1575 Stephanie Cir.40°P.
City of Ea�all
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
Permit#:
Permit Fee: "—""t4
Date Received:/a'
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: t H -;41; I 0 Site Address: l `J ST--e-Ch Q Cis ya (lc -
Tenant: ,t.
Tenant:
Suite #:
RESIDENT / OWNER
Name: Phone:
Address / City / Zip: 1 ri-+C S 1 (tvmil V_ \a-ett
Applicant is: Owner r/ Contractor
TYPE OF WORK ""
Description of work: c -e t," ()---
Construction Cost: a , Multi -Family Building: (Yes / No `��)
CONTRACTOR
Name: TT W 1rvb.,.(.,—t' ) it L.C.License #: ` t.)7 `- 5 D S 6
Address: l W. Lj'-} ?%XS C-'34_ 10 rt.. Ll k._YYI N City: 12- 4 -
tiY z .317---
C. �3 `i V\
State: rr' N Zip: ; 0 Phone: '"
']
-
Contact: -iIoS V4 `n - Email: J': -.C\, ,5irV L 1-ts5 2,..-s k_./ f �vvt-. ,Cvr
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
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 classifies( as non-public if you provide specific reasons that wouldpermit the City to
��conclude that they: are trade secrets. '
CALL BEFORE YOU DIG. Cali Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities. www.copherstateonecall.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 i• n'.t 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 p
xC3'� J "tnl
Applicant's Printed Name
Applicant' _a Signature
Page 1 of 3
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
/h I
DATE 19
necerveo f / 1
AMOUNT S J
a DOLLARS
100
Thank You
BY A' v 1,71
4 Z 3 8 White-Peyew Copy
YeNow- bstlnp Copy
Pink--FYe Copy
? CASH CHECK
SEWER & WATER PERMIT
CITY bPEAdAN
3830 Blot Knob Rd.
Eagan, MN 55 1 22-1 897
DATE JUN 24, 1991
OFFICE USE ONLY
METER # PERMIT DATE 07/17191
CHIP # PERMIT # 12 t 52
- METER SIZE B.P. RECEIPT # C 14?'?R
ISSUE DATE B.P. RECEIPT DATE C-62'28/ 91
PRV - BOOSTER PUMP
SITE ADDRESS 1 57 r) i I A N T F C7 R PERMIT REQUESTED
LOT "? BLOCK I SEC/SUB F I DGEPAVEN ACRE.
APPLICANT:
ADDRESS:-
CITY, STATE
PHONE: -
ZIP
PLUMBER: PLI?141TV4 PLUMBING INC
ADDRESS: 9290 ZACHARY LN
CITY, STATE 'MAPLE GROVE PIN ZIP 55369
PHONE: 493-2474 1.
OWNER: HAVEN ENILRPRI SE RtwRR -IC
ADDRESS: 11,442 E=LSTQR Bi.?.:D
CITY, STATE i" t t;1ETONKA test ZIP -")345
PHONE: 473--9562
XSEWER
COMMAND
-X- NEW
-L WATER TAPS
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WIT14 CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE •;IJ r 24, 1991
OFFICE USE ONLY
METER # 49 8aO PERMIT DATE :7 ` 1 1
CHIP #D I S7 7 9 PERMIT # 12152
METER SIZE ?elfl Su 5 B.P. RECEIPT # 14238
ISSUE DATE !?F-S_90L B.P. RECEIPT DATE U6/28/ 91
X__ PRV -BOOSTER PUMP
SITEADDRESS 1575 STEPRANIE: CIR PERMIT REQUESTED
LOT ? BLOCK I SEC/SUB RIDGERAVEN ACRES
SEWER WATER TAPS
APPLICANT:
COMM/IND x RESIDENTIAL
ADDRESS:
CITY, STATE ZIP X NEW - EXISTING
PHONE:
Lawn Sprinkler Meters are to be Installed
PLUMBER: PLYMOUTH Ahead of Domestic Meters on Water Line.
ADDRESS: 9290 ZACH11RY LN Credit WILL NOTbe given for Deduct Meters.
CITY, STATE MAPLE GROVE AN ZIP 55369
f
PHONE:
493-2474
"
I AGREE TO COMPLY WITA CITY OF
OWNER: HA'J P' %NTERPRISE lg&vJf i ll; EAGAN O INANCES
ADDRESS: 14442 EXCELSIOR BLVD
CITY, STATE MlI ;NEVWKA k`N ZIP 5532.
PHONE: SIG AT E HEN METER ISSUED
E ALLOW TWO WORKING DAYS FOR PROCESSING
PL
A FOR STORM
CALL 454-5220 FOR INSPECTIONS
.
E
S
SEWER PERMITS, CONTACT ENGINEERING DEPT. .
( ,i
?q 02?/ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BUILDING PERMIT Receipt #
To be used for fir w:/C" Est. Value *in-( %A natp _nm 27 toQ1
Site Address 1379 272PHAKIR CIR
Lot 2 Block -1- Sec/Sub.RM ACAEB
Parcel No.
W Name nf*Vn0 rt IZALMAta+
o Address 14442 EXMLSIOR
City 11411MUCTOM Phone
Zo Name 1A1?>? NHS
I J- 8< Address SANK
City Phone
W W Name .
maz Address
<wz City -
I hereby acknowlege 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 Permitee . - -
A Building Permit is issued to: f I 1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
R-3 K-1
Occupancy FEES
Zoning -111=1
(Actual) Const
(Allowable) 14
X4 Bldg. Permit 341.
" W
Surcharge
# of Stories
Length 492 Plan Review 391.00
Depth 49 10
0.0
0
SAC, city
S.F. Total ?n
n
n
?
SAC, MCWCC 630.00
S.F. Footprints
On Site Sewage - Water Conn 660*00
On Site Well Water Meter 95.00
MWCC System
30
00
City Water K ,
Acct. Deposit
PRV Required X SM Permit 30,00
Booster Pump SNV Surcharge 0
00
Treatment PI 276,
APPROVALS Road Unit 370.010
Planner Park Ded.
Council - 90
•
Co
ie
Bldg. Off. p
s
Variance TOTAL 3,143.00
Permit No. Permit Holder Date Telephone #
WATER /y
G
SEWER
PLUMBING
H.VA.C.
ELECTRIC wbcz 9
Inspection Date Insp. Comments
Footings I -71w
Foundation
Framing a
/?'- /
Roofing
Rough Plbg.
Rough Htg. 6
Isul. /a?
Fireplaos
Final Hig.
Orstat Test - O
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final f _ f> s
Deck Fig.
Deck Final
Well
Pr. Disp.
(Urtifiratr of Orruvaury
eitp of (Eagan
MevrtmMt of lwbwg j"vertim
This Certificate issued pursuant to the requirements of Section 306 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 folloxft.
Use ebmi6eilsw SF DWG/GAIE BW& Permit No. 1915
Ooe„paoq Type R3/ml Zoning Dot T I Type Carat vN
Oww of 1M1eb;HAVEN ENTERPRISES RC 14442 MMELS R BLVD, A'IIKA
Bw1d"-Addres, 1575 STEPHANIE CIRC E L2, B1, RMMIAVEN ACRES
Date: ()/30/()l
POST IN A CONSPICUOUS PUCE
ARE: 1575 STEPHANIE CIR
DATE:
JUL 17, 1991
(RAMSEY HOMES)
E Your Sewer & Water Permit for the above.property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
??°?
p X0556 ?o ti
Request Oale
?
-7 Fir o. Rough-in Inspection
Requiretl?
? Ready Now X1"XW 1 Notify Inspector
?
/
I
- es C No hen Ready
I' licensed contractor J owner hereby request inspection of above electrical work at:
Join Address ISlreet. Box or Route No)
City /tea /
Soot ?op Nq /
/ DVS ovtgMtip Name or No.
V4 Range No. County
- a'/ "'?
Occu (PRINT)
t Phone Na.
-
x
?
Ower Supplier
S Atltlress
?s'D
1 Electrical Co traclor (Company Name)
/ " '+ _
4 °zV L./ Gontractor5 License 2NO
l"w?Y
ailin Address ICOnlractor or Owner Making Installation)
_ ,?
?F
alure ICcnh ar OWner
?cr.
r akm nsui aationni
'/ld i ;J Phoone Number
T y V ?'
-
MINN OTA ST BOA$ OF LECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway IGg. - 1:1oom S-173 - BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
V P1191 1. See *etru4ions}C"r completing this form on back of yellow copy.
E 1 n s s P) "X" Below Work Covered by This Request
EB-0000?1-06
1'?f ?Oe?/ O4
New Add-IRep?i` Typeof Building Appliances Wired EquipmenlWired
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Other lspecilyl
Compute Inspection Fee Below.' Contractors Remarks:
# Other Fee # Service Entrance Size Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to 100 Amps
Transformers Above 200 Amp 0 Amps
Signs Inspector's Use Only
I f O TOTAL
Irrigation Booms
ction
SpecaInspe
Alarm/Communication OR
THIS INSTALLATION M D DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby Rough-in Data
certify that the above inspection has
been made. Final
OFFICE USE ONLY
This request void 16 months Imm
A40ress: 1575 STEPMMI CIRCIE Lot 2 Blk 1 Sec/Sub gIDGEHAVEy ACRES
These items were/were not complete at the time of the final inspection.
9/30/91 Yes No
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.
xECrnEO wxn
White - City copy Yellow - Resident copy Pink. - Contractor copy
CITY OF EAGAN ND 19345
e 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454- 8100
BUILDING PERMIT Receipt # 0, 0l
To be used for SF DWG/GAR Est. Value $78,000 Date JUN 27 , 191_
Site Address 1575 STEPHANIE CIR
RIDGEHAVEN ACRES
Lot 2 Black 1 Sec/Sub.
OFFICE USE ONLY
Parcel No. Occupancy R-3 MM1 FEES
RR1
Zoning
M Name HAVEN ENTERPRISES INC (ACwagConst ?V H Bldg. Permit 541.00
3 Address 14442 EXCELSIOR BLVD (Allowable) VV=N
39
00
° City MINNETONKA phone 933-0562 #of Stories Surcharge .
491 Plan Review 351.00
Length
. Name RAMSRY HOMES Depth 49 SAC
Cit 100.00
?
OA Address SAME S.F. Total - .
y
650
00
SAC, MCWCC .
F City Phone S.F. Footprints _
Water Conn
660.0
0
Site Sewage
On
Name On Site Well W
l
M
t 95.0
F
Address
MWCC System
j er
er
a
e
ull X Amt. Deposit 30.00
City Phone City Water
30
00
PRV Required SAN Permit .
1 hereby acknowlege that I have read this application and state that the Booster Pump S/W Surcharge
0
.5
information is correct and agree to co ply with all applicable State of
Minnesota Statutes and City of Eaga dinancas. Treatment PI 276.00
Signature of Permitee APPROVALS Road Unit 370.00
/?
A Building Permit is issued to I1/IS S Planner Park Dad.
on the express condition that all work shall be done in accordance with all Council -- 50
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. 011. Copies .
--??yy??
Building Official q R Or A'?.I! l?? Variance TOTAL 3,143.0
0
1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
i ?
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALGS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER. JUN 1 g RECD
t? ?g aoo `/
To Be Used For: WAAtKK f} Valuation: Date: ?ZS
Site Address ??'I :J 11. A! .try e;)u
Lot Z Block
Parcel/Sub ?l???pTuj
Owner NP,,CN iN? ?N4
Address I-f c z'
City/Zip Code 84.?a
Phone ?'l33 b5'll?-
ContractorrT?
Address 5-1>.T^A5
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
??
-q
0 FEES
Occupancy
Q'3 M'I
Bldg. Permit ?f
Zoning 12-•1 Surcharge fl0
Actual Const V-N Plan Review ;
0
Allowable y»fv SAC, City 00,00
# of stories SAC, MWCC 65b.00
Length 49 Water Conn. (060,00
Depth L41 Water Meter $5-4?-f
S.F. Total Acct. Deposit 430
Footprint S.F. S/w Permit o,Uo
S/W Surcharge s-0
On site sewage- Treatment Pl. "Z%,0
0
On site well Road Unit 3170'Do
MWCC System V Park Ded.
City water _? Trail Ded.
PRV Copies ISO
Booster Pump _
SUBTOTAL
APPROVALS Penalty
Planner Lof Change
Council TOTAL ]
Bldg. Off
Variance
agrees that all work shall be done in accordance with
(Signature of Co ractor)
all applicable State of Minnesota Statutes and City of Eagan ordinances.
,
a
G?AcR?fr-F
2 y x22= 528 k Is^ '792o
a. s.mr,
- 7 k kS: 1215
epKII_ GF>
l
12?1X14
IST' FLoarz,
135>*IT= 12.31
l
13Dz X s3 = G9 00 6
9 y $ bo
r ,
PAGE al
SITE ADDRESS: ,of L
CONTRACTOR.
*/ - X
`f.7 5
g ?_ BATE: ?,?'?1----'•-?MDNE: _?___?•_,
OETERKINE WORKINr, SQUARE (DOME Of EACH:
1. TOTAL EXPOSED WALL AREA,,,..... ? 62? ,55 sq. ft it IV' I
t. , T I sDOUCEIL11? AREA'..'...6 sq ft x'vr' S,o7:
. 05 x,20
roTil j. TOTAL EXPOSED WALL AREA CALCULATIONS., • L4?'? )t
Total axposed wall
ores above tioor.•.,,,.; 2?'??.6"? sq ft
. t
+) Total wall wtndow area:
?4tezed...... ZU2172 sq ft x •V' ?tC9 . _4510
-?---` w ?la:ed, r.r :• ?q ft x AV,
b) Total door area 71 sq ft x '1u" ' r r r `t Q'L
C) Total ` 6110nq plats door area: d
a._ planed...... ZI sq It.x.?lu.. • .?t0 _? "' .??_'L
--W-- glazed...... ?-c?-- _ sq ft x "If.
d) Total fireplace wall area ?sq ft x'M, 40
Total wall ffaming area 6q
, I, w ` IId
(Average 10+)...........F ? 131 t 0_._:,_ sq ft x Uua
f) Total net wall area stova
floor (tnsu7sted)....... ?j,5S7??d • sq ft x "U" n5 ?7,"D
9) Total rim joist area.....;`._l t SQ ft x "U" •??--
Total foundation
area ft
t,) Total foundation --tr-
w
,. ... ......__ .. .. ... ._
wlnd,*+ area ............. -tit- _f4 ft x 111311
{) Total net foundation
r v_/ _S _-_4- t7
• area a5Dve grade........ L sq ft it .,u11
. 10TAL a) thru 1) 2?'
if Item 0,3 fS the sae as, or SESS than Item '1. you Cave act the intent of
2 WAR 3.16DOS A and O. ? - '
. ,,...tom _.. .... ---
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1'age !
PAGE 92
TOTAL EXPOSED ADDF/CEILING CALCULATIONS:
total exposed
roof/cc IIInq area........ aq
ft
J) Total skylloht area....... -wir - aq ft X "U"
tt) Total roof/Celftnq.framing
9b
?54
f
" 7
"
= 3 Z
area {Averaoe IMI......_
as
, t x U
y-?
1) 'Total net Insulated
roof/celtln4 area....... 21 t?
ft x
"il" ?2Z --
_« 'Liam 7/b
TOTAL J) thru 1) 3x35
total of #4 Is the same as, or less than ??. you lave met the Intent of
IGAR 1 .14DOO A amd 0.
.. .o
1
ALTEMATE DUIL:,II:Z ENVELOPE DESIGN
o utiIlia the total envelope system:0r2,hndo the values established bv ar.e sum l
f I terns 13 and A shbl I not be great_r than the sum of Items It and 121.
1. + 2.
3. _-- - -- ?.,..? + .
?' tfo„r? L b ?C ,0
45
173
.,..
C E R 1 I f 1 C A 7 t 0 N
I hereby certify that t have Caltulatrd the "U" fatiors and "R" s
alues teretn and that the Uildlnq f.ere dcscrlhrd meets or exceeds 0,e State
f lttnnrsota t:neFCy Conservation Act.
r.
Y
-------------------------------------------
?Signature?
-------- -----
av?
CEILING
1
SECTION (INSULATED):
Interior •ir film
an
r<terlor ?Ir tlt? i
tc
tE1lIMc FLAMING SECTION:
1 fnttrlor air f11
= s
3
R ntar or • r
S ? ? Incites ?o
u • 1/R ¦
A.1+1
.5b
CEILING SECTION (INSULATE0-
• 1' tnta, crior •tr titre A.61
i Extar or *r le•
]VIAL
u I. 1/K • _
a
tE1lt+14 rKmitt4 SECTION: A.F7
T Intetlor fir f11tn,.,YY_?
_ t I1?n??iflll-T
? E?te'r or a r _
???'?'tncAes Hof t mod ,_
:?.i"i t;a?r
I• ? .??w???.??1n
?
`
?a?tr141x
t? f!_?.1
?
?
`ti
? ,?
?
?_
t
1 _
?
---- -----
s -
------------
W
VENTED
e • 1/R .oZ'1
PAGE 06
J
r wT
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.
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..
IJ LM
Y i ?.I-Sk
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ACD
•44
.?.. ??S p,¢ Fil:M
a
t WC Y iu-A r
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a
PAGE 03
WALL FW INC SECTION:
---w?(1
S
3
R
P :" •
•0.
+• •%
+. A6
Uku
s
CTION (INSULATED)
Afro--r-- -•_ As,
N14%I
dt
21.
tt • flit r
RIM 1011? SECTION:
7
FOUNDATION JNSULATIO-..»N,...,,, .
Min, R-S Ob entire wall V . flit Kin. R-1Q down to frost pituth'
FDtA OD TIDH SECTION:
?.?•°•--t2 Z T ti
?..
0 tra ?rym
vi OWL
4?
?.z
-,OT• ;spa::? iW L •
;? •. . "?• " SI 1l6 rvb
p
w •'- '_'?,? SLAA Ott 6AADE _ _
:V0 it 44, to' i
r...4.e
•...i' i.??»., Boa '?:,1 ??li"?•.:''" J?••"i•.j =,+?
• . f ¦ • 's?•'• 1r •4a ?.
4{
' .,. `': ??? ?7f'.t.-??'?'.y _"' ?t{•i??Lf:??s?ibf: ?r• •?,• r!q/•r• ?? j..
r:'^ •, :w .r;*-?'•??lh +??•'_`'.'•e.y r..??:i??,'. ??.i w-. '?/?v• ?• ? r?'?, ?.? a •./ •v• •`.?•wS
SY7r?? ? 1 r7
` F?: - 4i 't% L'rAeefe ti,xc: r' •! • : ": ;>::
---------------------------------------------------- ---------------------------------------
Oak I/Re #11--
PAGE 05
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aaa a
Ron Krueger &
AsRoclaft-s, Inc.
-8080 Wallace Road
Eden Prairie, Minnesota 55344
(612) 934-4242
Survey for:
N
(9'.10 5
a
40 k0 ti
A01
H'JE.
Srl.•
E%
CERTIFICATE
OF
SURVEY
Job No.
( e;P)
$S.DO f?133
r0
`J 0RAIrJW6 k00 u1irUTY h
EASEMEnl1S `,
4
_ a19?
la.o
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1 11.0 4.0 ?- IY ??.E
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G 4,A9,
a :
($19?
I ?
I ? DRrvE I
I I
'i
I
to
(6;.0 1
p-1
PROPOSED ELEVATIONS XXX - DENOTES EXISTING ELEVATION
LOWEST FLOOR- (XXX) - DENOTES PROPOSED ELEVATION
GARAGE FLOOR- i? - DENOTES DIRECTION OF FLOW OF
TOP OF FOUNDATION- SURFACE DRAINAGE
Engineering
Land Surveying
Landscape Architecture
Planning
Bk. Pg. --
AM.
WSE
1
DEPT
SCALE: r = 30'
N
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF LoT ZL gLOGK
_RiodENA-11A AI- A e K S _pft?S0 CO NTH, MINNESOTA.
! -7 ?y
SURVEYED BY ME THIS DAY OF ?UNE J9_ 9? `
RONALD L. KRUEGER
STATE REGISTRATION NO. 1037A
PERMIT
1992
1
CITY OF EAGAN
BUILDING PERMIT APPLICATION
681-4675 by i t RECti
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, I' copy of energy
calcs.
COMMERCIAL 2 sets of architectural.& structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which request is made or lot change is requested once permit is issued.
Date S Valuation of work
Site Address
STREET STE #t
Tenant, Name: (commercial only)
LOT ;2 BLOCK _L SUBD.i±177?7E7??V? ?C E=? P.I.D.
Description of work: Of cll<
The applicant is: Owner ? Contractor ? Other (Describe)
Name godrL9c.teZ. Gino Pho ne &&3`900=
Property LAST FIRST o2 -z?
9
Owner Address StePtvxnie" y
STREET STE 1
City ?QSaa? State r'l'j Zip SCI a?
company ?iYY] Qoc1 r) ! 1tk_y_Z Phone
Contractor Address lit scf_r `4S b6"? 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 th e information is
correct and agree to comply with all applicable State of Minnesota Statu tes and City of
Eagan Ordinances.
Signature of Applicant: "+
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add.
? 04 Multi-fam. T.H. ® 08 Deck ? 12 Res. Porch
WORK TYPE
® 31 New ? 33 Alterations ? 35 ?love
? 32 Addition ? 34 Tenant Finish ? 36 Demolish
GENERAL INFORMATION
Const. Actual)
(Al?owable)
UBC Occupancy
Zoning
i of Stories
Length
Depth
APPROVALS
Planning
Engineering
? 1T 3'Coaglnd `flew
? 14 Comm/Ind Add
? 15 Comm/Ind Rem
? 16 Public Fac.
? 17 Agricultural
Basement sq. ft. MWCC System
1st F1. sq, ft. City Water
lz-3 2nd F1. sq. ft. PRY Required
Sq. Ft, total Booster Pump
Footprint Sq. ft.., Fire Sprinkler
On-site well Census Coder 3 y
On-site sewage SAC Code
Building \? Assessments
- Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
PL Footing
IX Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee X) C,
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 / . 50
Other
Total:
SAC %
SAC Units
Valustim: s' """
fill..
tllace Road
?Presala 95944
(612) 934-4242
OF
SURVEY
Engineering
Land Surveying
Landscape Architecture
Planning
ev lor: /1L7Ia5 E Y __. ?{Qi?'J-E s__. - I Job No. -- I Bk. __ Pg. -- I
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to $Iq.9
PROPOSED ELEVATIONS XXX - DENOTES EXISTING ELEVATION
LOWEST FLOOR- (XXX) - DENOTES PROPOSED ELEVATION
GARAGE FLOOR- ? - DENOTES DIRECTION OF FLOW OF
TOP OF FOUNDATION- SURFACE DRAINAGE
SCALE: 1" = 30'
C?
I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OFTHE BOUNDARIES OF T -- - CO N.Y, MINNESOTA.
Rto??KAv?_N_ Ac_R?5 -- - PstKo
SURVEYED BY ME THIS DAY OF ty_ 9. ?.
RONALD L. KRUEGER
STAIE REG16TRAnON NO. 14314
K
ul
ENGINEERING /DEPT
ai :r1'».Me.\:edgr]:rT.lW3^.?J4imrm5:rfW,+Pwvwwku.ava.yo,'.., b? a ?..c..in.:a... :-...N..- a?•14:-•+.. 1-?f+"?,3Y.?.`j-?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
AM- IT
FOR CITY USE ONLY
PERMIT #
RECEIPT # /D
DATE: // 'KI 9?I_
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-----------------------------------------------------
WORK DESCRIPTION
NEW CONST
ADD ON
REPAIR
OWNER NAME: l>"//YU
/hue Z
SITE ADDRESS: -s [ 8 ,? / ?c
LOT: 2 BLOCK SUBD. a
INSTALLER: C
ADDRESS : /0/) / ?n 14A, l llce Sd
CITY: Sr /"c ^ ZIP: SSCJ? -
COMPLETE THE FOLLOWING:
NO. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
_ LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
_ ROUGH OPENINGS 1.50
OTHER
DWELLINGS &
WATER SOFTENER
PRIVATE DISP. 1570-0
U.G. SPRINKLER 3.00
SUBTOTAL
ST. SURCHARGE
a?
c5 '
50
TOTAL:
S 5. 5a
COMMERGIALIDUSTRIA7 PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
LOT: BLOCK SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $_
ADDRESS: STATE SURCHARGE
CITY: ZIP:
PHONE #
TOTAL:
(SIGNATURE)
FOR
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT
RECEIPT #
#
DATE : 9/
R$M90TIPaIs; PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
m................x..•.<......... TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------
WORK DESCRIPTION ------------------- ------------ -------------------•
COMPLETE THE FOLLOWING:
NO. FIXTURES EA.
NEW CONST ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
1- • ,? 1
OWNER NAME: KITCHEN SINK 3.00
5
714K1
i 1 G C4ZCA C
?? S LAUNDRY
3.00
r?
._
SITE ADDRESS: TUB/SPA
/SPA 3.00
WATER HEATER 3.00
q
LOT: oG BLOCK L SUBD. FLOOR DRAIN 3.00
GAS PIPING OUT.
INSTALLER: pLglA014T'r4 9(,t4fA J9kr (MINIMUM - 1) 3.00
20Q ZOC
4??>
4
0 3 ROUGH OPENINGS 1.50
4
,
_
ADDRESS: OTHER _
WATER SOFTENER 5.00
CITYAWV_ ??l? ZIP: S!!?3 64 _ PRIVATE DISP. 15.00
ir. U.G. SPRINKLER 3.00
TOTAL
=6_0
?. El7
?, EO
=0_0
1.t?o
J 20
rnvivn rr: v +
SUBTOTAL S 175-D
ST. SURCHARGE .50
SIGNA E OF PERMITTEE
TOTAL: C4•
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP: _
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
CITY OF KAGAN
• 3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
" 99"wi<
-------------------
WORK DESCRIPTION
NEW CONST X
ADD ON
REPAIR _
OWNER NAME: ,. ea
SITE ADDRESS: IS S- S
LOT: BLOCK SUBD.
INSTALLER:
ADDRESS:
CITY
PHONE #:
FEES
DWELLINGS &
-------------
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
OaVER PERMIT
SUBTOTAL: $
STATE SURCHARGE: .50
TOTAL:
SIGNATURE OF PERMITTEE
7?JSRAL; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
_____-----° ______ _____________________________________
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK , SUBD.
INSTALLER:
ADDRESS:
CITY:
PHONE
FOR:
CITY OF EAGAN
FOR CITY USE ONLY
PERMIT #
RECEIPT # oa 3
DATE: /7 G
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE F
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
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4111'
City of Eapp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink
For Office Use
Permit #: / O 4 <
Permit Fee:
Date Received:
Staff:
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: q"' 5 .1-2— Site Address: 1S-75 P % ` /Q C/` a
Unit #:
RESIDENT / `
OWNER
Name: (Ai), T S % Phone: 6 7 ' ate f'- 7/. -:1? --
0 j
Address / City / Zip: /57 S liwti �%Gl -e_
Applicant is: Owner x Contractor
TYPE OF WORK
Description of work:L. I -' "JC 0 kcJe. (""
Construction Cost: 001) ` Multi -Family Building: (Yes / No X )
CONTRACTOR ' ,/
Company: 1 e Ule� gc4-1 /�
an f f
p Y -r Contact: .°7"--C-771
Address: '�Zl% Le, --)t) 4ll 4 ?_ 4. ? City: e.i////2.--
/-
State: Ml') Zip: �/I/) Phone: £ $J - 4s'9 - .3&9i, /.2'30' -I4, Ya,
License #:,gL0U 6ia-clit Lead Certificate #: 4/41-- //7qryq -
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
/ i/
In the last 12 months,
Yes If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_No
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.: Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work 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 Minneso State Bu' ing Code m . t be completed within 180
days of permit issuance.
x ipoi6/ i
Applicant's Prfnted Name
cant's Signature
Page 1 of 3