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2946 Skyline Dr úú ýüûüú þýý üüûûúü ùýýúðùöþ å þÿÿþ ÿþ þýõ ùø÷ öþþõ ÿ ÷ öþ õ ÷ öþõ ÿô ÿóþ ôòþöüþñþ þÿ öÿþ þÿÿþíöü ðû ùïü þîþþ ñö ìþñþÿëþëñþ þï þÿñþþþ ÿüøþ ñÿêéüþ û öþûÿúüé é üñû ý ÿöþêüé éüÿöþüéþ ÿüüê ü øñèþþþ ÿü þ þï þø ü ÿûþéüñ ëñþÿê üÿþîþþæåæêê ôù ù ëü ûþüÿþçüüæåæêäêä çüüúê óò õ÷ñ ööü òþþ ÷ë ëüñ ä òüõþÿäàù þ òÿþìþãóýüûüãó áàßà ëþ þø ü þûþëüëüìþ þüëÿüööüüÿüþëüëþé ñüÿ þüüû þþñö ëüüööüøþùüþ éãþÿüùüþÿü éýüûüí üþÿê ööüô þ ñþþùûü þÿÿþ ùûü þ _ INSPECTION RECORD 7-:- 4: . CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road `04 Permit Number: Eagan, Minnesota 55122-1897 ' Date Issued: (612) 681-4675 SITE ADDRESS: , r . APPLICANT: f hf '=',i r . t-t°a=.- X337 PERMIT SUBTYPE: TYPE OF WORK: 01"w INSPECTION DATE INSPTR. INSPECTION TYPE DATE INSPTR. t ? hJ??r { RE t4narS-. S A 14 Pt 13P r Permit No. Permit Holder Date Telephone N ELECTRIC PLUMBING HVAC G?'1'GD21 Inspection Date Insp. I imen t s FOOTINGS ?SL ?! , G?J L - - d U •- $? lJ.?ud FOUND FRAMING ` ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING - GAS SVC TEST INSUL s 000 /!1 GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG 7 FINAL HTG ORSAT TEST BLDG FINAL c BSMT R.I. BSMT FINAL DECK FTG DECK FINAL _SIX J a f i gerti f ieate of CccupancV fib) of Cagan Zq- -1 -cut of lexubing .zn#vertion 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 Cl=ification: SF DWG Bldg. permit No. 31304 O-p-y Type R-3 U-1 lapin thseia R-1 Type Consi. Vn HOMES BY GHA E Address 2946 SKYLINE DR., EAGAN MN omerotBurkfing IN Li, B1, SSE Bulking Address 2946 Locality Dale: Bulking OIF" POST IN A CONSPICUOUS PLACE Address. 2946 SKYLINE DR, EAGAN MNN Zip 5512-,g?? Lot I BIk I Sub MSSE THESE ITEMS WERJE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECITON. Date: f,aV?r 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 Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply 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 CASHIER: JS TERMINAL_ NO: 597 DATE: tR/31/9i' TIME: 09:5053 ID : NAME: HOMES BY CHASE 2256 7001 2946 SKYLINE BR 4,020.96 Total Receipt Amount: 4,020„96 CROS'•:e166 USER 1% JAN PERMIT CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, b9inneso?a 55122-1897 Permit Number: 031304 (612) 681-4675 Date Issued: 12/31/97 SITE ADDRESS: 2946 SKYLINE DR LOT: 1 BLOCK: 1 KRESSE P.I.N.: 10-43500-010-01 DESCRIPTION: C ermit Type SF DWG '6,r? Type NEW R-3 U-1 oYi'=yage V-N % R-1 e?r:gM.w=£ aft m, 70 P12 2 gt z=°" 013 2 e" 101 1 - , FAM. DETACH . ice 'gN -L'g Ar. _. a s t? 'e!* aisp ` ^a?-y° 5 r i§ a( 3g 41 w REMARKS: S & W PLBR - FEE SUMMARY: VALUATION Base Fee Plan Review Surcharge SAC SAC % SAC Units Subtotal 1 . $897.25 $583.21 $51.00 $950.00 100 1 $2,481.46 $102,000 MISCELLANEOUS $1,539.50 Total Fee $4,020.96 CONTRACTOR: - Applicant - ST. LIC OWNER: HOMES BY CHASE 18955337 0001619 HOMES BY CHASE 1668 E CLIFF RD 2946 SKYLINE OR BURNSVILLE MN 55337 EAGAN MN 55337 (612) 895-5337 (612)895-5337 .k: -f -U-8 C. "C ;a n,s Zonl B41, l RID 1A ain:"1"s corr., a nii Ca tY ' I(hIQ ??P?? f ISSUED B : SI ATU 1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)Y, ?i. • 2 copies of plans (include beam & window saes; poured Md. design; etc.) ? 2 site surveys (exterior additions & decks) ? 1 energy calculations e 1 energy calculations for heated additions ? 3 copies of tree preservation plan if lot ptetted after 7/1193 required: _Yes No DATE: CONSTRUCTION COST: 1y2< ?i00 CITY OF EAGAN J ? ? 681.4675 , p New Construction Requirements 3830 PILOT KNOB RD - 55122 (1? 3 registered site surveys ? 2 copies of plan RemodellReoair Recuirements DESCRIPTION OF WORK: STREET ADDRESS: Ca LOT BLOCK SUBD./P.I.D. S: ?4i - ?g : h'- ZQ-14 PROPERTY Name: Phone OWNER Street Address: ZloGf City: State: e,--t, CONTRACTOR Company: Street Address: City: State: Zip: 5 3?7 Phone #: License Zip: ARCHITECT/ Company: I?YJLIY Phone #: ENGINEER Name: Registration #: Street Address: City: Sewer & water licerPed plumber (new construction only): and lot change are equested once permit is issued. Penalty applies when address change 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. Signature of Applicant: e Cam` OFFICE USE ONLY Certificates of Survey Received Yes No // Tree Preservation Plan Received Yes No Not Required State: Zip: OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? Al' 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 rlOR 31 New ? 33 Alterations ? 36 Move o 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION n w r ` Ya 16 Basement Finish 17 Swim Pool 20 Public Facility 21 Miscellaneous Const. (Actual) Basement sq. ft. 1281 MC/WS System (Allowable) Main level sq. ft. 157,a City Water UBC Occupancy - -I e' sq. ft. '704 --? Fire Sprinklered Zoning -1 sq. ft. PRV # of Stories y sq. ft. Booster Pump Length 0 sq. ft. Census Code. 101 Depth 32- ' Footprint sq. ft. 2 I SAC Code 01 Census Bldg 1 Census Unit I APPROVALS Planning Building M;13> Engineering Variance Permit Fee Valuation: $ 10 2 yr ?o? ---- Surcharge Plan Review `??"?+ License +?? 5µ MCIWS SAC City SAC 3 b? x 1c, . S Water Conn. Water Meter Acct. Deposit ) S? IG/ 215', S/W Permit S/W Surcharge Sa Treatment PI. -7 y Z - Road Unit 7 yz- Park Ded. Trails Ded. Other S410 7?1 _ ! z8/ ?? iS= ?l?s g2 P1 70" (. BC., Copies ?? a- ¢z Tot1? r31,?2z 7041 kt ilI` z 'J10 2- - % SAC 1 SAC Units /? ! S. ** 4* * PIONI * a eln -ft Certificate of Survey for: 625 Hlghwoy 10 N.E. Blo;ne, MN 55434 (012) 783-1900 FAX:703-1803 HOMES BY CHASE 2945 SKYLINE DRIVE 3 r?i?2-Tl S89-47136"E 143.50 13 872.4 40.09 074.6 In T 10 v;OEppNCII AIREK 1IEV.U 8?7 4S I T MGM 877.7 CD 1 877.7 CD O I A'71.6 I z 870.5 ? I SERVICE- INV.m II I I I i 870.5 114 IU ? 877.4 110 877.4 -11 BY m / I 22.66 ---I DATE I - 2Y_ -e* o 1 EfY ?„? ? V ? a7s.a ; 1 I ? ?1 876.4 I a f I ?_. / I 1 70 / O 867.5 / L In \ -1---`-- ???I UGG> 40.09 d N89'55!mww 677.1 VUILDING INS DA .? I I T? 678.1 o x N) ? ? , ? I ?a ? ) I y Win: I a 876 .6 ? I I i ?w I Z? I I as I 8 1 x ? m I . 877.1 874.3 I VIA 862.9 D ?E 3 b P O Q 4,0 2 BENCH Q MARK tj TOP OF PIPEF: e NOT[: PROPOSED GRADES SIIOWN PER CRADNC PLAN BY: WOODY BROWN ELEV.=D]4.G5 r.F• El «.T1 I ?2QrUSEETFI IOU y% (QN z ARE IOIE: OF BUILDING ES DIMENSIONS A NATIDN CI N N A S I• - RC NIIEC IUAE PL S FOR FA DNO AND FOUNDATION DIMENSIONS. LOWEST FLOOR ELEVATION: 66`, NOTE: NO SP[CNIC SOILS INVESIICATION IIAS BEEN COMPLETED ON 1105 LOT BY THE TOP OF BLOCK ELEVATION: 870 j- SURVEVUR. THE SUIIADIUlY OF SOILS 10 SUPPORT 111E SPECIFIC HOUSE PROPOSED IS NOT THE RESPONSIBILITY OF THE D GARAGE SLAB ELEVATION: 07(-' SURVEYOR. NOTE' THIS CERTIrICAIC DOES NOT PURPORT TO SNOW EASEMENTS OTHER THAN THOSE SITOWN ON TIIE RECOROEO PLAT X WOOD DENOTES EXISTING ELEVATION . ( 00000 ) DFNOTES PROPOSED ELEVATION NOR: COMIRACIOR MUST VERIrT ogrvEWAY DE9CN. --- - - DENOTES DRAINAGE AND UULIIY CASEMENT NOTE! BEADNCS SIIDNN ARE BASED ON AN ASSUMED DATUM DENOTES DRAINAGE FLOW DIRECTION -0--- DENOTES MONUMENT WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND -o^-- DENOTES OFFSET IIUB CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF; LOT 1. BLOCK 1 F KRESSE ADDITION DAKOTA COUNTY, MINNESOTA IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCHROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY MC OR UNDER MY DIRECT SUPERVISION THIS 10TH DAY OF DEC., 1997. J SCALE : 1 INCF1 3(1) rEETR`?" i/iz SI NE(Q) PIONCCR CNCI EE C P,A. 97499 - BY 5 ------ 0 5WK John C. I arson, 1.!;. Peg. No. l9n78 In • ,I 2.422 Enterprise Drive 12 Mendota II61911tS, MN 55120 R5 . avX B1oHUR: (012) 081-1914 FAX:081-9489 t _,R p? c? o t? 4' 9 9 ?? CJ/? Cd' ? CK,? 13 LOT SURVEY CHECKLIST FOR RESIDENTIAL BUILDING PERMIT APPLICATION PROPERTY LEGAL: o DATE OF SURVEY: LATEST REVISION: DOCUMENT STANDARDS L1/0 Registered Land Surveyor signature and company Building Permit Applicant Legaldescription 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 m 13 13 13 9-e 13 13 ELEVATIONS Existina ? ? • Sewer service (or Proposed) Ep ? Property corners p? ? ? ?? ? • Top of curb at the driveway • Elevations of any existing adjacent homes Proposed 3? ? ? • Garage floor 2? ? ? First floor Er?--[] ? Lowest exposed elevation (walkoutWndow) cy, ? ? Property comers L?O ? • Front and rear of home at the foundation PONDING AREA (if applicable) ? 0, E3 • Easement line ? Er, ? • NWL ? C-1,? • HWL ? U-'? Pond # designation ? Er'? • Emergency Overflow Elevation DIMENSIONS 0,0 ? • Lot lines/Bearings & dimensions 1:1,/ ? ? • Right-of-way and street width (to back of curb) ' E ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2 , ? porches, etc. (.e. all structures requiring permanent footings) ? • Show all easements of record and any City utilities within those easements d ? ? Setbacks of proposed structure and sideyard setback of adjacent existing structures ? Lf? • Retaining wall requirements, if any Reviewed: r January 1996 CRAIG1996fBLDGPRMi.FM I & 2 Family Residential "Cookbook" Methoa City SUEADDRESS C/_.`T iU c3? /r BUILDER Date Z Zak Minimurn Criteria: Rim Joist R-19 insulation Foundaton Windows: Insulated Zia", 1R- air space, wood or vinyl frame Entry doors: 13A inch solid wood with storm or better STEP 1 Window & Door Area Total Window & Door Area in Sq. Feet WINDOWS (including foundation windows): Dimensions Qnty- Area v X „? urfr++T/ V :5 - z 37 X ?a 2 X 1-- G X y! / G x x x x X X DOORS: ?''x ?1 u `2- x 7 ';?- x 7,9 / Total Area of Window & Doors 7 A Total Wall Area in Sq. FL Wall Total Perimeter Height Area Total Area or wall B STEP 2 Calculate area as a percent of Box A (window & door area) divided by Box B (total wall area) times 100 equals the window and door area as a percent of wall area (Box Q. BoxA 27 7 x 100= BoxB ?30 57n -- C STEP 3 Design Features ASSEMBLY OPTION. FRAME WALL: STANDARD FRAMING ADVANCED FRAMING CAVITY INSULATION R- SHEATHING: LESS THAN R-5 R-5 OR MORE WINDOWS (except foundation windows): U-FACTOR F-u-771 From the table, determine the maximum percent window & door area for the design options selected and enter the value in box D below: Box C must be less than or equal to Box D S F. The building must not exceed the maximum window and door area as a percentage of overall exposed wall area listed below for the combination of framing technique, R-value of insulation within the insulated cavity, sheathing R-value, and window U-factor. Other components must meet the requirements of this subpart. MAX MUM WINDOW AND DOOR AREA AS A PERCENT OF OVERALL EXPOSED WALL Cavity Window U-Factor STANDARD ; ; _ R 13 . ' •. 2R-7 .. .. :' 13.4% . .17.8% 3% 21 24 3% STANDARD . R-15- 2R-5 . 12.9% 17.1% - 20.i% . 23.4% _ STANDARD ;: '. R-5;?'^.'i, -16.0%''"` :' 18.8% 22.0°k STANDARD R-18 W 2R-5 13.5% 18.6% - 21:81/6 25.3°0 ADVANCED -<R-5 11.1%0 :, »,. ': 20.1 a 23.4% ADVANCED R-18 2R-5 - 13.5% ,N 192% 22.5% 26.1% STANDARD R-21.:: •" -: <R-5: '.;, " : ?1.8% w 17 U9'o' - 19.976'" 23.1% STANDARD R-21 2R-5 14.0% 10.31/6' '72.5% 22.5% 26.1% -ADVANCED' R-21---,- ; .. <R-S . 1$10:. .. 21 20% 24.6% ADVANCED R-21 2R-5 14.0% 19.9% 23.2% 26.9% Subp. 3. Performance criteria. The combined thermal transmittance (Uo) factors for walls, roof/ceilings, and floors over unheated spaces must be less than or equal to: A. 0.110 Btu/h ft2 OF for walls; B. 0.026 Btu/h ft2 OF for roof/ceilings; and C 0.04 Btu/h ft2 OF for floors. STAT AUTH. MS § 216C.19 H1ST. 18 SR 2361 7670.0480 Repealed, 18 SR 2361 Minn. Rules Chapter 7670 26 June 1994 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Q7::lSiI I_QL_ Site Street Address Za4 S LiFU? D& E:?I'j ON 12i Unit # Property Owner U ,' f7 ELI Telephone # (1) Contractor { Telephone # ) Address City State Zip The Applicant is: XI Owner _ Contractor -Other Alterations to existing dwelling $ 50.00 Add plumbing fixtures. This fee includes putting in a water softener and/or water heater at the same time. If vou are installing only a water softener and/or water heater, do not complete this section. Move to the next section and check the appliance(s) you are installing. -Septic System Abandonment -Water Turnaround (add $125.00 if a 5/8" meter is required) Other: Water Softener _ Water Heater $ 15.00 new _ replacement Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00 State Surcharge $ .50 Total $ I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. / , Applicants Printed Name Apolfca s Signature t r '' C(? 5' 2005 RESEDENTLAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: single family dwellings & townhomes/condos when permits are required for each unit Date _01 / eL / _0 5' Site Address Unit # Property Owner Telephone # (cs Contractor Street Address city State ip Telephone # ( ) Bond # Expires: The Applicant is Owner Contractor Other Add-on or alteration to existing dwell' g unit $ 30.00 - furnace dditional -Replacement air exchanger air conditioner New -Replacement other State Surcharge $ .50 Total $ 2D ,'sJ I hereby apply for a Residential 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 application for a permit, and work is not to start without a permit; [hat th? wor will be in accordance with the approved plan in the c X work which requires a review and approval of plans. eU7 / ApplicnY ed Name 1 v Appli a s nature 2005 COMMERCIAL MECHANICAL PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 Please complete for: commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit Date Site Street Address Unit # Tenant Name (if applicable) Previous Tenant Name Property Owner Telephone # ( ) Contractor Street Address City State Zip ( ) Telephone # Bond #: Expires: The Applicant is Owner Contractor Other Work Type New Construction _ Underground Tank _ Install -Remove **see below Interior Improvement _ Install Piping - Processed -Gas Nature of Work: "When installing/removing underground tank, call for inspection by Fire Marshal and Plumbing Inspector Permit Fees: $70.50 Underground tank installation/removal $50.50 Minimum (includes State Surcharge) or Contract Value $ x 1% = $ Permit Fee • If permit fee is $1,000 or less, add $.50 => $ State Surcharge If permit fee is over $1,000, add $.50 for every $1,000 permit fee $ Total Fee I hereby apply for a Commercial Mechanical Permit and acknowledge that the information is complete and accurate; that the worts 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 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 Applicant's Signature Approved By: , Inspector - ??clac?x-c CLAIM VOUCHER- REFUND REQUEST CITY OF RAGAN MAKE CHECK PAYABLE TO: Thu Pham ADDRESS: 2946 Skyline Drive Eagan, MN 55122 PERMIT # 69963 RECEIPT #/DATE: 92228/July 26, 2005 REASON FOR REFUND: No Permit Required VALUATION: TYPE OF REFUND: Building Permit Base Fee 0801.4085 $ Construction Meter Dep Refund 9220.2254 $ Curb Box Deposit Refund 9220.2253 $ Fire Suppression Permit 0801.4096 $ Mechanical Permit 0801.4088 $ 30.00 Plan Review Fee 0720.4222 $ Plumbing Permit 0801.4087 $ SAC (MC/WS) 9220.2275 $ SAC (City) 9379.4681 $ SAC (Admin) 0801.4246 $ Sewer Permit 6201.4532 $ Surcharge 9001.2195 $ Treatment Plant 6101.4685 $ Water Permit 6101.4507 $ Water Meters & Radio Read 6101.4509 $ Water Supply & Storage 6101.4680 $ Other (Invoice) 0501.4228 $ Total $ 30.00 e and the penalties of law that this account, claim, or demand is just and that no part of it has been paid. 09/06/2005 SIGNATURE DATE r 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office use OnN 3 registered site surveys showing sq. ft. of lot, sq. R of house; and all roofed areas 2 copies of plan Cad of Survey Recd -Y _ N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated addifions Tree Pres Plan Reod _ Y -N. 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y _ N 1 set of Energy Calculations Addition - indicate if on-life septic system do-site Septic System _ Y _ N 3 copies of Tree Preservation Plan Slot platted after 7/1/93 Rim Joist Detail options selection sheet (buildings with 3 or less units) Date / _/ U Construction Cost 3WD ~ Site Address Z9 el(, 5le I Unit/Ste # Description of Work l -15%ff try, CJ45 / U? ?liftE_, Multi-Family Bldg _ Y IN Fireplace(s) _ 0 X, 1 _ 2 Property Owner ??Y y t Al Telephone # ( (91)) 94Y-0'22 5 Contractor 1 Address 3et3D W- l 7 /1 City /,3 "111a State Zip Telephone # (cj x) '?tc? t77?? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Category I _ Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone #( Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan 'n the case f work Khich r?iii eg ae d LLI approval of plans. ?I JUL 2 0 2005 j Applicant's Printed Name Applic -t's Signature ?? , OFFICE USE ONLY Sub Types r ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screentgazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning . City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) - Final/C.O. Footings (deck) _ Final/No C.O. Footings (addition) - Plumbing Foundation _ HVAC _ Drain Tile Other _ Ice & Water Roof Final _ Pool _ Ftgs _ Air/Gas Tests -Final _ _ _ Framing - Siding _ Stucco -Stone -Brick _ Fireplace - R.I. _ Air Test -Final - Windows Insulation - Retaining Wail Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector Contract No.: Project No.: CITY OF EAGA Submittal Date:./ r 98 N SEWER & WATER PERMIT RE LEASE. FOR PROJECT DESCRIPTION: t?2 t's.SS 49- GeT S.PG/T Substantial Completion of Sewer & Water // / - Asl? Date of Occurrence STEP I: PERMISSION TO HOOK T TP SANITARY SEWER WATER MAIN Lines Lamped and Acceptable Properly Chlorinated & Flushed Deflection Mandrel Test Passed Entire System Pressure Tested Manhole Structures Properly Entire System Conductivity Tested Constructed (Cstg. & Cover, Rings, Cone, All Valve Boxes Accessible, Straight I ft. Sections, Final Rim Setting, & & Keyed Build and Invert) All Valves Opened or Closed as Approp. Infiltration Test Bacteria Test Completed SERVICES All Wye Locations Confirmed L07- All Curb Boxes Exposed, Set to Proper Grade & Marked with Fence Post G?6 la?? Required Service Risers Televised COMMENTS: 4,59, e. ;P-v ?j? (/? Ja ?l?(3 G?JC/ST%/•!?i Su..P. AS-412L- r1 l3 5. STEP R: FULL USE PERMIT (O .C UPANC 30 STORM SEWER Lines Lamped & Acceptable STREETS Material Tests Checked & Passed CB Structures Properly Constructed (Conc. Compressive Strength & Air (Cstg & Cover, Rings, 1 ft. Section, Content, Bitum. Extract & Gradation, Invert, Final Cstg. Setting & Build, Gravel Base Gradation). DL-DR Correctly Set Rings & Cstg. Utility Structures & Lines Clear & Free Set in Full Bed of Mortar) of Debris & Gravel (Gate Valves Keyed) Aprons, Dissipaters & Rip Rap Properly Installed COMMENTS: I RECOMMENDATION: I herein verify that the tests and inspections indicated above have been successfully I completed. Any deviations or exceptions are described in my comments. With this considered, I recommend that permission to hook up or permission for occupancy be granted as appropriate to the above indications. Signed: 11 Pr je Inspea3flr ? Confirmed by: - 4 Public Works apartment G:Forms&Lists/Sew& WatPermitRelForm.doc / CITY USE ONLY p? a LOT ?( /l BL RECEIPT #: SUBD. RECEIPT DATE: 1997 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 c? Date: (612) 681-4675 Complete this section only if you are installing HVAC in single family, townhome, or condos that are under construction and are not owner /occupied. • HVAC: 0-100 M B T U $ 24.00 ADDITIONAL 50 M BTU ` 5.00 _ • Gas outlets (minimum of one required @ $3.00 ea.) (0- l) o • State Surcharge: .50 • TOTAL: Complete this section only if you are remodeling, adding to, or repairing existing single family dwellings, townhomes, or condos. Add-on furnace Add on air conditioning Add-on air exchanger, i.e. Vanee system, etc. Other Minimum fee applies to all remodel or add-ons of existing residences $ 20.00 State Surcharge .50 Total: $ 20.50 SITE ADDRESS: OWNER NAME: INSTALLER NAME: QPRONE #: PHONE #: A uo - (' O C91"; STREET ADDRESS: CITY: STATE: ) ZIP: ?5 C? D OF PERMITTEE CITY USE ONLY L BL SUBD. RECEIPT #: RECEIPT DATE: 1997 MECHANICAL PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MN 55122 (612) 681-4675 Please complete for: ? all commercialtindustrial buildings. mufti-family buildings when separate permits are not required for each dwelling unit. DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: ? $25.00 minimum fee or 1% of contract price, whichever is greater. ? Processed piping - $25.00 ? State surcharge of $.50 per $1,000 of 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: ZIP: SIGNATURE: SIGNATURE OF PERMITTEE CITY INSPECTOR 1/? BL _L CITY USE ONLY RECEIPT#: F5/7/,4 SUBD. ??A(44,1- RECEIPT DATE: 1998 PLUMBING PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN, MIN 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 -------------------- # ------------- TOTAL Shower 3.00 x Water Closet 3.00 x_ Bath Tub 3.00 x Lavatory 3.00 x -3- _ - Kitchen Sink 3.00 x i , = " Laundry Tray 3.00 x t = 3 - Hot Tub/Spa 3.00 x = Water Heater 3.00 x ( = 3 Floor Drain 3.00 x 1 = 3 Gas Piping Outlet * minimum - 1 3.00 x 1 = 3 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 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 tic. 75.00 = (new and refurbished systems) Private Disposal Systems * Abandonment 20.00 = STATE SURCHARGE 50 TOTAL 1,5`:t S - ------- ---- --- -- ----- ---- - -- --- --- ----- ------- -- - ------------- ------ --- ----- I hereby aclmowledge that I 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-way/easement. SITE ADDRESS: r 1 rI L ?y , g? OWNER NAME: n (? .i C L r- INSTALLER NAME: I /n I (-1 P o F TELEPHONE #: STREET ADDRESS: 1? b U L2= ? (, A- f CITY: =0 f r f t? STATE: -- ZIP: S S ? ' l1 A SIGNATURE OF PERMITTEE JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998 ?gC1?1 3 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX 4 651-675-5694 New Construction Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 2 copies of plan stowing beam & window sizes; poured found design, etc. 1 set of Energy Calculations 3 copies of Tree Preservation Plan d kit platted after V1193 Rim Joist Delall options selection sheet (buildings with 3 or less units) Remodel/Repair Reguirements 2 copies of plan 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition • indicate ffonsite septic system 4-70,00 0 CLS .Ex al I/auF C?CLLWL Office Use Only Cart of Survey Rood _Y _N Tree Pres Plan Rood _Y _ N. Tree Pres Required _Y _N On-site Septic System _Y _N Date DL:7?-_ / I_ / ?SQL Site Address ;K" l Construction Cost ? ? D(12 Unit/Ste # Description of Work V iIl f i `i a S F z4 L Multi-Family Bldg - Y _ N Fireplace(s) - 0 - 1 - 2 Property Owner TT t u EH-& M- Telephone # ((, ?) q(7S q Contractor Address State City Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeo1y 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone # ( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. n T! L) ptfm ?:2 Zit=? P P T [ T ? Applicant's Printed Name Applicant's Sig atu 11 [1 JUL .- 9 2005 OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex PlbgSY or_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair A 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuations Occupancy 413 MCES System Census Code 3?( Zoning / City Water ` SAC Units Stories -" Booster Pump - # of Units - Sq. Ft. PRV - # of Bldgs Length Fire Sprinklered Type of Const_ Width REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) FinaVNo C.O. Footings (addition) Plumbing _ Foundation HVAC - Drain Tile Other _ Roof _ Ice & Water _ Final s az rr - Air/Gas Tests -Final Ftgs Pool Framing - c 4 ply = = Siding Stucco Stone Brick Fireplace _ R.I. -Air Test _ Final? Windows Insulation _ Retaining Wall Approved By: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector PERMIT City of Eagan Permit Type:Building Permit Number:EA137253 Date Issued:06/24/2016 Permit Category:ePermit Site Address: 2946 Skyline Dr Lot:1 Block: 1 Addition: Kresse PID:10-43500-01-010 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required 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 - Thu H Pham 2946 Skyline Dr Eagan MN 55122 Smart Builders Inc 11672 Butternut St NW Coon Rapids MN 55448 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature