ao o ti c,y i~o o ~ ~~939~0~ ~ R ~ h y< I ° ~ ~~s ACF' ~ a. S 2 /r ~ I ~ j ~v ~Q % sOOO ~ 9~9 3 ~ _ 36.41-'~O ?00 o i J 5~~~ ~R~~'OO 9400 I ~G F 9Yig~ I73. ~ o -j ~ ~~YSFD ~8,1 ~ '4E=~ 937. - ~40~u~ ~I ^ ~ ~~a~ ~O ~y~ 3ry949 O ~3 936.4 S ? (q;7.3 00 ,y ~?S~ N~ 17.7 W /~rt9 938.6 ~ °p~ ~ . ,~~L h I 3 a~ . 2 ~ a~'~~ a ~ 937.0/ i 93).y~ ~ .~S8 q o N a= i l /~~S \ ~ ~Y%S • ~S la ~ ~ O % ~ ~62 OO ~ 9~.2 O~ ~ S" R ~-F-~_ Vl ~ - \ $'Il'~.36 O ~TOPCOF PIPE ~ 1~ ~ ¢ENCE' ~ ELEV.= 939.79 ~ 938, ~ - - - - - - - - ~ ~ a ~ BENCH MARK ~937.9~ , o rn TOP OF PIPE 0=66~3~'49~~ sav. wv.-sze.o ~~9y~,Z~ ELEV.= 934.43 R=15.00 938.,;~,,,~„ S89'49~ ~ 933.6 ~o ~42 ~ .1 ~ ~+i•-- ~ - _ ~~~~2 ~~38 S~ ~ ~ ~ 9j99J ~ l We~ - - - ~ ~ ~ ~ ~u~~ ~ SHELERUD DRIVE ' - IM ~I ll ~l ~7 ~ I (TO BE CONSTRUCTED) j ~ ~ ~ T - . r . . A LOT AREA = 14,118 S4. FT ~ ~'p,;{~ ~v 'v ' ~ HOUSE AREA = 2818 SQ FT DRIVEWAY AREA = 704 SQ FT. ~ n~a COVERAGE = 19.9 7 BLDG.) yG~^~ COVERAGE = 24.9 ~ ~IMPEI~VIOUS) __/~~_~_~2 SERVICE ELEV. = 928.0 " . ry: 4zA'~`7' "i.,'frTwr~•p;. :t HOUSE TYPE: RAMBLER (FLAT) .=r-~:=~.•~: ~.:.~a:-St._:~:.!.~°IG.F~EP'L'. PROPOSED HOUSE ELEVATION NOTE: PROPOSED GRAOES SMOWN PER GRA~ING PLAN 8Y: PIONEER LOWEST FLOOR ELEVAiION: 193~ NOiE: 9UILDING ~IMENSIONS SHONTJ ARE FOR HORIZONTAL AND VERPCAL LOCAiION c~Z 2 OF STRUCTURES ONLY. $EE ARCHITECNAI PLANS FOR BUIL~ING ANO TOP OF BLOCK ELEVATION: raunonnoN oiMEnsioNS. GARAGE SLAB ELEVATION: 4y~, f NOTE: NO SPECIFIC SOILS IN~ESTIGATION HAS BEEN COMPLETED ON iN15 LOT BY 7HE SURVEYOR. 7NE SU17ABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE TOB ~ LOOKOUT ELEVA110N: PROPOSED IS NOT iHE RESPONSIBIUTY OF THE SURYEYOR. NOTE: THIS CER11f1CAlE DOES NOT PURPOR7 TO SHOW EASEIAENTS OTHER 7HAN % 400.00 DENOtES E%ISTINC ELEVATION THOSE SHOVM ON 111E RECORDEU PLAi. ( 000.04 ) DENOTES PROPOSED ELEVATION - NOIE: CONTRACTOR All/5T VERIFV ~RIY£WAV DESIGN. DENOTES DRAINAGE AND UTILITY EASEMENT OENOTES ORAINAGE ROW DIRECTION NOiE: BEARINGS SHOWN ARE BASEU ON AN ASSUMEO OAiUM ~ ~ENOIES MONUMENT ~ DENOIES OFFSEi HUB ~ WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECT REPRESENTATION Of A SURVEY OF THE 60UNDARIES OF: LOT 3, 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 28TH DAY OF FEBRUARY, 2002. ~ RENSED 6-78-02 CITY RENSIONS ~ SI NE PIONEER GIN RING, P.A. REVISEO 9-11-02 HSE DIM. SCALE : 1 INCH = 30 FEET e 3200 102046.00 BAT Gjj~~IpZ Don R. Westergren Reg. No. 19 90 * * * 2422 Enterprise Drive ~t Mendota Heights, MN 55120 * PIONEER ~,„o SuRVEMPS • pMl fNGNfEqS (651) 681-t9t4 FAX:681-9488 * engineering ~+~5. ~~s~~ 625 Highway 10 N.E. * Blaine, MN 55434 * ~ ~ (612) 783-1880 FAX:783-1883 Certificate of Survey for: MANLEY BROS_ CON~T SI L~C SHELERUD DRIVE, EAGA ~~.~a~ ,i kt~ `;y,l/a~ q~''~ 11 Vi.~ L' ~l , _ ~~NG~ ~isW a ~ Q,. nu~~~a . (~~t R) N89'49~48"W 150:08,~ ~ ~T ~ q"'~T~";.~~~~' 939.9 44.83 941.8 940.5 ~ z N 5`991'~ EASEMENT PERzpLAT O ~ 5 ~ 40.4 ~ ~~~4~0 ~ ~ ~ ~ ~ 1 t0 ~ y~`~ 'al o0 32 ~ 40.4 _ I ~ N ~ ~'.yss ryo' ~qR op ~o IG O Q~~o~ 4- ~ ~~s,~_ 2/o qcF ~ S) itj 2 ~ 38.5--i ~OO~4.~o ~ ~ ~i ~ ~ ~ ~20 ; so ~91 ~ 0 A ~ ORp T%~'. Rop "~{r, . ~ J j L o~~ Ri~OS 94a "~~~833 9~ yOGSFF 937.1 13. ~~do.~) J ~ ~~d P ~4! ry 49 0 ~ 936.4 ~ ~ ~/c0 S ~ 2 .S/ 2 °w G~j'I~i o ~n 3 ~ ~ ti ~ ~ 938.6 ~ / 0° ,yo >>yo ry. ~ a v,~ N o~ ~ , ~ ~ ^ a ~a /,r,` _ ,~4;'' \ 2jS O~p ~ ~i-tn; pO Q a (~~~p` , R ~2 ~ ~'¢%s~8 ~ ~ ° ~ ~ ~ S J ~ 935.2 ~ SO~ M O i _ o ~ / 3~,\1 ` f/1 BENCH MARK J " 2~ ~ ~ , TOP OF PIPE ~ / h BENCH MARK ELEV.= 939J9 [ q3 ~8 I}-- - - - - - - - -J 10 ~ ` TOP OF PIPE ~N.(- o ~=66•31'49' s v Q28.O QApZ~ ELEV.= 934.43 R=15.00 ~ a S89'49'48" n:933.6 ~42 ~ 5• ~ _ , 3:1 Mextrt~m R ~.~.~.2 T.~. - or f~e4ainin9 aea.5~- - ~ a~fl. . uired ' ~ 14.22 m 3 Be Req > ~ ~ _ > - ~ - i- ~ - SHELERUD D~21VE ~ ~ ~ µ ~ ~ - ~ (TO BE CONSFRUCTED) ~ . ~1 ~u ~Oll LLO V O ~ ~S~U LLL~~~~ ~r I LOT AREA = 14,118 SQ. FT. v~ V~ I' i HOUSE AREA = 2055 S0. FT. ~ DRIVEWAY AREA = 842 S~-FT. ab~i6 '-T'~(PE'. 12Ar~Pi~ C, c_r'~-r COVERAGE = 1~4. S~ (~1dc, ~S~ i p_~ SERVICE ELEV. = 928 0 J PROPOSED HOUSE ELE /ATION NOTE: PROPOSED GRAOES SHOWN PER CRADING PLAN BY: PIONEER LOWEST FLOOR ELEVATION: ~ ja~~t~~s~ NOIE: BUILOINC UIMENSIONS SHOWN ARE FOR MORIZONTAL AN~ VERTICAL LOCATION V`~[h.2,~Z OF STRl1CNRES ONLV. SEE ARCHITECTUAL PLANS FOR BUILDING ANO TOP OF BLOCK ELEVATION: - FOUNDATION DIMENSIONS. ~ GARAGE SLAB ELEVATION: NOTE: NO SPECIFlC SOILS INYESTIGAPON HAS BEEN COMPLETEO ON THIS LOT BY iHE SURVEYOR. iHE SUITABILITY OF SOILS TO SUPPORT THE SPECIFlC MOUSE TOB @ LOOKOUT ELEVATION: PROPOSEO IS ~lOT TIE P,E51'OYSIBILITY OF 'YE SUfcbEYOR. NOiE: iHIS CERiIFICATE DOES NOi PURPORT i0 SHOW EASEMENTS OTHER THAN % 000.00 DENOTES EXISTINC ELEVAiION THOSE SMOWN ON THE RECORDED PLAT. ( OG~.00 ) OENOTES PR.^.POS`c0 ELEVA?ON NOiE: CONTRACTOR MIJST ~ERIFV ORI4EWAY OE41GN. OENOTES ORAINAGE AN~ t171UiY EASEMENi DENOTES ORAINACE FLOW OIREC710N NOTE: BEARINCS SHO'MV ARE BASEO ON AN ASSUMEO ~ANM t DENOTES MONUMEIJT $--DENOTES-OFFS6i HL16 f,~_'/~~a~ /~~p ti WE HEREBY CERTIFY TO MANLEY BROS. CONST. THAT THIS IS A TRUE AND CORRECsI'~`kd€'Pi7C-e6ENTATION OF A SURVEY OF THE BOUNDARIES OF: d~ I~ r~~ LOT 3, B~OCK 1, NATURES EDGE ~lfv DS DAKOTA COUNTY, MINNESOTA DATE b'ZP~L_ ~T ~OES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHM S EXCEPT AS_SHOWN, AS SURYEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS 28TH DAY OF FEBRUARY, 2~E~- ~f~'~g' ~CC~(~S~ON ~PII~I~~' SI NED: PION ~ ENGI ERI PA. SCALE : 1 INCH = 30 FEET G~~ (~~~~;(oz BY. ~~\~Jl~ f J.P - 3200 102046.00 BAT ~ lQ (02 Dan R. Westergren Reg. No. 19790 PERMIT# ~ I RECEIPTDATE: ~ - I - U '~i- U 1 ~ ~ a- ~ ~SID£P77~kL ~LUM$IPH ~P3.'~iM1T ~~~LIC~kTION crrY o~ ~s~trt 5-e e~i o 1, s8so rnor ~cxoH [tn $A6AN, bIN g518E es~-e8i-4a~s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: -1~-I J ~ ~ C1 ~ OWNER NAME: : U~ LU~-~-~ ~16~ TELEPHONE ~ a~ S-~ 7c~ ~ (AREA CODE) INSTALLER NAME: ~f~V~. ~pQ_P C~iI.IXY.titn~. TELEPHONE S~ -~7 S- q STREET ADDRESS: (~b S S~ /,~~.~,.Qa<K (AR~+ CoDE) CITY: ~/w~,~ STATE: ZIP: S~ 3 7/ / Place a check mark next to the ertnit work e New residential dwelling unit under construction and not owner/occupied $ 90.00 Add-on, modification or_alteraGon-to~ ' tin dwelling unit, including: $ 50.00 • ~~4antlnnme • new installation/repair/rebuild of RPZ . lawn irrigation system • waterturnaround Nature of work: Septic System, new/returbished - $ 225.00 • includes County & Consulting Inspector fees • requires MPC license Water turnaround - existing dwelling unit, including: $ 50.00 • 5/8" meter 115.00 $ 165.00 State Surcharge $ 3.~ Tota~ SEP i ~ 200i $ Reminder. Schedule inspections of alterations, i.e. water heaters, water softeners, water turnaround, etc. I hereby acknowledge that I have read this application, state that the information is cort t, ~id agree to complywith all applicable Cityof Eagan ordinances. It is ihe applicanYs responsibiliry to notify ihe property owner that the Ciry of Eagan ass ~no liability for any dam es pused by ihe City during iLS normal operational and maintenance activities to the facilities constructed under this pertni! ' Cihr property 'g asen t. ~ ~ SIGNATURE OF PERMITTEE Updated sl0t I , ; ~ /S' ~ z.~ DON CHRISTENSON CONTRACTOR ~ ,tww.„.,.,arw,..w7~.,,w.~..r..rwww~.~--...r.~. ~ Rural Route No. 1~.~Ea`+F~ GLenview 4~426 ~ St. Paul 11, Minn. ~ i 3650 Filot Knoh Road ~ i ~ , . . . t. ~ t; ~ . ~ r`~ . ~ ~ ~ S~ ; ~ ~ ~ ~ ~ a ~.z . ~w ~ v -f ~ z~ ~ ~ ~ ~ Q ~ ~ ~ ~ o ~ o ~ ~ ~ ~ ~ o ~ \ ~ ~ ^ ~ ~ o ~ ~ ~ d ~ ~ ~ ~ w 6~ 6~, ~ U ~ ~ ~"J~ ~ ~ ~ ~ _ C~ ~ ~ ~ a - ~ ~ p ~ ~ a ~****~~*~~*r~~:~~~*~~~~*~*~*~~~*~******* cirv or- r_Flr..F:r~ CAiH:f.Ef: Jfi TF4MINAL N0: 764 PFlTE: 0'~/ib/33 TIH~: :4:I)N:06 IG: NAME: I;F_TTH M. DFlHLPERG 32t.0 90U{ 463:; LiOi!L f•0 83.2 ~ 2~55 9C01 4F,35 L~llIi RD 1..E0 Tot,al ~R~cei.p+, Am~unt:, Bh.lS rk:ti i ici.fl ~~GF_Fi 'i~i: JA~J K~MC*k*~W~'K**'k***~#X~~W*~ ~A~k'~*~%*~*~~*~~c** '1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL) ~ ~1-I 3~ v 2 G CITY OF EAGAN a JO 3830 PILOT KNOB RD - 55122 651•681-4675 New ConshucHon ReauiremeMs Remodel/Reoair Reautremenb D 9 reglatered siM surveys showing sq. H. ol lot, sq. fl. of house 2 copies of plan and gj~ rooled areas (20~ maximum bt eoveraae allowed) 1 sH of energy ealculaXom for heated addlHOna D 2 coples ol plans (show beam R window slus; poured ind. deslgn; etc.) au fa exterbr addMbna 6 decka D 1 set of energy calculaNons D 3 copies W hee preservalion pWn 9101 plalFed aker 7/1/93 ~ S~ DATE: 1 l~~ `~9 CONSTRUC ST: rf ~I~~ DESCRIPTION OF WORK: /V ~-L.~-' Y'~ b~ STREEf ADDRESS: `~co ~ S c!J d~~ LOT: ~ BLOCK: SUBD./P.I.D. S~' ' 0 Y~ J~ Name: ~-L/w~~ ( ~ . -GV~ "'""-IPhone O l - ~ ~ Cl PROPERTY last First 1 OWNER SheetAddress: T~/9S `~-/d~ , City t~'~G~~i G2M State: m~ Zip: 3 Company: Phone (area eode) CONTRACTOR Street Address: - License # Exp. City State: Zip: ARCHITECT/ ENGINEER Company. Name: Telephone area code ( ) StreeT Address: Registrction City State: IIp: Sewer 3 water Iicensed plumher (reauhed for new consfiveNon onlv): ~ PenciHy applies when address change and lot change le requested once permN Is issued. I hg~eby acknowledge thaf l have recd thls applicotion, state fhal the iMormatlon is conecf, and agree fo comply wtth all applicabl State of MinnesoTa Statutes and City of Eagan Ordinances. C Signature of Applica~t: v~/~'~ Cy~~ OFFICE USE ONLY Certificates of Survey Received _ Yes _ No rrL~ ; J Tree Preservation Plan Received _ Yes _ No Not Required ~ 1(~ Vl~ 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 Porch/Addn. (4sea. ~ 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 3B Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.' ? 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) Main level sq. ft. SAC Code UBC Occupancy sq. ft. No. of Units Zoning sq. ft. No. of Bldgs # of Stories sq. ft. MC/E5 System Length sq. ft. City Water Width Footprint sq. ft. Booster Pump PRV Fire Sprinklered APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/ES SAC ; City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W 5urcharge + Treatment PI. ~ Park Ded. ~ Trails Ded. Other Copies Total: 5AC Units % SAC CITY USE ONLY L BL RECEIPT S~ ~ SUBD. ~D - U3~PD0 `DIoZ- -r~ t5 DATE: /O''~ 9 G 1996 MECHANICAL PERMIT (RE5IDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit New construction fumace ~ /~fi e. .~'2~/a« air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: /O - 7~ P a ~ ~a ' ~~~nA4~ia~.~'s~ ~roYj, FEES ~ ~ e r~.~ ~~8 ~?s Mmimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU 24.00 Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @$3.00 each) ? State Surcharge .50 TOTAL ~O SITE ADDRESS: 9~ r7 cf /~C{ OWNER NAME: ~e ~ ~ ~ ;Vu I ~a r er PHONE INSTALLER NAME: ~0//~2/'S ~~u ~~taL-e. /`rt~ ~,¢/c Snc . STREET ADDRESS: ys~~' S t. CITY: Al~D~~ (~t~, STATE: /~%/1 ~ ZIP: y PHONE#: ((y/~) ~/ai'/- ~~r'/~~'/ ~ l~ ~.1~ ~ /o-z/-~~ ~a - CITY USE ONLY L ` BL RECEIPT SUBD. DATE: 1996 MECHANICAL PERMIT (COMMERCIAL) • CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612)681-4675 Please complete for: ? all commercial/industrial buildings. ? multi-family buildings when separate permits are 1]Qt required for each dweliing unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: fEES: .$25.OD minimum fee 2 1% of contract price, whichever is greater. . Processed piping - $25.D0 ~ State surcharge of $.50 per $1,000 of permit fee due on all permits. COl~lTRr1vT PP.I~~ x 1°,~a PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: STATE: ZIP: PHONE SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR J..'-}~1 ~ Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Galaxie Avenue West Apple Valley, MN 55124 Tel(612)891-7011 Fax(612)891-7031 DATE: June 20, 2001 TO: Tom ColberUWayne Schwanz - EM Fax (651) 681-4694 FROM: Water and Land Management RE: Well Permit Ol-H175177 Well Type: Sealed Municipality: Eagan Environmental Specialist: Rutten The Water and Land Management Section of the Dakota Coimty Environmental Management Deparlment has received the following permit applicarion for the well descnbed. If you require fiuther review of the applicarion or if you have any quesrions or concerns about it, contact the Environmental Specialist listed above or our office at (612) 891-7011. If there is no response &om your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objections to the issuance of the perrnit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Bohn Well Drilling Date application received: June 19, 2001 Anticipated Drilling Date: Time: _ Anticipated Cnouring Date: Time: _ _ _ Property Owner: Keith Dahlbert Well Owner: Keith Dahlbert WELL LOCATION: PLS Coordinates: nw 1/4, ne 1/4, se 1/4, nw 1/4, Sec 36, Town 027, Range 23 Street address: 4695 Dodd Rd PINNumber: t0-03600-012-28 WELL INFORMATION: Diameter: Casing depth: Total depth: Static Water Level: Aquifer: COMMENTS: y . 7 , ' ~ \ ~ North line of 8E1/4 of llUfl/4 3ec, 36 ~ N ~ _ I ~~I ~m . A ~ ~ 813.97 N99°45~3t~ E I~(. OI ~ z '~T p ; ~ SS0.00 ~ ` 363..97 ~ ~ ~ ~ ~ i N.MT. Corner of Sffi/4 of ~ ~ , ~ Ni/l/4 Stc . 36 d f~. e~~ l~ c~ ~ ~ g fP ~ ~ ! ~ ~ < ' o N ~ ~ ~ ~ PA1tCEL H C~ ~ ~ 3 ~ , ; - S,Si; ~ $ , ~ a~i ` 9 ~ s a • a 'a `fl ~ ` e~ ~ , ~ 3 ~ ~ ~N ~~o , ;`r M s q ~ a~ _ 3312/ N!9°I6~9~"E y! ~ O ~ V~~ . e = M~st ltn~ or sEl/1 ot 5.07 AC. r°. ' ~pg ~ ! ~ _ NMl/~ S~c. 36 PARCSL A ' Q ~ ~ ~ y ~ ~ . - ~er~lins ~ O ~ i: ~ ~ ~ ~ oad ~ ~ ' ~ 33 , t ~ e ~ _ ~ ~ ' ~ Q = ~ ~ eso.a~ ¢asT , SCALE: ~ 1 ~ 1~~ = 100 feet Parallel with north line Sec, 36 Point 1633.88 ft, aouth 0r o~~tea set iron ~ W tha north line of Sec. 36 N y~ - ' ~s rl S ~ ~ 'v ~ a = otv~,c ~ ~'8~ ~ lo° o3~ao ~ oI~~Z$ Couneil Mlnutes Oetober 19, 1982 SIIBDIOISION ORDZNANCE Mr. Colbert reviewed with the City Council the Subdivision Ordinance that has been under study and in the drafting stage for nearly two years. Numerous meetings have been held with Planning Commission members, Council members, Developers representatives and other interested citizens during this period of time. The City Council reviewed the proposed Ordinance at its October 12 workshop meeting and the Planning Commission had submitted the Subdivision Ordinance to the City Council and recommended approval. There was no further discussion and no ob~eetions to the draft Ordinanee. Egan moved, Thomas seconded the motion to approve the Subdivision Ordinance as submitted and to order its implementation and publication. All voted yes. , NATER TRSATHENT PLANT pROJECT On July 20, 1982, the City Council decided to install a water treatment system for the City. City staff and Public Works Committee have been re- viewing several proposed treatment processees and existing plants have heen toured, including the Cities of Burnsville and Plymouth. The City Couneil members at a Workshop meeting on October 12, 1982 determined that a gravity system water treatment plant would be preferable and a time schedule has now been prepared for authorization of preparation of plans and the advertisement for bids, award of contract, construction and a completion date of September to October of 1984. Construction xould take place on City property at Coachman Road and Yankee Doodle Road and it was recommended that the firm of Bonestroo, Rosene, Anderlik & Associates be engaged to design and do the engineering services for the plant. Couneilman Wachter stated he had mixed emotions about voting on sueh an extensive project without a referendum, but stated that there is clearly a need for the improvement and favored the Couneil's action to proceed with the pro,7ect. Wachter moved, Thomas seconded the motion to authorize construction of the 12 m.g. gravity filtration water treatment plant as authorized in the July 20, 1982 City Council Resolution and that the firm of Bonestroo, Rosene, Anderlik & Associates be engaged for design and engineering services as provided in their proposal and the Contraet to be entered into with the engineering firm. All voted in favor. ~ RTCHARD-HIICHAN - BAIVER OF PLAT 4~~O O 0- O/ O- ~P The application of Richard Buchan for waiver of plat to split off one homestead and create a five aere parcel on the Buchan property on Dodd Road was then considered by the Council. M~. Buchan was present and explained the reasons why he asked for the split. The Advisory Planning Commission recom- mended approval sub,ject to certain conditions. There were no ob,jections and after consideration, Egan moved, Wachter seconded the motion to approve the application for waiver of plat, sub~ect to the following conditions: 1. Only one home shall be allowed on the 5-acre parcel and this home shall be located within one of the lots proposed on the overlay plan. 6 Couneil Minutes October 19, 198z 2. Adequate rights-of-way should be planned in order that the street meets the City of Eagan's standards at the time development occurs. 3• This area shall be platted prior to any more development on the site. 4. The park dedication shall be satisfied for this newly-ereated parcel. 5. The applicant should not ob~ect to the installation of utilities when they are available to this area. 6. All easements shall be dedicated as required by City stafF. All voted in favor. CLARRSON 9DDITION - PRELIr~ARY PLAT The application of Mr. and Mrs. Elmer Scott for preliminary plat approval of Clarkson Place on Highway ~3 was then brought before the Council. Mrs. Scott was present and the Advisory Planning Commission recommended approval subJect to certain conditions. It was noted the existing driveway on Lot 2 would be used for both lots and eventually aecess would be installed at the property lines between Lots 1 and 2. The topography is very rough at the present time and after consideration, Smith moved, Thomas seconded the motion to approve the application sub,ject to the following conditions: 1. An easement be grantd to Lot 1 from the southerly access on Lot 2 to provide access. 2. If Lot 1 is sold for the storage of refuse trucks and a building is constructed for this storage, no other construction or development sha11 be allowed on these lots until such time that utilities are provided to the site. 3. The access to Lot 2 shall be graded and a slope approved by the City Engineer and the disturbed area should be seeded in order to prevent soil erosion. u. There shall be adequate screening provided to the City's satisfac- tion for the two storage areas. 5. A 10 foot drainage and utility easement shall be dedicated adjacent to all lot boundsries in the plat. 7 , Permit Number RESc~eck Compliance Certi~cate Checked By/Darz 2000 Minnesota Energy Code REScheckSoftwaze'Vtrsion 3.5 Release ]b Data filename: C:~progrcm Files\Check\RESchecklmbO50.rck ~ i. ~ _S'f~~1z-~:~ . ~1C. , _ _ COLINTY: Dakoia STATE: Minnesota ZONE=2 , ` CONS7'RUCTION TYpE; Single Faznily ~ ~ l~ ~ ~ ~ DATE:06/19/03 ' i DATE OF PLANS 4/1/03 - I j j-.~t jc_ _ PRO7ECT TNFORMATTON: Lot 3, Bllc 1 Nanu•es Edge ltambler Relocation / ~ ~ ; ~ COMPaNY 1NFORMATTON: F " r Manley Bros Consavc~ion f'~ t-- . COMPLIANCE: Pesses ' I J Ma~imum UA = 372 - - - - - 'Your Home UA = 344 7.5% Better Than Code (LlA) Gross Glazing Area or Caviry Cont or poor Perimeter R-Value R-Value CJ-Faccor llA . Ceiling 1: Fla[ Ceiling or Scissor Truss 1961 50.0 0.0 51 Wali 1: Wood Frame, 16" o.c. 1326 11.0 0.0 99 Window 2: Above-Grade: Wood Frame:Double Pane with Low-B 99 0,350 35 Window 3: Above-Cnade~ Vinql Frame:Double Pane with L,ow-E 100 0.350 35 Wa112: Wood Frame, 16" o.c. 188 79.0 0.0 9 Window 1: Above-Grade;Vinyl Frame:Double Pane with T.ow•E 36 0350 13 Basemen[ Wall 1: Solid Concrete or Mesonry 1693 I 1.0 0_0 93 Wall height: 8.8' ]~epth beiow g-ade: 8.2' InsWacion depth: 8.8' ~ Window 4: ~ Basement 5_6 fr2: Vinyl Frame:bouble Pane with Low-£ 10 0.350 3 Window 5: $asement> 5.6 ft2:Viny1 Fratne:Double Pane with Low-E 16 0.350 6 Fumace 1: Forced Hot Air, 90 AFLTE Proposed and Maximum U-Factor Averages Proposed Maximum Average U-Factor Allowed U-Faaor . Above-Grade Windows and Glass Doors 0.350 0.370 l'd OELO'~N l XUj WdSi~9 EOOd '61'~~f Includes Foundation Windows > 5,6 ft2 Foundation Windows 4 5.6 ft2 ~.000 0.510 COMPLTANCE STATBMENT: The proposed builcting design described here is consistent wich the buildin~ plans, specificasions, and other calculations submiued with the permit application_ TLe proposed building has been designed Co meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.5 Release Ib (for[nerJy MECchec~ snd to comply with tlie mandacory requiremenu listed in the RES checkInspectian Checklist. Bvilder/Designer Dace r E'd OELD'~N l n0~' Wd91~9 EOOZ '6l'u~f • ItEScheck Inspectiou Checklist 2000 Minnesota Energy Code REScheckSoftwate Version 3.S Release Ib DATE: 06/ i 9/03 PT.AN RE'VIEW AND INSPECTION TSSUES This list of items may be helpful for Plan Revjewers and $uilding Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Crroup R, Division 3 Occupancies, one- and two-family residenAal dwellings. The items marked with apply only to detached one- and two-family residential dwellings. PT.AN REVIEW ISSTJ~S ~'oUNDATION YNSYECTTON foundation wall insulation R-5 minimum foundation insulation ea~ends from top ofwall down to Lop ofthe footing [ J exterior foundation insulation is covered by a protective coating fmish CONCT2ETE SX,A$ OR UNDER-SLAS INSPECTTOAT slab on grade perimeter insulation R-5 minimum slab insulation extends from top of slab to design frosc ]iue or top of footing floors over unheated space R-30 minimum WTNDOWS / DOOItS / SKI'l.TGHTS average i1-value is 0.37 maximum for windows and glass doors (excludes founda[ion windows) window U-values consistent with building plan and ItES check CertifrcaLe window and door areas consistenT with building plan and 22ES check Certificate MECHANTCAL'~E1V'I'II,ATTON ISST7ES residential mechanical ventilation system provides adequate ventilation per code requir~ments~` furnace efficiency is consistent with RES check Certificate or building p1an [ J protection against excessive depressurization is installed per code requirements* ENV~T.OPE TNSULATTON FOItPLAN REViEW j] interior basement insulation R-5 minimum (ifno exterior insulation) ceilings with attics R-3 8 minimnm or consistent with buiIding plan and RES chetk Certificate wall framing and insulation level is consisYent wiih building design and 12ES check Certificate 1NSPECTION TSSUES CONCEAT.ED TNSTJLATYON ~ F"ramdng and Sheathing wind wash barrier installed at attic edge exterior wall corqers framed so that insulation can be installed after ea~terior sheathing is installed intersections of intierior partition walls and ea'terior walls framed so that insulation can be installed between the partition and exterzor sheathing after exterior sheathing is installed gaps between framing less than one-half inch aze eliminated by securing framing together oc are insvlated at the time of assemhly * all peneuations betrveen conditioned and unconditioned spaces made prior to framing inspection are sealed * tr'd 0£LD'~N I KOj Wd91~9 EOOZ '6l'u~f . Interiorllfr $rnrier [ j all fire stops are air sealed pipes, ducts, wires, eqvipment and flues and chimneys thxough the interior air barrier are sealed ] a sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist azeas air barrier behind tub and shower is sealed and protected [ J recessed light fixtures are sealed Envelope Insulation [ ] basement insulation R-5 minimum [ J wind wash barrier on wall separating house and garage is sealed loose fill insulation is prevented from entering the eaves insulation on skylight shafts and walls exposed in attics is supported on the unconditioned side Attic rnsulation attic aceess panel insulated to IL-38 for ceilin~ paneJ and R-19 for wa11 panel attic card attached to framing near access opening notification of attic R-value and daYe of installation posted near building permit inspection card This is a summary only. Other requiremenu may apply. See fhe Minnesota ~nergq Code. Quesrions? Call the Depar[ment of Public Service lnforination Center at 651-296-5175 or 1-800-657-3710. I 9'd OELO'~N l XOj Wd91~9 EOOd '6l'un~ , it ?1~+v ~CA2a~ " a~ Municipal Notice of Well Permit Application Dakota County Environmental Management Department Water and Land Management Section 14955 Gala~cie Avenue West Apple Valley, MN 55124 Tel(612)891-7011 Fax(612)891-7031 DAT'E: 7une 20, 2001 TO: Tom ColberUWayne Schwanz - EM Fax (651) 681-4694 FROM: Water and Land Management RE: Well Permit Ol-H175177 Wel] Type: Sealed Municipality: Eagan Environmental Specialist: Rutten The Water and Land Management Section of the Dakota County Environmental Management Deparknent has received the following permit application for the well described. If you require further review of the application or if you have any questions or concerns about it, contact the Environmental Specialist ]isted above or ois office at (612) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we will assume that you have no objecrions to the issuance of the permit. Please note that permit issuance is always conditioned on the permit applicanYs observance of and compliance with all applicable state, county, and municipal laws and codes. Well Contractor: Bohn Well Drilling Date application received: June 19, 2001 Anticipated Drilling Date: Time: _ Anticipated Grouting Date: Time: _ _ _ Properry Owner: Keith Dahlbert Well Owner: Keith Dahlbert WELL LOCATION: PLS Coordinates: nw i/4, ne 1/4, se 1/4, nw 1/4, Sec 36, Town 027, Range 23 Street address• f,~.~E~ ~ D~~ V~ PINNumber: 10-03600-012-28 1~89 S WELL INFORMATION: Diameter: Casing depth: Total depth: Static Water I.evel: ' Aquifer: COMMENTS: ~ -.,r.:w~.~K ~1CT ~ ~ r~y~Y~ ~'i ~T'=5;~ ir ~'`~~~~4~" ~ Ea+ S ~ ' ;~ti~i q ~ v'~' [ f''•~[ tT~ -`~~~4~ f8 "`~++c^. ? ~ >fy..L,x,k k F.. A. bk d; 4 'SF"° ^ .5 ,sr. ~ .~Y4 ~"M"NY ~F~iIG ~ M~s"Pr t=~' 'o ~ O~Et~ ~ I~COIIIIIIEt7~S~ - - - ' `Salac 1 Value~ , a - e. , x r.. :rzr~V~~e%.~~m x~.~d ~ G z ~A~x~etlhfo ~ y~p~ ~ ~~d*.~;.E~ ~ b~a~., . ~ n ~y ~ ~VAIEf ~/IfOf1118ZI~I ---a-'-t•e ~~,..R--~z cs~:~- u ~ ~a~ 4 .r ~ ~ v ~ _ ~ ~nBr MANLEY LAND DEV INC ; ' ~ ~ ~ a~''~ 4695 DODD RD ~ ; ' F ~ . ~ ~fr EAGAN MN 55123-2110 4 ~ ~ - .'~a-.,~. ` . w ~ r s;r~ ~ ~,Owner 2`: ; ~ ` ~ ~ ~ ~ k 1 " ~ ~ k ~ k>.J ~a~r, f xff. ~ ~ ~ ` : / ;_.I z F Owner3a~ . F 3.~ aw~ cMa ~ ~P~,h+~iF.,, z~~C~; ~ a - - ~ ~ ~ Dwner A ~ ~ ~j P ~y Y'...v 'yW' -~'+a.v K / ~ ~ 4r'+~ ~ ~ 4 5'~ ^..'-m~i ~ ~O('.df0 8~1~..~, ~ y! ,s "a ds -~ti::.. ~~`,..A. l'.,~sp~~~+s ~~~R~~ ~a*~T"~~~°.'~"~~"~~t~usme~s ~ ~~Jame~ ` P~ Loc~or ~ ~ ' rF~ -a. + -~,s : House # j ~ ~ ~ ~n ~ r ~ner, itues ata ~ ~ _ ~s}: 4695 f'~'~ Lfle6~Pa~e1. s° ~ ~~,~+~~sp'~~sav ~ t? Corpor~tion CS"whed y~ flWnefils~yk Tazes~ ~ ~ Street DODD RD ~ ± , ~ ~ ~ - 'T ' . ~ - - ~c: g, , ; ~ . 41110 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 RECEIVED �EBa91011. r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: 620. C� -z-,iz.. Staff: r)q6 to q Date Received: 2012 RESIDENTIAL BUILDING PERMIT APPLICATION C FU 639 ki-Q 0 Date: Site Address: Unit #: Name: /V t4 1' 11-1,4 AJ 0 L. -t Ai Address / City / Zip: Phone: (aiL- z 3--%'217 e S GQ,t xF Applicant is: Owner Contractor CAa 55,3, Mai. Description of work: L O W . A L&. .1E1- }- / n/ /J /4 Construction Cost: %g Oso Multi -Family Building: (Yes / No V") Company: 8#R CoNS'fiRKC7,o,J Contact: Ro6e..r CQr.cM.e Address: / %/ / / 4/.3 A° sr- W City: FLa...< AJ S t' / Lt €_ State: Priv Zip: 6C 3 ° G' Phone: / c2--200 -- 8 9 License #: �- (° 3 ` r 9 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) / .76/ ty aasisit� Pr rR7e.�c[ o A/ T,ec�c7'Q.a% /�Freti (9 %$ ,� ®oQ,t �4.101.—Q/SRr./JAE+ 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: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: CALL BEFORE YOU DIG. can Gopher State One CaII 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; 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 wilI be in accordance with the approved plan in the case of work which requires a review and approval of plans. 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. R0 1 ae R,-,— CR 14. rY) A; 1 2 --�' Applicant's Printed Name Applicant's Signature Page 1 of 3 6,eci ��GyLtat�`eDO NOT WRITE BELOW THIS LINE SUB TYPES jr,pendation _ Fireplace Single Family Garage Multi Deck 01 of _ Plex jt Lower Level ___ h Accessory Building WORK TYPES New Addition Alteration Replace Retaining Wall Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation / a¢n Plan Review /)Cen(25% 100% 1./c-- Census sus Code Gt�y #of Units # of Buildings Type of Construction 7 Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: _Ice & Water _Final Framing Fireplace: _Rough In _Air Test _Final Insulation Sheathing Sheetrock Reviewed By: RESIDENTIAL FE Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 70/ 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 R -t MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final 1 No C.O. Required HVAC Gas Service Test Gas Line Air Test Other: Pool: _Footings Air/Gas Tests Siding: _Stucco Lath Stone Lath - Windows Retaining Wall: _ Footings Backfill Radon Control Erosion Control , Building Inspector Final Brick Final Page 2 of 3 Date: r City of Eapii 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: (7'3 Permit Fee: (a . 00 Date Received: Staff: 311 (t 2012 RESIDENTIAL PLUMBING PERMIT APPLICATION 3 /7 Site Address: � � C- C) Tenant: Suite #: Name: i a k'vv 1, 0 \-0\1) Phone: Address / City / Zip: Name: Address: �`T �l Gj U. c State: 11\i‘ki Zip: SS -3(-7L License #: 0(..3 1 S v1,k, City: 1.✓ C;)• .) , . tY Phone: L52 -`76 - Z0 - Contact: AM \ C5r, Email: iM-56 y c / l '.( (. New - Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.- Description of work: !! RESIDENTIAL Water Heater Lawn Irrigation (_ RPZ / PVB) Septic System New Abandonment Water Softener Add Plumbing Fixtures (_ Main / Lower Level) Water Turnaround RESIDENTIAL FEES: $60.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) ""Water Turnaround (add $189.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. CaII 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 th dinances 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 startnt ut a permit; that the work will be in accordance with thee pproved plan in the of work which requires a review and approval of plane ✓ /7127 Applicant's Printed Name x Ap cant's S4'gfature ñ þýý üü ûýýðñïûî þ æáþø æ þýø ÿþýüûúïøúòøþüûú öøüûúóïøúßìÝ øú òþò æ îþúû ñ ÿðþøï íúøäí ííûøðþøíøýøíêò íûë÷þíþýúúøø ý ê òøýíøøøðþøýûì÷íû íê ïèæçèê ê ÷û ÿþø øéþèæçèê êå éþæ ê öïô øóò úú óìõø õíòá î ø Þÿ øþ ø âøãáæåãáåæ ßåÝ ååàÞ øýûì äø úú ÷øíøøøíúûì úúýÿ ÷ãÿþòû÷îøê úúëøíÿþøþûÿþø Use BLUE or BLACK Ink r---------------- I For Office Use / I r- Permit i City of Ea Rd~ I Permit Fee: 7 I 3830 Pilot Knob Road I Eagan MN 55122 Date Received: Phone: (651) 675-5675 I /y, I Fax: (651) 675-5694 1 Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit w 1' ' - 37c1 'Name: C?a ~ 4- 'r1Qt~ Phone: Resident/ Owner Address / City / Zip: Applicant is: Owners Contractor Type of Work Description of work: 144f Construction Cost: 10 'Coo ~cr,-, Multi-Family Building: (Yes / No Company: I-Qr Contact: iJe Ic1 f 1LAO NAL Address: ~Q t 1r City: La State: U) zip:-. 1< :r Phone: b (ra'r ~c~ License r3c (Ogof sy Lead Certificate 3 If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) i 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: i Sewer & Water Contractor: Phone: ~hC pp 9 the information may as non-public Youf u t s ~easons public information. Portions of y be classified Yyou provide specific that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.-gopherstateonecall.org 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. Exterior work authorized by a building permit issued in accordance with the Minnesota tate Building Code must be completed within 180 days of permits issuance. x qwJ 2n;OL X. Applicant's Printed Name Applican ' U Signature Page 1 of 3 PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA130058 Date Issued:04/01/2015 Permit Category:ePermit Site Address: 689 Shelerud Dr Lot:3 Block: 1 Addition: Natures Edge PID:10-49950-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Applicant: Scott Lofgren 5708 Upper 147th St W #102 Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Joseph W Haight 689 Shelerud Dr Eagan MN 55123 Lofgren Heating & Air 5708 Upper 147th St W Suite 102 Apple Valley MN 55124 (952) 431-5811 Applicant/Permitee: Signature Issued By: Signature Use BLUE or BLACK Ink �-----------------� ' � For Office Use I i � C�`v�� Permit#: ` ��Z�`f� I II �t of�a an RE � 6- ; � � O� � Permit Fee: � 3830 Pilot Knob Road �C� ��' � I Eagan M N 55122 � Date Received: 1 b.��'�� I Phone: (651)675-5675 i j � Staff: I Fax: (651)675-5694 �-----------------� 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: �I ' � 1— 1 S Site Address: �c+► 8 � �' �"► e �e f f�. � � �` 3 ►� Tenant: Suite#: ��$�� Name: � �E- � °� � � h � Phone: �Sl Z S�' " S'7 � �o ; Address�city�zip: _ C� $`�) .S' � e I 2 � � c� y't`°v,e :: �� . .�� Name:__N�-S S ro r� 7PjN N•��n Se.t u �''�:F� '�'n� License#: fn SS'� 3 .S' $ � ��1��G��`: � Address: �. �. I�m�t a a ! � � City: �Q��-,1 o- € '' � � State:�Zip:.S � >� '� Phone: �S � � g / .�r�S � � ,< Contact: 1"�^� �� S c Lt r' t'��. Email: t� lilc,�'..►� i Q� /K r�5 a�_ �� s ; � � ��,�� New '!Replacement _Repair _Rebuild _Madify Space _Woric in R.O W. Description of work: RES�TIAL Water Heater ' � '_ Water Softener ��„�� Lawn Irrigation�RPZ/_PVB) x� Septic System Add Plumbing Fixtures�Main I_Lower Level) 4 4 � �; _New Water Tumaround Abandonment 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 Add Ptumbing Fixtures, Septic Svstem Abandonment, Water Turnaround*(includes State Surcharge) 'Water Tumaround(add$210.00 if a 5/8"meter is required) $115.00 SeptiC Svstem New(includes County fee and State Surcharge} TOTAL FEES$ � U • Q a CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protectian against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities, www.Qonherstateonecall.org I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinanees and codes of the City of Eagan;that 1 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 �'1�1'�� S �. � � � < � X Applicant's Printed Name Appl cant's Signature y t �, 4 v , ;� +„" t x. � �' - � >�. c �€ -?� �°¢, -� r � � � � y `'��i'I�� fs .N �� s : „ z ��.+� � �. x n�,*�'` . � � } (� � . ' ,� . . kdxw+f.�nr+�.'� �f��`� �* ��N�� t� k - 4 . ' 4 5 t��',y � � tr jJ }�. y �� F� fi'�^ 5 . �,�� e3��}'kP5�+�j L� �,�� . 3�� - -I��,SRR ��7��,, y F ��i+�. � � ��' �' `� � •+� � y w£ - a r ' r � ,a,;- r � � } r ,.�..Y.s ,...., ... ,._ ��.. ... <.:,h.� , ,.x_ , a � � , . , .+,.� ,; �w�+� _,�,,.,w„ ..,..,� � �.,t��,�„` ,.�.�� ; y Use BLUE or BLACK Ink r For Office Use /6-1S4: 11-27 C City of EaRan Permit#: 05 Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: Phone: (651)675-5675 Fax: (651)675-5694 Staff: 2017 RESIDENTIAL BUILDING PERMIT APPLICATION CO C hs�_.Ip.rt..o� Date lf� Site Address: �t7 j J �4.- Unit#: Name: 1/1,4 Phone: Resident/ ! // owner I Address/City/Zip: Co F9 S IiL`esi,wk Q_. i Applicant is: Owner )C Contractor T e of Work I Description of work: F� " C`�F yp Construction Cost: I cO, Multi-Family Building: (Yes /No ) 1-„— — —-_,,4 ? _ ., _ Company: C f .cx'es- �rr fe YL3 I_L Contact: rn� I p S Contractor Address: ��d-� l �' S City: ��itJr 4 State:!' ►(#J Zip: S_S-3 7?hone: 6192 )64-"1maii: License#: _ , ,2 _ y 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: i NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of 1` the information may be classified as non-public if you provide specific reasons that would permit the City to 1_,_______ , o_ _ conclude that the are trade secrets, _, , ,,, .mai__ .R.. _.,. __ ._ w. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota S ate Building Code must be completed within 180 days of permitl/� issuance.3r0,011,2-L( x (JX 4 .11f . _.:1�_I_� Applicant's Printed Name Applican --Signature , Page 1 of 3 • n e _t , ° For Office.Use EAGAN.E. 149 � �5 ,q e... ,°### ,° Permit#:. •.a.... .t..r �+ cE. 7�1-_,.,.�.,-�' Permit Fee: t.D 0`B 3830 PILOT KNOB ROAD I EAGAN,MN 55122-1810 JUN 08 2018 Date Received: 6/1 (651)675-5675 I TDD:(651)454-8535 I FAX: (651)675-5694 bulIdinginspectionsnacityofeaan.com Staff: L _ -' 2018 RESIDENTIAL PLUMBING PERMIT APPLICATION u l• it r ` Date: r Site Address ! /i a �ri�V 4 j 1 —LI 4..�1 Tenant: ( P t tii, Ap..: i �r � V --- P":'\ Alt r7 ,Suite#: {+€Nat �.© #. Name: �� , %"� ' �` 3 er' Phone: M\ fF L44,),10,4,41,44 1 >°� ,> ; Address/City/Zip: /i� _ riAld--/WN,i, _._....SS-7 ::? �`{,' to"'I tV Name: MILBERT COMPANY dba CULLIGAN WATER W0641376 01t License#: rr, e,,,,04,,A-ur Address: 1801 50TH STREET EAST 4,tki4it c a >�£:, City: INVER GROVE HEIGHTS t ' , 's `t' State: MN Zip: 55077s ' 1).)%i; Phone: 651-451-2241 �€ 3. ri,t*tt j.• s�' y hs�' 7# �` w Contact; BILL MILBERT„A Email: •loria.abas@culligan4water.com a't as;;,r �{' `, "e + ti "t o f7\ c _New ,_Replacement RepairModify p —Work in.R.O.W. jr�",yYtF? #„ 4 t --. P Rebuild Space t >s, � j ;.0:41-0.41 Descriptlon of work: r•vo.A ,.;-. RESIDENTIAL ...,......_ y g r irktFx Water Heater er ty"t4 y r � — X Water Softener, s ' Lawn Irrigation( RPZ/ pVg)Ormyp iS'. ittN z _Septic System Add Plumbing Fixtures Maln./ Lower Level) 11 �`r t, v- 1(tr, er New Water Turnaround ▪ ' aAbandonment _ RESIDENTIAL FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(Includes Sta.te•Surcharge) $60.00 Lawn Irrigation (Includes State Surcharge) $60,00 Add Plumbing Fixtures, Septic System Abandonment,Water Turnaround*(includes State Surcharge) *Water Turnaround(add$280.00 if a 3/4"meter Is required) $115.00 Septic System New(Includes County fee and State Surcharge) TOTAL FEES$ 60.00 CALL BEFORE YOU 010. Call Gopher Slate 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.gopherstatoonecall•orq r- You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www•citvofeagan•corn/subscribe. 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