1567 Stephanie CirQ
wertificate of cceuvanc?
CM4 of Wow
mew ? V>mi" This Certificate issued pursuant to the requirements of the Uniform Building -C?de
certifying that at the time of issuance this structure was in compliance with the varlou
ordinances of the City regulating building construction or use. For the following:?
Use Clasaificarioo: SF DW Bldg. Pennil No. 21602 ?.
0-vancyTYre R3/Nii 7®neuiw RI TYVeCons,. \
o?werut building DIM 0ma. A 3258 PfA1L9aKL RD, ? .. ?.
15
1A, Bl, MDGEHAVEN PM
'..Z
Budding naa? ? m Locality
i Dare:
Boil - Dlf?
POST IN A CONSPICUOUS PLACE
`CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: 1
.I` i'FIANIt,
h I flit IIAVF N Al kf %
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
S It I II I_ K , APPLICANT:
TYPE OF WORK:
1 1 lI 1 1
INSPECTION TYPE .DATE INSPTR INSPECTION TYPE DATE INSPTR
. .
t e I ! I ::i
I?f MARKti: Fi & W PLHV MINMI -it) IA Nt 1'001 & N16
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings1 73 b --)
Foundation
!
v
Framing
Roofing
Rough Plbg. ?1r1 3
?7 /i
6T
Rough Htg. , n? 1
pa?7
.
Isul.
P
Fireplace ???J, g3 LX
Final Htg. /(D LfJ?
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Pian I
Bidg. Final /
!!!
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
I ; 1 Iit'?hf it
1 1,1„ flr,'., iv fir 1. 1'.
PERMIT SUBTYPE:
., ,i
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
4 11 1 Of, K ; APPLICANT:
TYPE OF WORK:
rd . ' !I 'd rI if
) .' ?t??r I!rn
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
1111111rINi,
RF MARIl, i i 4r(}T I N(I I H`, t'1- r. 1 I o" I I)VE 9f I) IINoI- it ill A.r P1 I: N 1 I )
`.itVARATI I'lPolI'I At? I. itl-r,rt1[RL0 f, OR ANY U1.EI.I'fril.AI- Iris 111.1NOIN6 1.rrrkY
L
Permit No. Permit Holder Date Telephone #
Sm
PLUMBING
HVAC
ELECTR 7°O
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
.Framing
Roofing
Rough Plbg.
Rough Mg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Pibg. Pibg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final ??/ QlQlt/ ytG?
Deck Fig.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
{ I,ir{ It.i fl rte i•.
PERMIT SUBTYPE:
INSPECTION RECORD
PERMIT TYPE:
` - Permit Number:
Date Issued:
{ APPLICANT:
TYPE OF WORK:
INSPECTION TYPE
r? .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
3
Rf MARt. S 4 INN. I flflf ', ttAPAfif f 1101411A I FIIM
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
H\/AC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
-Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector- Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Fig. Z? /
Deck Final
well
Pr. Disp. AV
o,r«+ jl, s u 14- &-kT GK
/5/
0 72"150
REQUEST FOR ELECTRICAL INSPECTION
' Sea inslycbons for completing this form on back of yellow copy
X" Below Work Covered by This Request
No e Type of Building Appliances Wired EquipmeniWired
Home Hange Temporary Service
Duplex Water Heater 4 Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speciTy) Contr S Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100' ps
Transformers Above 200 _ Amps Above 100 Amps
Signs Inspectors Use only.
/ T TA
Irrigation Booms ?®
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED I OT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date
certify that the above inspection has
been made. Final
s bete
OFFICE USE ONLY '? prf
This recuest void 18 months from
0- ?-278 ?d°
R.p Fire ough- a ection Required
(You must It inspector when ready) Inspection Other Than Rough-In
Ready Now ? Will Notify Inspector
? Yes ? No Date Reatl
I Lensed contractor ? owner hereby request inspection of above electrical work at:
Job Adtlress (Street. Box or Route No) City
Section No.. Township Name or No. Range No. Counr9"
Occ t (PRINT) Phone No..
Power Supplier
t I& rrc Address
Electrical Connector (Company Name) ' J Con c/t^o?ls^License No.
' ?
Mailln Adtlress ontrac[or or Owner Making Installation)
SC; I ua--i? Sul SSISU -066
A oriz Signature Contractor/ a ing Installation) Phone Numbs( ()? /
?
s
.XT V
EQUEST
WILL NO ?OrIINES
MOdA ST BOAR
Room S-12LE CITY BEiACCEPTEDI BY THE STATE BOARDT
1621 Univ 1y Ave., 51. Paul, 55104 II III I II II I I II I I I I II UNLESS PROPER INSPECTION FEE IS
Phone(612)642-MO ENCLOSED.
?' jyt?Q +yz REQUEST FOR ELECTRICAL INSPECTION
jo? See instructions for completing this form on back of yellow copy.
.... X' Below Work CWered by This Request
I -V
EB-00001-09
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./industrial Furnace Other (Specify)
Farm Air Conditioner
Other (b,city) contractor's Features
Compute Inspection Fee Below: (Jd -60-C
# ' Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200-Amps 700 Amps
Signs Inspectors Use Only
? TOTAL
Irrigation Booms L
7(6, ?U
Special Inspection fff///
Alarm/Communication THIS INSTALLATION MAY BE ORDER DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18
NTH.
,
I, the Electrical Inspector, hereby Rough-in
r at
certify that the above inspection has
been made. Final ` Date
OFFICE USE ONLY
This request void 18 months from
A&CO/
8
/U
9i
Req est D?ej
I ^?
/
(
? ire No. Roug -in Inspection
aq d?
? Ready Now ill Nobly Inspecior
'
(
?s
J s ? No hen Reatly?
I iC*nsed contractor El owner hereby request ins coon of above electrical work at:
Jab Address (Street. x or Ro o city
Sechon No. Township Name or No. Range No. County
(
Occupant R T) Phone No.
Power Supplier Address
G
Electrical Contra or cohrpany Name) n,^ Cont r c se No
Mailing Address IContractor or 04 g r? o
55379
So?ex
Amnon C Sgnat a nirzmo ner Making ns1 Lion)
44114 Phone N _35
MINNE TE a ;RD OF EL RI THIS INSPECTION REQUEST WILL NOT
Grioae-Midwev Bid.. - Roots S-1] BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. 51. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (812) 842-0800 ENCLOSED.
9?3?i3 REQUEST FOR ELECTRICAL INSPECTION Ee.00001-09
No See instructions for completing this form on back of yellow copy.
IL 31 R R "?" Below Work Covered by This Request vtt
e Atld Rep. -' Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other(Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other (specify) om tors Remarks:
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size a #j Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Bove 100 Amps
Signs
Inspectors Use Only ¢
TOT 7 V
Irrigation Booms Z y. v • ?'"
Special Inspection QO
Alarm/Communication THIS INSTALLATION MAY BE ORDERED ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS. I
I, the Electrical Inspector, hereby Rough-in to
certify that the above inspection has
been made. Final Date
OFFICE USE ONLY '
This request void 18 months from
„
6
8
24
?
Request ate
9 Fir No. Rough-in Inspection NOTICE: You Must Call Electrical Inspector
1? Re ui ed9 If A RoughIn Inspection
1 \
/ Yes ? No Is Required,
I alicensed contractor ? owner hereby request inspection of above ale --
Job Address (Street. Box or Route No.)
`
Section,NO. Township Name or o. Range No. County
Occupant (PRINT) Phone No.
Power Supplier Atltlress
Electrical Contactor (Company Name Contractors License No.
1 c `t-z
ling Adtl s (Contractor or Owner Making Install lion)
s
n
i
Authoriz atr
e- n clo n a g Installation) Phone Number
,: , S ?- Z
1(o t
,
MINNE50 TATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-M ay Bldg. - Room 5-173 BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 01119 UNLESS PROPER INSPECTION FEE IS
Phone (612) 692-08110 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION EB-00001 08
7 ? See instructions for completing this form on back of yellow copy. / G'
M 2 0 2 4 8 - "X" B)?low Work Covered by This Request J
ew Add Rep. Type of Building Appliances Wired Equipment Wired '
Home Range Temporary Service '
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks: Z.
Y?^?
Compute Inspection Fee Below.
# Other Fee # Service Entrance Size a Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps Z
Transformers Above 200 Amps Above 100 Am s
Signs Inspectorb Use Only: TQT l
Irrigation rte.
Sp
Special
Inspection
'
Alarm/Communication THIS INSTALLATION MAY BE O ER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rough-in Dale
Final
OFFICE USE ONLY
This request void 18 months from
Address 1567 STepen M CIRr.,LE Zip 5512 1
Lot T-4 BIk I Sub RmctHAvEN Arms
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: A 7O zm Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry) r
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 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
7 2 50o?o
Repuest ate ire N Rough-In Inpsection Repuired
(You must cell Inapetlor when ready) Ins lion Olher Then ROUgh-In
eatly Now ? WIII Notgy Ineptttpr
? Yee ? NO to Reatl
reby request inspection of above electrical work at:
nsed contractor ? owner he
tL
reet. Box or Rople No.l
I eel - •l ? ?? •?/4? City
Section No. Township Name No. Range No. Coun
Occupant IPRINTI
_AJVIy/I(PR Pho?N^ /
0[/J
Pow Supple • Adores
O1A r??? Ta
'
Elect'ca! Contractor (C moony NamelEt s License No.
Contractor
Mai Ores rtractor or Owner Making Inst at
AuthOnz Signature. on1 a g InstallaLOn) Ph e N bar (/?
C
?J THIS INSPECTION REQUEST WILL NOT
MI EBOTA ST OARO ECTRI BE ACCEPTED BY THE STATE BOARD
mils-Mldwgl dg. - Room S-"
173
--..? uu A UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
r.CIT?' OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-63995-040-01
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1567 STEPHANIE CIR
LOT: 4 BLOCK: 1
RIDGEHAVEN ACRES
3
BUILDING
021602
07/29/93
DESCRIPTION:
Ba(il,dih)g,_Permit Type SF DWG
?uilding Work Type NEW
U13C Occupancy, R-3 M-1
f/ Construction Type V=M
Zoning '._ R-1
55
Building Length
Building Width j, 32
t, 01
REMARKS:
S & W PLBR - MINNESOTA PLBG & HTG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Lic. Search Fee
Subtotal
VALUATION
$531.50
$345.48
$38.00
$750.00
100
1
$5.00
$1,669.98
$76,000
MISCELLANEOUS $1.744.50
Total Fee $3,414.48
CONTRACTOR: - Applicant - ST. Lic
IMKER CON T 14961146 0005492
3258 MARSCHALL RD
SHAKOPEE MN 55379
(612) 496-1146
3258
3HAKOPEE
(612)496-1146
I hereby acknawledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L_
, 4iA
APPLICA T/PERMITEE SIGNATURE ISSUED 84 SIGNATURE'
MARSCHALL RD
MN 55379
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 4 B L O C K : 1 APPLICANT-
1567 STEPHANIE CIR IMKER CONST
RIDGEHAVEN ACRES (612) 496-1146
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
021602
07/29/93
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR - MINNESOTA PLBG & HTG
7
REACTIVATE -9 EC E ED CITY OF EAGAN ,,f
PERMIT UL 1 3 1993 1993 BUILDING PERMIT APPLICATION $3,414.0
_--- -- - -_ 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
*4
Date JT / 13 / I`l 13 Valuation of work o?
Site AddressAl 42A1t L yak
STREET SUITE M
Tenant Name: (commercial only)
LOT BLOCK J- 3UBD. `
tz-u? ".1 D. A /b Uq9 D?/ 0 v
rrNS<2 G %a?J
Description of work: ? i?fful
The applicant is: ? Owner M Contractor ? Other (Describe)
Name 51'bPO17 4 NN Phone
Property
Owner LAST FIRST
ql drr(2?
?I/3
S
Address
- STREET STE k
City F-OwA /'j (L) _ State A ? Zip
Company br CION_5'? Phone
Contractor Address License # 6005LH Exp. 3 / Sl
City S (k _ State AAV Zip 5-3?3
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Mlinli/e,;ao 4 w?( Processing time for
sewer & water permits is two days once area has be n appr ved.
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
Eagai, Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYP E I
rk
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging. O 16. Posement Finish
IN 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add11. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
131 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) y- N Basement sq. ft. MWCC System Y25
(Allowable) y_ t4 1st F1. sq. ft. City Water C5
UBC Occupancy -3 M-I 2nd F1. sq. ft. PRV Required
Zoning R-I Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
-
Lengthy On-site well Census Code 75
1
Depth 3z, On-site sewage SAC Code
APPROVALS i
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee wiLacim: s `l61 cx)o
Surcharge
Plan Review GRnE;
i6= 713gZ
2rxz2 . '4612 K
License
MWCC SAC 6Smr;
28,k 3y Z `sSz KIS =
Iy Z tv
City SAC
Water Conn. 1sT Ftoot2', 28 k3y c `PS2
Water Meter
Acct. Deposit. A Y-9 = is
S/W Permit ly X 2 = 8 8
S/W Surcharge
Treatment Pl.
°J 98 >< 5?
= 53 S 9z
Road Unit
Park Ded. 561-1
Trails Ded.
Copies
Other
Total:
SAC % Od
SAC Units I
EXTERIOR ENVELOPE ENERGY CODE COMPUTATION WORKSHEET
To Determine Compliance with the Minnesota Energy Code
(Section 502 of the State Amended 1989 Model Energy Code)
Project
Site
1. EXPOSED WALL CALCULATIONS
A. Opaque Wall
1. Masonry/Concrete
a. /eloc ?(
C.
2. Foundation Wall (Above Grade)
a.
b.
3. Wood Frame Wall
a. Insulated Area-
b. Framing Area (Ave. 15% at 16" oc)
C. Framing Area (Ave. 1001o at 24" oc)
4. Peripheral Floor Edge/Rim Joist
a. / i ow rois f
b.
B. Glazing
1. Windows
b.
2. Doors A-?L j 0
C. Doors
1. Wood
a. Solid
b. With storm door
2. Metal S -/ r e
3. Overhead
4. Other
D. TOTAL WALL AREA, sq.ft ..............................
5
4.
.4
fT,l M?NN_
AREA
x
x
x
_ x
x
3 x
x
x
x
x
a
//6. 7 x
x
x
x
x
x
x
/?? ? q p '•x
"U" VALUE
a
a
e ?? a
n0
®O =
y9 =
E, TOTAL OF AREA x "U" ......................................................................................................
H. ROOF/CEILING CALCULATIONS
A. Roof/Ceiling Insulated Area ' 9/P x .i
B. Roof/Ceiling Framing (Ave. 15% at 16" oc) x =
C. Roof/Ceiling Framing (Ave. 10% at 24" oc) ZjQ .2 x ,t 7 a
D. Skylight ` x a
E. TOTAL ROOF/CEILING AREA sq.ft ......................... //} dd
F. TOTAL OF AREA x "U"
AREA 41",U"
6,S
s;
?A P
c7:'
r..
.•y
III. BUILDING ENVELOPE REQUIREMENTS
TOTAL AREA REQUIRED "U" ALLOWABLE
(From I.D. & II.E) (From V.) (Area x "U")
A. Exposed Wall: 39,Zz x X11 _ _ 07007,3?
B. )Roof/Ceiling: /0 f?(L x 1;).z4_ _ .5?
C. ..,TOTAL ALLOWABLE BUILDING ENVELOPE (Total of A & B above) ..... :............
IV. ACTUAL BUILDING ENVELOPE
A. : Exposed Wall (From I.E.)
B. Roof/Ceiling (From ILF)
C. TOTAL ACTUAL BUILDING ENVELOPE (Total of A & B) ......................................
*(Meets code requirements if less than III. C)
V. REQUIRED "U" VALUES
}
Detached one and two family dwellings
* Multi=Family Residential Buildings
(3 stories or less in height)
* All Other construction Types (3 stories or less)
'. All Other Construction types (More than 3 stories)
*Based on 8007 heating degree days (Mpls. /St Paul)
Adjust "U" Values accordingly for other locations
WALLS
.11
.238
.238
.28 r
ACTUAL
(Area x "U")
L
ROOF/CEILING
.026
.026
.06
.06
t?
_ CERTIFICATION
I hereby certify that I have completed the above information and that it complies with the Minnesota State Energy Co-
BCSD 4-93
CC/SM/6574
x`;
Wav = 4g. kt.
aulz = 41.9.
watt = 4q. f t.
u+2LL = 44. ?f^
walu
I, aU
una.LC =
l+'au sad lei Gina ?laea '
( vmouta#wrao
7o_{-14.ine .stud ualt aaea
Starrda"zd .e zed wall.vacfe pCafeo= n G,11J?1f x C . aas=GV- //? wr?CC
Knee a#ud' wqU' inc(.? eA .. f/ 4ga 1
U A4, ? ,? t fie K? .CftP (va,GC_?,?..n?Tae fA.=U
U#}1hr peic...?fccf tva Ll':crcc[oJaidieS A d e,1?I.Pj X V4 wa&4Q. ?fem+a-u
u#he2'AtcrcC twa iad.• 4Q• /M1llo N 3' .C?tO tUalL,? 4Q.,fP WN^ .
Stud and .Cafe area
7olad 4q. .'stud tpmU aaea J-&dul&ig k7 ee meal/ aaea = /? `f/ /#n
/s % -toiR atud wau a2ea _ 4g /..t. stud a7'"a-ta°e"_ 4 e
hie petceat allowed by SMea
)A/ ulf joiatj-2?- x -O-L aq. ?fP / 1l e a.i.m foMti S / ,p "ege ??P AiM j.Q LAt
x 41..?°Z 11P£e aim ?vtef dg<!#< rcim yviAf
aim fvi at = dg..? f. 4z n ¢o i a#
z Ord Lla4em____` lo CA
Jache4.above :g ade? x e03 x .Lf
Jnchea above:.., ?a e x . p?Y?3 x C7 .
JitcAed' above;-.wade x ^fjnV?IN C f.
JnC/zed above made x o a. 33 x C/
JnChea,.,above grade- x PO -3 x _ 1 x.
Jncheo''above gAade x' , oN 3 x .Cf to
?n.che4 above mode x . aY33 x L;xe
rret wat..C llaea4
7o#aL 4;t uraL.C aaea /6 yd
.?.LeA4WindOW4 .Le44 S
dovaA
Leon `Y'aic6o Oowa
Le44'Atz and pLa e'
Le" I eplace _
7o to l =,.U aaea
5
&OCA
G.4,Ch
:s.Coch
B LoCA
&100 it
Bloch
Bademvst b.Coch.;aaea• ?1
oCu4 cmea W(iU
LeeA tBL1dOU14 ?? ?•
Leda dooire
LeAA Ilineplace _ T
7 oza.C Bad a B)h . area
Nturibe<c' o! cvacl4 oa fvc a A L4 oa (oad '/ x 1 .Ceapth
Nunbea OX Condom oa jo.ia#.a " x Cenc?'h =
Nt117rbea.0 -COadB' oa.fOi4t4 X .Length
Ci 29tlaea
.:.d..{L... 144 X o 125 = ?Q d4n ft+
#ofa.C: Ift.x .125 = eg. .,
to fa.L 17.7, x ^ 125 =
Gei taus r? _
![I.C(iJi
i. x cut Mr
.Lru;A
X Ce<
CLJ3l
lQY2
f? _ 4g,.#^ cei l`inr
'•
Sel, F
, .?? `?
_
ttu ?u
Ce. .
? •
f
Z s . ?. / y 4go P.
lem .4q. f4., cond Py.
•L2d4 d(?. :E.. CV2d Ced-UJCa
.!
JJLOu Ixted Ce.l. .
L.CJ7?
.(.Iiaa; ed CP.C.`/'.l'n'Yn'"
Fi.aeo•CacM
'. up c". Width x v,ven.rnr? -
dg. /t !inep.Cace/
T
Lr??9 tt ue a fog 4
uindoY Ateed,190 4 " <n4ulcued Q.&M a4ra. ?peGFQ? ?M??Q E? glaaa aaea'
lfaisr UnLf quanifp. nuabrk o! 4mzfd to sour, %gt 1, muC&2, efc.
/JvacaLatioa UnV filic Sq.,ft;/VAU 7otd da.'
-7z. Y'P
a X "- -- - -
/Y. 06 ?
o?
.f - X S'r
-------------
r
4 ,
-----------------
Total roLgdom dguaae feet
eat ed &
UooRe
OooRd UW ineufafrd Pjae.e, .eg.uRe g.Laea aaea wVA windows
64V unLfd vUA aide •lifee, 1i ad: Bide onC?t.eeveeeie(? double doo4w Ajpt
Q Oeecnipfcon U, # Q B LA-/ Unit Tohd e
a
3 74CQ- •VS?
7 2,
----------------
•Talat dooR dquaae !eel ? '12
r
flooR ."U" ,eoltn?
Sid 4 -
iJ¢e rye E?f.ion Sg. F` / U,?f 7o#a 1 e4? ??
70fa l Squaae Feel
Sd Ll. na.f ed
1°alio /100"
De°cr'cativn S¢,F?. /Unit Total eo. N
o _?
Total Savane Fee ,:f.lif
f'afto dom "U" "a.fed
t,
ti
CONSTRUCTION R VALUE
CEILING, SECTION INSULATED): _
1 Interior air film n.61
4 Exterior air'flim stilll O.Fi
''S TOTAL R 7, /•E
CEILING FRAMING'!,SECTION:
1 Interior; air'film 0.61
2
,
L
?
3
L`
/
4 Interior air 1`11m still O. 1
S inches soft wood r
11..? 1
TOTAL R
I = ? 4,0y
it '
G
U ° I/R
°
CEILING SECT IOwd(INSLILATED):
1' 'Interior air`,'f,iim 0.61 ,
4 Exterior airiilm still
TOTAL R =
U I/R =
?U+
Cl FRAMINf,ISECTION:
I Interior airifil
VENTED 2 , 77-T -,
3
4 i xterior airi'.il
S l':Ginches:!soft Wood
jll'a ?I; II' TOTAL R
U 1/R
1 Inslde air film 0 61
2
3
5 Outside air film n.17
TOTAL R
dip ?'li? ll = 1/11 Page 4
< BROWN SURVEYING FAX 612-4354-4055
Y '
W. Brown Land
900 East 79th at, Suite We;
Bloomington, Minn. 55420
Survey For,
Stephen ° Daniels
Construction , Inc.
(Shepard Residence)
Front E? _ Bu?D
9Y? Df'.??vaafarfo-s'B.Q!®
Cq
Gd' d? XK-•
/y6V*0rr'2g'E
Phone (612) 834-4055 WOODROW A. BROWN, R.L.8
Fax (612) 854.4268 President
SKYLINE DRIVE
eft
i //LOT
1
I
1
c? o ? d
m_
Ince
PAC£ 02
NORTH
41 Jckr!"+1D'
I oAe.»ks /tas A4?i.»xse?
I e?trdis+et+bs Eidy?a? u&wx•Sayv
I
I?
letveA Me
Afm6 iX. Abiy
I EoJ?snaofs.
'A1\1
FZEVIEWEG.
?y
2?-
i /
a Pat ?gg.9'
mk. ,?.
?a
REV?EWK
Xd19°A8c19 C" a
1•
AG.A N
Lw4t8lock I, RIDGEMAVEN ACRES, Dakota County , innesota,
1 hereby certify that this survey, plan or report was prepared by
me or under my direct supervision and that I am a duly registered
Land Surveyor under the laws of the State of Minnesota.
W. BROWN LAND SURVEYING, INC.
FPIGINFER1-NG D
it '-04 ?'c?c? DATED:' nzC/?
Woodrow roan, S. NO.-IMO etg/Ry
R- 0-21-91 13
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING ERMIT APPLICATION
m 52 PROPERTY LEGAL:
m
3
1
4
W . < N Date of Survey:?Z
4 2:
Z
DOCUMENT STANDARDS
0'0 0 Registered Land Surveyor signature and company
p!? ? Building Permit Applicant
01'-0 0 Legal description
0 D 0 Address
9--0 ? North arrow and bar scale
p''? ? House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
W? 0 Directional drainage arrows with slope/gradient $.
it O D Proposed/existing sewer and water services
? ? Street name
$ ? ? Driveway
ELEVATIONS
Existing
? 91?0 Sewer service
[Y ? ? Lot corners
D'?0 ? Top of curb at the driveway
0 0e?? Elevations of any existing adjacent homes
proposed
Rd 0 0 Garage floor
111-0 0 First floor
?/? 0 Lowest exposed elevation (walkout/window)
??? ? Property corners
? ? ? Front and rear of home at the foundation
ONDING AREAS (if applicable
D 0-?'0 Easement line
D D' ? NWL
0 0- ? HWL
0 Q?? Pond # designation
? 0? ? Emergency Overflow Elevation
DIMENSIONS
C7' ? ? Lot lines
,D- 0 ? Right-of-way and street width (to back of curb)
[y ? ? Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e.. all
structures requiring permanent footings)
DIE] ? Show all easements of record and any City utilities within
those easements
0 ? Setbacks of proposed structure and setback of adjacent
existing ho
0 ? Retainin 1 requirements, if any
Reviewed:
N me / D e
October 1992
-A?CITY`OF PAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1567 STEPHANIE CIR
LOT: 4 BLOCK: 1
RIDGEHAVEN ACRES
P.I.N.: 10-63995-040-01
DESCRIPTION:
6a 31ding",.Permit Type DECK
Building A4rk Type NEW
?` II
r`11
BUILDING
023533
05/09/94
REMARKS
INCLUDES GARAGE FOUNDATION
FEE SUMMARY:
Base Fee $30.00
Surcharge .50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
SHEPARD ANN
1567 STEPHANIE CSR
°_AGAN NN 55121
(612)921-0363
I hereby acknowledge that I
information is correct and
Statutes and City of Eagan
.. • APPLICANT/PERMITEESIGNATURE
have read this
agree to comply
ordinances.
application and state that the
with all applicable State of Mn.
f)6110 601A I )?-q
ISSUED BY SIGNATURE I
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: LOT: 4 BLOCK:
1567 STEPHANIE CIR
RIDGEHAVEN ACRES
PERMIT SUBTYPE:
DECK
PERMIT TYPE:
Permit Number:
Date Issued:
1 APPLICANT:
SHEPARD ANN
(612) 921-0363
TYPE OF WORK:
NEW
BUILDING
023533
05/09/94
I
REMARKS: INCLUDES GARAGE FOUNDATION
CITY OF EAGAN FMA ???®
23613 1994 BUILDING PERMIT APPLICATION
681-4675 0. Q 3 199 4
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work
Site Address: 19 69 Sf-ee?-h"e
STREET SUITE #
Tenant Name: (commercial only)
LOT BLCCK I susD. Ridgehaven Acres T
#
.I.D.
Description of work: DCCK GaLd4c lab q
The applicant is: 0 Owner ? Contractor ? Other (Describe)
Name Shapa rd nn M. Phone 6E6 -O9y I
Property LAST I FIRST (w) 92/- 03G 3
Owner C
t
Address 1507 S
irCI _
ephanie
STRE T STE #
City zdgdn State AN Zip -55121
Company Phone
Contractor Address License # Exp.-
city State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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: ( ?i?nJlo/li7a?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add11. ® 15 Deck
WORK TYPE itic%®es AU-A?jp. dad j a„fie
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair, ? 36 Move
G EN ERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
?.Site
? Wallboard
Basement sq. ft.
1st F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
W Footing
111 Final
J9 Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yahwtim:
4* oft
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
BRUWN SURVEYING- FAX 612-654-4055
virm
W® reon Land Urv
900 East 79th St. Suite 105
Bloomington, Minn. 55420
Survey For,
Stephen - Daniels
Construction , Inc.
(Shepard Residence)
ryr4oredl E?EroJlieias=
Ce i'/aev= C.io.O
R-s%JC?w:ii? wr-•
fion/ ?Alf? ' B`?.O
?. Df /acndofvv'BtOd
5 . r
4- L-
•. i
:ry
le e14'e; p Eqn e r+yl?
I
k LOT
h ? r
e0 ? f ? r 2, \
I\? rt
PAGE 02
.. u
Ines
Phone (612) 854-4055 WOODROW A. BROWN, R.L.S
Fax (612) 854-4268 President
SKYLINE DRIVE
/Yds°tfr Rg'f
e.9 /r
r--------------
r
rr \;
res? \
v ?d
,wit,
n
- • 4Sta'-' - -
I
41
I
I
I
I
?I
I
I
I
I
I
?I
I
I
_J
NORTFI
I
led/&: /"• 10'
OL> nek? /ewe A644 ncoi
G"bra{d?
ByiLrA&'eeS ExAk"14
Atli , /* XweA Hbr
e4re" n/.r.
,me'n^e-ra C ? 1
L y'°' a+ iv89°AY c19 Gc a
PROPFRTY OFSCRIPTION
Lot4,81ock I, RIDGEHAYEN ACRES, Dakota County , Minnesota.
I hereby certify that this survey, plan or report was prepared by
me or under my direct supervision and that I am a duly registered
Land Surveyor under the laws of the State of Minnesota.
W. BROWN LAND SURVEYING, INC.
s ?'/yr?c-?t? DATED: Woodrow r o w n, 34 /l?ntad' Ja f ef, /PW
i.tYG
R- ir6544uDO - i 11: 13
qTY 8F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
Cf\ 3qw
BUILDING
024948
12/09/94
SITE ADDRESS:
1567 STEPHANIE CIR
LOT: 4 BLOCK: 1
RIDGEHAVEN ACRES
P.Y.N.: 10-63995-040-01
DESCRIPTION:
idng-.Permit Type
lding Wbrk Type
I'
l
1.
q,
SF ADDITION
NEW
n
0gh
REMARKS:
(FOOTING INSPECTION COVERED UNDER DECK PERMIT)
SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $13,000
Base Fee $144.00 COPIES $3.50
Plan Review $93.60 Total Fee $247.60
Surcharge $6.50
Subtotal $244.10
CONTRACTOR:
I hereby acknowledge that I
information is correct and
Statutes and City of Eagan
APPLICANT/PER EE SIGNATURE
OWNER: - Applicant -
SHEPARD ANN
1567 STEPHANIE CIR
EAGAN MN 55121
(612)686-0941
have read this
agree to comply
Drdinances.
PERMIT
application and state that the
with all applicable State of Mn.
ISSUED B : SIG TURF ?-
J
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 4 B L O C K : 1 APPLICANT:
1567 STEPHANIE CIR SHEPARD ANN
RIDGEHAVEN ACRES (612) 686-0941
PERMIT SUBTYPE: TYPE OF WORK:
SF ADDITION NEW
BUILDING
024948
12/09/94
INSPECTION TYPE
FOOTINGS .DATE INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FIREPLACE
FINAL
REMARKS: (FOOTING INSPECTION COVERED UNDER DECK PERMIT)
SEPARATE PERMITS ARE REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
14941,
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATI
681-4675 EC[ VIE-DO]
ccI J!
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site su - i_CQRy-of
e rgy
-
talcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy talcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date to / I'I / 4 Valuation of work
Site Address: 1567.. 5+e-pb i n'i? L r-oaIf F_cic7G,n 5'3121
TR° SUITE #
Tenant Name: (commercial only)
LOT
BLOCK J-- q
SUBD.
4 JR , Gr,7,hML
P. I.D. a
??
?v.
Description of work: 4'r.- ,n•.r
br-c/e C,vE'4Lcb ktubcI& SCPiA2oz
The applicant is: Owner ? Contractor ? Other (Describe)
Name Sh\f,4) d Ann Phone /cv(c °Oc7?l
Property LAST FIRST
Owner Address 150'1 Sir r b con i C 61
STREET STE #
City LEcigJCth State M/1/ Zip .55121
Company Phone
Contractor Address License # Exp.
City States Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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: Z2?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
P(03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
- ? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
JN 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Basement sq. ft.
1st F1. sq. ft.
2nd Fl. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
1?rGK Pte,,,,. r
?.Site 4-1 oo pg ?F__aming
? Wallboard nal ? Draintile
.Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Co ies
Other
Total:
valuation: $ ?Ji OOd
/5'xi& = z z y x SsY =
/2-/04ro
fvr?-1K'fr"`? f
(dust ?"??'
rw. (tea
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code OL
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
SUWEYINU- FAX 612-654-4055
900 East 79th St. Suite 105
Bloomington, Minn. 55420
Survey For
Stephen • Daniels
Construction, Inc.
(Shepard Residence)
?j^paa? ,??G?iM9=
GO?'O? ??c1o?` ???
Fion/ ??/Sr = B,YQ?
7li? Df'?cev?dv?ia+'Ad0.0
>. z
Ei}
.ir9v°ar A9'F
eA /..^
ti IILOT
ti f?
I
1 `' e
`. e
l'rvy `e ?.
J aE
m
Sz
1, '41
7? ' n 4160^0Ycwlf'
1
41
l
1
I
?I
_J
NORTH
t
Scale, /"• do'
Oaks 1 ,-al Mawr A/
B.r:?L?..[Yk7 Exariry ?,pfin.
nr" A, spy
,
'tJE IV 1F?N`c D
PROPF TY DESCRIPTION
Lot 4, Block I, RIDGEHAVEN ACRES, DakOta County , Minnesota.
I hereby certify that this survey, plan .or report was prepared by - ,
me or under my direct supervision end.that t am a duly registered
Land Surveyor under, the laws of the State of Minnesota..
W. BROWN LAND SURVEYING, INC.
00 row raven, 30?.re
In C.
l'
02
Phone (612) 854-4055 WOOOROW A. BROWN, R.L.S
Fax (612) 854-4268 President
SKYLINE DRIVE
Ek:11lt?TC? .T:E
6129 4405 - J-`J 3 -1 002 13
CITY OF EAGAN
EXTERIOR ENVELOPE AVERAGE 'U' COMPUTATION
OWNER: ZA)K 7/ PAKD
SITE ADDRESS: (5G7
?;DN Gr ??L
CONTRACTOR: DATE: PHONE: i°k&e o 41
Determine working square footage of each:
1. Total exposed wall area .. ,Zg3,? sq. ft. x .11 = 7i5!?y71
2. Total roof/ceiling area .. IL I sq. ft. x .026
Total exposed wall area above floor = .?-555i6
a. Total wall window area ............................
b. Total door a.-ea ..................................
c. Total sliding glass area .........................
d. Total fireplace wall area ......• •............ f
e. Total wall framing area (average 10%) .............
f. Total net wall area above floor ................... ?
g. Total rim joist area .............................. ?
Total exposed foundation area = ltlt,34
h. Total foundation window area .......................
1. Total net foundation area above grade ..............
Determine 'U' value of each wall segment:
a. x l us
b. x 'U'
c: x ' U'
d. x 'U'
e. x 'U'
f. X 'U'
g. ,D X 'U'
h. - x 'U'
i. x 'U'
3?1 _ -71
3 e = 21:5
.77i a7
.OziL
00^
3 . .................................................... Total = l
If item 03 is the same as or less than item 01, you have met the intent.of SBC
6006(c) 2.
Total exposed roof/ceiling area = 121-7 Zi
J. Total skylight area ...............................
k. Total roof/ceiling framing area (average 10%)
1. Total net insulated roof/ceiling area .............
OVER
' Determine 'U' value for each roof/ceiling segment:
J. 1 -
? x ' U' -
k. 12?, Z x ' u'?
X ,U, .f?Z'Zr - 2
4 . ...................................................... Total =
If total of 04 is the same as or less than 02, you have met the intent of SBC
6006(01.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items d3 and 94 shall not be greater than the sum of Items 01 and 42.
1. 2 sl, Z3 _ + 2. a"J Z Z3
3. Jz?Z + 4. z8 ZSS
2
RESIDENTIAL
BUILDING PERMIT APPLICATION
` Y77a CITY OF EAGAN 110,50
3830 PILOT KNOB RD - 55122 N" /j J9dS,01
651-681-4675 Df?
New Construction Requirements RemodellReoairReguirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and911 roofed areas • 2 copies of plan
(20% maximum lot coverage albwed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
1 set of Energy Calculations • Indicate if home served by septic system for additions
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE /6'!5?- 0 / VALUAION
JOBS IT E ADDRESS ?S?T STE?I?f1? ??000C ¢dA ?/yl/L? ?S/?I
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER -1'4r" /?/lCdr/?L?rtL
TYPE OF WORK I?eZA:La l DP4TxVA1 FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT yaw", r- PHONE#
ADDRESS 156, 7 ZIP CODE
PAGER #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) Residential Ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor.
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
oc d" J
All above information must be submitted prior to processing of application.
i_ u
I hereby acknowledge that I have read this application, state that the information is correct, an omply
with all applicable State of Minnesota Statutes and City of Eagan Ordin ce
Signature of Applicant
CELL PHONE # f 5/-335`1(3$ FAX #
Water Softener
Water Heater
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required
Updated 1101
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-plex ? 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
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt: SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
tw 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) - GivlerPCA handout to applicant
Valuation 00-0 Occupancy k. t MC/ES System
Census Code L/ 3 Zoning City Water
SAC Units (9-) Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
Approved By T Z- -,Building Inspector
REQUIRED INSPECTIONS
Footings (new bldg)
Final/C.O.
Footings (deck) Final/No C.0-
Footings (addition) Plumbing
ftr(?
Foundation
Drain Tile
Roof _ Ice & Water _ Final Other
Framing
Fireplace - R.I. -Air Test -Final
Insulation
Windows (new/replacement)
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
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding Stucco Stone
`t
IIVAC
1-4
Total
EYING- FRX 612-E54-4055
02 6'1 Z'
Land Surv
800 East 79th 6t. Suite 105
Bloomington, Minn. 55420
Survey For
Stephen - Daniels
Construction, Inc.
(Shepard Residence)
-gavrco? c'xrefanr?
Go F/ate= arao
pion/'?nfir = B9G20 ~
ff}
n'OS°,tr'W'f
97 i_
r---------
r/ L 4 T
h
1
1. l
a
CeGiF XY. -??
W
rCy
?m
ns ` `e ?
ter
?m
\
-• RPM--,
0269
NORTH
I
41 Jcok: /"? 10'
BH.iLY?+a?7 Exam/ice Ckia/.dam
? dwl0e?wfv.9-ga,,redE.4swSiv,.
I
i
iYb/e. ilb S4??p/i 11b1
.MA4 .ten-
Easc»aenfs.
PROPERTY DESCRIPTION
Lot4,81ock I, RIDGEHAVEN ACRES, Dakota County , Minnesota.
I hereby certify that this survey, plan or report was prepared by
me or under my direct supervision and that I am a duly registered
Land Surveyor under the laws of the State of Minnesota.
N. BROWN LAND SURVEYING, INC.
_DA T E O :' ?C/?f fSr Q?-
do roW raven, 30 r,;Yd%y -,f/Pv.
1n. Ci.
Phone (612) 854-4055 WOODROW A. BROWN, R.L.8
Fax (612) 854-4268 President
SKYLINE DRIVE
NEk;?InrC? I:-E.
.-^rc.; o12n 440o -23-y u-u 13
7;3 4 (7
?)_.O 0 G RESIDENTIALBUILDINGn
r
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 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 showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
j fb, a-e
RemodelfReoairReouiremenls Office Use OnN
? 2 copies of plan showing footings, beams, joists Cart of Survey Recd _ Y_ N
l set of Energy Calculations for heated additions Tree Pres Plan Reod ,TY _N
V 1 site survey for additions & decks Tree Pros Required " _Y _N
Addition - lMicate if w-ste septic system On-sN Septic System, , - - Y' N.
, 16 r r. tnsq, 6
Date L v Construction Cost -30 coo
Site Address 6 7 S'F(?F NJ dNi fz C 14 C' L,3 Unit/Ste #
) .,f2 J?h S
Description of Work ??/` 7ios1s?GT e,2411
Xee STce/+/
Multi-Family Bldg Y ZC N Fireplace(s) 0 - 1 - 2
Property Owner r M/ e CL te J L r; X /U Telephone # (65-c ) 3(p t?(? $
Contractor 0-0&4/15A PX4146 _?C ,
Address / 7 9(a [? f l?? Lrg [ 6 ?? /? (f'g. City ? -l' logz6e?__
State /* /V. Zip S '?_J 0 a Telephone # ((oa t) 24 o a a
GrC x`5- 9-57 "Y,+ 11 636-N?'a13
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 _ Minn Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • y/?J(Vorksheet
(J submission type) Submitted itted ?h 7 t
• Energy Envelope Calculations Submitted 464l, O `O
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? X06
- Y _ N If yes, date and address of master plan:
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.
iL4-I4i/ r / i(GlJor-S
Applicant's Printed Name
/A?a ??64
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
I
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of-plex ? 09 07-plex ? 17 Garage )( 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New
X 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mufti Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Description: Water Damage _ Yes
Valuation 6 znlO
Plan Review/1/ 100% or _ 25%
Census Code y3?1
SAC Units
# of Units
# of Bldgs ?-
Type of Const JI-3
Occupancy A - 3 MCES System
Zoning - /?-1 City Water
Stories Booster Pump
Sq. Ft. 3 J0 PRV
Length ?4( Fire Sprinklered
Width
- Footings (new bldg)
_ Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water -4 Final
Framing
_ 'Fireplace - R.I. _ A r Test -Final
Insulation
Approved By: _
Base Fee ? U
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Sheetrock
_ Final/C.O. > yyfTd /e/Ycl? P%E?•'%T
Final/No C.0 -'F
_ HVAC
Other
Pool _ Figs _ Air/Gas Tests -Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
Building Inspector
?v2? ? ,b/aft
76-0 s
ail;& o-
SURVEYING- FRX 612-854-4055
Brown juandng-4urIv
900 East 79th St. Suite 105
Bloomington, Minn. 55420
Survey For
Stephen • Daniels
Construction , Inc.
(Shepard Residence)
$? exnvolt rnf'
Fier,/ E?hy . esa o
A??. Df' i''tcvsdo/ioa '8.300
ya.i•5L
f't
• .f
Ff}
?/ L OIT
h 6? '(-? C?
I ' I \?
Ce6iF Xi' a`
+4s
\
1
?
'
.eh r
1 I C
.a?,
-• AYE-- -' \\?,
92 Oe
?a+ .ve9°41c19 E
02 _
4r1 dc,k:/ ,JO
1 04?,Wks / A4»wne of
I 'BHlL?w[u?•t £sir/in9 lhw?%wa
I 6,1U)?l1im/I? f3-ya?,,xdE?tu+San.
I
I
i
j C Mre, ne s?.e?s lbr
M'M6 A,
EcGfcrmvs/s.
.v.
I x h> '?; 1'...r
1 4
PROPFRTY DFSCRIPTION
Lot 4, Block I, RIDGEHAVEN ACRES , Dakota County , MLnnesota.
I hereby certify that this survey, plan or report was prepared by
me or under my direct supervision and that I am a duly registered
Land Surveyor under the laws of the State of Minnesota.
W. BROWN LAND SURVEYING, INC.
giFf c<c? DATED --nll-l lSil ?y
Woodrow Town, 5 310 '*?Jvv!'?ayer'/'gW
n.e®
Phone (612) 854-4055 WOODROW A. BROWN, R.L.S
Fax (612) 854-4268 President
SKYLINE DRIVE
NBD°sfs-ee"E
Op /»
G Il
u- </ b tl 4GU 07-2d-93 1: P002 13
Permit Number
REScheck Compliance Certificate
2000 Minnesota Energy Code
REScheckSoftware Version 3.6 Release 1
Data filename: C:\Program Files\Check\REScheck\1567 Stephanie Cir.rck
PROJECT TITLE: Mcquillian Addition
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
WINDOW / WALL RATIO: 0.13
DATE: 05/17/06
DATE OF PLANS: 5/15/06
PROJECT DESCRIPTION:
1567 Stephanie Cir
DESIGNER/CONTRACTOR:
Cornerstone Design
COMPLIANCE: asses
Maximum UA = 3
Yo = 3
3% Better Than Code (UA)
Ceiling 1: Flat Ceiling or Scissor Truss
Wall 1: Wood Frame, 16" o.c.
Window 1: Above-Grade:Wood Frame:Double Pane
Basement Wall 1: Masonry Block with Empty Cells
Wall height: 3.5'
Depth below grade: 2.7'
Insulation depth: 3.0'
Proposed and Maximum U-Factor Averages
Above-Grade Windows and Glass Doors
Includes Foundation Windows> 5.6 ft2
Checked By/Date
Gross Glazing
Area or Cavity Cont. or Door
Perimeter R-VaR Value -Fa for j?
126 30.0 0.0 4
265 19.0 0.0 14
34 0.310 11
53 11.0 0.0 4
Proposed Maximum
Average U-Factor Allowed U-Factor
0.310 0.370
COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans,
specifications, and other calculations submitted with the permit application. The proposed building has been designed to
meet the 2000 Minnesota Energy Code requirements in REScheckVersion 3.6 Release 1 (formerly MECchcc? and to
comply with the mandatory requirements listed in the RES checkInspection Checklist.
;?3 K3%6 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 I I [
Site Street Address ?1 Ci h ( I? Unit #
Property Owner Telephone # ( )
t
?
2 Telephone # (?f ) 7 J LOS
Contractor G ?f/ J e CICJ
rr
,,``
--
Address w 0. City C*A- ,,A (-64q StateLe!??? Zipjj ?
The Applicant is: _ Owner
Contractor -Other
Septic System New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. ff you 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.
( _ ` l l
-Septic System Abandonment
-Water Turnaround (add $130.00 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 s?
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 tq bgfrevpA" and approved.
014 vC ) 7/1 `l e C, I;-
Applicant's Printed Name Applicant's Si a re
March 24, 2008
Mike Maguire
MAYOR Patrick and Kelly McQuillan
1567 Stephanie Circle
Eagan, MN 55121
Paul Bakken
Peggy Carlson RE; Retaining wall in utility easement
Cyndee Fields
Meg Tilley Dear Mr. and Mrs. McQuillan,
COUNCIL MEMBERS
As part of your efforts to final out your building permit for the recent addition to your
property, I was asked by our Building Inspections Department to review the retaining wall
Thomas Hedges and subsequent grading that was completed with the work.
CITY ADMINISTRATOR
The City of Eagan holds a 7.5 foot utility easement, parallel to the westerly line of your
property. Within this easement the City maintains a water main which runs from the fire
hydrant in the front corner of your property, northeasterly to the western most hydrant on the
north side of Skyline Dr., behind your property.
In reviewing the site this afternoon, it was discovered that the base of the retaining wall is
MUNICIPAL CENTER approximately 3 feet +/- off the water main. This puts the wall within the utility easement.
3830 Pilot Knob Road
Eagan, MN 55122.1810 While it is the City's preference to maintain a clear easement whenever possible, we also
recognize that it may not be economically practical to relocate the wall at this point in time.
651.675.5000 phone
651.675.5012 fax The main purpose of this letter is to provide you with official notice that should City crews
651.454.8535 TDD (or contractors working on the City's behalf) need to access the water main for repair
purposes; they will likely need to remove your wall. Due to the fact that the wall is within
the easement, the City can not assume liability for damage to the wall nor for the cost of
rebuilding the wall. What this means to you is that you can either relocate the wall now or
MAINTENANCE FACILITY wait until work needs to be done on the water main. Please note, of the three utilities the
3501 Coachman Point City owns, storm sewer, sanitary sewer and water main, water main requires the most
Eagan, MN 55122 maintenance and is the only utility that can't be repaired from the inside, but must be dug up
651.675.5300 phone and repaired from the surface.
651.675.5360 fax
651.454.6535 TDD The retaining wall situation will not affect the process of finaling out your building permit. I
will file a copy of this letter in the permanent parcel file for your property. You can access it
any time you wish at City Hall. If you have any questions please feel to contact me at 651-
675-5641 or dwestermayerkcityofeaean.com.
www.cityofeagan.com
Sincerely,
Dave estermayer
THE LONE OAK TREE Engineering Technician
The symbol of
strength and growth C. 1567 Stephanie Circle Parcel File
in our community.
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
FEB 282010
Use BLUE or BLACK Ink
Permit Fee: UCS ,67)w
Date Received:
Staff:
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 2-11(1110 Site Address: 15 (Q'i Sma rt --t, C\ (CIL'
Tenant: Suite #:
RESIDENT / OWNER 1
Name: [WV \ ►LA& VCG 0' VOM % Phone: Los1 3'- InLits
S-tf.� ,1t- C (,reit, ...4,I • Y\.
Address / City / Zip: IS (. l ,7 S 24
CONTRACTOR
° r) t� I
Name: 2,C .P'� I v WeietliNta Ltn•.
Address: `5C5 a I -' -- City: 43111),0‘
State: Zip: SG 1tX.-Phone:'-v_'
Contact: \em/1�,N
ail: C. A.Q�.� LOIN
TYPE OF WORK_
New X Replacement Repair Rebuild Modify Space _ Work in R.O.W.
_ _ _
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
( RPZ / PVB) ( Main Lower Level)
Septic System Water Turnaround
New
_
Abandonment
RESIDENTIAL FEES:
Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
7$50.550 Minimum Water
$30.50 Lawn Irrigation
$50.50 Add Plumbing
*Water Turnaround
$100.50 Septic System
$90.50 Fire Repair (replace
(includes $.50 State Surcharge)
Fixtures, Septic System Abandonment Water Turnaround* (includes $.50 State Surcharge)
(add $166.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $ r) 50
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
ac ordance with the approved plan in the case of word which requires a review and approval of plans.
x
Applicant's Printed Name
x
Applicant's Signature
FOR OFFICE USE
Required Inspections:
Reviewed By:
_Under Ground Rough -In _Air Test „_Gas Test Final'
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 1567 Stephanie Cir
Lot: 4 Block: 1 Addition: Ridgehaven Acres
PID:10- 63995- 040 -01
Use:
Description:
Sub Type: e- Reroof
Work Type: Replace
Description: House & Garage
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Royalty Remodelers
4411 Slater Rd
Eagan MN 55122
(612) 414 -8199
If there is no ice protection inspec
acceptable in lieu of inspections.
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Total:
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Permit expired without required inspections. 4/22/2009 CE
Permit Type:
Permit Number:
Date Issued:
Permit Category:
on prior to final, you must meet inspector with ladder and flat bar. Pictures are not
Owner:
Patrick A Mcquillan
1567 Stephanie Cir
Eagan MN 55121
$88.50 0801.4085
$1.50 9001.2195
$90.00
Building
EA086532
10/01/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
ÿ
ýüü ûúûíúþû
ùüü ûíÿù
ï
ó öíîø
âååó
ýü÷
ÿþýü û úù
ô ø þýü
û øþýü û úù
ø÷úùöüõ
ô ô óóï üý
ò
ñ øð
õüø îõ íí õøñ øõ øÿø õì ë øú ú üë øëøõ
ü
ü ìôë øëü ë ø ì
ôøÿ õ ê øøøñ øÿýú ëõýí õì
ðèçèææìæ ìóæ
öù
øíø é èçè ìå ì å
é ì
õô
÷ óò
üü
öúøøþð øÿ
åô ýö ôû âá üíôø
ö îä÷ ä÷
àâ ßâóóááá
íøÿý ú í íîø íüü í íë øõ øø ø õüýú íüüÿ
ëä ô ý ëïøì
üü ù
øõ ø ý ø
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA108285
Date Issued:11/28/2012
Permit Category:ePermit
Site Address: 1567 Stephanie Cir
Lot:4 Block: 1 Addition: Ridgehaven Acres
PID:10-63995-01-040
Use:
Description:
Sub Type:e - Furnace
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to Mark Anderson , State Electrical Inspector,
952-445-2840
Dayna Gardner
505 RANDOLPH AVE
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Eric T Forbes
1567 Stephanie Cir
Eagan MN 55121--115
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
I For Office Use +
Permit
City of Ea
Permit Fee.
3830 Pilot Knob Road I 1
Eagan MN 55122 ; Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: Ali
I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: _ Ate. Unit
Name: • ![,Ol Phone:
RESIDENT /
OWNER Address / City / Zip:
wr1.e
Applicant is: Owner zt Contractor
TYPE OF WORK Description of work:
Construction Cost: Qa Multi-Family Building: (Yes / No/----
Company:. l l~aaccl II,"I'e&0 4, f Contact:
CONTRACTOR Address: Id YlAr 5/, City: "s.1 eno
State: Zip: S-,-6 Y.4 Phone: 65-1 ° 77J-Q 7r/
License 8C (3c iQ 7 Lead Certificate A/4 7-- ~COy'72~-/
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
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 (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.popherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota St Building Code must be completed within 180
days of p it issuance.
X 00, - /
x
Appl ant's Pried NaAp I' is S' na re
G Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA177397
Date Issued:06/29/2022
Permit Category:ePermit
Site Address: 1567 Stephanie Cir
Lot:4 Block: 1 Addition: Ridgehaven Acres
PID:10-63995-01-040
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Nicole Huls
1567 Stephanie Cir
Eagan MN 55121
Genz Ryan Plumbing & Heating
2200 West Highway 13
Burnsville MN 55337
(952) 767-1000
Applicant/Permitee: Signature Issued By: Signature