3250 Sibley Memorial HwySep. 13. 2011 1:11PM
41/11' City of Eakan -
Ca,d4i. 1\1-4
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 676-5675
Fax: (651) 675-5694
No. 4139
Use BLUE or BLACK Ink
Por Office use
Permit%
#: /0% 11
Permit Fee:
Dale Rec- ved:
Staff:
2011 RESIDENTIAL BUILDING PERMIT APPLICAWION
Date: Site Address:
Unit #:
RESIDENT /
OWNER
Name: 1... 57 Lt 'L,t t ECC— Phone: &i) --2,,?:)---5-444
1
Address / City / Zip; 3.x,1-0 ,1 -4c -e. -y inco,:se. ost. t (( 7r0P)
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: _ t ( Pad) P (Aa f 76i'U! 62:336'
9'-rig'Construction Cost:
Multi -Family Building: (Yes _ / No )
CONTRACTOR
Company: zem ( "11-te %d,r, ell) 414.- LLL Contact: Lift_
Address: %Z 3 3 Ai 3 S CU City: -A-A
State: l"✓ Zip: 553-1 / Phone: 4'/'J - 3s -V-- 519y
License #: O? b 3) 89 8'7 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes _No If
Licensed Plumber:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
NOTE; Plans and supporting documents that you submit are considered to be public information. Portions of
the Information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.dooherstateonecall.org
1 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 ah 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.
Applicant's Printed Name
X wM
App Mani s Sig =.7 re
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
IN SFL(:TIOIN KLUOKII
PERMIT TYPE:
Permit Number:
7 Date Issued:
%IRI.f Y At I ORIA
x !fir *:
PERMIT SUBTYPE:
TYPE OF WORK:
I I I It Itill
INSPECTION TYPE DDATE INSPTR. INSPECTION TYPE DATE INSPTR.
lit
?•=t?.t; ?. ?•It? }j tit t? ?
1 MAkMAJ : PLAN INF1l'J j 1f 11 HY 14111 AIIAWSy b W P. Vi VM4U1-H 1'1 1IMH 1 N6 #G-AA-4
7
4 V U-0C K f APPLICANT:
I IIJ.JV I
Permit Holder Date Telephone #
PLUMBING ??-F /000
HVAC / [/ ?_?i/?f(
Inspection
Date
In
Np.
Comments
FOOTINGS
FOUND
!
FRAMING F
l a
? A)6,5-0
3,Es?
/N5f'6?Y/ /t
f1?AJf /VOAJ flL?l¢R/,U( [,?i1iLL5
ROOFING ?0 G717 W14
ROUGH
PLUMBING
10-/el
Jly
PLBG
AIR TEST 11 ??
ROUGH
HEATING pv s pzc,, D Gt-U r,:,, c7x 1 y oe ff74y w ll y
GAS SVC
TEST / "I3
INSUL Ki/aq
GYP BOARD q
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG rJ
FINAL HTG N/,
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
dft
Wer if icate of cccupaucv
With of Wagan
Toartmcxt of fxitbixg 3*61pection
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Ctmificaion- SF DW
32486
Zom ft District R1 Type Coast. WN
A4dn= 614VMMM AVE, ST PAIII,
MIAL HWY amity L4, B2, IEIR M- #2
Bldg. Permit No.
POST IN A CONSPICUOUS PLACE
Address 3250 SIEM MMU& HIGHWAY Zip 5512 1
Lot 4 Blk 3 Sub i F'TF'NIM #2
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 11 -i I q g-, Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) f/
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish V `
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
CITY OF EAGAN Remarks )
Addition Letendre 2 Lot `* Blk 3 Parcel 10 L4901 01 0 03
Owner iL, Street State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK tY
SEWER LATERAL 1 Q7 q 19,41 -)d 91-57 Po
WATERMAIN
WATER LATERAL J%Cr
19U
867.21,
57-81
WATER AREA 1977 160.00 .
10.66 15
STORM SEW TRK
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
RESIDENTIAL
BUILDING PERMIT APPLICATION ?' pa
CITY OF FAQAN
3830 PILOT KNOB RD - $5122'
' 63f-681-+4675: -
tew Cooaflur?er?.Rneuifenw?ts
.3 regtsWW silesur" dit*tp % It pilot, sq; fl Of f10 w. end al soled areas
i2D%mazimumIatcavarag Mww4d)
2 copies of pl??.shmm bum & w mk w *es, wuredioued.dwkA etc.)
I se of Energy-tawi tis
3 ttopiee of Tree t?teserwdm Pfau I iot pied 711-M
Rips Joist 1i" opd ms*won slted'(bldp Yet !or less unb)
GATE
10R SITE ADDRESS S245D 6115109f A
F MULTIFAMILY BUILDING, HOW MANY UNITS?.
'ROPERiY O' WNER J . 0
2 copies of ptian - {
a sel atEnet9? itsTor.taedte*
1 cite stuvekTor axtedorAd44.deake - -
• IndkeleJilianesewedbX.?Ilq's.fat '~ ,'
DMGK
'YPE OF WORK FIREPLACE(S) _.2.''-3,
%PPUCANY j?cL A „
- , _
t?DDRESS.. D S 1 ? ? - : IPCODE 15
'AGER;# - CELL PHONE # j- FAX f
ME RESIDENTIAL BUILDING ONLY - FM L. OUT COMPLETELY
Energy (rode Category ? MIlITI MOTA RULES 7670 CATEGORY' I
(check e?* - Residential tfentilalbn Category 1 Works host Sub.
Energy Envelope Calculations Submitted
WiNESOTA RULES 7672
New Enemy Code Worksheet Submitted.: `.
,
I'
L:
Plumbing. Contractor: _ Phone #: --
Plumb ng 5}3 ni Licludcsc 't r Sollr tncr " I awn $ptin kler Fee: $90.00
_ WMr Heater _. Na. of M. Baths:
M). of Baths
A echo kcd Contractor: _
Medr.aucal System Includes:
Sewet/Watlsir Cantraoton
Aw :Condidonutg
Heat Recov&y.Systenn
:Phone 4k _
Fei
$X0
Phone
111 above Information must be submitted prior -- to processing of application. I,- J
•
hereby acknowledge that I have read, this opplicaf on, state-that the informotionImwect, acrd agree tQc0mp ; Wfh-,
All opplicable-State Of Mnnesota Stotutes and City of Eagan Ordinances.
$14nature of Applicant
?eMti tes of Survai5r Recek6d _ Tme Preservation Plan Riecelvieci - t e0u d ~' '
' ? 'i?tsd 101
OFFICE USE ONLY
3 01 Foundation ? 07 05-plex
3 02 'SF Dwelling: ?_ 08 06-plex
3 03 01 of _ plea ? 09 07-plex
3 0 024ex q 10 08-plex
3 05 ,03,ptex d 11 10-plex
3 06 .04-plex. ? 12 12-0ex
? 13' 1B-plex
? 16 Fireplace
? 17 Garage
V 18 Deck
? 19 L ower Lervel
Plbg_Y or _ N'
? 20 Pool
Q 21 Porch: (3-seaA
* 22 Porch/Add n..(4-sea.)
? -23 Porch (screened),
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
13 31 Ext. Alt = Multi'
? 33 Ext. Alt- SF
0 36: Multi
31 Now a .3.5
3 32 Addition ? 36
3 33 AltergarL,. 13 37-
3 .34 Repla'ccrrrent
/aluation ? `-?
"ensus,Code
- 3AC Wntts [
Jbr, of Units
4br. of.Bldgs
-ype of Const
tnt Improvement ? 38 Demolish. .(interior).- q 44 Siding
Move Bidg. ? 42. Demolish (Foundation) ? 45 Fire-Remo,
Qemolish tj1lg) P 43, "f Q 4S, Vy ndOV,+slDo6t!
46 nAlltldn (Erttire 13 1?j of lyj- - G"- 06A hancliketo applicant ,
J.• r . - f t ,t .l
.. . + 1 M I: 1?
'%
w
1
? * ?
I'
Ocqupancy l
[
SysleA
Zoning City Watef
Stories rooster, Pump!
Sq. Ft. PRV
Length Fine Sprinklered
width
REQUIRED INSPECTIONS
_ Footings (newbldg) Final/C.O.
Footings (deck) finaMo C:O.
,IC Footings (addition) _ I'I.un$sing
Foundation _ HVAC
_ Drain Tile
Roof
- cc & ?'Vater _ Final _ Other
Framing _ Pool! Ftgs: _ AirfGa Tests Final
Fireplace_ R.
I. _.- A.&Test _ Final _ ;Siding _ Stucco:, Stone
b0sulatian _ Windows,(new/repta_c*ment)
Approved By' . Building hspectb
3ase Fee
surcharge
flan Review
ACIES SAC
:sty SAC
Voter Supply & Storage
MW Permit &:Surcharge
-reatment Plant
Numbing. Permit
Aechanical Permit
kens'e Search
:opies
]then.
'otali
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 d
lJ 651.681-4675
New Construction Requirements
• 3 registered site surveys slowing sq. ft. of lot, sq. ft. of house; and aq roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
• 1 set of Energy calculations
• 3 copies of Tree Preservation Plan if lot platted after VIM
• Rim Joist Oetad Options selection sheet (bidgs with 3 or less units)
DATE
51g ,g- /:z 002-
RemodeURemir Requirements of plan
• 1 set off Energy Calculations for heated additions
5-31-
• 1 site survey for exterior additions & decks
• Indicate if hone served by septic system for additions
VALUATION
SITE ADDRESS 3150 S?(Sle f i?t2Kor&c.9 y MULTI-FAMILY BLDG _Y N
TYPE OF WORK 'De c1c FIREPLACE(S) _ 0 _ t _ 2
APPLICANT o? a?10- ';?' \'kY c"?,
STREET ADDRESS 32 5L% S P' L eV t? Ae ` CITY C, ?A STATEt ZIP
TELEPHONE#(,rl-bg&-?-'+_7'?`CELLPHONE# FAX# Lr'S (_ 6 5 ?-c X12
PROPERTYOWNER ?O Q?c g'`vy TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RtiL.ES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor:
Water Softener
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Fee: $90.00
J 8 2002
LMAY'2 Phone
-------------------------------------------------------------------------------°-------Icy ------------ c --------- -- ---
I hereby acknowledge that I have read this application, state that the information is conect, an mP
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant y 1 OINA V'
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required
Updated 4/02
Phone #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-plex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex * 18 Deck
? 11 10-piex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
`" • it
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 EM. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
X[ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation lW Occupancy MC/ES System
Census Code 4 Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const V j Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaVC.O.
Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation _ HVAC
Drain Tile Other
_
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
07ZV
Y 7L
* * * 808.1
.ertificate of Sur/y for
i
Sos q? _,
LAND
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX: 681-9488
LANDSCAPE APC IWCTS 625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX: 783-1883
DAN BROWN
3250 SIBLEY
808.0
x 805.6(
fi
C?r?P
14RIAL HIGHWAY
C 1 C
814.0 ?.. f
zyf?a
1315.
81;b
815.0
121.43 (plat)
39'54'. 7"E 101.89 (meos)
7.4
tt 81010, '809.3 \
J
/ v
806.8 Ali iy /
.00
1)"43" rZO
l by D ^ 3
v?
,i • ; ?y y hC? r ? Pr
07
807.3 a'
•809.8 A(tlo °
05.2
' ?Q808.1
0.8 0? i y
k
x 2Q
806.7
2
SJ
/BENCH MARK
8146/ ELOEV?821129 J\ l`'?
814.6 l?
826.0
O
hP ._ i
818.0„
"
6.x
7 c
814.1
04 I'fwSeD
qY i
F141-ci 8\$ .2x k NCH MAK OP OF PIPE - a
/ ELEL .120.46 x „CO 827.1
?17t 820.0 ,
14.2je?_ _ - 823.9x
°° U?
/(0 4 x 829.9
Q ?(f
3
0
of ff UTILITY EASEMENT PER
• ) ° N DOC, NO. 392150
L ,834L2x Y
p r / 67.43 28.63 829.1
N89'54'1 7"W 823'1 165.64 (meos)
INGRESS AND EGRESS 184.20 (plat)
- -----
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY: EASEMENT PER BK.
292 OF DEEDS, PG. 634 PROPOSED HOUSE All N
VOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION: ??
FOUNDATION DIMENSIONS. ro
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS 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
TOP OF BLOCK ELEVATION: ZG'
GARAGE SLAB ELEVATION: / 7 G
W
i?
cp
M
0
W
X DOD.00 DENOTES EXISTING ELEVATION
( 000.00 ) DENOTES PROPOSED ELEVATION
- - - DENOTES DRAINAGE AND UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
-r- DENOTES MONUMENT
-$- DENOTES OFFSET HUB
WE HEREBY CERTIFY TO DAN BROWN THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF:
LOT 4, BLOCK 3, LETENDRE ADDITION NO. 2
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS HOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 2 ST DAY OFJ JULY, 1998.
`?ys ?I Sa r{ f7 • Z ? /y$'' S WED' PIONEER ENPEERIN P.A.
SCALE : 1 INCH = 30 FEET
IP
827.7'
'627•
0
O
d
r
IP
837.9
John C.
Vv CITY USE ONLY
PERMIT #: q5- q1 RECEIPT DATE: 7^3-01
RnMENTUL MECHANICAL PERNH APPLICATION
CITY OF EACzM
393o mar me s RD
EAeM MN 5512E
651-6$14675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: rfl ?O I
SITE ADDRESS:
#: 5? g?OJ??7?Q
OWNERNAME: Rik-In bugw TELEPHONE
I ?+ ` (AREA C 613E)
INSTALLER NAME: 1 ? ni Firs (? LIJI_.tTl t-ldf TELEPHONE 43?
(AREA CODE)
STREET ADDRESS:
CITY:
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
Add-on, modification or alteration to existing dwelling unit $ 50.00
• furnace replacement
• air exchanger
• air conditioner
• other
,/ n ,' J n n /?
- Pu
u ' 24
- V #Lha
dd a
q
j j
Nature of work: a
l
w
2-
State Surcharge $ .50
5O.5O
ci
Total .
1 nni I'Ili
Reminder: Call far inspections.
Iglu V JI
SIGNATURE OF PERMITTEE
Updated 1101
CITY USE ONLY
PERMIT #:
APPROVED BY:
RECEIPT DATE:
INSPECTOR
COMMMCUL MEC CAL PERMIT APPLICATION
CITY OF FAGM
3830 PILOT KNOB RD
EABAN, MN 551 EE
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
WORK TYPE:
_ New construction Install U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Specify Nature of Work:
When installing/removing underground tank, call 651-681-4675 for inspection by Fire Marshal and
Plumbing Rnspector.
Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removal/installation = minimum fee
Contract price: $ x 1%= $ (Base Fee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMITTEE
STATE: ZIP:
PHONEM -
(AREA CODE)
Updated 1/01
CITY 0 E_ACAN
CASHIER: S TERMINAL N0: 791
PATE,; 08/25/98 TIME, 15:05:32
ID:
NAME: BLAKE BUILDERS? INC.
225E 9001 3250 SIBLY MEM 31976.71
Total. Receipt Amount: 37976.11
CR09EE54
USER ID: NANCY
?l?[Y,tX(?CY?7?tYf?C%t?t?'(#X??X?1XtM7??X(7K?:?X?X?1X7%M?kMXtXt7X#1%'M?kXf
_ GIT_Y, OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-44901-040-03
PERMIT
3250 SIBLEY
LOT: 4 BLOCK:
LElITENDRE #2
BUILDING
032986
08/25/98
DESCRIPTION:
Bu,0,d'1ft?,Permit Type
B, ildI ng ,k Type
G649truction Tye
r onAtsg
Building Length
8"uiI dthg width
VALUATION
62
34
1
2,108
101 1 - FAM. DETACH
€ !ea H0.&a as r 'rlf,'? g6"?7 S t*a & I.g
=are s¢ mg Y:_q ;r& ..' is ?Swit s wxi a i'. N m K.
a v ?w
REM REVIEWED BY BILL ADAMS.
S & W IS PLYMOUTH PLUMBING #533-4357.
PRV REQUIRED.
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
PERMIT TYPE
Permit Number:
Date Issued:
MEMORIAL HWY
3
SF DWG
NEW
R-3/U-1
VN
R-1
$88,000
$812.25
$527.96
$44.00
$1,000.00
100
$2,384.21
ARKS' tTTYPR5 - Appel
614 PORTLAND AVE
ST. PAUL MN 55102
(61,2) 986-9722
MISC. FEES $1.,5.92.50
Total Fee $3,976.71
can - ST. LIC. OWNER:
19869722 20145829 BLAKE BUILDERS, INC.
107 614 PORTLAND AVENUE 107
ST. PAUL MN 55102
(612)986-9722
- 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
" CITY OF FAGAN
// 3830 PILOT KNOB RD - 55122
681-4675v _
New Construction Requirements Remodel/Repair Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window saes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservatio Ian d lot platted after 7/1/93
required: _Yes K No
DATE:
CONSTRUCTION COST; 6 7, 000 .U9
STION OF WORK: S-F l?in/?r 1.1 rJ(6 ?/J? w
015E(ET ADDRESS: 5;2S0 51 g Lrrd AAGAtrte,u ix,- I4t & a I„/a,
LOT: BLOCK: 3 SUBD./P.I.D.#: L'or"oz4r. A-mrittJ i o.2
Name: ??ny?515l;f Kuur'ikf( L2r%ig Phone#: 6657-9901
PROPERTY Last Fist
OWNER
Street Address:
City ?7T. j?Aut State: M Zip: ? I `
Company: 6LAk r 64 dI t.O cl I M (G - Phone #: 913'1-b I SS "` 7y
CONTRACTOR '1
a ? t yS g ??l
Street Address: 6i q Doecn,&n10 /t Jff, 6rfa lb :7 License 4
City . ?/kJV , ,lA r?. State: 55-10 a p: ? IJ
ARCHITECT/
ENGINEER Company: P, o 044,x- Yz, l s Phone #: 1 002P-11$C)
Name: 1 o u..( C - -AcLe on Registration #: lq`S' S
Street Address: 62-5 k Wvj I p IJ rv
City
State: µ Pi. zip: S 5-4:,
Sewer & water licensed plumber (new construction only): Plorawrf{ PLJ Mt31 cid, Penalty applies when address chang
and lot change is requested once permit is issued. J 3 3 - 4 X51
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes
NV
11VI mcqu11CU
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
(( 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem.
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-plex _ ? 14 Fireplace
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
jl? 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
_I(( Basement sq. ft. 1177
//N Main level sq. ft.
1172-
sq. ft.
_ sq,
sq. ft.
ft.
sq.
?. ft.
?
Footprint sq. ft.
Building 4
Engineering
Permit Fee Valuation:
Surcharge
Plan Review
72 X /S ? G
License /I 77 X S 9 Q=
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SAN Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
/7
63?IZ $g'
t?
? 16 Basement Finish
? 17 Swim Pool
? 20 Public Facility
? 21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
OC?UC?
% SAC
SAC Units
r
* PIONEER
* engineering
* 4( * * 808.1
Certificate of Sur/y for:
p
So51
?f
/
yz.
/ 4A
A"%
ID SURVEYORS . CIVIL ENGINEERS
PLANNERS. LANDSCAPE AROMTECTS
DAN BROWN
f4RIAL HIGHWAY
Z' ED
3250 SIBLEY
808.0
x OVeJ.-V
Y
®(0
a
IV r i
/
N
809.3
81 v
? ?`?, 806.8 ?l9 L /
/ M! yuL
/ 0 `?c y \J ? i ? 81
/ o- ayjr;k T?;p
807.3 a .y
810 9, x
809 8 A(VC o
05.2
Nry Qx 808.1/
I i r
810.8
x
806.7 3AQ a`f n1
?2 r yt4
2422 Enterprise Drive
Mendota Heights, MN 55120
(612) 681-1914 FAX:681-9488
625 Highway 10 N.E.
Blaine, MN 55434
(612) 783-1880 FAX:783-1883
815.0
121.43 (plat)
E 101.89 (meas)
BENCH MARK
ELOEV.? 821 29.1
fir (e
4.6 °i
h 4826.0
818.0
6.7 x
4.1
0
ROp
O?/?wAYO
i
/U \
BENCH MARK
/ TOP OF PIPE / a
ELEV.aj320.46 x / ro
//,' '171 8200 .n? 827.1
14.21'0 ??- _ - / 823.9x
/oti At? x 829.9
3
O
UTILITY EASEMENT PER,/
1/rn 0 DOC. NO. 392150
ur)
^. Iry 1L---_834.2_Y
823.9
N89 54170W 165.64 (meas)
INGRESS AND EGRESS 184.20 (plat)
W
M
?D
M
O
cn
' -- EASEMENT PER BK.
NOTE: PROPOSED GRADES SHOWN PER GRADING PLAN BY, 292 OF DEEDS, PG. 634 PROPOSED HOUSE EL VATI N
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION:
OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND
FOUNDATION DIMENSIONS. TOP OF BLOCK ELEVATION: ZG-G
NOTE: NO SPECIFIC SOILS INVESTIGATION HAS BEEN COMPLETED ON THIS LOT BY THE 7
SURVEYOR. THE SUITABILITY OF SOILS TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION:
PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR.
NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN X 000.00 DENOTES EXISTING ELEVATION
THOSE SHOWN ON THE RECORDED PLAT. ( 000.00 ) DENOTES PROPOSED ELEVATION
- - - DENOTES DRAINAGE AND UTILITY EASEMENT
NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. DENOTES DRAINAGE FLOW DIRECTION
NOTE: BEARINGS SHOWN ARE BASED ON AN ASSUMED DATUM -? DENOTES MONUMENT
- 9 DENOTES OFFSET HUB
WE HEREBY CERTIFY TO DAN BROWN THAT THIS IS A TRUE AND CORRECT?REPRESEN.TATION,.OF,A
SURVEY OF THE BOUNDARIES OF: ?aa\?flo-,?I"'•`j?u Lam'"
LOT 4, BLOCK 3, LETENDRE ADDITION NO. 2
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS HOWN, AS SURVEYED BY ME OR
UNDER MY DIRECT SUPERVISION THIS 21„ST DAY OF JULY, 1998.
?[5s d '0 -24 -Qy- S NED' PIONEER ENG EERIN P. A.
S.zw.a- S•ovv-
SCALE : 1 INCH = 30 FEET piuwl l
4 98246.00 SWK John C. Larson, L.S. Reg. No. 19828
827.7
O
O
d
r
IP
837.9
CONTRACTOR'S MATERIAL & TEST CERTIFICATE
PARTS ?A && Cam- SPRINKLER & WATER SPRAY ABOVEGROUND PIPING (Fill Out Separate Certificate For Each Rrser)
PROCEDURE
UPON COMPLETION OF WORK, INSPECTION AND TESTS SHALL BE MADE BY THE CONTRACTOR'S REPRESENTATIVE AND WITNESSED BY
AN OWNER'S REPRESENTATIVE. ALL DEFECTS SHALL BE CORRECTED AND SYSTEM LEFT IN SERVICE BEFORE CONTRACTOR'S MEN
FINALLY LEAVE THE JOB.
A CERTIFICATE SHALL BE FILLED OUT AND SIGNED BY BOTH REPRESENTATIVES. COPIES SHALL BE PREPARED FOR APPROVING
AUTHORITIES, OWNERS AND CONTRACTOR. IT IS UNDERSTOOD THE OWNER'S REPRESENTATIVE'S SIGNATURE IN NO WAY PREI-
UDICES ANY CLAIM AGAINST CONTRACTOR FOR FAULTY MATERIAL, POOP WORKMANSHIP, OR FAILURE TO COMPLY WITH AP-
PROVING AUTHORITY'S REQUIREMENTS OR LOCAL ORDINANCES.
PROPERTY NAME
GAT
E
_ Stinar Comoration
_ _ 8-27-$4
PROPERTY ADDRESS '
_ 3255 Hi hwa IL Eagan, Minnesoat 55122
ACCEPTED BY APPROVING AUTHORITY('S) NAMES
MN O.S.H.A.
ADDRESS
PLANS 444 Lafayette Road, St. Paul, Minnesota 55101
INSTALLATION CONFORMS TO ACCEPTED PLANS: YES syy. NO ?
' EQUIPMENT USED IS APPROVED YES CI NO ?
IF NO. STATE DEVIATIONS
HAS PERSON IN CHARGE OF FIRE EQUIPMENT BEEN INSTRUCTED AS TO LOCATION
OF CONTROL VALVES AND CARE OF THIS NEW EQUIPMENT? YES Q? NO ?
IF YES, GIVE NAME. IF NO, EXPLAIN.
. INSTRUC.
TIONS HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE
CHARTS AND NFPA 13A BEEN LEFT ON PREMISES? YES NO ?
IF YES, GIVE NAME. IF NO, EXPLAIN.
HYDROSTATIC: Hydrostatic tests shall be made at not less than 200-PSI (13.8 bars) for two hours or 50 PSI (3.4 bars)
above static Pressure in excess of 150 PSI (10.3 ban). Differential dry-pipe valve clappers shall be left open during test to
TEST prevent damage. All aboveground piping leakage shall be stopped.
DESCRIP.
TION PNEUMATIC: Establish 40 PSI (2.8 bars) air pressure and measure drop which shall not exceed 1vs PSI (0.1 bars) in 24
hours. Test pressure tanks at normal water level and air Pressure and measure air pressure drop which shall not exceed 11h
PSI (0.1 bars) in 24 hours.
TESTS HYDROSTATIC: ALL PIPING. '
PNEUMATIC: DRY PIPING DRAIN
REQUIRED EQUIPMENT OPERATION: ALL,
SERVES BLDGS: -
LOCATION
MAKE MODEL SIZE QUANTITY TEMPERATURE RATING
SPRINKLERS GEM SSU 211 22 1650
OR
SPRAY
NOZZLES
MATERIAL AND KIND CONFORMS TO N. STANDARD
PIPE AND IF NONE, EXPLAIN
FITTINGS
A'L A R M DEVICE MAXIMUM TIME TO OPERATE THROUGH TEST PIPE
ALARM VALVE TYPE MAKE MODEL MIN. SEC.
OR FLOW
INDICATOR
Vane
Notifier
WFD
___
OPERATING TEST RESULTSI
TIME TO TRIP TIP TIME WATER ALARM
MAKE MODEL SER. THROUGH TEST PIPE WATER AIR POINT REACHED OPERATED
DRY NO. WITHOUT WITH PRESS. PRESS. AIR TEST PROPERLY
Q. O. O. Q. O. D. PRESS. OUTLET
PIPE
MIN. SEC. MIN. SEC. P.S.I. P.S.I. P.S.I. MIN. SEC. YES NO
VALVES
IF NO, EXPLAIN
OPERATION PNEUMATIC ? ELECTRIC ? HYDRAULIC ?
PIPING SUPERVISED. YES ? NO ? DETECTING MEDIA SUPERVISEOI YES ? NO ?
DOES VALVE OPERATEFROM THE MANUAL TRIP AND/OR REMOTE CONTROL STATIONS? YES ? NO ?
DELUGE
gl 15 THERE AN ACCESSIBLE FACILITY IN EACH CIRCUIT FOR TESTING? YES ? NO ?
IF NO, EXPLAIN
PREACTION
VALVES Does Each Circuit Operate Does each Circuit Operate Maximum Time To
MAKE MODEL Su ervision Loss Alarm? Vol" Release? Operate Release:
YES NO YES NO MIN. SEC.
ALL PIPING HYDROSTATICALLY TESTED AT ZOO -PSI FOR 2 HOURS
DRY PIPING PNEUMATICALLY TESTED. YES '? NO ?
EQUIPMENT OPERATES PROPERLY: YES H) NO ?
TESTS IF NO. STATE REASON
DRAIN TEST. READING OF GAGE LOCATED RESIDUAL PRESSURE WITH VALVE IN
NEAR WATER SUPPLY TEST PIPE: TEST PIPE OPEN WIDE
STATIC PRESSURE PSI PSI
NUMBER USED LOCATIONS - NUMBER REMOVED
TEST BLANKS none
WELDED PIPING YES ? NO XX
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY WITH THE REQUIRE-
MENTS OF AWS 010.9. LEVEL AR-3? YES ? NO ?
WELDING 00 YOU CERTIFY THAT THE WELDING WAS PERFORMED BY WELDERS QUALIFIED IN COMPLIANCE WITH THE
REQUIREMENTS OF AWS 010.9, LEVEL AR-3? YES ? NO ?
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A DOCUMENTED QUALITY CON-
TROL PROCEDURE TO INSURE THAT ALL DISCS ARE RETRIEVED, THAT OPENINGS IN PIPING ARE SMOOTH,
THAT SLAG AND OTHER WELDING RESIDUE ARE REMOVED; AND THAT THE INTERNAL DIAMETERS OF
PIPING ARE NOT PENETRATED? YES -? NO ?
DATE LEFT IN SERVICE WITH ALL CONTROL VALVES OPEN:
REMARKS - -
NAME OF SPRINKLER CONTRACTOR -
Carlson Automatic Fire Protection Company
FOR PROPERTY OWNER.(SIGNED) TITLE
SIGNATURES
FOR SPRI LE CONTRACTOR (SIGNED) - ?? p
TESTS WITNESSED BY TITLE DATE
ADDITIONAL EXPLANATIONS AND NOTES
(
i
I
PHONE 454-5242
EAGAN TOWNSHIP
3793 PILOT KNOO ROAD
ST. PAUL. MINNESOTA
14111
December 29, 1971
Dakota County Auditor
Hastings, MN 55033
Attention: Phyllis
Dear Phyllis:
A list of corrected first payments for street assessments in Sibley
Terminal Industrial Park due in 1972 is enclosed. They are as
follows:
PARCEL LOT BLK 1.X"iRA INTEREST FIRST PATMENT
b3267 5 1 43.31 382.26
b3266 6 1 79.65 702.97
b3269 & 70-7 1 51.90 458.05
b3271 & 72-6 1 52.60 464.24
b3273 & 74-9 1 46.04 4o6.36
b3276 11 1 93.91 828.87
b3277 1 2 100.75 889.24
b3278 2 2 52.67 464.89
b3279-A-3 2 39.42 347.94
b3480 4 2 42.31 373.44
b3281 5 2 40.04 353.42
b3262 6 2 34.08 300.77
b3263 7 2 52.81 466.09
b3284 8 2 58,96 520.36
b3285 9 2 76.95 679.16
b3288 10 2 54.92 464.74
SECTION 8
3090-c 16 60806 6?),O)i(69.27 611,43
3091 l b OC0 O6 D/D 7 V 243.97 2147.96
Please correct your records accordingly. We are sorry for any in-
convenience this error has caused you.
Tours truly,
Ann Goers, Assessments
/7 _
. . . a
. 0•*
258•U0+
13.00+
129.00+
_ 2.00+
402.00*
258.00+
13.00+
129.00+
2.00+
402.00*
. 1
1989 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCS.
MULTIPLE DWELLINGS RENTAL UNITS
FOR SALE UNITS i OF UNITS /
NOTEt ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED..
SEWER A WATER PERMIT FEES AND ACCOUNT DEPOSIT FEES WILL BE INCLUDED WITH THE BUILDING
PERMIT FEE. PROCESSING TIME FOR SEWER AND WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY APPLIES WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS REQUESTED.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED
tTloN OM 2 7?1+0
To Be Used For: Valuation: Date: /S p I
Site Address
Lot Jl_ Block a _
Parcel/Sub J III&i 6hpA)"n&L j, AL
Owner Ii?t es-4 i f os-l .
Address
City/Zip Code
Phone
,??
Contractor C+6 a
Address c, A ?lry-.-
t`
City/Zip Code
It
Phone
Arch./Engr. ht- c_.&L10
Address
1(*
MULTIPLE DWELLINGS
. 1R'
COMMERCIAL
2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
(CHECK WITH BLDG DIV.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS. 1 SET OF ENERGY CALCS.
Occupancy Q-Z
Zoning -1
Actual Const =-N ! PfQ
Allowable
A of stories
Length X60'
Depth 30'
S.F. Total
Footprint S.F.
On site sewage
On site well
MWCC System
City water
PRV required
Booster Pump
APPROVALS
Planner
Council ?
Bldg. Off. W-1 Variance
FEES
Bldg. Permit 25-6L o0
Surcharge 13,00
Plan Review )P9. 11>D
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies o?
SUBTOTAL
Penalty
-
TOTAL 75-9
77-2
f /
City/Zip Code
Phone # ??
i
a
ro
r -
rp? m
d ? Y i. d
d
a
? ? alb d
A1d a
? r
= o
1
TF1?
I
PF S
Omm
s eFA
SURF.TIIERT
E.C.O. SYMBOL BY DESCRIPTION
---------------
1
J
i
J
YI
J
l
0
at
B?
J
3
LL
f?
r
.R &Zffat CORPORATION
HIGHWAY
3255 SIBLEY MEMORIAL
M, TOLGAACEf .
ST. PAUL. MINNESOTA 55121
BATE te-e AS ROTEDI PHONE 612/454-5112
MAW DECAAAL CpMTIMCT MD.
MATERIAL COOL ID. M0.
CM , FRACTgxAL WMIANG MIA OIIAWiIM MO.
Aeon
AMauuR
r8 "M
Avvo
1P
F
i^7r,?+n,av ilv"AQy
MEMO T0: PAT GEAGAN - POLICE DEPT.
ED KIRSCHT, SR. ENGINEERING TECH.
CRAIG KNUDSEN, ENGINEERING TECH.
TOM COLBERT, DIRECTOR OF PUBLIC FORKS
JIM STURM, PLANNING DEPT.
JON HOHENSTEIN, ADMINISTRATION
BILL AKINS, ELECTRICAL INSPECTOR
JOE CONNOLLY, WATER DEPT.
FROM: DOUG REID, CHIEF BUILDING OFFICIAL
DATE: JtiNC Z8/ /989
The preliminary construction x
plans for 30'Xc/0' OPF16E Ar01T/0/l F01Q ST/NAR CORK
are in our plan review section for your review and comments.
Please return this form to Joe Merchak with your initialed comments and the
date of review. Failure to return foam to Joe within five (5) days will be
considered your approval. If you have any objections to approval of these
plans, it is your responsibility to notify this department and resolve any
problems.
Thank-you.
/JS
?vt 4_ /:?(f )
(Signature) te)
city of eagan
THOMAS EGAN
Mcvor
October 3. 1997
MR LARRY GRELL
ECI BUILDING CONTRACTORS
1355 MENDOTA HTS RD 9180
MENDOTA HEIGHTS MN 55120
RE: BUILDING ADDITION
STINAR CORPORATION
3255 SIBLEY MEMORIAL HIGHWAY
LOT 4, BLOCK 2, SIBLEY TERMINAL INDUSTRIAL PARK
Dear Mr. Grell:
PATRICIA AWADA
BEA BLOMQUIST
SANDRA A. MASIN
THEODORE WACHTER
Ceunol Memcera
THOMAS HEDGES
City .Admnstrctor
E. J. VAN OVERBEKE
ON Clerk
This letter is to notify you that I am unable to complete my review of the construction documents
submitted to our office for the above-referenced building addition without a complete code
summary. As previously discussed in telephone conversations, correspondence, and a meeting at
the Municipal Center, a code summary is required on the plans prior to permit issuance. The
purpose of a code summary is to show how the architect reached his/her calculations. With this
information, I am then able to check these figures against the State Building Code for
compliance. For your convenience, I have enclosed a sample code summary.
In an effort to expedite this process, I have done a preliminary review of the construction
documents. This review is not intended to be an exhaustive and comprehensive report. It is our
goal that this review will help you in complying with the applicable codes and we are, therefore,
requesting that the following items be addressed:
Plans must be revised to show a code summary on the cover sheet (enclosed).
A completed Special Inspections and Testing Schedule signed and dated by all involved
parties -Sec. 1063.5 and U.B.C. Chapter 17 (enclosed).
Doors leading into corridor shall open in the direction of exit travel, have a 45-minute fire
protection rating, and be maintained as self-closing -U.B.C. Sec. 1018.
MUNICIPAL CENTER
3830 PILOT K110B ooAD
EAGAN, rAr PIP ?iti 55122-1897
PHONE. (612) h8 1-4b00
FAX-(612)c31 Aci2
TDD (612) a=sY
THE LONE OAK TREE
THE OF STRENGTH AND GRONrTFI IN OUR COMMUNITY
-4uv1 (3pporfunlfy/Afhrrr.,Fivr A: Yvon Er?f;iC/5r
MAINTENANCE FACILITY
35,31 CO;,L:-N1AN POI[IT
EAG it i.?'1HESOTA =,.512=
FP,G?.E Cc'2i 6A1.43C0
FF?' . ... SO
41 , , -
4. Revise plans to show accessible route on exterior of building - U.B.C. See. 1103.1.1.
5. Show how 3/4 CF1vI per square foot is being met - U.B.C. Sec. 1202.2,4. State amended.
6. Revise plans to reflect dust-collecting and exhaust system and their routes to the exterior.
Please note, exhaust ducts shall not extend into or through ducts and plenums as required
in Sec. 1202.2.3 and Sec. 307.8.
7. Revise plans to show that smoke and fire dampers will be installed and be accessible for
inspection and servicing - U.B.C. See. 713.10 and Sec. 713.11.
8. Show locations of fire department hose connections - U.B.C. Sec. 904.1.1.
9. Indicate locations of exit signs - U.B.C. Sec. 1013.1.
10. Revise plans to show location of roof access - S.B.C. Sec. 1300.4500.
11. On plans, indicate required amount of recycling space above and beyond that is needed
for the existing building - S.B.C. Sec. 1300.4700.
12. Provide a section view of roof/ceiling assembly - U.B.C. Sec. 1063.4.2.
13. Revise plans to indicate maximum height of urinal rim is 17".
14. Provide verification that lot combination has been approved and recorded at County
Recorder's Office.
15. Revise plans to show what kind of surfaces surround the building and their boundaries.
If I can answer any questions or concerns you may have, please feel free to contact me at 681-
4379.
Sincerely,
Franklin Martin
Building Inspector
FM/js
Enc.
cc: Doug Reid, Chief Building Official
Dale Schoeppner, Senior Inspector
Dale Wegleitner, Fire Marshal
,yea, j,1 ?Zox . -4?4.
TO: PAT GEAGAN, CHIEF OF POLICE I`;`72tT
JON HOHENSTEIN, ASSISTANT TO THE CITY ADMINISTRATOR ON TDP p? F/1_t5
DALE WEGLEITNER, FIRE MARSHAL
ELECTRICAL INSPECTOR Ljj?jJdt/bT p? F'L410
PUBLIC WORKS/ ENGINEERING DIVISION /UTILITIES/STREETS
GENE VANOVERBEKE, FINANCE DIRECTOR n /mow'
RICH BRASCH, WATER RESOURCES COORDINATOR
MIKE RIDLEY, SENIOR PLANNER
GREGG HOVE, SUPERVISOR OF FORESTRY
FROM: FRANK MARTIN, TEMPORARY BUILDING INSPECTOR
DATE: fP4V6T-1J1,1f?7 1P,)D177&V 7D tW--5 7A(Ae
The _ preliminary X construction plans for 3255 SrEy7yJ?iy?D/LfigLt/??Y
are in our plan review section for your review and comment.
Please return this form to Dale Schoeppner with your signed comments and the date of
review. If you have any concerns with these plans, please so indicate on this form and notify and
resolve these issues with the affected parties. If you are requesting that issuance of the building
permit be held, please fill out the proper "hold" request form.
Comments:
Indicate any fees that are to be collected with the building permit:
AMOUNT
? Yes ? No
? Yes ? No
? Yes ? No
? Yes ? No
landscape security required
water quality dedication
park dedication
trail dedication
tree dedication
ZONING?
? Yes ? No
? Yes ? No
Signature
Date
WFORMS-BLD/PLAN REVIEW/FRANK M
L CITY USE ONLY RECEIPT* ? 7 5 5
SUBD. ??• RECEIPT DATE:
APPROVED BY: ,INSPECTOR
1998 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3850 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for all commercial1industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: ?/- 20- g CONTRACT PRICE: 000
WORK TYPE: NEW CONSTRUCTION X INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: NP !-AIDS L)
&"k IS Tr .JG ?Bi.?J % 0orx/,
FEES: 1 % of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x I%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE
TOTAL
4 U?'
4
($.50 per $1,000 of Permit fee due on all permits.)
SITE ADDRESS: S Z .5S 5/? L?? lY1 ?nlos2 I,a C? 9'1L-x16'1 W f?
OWNER NAME: I JA 2 GU21,7-al111 T/0d PHONE #: 4 S4-SI1 Z
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER:
ADDRESS: Z2y S S. N w f' 8 PHONE #: 7 IS- f 8' ? _ y Z/I
STATE: 14,& ZIP: S-'¢D2¢
SIGNATURE OF PERMI
CITY USE ONLY
LOT BL RECEIPT #:
SUBD. RECEIPT DATE:
199$ MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EABAN MN 55122
X120 (612) 681-4675
Date:
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied'
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
• State Surcharge: .50
• TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace Install air conditioning
Install air exchanger, i.e. Vanee system, etc. Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surcharge .50
Total: $ 20.50
SITE ADDRESS: 32.S5' SIR,[-er l ?yl rkozi¢L Hl t-?qw,e )-4
OWNERNAME: STl N,&/G GC?? 002 rlO.J PHONE#: 4 S9-S // Z
INSTALLER NAME: !?;?2Gl.uG -D[YSs a...1 PHONE #s, 71l-) 4 3 - 9 2 I
STREET ADDRESS: Z2 ()5- a, S. 1f W,? 8
CITY: ST UZOlX P19 L cS STATE: 4J" IP: -9402 g
SIGNATURE OF PERMITTEE
]S/FORMS BLD/MECH PERMIT (RES) - 1998
G tj a
L ()CATTY USE ONLY RECEIPT C? /o
,Cdr%- ifZ. 13 t 0
SUBD. RECEIPT DATE:
APPROVED BY:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
8630 PILOT KNOB RD
EAGAN, MN 55122
(612) 661-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: /o, CONTRACT PRICE: /lJ1v; t2o ?
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK: A,10Q,4 -.lPr D Wr?6 ' k7kOiOZ4 S e faa a14L-4,f',9i/Z
FEES: I % of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATESURCHARGE
TOTAL
SITE ADDRESS:
Ivbo'
Oo '4 ?
/U & /• 00
3ds-j, s, d,
($.50 per $1,000 ofpermit fee due on all permits.)
OWNER NAME: S TrAl aZ - . PHONE #: 5/,C-V 2-
TENANT NAME (IMPROVEMENTS ONLY):
INSTALLER: C A Q?fcr WrZ? e R lC $ Ne
ADDRESS: / /I le i Nagy 2.d. PHONE #: eL ¢8' y76 ?l
CITY: d H,.rKA STATE: hit n1 G f; ZIP: iS^ . 3
06;? A6 142.91-1
SIGNATURE OF P ITTEE
fi`.v?-moo l? .
)0`431f
CITY USE ONLY
LOT BL
SUBD.
RECEIPT #: _
RECEIPT DATE:
199$ MECHANICAL PERMIT (RESIDENTIAL)
crrY OF EAGAN
3630 PILOT KNOB RD
EAGAN MN 55122
(612) 661-4675
Date:
Complete this section only if you are installing HVAC in single family, townhomes or condos under
construction and not owner /occupied'
HVAC: 0-100 M B T IT $ 24.00
ADDITIONAL 50 M BTU 6.00
, Gas outlets ( minimum of one required @ $3.00 ea.)
, State Surcharge: .50
, TOTAL:
Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical permit is not required for alteration/add-on to ductwork in
existing residential units; but is required for the following:
Install furnace
Install air exchanger, i.e. Vanee system, etc.
Minimum fee applies to all remodel or add-ons of existing residences
State Surcharge
Install air conditioning
Other
$ 20.00
.50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE #:
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE: ZIP:
PHONE #:
SIGNATURE OF PERMITTEE
)S/FORMS BLD/MECH PERMIT (RES) - 1998
67 N
ENVIRONMENTAL MANAGEMENT DEPARTMENT
GROUNDWATER PROTECTION SECTION
14955 Galaxle Avenue • Apple Valley, MN 55124
952.891.7557 • Fax 952.891.7588 • www.co.dakota.mn.us
MUNICIPAL NOTICE OF WELL PERMIT APPLICATION
DATE: May 25, 2004
TO: Tom Colbert/Wayne Schwanz (EM)
RE: Well Permit #: 04-11222646-648
Municipality: Eagan
Fax #: (651) 675-5694
Well Type: Monitor well
Environmental Specialist: Luehrs
The Water and Land Management Section of the Dakota County Environmental Management Department 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 listed above or our office at
(952) 891-7011. If there is no response from your office within 24 HOURS (excluding weekends and holidays), we
will assume that you have no objections to the issuance of the permit. Please note that permit issuance is always
conditioned on the permit applicant's observance of and compliance with all applicable state, county, and municipal
laws and codes.
Well Contractor:
Date Application Received:
Anticipated Drilling Date:
Anticipated Grouting Date:
Property Owner:
Well Owner:
WELL LOCATION:
Don Stodola Well Drilling Co.
5/20/2004
Time:
Time:
Stinar Corporation
Stinar Corporation
PLS Coordinates: SW-1/4, SE 1/4; NE-1/44, SE-114, Sec 8 Town 27 Range 23
Street Address: 3255 Sibley Memorial HWY
PIN Number: 106805004002
WELL INFORMATION:
Diameter: 2
Casing Depth: 90
Total Depth: 95
Static Water Level:
Aquifer:
COMMENTS:
Connection I Comments I
Eagan Building I Eagan dderretopment Permits
owner I Eagan Asse JSWes Eagan Property 1 Eagan
Parcel ID 1 04002
Address 3255 SIBLEY MEMORIAL HWY
Owner 1
Owner 2
Owner 3
Owner 4
Search FIGS P Search House 3255
SIBLEY MEMORIAL HWY
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STINAR HG INC
3255 SIBLEY MEM HWY
EAGAN MN 55121
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