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1544 Skyline Dr41t11111 C!tyofEaaali 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 MIL 14 REC'D twice Uqoqo se Permit #: Permit Fee: 6�' 0 0 Date Received: Staff: 2009 MECHANICAL PERMIT APPLICATION 1 J Date: Site Address: Tenant: Suite #: RESIDENT / OWNER Name: Corm r tr ‘&5--,eC Phone:a/- r�-�.F 9 7 / Address / City / Zip: AC1719- 57,1-, t, rfi' a, - CONTRACTOR (MIDLAND HEATING AND AIR , 413 WEST 60TH ST MINNEAPOLIS, MN 55419 612-869-3213 License #: State: Zip: Person: TYPE OF WORK "! New /h Replacement Additional Alteration Demolition ssuminiemo re" 7,ha-- 36 6 - NOTE: Both roof mounted and ground mounted mechanical equipmennt is required to be screened by City Code. Please contact the Mechanical inspector or one of the Planners for information on permitted screening methods. PERMIT TYPE RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement a Install Piping Processed n AI Conditioner e Gas Exterior HVAC Unit Air Exchanger Heat Pump Under / Above ground Tank ( Install / Remove) ** When installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector Other FEES: $50.50 Minimum Add-on WOWRESIDENTIAL or alteration to an existing unit (includes $.50 State Surcharge) out appliances, ductwork, etc.) (includes $.50 State Surcharge) �� � TOTAL FEE $90.50 Fire repair (repine burned COMMERCIAL FEES: $70.50 Underground tank $50.50 Minimum (includes installation/removal OR State Surcharge) surcharge is $.50. increases by $.50 for each Permit Fee requires a $1.00 surcharge). Contract Value $ x 1% $ Permit Fee - If Permit Em is less than $1,000, = $ State Surcharge - If Permit Fee is > $1,000, surcharge $1,000 Permit Fee (i.e. a $1,001-$2,000 $ TOTAL FEE 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 of 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 inj(e case of '. rk which required a review and approval of plans. aXpplicant's Print N me x/✓ re,6) Applicant's Signature FOR OFFICE USE Required Inspections: Under Ground Reviewed By: Date: Rough In Air Test Gas Service Test .�. Exterior HVAC Screening inspection Final !1C / OFFICE USE ONLY This request void 18 months from wlidalion date prin ed in his hon. Jr ?/ es-59- III I II I ?II II IIIIII IIII II?II I?I IIIIh ? 19 1 6 / ?'IYK.w ?w ? 9 I II ?y J * 0 4 5 5 8 5 5 7* ? / ? / PLEASE PRINT OR TYPE/ Request Rooghin inspection requimdE es ? No Inspection Other Than RoughAn: ? Ready Now ill Call yap (You must coll the inspe br ready, Rea I, l9licensod contractor ? owner hereby request inspection of a .hove electr- I work aY -pJ Job Addss oute Nol R city 2i /s ? 4& Section No. Township Nam or No. Rarge No. Fire No. Ca 17 ? ? roof °?'pom 1 Y Phone No. '/36 -3 <E ?Dm?s L/F4 7T .3.5o Power Supplier Address oeT E Conhocl« (Ca ny Name, Conhador License No. Mosier Bc. No. (Plan Elect Only, si?se ??er?Cic 1/uc. D/Y3Z 'ling Address (Cantraawr or Owner Pedor ing Immlfl ionJ 9yv ? .1?iV ?v?y r 7 dO. LOa?x,--- Aulhari nature hector Performi Instollahon Ph N /-Y/ee EBOOOOIA-11 8/96 STATE BOARD COPY - SEE INSRiUCTIONS ON BACK OF YELLOW COPY A/ rl ©?. REQUEST FOR ELECTRICAL INSPECTION/ `/ 455-855 Minnesota State Board of Electricity 1821 t 1-2,ersity Ave., Rm. S-128, St. Paul, MN 55104 Pr'.;IpR2) 842-0800 Home Du lex Apt. Bldg. Other: New Addn Commercial Industrial Farm Remod Re air Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other: Dryer Range Elec. Heat Temp. Service "X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only. 20014 - 2Sb ?c?C? - ?I- Zo U- So (- _ ??? 3tis?tvlu Calculate Inspection Fee - This Inspection Request will not be accepted without the correct fee: Other Fee tt Service Entrance Size Fee it Circuits/Feeders Fee Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps on Sheet Ltg./Traffic Sig. Above 200Amps Above Amps Transformer/Generator INSPECTOR'S USE ONLY Tp SO Sign/Outline Ltg. Xfmr. Q Alarm/Remote Control Swimming Pool t h«ebry o 1hm t ms the el«m a' s< 6ed herein o" the dm Irrigation Boom koughln ante Special Inspection _ Investigative Fee T -1 Final 11 THIS INSTALLATION MAYBE ORDER D DISCONNE IF NOT COMPLETED WrrHIN 19 MONTHS. INSPECTION RECORD CITMF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: PERMIT SUBTYPE: TYPE OF WORK: INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR. RF.MAR1Xgi`- S & W PlAik VALi.EY P1.k(.i 7 Permit No. Permit Holder Date Telephone # -ELECTRIC PLUMBING HVAC (I G Inspection Date Insp. Comments FOOTINGS s?0 y «/Q FOUND -7 FRAMING .y (((l ! G!? ROOFING ROUGH PLUMBING 7 _9 PLBG AIR TEST ROUGH HEATING _ .97 GAS SVC TEST q INSUL GYPBOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL BSMT R.I. BSMT FINAL DECK FTG DECK FINAL 'w Wertifica#e of CccuVauc? 4AM of Wagan T)egaxtmCUt of J3XMi9g ;3njdpection 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 Classification: SF Ds Bldg. Permit No. 2Q633 O-UP-y Type R3/U I Zoning District RI Type Co,.t. VN owsvor uilding T.TFF R HIES TW, Address 12450 12TH ST N, LAKE FAD Building Address 1444 SKYLUE DRIVE L wit, 1+3, B2, )ETA5H Bum" ofr.:w POST IN A CONSPKXMS PLACE Address, 1544 SKYLIlE DRIyE Zip 5512 1 Lot 3 Blk 2 Sub Magi THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: (o Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway Permanent gas Sod/Seeded grass Trail/curb damage Porch c/ Basement finish t/ 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 651-4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy 1NSFEU ION REUUKD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE {lhrl ? III ! II',{{ PERMIT SUBTYPE HO f1 {sINI• H t; 7.36 HR/03/40 9. in I s o %7.7 ev-wjW Va., I u I- :i t3 t r+i K s APPLICANT: kYi IMF PV I I+ TYPE OF WORK: IJ LI F L I:I IMARV1;r PI AN R{:VItLAt 0 HY P I I I_ AItA141; `4' ` It I Permit Holder Date Telephone t PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TEST BSMT R.I. BSMT FINAL DECK FTG Z?I l/ DECK FINAL __ INSPEUrl,,ION RECORD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 SITE ADDRESS: APPLICANT: I PERMIT SUBTYPE: TYPE OF WORK: 4;ii 1 ! I1 i f?fi 43tf J03/qfl If10111W4 Vl'Mfsttk`_':r PLAN RFVII'WTD BY fill I ADAM;. ':I PARA'IFF PFIRMIT RFQlJII?I'ff VOR ANY 4s111111R)Ns, WOW CAI I '14R -.',f;40 RF0APD I N(, f t E f 4It I i AI PFIRM I T AN II IN `.,NF V I I I)ly Permit Holder Date Telephone M PLUMBING _ g/y 9 HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DOMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TFST BSMT R.I. BSMT FINAL DECK FTG DECK FINAL CITY OF EAGAN CASHIER: S TERMINAL NO: 767 DATE: 07/31/98 TIME: 15%48:32 ID: NAME: JERALD DORETHY 3210 9001 1544 SKYLINE DR 50.00 2155 9001 1544 SKYLINE DR 0.50 3210 9001 1544 SKYLINE DR 50.00 2155 9001 1544 SKYLINE DR 0.50 Total, Receipt Amount- 10i.00 CRO95547 USER ID: NANCY #?kX??k?X?? X?X?XcXc?%c%k??%??k#**X??k#?Xc*Xc#?kc?X?#X??C?k?*?k CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: BUILDING Permit Number: 0 3 2 7 3 5 Date Issued: 08/03/98 SITE ADDRESS: P.I.N.: 10-20300-030-02 1544 SKYLINE DR LOT: 3 BLOCK: 2 DELOSH DESCRIPTION: BASEMENT FINISH ALTERATION 434 ALT. RESIDENTIAL Permit Type ng tvrk Type 3- { Pf ' f S imy S '+'r[. rsma R ki ...1.?5 "-.t w`€ iC? y? n?..? REMARKS: PLAN REVIEWED BY BILL ADAMS. SEPARATE PERMIT REQUIRED FOR ANY PLUMBING WORK. CALL 445-2840 REGARDING ELECTRICAL PERMIT AND INSPECTIONS. FEE SUMMARY: Base Fee .$50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: 4 OWNER: - Applicant - JERALD DORETHY 1544 SKYLINE OR EAGAN MN 55121 (651)688-2226 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) New Construction Reouirements Remodel/Repair Requirements :? So,S?D c? 9.?-?-r-31- ? 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 preservation plan if lot platted after 7/1193 required: Yes _ No Q/ 00 DATE: CONSTRUCTION COST;Y/A? 0621) DESCRIPTION OF WORK: Fi k 4 J i3 AC 111Fe1T " I ADDRESS: LOT: 3 BLOCK- SUBD./P.I.D.* ogL tLf// / . d .`Di? Name: OORK 1 fl V k I cL Phone #: (? ??' (? D IS " 2G F? PROPERTY Last First OWNER , r, . . i. K-) Street Address: City State: / -/ A Zip: 53 2 I Company: C I?? Phone CONTRACTOR Street Address: License # City ARCHITECT/ ENGINEER Company: Phone #: Street City Sewer & water licensed plumber (new construction only): and lot change is requested once permit is issued. Penalty applies when address chang read this application and state that the information is correcZan,,ree to compI ith all applicabl City of Eagan Ordinances. Signature of Applicant: USE ONLY CITY OF ILAGAN 3830 PILOT KNOB RD - 55122 681-4675 Yes No Tree Preservation Plan Received _, Yes - No - Not Required State: Zip: Registration #: - State: Zip: r ? OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging A 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 .Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE ? 31 New X 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. 7 Depth Footprint sq. ft. SAC Code 4 Census Bldg Census Unit APPROVALS Planning Building _4E6- Engineering Variance Permit Fee Valuation: $ 27 D d Surcharge Plan Review License MCNVS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SAN Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies jilt Total: i % SAC SAC Units CITY USE ONLY Q /_ ?r L BL ? RECEIPT M / (p? `? ® p// SUED. hp-fl2Lv RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, tM1 55122 (612) 681-4675 Please complete for: ? single family dwellings D townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH # Shower 3.00 x _ Water Closet 3.00 = Bath Tub .00 x Lavatory 3.00 = x Kitchen Sink 3. x = Laundry Tray 3.00 = Hot Tub/Spa 3-00 x = Water Heater 3.00 = Floor Drain 3.00 x = Gas Piping Outlet * minimum - t 3. X = Rough Openings .50 x = Water Softener * for dwellings under construction 5.00 x = Water Softener * for existing dwelling 20.00 x = U.G. Sprinkler * for dwelling under const. 3.00 - U.G. Sprinkler * for existing dwelling 20.00 = Alterations * to existing residence 20-00 = Water Turn Around 20.00 - Private Disposal System * MPC lic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = RPZ (new installation only) 20.00 = STATE SURCHARGE TOTAL TOTAL .50? ?fjD I -- ---- - ----- --- ----- -°-------- -- --- --- ------ ---- --- ------ hereby acknowledge that have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-wayleasement. SITE ADDRESS: OWNER NAME: INSTALLER NAME: I 1- / TELEPHONE M ??-/ - (M - 2 )zG STREET ADDRESS: `'f CITY:/7 STATE: TURE OF ZIP: ! -? CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1998 CITY OF EAGAN CASHIER.: S TERMINAL NO: 767 LATE. 07/31/98 TIME: 15:48:45 III: NAME: JERALD DORETHY 321.0 9001 1544 SKYLINE DR 50.00 2155 9001 1544 SKYLINE DR 0.50 3210 9001 1544 SKYLINE DR 50.00 21.55 9001 1544 SKYLINE DR 0.50 Total Receipt Amount- 101..00 CRO95547 USER ID: NANCY CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 PERMIT PERMIT TYPE: Bgjj p3JNG Permit Number: Date Issued: 08/03/98 SITE ADDRESS: P.I.N.: 10-20300-030-02 1544 SKYLINE DR LOT: 3 BLOCK: 2 DELOSH DESCRIPTION: Building..Permit Type rBuilding Work Type ?Census Cade DECK NEW 434 ALT. RESIDENTIAL REMARKS: PLAN REVIEWED BY BILL ADAMS. FEE SUMMARY: Base Fee $50.00 Surcharge $.50 Total Fee $50.50 CONTRACTOR: .P OWNER: - Applicant - JERALD DORETHY 1544 SKYLINE DR EAGAN MN 55121 (651)688-2226 Papplication and state that the I hereby acknowledge that I have read this Information is correct and agree to comply Statutes and City of Eagan Ordinances. with all applicable State of Mn. SUED BY: SIGNATURES 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF F.AGAN 3830 PMOT KNOB RD - 55122 ?- q a ?J ?0 651-4675 New Construction Requirements Remodel/Repair Requirements C • 3 registered site surveys • 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) • 1 energy calculations • 3 copies of tree preservation plan if lot platted after 711/93 required: _Yes _ No DATE: ?JUL O, I g 9R • 2 copies of plan • 2 site surveys (exterior additions & decks) • 1 energy calculations for heated additions 'All CONSTRUCTION COST; ,SDD DESCR ION OF WORK: STREET ADDRESS: I Sit y Jrrv ?I R LOT: , 3 BLOCK: 2 SUBD./P.I.D.#:?g /i2S/7 /i`oLoLl V/D? Name: f2.)'R ia, z f-Ag 1 Phone #: ZZ-1- C?90?' 2.? z ? PROPERTY Last First OWNER c Q 1 ' 5k Street Address: 4 . „1. , - ,, City State: /?i /y Zip: Ll CJ z f Company: Phone #: CONTRACTOR Street Address: License # City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State: Zip: Sewer & water licensed plumber (new construction only): Penalty applies when address Chang and lot change is requested once permit is issued. have read this application and state that the information is correct and agree to com I 'all applicabi i nd City of Eagan Ordinances. 3 O Signature of Applicant Iw ICE USE ONLY Certificates of Survey Received A- Yes No Tree Preservation Plan Received - Yes No Not Required I Ah a BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 02 SF Dwelling ? 07 4-plex ? 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 _-plex WORK TYPE A,31 New ? 33 Alterations ? 32 Addition ? 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning OFFICE USE ONLY ? 11 Apt./Lodging ? ? 12 Multi Repair/Rem. ? ? 13 Garage/Accessory ? ? 14 Fireplace ? A 15 Deck ? 36 Move ? 37 Demolition Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building 4129 Engineering Variance Permit Fee Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: Valuation: $ 06 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 % SAC SAC Units j dO:CO L6-OZ-CO ** * * PION, * nngln .k * * 1 Certificate of Survey for: 8210 ava 7v GV Ill W, .., (013,0 r--------•--? EAGAN VIEWE mr_ BY DATE BUIL ING INSPECTION 4C Ll ! ? 7TV r d 4 l?° 4 ? o V 3 :SU=N 2422 Enterprise DriVe Mandota Heights, MN 55120 (612) 661-1914 FAX-661-9486 075 Highway 10 N.E. Biaine, MN 55434 (612) 783-1680 FAX:763-1883 HOMES - I° I I P1 ( jA/ ? `r 1 .ohs ? ?Y I 837.5 844.81 X C'344.3) ?.• 848.9 838.3 1044 SKYLINE DRIVE (ID3 8.3) 5 841.7 I PA y 4 rll , ... Z O U w z 1 ? J V BENCH MARK TOEV?F839 64 SERVICE LOCATION FOR PLANS? BYOOTHERS-R - oa 39,71 N " BArL.5 tl4tl.61 -- ` 3,33 • ..._ 55. ~L g4?f?5 -- ---?• y 85 .7 i S ? r n 1 ? n r C4 MH. 839.9 INV. OSERVICE ` as S89e4 25 W 85,00 839.4 846.1 SKYLINE DRIVE ,-BENCH MARK TOP OF PIPE ELEV.=852.29 ?,-SANITARY SEWER LINE 849.8 ------- WATER LINE 047.8 0 n NOTE PROPOSED GRADES SHOWN PER GRADING PLAN BY: DEVELOPMENT ENO. 890POSEO HOUSE ET VAIJON NOTE: SOLVING DIMENSONS SHOWN ARE FOR HORIZONTAL AN VERTICAL LOOATION LOWEST FLOOR ELEVATION: 041,(& OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDINO AND FOUNDATION DIMENSIONS. - pJ qr7 TOP OF BLOCK ELEVATION: NOTE: NO SPECIFIC $OILS NVE07HIATION HA5 DEEN COMPLETED ON THIS LOT BY THE SURVEYOR. THE SVITAMUTY OF 3011.3 TO SUPPORT THE SPECIFIC HOUSE GARAGE SLAB ELEVATION: 5, PROPOSED IS Nor THE RESPONSIBILITY OF THE SURVEYOR. X 000.00 DENOTES EXISTING ELEVATION NOTE: THIS CERTIFICATE DOES NOT PURPORT TO SHOW EASEMENTS OTHER THAN ( 000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOVM ON THE RECORDED PLAT. .-.. .•-. ?. DENOTES DRAINAGE AND UNL17Y EASEMENT NOTE; CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. -•? DENOTES DRAINAGE FLOW DIRECTION -4 DENOTES MONUMENT NOTE; BEARINGS SHOWN ARE BASED ON AN ASSUMEO DATUM 8 DENOTES OFFSET HUB WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: LOT 3, BLOCK 2, DELOSH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS , EXCEPT AS SHOWN, AS SVRVE BY ME OR UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF MARCH, 1887• SIG PIONEER EN INEER C, P.A. SCALE : 1 INCH x 30 FEET 13Y. r 3_97084,00 SWK REVISED 3-20-97 SHOW SERVICE FOR LOT T 060fin C. Larson, L. S. Reg. No. T9e28 T 0 'd L .3 B SUBD_ I2Q6li NEW RECEIPT # 90/Dl RECEIPT DATE DATE G? I TC .IC PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE AB VE ELECTRICAL INSTALLATION IN THE AMOUNT OF $ SHORTAGE MUST BE PAID WITHIN 14 DAYS. REMARKS PERMIT # 7 fss ORIG RECEIPT RECEIPT DATE -__f'? PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE. THANK YOU! OWNER 0 - 100 AMP SERVICE _ ' / L J BL .'- CITY USE ONLY RECEIPT#: ' /g S` nn nn //?? `o? 7` SUBO. ?( //u-nL RECEIPT DATE: 7 CP 10 ? 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? single family dwellings townhomes and condos when permits are required for each unit New construction Add-on furnace Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Date: 9 FEES ? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00 ? HVAC: 0-100 M BTU Additional 50 M BTU 6.00 ? Gas Outlets (minimum of 1 required @ $3.00 each) ? State Surcharge .50 TOTAL SITE ADDRESS: ?I OWNER NAME: X ZAIU? PHONE#: ?I SYn -?3 s`? INSTALLER NAME: CEDAR VALLEY HEATING & AIR PHONE* STREET ADDRESS: CITY: INVER 55077 STATE: ZIP: 14 °V4 JA e. a SIGNATURE OF PERMITTEE CITY USE ONLY L BL SUED. RECEIPT#: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION DESCRIPTION OF WORK: INTERIOR IMPROVEMENT FEES: $25.00 minimum fee or 1% of contract price, whichever is greater. Processed piping - $25.00 State surcharge of $.50 per $1,000 of permit fee due on all permits. CONTRACT PRICE x 1% PROCESSED PIPING STATE SURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TELEPHONE #: TENANT NAME: (IMPROVEMENTS ONLY) INSTALLER: ADDRESS: CITY: PHONE #: STATE: SIGNATURE: ZIP: SIGNATURE OF PERMITTEE CITY INSPECTOR all commercial/industrial buildings. multi-family buildings when separate permits are not required for each dwelling unit. CITY USE ONLY L BL RECEIPT #7 EI T A-r& SUED. P .._ REC D 1997 PLUMBING PERMIT (RESIDENTIAL): - CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for. single family dwellings townhomes and condos when permits are required for each unit backflow preventer for underground sprinkler system FIXTURES EACH ?(Q TOTAL Shower 3.00 x I 3 ' Water Closet 3.00 x Bath Tub 3.00 x Lavatory 3.00 x_, Kitchen Sink 3.00 x 1 Laundry Tray' 3.00 x = Hot Tub/Spa 3.00. x = Water Heater 3.00 x 1. Floor Drain 3.00 x i = 3-, Gas Piping Outlet " minimum -1 3.00 x 1 =- Rough Openings 1.50 x _ ' . Water Softener ' for dwellings under construction 5.00 x = Water Softener " for existing dwelling 20.00 x = U.G. Sprinkler " for dwelling under cont. 3.00 U.G. Sprinkler 'forexisting 'dwelling 20:.00 Alterations " to existing residence 20.00 = Water Turn Around 20.00 Private Disposal System ` oak Cty lic. 75.00' _ (new and refurbished systems) Private Disposal Systems ` Abandonment 20:00 = STATE SURCHARGE .50 . ' TOTAL I hereby acknowledge thatI have read: this. application, state. that the Information is correct, and.agree to comply with all,appricable City " - - ' . of Eagan ordinances. It is the applicant's responsibility to notify the property. owner that the City, of Eagan assumes no liability"for any ' ' ` nRdwithin, s pert damages caused by the City during its normal operational and maintenance activities to the facilities constructed, under fhb City property/fight-of-way/easement. 5,4q ' 5 SITE ADDRESS: OWNER NAME: L"C INSTALLER NAME: Va?lc / 411, r. _ TELEPHONE#: t{9,?-?c>" _ STREET ADDRESS: a l r1- k- CA'` CITY: STATE: wf ZIP: SIGNATURE OF PERMITTEE - CITY OF EAGN! CA3:{*_ER: S TERMINAL the 342 DATE1 .03125197 • TIME-' 14:13142 NAMEI LIFESTYLF, YAMES INC 228E 9001 i544.SKYLIRB DR 49248.4 Tote; Receipt Amoun' m !• 248.46 CR'M56i USEP ID1 NANCY ..:X%??:Y?f.":*??t#:?*kt1?*itlC*a?rs:?*+k?7Ga :kiA:Y?%Yt?#.Rs1`+9ck PERMIT CITY OF EAGAN 3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 1544 SKYLINE OR LOT: 3 BLOCK: 2 DELOSH BUILDING 029633 03/25/97 SITE ADDRESS: P.I.N.: 10-20300-030-02 DESCRIPTION- i}„,Permit Type t? Wk Type "J`17 a 0 s? ,?°rtth ,? ?rnare ??`? PERMIT TYPE: Permit Number: Date Issued: SF DWG NEW R-3 U-1 V-N R-1 70 48 2,367 101 1 - FAM. DETACH 'a. 6r CAS 3 REMARKS: S & W PLBR - VALLEY PLBG FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC & SAC Units Subtotal $1,027.25 $667.71 $64.00 $950.00 100 $2,708.96 $128,000 MISCELLANEOUS Total Fee $1,539.50 $4,248.46 CONTRACTOR: - Applicant - ST. LIC OWNER: IyIFESTYLE HOMES INC 14363350 0001288 LIFESTYLE HOMES 12950 12TH ST N 12950 12TH ST N LAKE ELMO MN 55042 LAKE ELMO MN 55042 (612) 436-3350 (612)436-3350 I-Yrerelay arRnpvi q?ge that ha?-,o r",d thi? ?> t -a-t<1opT-tx?d state that the :f r fprm€?it?Qr? e p;t t s 4 n,c1 ogre'' to -g,amp.1 d thi X11 aPf ,ACal?i ?t ate ot, M1 $& a nd Sta tes t; f" ;.. ?0? ,, D" 14PA,ncee r APPLICANT/PERMITEE SIGNATURE UED 8V: SIGN TUBE 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL) t4,24* CITY OF EAGAN 3 3830 PILOT KNOB B RD RD - 55122 ut?rc,e?-? -.Zy 6814676 New Construction Reouirements Remodel/Repair Reauiremenis ? 3 registered alts surveys ? 2 copies of plan ? 2 copies of plans (indude beam & window saes; poured fnd, design; eta) ? 2 site surveys (exterior additions & decks) 4 1 energy calculations • 1 energy calculations for heated addPoons • 3 copies of tree preservation plan if lot platted after 7/1/93 required: _ Yes _ No ' DATE: 3-1c)- 9-/ CONSTRUCTION COST: DESCRIPTION OF WORK: - Ne W /7/a V S e.. /? it r? /?/ .-4/e STREET ADDRESS: S y y L7 f/ LOT BLOCK SUBD./P.I.D. M - e / QS /i ?14i fin n PROPERTY OWNER CONTRACTOR ARCHITECT/ ENGINEER Name: ®a r C -I L, Phone #: N. NST Street Address: City: S? -?u-? State: /?2/-J Zip: Company: L e X ?eS Phone #: y?6- 3-Tso Street Address: ? ? ( o / f/rsf moo, License #: City: La /re ?lrs z o State: /P/1? Zip: S-5 0 Company: S` o r -o Name: Phone #: Registration #: Street Address: City: State: Zip: Sewer & water licensed plumber (new construction only): ya `ern Penalty applies when address change and lot change are requested once permit is issued. 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. A,2-,-- Signature of Applicant: OFFICE USE ONLY // 7BY.'-7 Certificates of Survey Received Yes _L No Tree Preservation Plan Received Yes No V Not Required OFFICE USE ONLY BUILDING PERMIT TYPE 4 f ?, ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish X02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 _-plex ? 15 Deck WORK TYPE Pr'?'31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) J4 Basement sq. ft. )S,39 MC/WS System (Allowable) nI Main level sq. ft. , 5 (, I City Water UBC Occupancy a L)- I ??w a a sq. ft. Fire Sprinklered Zoning R " sq. ft. PRV # of Stories I sq. ft. Booster Pump Length '70 sq. ft. Census Code. Lo I Depth 4 -7 Footprint sq. ft. 2-5 (67 SAC Code ? i Census Bldg Census Unit r APPROVALS Planning Building N? Engineering Variance Permit Fee Va uation: $ 0 Surcharge t? Plan Review s ----- License 2 2 x S. S 3t/ I MCIWS SAC 12- x' I 3 City SAC 7S-Water Conn. ?,- . s?? ° 1,? 4y rb i 230. - Water Meter a ` 3o io 57 ?] a S = 2 G, 4.1 2 5. Acct. Deposit SNN Permit , p 5 I s '? S/WSurcharge + ,e 'v. 6 7 Treatment PL s (I lb ? sv ? 8 q 29 14 Road Unit C ? , Park Ded. - Trails Ded. 2. < 2? Son Other Copies I.5 x ?r 4 -S C1 G 09G. Total: ago ?- . %SAC rz7 245.- SAC Units LCN 1004 Wd90:50 L6-OZ-CO , * Pp,71V®6R 6n7qnemr ng Certificate of Survey for: ( 0Z3.o? 'ER"PLAT'-- BY- DATE NS')E p 140 V A) SERVICE LOCATION FOR LOT T BLOCK 2 PER PLANSL BY OTHERS------ 3 8 °56=s 2422 Enterprise Drive Mendota Heights. MN 55120 MP , Gw wSESTRS (812) 681-1914 FAX- 881-9488 I PtAHNERT. LA;EPE AROMOTS 825 Highway 10 N.E. Blolne, MN 55434 (812) 783-1880 FAX: 763-1883 LIFESTYLE HOMES U) --T 14 I lgs0 I `Y 837.5 844.81 I ' r("3) I 8414.9 I ED DEFT. BENCH MARK TOEV?F839 8E4 - (039,1) N I k J8.3MH9.9 INV. 07 AVICE ? S89°4S'?"6262 W 839.4 SKYLINE DRIVE 838.3 1544 SKYLINE DRIVE (gg8,3) 5 841.7 . 4 -BENCH MARK TOP OF PIPE ELEV.=852.29 1 ?,-SANITARY SEWER LINE n 9.• ?, 849.8 4 ---WATER LINE 847.9 ? p HT NOTE PROPOSED GRADES SHOWN PER GRADING PLAN BY: DEVELOPMENT ENO. PROPOSED HOUSE ELEVATNQN NOTE; BULOMO DIMENSIONS SHOWN ARE FOR HORIZONTAL AND VERTICAL LOCATION LOWEST FLOOR ELEVATION: R rO OF STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUILDING AND FooenanoN OIMENSIaVm- TOP OF BLOCK ELEVATION: 'J 917 NOTE-. NO SPECIFIC SOR.S NVES'NOATION HAS BEEN COMPLETED ON THIS LOT BY Ink SURVEYOR. THE SUITABIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE CF GARAGE SLAB ELEVATION: PROPOSED IS NOT THE RESPONSIBILITY OF THE SURVEYOR. S 000.00 DENOTES 00"NG ELEVATION NOTE THIS CERTIFICATE DOES NOT PURPORT 'M SHOW EASEMENTS OTHER THAN 1000.00 ) DENOTES PROPOSED ELEVATION THOSE SHOWN ON THD RECORDED PLAT. .-.. „-_ DENOTES DRAINAGE AND UTILITY EAMAEN1 NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. -*" DENOTES DRAINAGE FLOW DIRECTION - 0 DENOTES MONUMENT NOTE: BEARINGS SHOWN ARE PAM ON AN ASSUMED DATUM $ DENOTES OFFSET HUB WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF: 3 ' BLOCK 2 DELOSH ADDITION 0Oo 3 u d A IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, SHOWN , AS SVRVEYFD A BY ME OR EXCEPT S+ UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF MARCH, 1997. ''_ ? yv: 7 SIGFRt:PIONEER C, P.A. INEER SCALE : 1 INCH ? 30 FEET ® ? / REVISED 3-20-97 SHOW SERVICE FOR LOT 1 r TO*d m ? ? B?? ? 0,-' ? ? 0-'? ? i, ? ? ? PROPERTYLEGAL: DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway ELEVATIONS Existina 0-'13 ? • Sewer service (or Proposed) a-' ? ? Property comers 2-0 ? • Top of curb at the driveway ? 0,'10 Elevations of any existing adjacent homes Proposed 0-10 ? Garage floor BOO ? • First floor .0"?? ? Lowest exposed elevation (walkout/window) 2 ? Property comers ? Front and rear of home at the foundation PONDING AREA (If applicable) / ? rJ/? • Easement line ? [ 1 ? • NWL ? J21" ? • HWL ? Ids ? Pond # designation ? ? • Emergency Overflow Elevation DIMENSIONS ?? ? • Lot lines/Bearings & dimensions ??? ? Right-0f-way and street width (to back of curb) er" ? ? Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0' ? ? • Show all easements of record and any City utilities within those easements q/ ? ? ? ? • • Setbacks of proposed structure and sideyard setback of adjacent existing structures Retaining wall requireme if an 'r Reviewed: ame / Date January 1986 CRA1G1995IBLDDPRMT.FM LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION C GATE VALVE. FLANGE EL 831.3 EX MH4-2--/ RIM 832.17 INV. 809.92 MAIM suwa 3". PVC •SDR 26 FORCE MA roit? MGM comaco m INSTALLED 1"x 1' CORPOR, s?OTM°1° I I . THEN INSTALLED 1"x 1.5" ?riw x x I I TAILS ON WATER & SWR S I STD. PLATE 300 QIMAN a 016.0 am oaf d.8430.84 wK frAmm r. , I- - - - - - -? ?- 5. I GOMM 6.r sego VA snmw :.00 - .. -?, I I /FROM 2 4 asssi a. se6.0 aw bx. e.se.a0 wm am Gas." arm an 024.38 10_ - J MH3 I ?O L° ?P ° II ,w J. 9•= tiZ1_i__ _ ___ ?4 \`i \ u: SKGLO YLINE DRIVE \\, !6.x UT1uTY POLE EXISTING 60'-8" PVC STUB 0- _'•CAN DOES NOT CUARX" _-t ^rY OF UTILITY LOCATIOd-0 ""TIONS. THIS DATA IS G PURPOSES 0.. IT SHOULD ' _% '-_ d? !.0 7a01,? TYPICAL (UNLESS i 4" PVC SDR 26 S( 8"x 4" WYE 1" COPPER TYPE 'i lox 1" CORPORA_nC CURB STOP BOX 18" SEPARATION TAILS ON WATER & STD. PLATE 300 ?-T MANHOLE OVER 8" PVC SANITARY a gl N = a? ap w 2 in aa ? LNG + dD a0 = •''? 7.5' MINUMUM COVER ?,•' 06' ezi p1P or ?•' O LL 16' 8' PVC SDR 20 O 8.9x 20'4- 8' DIP CL `52 O 5.9X OUTSIDE DROP SECTION STD PLATE $10 (13.94' DIP) 00 e + co crcc ------------------- 24' RISER NO RISER ----------------- 18' RISER CONNECT INTO EXI' ?• WATER MAIN ANDOES •N T GUS` '.CY OF UTILITY LOCATIO:S r-!_F `„TIONS. THIS DATA IS' I -Oil PURPOSES 0':LY A:7 IT SHOJLD V T l7Y. THE ON THS SITE. m .? qC MAR-06-1997 14:39 OWNER SITE ADDRESS _ CONTRACTOR _ INTER STATE LUMBER 1 612 457 0151 P.01i01 EXTERIOf1 ENVELOPE AVERAGE "U" COMPUTATION S i/-2 Ot'r1/L S? )1e '•-),ems of GATT Determine working square footage of each 1. Total exposed wall area .... 2 z-Jj •'3 O sq- It. v .11 = ?tu{ S . 89 2. Total rool/ceiling are 1 ?2 'Ri 91 sq. It. • .026 = k, -2a 335 Total exposed wall area above floor = a. Total wall window area _ ........-. S 5 b. Total door area ............................................................ ......_ % c. Total eliding glass door area ......... ~ D. to d. Total fireplace wall area ........................................................._ e. Total wall framing area (average 1001) ........................... ................._ Z 3 - S 1. Total net wall area above floor ................................ I r 2G U, ??? .................. g. Total rim joist area .. .............................................. ............._, )'A Z,% 7at?:: p?.;ed foundation area = h. Total foundatlon window area .............................................. ....._ - 1. Total net foundw.cn Ame above grade........ X1- Determine "U•• value of each wall segment. a. 3 57.gS _ X -u- 31 --t-yd.q?t . b. 121. ?? X U. rye - a. 4 C ao X U. d. x U. _ ?. e. 22'x • 5 3 X.U. t ?i S rl t. 1r?.Gt3 .?? X'U' 6?[ 1t . O g X°U° G I S `?7 h - X,.U. . 3 . .................................................. ... Total = he 1, 5 , Z2- It Item $03 is the same as, or less than Item N1, you have met the Intent of SHC 6006(e02. Total exposed roat/ceiling area t 5 V ). Total skylight area ........................................................ k. Total roof/ceiling framing area (average 10No) - .......... ..... ...................- 5 ?i• Q 1. Total net Insulated root/ceiling area .................... .. 'a Determine "U'• value of each roof/Ceiling segment. G ! X -U" - .... k. t Y^y. T}. a CZ X -ti- • T? 2 3 • t I. 15 ? x •u' to 2 = ? 1. - `1 L 4 . ....................................................... Total ? ' 1; It total of a4 Is the same as, of less then e2, you have met the Intent of SEIC 6006(c)t. Alternate Building Envelope Design n n 1 ??AC?-?t?'? a2. !i1--?3 ` - ZV I,? TOTAL P.01 MAR706-1557 14435 INTER 51-HTE LUI'1BER 1 b1z 45'r X1151 r.L1iU1 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER `fi ?- es?5e"r4" -- SITE ADDRESS CONTRACTOf1 L-` 'S' 1. Total exposed wall area .... 2. Total root/ceiling are (IS 1.12 Determine working square footage of each 22*"t,3q sq_tt.•.11 = L? 5.9 IRA aq. it...026 = t1 ? ? . -2C1 Total exposed wall area above Iloor a a. Total warl window area .................................................. I .......I57 Cr It. Total door area ........ ......... ..... .............. ............... ............ ...._ c. Total sliding glass door area ....................... ~ ?' 00 d. Total fireplace wall area ......................................................... e. Total wall framing area (average 10%) ........ ......... ........................... _ 2? 2 ? • 5.? 1. Total net wall area above floor .............. .. E t 2C v. G?'7 S. Total rim joist area ........ __,.. ) 42. %J Total exposed foundation area = ...._ It. Total foundation window area ............................................... 1. Total net Icundadon area above grade............ 11 ?' Determine "U" value of each waif segment. 1?p 3S-).9 S' X"U• .3\ .olq" a. -? ? r- Ll rk p6 X.U. ,'?Z e. 223.53 X.U. t1 = 2`l Sri f. 1 r ?.. is t3 X -U- g• ty Z_Q X-U. Ir ? ?. x.U. . L 1v x "U- • ti `! 3 . .............................. ..................... Total = 2 l s , 27 It Item 4313 the same aa, or less than Item 01, you have met the Intent of SEC 6006(C02. Total exposed reaf/ceiling area 1.5% U -` j. Total skylight area ............................................................ .. k. Total roof/ceiling haming area (average 109) ................................ .- ?S ltl• U 1. Total net Insulated roof/calling area .............................................. sry ' C V Determine "U" value of each roof /ceiling segment. X.t1- k X -U. t? 2 1. 15$ X'U' 0Z - 4 . ....................................................... rotal = -:3 ?A '9 n total of M4 Is the same as, or less then a2, you have met the Intent of BBC 6008(c)l. Alternate Building Envelope Design 1 ?A4.5 .z `11.28 Z??1,1 TOTAL P.01 Use BLUE or BLACK ink ---------i j For Office Use � C' � Permit#:�-� I lty of ���� � Permit Fee: ��� i 3830 Pilot Knob Road � � � Date Received: � Eagan MN 55122 i i ' Phone: (651)675-5675 � Staff: j Fax:(651)675-5694 -----------------� 015 RESIDENTIAL PLUMBING PERMIT APPLICATION JQ J_' , / ` Date: �!v�Site Address:�,��,'"T`�1 ��'��l j`���� �� Tenant: Suite#: Resident/Ow11er ` Name: ����(�{�S �-- Phone://1�l� (S� '�� r— Address/City/Zip: l � � �� Name: \ \ � License#:/ `2�1�i O�'�� COt1tP�CtOi' Address:G° �J ��`��� ��/�� City: �� State: - Zip: ��L �� Phone: � �� ���� � � �� Contact: i � Emaii. �Li T e of Work —New �Replacemenf „_Repair _Rebuild _Modify Space _Work in R.O.W. YP Description of work: RESIDENTIAL �Water Heater Water Softener Lawn Irrigation�RPZ f_PVB) PG1'mit Type Add Plumbing Fixtures�Main!_Lower�evel) Septic System New Water Tumaround Abandonment RESiDENT1A�FEES: $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes State Surcharge) $60.OQ Lawn Irrigation(includes State Surcharge) $60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Tumaround*(includes State Surchar�e) *Water Tumaround(add$210.00 if a 518"meter is required) $115.00 SeDtiC Svstem New(includes County fee and State Surcharge) /I/.J /�,� TOTAL FEES$ C�ZL� �'�J 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 ta receive locates af underground utilities. vwvw.aopherstateonecall.orq I hereby acknowledge that this information is complete and accurate,that the wrork will be in conforma�ce 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 with a permit; thax the work �I be in accordance with#he approv� an in case of work which requires a�eview aru!approval of�ans.� % c 9 � X ' ` \ ,. :; A plicanYs Printed Na e p IicanYs Signature FOR OFFfGE USE Reviewed By: [3ate: Required inspections: >Under Ground Rough-{n Air Test; Gas Test �inal Meter Reiated lterrts: IUleter Size ' Radio t�ead Manomater Sfi�aff: City of Eakall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 AU 172J16 r Use BLUE or BLACK Ink For Office Use Permit #: Q Permit Fee: //7r cO 11 Date Received: v ( < I / 111 Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: X%/,.//b Site Address: j5 / .5ZU)liVtC? or, Unit #: side Name: CAA 1Kv55 K� Address / City / Zip: Applicant is: Owner Contractor Phone: Description of work: 4,47/:9 -cc (3( Construction Cost: Multi -Family Building: (Yes / No ntrac' Company: L 11( i I ) ( Contact: '�)ICQ-r Address: f •g77 A%IaO1/e l /2 S City: 15074S0[le State: ,A% Zip: SSn� 7 Phone:l szi 736 4email: /j /e rg U0lylig6k r C-0414 License #: 66_570615 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: ►TE dans and supportingdocuments that you submit are considered tube public it ormation ` ortions: e information may be classified as non-public ifyou pro vide specific reasons that would permit the City ti conclude that they are trade,sec rets = . ,...., CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq 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 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 State Building Code must be completed within 180 days of permit issuance. x Avi6Oy o070(/.5...e-- Applicant's Printed & me Applicant's Si •'ature Page 1 of 3 DO NOT WRITE BELOW THIS LINE /3g yip SUB TYPES Foundation Single Family Multi 01 of _ Plex WORK TYPES n New Addition Alteration Replace Retaining Wall Fireplace Garage LO Deck Lower Level /.5W W spy/I.7 e 1)r Porch (3 -Season) _ Interior Improvement Move Building Fire Repair Repair DESCRIPTION Valuation tpy/D, oa Plan Review Code Edition (25% 100%y) Zoning Census Code Stories # of Units Square Feet # of Buildings Length Type of Construction U (? Width Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Siding Reroof Windows Egress Window Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Accessory Building Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant Occupancy :-LjZC-1 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Roof: _Ice & Water Final Framing 30 Minutes 1 Hour Fireplace: Rough In _Air Test Insulation Sheathing Sheetrock Fire Walls Braced Walls Shower Pan Reviewed By: sat 7n K / Final W\ 1 zOic- MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required Meter Size: Final / C.O. Required Final / No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Pool: _Footings Air/Gas Tests Final Drain Tile Siding: _Stucco Lath _Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill Final Radon Control Fire Suppression: Rough In _Final Erosion Control Other: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL ! Q ,6 et A( 2 (2 ( ?do. L ft ro 4-57a'; ' . -2 2 5,9 - CS -D? Page 2 of 3 R •Y LATE BUIL[ i 2422 Enterprise Drive 4 ** Mendota Heights. MN 55120 * PIONEER LAND *IMMIX • MU. TkCOSIX8 (612) 881-1914 FAX: 681--9489 LAND P'AN (f 3. LANo wt ARCranoT $25 Highway 10 M.E. Wig neer 11� Blaine. MN 55434 4z 4(* * 1(812) 783-1880 FAX:783-1883 Certificate of Survey for: LIFE TYLE HOMES 823.01 ( 589°45'24 EAGAN VIE D 7 ;j -2r-97 ING INSPECTIONS -11. 85.00 938,3 1644 SKYLINE DRIVE . in fl.(938.3) 1,,,...*:.-EA5ENIE T UTILITTYPER ..-" 5 I 3 4 '` AA s9 ,, 841.7 4 5s CO BENCH MARK x ETOP .OF=L V839.plPE 4 SERVICE LOCATION FOR LOi 1 BLOCK 2 PER PLANSBY OTHERS ----- N 839 9 INV. OT AVAIL._ SERVICE `+>4 589°4-5/2-64W 85.00 839.4 848.1 6iroo 00 .7 ter- SANITARY SEWER LINE Ade 849.8. — ---WATER LINE z --BENCH MARK TOP OF PIPE ELEV.=852.29 847.8 1,2 SKYLINE DRIVE NOTE; PROPOSED GRADES SHOWN PER GRADING PLAN BY: DEVELoPMENr ENO. NOTE: (IMMO MO DINEN5ION5 SHORN ARE FCR HOTV20NTAL AHD VERTICAL, LOCATION Cr STRUCTURES ONLY. SEE ARCHITECTUAL PLANS FOR BUtLDIMO AND rouNDATloN d1uENSICNs_ NOTE: NO SPECIFIC SOILS thrEcTiErAnoN HA5 DEEN COMPLETED ON ORS LOT BY Tr% SURVEYOR, THE $UITAOIUTY OF SOILS TO SUPPORT THE SPECIFIC HOUSE PROPOSED 13 NOT THE REBPONs191UTY OF THE SURVEYOR. NOTE! THIS CERTIFICATE DOE'S NOT PURPORT TO SHOW EASEMENTS OTHER max Srtawi ON THE AM:m Eo PT.A1. NOTE: CONTRACTOR MUST VERIFY DRIVEWAY DESIGN. THAN NOTE; BEARINGS SHOWN ARE IsAXED CN N4 ASSUMED DATUM WE HEREBY CERTIFY TO LIFESTYLE HOMES THAT THIS IS A TRUE AND SURVEY OF THE BOUNDARIES OF; LOT 3, BLOCK 2, DELOSH ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS $VRVE r BY ME OR UNDER MY DIRECT SUPERVISION THIS 101)1 PAY OF MARCH, 1887. SIG PIONEER EN 1NEER C, P.A. SCALE : 1 INCH ft 30 FEET PROPOSEQ HOUSE ELEVA•flQN LOWEST FLOOR ELEVATION: 041. L, TOP OF BLOCK ELEVATION. 49.1 GARAGE SLAB ELEVATION. CO 45' X 000,00 DENOTES EXISTING ELEVATION ( 000.00) DENOTES PROPOSED ELEVATION -.._ DENOTES DRAINAGE AND UTILITY EASEMENT ----� DENOTED DRAINAGE FLOW DIRECTION -- DENOTES MONUMENT —O DENOTES OFFSET Hua CORRECT REPRESENTATION OF A 1781 j 97080,00 SWK REVISED 3-20-97 SHOW SERVICE FOR LOT 1 T0•d BY. ohn C. Larson, L . R 9. No. 19028 PERMIT City of Eagan Permit Type:Building Permit Number:EA143198 Date Issued:06/07/2017 Permit Category:ePermit Site Address: 1544 Skyline Dr Lot:3 Block: 2 Addition: Delosh PID:10-20300-02-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Chris L Kusske 1544 Skyline Dr Eagan MN 55121 (651) 636-9640 Twin City Roofing Construction Specialis 72 Ivy Ave W St Paul MN 55117 (651) 636-9640 Applicant/Permitee: Signature Issued By: Signature