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1578 Stephanie CirCity of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink t�se Permit .:q6-77.3 Permit Fee: 197 2 Z Date Received: t0 Sta 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ;1410 Date: 10 -1g --/O Site Address: / 57 g 5.1-etit(h„ht Ct V cj4 -a( Tenant: Suite #: RESIDENT / OWNER . Name: ! At' 1 Su & Coro -Q. Phone: 6 S (- 6 '3 —q _?9 Address/City/Zip: /S 7.g .5>�`O/u,,Atit C(y`, Applicant is: Owner ` A Contracttor TYPE OF WORK Description of work: is' j("Z._o ' , •@_c_(_ Construction Cost: flik 50V tN° Multi -Family Building: (Yes / No X ) CONTRACTOR Name: /Q ,ii. ' k /`t5 c- Co , License #: 57 `l7 Address: / LA,'7 Sk-7 it P.G1 City: CC P1 State: n1N' Zip: c /-Zi Phone: t,Sr —2-27c7--/67 0 Contact: R k S -e s ( r w e? ,(0,4-=, Email: c.- itna✓'�.. u ✓ ._%Ct-c-,$ < & _ ,ef/ 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 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.gooherstateonecall.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. Applicant's Printed Name x Applicant's Signature Page 1 of 2 City of Eapn 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink t�se Permit .:q6-77.3 Permit Fee: 197 2 Z Date Received: t0 Sta 2010 RESIDENTIAL BUILDING PERMIT APPLICATION ;1410 Date: 10 -1g --/O Site Address: / 57 g 5.1-etit(h„ht Ct V cj4 -a( Tenant: Suite #: RESIDENT / OWNER . Name: ! At' 1 Su & Coro -Q. Phone: 6 S (- 6 '3 —q _?9 Address/City/Zip: /S 7.g .5>�`O/u,,Atit C(y`, Applicant is: Owner ` A Contracttor TYPE OF WORK Description of work: is' j("Z._o ' , •@_c_(_ Construction Cost: flik 50V tN° Multi -Family Building: (Yes / No X ) CONTRACTOR Name: /Q ,ii. ' k /`t5 c- Co , License #: 57 `l7 Address: / LA,'7 Sk-7 it P.G1 City: CC P1 State: n1N' Zip: c /-Zi Phone: t,Sr —2-27c7--/67 0 Contact: R k S -e s ( r w e? ,(0,4-=, Email: c.- itna✓'�.. u ✓ ._%Ct-c-,$ < & _ ,ef/ 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 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.gooherstateonecall.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. Applicant's Printed Name x Applicant's Signature Page 1 of 2 /670 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi ' Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Af. Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_ Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final jY Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant rite —,2 MCES System 2a? SAC Units R-1 City Water Booster Pump PRV /5- Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7G ?°- 4/4 M-4°- Page 2 of 2 /670 1 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Single Family Garage Multi ' Deck 01 of _ Plex Lower Level Accessory Building WORK TYPES New Af. Addition Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%_ Census Code # of Units # of Buildings Type of Construction Interior Improvement Move Building Fire Repair Repair Porch (3 -Season) Storm Damage Porch (4 -Season) _ Exterior Alteration (Single Family) Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi) Pool Miscellaneous Occupancy Code Edition Zoning Stories Square Feet Length Width REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final jY Framing Fireplace: Rough In Air Test Final Insulation Meter Size: Siding Reroof Windows Egress Window Demolish Building* Demolish Interior Demolish Foundation Water Damage *Demolition of entire building - give PCA handout to applicant rite —,2 MCES System 2a? SAC Units R-1 City Water Booster Pump PRV /5- Fire Sprinklers Sheetrock Final / C.O. Required Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings Backfill _ Final Radon Control Erosion Control Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 7G ?°- 4/4 M-4°- Page 2 of 2 siareffor-s ate 96)77 /670 s 1Af1,, C�jam, 91lfVEY FOR: R S M Homes Inc, OESCFI ED AS: Lot 7, Block. 1, RIDGEIiAVEN ACRES, City of Eagan, Dakota County, Minnesota and reserving easements of record. • Evcg, tame N sTEPHAIVIE C IR. n N89° 35' 30" E 86. 03 LLEaGM. FOOTAGE R VIEW D PflOPOSED ELEVATIONS Top of Foundations Garage Floor Basemen! Floor ►2cs. Approx. Sewer Service Elev. Proposed Elevation Existing Elevations Drainage Directions Denotes onset Slake 6asrmartt Pont' :3 c5. HE LUNO Planning Engineering Surveying 9tOt Ent ekantnytroertrto rene,qn, Mlnn°wt° 45410 114r P. V. SCALE, 1 Inch : 30 Feet 2a,- a4 ENGIN Dl ticiiMARK, 'NH @ ? a f tev:81.4,3o MIN. SETi;3ACK negyiumstifs Iskenir.40 House Skis • 10 - Garage Side • S THEREBY CERTIFY MAT THIS 18 A TRUE AND CORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY AS SUR- VEY ED BY ME OR UNDER MY DIRECT SUPE RVISION AN) DOES NOF PURPORT TO SNOW IMPROVEMENTS on ENCROACHMENTS, EXCEPT AS SHOWN. Data S r 213 r `i JOB NO.: Q►(2- PAGE: NNE$ i3EN, LAND SU EYOn TA LICENSE NUMBER 14378 43 CARD FILE: DWG. CHK. ;tm4 SEWER & WATER PERMIT CITY OF EAGAN 3830 Pilot Knob Rd. Eagan, MN`55122-1897 DATE y OFEIZEgSE ONLY METER # a Caa ,, 11 PERMIT DATE ``6/05/91 CHIP # PERMIT # 12037 METER SIZE B.P. RECEIPT # C 1376`'' ISSUE DATE. T 1?Ql B.P. RECEIPT DATE 05 /04,1,') 1 X PRV -BOOSTER PUMP SITE ADDRESS IE C I R LOT BLOCK 1 SEC/SUB RI.DGEHAVEN ACRES ? VN-\ kA APPLICANT: ) 11 u V\, T ADDRESS: 1 ell ;. CITY, STATE - ' ZIP PHONE: 14 4 4? 6? 0 ff ? ? PLUMBER: T c ? ???.h t < <v c ADDRESS: L L-C-r , U PUG ,.1 A,) ? -' CITY STATE " Q ZIP Z? , PHONE: CC,, :2 f- -7 0 OWNER: - ADDRESS:_ CITY, STATE ZIP PERMIT REQUESTED A SEWER - WATER -TAPS COMM/IND -X RESIDENTIAL NEW - EXISTING Lawn Sprinkler Meters are to' be Installed Ahead df Domestic Meters on Water Line. Credit WILL NOT I6? given for Deduct Meters. / L. f?? ? ! f-air/ :[ -'-' TO COMPLY WITH CITY ?'NuHt PHONE: ?' . `- PLEASE ALLOW 46 WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR SEWER PERMITS, CONTACT ENGINEERING DEPT. NHEN METER ISSUED INSPECTIONS. FOR STORM ? r SEWER & WATER PERMIT CITY`OF EAGAN 3830 Pilot Knob Rd. Eagan, MW 897 DATE 1 METER # - CHIP # - METER SIZE ISSUE DATE USE ONLY PERMITDATE 0605/91 PERMIT # 12037 B.P.RECEIPT# C 1768 B.P. RECEIPT DATE 6/04/91 X PRV - BOOSTER PUMP SITEADDRESS 1173 "EI",u, If CIR LOT J BLOCK -'SEC/SUB RIDGMthVEN ACRES APPLICANT: `?• ?? '' ?? - ADDRESS: CITY, STATE ZIP f ' PHONE: PLUMBER: ADDRESS: CITY, STATE zip PHONE: OWNER: - ADDRESS:_ CITY, STATE PHONE: - ZIP PERMIT REQUESTED SEWER 'X, WATER TAPS COMM/IND RESIDENTIAL NEW EXISTING Lawn Sprinkler Meters are to be Installed Ahead of Domestic Meters on Water Line. Credit WILL NOT be given for Deduct Meters. AGREE TO COMPLY WITH CITY OF AGAN ORDINANCES SIGNATURE WHEN METER ISSUED PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CONTACT ENGINEERING DEPT. DAy/ JUN 5, 1991 aG 1578 STEPHANIE CIR (R S M HOMES) 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 folloring 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. CASH RECEIPT CITY OF EAGAN M 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE + 19- 1 FFK)M r [ ? AMOUNT s - ?I r O CASH & DOLLARS too CHECK 0 9 3 7 6 6 Wlwle--P.Y. CapY Yellow- 1osgN Copy Pv*--FBe Copy Thank You BY LEACTIVATE PERMIT FOR 225-9676 CITY OF EAGAN D F,C?-,.: W :1/92 38 104 155 30 Pilot Knob Road, P.O. Box 21-199, Eagan, MN CORNERSTONE CONST 55121 . PHONE: 454-81 00 BUILDING PERMIT Receipt # r To be used for ST MG/GAR Est. Value '$82P000 Date -tom 14 Site-Address 1378 STEPHANIE CIg Lot'_ 7 Block I Sec/Sub. RIDGL?_L>_VEN ACM OFFICE USE ONLY - Parcel No. Occupancy A-3 FE ES Zoning W Name RS !? dOllHS (Actual) Const _-V=P Bldg. Permit 339.00 t Address 16817 DULUTH AVE SE (Allowable) Ynp City , PRIOR T.MM Phone 440,-6901 r of stories - Surcharge 00 41. 330 Plan Re i 363 00 Length v ew . =p Name SAME Depth SAC, City 100.00 OU Address S.F. Total uC City Phone S.F. Footprints _ SAC. MCWCC 630.00 660 00 F On Site Sewage Water Conn . W W W t= Name On site well ? Water Meter 93, Address MWCC System 3 W City Phone City Water X Acct. Deposit 0.00 A 30 0 PRV Required S/W Permit . 1 hereby acknowlege that I have read this application and state that the Booster Pump SrW Surcharge information is correct and agree to c y with, all applicable State of Minnesota Statutes and City of Eagan Or inances. Treatment PI 276.00 APPROVALS Signature of Permitee Road Unit 370.00 A Building Permit is issued to: R S M FKWS Planner Park Ded. on the express condition that all work shall be done in accordance with all Council -- applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg. Off. Copies Building Official Variance TOTAL 39174• Permit No. Permit Holder Date Telephone #t WATER S Jf 3 SEWER PLUMBING GoZG 8'g,1-7(oOO H.V.A.C. ?J / l ?' L7305 ELECTRIC 1 2, so n Inspection Date Insp. Comments Footings 1 6 7 Foundation Framing Z 9/ Ds 7l LSO Roofing Rough Plbg. Rough Htg. ZZ //L7 Isul. 7/2 /J TW 4V Fireplace Final Htg. Orstat Test ?f Final Plbg. Plbg. Inspector - Notify Plumber Const. Meter EngrJPlan Bldg. Final ! c 5 Deck Ftg. % 1 Deck Final Well. Pr. Disp. /o Yi REACTIVATE PRRMIT FOR 225-9676 DF;-? x.~:.1/92 C6W* STOH= WN3T. &rtifiratr of .rruvattry (citp of Cagan mtvwcbnnd of wunkto 3u"ertim This C 7fiJi a Luued pwmant to dw ro wmments of Section 306 of the Uniform AaMng Code certifying that at the time of issuance ddsstructune wns in complianoe with the awious ordinances of the City regulating building consmaWon or use- For the following: the C62wrlfim SF DWr / t: A R W& M= No, 191 %6 o=wuKy Type R-3 M-1 7..W[ Dw i, g-1 7hx one V-N owmofo.wine R S M HOMES Add= 16817 DULUTH AVE SE , I p.,c JULY 22. 1991 Build6S d&W POST IN A CONSPICUOUS PLACE j / Y ' 03 , 2 1 e Request Oat Fire Rough-in Inspection Requ ' C Ready Now -1 ill Nolily Inspector n R d ? Wh es ? No y e ea I licensed contractor owner hereby request inspection of above electrical work at: 11 Jab Atldri?ss (Street. Box or R to No-1- / iDbE Q?FA? Ciry ? ? ) SaCLOn,IN 7 T7.-_nship Name o o. Range No. Co y Occupa,, ) Z Phone No. Power pp her Atltlress EldMi tractor(Company 'Name) Contractor cense No. G V Mailing AbtlreSS I ntr acior or Owner mak inng Installation) f ? i i / Authorized ignature (Cpntractorowner Making Ins Ilat nl Phone Umber MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg.- Room 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. . uH ELECTRICAL INSPECTION oee Instruc ions for completing this form on hack of yellow copy I WR "X" Below Work Covered by This Request s ? .'?"q EB-0000108 -wr ew RId Rep. "-x-Type of Building AppliancesWired Equipment Wired Home Range Temporary Service Duplex Apt. Building Water Heater Dryer Electric Heating O[her (Specify) •I Comm./Industrial Farm __ Furnace Air Conditioner other lspecify Compute Inspection Fee Below.: Contractors Remarks' I{-# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee FSwimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps ove Amps Signs Inspector's Use Only I O Tpl I Irrigation Booms _ Special Inspection ? C __ Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical inspector, hereby Rough-m Date certify that the above inspection has been made. Finat Date OFFICE USE ONLY This mquesl ,md 18 months from lecwa.l o ? 1146 Request to ?• - 8 (lJ( Flr o. Roughin Inspection Re iron? .. yes C No G Ready Now 'P?77I Ni Inspector When Ready? ?<icensed contractor ] owner hereby request inspection of above electrical work at: Job Adnress lSireel. Box or Route No.) City Section No. Township Name or No. Range No. Count' Occupan[(p ) Phone No. Power Uppliar Address Electrical ontractor company Nam I Contractor's License No. r O?j J Mailing Addres Contractor or Owner Makl Instalodlon / yJ/? ?ZIW45 - Aulhorize Signalure IConlractor/Owner Making Instal Iron Phoo NUmbb MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room 5.173 BE ACCEPTED BY THE STATE BOARD 1821 Uniyersity Aye.. St. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-800 ENCLOSED. 7 j?/ REQUEST FOR ELECTRICAL INSPECTION EB00001-00 ? See instructions for completing this form on back of yellow copy "X" Below Work Covered by This Request -" w;' ew A 1 Typeof Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Al Building Dryer Other (Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Coniradors Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders jFee Qtnr ng Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 _ Amps t Signs Inspectors use Only: TAL Irrigation Booms JQ•O Special Inspection AlarmICommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Hough-,n Date certify that the above inspection has been made. Final , OFFICE USE ONLY j/l This request void 18 months from e: 07/22/91 Yes No TnspPctar- zna l grade (6" from siding) 1.? ? Permanent steps - garage l/ Permanent steps - main entry ? Permanent driveway Permanent gas ? Sod/seeded grass ?? Trail/curb damage Porch Basement finish ?? k- [< a 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. White - City copy Yellow - Resident copy Pink.- Contractor copy CITY OF EAGAN N° -19156 3830 Pilot Knob Rdad, P.O: Box 21-199, Eagan, MN 55121 PHONE: 454-8100 nn BUILDING PERMIT Recei t # `? 6; `J To be used for SF DWG/GAR Est. Value $82,000 Site Address 1578 STEPHANIE CIR Lot 7 Block 1 Sec/Sub. RIDGEHAVEN ACRES Parcel No. w Name R S M HOMES 31 o Address 16817 DULUTH AVE SE City PRIOR LAKE Phone 440-6901 c Name SAME ON Address E City Phone 1?051 Name ma Address a W City Phone I hereby acknowlege that I ha read t?hi$ applica n and state that the information is correct and a a tc cdrrlply wit II applicable State of Minnesota Statutes and ( , E!, lnanc . Signature of Permitee r A Building Permit is iss ed to: $ M HOMES on the express conditi n that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official p 1991 OFFICE USE ONLY Occupancy R-3 M-1 FEES Zoning R-1 (Actual) Const 1-N Bldg. Permit 559.00 (Allowable) V-M Surcharge 41.00 # of Stories 38' Plan Review 363.00 Length Depth 46' SAC, City 100.00 S.F. Total SAC, MCWCC 650.00 S.F. Footprints - On Site Sewage Water Conn 660.00 On Site Well Water Meter 95.00 MWCC System X 30 00 City Water X Acct. Deposit . PRV Required R S/W Permit 30.00 Booster Pump - SMy Surcharge 0 .5 Treatment PI 276.00 APPROVALS Road Unit 370.00 Planner Park Ded. Council Bldg, Off. Copies 174 50 3 Variance TOTAL , . RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN dr c? Q 0 v 3830 PILOT KNOB RD - 55122 J 651-681-4675 New Construction Requirements RemodellRegair Requirements 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas . 2 copies of plan (20% maximum lot coverage allowed) . 1 set of Energy calculations for healed additions . 2 copies of plan showing beam & window saes; poured found design, eta) . 1 site surrey 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 (hldgs with 3 or less units) 0 O D DATE / )/R-r , /jf O Z- 1 VALUATIONS, JOB SITE ADDRESS /571? ,S4-enhaa.."2. C,,f- IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER Pki l +. UQ Co n 2. TYPE OF WORK?1n.?I. B4ar+-tc A-oarn^ FIREPLACE(S) K 0 _ 1 _ 2 APPLICANT -&,_4. Idfe-S!ke On PHONE#6AS-?=W ADDRESS N160-2 SIB,10.4. )a , ?.7 r• ZIPCODE SS /2./ PAGER # 612-x'38-44 S CELL PHONE # 65/-27 Lf-/ 6'7 0 FAX # 6e -25 pa NIEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted Plumbing Contractor: b j Phone #: Plumbing System Includes: Water Softener _ Lawn Sprinkler Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: V V 9 Phone # Mechanical System Includes: _ Air Conditioning - Heat Recovery System Sewer/Water Contractor: A V T J Phone # All above information must be submitted prior to processing of application. Fee: $90.00 Fee: $70.00 I hereby acknowledge that I have read this application, state that the information is ply with all applicable State of Minnesota Statutes and City of Eagan Ord' n s.a, /_ /J Signature of Applicant Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 2002 OFFICE USE ONLY ? 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 (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex X 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_YorXN ? 25 Miscellaneous ? 31 New ;8r 35 Int improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement *Demolidon (Entire Bldg only) - Give PCA handout to applicant Valuation :1a ?eE Occupancy MC/ES System Census Code 1-734' Zoning City Water SAC Units / Stories Booster Pump Nbr. of Units - - Sq. Ft. °oL$$ PRV Nbr. of Bldgs ? Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. - Footings (deck) C Final/No C.O. _ Footings (addition) _ Plumbing Foundation X HVAC _ Drain Tile Other Roof - Ice & Water _ Final - Pool _ Ftgs _ Air/Gas Tests -Final X Framing - Siding _ Stucco _ Stone _ Fireplace R.I. Air Test Final Windows (new/replacement) _ - Insulation - _ Retaining Wall Approved By Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge. Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ?D Building Inspector CITY USE ONLY PERMIT #: V Z ?? RECEIPT DATE: 3 ' O WISIDENTI.&L MECEARICAL PFitAff APPLICATION CITY OP EAOM 3830 Pn= KNOB ftD KAGMMR 5512E 651-681-9675 Please complete for: D single family dwellings townhomes and condos when permits are required for each unit Date: I-( 8 -O I SITE ADDRESS: I C5Z 9 l'fck t 12 OWNER NAME: 11 CuYt? TELEPHONE #: 4?5- J39() (AREA CODE) INSTALLER NAME: ?ti Y Y?S?1\ LR OJ_Ci ?a nc? TELEPHONE #: ! k9q-60C (AREA CODE) STREET ADDRESS: 1zt? ( RhoC-,L- ,S?CkA&_ A J . S• CITY: S a'o 0-4 Q _ STATE: M N ZIP: 5532 Plara a rhar4 marls nwrf fn fhe nprmit wnrle tuna New residential dwelling unit under constructionand not owner/occupied $ 70.00 _ Add-on, modification or alteration to existing dwelling unit $ 50.00 • furnace replacement • air exchanger it conditioner . -? • other Nature of work: State Surcharge .50 Total Reminder. Call for inspections. SIGNATL)RE OF PERMITTEE Updated 1/01 CITY USE ONLY PERMIT #: APPROVED BY: INSPECTOR RECEIPT DATE: COMMERCIAL MECHANICAL PERMIT APPLICATION CITYOF KACaAN 3830 PILOT KNOB RD £AHAN, MN 55188 651-681-41675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: SITE ADDRESS: OWNER NAME: PHONE #:. (AREA CODE) TENANT NAME (IMPROVEMENTS ONLY): WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: INSTALLER: ADDRESS: CITY: WORK TYPE: New construction Interior Improvement Processed Piping Specify Nature of Work PHONE #: (AREA CODE) STATE: ZIP: Install U.G. Tank Remove U.G. Tank When installing/removing underground tank, call 651-6814675 for inspection by Fire Marshal and Plumbing Iinspector. Fees: 1% of contract price OR $50.00 minimum fee, whichever is greater. Underground tank removal/installation = minimum fee Contract price: $ x 1%= $ (Base Fee) State surcharge calculate at $.50 for each $1,000 Base Fee TOTAL $ SIGNATURE OF PERMITTEE Updated 1/01 CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # d 9 / DATE: O PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ---------------------------------------------------------------------------------- WORK DESCRIPTION COMPLETE THE FOLLOWING: NEW CONST ADD ON REPAIR OWNER NAME: SITE ADDRESS:- LOT: BLOCK INSTALLER: 7a ADDRESS: CITY: -in' SUBTOTAL ST. SURCHARGE TOTAL: 50 tIDUSTRIAL 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: NO. FIXTURES EA. TOTAL ADD-ON MINIMUM 15.00 _ SHOWER 3.00 _ WATER CLOSET 3.00 _ BATH TUB 3.00 y C / LAVATORY HEN SINK 3.00 00 3 am( KITC . 7 ?? LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00 WATER HEATER 3.00 SUBD. GlLCLr ?/ - L ?` `? ' FLOOR DRAIN 3.00 / GAS PIPING OUT. (MINIMUM - 1) 3.00 ROUGH OPENINGS. 1.50 OTHER _ 7 WATER SOFTENER 5.00 ZIP: S?a f PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 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 EAGAN I991 BUILDI EXrT LICATION CITY OF EAGAN SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS MULTIPLE DWELLINGS COMMERCIAL 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS 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 CAPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. 2 , R5G9 To Be Used For: ` Valuation: Date: :S?a I ?-cil Site Address 1611 Ato.11, t m Lot ? Block k Parcel/Sub 1`??'tUe1J li( rlZ? L/ Owner Address City/Zip Code Phone Contractor R 5.'M ?C11(y?nCS Address City/Zip Code Phone q (o ` CC % Arch./Engr. Address _ Phone #// /v OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F M-1 R-1 V-N 38' N6' On site sewage On site well _ MWCC System ? City water PRV Booster Pump APPROVALS Planner Council Bldg. Off. ?S•4? Variance FEES Bldg. Permit .559,00 Surcharge !qj.06 Plan Review tP3,00 SAC, City /00,00 SAC, MWCC a Oa Water Conn. raiold Water Meter 415,00 Acct. Deposit 3p,oo S/w Permit 30,00 S/W Surcharge ,Sy Treatment Pl. 2%, Road Unit 310,00 Park Ded. Trail Ded Copies SUBTOTAL Penalty Lot Change TOTAL I .SQ that all work shall be done in accordance with of contractor) applicable State of Minnesota Statutes and City of Eagan Ordinances. City/Zip Code I _coo h L,? IS h L I ?`1l = Zt n h? tii =Cx? Ole zlb = ?zx AF ?Jao?? lsI sssZt = h1 ? L68 z5Z = Sr X h l 1wc5?' 0 09 °f = -91 A r.))-) h =. ZZA O-e 391vaid9 LA LeOYor°8 G'crt?flcate x?eeamt?eraanarr>Qeseza:?a?a?az;, a ? SURVEY FOR: R S M Homes Inc. DF3CRi(M) AS: Lot 7, Block 1, RIDGEHAVEN ACRES, City of Eagan, Dakota County, Minnesota and reserving easements of record. STEP-lAN IE CIE ? t N69' 45' 28' d 86. 03 8y 1 9 ° 1 1 ' a•?vo g 1? R1 I 1 11&03 2d 00 st'•s mJ siOi 10.00 10.1001, 1' r ' _ Ps nn 8L=- a,°3 Edsr 16-k 1 ' ??% SzL!3J N , 0.001 12.33 8 IereQe A T.a.+917.5 N-to-00 1 xth Level d 1 ?. 1 lo.oo ? Proaaaed µ? A{ MHtI-Ural 1 I ? - 6ce 8 3 I oraP fce. 1 m 1 ton 3100 9ti`'O :r 1 10. 419.9 1?? -r ~ 1 I '113 3&00 Sv.3 20,._,_1 ? 1 I 1 m i 1 1 ( ? i «1 i I 1 ? fi) y, 1'J W0.1 N89° 35' 30' E Bb. 03 ='O i,j f,j LOT SO. FOOTAGE = 12, , A F`nOPOSED ELEVATIONS Top oI Foundations . 922.0 Garage Floor .421.'1. Basement Floor 12m. .9139 Approx. Sewer Service Elav. . *A Proposed Elevations . CD Existing E19VAllons . Drainage Directions . , . Denoles ollsel Slake 0 13,,S J Wei,F. Fl, r Iles. . 0.10.9 H UN Planning Engineering Surveying 0701 F.t eko l"W F:nrwe . 9lmm1/gi . MM Wle 65°70 T°Iern , 171AW LCI ltY EAGPN ENG A1EE I G' DEPT BENCHMAnK, 1NH@ ?;? I feu: 82rr, 30 MI-t?, 5E7pACK, REQUIFIEM,?,HJS House Side • fo • lr r FTrLars Garage Side - d SCALE' I Inch ¦ 30 Feet IHEREBY CEnTIFY THAT 1141318A TRUE ANOCORRECT REPRESENTATION OF THE BOUNDARIES OF THE ABOVE DESCRIBED PROPERTY As SUn- VEYEDBYMEORUNDER MYDIRECT SUPEAWS10NAN) DOESHO T PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. Date _S 12.6 / 91 .6,ltllcl J. M REN,LANDSURVEYOR NNES ALICENSE NUMBER 14379 JOB NO.: O1Q-1554 BOOK: I PAGE: ts3 8 ADD FILE: DWG. CHK R2,m1. lir'.I Till,' Ipl l r-1";1 Tl -- EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER R.S.m No rv?,?.Z - T-- - siTE ADDI(L:SS ),_.DT 9 ?&-O C-,Y 1 I {76-E'f"?,DV? Ac- e&-s CONTRACTO . .. S M PkJLAES /4C• . R p tr ' DATE S 1 a9(CAI PHONE 4 qqC) -`O lO( .. . Determine working square footage of each. 1. Total exposed wall area ....... /Ji 0 sq. ft. x .il _ /$ (p• 8 - 2. Total roof.ceiling area ...... ?1D11.0 sq. ft. x .025 Total exposed wall area above floor • a. Total wall window area .................................... Iola •4 b. Total door area ........................................... go.a C. Total sliding glass door area ............................. ?1.'z d.. Total fireplace wall area ................................. O e. Total wall framing area (average 10%) ..................... _J. $.$ f. Total net wall area above floor ........................... 1329,R . g. Total rim joist area ........... ............................ _ 112-0 Total exposed foundation area y -h. Total foundation window area .................. ............ D i. Total net foundation area above grade ..................... 89.0 Determine "U" value of each wall segment. a. I?R.N X ..U.. & b. Yo.g x "u- o7 (P 3./ c. 31. Z. X ..U" ,sS: = 172 d. d x .•U" O d e. X "we , ? Z = ZO. 2 X ..U.. .0 2_ .ss,-6- - •: • " oy7 S•3 8g•? . 0 83 7.51 05/30/1991 14131 FROM RSV HOMES TO 4540363 P.02 3 ................... .Total - ?T?•P If item 43 in the same a*,? loner tlwn item 41, you Lava met the lutont of Sac 6006(c)2.?YZ • l'?6 9_J< °/ ?o).3 -?,. eA<, t.t../ .. $C$c• GoOG ??/ 1 Total expos roof/ceiling area s/, a J. Total skylight area ....................................... O k.' Total roof/ceiling framing aroa (average 10%) ............. /? y 1. Total net insulated'roof/ceiling area ..................... _ ./,ys Determine,-U" value for each roof/Ceiling segment. ?. X "U" O k. /3B. y x ?-U- Mee 4 ......................... ..• TOtdl a Ag/ . 1£ total of 04 is the same so or: 'less than 92, you h e mot thu intent of SeC 6006 (c )1. r?(MK " j? ?eZ?• 7? .' L °?d` 1 l ?)I b? y , p< 140• e+ t?a .? ' dam} y?:L .G ou .f;. [C? J Alternate Building Envelope Design To utilize the total envelope system paethod, the values establish-d by the sum of Items 13 and 14 shall not be greater than the sum of item, kl and 92. 1. X03.3 .. +a_ :3SiL _ x379 vlo,(.P tsruPe,?t/ -y6?tE.. PERMIT # C141m.) CITY OF EAGAN 20 c 11' v G 1992 BUILDING PERMIT APPLICATION ?eRrn; ?- 681-4675 BAR 2 6 p . 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 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 re guested once permit is issued. Date 3 Valuation of work Site Location: S 7? S7-t-e?G STREET STE # Tenant Name: LOT -7 BLOCK SUBD. ? P.1 D. # Description of work: -D 'IC The applicant is: ? Owner ? Contractor ? Other (Describe) Name CC/X0jf- `lam Phone 6,3- 3?6 Property LAST FIRST Owner Address STREET STE # City State Zip S Sias x company Phone as 7 6 Contractor # Address ?^ ? S? uLd arm License n Zip city State ?t - 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:k OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 Garage/Accessory ? 11 Res. Add./Porch ? 02 SF Dwg. ? 07 Fireplace ? 12 Comm./Ind. New ? 03 Two family JR 08 Deck ? 13 Comm./Ind. Add ? 04 Multi-fam. T.H. ? 09 Basement Finish ? 14 Comm./Ind. Rem. ? 05 Apt. Bldg. ? 10 Swim Pool ? 15 Public Fac. WORK TYPE A? . gig ?? :.. f Z .. ? 16 Agricultural ? 17 Building Move ? 18 Demolition ? 20 Miscellaneous Ig 31 New ? 34 Remodel ? 37 Move ? 32 Addition ? 35 Repair ? 38 Demolish ? 33 Alterations ? 36 Tenant Finish ? 99 Undefined GENERAL INFORMATION Occupancy Basement sq. ft. MWCC System Zoning 1st Fl. sq. ft. City Water Const. (Actual) 2nd F1. sq. ft. PRV Required (Allowable) Sq. Ft. total Booster Pump N of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth iy On-site sewage SAC Code APPROVALS Planning Building 3 3/-sz ?s Assessments Engineering Variance REQUIRED INSPECTIONS 43 ? Site Footing -"g ? Insulation ? Wallboard Final Draintile ? Fireplace Permit Fee Surcharge Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Road Unit Park Ded. Trails Ded. Copies Other Total: valuation: f SAC % SAC Units SA(MC11or"8 eeprfiliWte eae:es?exma?e iraa SURVEY FOR: R S M Homes Inc. DESCRIBED AS: Lot 7, Block 1, RIDCEHAVEN ACRES, City of Eagan, Dakota Countv, Minnesota and reserving easements of record. STEPNAN I E C IR. S?j N89' 45' 28' ate. i.03 a2o? O ? ?g R1 ; ?4'1Oi 10. ee to.d4. ati% g,% 1 1 2 ' Ifs. a3 28.00 Fvyt Hone r,e.' g0.1 I 26. of ' N I 12 i Yi.a a "' w N 12.33 8 " iel't0e 4s. e 41h Level Me. Fire Oslo ?- &eil-Le OreO lte. .eol CI ?atDnt /I X M iv. p.o- • r a I I .t? 38.00 Sv.3 Z? ) m g24_3 N89' 35' 30' E 86.03 LOT SO. FOOTAGE = 1,c. PROPOSED ELEVATIONS 1IG- ? EAG.AN E NCa' N G DEPT BENCHMARK, rNH@ ?, 4/ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MN 55122 PHONE: (612) 454-8100 FOR CITY USE ONLY 3 e FE?_ PERMIT # RECEIPT # O DATE: 411-V 7 SMDENM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS & TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION NEW CONST ADD ON REPAIR FEES OWNER NAME: 7SM ODt $S TA SITE ADDRESS: 14 -,?3 JI??Pn/&fP,-J/LE BLOC:: GUSD . K?i?!!!w/IAnN???/ (-f?1A?N.J LOT: INSTALLER: 12481 Rhode Island Ave. So. ADDRESS: Savage, MN 5rj378-H22 CITY: 894.0001IP: PHONE #: ADD-ON MINIMUM 00 HVAC 0-100 M BTU 4.00 ADDITIONAL 50 M BTU 6.00 GAS OUTLETS - MINIMUM OF 1 PER PERMIT SUBTOTAL: $_ STATE SURCHARGE: .50 TOTAL: $' SIGN PURE PERM E 00MMEROSA/DY15?ItTAL 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: ZIP: PHONE FOR: 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) CITY OF EAGAN CITY OF EAGAN FOR CITY USE ONLY 3830 PILOT KNOB ROAD EAGAN, MN 55122 PERMIT # PHONE: (612) 454-8100 RECEIPT # O S DATE: 4 Q 31F3% PLEASE COMPLETE __V UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6 ,:....,...v..:...:,:.. TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. ------------------------ ----- WORK DESCRIPTION -------------- ----------- --------------------- COMPLETE THE FOLLOWING: ------ NO. FIXTURES EA. TOTAL NEW CONST X ADD-ON MINIMUM 15.00 ADD ON SHOWER 3.00 3.'o REPAIR WATER CLOSET 3.00 4.0 1 BATH TUB 3.00 3..:, aT LAVATORY 3.00 C.w OWNER NAME: OeS/?J ?/cM? s _? KITCHEN SINK 3.00 3. w LAUNDRY TRAY 3.00 3. N SITE ADDRESS: J ?/l //fJ?/C? ewr HOT TUB/SPA 3.00 WATER HEATER 3.00 3.N LOT: BLOCK SUBD, k'/oGa /J.g?? .1?,e? f FLOOR DRAIN 3.00 3. w GAS PIPING OUT. INSTALLER: Gfrc.5/OG /p[8G (MINIMUM - 1) 3.00 3•4o ROUGH OPENINGS 1.50 ADDRESS: /a2Yl /` ?/ ? .en? ef?L- _ OTHER _ WATER SOFTENER 5.00 CITY: Sf?9G(i ZIP: _ PRIVATE DISP. 15.00 U.G. SPRINKLER 3.00 PHONE #: le Fly %2 _ ?3 SUBTOTAL $ ST. SURCHARGE .50 ,- ,SIGNATURE PERMITTEE / TOTAL; S 83 "SD 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) g o0 ?? 2007 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reouiremenls 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas (20% maximum lot coverage allowed) 1 Soils Report if proposed building is to be placed on disturbed soil 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 7/1W Rim Joist Detail Options selection sheet (buildings with 3 or less units) Minnegasoo mechanical ventilation form RemodebReoair Recuirements 2 copies of plan showing foctings, beams, joists 1 set of Energy Calculations for heated additions 1 site survey for additions & decks Addition - indicate ff msife sepdc system Telephone # ( Plans are considered public information unless Vou state they are trade secret and the reason. Date ( y ( / 6-7 Site Address 7S ,/n Construction Cost 5; Z 5TEP41"leve C(2 Unit(Ste # Description of Work Multi-Family Bldg _ Y )C N Fireplace(s) ?0 0 - 1 - 2 Property Owner ? Telephone N65-1 ) 3V- 9?(W Contractor loej l y6 Address ZZ-] State /44 A J CAP /2Y1 Zip SS?? City ACT c' ZS?- O r7 O Telephone # (&3-() COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeow 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code worksheet (q submission type) Submitted Submitted . Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/water Contractor Telephone #( a0 ,ors C? 01fice lls'e OnN CeA Of Survey Recd _Y _N Soils Report _Y _N Tree-Pres Plan Recd Y _ N ;Tree Pres Required _ Y _ N On-site:Sepbc System _ _, _ Y_ N 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, a rk is t to start without a permit; that the work will be in accordance with the approved plan in the c whi equires a review and approval of plans. Applicanfs Printed Name gnat e ÿ ÿþþ ýüûýü úþþ ùûøú ÷ Þô ìö áääÞ ÿþö þýüûúùø ÷öñöýûúù øöûúùø ÷öõ ÷ôùó öùòý ñýñíýùú ð þïýöî óùöìóóöïýöóöüöóë êö ù ÿêöêöó þ ùëñêöêùêöë ñöüóéöööïýöüú êóúóë îçæçååëåëå õú þýöö èýçæçëäëä èýÿë ôó öòñ ùù ô ö ùñö äñýúôñøÞåþùñö ôìãõ ãõ àáßáÞÞÞ öüú ìöùùêöóöö öóùú ùùüþ êãþýñúê íöë ùù÷ ýúþ ýö s Date: City of Ea all 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Tenant: Use BLUE or BLACK Ink Permit Permit Fes: RECEIVED APR 0 2 2012 stair: 1 d 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION Date Received: Site Address: 51 ,Suite ft: RESIDENT / OWNER CONTRACTOR TYPE OF WORK Name:i1JC- eAJro Address / City /Zip: )578: 5 (1) Phone: -Zai ? 1 Name: -MILBERT COMPANY INC.dba CULLIGAN WA Address: 1801 50" t ST EAST State: • MNN Zip: 55.077• Phone: Contact BIT L.MILBE ; • Email: City • SER GROVE ‘/IGTS • 65.1 .45].-2241 — New / 'Replacement Repair Rebuild Modify Space Work iq.R.O.W. Description of work: , PERMIT TYPE RESIDENTIAL Water Heater ' Lawn trrigatipn (RPZ /PVB) Septic System • New _ Abandonment ,Water Softener Add Plumbing Flxtures L Main / _ Lower Level) Water Tumaround RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater arsq Softener (includes $5.00 State Surcharge) $35.00 Lawn Irrigation (includes $5.00 State Surcharge) $55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (Includes $5.00 State Surcharge) 'Water Tumaround (add 5166.00 Kam" meter is required) $105.00 Septic System neY ($10.00 per as built) (includes County fee and $5.00 State Surcharge) $95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ co 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.0o0herstateonecall.org, 1 hereby acknowledge that this infnrmatlon Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that 1 understand this Is dot 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 ple 'ri In the case d a work which requires review and approval of plans. •' Applicants Printed Name . • x x Applicants, S ignature a PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA118514 Date Issued:11/04/2013 Permit Category:ePermit Site Address: 1578 Stephanie Cir Lot:7 Block: 1 Addition: Ridgehaven Acres PID:10-63995-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Stephanie Vought 3451 W Burnsville Parkway Suite 120 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 - Phillip E Coroe 1578 Stephanie Cir Eagan MN 55121 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA121954 Date Issued:04/21/2014 Permit Category:ePermit Site Address: 1578 Stephanie Cir Lot:7 Block: 1 Addition: Ridgehaven Acres PID:10-63995-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Water Heater Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection. Kris Oien 3670 Dodd Rd Eagan, MN 55123 Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087 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 - Phillip E Coroe 1578 Stephanie Cir Eagan MN 55121 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA132274 Date Issued:08/04/2015 Permit Category:ePermit Site Address: 1578 Stephanie Cir Lot:7 Block: 1 Addition: Ridgehaven Acres PID:10-63995-01-070 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. 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 $60.00 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Phillip E Coroe 1578 Stephanie Cir Eagan MN 55121 Burnsville Heating & Air Conditioning 3451 West Burnsville Parkway, Ste. 120 Burnsville MN 55337 (952) 894-0005 Applicant/Permitee: Signature Issued By: Signature ir • �! For Office Use 016,d „ % . f 1 , :::::ee ' el'..:k. Arf°,0 EAGAN ...._,,..) : /q 7- Date Received: - `/ .. ��-- 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 RECIEVED Ay (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: •f+! buildinginspections(cilcityofeagan.com JUN 01 2018 L 2018 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit#: Name: I LIQ i Phone:(o5( 52_9 -- Resident/ r Owner Address/City/Zip: /S 7 e S L.ctu�,`4 C c/sr LQ. Applicant is: Owner . Contractor 1 Description ofwork: � bf, Type of Work QC t `�”` Construction Cost: # 0O6 Multi-Family Building: (Yes /No ) Company: l ` 49 • K,-ii$€ Co i C ^ Contact: ,IQob(e s5-Q Contractor Address: / 6 7 _5- ---‘74•/,\Q_ City: f a.y,.p., State: 4\lv Zip: - Phone: bS I'z7�-IG51a Email: <`e , st/1l^- -lire.y42 ge A A1,49'CC P License#: &C- OO 5 7 C Lead Certificate#: If the project is exempt from lead certification, please explain why: I COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression Contractor: Phone: 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 the are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeanan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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 accordance witch the approved plan in the case of work which requires a review and approval_•lens. x Applicant's rinted Name Applicant's Sign-ture DO NOT WRITE BELOW THIS LINE 7 ' ° 1'v 'iFe C €-, /q9 7q 0ll SUB TYPES 6 _ Foundation Fireplace Porch (3-Season) Exterior Alteration (Single Family) Single Family Garage Porch (4-Season) Exterior Alteration(Multi) Multi 4 Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior )ti Alteration _ Fire Repair _ Windows _ Demolish Foundation Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION Valuationk4 0Occupancy MCES System Plan Review Code Edition tApo..M4‘c SAC Units (25%_ 100%N.) Zoning City Water Census Code Stories Booster Pump #of Units Square Feet PRV #of Buildings Length Fire Suppression Required Type of Construction 1C Width REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final/C.O. Required Footings (Addition) )r,,, Final/No C.O. Required Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test Roof: Ice &Water Final Pool: _Footings _Air/Gas Tests _Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick_EFIS Insulation Windows Sheathing Retaining Wall: _ Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control Shower Pan Other: Reviewed By: ''''A , Building Inspector RESIDENTIAL FEES (1-((r/ ,,,,,,0.4 Base Fee Surcharge 0V~ ( Plan Review L -4:0MCES SAC I ; 1 City SAC . Utility Connection Charge 7 Q Y IS"----, S&W Permit& Surcharge Treatment Plant Copies TOTAL Page 2 of 3 .. .. , • ., . , .• S urvtcyorts Certi fettle /Lig --7 .!) 0kknc Ctx-76-7 : SURVEY FOR: R S M Homes Inc. DESCFIDED AS: Lot 7 , Block :1 , RIDGEHAVEN ACRES , City of Eagan, Dakota County , Minnesota and reserving easements of record. • N STEPHA 11 C IR. a REcjE2 4 - Y. -A- z.� .. JUN 0 0 2018 L a"= N89'45'28' : 86. 03 a��? � � �rs�3,�.`- ' c o I `•` V $r � !C 0— -ls v r)rivt S Fil • 0 \ 'Ir +, 118t. .03 • )211,00 ai;g 4119141!--C4 la.a0=lO.l►ar`�zj ' 20.00 E.iet rbn, \ao 8 r.a.*917,3 `b/� a • 0.00 13 r 28.53/ 12.33 85.6 ..Swirl m �acs'"� 1 4th UYi1 • cv 12ara. .__ _-, 1 1 »tip 1 Pro�o °a 1o.� —(—)-- ,V� r CI; ,� Mrltl-l9YAlT N - ,. C1Ccsrhg m 661 ,�': • 1 Drop N � o L l`t x lb .Oe ek I { g t,«--r o ae I 1 ;430 38.00 i�:zo. • �� P o S SU 1 fI ^( 2 0' �� n; f • 1'x b i)ceK ail , r, a Sl _ _ 1t ' h r} nVV- ' � R?� N89°35'30'E 86. 03 �'Oil ttS; W.% j q y A►tAGA IN ., REVIEWED = , - �,� ...r...- �'' - -__-.--�- , ...,-L.*"A EAG,AN ENG ,'NE SING DEPT DING �,,, \17 PROPOSED ELEVATIONS D�NCHMARK, rNM2 ?.d/ Top ol Foundations „�22.a „At ,...,,„.:824.30 Garage Floor „gz.r.s, Basement Floor r2cs. .,SI3SI Approx. Sewer Service Etev. . 'VA MIN.SETQkOKQ .Q.WF ;ji J S Proposed Elevations ..C) Existing Elevations • House Side- 1,3Drainage Directions ,....,,,,,,,. P .V. 1 �Z�L g L 1R r �a 6 Denotes onset Slake .I Cr Garage Side- Bnacmant Ffoor IM. , %ISA SCALE. I Inch = 34 Feet l J0B NO. :HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION q sun- iffiE`' •�• O SHOWuND VEYEDBY MPROVEMt:NT8COF! TSUPERHMENTS EXCEPT AS SoF THE BNDARIES OF THE ABovE DESCRIBED PROPERTY HOWNq,Q-1$ BOOK: PAGE: I Planning Engineering Surveying 92o1 Ent Bko loorrtgol: ll=gr.MI•n990111 um Date �f`, 101, + " ,6' ,..,--0.1,-1,.,,... 1* I s • � ° ,-y BEN.LAND SIIEYOR CADD FILE: LE: DW3 .CHK. NNFS ALICENSE NUMBER 14378 "2m4