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689 Stonewood Rd2011-05-3108:04 » 651975 5694 4,111 CityofEaiu 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675.5675 Fax: (651) 6754694 csi P 113 Use tfLUt or elLAt:lt Ink For Office U Permit* q3/ 3 PemutFee : if 5S- 0 0 Date Received: Staff: L 2011 RESIDENTIAL PLUMBING PERMIT APPLICATION r DateSite Address: J $ - J g"yt L�f 'tVOC Tenant: — .. ____ . _. Suite #: RESIDENT / OWNER Name; Cjill I Ail f_ ell ( per -Phone: �5J'5-. 3 3 - d,Fai Address / City / Zip: gaol/VW- &S 010 Ott,. CONTRACTOR Name: t 11, f 1 titi'V1'1 et A Licen$ #: ut tQ.t 3r 3 Address: c Sii Va City 1 Ari ___ , .,51 State: M 14 Zip: 555' s5 Phone: t,, t gL 4 "'.i 10;1 Contact: 3OS011 Email: TYPE OF WORK , New t Replacement,_, Repair Rebuild _ Modify Space _ Work in R.O.W. Description of work: p,�l Li 1L1� 1,3 1111I 1(� f 1 Q. -11 CY1 PERMIT TYPE RESIDENTIAL T Water Softener Water Heater Add Plumbing fixtures ( / . lnvuar Level) Lawn Irrigation (_ RPZ I y PVB) _ ^ _Main , „ Water Turnaround Septic System — .. New Abandonment RESIDENTIAL FEES: $55.00 Minimum Water Heater, Water Softener, or Water Heater HeaterIRA, Softener (includes $5.00 State Surcharge) (includes $5.00 State Surcharge) Fixtures, Septic System Abandonment Water Turnaround* (includes $5.00 State Surcharge) (add 5168.00 if a 5/8" meter is required) Ngw ($10.00 per as built) (includes County fee and $5.00 State Surcharge) burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) TOTAL FEES $ $35.00 Lawn Irrigation $55.00 Add Plumbing 'Water Turnaround $105.00 Septic System $95.00 Fire Repair (replace CALL BBFQRg Y,QU D19. Call Gopher State One Call at (661)464-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www. aopherstateonecall oig 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 tie in accordance with the approved pian in the case of work which requires a review and approval of plans. x Applicant's Printed Name Applicant's Signature FOR OFFICE USE Reviewed By: Date: Required inspections: Under Ground ,✓__,,,Rough -In Air Test —_,,.Gas Test ___Final Date: City of Eaffafi 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 g- t ECEIVE) JUL 2 t 2009 al rn Permit #: c��/ Permit Fee: d' ` / Date Rece*e1: 7 7/ 0 9 gaa7 Staff: 2009 RESIDENTIAL BUILDING PERMIT APPLICATION CP R &81 Sf wad d /?o( I " 6c Tenant: Site Address: Suite #: RESIDENT / OWNER Name: C V!% i— c'USayld Coop2.lr- Address / City / Zip: (O 99 J4.14.4,0ocd Applicant is: Owner X Contractor Phone: 6 8F 6.6w TYPE OF WORK Description of work: Y/ i'�►� /3 /a OW Cost ( Multi -Family Building: (Yes / No X ) CONTRACTOR Name: t•,] li 4 PeAAA,d Address: 3 to 43 (Uo (I waAA License #: City: El A^^- State: Y v v" Zip: 5S"( z3 Phone: (..012. 7 5 3 i 3 Contact Person: 7 Dv-i-eis AfA COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Category 1 Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet Category Submitted Submitted ('I submission type) • 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? _Yes No If yes, date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOT t or;trng docu ants rrtat you submit are consrere > nein-public if ,you provide sped: conclude :t 1 t.they are trade sec re public ii ns that ons o 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. x F RU I Applicant's Printed Name x Applicant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of _ Plex Accessory Building WORK TYPES New _ Interior Improvement _ Addition _ Move Building Alteration _ Fire Repair Replace Repair Retaining Wall Fireplace Garage Deck Lower Level _ Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool 604,rd rl ploroa, DESCRIPTION Valuation Plan Review (25%_ 100% Census Code # of Units # of Buildings Type of Construction 0 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 y' Framing Fireplace: _Rough In Air Test _Final Insulation Meter Size: Reviewed By: 7` 2 Storm Damage _ Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Siding Reroof Windows Egress Window _ *Demolition of entire building - ..71L //v `2L)7 Demolish Building* Demolish Interior Demolish Foundation Water Damage give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required .)Z Final / No C.O. Required HVAC Other: Pool: _Footings Air/Gas Tests Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall Erosion Control , Building Inspector RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 3 City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUL 1 3 RECO r Use BLUE or BLACK Ink Permit #: Permit Fee: Date Received: Staff: _/ 67119.x5' CC' lep4,9-0 2010 RESIDENTIAL BUILDING PERMIT APPLICATION eaUt.d '7/1Lp Date: -1/ Mo Site Address: j pp�ll/► (�i 0 l �t9tJl. �rX Tenant: Suite #: RESIDENT / OWNER Name: 0hvekSUSai,i 0.071 Phone: 457- 6 f5F"-%64/ Address / City I Zip: tci g /li'Ytf c� %Zvei la Applicant is: Y Owner Contractor TYPE OF WORK Description of work: I k Pa/04d 71'u 17•40 ' Construction Cos .t r'------6------'Mu1ti Fa ' y uildin : (Y / No ›C ) CONTRACTOR 1 Name: 1) 4/ 14iii' . t -c- License #: 0 d 5-1V� Address: 3 (o 4-3 17U� ( 0.444-0.444-t1 a C City: e = (. State: VVI ik Zip: S S (2 3 Phone: Lo$ J _ (Ky_ 07 cif 0 —6/2 .75.' 3873 Contact: -pfeiu 1 0 OCA41-Email: a T1ziv1Mr oc 0 (mist (.eo, 4-, -- COMPLETE In the last 12 months, has Yes If yes, THIS AREA ONLY JF 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: _No Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: at n `l'a cons o NOTE Plans and upportrng documents t at you submit are considered tc be p bltc f rfo p tie rnformatton may tie classified as no ub is f youprovrdes e°I reasons +that ctul e mit > .. o :=conch ale at th+ are trade'secrs 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.gopherstateonecail.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. X y I W1. bk.)-1-cher'' Applicant's Printed Name Applicant's Signature Page 1 of 2 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building WORK TYPES New Addition x" Alteration Replace Retaining Wall Fireplace Garage Deck Lower Level DESCRIPTION Valuation Plan Review (25%_100%(v) Census Code # of Units # of Buildings Type of Construction Porch (3 -Season) Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous f -in, 6./�i1M v/ f--%.P.^-'/J v w5 Interior Improvement Siding Demolish Building* _ Move Building _ Reroof Demolish Interior Fire Repair Windows Demolish Foundation Repair Egress Window Water Damage (o 20 116 REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final X. Framing Fireplace: _Rough In Air Test )4, Insulation Meter Size: Occupancy Code Edition Zoning Stories Square Feet Length Width *Demolition of entire building - give PCA handout to applicant MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Sheetrock Final / C.O. Required X Final / No C.O. Required HVAC Other: Pool: Footings Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath Brick Final )( Windows Retaining Wall: Footings Backfill Final Radon Control Erosion Control , Building Inspector Reviewed By: RESIDENTIAL FEES Base Fee Surcharge Plan Review MCES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL 14761#1,10 66111" OC -2, Page 2 of 2 . ~ ~ _ . „ _ . ~ CIT OF EAGAN Permit No: 3 7~-13-`? 7 . Date: j 3830 "'Not Knob Road Meter No: ~~.3:36 3 6 giZe. ` g'~ o~/ ; P.O. Box 21199 Reader No: Z ~a _ Eagan, MN 55127 ~T~-i Date: , Owr~ar. `:ar'- ,~~,,.~;son i:onst, SiteAddress: r`~" ~tonewood Roac? L? 'i;;dtrte ;t`~ Plumber " hoen Plu ' , Cann. Chg: 5. t~;lr,;' 2o m. x'.1 Acct Dep: I5 ~re igging ca I~~~~ ~ry , Permit Fee: I t~ .~TE~PHONE - ELECtRIC - GA$ ~~C. : Surcharge: • a~heb~p~ C~y ot Eagan Tr. Plant 1 . - ~'bMinanCes. Meter. t 6~,~~ Misc.: 8Y WATER SERVICE PERM ~ . - y A 1 CITY OF EAGAN Perm(t No: c~~~ Dete: ~-13 -6 7 3830 911ot Knob Road Meter No: Size: P ~x 21199 Resder No: Dat~ Eagan, MN 55121 . OwAer. " ~~r~ Johasor. ~.:ar_st. SiteAddress: F~84 S~oneuood Ro~3 L3 ~ii ~,`i;z~'Cree Ft11 ~ Plumber_ 'Fhoen Plv~bin^/ ~.s^en ''xc . Conn. Chg: 52~ Zoning: r1 ~ Acct Dep: ls.~~pd No. of Units: 1 Permit Fee: 1~~ • ~~~~j Surcharge: • 5~p~~ I agree to comply with the Clty of Eagan Tr. Plant 1 • ~~p~ Ordinances. Meter. F,7 Misc.: By WATER SERVICE PERMtT CITY OF,~AGAN ~ ~q wiot x~or, Road SEWER SERVICE PERMIT ' P.~b. ~ox 21199 PERN~IT At0" ' ~ i t; 3 7 I ; Eagan, MN 55121 DATE:- -R' i Zoning: Y1 No. oi Units: 1 , ' Owr~r. " "'ark Johnson Const. ; Address: ~ ~ SiteAddress: Stone~ood Road L3 Bl Winutree Gth ~ Plumber. T- Qeri Plumhine Aspen ~'r,c. -I~- ~ y~ 1~)^.nOpd i I apros to comply wRh the City of Eapan Connection Charge: - 5~ 5_(~3~~C~ ' ; Account Deposft: S _ ~~C~~± ' I Pemtit Fee: 1 t~ 0(~~~_ ~ Surcharge: 5~~~~t ' BY Misc. Charges: j Date of Insp.: Total: I Insp.: Date Pafd: . - - - - - - - - - _ - •i~ CASH RECEIPT . ' " ~ ~ CITY OF EAGAN ` 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE ' ' 19 RECEIVED ' • FROM AMOUNT $ t - & DOLLARS too ~ CASH CHECK FOR ~ FUND CODE AMOUNT Thank You B Y White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT~NO. ' i l iti~-~r C.- l-~ VC . - ~cS_c~ ' /1 ~ . ; ~y: ~.~1 ~ r_ •c~ ~ r 01-3210 Bldg. Permit ' =;1 01-3422 Plan Check ~ 7 l 01-3445 Surch,/Adm. 01-3446 SAC/Adm. .S ~ l 01-2155 Surcharge ' 17-3860 Road Uni t -s~ 20-2275 SAC ~ 20-3865 Water Conn. ; 20-3868 Water Trmt. , 20-3716 Water Meter - 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. % ~ ~ ~ 1]-3855 Park Ded. TOTAL - ! ~ ~ . • . , CITY OF EAGAN : ~ ~ ~ 3830 Pilot Knob Road, P.O. Box 21-199, Esgan, MN 55121 PHON E: 454-8100 BUILDING PERMIT Receipt~ To be used for Est. Value Date ~ ,19 ~ Site Address OFFICE USE ONLY Lot Block Sec/Sub. On Site Sewage _ Occupancy MWCC System _ Zoning ; PB~CeI NO. On Site Well _ Type of Conat City Water _ (Actua~ ~ Q Name (Allowable) W • ~ of Stories ; Address ' ~ength ~ City Phone " Depth . S.F. Total , p Name Footprint S.F. ~ ~ Address APPROVALS FEES ~ City Phone Assessments _ Permit ¢ Water/Sewer _ Surcharye yVj W Neme Police _ Plan Revlew s= Address Fire _ SAC, City ~ v ~ Engc _ SAC, MWCC `W Clty Phone - ' Planner _ WaterConn. Council _ Water Meter !J I hereby acknowledge that I have read this application and state Bldg. OH. _ Road Unit t) that the informatfon is correct and agree to compy with all applicable APC _ Treatment P1 7 State of Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks Copies Signature af Perrnlttee 70TAL A Building Permit is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and Clty of Eagan Ordinancea Building Official ' Psrmit No. Permit Noldar Dat~ T~I~phon~ ie Plumbing ~ ~ ; / ~ .'c~ 'Y H.V.AC. ' 1~ 7 Electric ; r~ * ( 1~ ~ ~~C~ , Softener Inspsction Date Insp. Comm~nb Footings I ~ Footings II ~ ~ ~ _ Foundation ~ Framing src ca~t~~.'.,_s Y'-/..,--Y7 ~•~P• Roofing Rough Plbg. ~ J' ~ : i~ Rough Htg. ~ ~ ~ Isul. Fireplace Final Htg. o Final Plbg. _ ~ Bidg. Final Ci@I't. OCC. b] Ii/[@c~ /e~'!P 6n c~Gr~a "G r~ "'tr.n,s S Temp. LP 1~.~ ~ Q'-i.x •~7 DeCk Ftg. Deck Frmg. Well Pr. Oisp. i r : ~ ~,~a f. ~ . . _ . 9 ~ . . . . . . . . . . . . . . . . . . - . ' - : PERMIT q ~ ~ ~ ~ ~ PLUMBING PERMIT RECEIPT # ~ y-~ CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: C~ S~ CONTRACT PRICE: PHONE: 454-8100 Site Address - • ~ BLDG. TYP WORK DESCRIPTION Lot ~ Biock ~ Sec/Sub Res. New ~ Mult. Add-on ~ Name ~ ~ ~ ~ Comm. Repair ~ Address ~ - Other c City ~1~,~.rl v Phone ~ RES. P~BG. ONLY - COMPLETE THE FOLLOWING: NQ. FIXTURES ~O~/~ Name ^ -,2-~ater Closet - $3.00 ~ ` ~ ~ ~Bath Tubs - $3.00 ~ 3 Address ~ - Lavatory -$3.00 i~' G ~ O Ciry - Phone ~Shower - $3.00 • ~ -LKitchen Sink - $3.00 .1 • FEES Urinal/Bidet - ~3.00 COMM/IND FEE - 1~U OF CONTRACT FEE ~-Laundry Tray -$3.00 L~' APT, BLDGS - COMM RATE APPLIES ~Floor Orains -$1.50 d TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~_Water Neater - St.50 ~ MINIMUM - RESIDENTIAL FEE - $12.00 Wh~rlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 ~ Gas Piping Outlets -$1.50 J` STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMI~ (ADD $.50 5/C IF PERMIT PRICE GOES Softener -$5.00 BEYOND $1,000.00) Well - ~1a.00 /J Private Disp. - $10A~ L, ~ ~ ~ "~~~r _~Rough Openings - $1.50 ' SfGIrATURE~F PERMITTEE FEE: 'y.~ ' < < STATE S/C: ' FOR: CITY ~F EAGAN GRAND TOTAL: . ~ x . . ~J r:'~~. ~J ~ , PERMIT # ~ ~V ~J`~'k' . ~ ' . MECHANICAL PERMIT 7~ / CITY ~F EAa~:-, . RECEIPT # 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -~7 ~S'~~~ CONTRACT PRICE PHONE: 454-8100 Site Address BLDG. TYPE WORK DESCRIPTION Lot_~_ Bfo , ~ Sec/Sub Res. New ~ , Name ~ • . . Mu~. Add-on ~Z Comm. Repair ~ Address ' ' c City ~ ,.p~ . Other ~ FEES Name RES. HVAC 0-100 M BTU -$24.00 c Address ~ ADDITIONAL 50 M BTU - 6.00 O City Phone (RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMI'n - 1.50 EA. TYPE OF WORK COMM/IND FEE - 1~i5 OF CONTRACT FEE Forced Air ~~U M BTU • uU APT. BLDGS. - COMM. RATE APPLIES TOWNHDUSE 8 CONDOS - RES. RATE APPLIES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON & Unit Heater M BTU REMODELS - 12.00 Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 Gas Piping Oudets # ~ ~ BEYOND $1 00) PERMIT PRICE GOES ~ther ~ ; FEE: ~ ~11,.l13')~~tv ey ~`~-=-t~ ~1~~ ~ S/C: ~ v SIGNATURE OF PERMITT E ~''~'?'_-rE.J TOTAL• ' ~ FOR: CITY OF EAGAN r ~~r#if ir~#~ ~rf (~rru~~nr~ ~itp of ~agan ~p~1~PZif Df ~~~pl~ .~1tS~iP[f~Dti This Cenificate issued pursuant to !he requirements of Section 306 of the Unijorm Building Code cenrfying ~hrrt at the time of rssuance this structure was in co~npliance with the various ordrnances of tlie City r~egulating building construction or use. For ~he following: Ure cLssiGc.uoo Blda. Rsmit No. , OCCUP~Y ~'P~ 7.ooin6 DistriG 7~pe CamL Owoer of &dl~e` ` ' pddre.v _ ' ~ ' • B~r7ding Addre~ . ~~n, 2 1 * `r<`.:rLii~;_r, . DIIE: ' ~ U•~ T A POST IN R CONSPICUOUS PLACE INSPECTI~N REC4RD CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 3j Eagan, Minnesota 55122-1897 Date Issued: (612) 681-4675 , , SITE ADDRESS: i „ ; ! APPLICANT: I r)NFWI)rlf~ .Nii ' , ~ ~ : ; , ~ , , ~ PERMIT SUBTYPE: TYPE OF WORK: . . I ! I . , 3 . i . ~ i ~ + ~ i 3 1 1 ~ ~ i . i~i . ~ 1 . ~ , t t ' ! 1 i ~ I E } . ( I ~ ~ . . ~ ' . . . ~ i ~ ~ ~ ! ! . , ~ ~ ~ ~ Pertnit No. P~rmk Haldx Dat~ Telephone • ELECTRIC PLUMBING HVAC Inspecdon Dab Insp. Comments FOOTINGS _ l _ • FOUND FRAMINC3 ~7/~p~ ( p ~HJ ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL ~fl(D1 ~ GYPBaARD FIREPLACE FIREPLACE - AIR TEST i FINAL PLBG I FINAL HTG OASAT TEST BLDG FINAL ~`Q~i ~ BSMT R.L I I BSMT FINAL I ~ DECK FTG DECK FINAL , PERMIT # r~~ y - (J ~ ~ 0 1 J ~ MECH/1~IICAL PERMIT RECEIPT # ~ ` l CITY OF EAGAN p(/ 3830 P1LOT KNOB ROAD~ EAGAN~ MN 55122 DATE: f!~ ~ r~ CONTRACT PRICE ~L ~~S ~ PHONE: 454-8100 Site Addr$ss ~ BLDG. TYPE WORK DESCRIPTION Lot=~_ BlocJc~ ~ :{Sec/Sub Res. New „ , ~ . r ~ ~ Name S~:;r'.'' S. £ Ai~ CG~~D. C~ Mu~. Add-on ~ , c0 Comm. Repair e~g Address ` ' Other c City I,.,,...._ •Q~?dT1e. FEES Name ~ ~ RES. HVAC 0-100 M BTU -$24.00 c Address ADDITIONAL 50 M BTU - 6.00 p City Phone ~~r~i'y (R~• HVAC INCLUDES A/C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERiVIIn - 1.50 EA. . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONDOS - RES. RATE APPUES Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8 Unit Heater M BTU REMODELS - 12.00 Air Cond. ~ M BTU ~INIMUM COMMERCIAL FEE - 20.00 STATE SURCHARGE PER PERMIT - .50 Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets # BEYOND $1,000j Other FEE: ~ ~ S/C: v SI E V TOTAL• ~ ~ v U FOR: CITY OF EAGAN _ ~ ~ r~ ~v~?~„~~--~- ~ ~ 5 5 ~ ~ : SEDGWICK HEATIN & At~i CONDITIONI P C ~ HOUSE HEATING TEST RECORD _ ~ ADDRESS J ` ~ ' ~CJ " CITY ~ OCCUPANT_ _ x l~~ s~ ~L.+ ~'c• ti 5 f OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY ~ ~ ~ Electrical Work Bv ~ ~ Gas Line By TYPE OF HEAT GA_ FA~. HW_ STEAM SPACE HTR. UNiT HTR. OTHER GAS DESIGN CONVERSION MAKE ' ''v ~ MAKE OF BURNER Model 1 n., 3-~~ Model Serial ~~r"`~ 7h' ~ 9~~ Max. BTU Rating ~J INPUT ~C~~ OD~ MAKE OF FURNACE ~ Model - CONTROLS THERPJIOSTAT~ j~ Heat Plug ~ Vent Size ~~~v~ ~ Vatve d~ u~ _ KIND OF LINER S12E NONE ~S Limit ~a~~~'S d' DraftHood ~ N P~" , Regulator Limit Setting ~G Filters Size N mber " Fan Setting ~°f- Chimney Location Inside Outside - I< ,~C ,~cti > ~f; Pilot Type C ~r Chimney Construction f'. PilotMake Xu6rr rt~iaC.L , Pilot Model ~ S Smoke Bomb Wiring _ Pilot Timing N'~ Draft ~ Test Tag _ ~ P 5 L.W. Cut Off Door Pressure Lighting Inst. ~ 1~ / r> ' ~ _ ~ ~ ~ Pressure - ' Percent C02 > ~ Date Tested ` Input CFH t Percent 02 ~ Company Testing 5~ t.' Stack Tem~ i Percent CO h,, Name of Tester ~L}=° Form 235 ~ This ren~est void s~/~~/o~ dj~&' 18 mpnths from / p ~ D 2 8'9 0 6 3 i i,v~.,-~.~~7~,~ Requesr ~ate ' Fire No. PouPh-in Insuer,[inn y FequireA? ?peady Nuw Will Nolily Insoec- ` (~~O es ?No tor When ReaAy Licensed Elecvicai ConVac~or 1 herabv requestinspection ot ebova r Owner elactricxl work insteiled at: SVeet Atl ress. Box~o. ~ City N ecuon o. Towns~iD Name or No. Ranee No. County Oc<upnn INT) Phone No. ~ l~ --~.~vs at.._ Power SuDVlier Adtlress ~~Ce~s~- Elec[riral o ractor ICompany el Contrnr.lor"s License No. ! ~K.,- ~u ~C~c3~'~ MailinB ndd ss 1Conv tor or Owner Makm ~ailationl 83 83 ~,vs~~- ~ S~~z AuNorizetl Nre IContractor~Owner Mnking Installatinn Phone N ber ~ MINNESOTA STATE BOANO OF ELECTRICITV TH~S INSPECTION NEQUEST WILI NOT Gripgs-Midway Bldg. - Room N-191 BE ACCEPTED BV THE STqTE BOAND 1821 Universitv Ave.. SL Paul. MN 6510A UNLESS PROVEN INSPECTION FEE IS Phone1612~642~0600 ENCLOSED. .J/~~/~~ REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os ~ See inshuctions for comDleting this tarm on Ea<k d Yellow coOY~ " 7~s'~~ ~ 8 g~ 6 "X" Below Work Cove~ed by lhis Hequest Add Rep. Typx ol Buildina APplinncee Wiretl EOUiVmem WireA Home Range Temporary Service Duplex Water Heater Liyhtiny Fixtures Apt. Building Dryer Electric Heaun Commercial Bldg. Fumace Silo Unloader Industrial 81Ag. Air Conditioner Bulk Milk Tenk Farm Other aecr v ~hnr f5n~3rify) ~ a,r SuccliY Other O~h~r ompute Inspec[ion fee Below # Fee Sarvice EntranceSixa f~ Fae Fanders~5ubleede~s p Fen Circaits 0 to 200 Am s 0 to 30 qm s 0 tn 30 Am s Above 200 qmps 31 to 100 Arnps (j 31 to 700 Am ~ Swimming Pool Above 100_Amps Above 100_.4mps Transiormers Irrigation Boorr~s Partial~~Other Fee Signs Speciai Inspection S ~ TOTAL F flemnrks ~ Roueh-in D~ye~ z~ I, the Elect I ~ ( InsDector, hereby ~ cerli~y that the above Final ~ ' sDaction hes Caen C mede. Ttus requesl voiC 18 montire trom This request void/./~~/~~ ~y/ ~ /i 18 monlhs (rom ~P ~l ot- E 25094 - ! ~ ~io~° Henues Da~e Fire No. Rouph-in Insoec~ion Nequired? ~eady Now Q Wdl N~~ity Insoec- ?Yes No ~or When Neaey Licensed Elec[rical Contraclor I hereby reduest inspectioa ol ebove ? Owner electricel work installed a~: Street AAdress, Box or floute No. C~~Y - S?8,(~e e~ c~ ~ ect~on o. Townshi0 Name or No. Range No. Cow~ly Occup- (PpINTI Ph ne N ~ e ~ Power Supplier AAdress Electrical Cnnttaclor (Co~Wany Name) Contrar.lor"s license No. Harrison Electric Inc. 421867 Mailin AdJross (Convacto~ or Owner Making Ins~ailation) 640 rgan Avenue North. Mpls. MN 55412 Aut ori .d $ig 1 r ICon[raclor Owner Making Installationl P~nne Number 521-0520 MINNESOTA STATE BOARU OF ELECTIIICITY THIS INSPECTION REpUEST WILL NOT Gripgs-MiAway Bltlg. - Noom N-191 BE ACCEPTED 9V THE STATE 90AHD 1821 Universitv Ave.. St. Paul. MN 55104 UNLE55 PPOPEH INSPECTION FEE IS P~ona fRt21 662-0600 ENCLOSE~. (p~c~/~~ REQl1EST FOR ELECTRICAL INSPECTION Ee-00001-06 See instructions lor com IeH L• ~ ' p fg this form on beck o} yellow copy. y~/~~ E~ 9~ - '"i(" Below Work Cove~ed by 7hrs Request 0.dd XOp. TypB ot BuiltlmB APOliancea 1Nirad EnuiVme~~ WireA Home Range Teniporary Service Duplex Water Heater Lic~htiny Fixtures Apt. BUilAin9 Dryer Electric Heabn ~ Commercial Bldg. Fumace Silo UnW,ider Industrial 61Ag. Air Corxiitioner 8ulk Milk Tank Farm omH~ .ve~i v e~he, lsnoclWl 1 pecifv t~e~ Other ompute lnspection Fee Below p Fee ServiceEnhance5ixe n Fee Faxders~Subinxders N frte Circui~s U to 200 qmps 0 tu 30 qm 5 0 tn 30 Am s Above 200 Amps 31 to 100 Amps 37 to 100 A s Swinming Pool Above 100-Amps Above 100_AmDy TransTOrmers Irngation Booms Partial.~Other Fee Signs Special Inspection ~O S~ TOTA E e~rks l~~ .a~`~ O~ CT Rough-in Date I, the chi nspecloq hereby certify that the abova Final ~ D^~~ I~ i~apection has bean ~ae. ThbrepuealvoitllBmonthniram ~3 ~ GOLD COPY PERPffT RELEASE FORM PERMIT ~1 ~O O ~ ~ ~D~SS lo ~ g ~vao~ ~C~ PICKED UP BY ~.~i~-- ~~~9 ~ CITY OF EAGAN {~J° 13 7 4 6 ~ 3 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 ~ / _ Q~ BUILDINGPERMIT Receipt# "tl.~ Tobeusedfor SF DWG/GAR Est.Value $138,000 Date JUNE 9 19 87 SiteAddress 689 STONEWOOD RD OFFICE USE ONLY Lot 3 Block 1 Sec/Sub. WINDTREE 6TH On Site Sewage Occupancy R3 MWCCSyslem ~ Zoning ~yi Parcel No. - On Site Well _ 7ype of Const City Weter _g_ (ACNaq a Name MARK .IOHNSON CONST (Allowable) V w # of Sto~ies = Address 4149 STRAWBERRY LN Length 68 ° City EAGAN Phone 454-0623 Depth ~ S.F. Total , p Nam@ SAME Footprint SF. Address APPROVALS FEES ~ City Phone psseasments _ Permit 6ll.50 Water/Sewer Surchaige h9.00 w w Name DAN MANSFELDT Police _ Plan Review 308.75 t z Fire SAC, City 100.00 i- Address - 525.Op vt7 Engr. _ SAC,MWCC `w City BLMGTN phone 854-4522 Planner _ waterCOnn. 59 S_ np Council _ WaterMeter ~7 np I hereby acknowledge that I have read t~is application and state B~dg. Off. _ Roed Unit 'tn s n~ thattheinformationiscorrectandagreeto plywRhallapplicable APC _ TreatmentPt i~~~n n0 St9te W Minnesota Statut n City of gan ~ys. Variance _ Parks 32 697 2 Copies Si nature of Permittee 70TAL 5 A Building Permit is issued to: M~K JOHNSON CONST on the express condition that all work shall be done in accordance with all applica~6le /S~tate of Minnepg/p~a~ St@t~utes~ and Ciry of Eagan Ordinances Building Official I RI a-~ .~!/~-e-~-O~/ P , • . , 1987 BQILDING PERMI'P 9PPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS . IACLDDE 2 SETS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCQI.ATIOHS NOTE: ADDRESSES FOR CORNEH LOTS - CONTRACTOR/HOMEOWNER HQST DESIG~92fi WHICH 9DDRESS IS DESIRED. NO CHANGES WILL BE ALLOWSD ONCfi SDILDING PERMIT IS ISSOED. MOLTIPLE DiiELLINGS - RFSIDIIVTIAL RENTAL D1"dIT3 FOR SALE O~ITS INCLUDE 2 SETS OF PLANS, CERTZFICATE OF SQRVEY - CHECB iiITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS CO'~RCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS~ 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS~ $2,000 LANDSCAPE BOND ~ To Be Used For: d ~ Date: lo~S~8'7 c~~ ,~y„1,,,l~., Valuation: , Site Address ($9 ~~~c ~ OFFICE DSE ONLY Lot 3 Block 1 On Site Sewage Occupancy ~ 3 MWCC System ? Zoning ~ Parcel/Sub W,~„~~ ~~,Q,t~, On Site Well Type of Const City Water ~ (Actual) ~ Owner C~uc~ ~ SuE Coo~er- (Allowable) ai of Stories Address y</9 CJ~sf CJo~ne~ Length <08 Depth City/Zip Code Qese~~(~e r+~n SS//3 S.F. Total Footprint S.F. Phone ~/89- ~73b APPROVALS ~s Contractor //la~tlp ~o-~a~- ~~.a~r Assessments Permit /p '~7 S~ Water/Sewer Sureharge (~9• Address <//h'9 ~4.vwberry /.a..~ Police Plan Review 3pP~. ~s Fire SAC, City f.~. City/Zip Code F W~.ti SS/a3 Engr SAC, MWCC S Planner Water Conn SZ S~ Phone /~5y-o6,~3 Council Water Meter lv7. ,,`1 Bldg Off Road Unit 3~5, Arch./Engr. ~a,ri /11a,.tip~X~ APC Treatment Pl 1Q~ . Variance Parks Address ~j~~,.yw„a,(d~ Copies TOT6L ~ p2 City/Zip Code Phone 4l ~/So~- ti I~~~ - 11Zn~8 ~ ~4 ~ : ~ ~ . . , ~ ~ ~ !~~G - ~04 x ~v ~ ~~8 ~ Z ` ~ ~ ~ 26 ~ ~~~-~8 - 1~~~4 Z x 20 ~ z 4-o x~°(3 ~zo 24xz~" ~~~k~2 ° ~o~t ~Z x~2 = ~ Zd ~c Zv = ~4~~ l~ K 30 =~~v k~~- = 2 3 7~ ~ ~4co~~f~ ` 2~(dz~- ~ ~7 ~ , . ~ EX7L':ilOR ENyELOPC AVLP.~~GIi "U" COrtPUTH7'IOti ~ ~ Ot•JN LZ SI1'E ADllRE55 ~~9__c~~~~~~-- CONTIiACTUR ~L~ a[~~1~,',n}~ DA7'E (v_v-$] PHONE De~ermine vor3:ing square footage of each. 1. 'I'otal exposrd val] area ..~~/~._Q~59• tt- x_ll - I 7~_ J . ~3~a.~c. ft. r. .026 cff~ ~ 2_ Tota! roof/ceilinc area . [ - 3. Totc ' . . _ sq. :t. x _OS 1 floor/eant. area ~Y•~ ,7/i__] L__ SJ n ] $T:DOS~C i•i211 i~.CC'c :.~JOV9 i'100: _ ''rv-~~__ , . 'TOL? z. io~a? uall -inco•.: acea . . . - - - • • ' /Y~~-L--- iocal Door srea . . . . . . . . . - • - l~S~~L----- C. lUL'c~ 5~'_C?.`~C C~~c55 COO, cCi.~ yUid-~ ~ Toca~ .~re?lece _z?1 arca • 4~e 1C_) e. 'iota~ '-a?? :cz-:nc acea {ave: ' ----1LF~4~---- _ -.~~c Lc? i'oLal net v~?1 acea :.~o~:e .lco: . . - • ~ - c. Tota? jo:st a:_z . . . . - • • • ' ' ':eta? ~•:~ose~ ~~~_,.::z._.,.. ,.r_c = }1. 1Oi21 iGU^Cc~'_G:1 •-'S;1COV cYOi; - . . . - ' l. 1'OCdl t1C'i i0O:1C2i1G~1 ~-:l'~= ~t;OVO C'dCC Ueter;nine "ll' Value o: cach uall scc~~nt- a 1~z7 _ r __~~:L-- - b. ---1-~-~, _ Y _ - v..sa. x -J~9 C• ~QtVL~-___ ~_~__~~.L-=2____ d. - x - Q_~i ` -__/(1.~0~.-_ ~ - _~s~.~.-- x _ _~a.:~-- f . _1Q1a~7'~- Y _ DY__ _ - o . r ~ _ _ _ h . _ x " U" _ _ i r ' U" - SUBTOTAL = /~,~~~~~~~9~ 4 TOTAL ~ . L~1~~- . If iLem C4 is the same as, or less than itew I1, you have met Lhe intent of 5CC GOOG (c) 2. 1'otol .lsposed Root/Ccilin~~ f,rea _______/~1a'!~__ . j. 1b~a1 sY.plighi area . . _ . . . . . . _ _ Y,. 1'otal flat roof/ceiliny framing area __~~(R7d _ 1. 7bta1 net inslted flat rooC/ceiling acea ._~_11~r~___- ~ tn. T.oCal vault root/ceiling framing area-lOb n_ Total ne[ inslted vault roof/ceiling area _ Determine "U" value for each roof/ceiling segment. x ~u ~ r.. ---L3%~0--- " 31~--- i . --~~~~~Q " w ~ '~-a----- - a3. m. x "U" _ - n X _ 5. 7'OT1sL . -C_~~~~----~ If iLe:~ r5 is the sene as, or less than ite~a :2, you have nec the inCent of SBC EUOo (c) 1. iota? Er.~osed Floo_/Cant. A[eas __u~~____ • . ..rea (~vrc. 10~ ___1_t~ o. Total .lco:/cant. ;rar.iinc ~ , ) ' p_ iotel ne~ insula:e6 locr/czn[. arez _/p.~-______ Dete_mine' "U~~ '+cGL^ `or each flecc/can:. secment. o. x -----~f° - p• __~r~ .laG-- y 6. , i,G^:-?. _ .Y_~ Zf cotal o~ :.o is :he sace as, or less than ;3, you have net [he intent of S8C 6006 {c) 3. 1;L^ERP:I:TE BUILDII:G ENVI;LOPE DESIGt4 To utilizc t::e total envelope systen ne;hod, [he values established by the sun o` i[ems ~4, ;5 and :6 sliall not be greater Lhan [he sum of itens :1, ;2.and ~3_ i . z . _ 35!.1L__ a . _ , ~ _ a . _c2zl~~_ s . 6 . . S~~ _ _ ~o ~8Z- Prepared BY ~'li~c ~~iZT = Da [e (p-~ -a2_ . . /S 6?• d Total E.po.;ed 1+~11 nrc~ n~o~c Floor a. '1'o[al vall vindov acea . _ . . _ . . . _ . O~___ b. Total door area . . . . . . . . . . . . . c. Total stiding glass door area . . . , . . 'fQ~____ d. Tocal fireplace vall acea . . . . . . . . ~ - _ e. Total vall Craming area (avrg. 1'Ot) ...___~,(a~___ f. Total net uall arca above floor .~sle.Gl'~___ g. To~al rim joist area . . . . . . . . . _ . /"y~~~ Total Exposed Foundacion Area J/Q~ To[al foundation t:indov nrca - 1b~a1 t:ec Founda;ion Arca l~bovc Graoc __~L~1~-_ Ce~ermine "U" vzlue o: each vnll seg~r.e~t. z . ---_Y$.~2__- x . - --!~YQ--- b. x _ _ . c. y.Q.~_ ~ z"U" Q d . _ r " U " _ e. __~=~~i X - -~~1-- f = . _~p~10_~-? ~ -~_t2~----- ----~-yq(J-7 ~ . C . ___.I E M V" ~ ~ 4 ___~LLI____ ___'_-_1_____ ~i . " U " _ _~~?j~- ----=!Y- - -11~~- s~~~;o~::~ _ L__7_/. S~ _ ~ ~ ~ , - ~EG. <<-Z '1'ot~l Ezposed P~all Acea nbovc Flooc ___1/~(p~C~___ a_ 7'o[al vall vindov area . . . . . . . . . - --_,~/.~oZ ~ b. Total dooc acea . . . . . . . . . . . . . _ c_ Total stiding glass door area d. Total fireplace vall acea . . . . . . . ~ _ e. Total vall traming area (avrg_ 1'Ot). _ ~Q~3 f. Total net uall arca above floor L9~,___ g. Total rim joist area _ . . . _ . . . . . . ---~1~~---- Total Er.~osed Foundacion nrea To[al Founda[ion t•;indov nrca 1bca1 Net Founda:ion Area Abovc Graoe CeCe:riine "U" valuc o: eacli vall scy~r.e~t. z . ---~~LJ " ' ° --_~.a --~~-~5 b . z • U w - c . x ~ ~ ~ o . - x ~ - e . 7_~3 " 9~Z-- - „ ~ •u~ y = __~C~$---- ` bL-~--- g . ----1'L~_C~I ~ ~ ~ ----y_~O " ~ ~ ~ - = ' ' ~ ~ s~:~~o:~.~ = L-~----~ /_9d d . - . , •:~~i, • . !rit. ;~ir .f,F Ir.t. P.ir L;~y ~ % l~.f, $f~:~ r c.. ..:n. ~1 . ) •`..i' . ~•r- :'•,Ti: f.I?'rC (Ori.) 'l~:L. R~-i> cinr5 Ins. 51E" S,n_ :SG 5/it•~~: .SG ' !8^ S.R.. ,56 ti: !E" C.R. .56 f.x. R:r .17 ~ ' LJ ` _ rxi. A.lr .]7 ~ To;a? ^ _ To;~~? ~ 1/F. _ ..1~„ i I~ ~ -~1.~ : _ ~ ' / I / :r.~. Air .CB T)' 7':S. ' . . .i~i: 4/i~,~ 1P.° 7' n'~. :~/o 5.-.. S:cr: . :a S.~•'.. 7rc. c; r _ _ ~ . . , , , ~ _ _ _ ~ . . ..ir . i 7 • ~I - _ ~ ~ _ f j np~. ~ ; i ~J;_ . . I-.. , _ _ ~ ~ "'c::.. ; C,.:i _ _ ; -_j:~ . ~ ~ - „ ~ „ (-_i i : :l r:-. : . i s. _ . ?nZ. P, r .42 T!i%i; T ^ „ g2 r. : . , i . ~.7' C;-.! Car• P~d . r~' ' a Q~J /i~ Ci: . r2 P:.' n? j c:.G~, l+inyl - Vinv~ - Und. ,p,;' iin~!. Fly. ,(oe'' P1Y• ' ~t9:' -IU - . Joist Depth 1l~vS Ins. '.aa'~ . J" Ply. ~ . Y) P1 Y i Y~ Fxt. Air .]7 Tyt. Air .17 ' . _ r : r--- . - ' _ . _ . ~ . ~ ~t i . , , . :t=RU STU~ Tnt. P.ir .GB TIIPt] Il•1S. ltALl. Int. Air .Gu ~a/ S.R. L SIDIIVG S•R• ~v3 uJ S.R. L SIDING S.R. 'y'3 Stud (c~7 . ~ Ins. . Shtg. ,~.05 SHTG. ~.05 ,I Siding . .107 - Sidin~ Er.t. Air .17 i F..xt. Air .17 Total _ ,d•53 'i Total ~~~t'~~ = a~~(~ 1/R= ~~t~~~ _ ~p .I - 1/R = "U" ~O T~:tU CLG. Int. Air .6.1 "'!:fi~.l CLG. In:. hir .61 S t ,6~ ?!:Si;LATIO;: S.R. ( .5~a ~ C?o. ?:e-;~. `J?~ ?ns. ( yy~ ?^s. ( 30.~ Stil'z r_ S:i'_? .6~ Yote1 _ '/5.78 ~ \/,r` 1,^, i , : „ c ^ ~ ~ _ v, i i , .:L~ , ~ `i J1 =co~ , i ' ~ j i D . ~ _ _ , ~ `'r~!~~ ' : ~ ~ .....U CO~;C nLOC:;' ?n,. Air .GS ;iiRU RII•i Int. ~ir .EE c,a~~~ ~ae ~o?sT Ins. /9C0 Op.. Ins. S.OG 1?~~~ 4Jood .1.8° E::t. P,ir .17 Shtr. ~•~S / . i Ont. S.i . ~ , Siding Opt. Sid." - • Ext. Air ' .17 ~ / ~ ?ctal "F' = .!~./,3 Opt. BricY. - . ' y -G I ' 'I . . . . .l~ . SURVEYOR'S CERTIFICATE MARK JOHPJSON , , . , , , ~ . , UENOTES P(iOPOSED SUR~ACE DRAINAGE O UEPIU'fE5 IftOtV MUPIUPI[NT SET SCALE; 1 1t1Cll ~ 30 FEET bENU'iE5 1RON MQNUMENT FOUND I'ROPOSEU GJIRAGE fLUUR ~ qz I. g FEET X000.~ UENOTES EXISTING ELEVhTION PfiOPOSEU LOIJEST FLOUR ~`114•~ FEET (UGU.U) UENUTES PROPOSED ELEV/ITION PROPDSEU TOP OF f3LOCK e 92z.Z FEET, I IIERE~Y CERTIFY TU ~°~RK ~OHNSON TIIAT TI1I5 IS A 7RUE ANU COflRECT REPRESENTATIUPI UF A SURYEY UF THE IlOUNDAR[ES UF: ° Lot 3, 61ock 1, WINDTREE 6TH IIDDITION, according to the recorded ' plat thereof, Dakota County, Minnesota. Al1U OF TIIE LOCATIUN OP A PROPOSE[1 BUILUINfi. IT DOES NUT PURPORT TU SIIDI•! IP1PItDVE14ENT5 UH ENCR~CIIh1EF~75, [F ANY, TIIEREUN. A5 SURVEYEd UY ME, UR UIJUE(i MY UIRECT SUPERV15101J, TIIIS 4~ ~AY UI" S~nr~ , 1987. • SIGIJEU: JAt~~R II L, ItJC. , . „ ~Y : G 'C ~ II OLU C. PETERSUI~, LANU SUfiVEYOA SHEET 1 Of 2 SHEETS MINNESOTA LICEWSE N0. 1Z294 PHOJECT'N0. . eoorc ~ Paae ~A~ES R. H(LLy INC. 87342 2I8/46 planners / EngIneers / Surveyors FILE NO. • ~ 8200 Humboidt Avenue South FO L D E R eloolnington, Mn. 86431 812-884-3029 SI~RVEYOR'S CERTIFICATE MARK JOHNSON 2 917.5 ~ _ ~ ~ , „ ROAD o ~ p=13°36-IYIZ 91T.3 ' ^ ON~WO ~ R=ZO7.I•~ ~SET NAIL oST ,Za.s~ N263°~~~ E _ 49.32 - ,9;,0 ~ o ~ ~ 9Y0.4 t ;rx?'~`y~ ~'i.~'~ 11 ~ 'I ~ ¢ „r~ ~Y ~ - ~ 8 ~ ~ , , ~ ~ ~ I5 M v ~~'~t 1 5 l~~ f~' ' m M ' yy~$ ~ : N [ ~Q ~ , ' ~ T,~h~~,`t~ 'eie.w `,C ZI S~-.~!~~ ~ 919.8 T ~ 919.99, " ~ ~ ~21,§~918.7 ~ ~ ~ A 24.67 , 11.33~.gp~ ~ 12.5 ~I ~ ~ q M~ ~ ~ ~ o4.5~n~ ~ ca ~ . . 3 Ip GAR/ ~ ~ ~ a - o N P HOUSEEO O I Q~ - 2a.o M v i ~i ~ ~t913.6 3p, ~ ~ ; ~.-r- ! _ ~ + j , c92~s) o / 9~~.a~ ~ z ~ ~ , ~ ~ I~ ~14.Oco (913.81_k- ~ soe.e ~ `1~~_-- K a910.7 ,V~ ~ I ~ ~911.1~13~~~ ~ OI Z'~ry 5 LOT 3 ~ I5 ~ CV ° ORA/NAGE d UT/L/7Y.: - ~S£M£NT pER, P 'e~6'9 ~ ~T~ ~ ~893.0 I I p I ~ o h ` ~ . ~ ~ ` ` / 83.2/ ~ . N45°29'38"E - - r~ .i i~ ~ i r . / ` ~~1 ~ SHEET 2 OF 2 SHEElS PROJECT NO. . BOOK / PAGE ~qMES R. HILL~ INC. 87342 • 2~g~q6 Planners / Engineers / Surveyors FILE NO, 8200 Hum6oldt Avenue South F 0 L D E R BlooMington, Mn. 55431 B 12-884-3029 ~~Y:~>kY,~%i$!.k~~iX:'MY,i$i%tM>X~, YF>n>FX~?~c:~X'k•k'.?Y~Rt~k~tX<k.>YYf>kY„>t ~:K r.zTv a+= F~r.ar~r~ cns~~.r.E:.F<: s 7~r,:rr~r-,i... r~o: :°aP z~n7~. o~i_i.n.i~~~:3 r:i:rf~E: i~s.~r.~~aa :~r~:: r~~,r~r.:;, ~~~,t~F:i..cr~~,r-r or- r~ rnr.: 3i~10 9007. bE3°) 510f~l6.bl;]G'(1 li c2~S.'7;i 342i2 ,+pt]:L P.t3'3 5Tt)~f.-::I~If.lOIi C! 1E,'c.3`v 2i.5 ;'_3fiIJ1. a;,£i`.:+ S'T'DNI:I~iC;C?I? Si si.,:,U To1:;.~7. ;~,u~rE_~:i.-~i: Art~r~~arrC c 4cr:,.`:,9 CFC?Ei3'3li'i0 usi ~:r,~ rant,cv e;~;(:~ m'F ;(i~~,vM~F~X'~r"M~:~{Y,(Yn?k'~ik~cXta(t:ri(~:?$mT~FC>'Fk:V::Y'~XMr;,~; ):t PERMIT ~ CITYOFEAGAN PERMITTYPE: aux~ozN~ ' 3830 Hilot Knob Road Eagan, Minnesota 55122-1897 Permit Number: 0 317 5 2 (612) 681-4675 Date Issued: 0 A/ 14 J 9 8 SITE ADDRESS: 669 STONEWOOD'RD LOT: 3 BLOCK: 1 WINDTREE 67H P.I.N.: 10-84475-030-01 DESCRIPTION: (PORCN) Buildin.g..Permit Type SF ADDITSON ,:~u~i~dirt~ W~:rk Type NEW 'CenSUS Gode ~ti 434 ALT. RESIDEN7IAL t ~ f~ ~T R ~ ~ r-~ Z J} ~X-.&~.~ p? t.Y~ ~T ..:vvle ,~+•n 3 . ti lr. ~`.'..,T'.~ V\ ti~: . ~l 5l'~.ff' ¢ P~ 4 'l ] ~t ~ f l ff ~qyy li' t¢ ~7 S SJ ~ f Y E~g~ sR„vt I{~~~ ~ nA x._.~._, ~~.~.`..`~1 . L :t~,~ ~'~:~t~ 4~i'4",._.'~`,...`.~~~(~~".`7~.~ Ca „ -s-- REMARKS: A SEPARATE PERMIT IS REQUIRED FOR PLUMBING OR ELECTRICAL WORK FEE SUMMARY: VALUATION $17,000 Base Fee $249.75 Plan Review $162.34 Surcharge $8.56 Total Fee $420.59 CONTRACTOR: - Applicant - 5T. ~IC.OWNER: PANELCRAFT OF MN INC 1~216628 0002179 COOPER CHARLES 3118 SNELLING AVE 3 689 S70NEWp00 RD t?INNEAPOLIS MN 55406 EAGAN MN 55123 (612) 721-6628 (612)685-6649 _ . . . . . . . . . , . . ~ ~ . . _ . F. I hereby acknowledge thet ~ have read' this application and state that the info~t~aLinn 1s correct ~and agr~~e to ~,~mPiy 4a'~~th a~.i app;L,~sab3.~;: Std~e ~f i9n~. Ststutes and City of Eagan Ord'inances. ~ . _ _ _ _ _ . . _ . . . . ~ ~ PLICANT/PERMITE SIGNATURE ~ ISSUED . N URE ~ 1997 BUlLDING PERMITAPPLICATION (RESIDENTIAL) ~ CITY OF EAGAN n 3830 PILOT KNOB RD - 55122 VCU{1.8,~ ~ U 681~3675 New Canstructian Reauirements RemodeVReaair Reauirements . ? 3 registered site surveys • 2 copies of plan ? 2 copias of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks) • 1 energy WIcul2dof44 ? 1 energy UlCUiations for heatetl atlditlons ? 3 eopies of tree preservation pla~ if lot platted after 7l~l93 required; _ Yes Na ~ DATE: ~ iX/ / S~ CONSTRUCTION COST: DESCRIPTION OF WORK: , ~ T/J ~J STREET ADDRESS: LOT BLOCK ~ SUBD./P.I.D. rAlU1lr~,n/c~P 1. !„11 PROPERTY Name: r;,, ~r ~,nrl~ Phone ~ 8$ ` ~6 ~ owNER StreetAddress: ~~9 S~/i~~ City: c State: ~77 ~ Zip; "3 CONTRACTOR Company: ~~_I~.'IY2F-~- ~ 1~'lYi~ Phone#:6~~-~~''~~' Street Address: ~ J ~~[]p)~ ~ License Z/7~ City: ~~S State: Zip: ~5sy~,~ ARCHITECT/ Campany: Phone ENGINEER Name: Registration Street Address: City: State:. Zip: Sewer & water lice-r.~ed plumber (new construcfion only): . Penalty applies when address chane= and lot change are ~equested once permit is issued. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Stahites and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY D a~ ~ Certificates of Survey Received _ Yes , No p~~ _ z~ Tree Preservation Plan Received , Yes No _ Not Required ~1~ ~ f 9 ~m~~ OFFICE USE ONLY . ~ ? =K" ~Ny,~~ A~ An ~'i•'. i ~Y~ ~ °!AS rR . ~J. BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish ? 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool 03 SF,Addition ? OS 8-plex ? 13 Garage/Accessory o 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex a 15 Oeck WORK TYPE 0 31 New ? 33 Alterations ? 36 Move ~C 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System ~ (Ailowable) Main level sq. ft. City Water ~ UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. ~cL Depth Footprint sq. ft. SHC Code v/ Census Bldg _L Census Unit APPROVALS Planning Building ~ Engineering Variance Permit Fee Valuation: $ ~ `7, voc,. Surcharge Plan Review License MCM/S SAC City 5AC Water Conn. Water Meter Acct. Deposit SIW Permit S/W 5urcharge Treatment PI. Road Unit Park Ded. Traiis Ded. Other Copies _ , Total: . % 8AC ~ ~t~ SA'C ~nits , ' `r ~ . tix .iz, as.~(yiT- • ' y \ ~ ~ 3s. S F 0~ •e. , ~ 0~;1, ~ ` h~,. / \ ~ : ~ ' j o / , / ~~6 SEPARATE PEfiIMITSqqE O % ~ REQUIRED FOR AMY ELECTq~CAL , ^ / OR PLUMBlPlG YdORK. 'v S , ~o Q~ \ ~ ~9 ~ ~ i~j s~~~li c~~/ exisri~ ' ~ ~ ~a5t . y° ~y SMZ?FfE DETECfORS fF•sttery opersteA o.k.) ~E SGALE: 1" = 30~ -IE HOU.. ~ x~ urx~i~ arr n~:~.x.~v~r.s QF ~ pI ~i 3LE~PINfi RGCA'i5. tZN I,£SIEiS e~ C~~~;IH~gL~~PING AF2E~S. CEIv''~LY 98-0391 : JOB Nl1MBER ~ ypCATE Sr4CI{T3~~~ IN HALL~6iA1r5. GNARLES t SUE GOOPER : CUSTOMER NAME , \ ~ ~ , 689 STONEUIOOD ROAD : STREET \ EAGAN, MN. 95123 : GITY 688-6649 : NOME PNONE S~(°\,. ~ 341-3218 : ILI~RK PHONE CNIS7 $S`, \ ~ t~ 0: U10RK PHONE INERS) ~6 ~ ~~~D` 3~iz SEA50N PORCN : CONSTRUCTION TYPE ~ DAN KINNIt~, : SALESMAN / TOM BAKER : PROJEGT MANACsER ~ ,no., ~ JERRY JOHN50N : DESICsNED BY ~u i•-, ` ~ D M APR~IL, I, 1998 : STTREYISION R~, ~ m : 2ND REVI510N ' OATE ' 'CI - - BUiLDING INSPECTICNS DEPT. ,CON$TRUCTED BY PANELGRAFT OF MINNE50TA, INC. ~M~ 2000 BUILDINC PERMIT APPLICATION (RESIDENTIAL) f O~\ CITY OF EAGAN J 3830 PILOT KNOB RD • 55122 7, a~ 851-881-4675 New Co~skucNOn Reaulremenh ~ Remodel/Reoalr Reaulremenh 5,31-0(7 n 9 regls~red site wrveYS showing ~q. H. of bt. aq. N. of hauae 2 copies of plan antl g~l rooled areas 1T076 mmdmum tat coveraae alloweN 1 set of energy catailaNOns lor heated addlHans a> 2 coplea ot plans (show beam & wlndow sizes; poured Intl. dealgn; etc.) 1 siie survey for extedor adtlfliona & tlecks > 1 aet W anergy calculatlona > S caples d hee preservaMon plan II lol platted adter 7/1 /9J 5= -3v_ coNSraucnoN cosr: 7`~c~a . o0 DAiE; DESCRIP'TION OF WORK: 9f e Avo ~ STREET ADDRESS: ~ Sl~~c c? uv d ~]O ~ LOT: ~ BLOGK: SUBD./P.I.D. t: I/1~i Y1r1 ~f ~E~~ Name: o v~p / G~ ~ G~ Phone PROPERTY L°~ F~'~ OWNER Sfreet Address: ~ ~ ~ wvo~ C % City ~ h Stafe: ~ y Z~p; "Z j ComPa~Y I(~ ~ a C L~s v. S j Phone u: ~i z g 9S ~°`/O (area code) CONTRACTOR s~3 ~v~OP ~(Jd, Skeet Address: ~l Llcense # ZO~~1~yo ExP• ~s~~~ city ~~rH Sv;!/ n state: .~r ~ z~P: ARCHITECT/ ENGINEER Company: Name: Telephone ( ) Shee1 Address: Regishation k: City State: Z1p: Sewedwater licensed plumber (if Instaliina sewedwater): Phone I herebY acknowledge fhaf 1 have read this applicaHon, ataTe That the infortnatbn is eortect, and agree to comply wilh ap apPh~e State of Minnesota Sfafutes and City of Eagan Ordinances. ~ Signature of Applicanf: O J O~FICE USE ONLY Certificates of Sucvey Received _ Yes ~ No f~AY 3 I Tree Preservation Plan Received Yes No _ Not Required ~ OFFICE USE ONLY BUILDING PERMIT SUBTYPES ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - MuW ? 02 SF Dwelling ? 08 O6-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. AR - SF ? 03 01 of_ plex ? 09 07-plex ? 18 Deck ? 23 Porch {screened) ? 36 Mu~i ? 04 02-plex ? 10 OS-piex O 19 Lower Level ? 24 Storm Damage ? OS 03-plex ? 11 10-plex Plbg _Y or_ N? 25 Miscellaneous ? O6 04-plex ? 12 12-p~ex ? 20 Pool ? 30 Accessory Bldg. WORK TYPE ? 31 New ? 36 Move Bldg. ? 43 Reroof ? 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding ? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair ? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors " Give PCA handout to applicant for demolition permit GENERAL INFORMATION SAC Code # of Stories sq. ft. No. of Gnits Length sq. ft. No. of Buildings Width Footprint sq. ft. Const. (Actual) Basement sq. ft. Census Code (Allowable) Main level sq. ft. MC/ES System UBC Occupancy sq. ft. City Water Zoning sq. ft. Booster Pump PRV Fire Sprinkiered MISCELLANE~US INSPECTIONS ? Stucco/Stone APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review - License MC/ES SAC Ciry SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl. Park Ded. Trails Ded. ~ Other Copies Total: SAC Units % SAC c~~~ CITY USE ONLY /a,,, L ~ BL ~ RECEIPT G} SUBD. U V~~~~ (O~~ RECEIPT DATE: I Wa-I' l~ PERMIT# ~~`"1 ~ t Y 999 ~LUM$IN6 ~P~fiMiT (ft~S1DENTl~cW crrY oF t~asnx S$SO PILOT KPOB iiD fl4fifiN, MN 551 EE [s5t ) s81-as~s Please complete for: ? single family dwellings ? townhomes and condos when pertnits are required far each unit ? backFlow preventer for underground sprinkler system FIXTURES EACH TOTAL Bath tub $ 3.00 x $ Flocr drair. - - - - - - - 3 ~0 x = ~ 5 Gas i in outlet ' minimum - i 3.00 x = $ Hot tub/s a 3.00 x - $ Kitchen sink 3.00 x = $ Laund tra 3.OD x = $ Lavato 3.00 x = $ Minimum fee alterations to existin dwellin 30.00 x = $ Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $ Private Dis osal S stem abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rou h o enin 1.50 x = $ Shower 3.00 x = $ Under round s rinkler if dwellin is under construction 3.00 x = $ Under round s rinkler if existin dwellin 30.00 x = $ Water closet 3.00 x = $ Water heater 3.00 x = $ ~ Water SOftener if dwellin under construction 5.00 x = $ Water softener if existin dwellin 30.00 x = $ Water turnaround 30.00 x _ $ State Surchar e .50 $ .50 Total S e , Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc. I hereby adcnowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicanYs responsibility to notify the property owner that the Ciry of Eagan assumes no Iiability fa any damages caused by the Ciry during its normal operational and maintenance activi6es to the facilitles consWCted undei this permit within City property/rightof-way/easement. SITE ADDRESS: / ~~7'~U~t-?flp~ ~GI~ OWNER NAME: : ,~h ~4l~CF ( ~Of~/r/~ TELEPHONE ~-5 L lo~~ ~~O Y~/ (AREA CODE) INSTALLER NAME: TELEPHONE#: ~/Z SS/ OSSS-- ~ D (AREA CODE) STREETADDRESS: ~ CITY: STATE: ZIP: ~ ~ . . ~ ?l`. SIGNATURE OF PE TTEE . . *ir************~*+***+*~*****r*r*~*a# M*1CY.l'R: PAYiNfNP OF FEE AT TIME , . ~ - CITY OF EAGAi~ * ~ ~ * . * ArPxov~. oF Pr~T. , ~ APPUCATION FOR PERMIT * ~ ~ * . * TnicrAT.ramrONS WIId, Nl(7f SE SCF~4- *t ~ SEWER AND/OR WATER CONNECTION P~r - . * APPRaVID. * * r r r ' » r , ' *****~,rir***,t*,t,e*x*r,r********t***+*r* P ease Print 1) PROPERTY ADDRESS : lc-. ~Q~ S% c n Pw o c~rJ . LEGAL DESCRIPTION: ~ Lot Block Subdivision or Tax Parce ID ) • ~ • IF EXISTII~ STRL'C1LiRE, DATE OF ORIGINAL BC~ILDING PFI2MZT ISSC'ANCE: ' ~ _ (Mon ear PRFSENP ZONING/PROPOSID LSE: C~RCIAL/RETAIL/OFFICE ~ R-1 SINGLE FAMILY ' Q I6ID[JSTRIAL Q R-2 DpPLEX (Tao Units) ~ INSTI2L'TIONAL/GOVERI~]'P ~ R-3 TOWNHOUSE (Three + Units) ( Onits) , ~ R-4 APARTMEDTr/COPIDUMINICfil ( Units) 2) ~ < ~~-:a E . T,-, c . ~ • ADDRESS: ~ C C~ GCJ . 7 E? y$T,'` CITSt, STATE. ZIP: ~~J~,,. ~,c~;.: 6:5 3~f`f PHONE:~<! / S-Sa I For Ca.ty L~se . 3) ' NAI~~: 7~ y~ ne h P~~ q• Plimibers License: ADDRESS: SJ O U L; c n V~ ti~~ R, Active ~ E~pired i CITSt. STATE, zIP: ~c?' ~ ~ .S~ S' ~I3 ~ Not recorded Pxot~:Q - ~ 3~3 q t~r+s~t zsca~sE# z z t 5 m~t~~. . ` q) . i~• - ~ AII~ME: ~Y}'1.~, r ~ ~:~....5 0 c n ~T . ' _ r~xFSS: L<<y q s i h~ r_, A ~ CITY, STATE, zIP: c N, PHONE: - 07o a-3 • 'S~ i~ M. ' 71• • ~ ~ ~1t ~ CON[~CTION TO CITY SEF7ER ~ CON[g7CfZON ~ CITY WATIIt O'I'!~2 ' ' 6) • • i ~ PLEASE HOLD APPROVID PERMIT F'QR PICK-UP BY ONE OF AB[7VE ~ PLEASE MAIL APPROVED PIIih1IT TO 1~ 2~ 3. 4, ABOVE (Circle one) 7) ~ ~ ~ Y' • Y' I. ~ ~ • I" . • • ~ 01• • D 'JI' • y • •il' • ' D~ • ~ ~ ~ I. M' ~ ' M7 ••tl3~ 1 11 91 71' ~ ~ ~ _"~F'OR :CITY USE O~NLY ~ ~ ' PERMIT # ISSUED , • Pd w/Bldg, Permit FEES: ~ • $ $ I~ 'S L SEWER PERMIT (INCLUDE SL~RCHARGE) $ $ ~ s U WATER PERMIT ( NCLUDE SC'RCHARGE) $ ~`U ~ S WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ S SEWER TAP $ $ ~'C ~ ACCOUNT DEPOSIT - SEWER $ l?~`~~ ACCODNT DEPOSIT - WATER ~c~ S' ~ S WAC S ~v~-S~oU $ sAc $ $ TRLNK WATER ASSESSMENT $ $ TRONK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRL~NK SEWER $ $ LATERAL BENEFIT/TRUNK WATER r(-' ~`G~ $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ I ~ 7 • o Z~ $ ~ ~ lT TOTAL _ ~7 ~1 n z; 7S- ~1 y~ ` RECEIPT RECEIPT ~ DOES UTILITY CO[VNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? ~ YES IF YES, THEN A"PERMIT FOR WORK 6VITHIN POBLIC Q ROADWAY" MUST BE ISSOED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: ~Irc._~~J;~ -y'~j TITLE: DATE: ~ ~ ~ ~ ~ ~ SUBTERRANEAN ~ ENGINEERING CORP. Ph°"e:5'"-,2°Z ~ 6875 Highwayi65 N.E. .SµNE~}~Z7 ~x Fridley, Minnesota 55432 ~4 ~ ~--f =4:.J ` ~r'., • ' ~ _ ` ~ Job Name ~~~pr~~ lr~" D0~ ~ 7 Job No. X pSa~lo~J Job Loce4ion S~AIEWOOQ l~p. ~f-,~~Qp~aJ00~ . E/}~ ~N~ I'~~ EerThwork Conlrocfor Client ~'JH/Z/~ TUNNrjON Ct7N5T . ArriveJob ~:IS Milee9s ~Q pH~ Tote~ l~q H OeperiJob :3,~ TrevelTime ~y[, Chergeeble Le6. Time ~ Houn Totel Haun ~ ~ On Job ~y NK.. Reporf Tim~ ~y I{R • ~ ~ Summery of Tecl~nicel end/or Engineering $ervices performed, including Field Tasf De#a. Lxetions, Elavetions, and Dep4hs ere estimated. THE LIMITATION OF LIABILITY STA7EMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. Subterranean Engineering Corp. was requested by Mark Johnson to perform a base inspection on o:t~'r3;;aBlockkl«;,rWimn~e 6th Addition. At the tirae of my inspection, eacavation was completed (see sketch). Based on previous inspection reports the carrected pad extended 105' from ~ ' of Stoaewood Rd. It is therefore advised that the rear footing be subcut to 8II BpPiOX- imate Elv. 903 to satisfy oversizing requirements. ?E/~"CiC.E~ / L-?9- 87 DISTRIlUTION ~.e~ /~A,2 .Y ~p H+~Su K/ G~•~sT _ eY ~ eC ~AGAN ~/Dl• /.u~Q ~i°T ~+~i~JDTIZ,EE (o r~ ~~I7i'7-~o~v , ~o ~ ' ~~o~x ~ 1~°~~ v~ ' b~~ o~ S~ ~ / ~ _ ~ / io,~. / ~ ~ ~ ,gAS~ ~L~, x 908 ~ ~ SUBTERRANEAN ~ ' ENGINEERING CORP. Ph°"8:5'°-,2°Z Defe • 6875 Highway 65 N.E. f u~ ~„'~yg~ ~ ' ;i - Fridley, Minnesota 55432 ~ _ - ~ ~ ~ ~ - / ~j Job Neme ~/U~'j/c.EG (;j t!+ l{ ~7 Job No. ~R~Z[y~'j "~i JobLocetion S'7J~(lEWUO/J /(~f 4 /~//adE4JU0l~ . ~/~~~'iN I7v~1 Eerfhwork qp ~ Confroclor ~ Clienf ~ryj~' ~U~r.1/f?~? ~jJ/(/$~ HrriveJob q,~tl S Mileege ~f~ ~+1i Totel I ~ DepeMJob g~~Q TrevelTime Chargeebla Leb.Time ~ HWR Totel Houn On Job ~I~B• Reporf Time y'J~.Ff~[ . Summery of 7achnicel and/or Engineering Sarvicss parformed, including Field Tesf Deta. Loca~ions, Elevations, end Depfln are es+imated. TFiE LIMITATION OF LIABILIT`( STA7EMENTS ON THE REVERSE SIDE OF THIS REPORT CONSTITUTE AN INTEG- RAL PART HEREOF. Subterranean Engineering Corp. was requested by Mark Johnson to perform a base inspection ontiLot 3, Block 1, Windtree 6th Addition: At the time of my visit, all exca- vati,on had heen completed. (see ske[ch). The rear footing base has been subqut to an approx. elevation of 903. Several hand auger probes at the base of excavation revealed a firm fine to coarse sand. This base is auitable for footing placement. ~ i DISTRIlUTION / _/•CC ~i9,t~K ~?O~~tO~ CowsT__ ~y ~ ' ~ ~ ~GL C/~bR/~ /~6l7L. /NS/~/•~~ ~?/A1DT/~~ ~~r" ~~7I~~'r•o~~ ~ ~..o -f~ 3 ~~,o~x 1 ~opD v~ _ ~~~o 0 5~ / / ~ , ~ / ~ ~ ~ , RE~ 2 l3nsE ~ ~ : E~M, qo~ t~~o , ~ , ' 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION ~ k wa (~6gZ0 ( ~ ~ ~ ~ ~ City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New ConsWdion Reauirements RemotleVFieoair Reauirements O(fce Use OnN 3 registered site suneys shaxing sq. it. of lot, sq. ft. of house; and all roofed areas 2 copies ot plan Cert of Survey Recd _Y _ N (20°h maximum btwve2ge allowed) 7 setof Energy Calculatlons for heated additions Tree Pres Plan Recd _Y _N, 2 copies of plan showi~ Eeam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _ N 1 set of Enargy Calculatlons Addifion - indicate i/an-site sepfic system On-site Septic Syslem ._Y _ N 3 apies of Tree Preservation Plan'rf lot platted after 7l7/93 Rim Joist ~etail Op6ons seleciion sheet (hldgs with 3 or less unAs Date / ? l U~c \ n~ , Construction Cost ~„7G~ J Site Address ,/~~~1~?.~~,~ fr~7 Unit/Ste # ;+~~~7 ri C Description of Work /L%IYL O~J/ ~"C. (~3.~I~ !/~J.'~~LL.S ~ //".S~ f}7-~-- ~i ~ / Multi-Family Bidg _ Y~ N Fireplace(s) _ 0 ~ 1 _ 2 t PropertyOwner C~~~~~ Telephone#(~pJ/ ) t0[JU'~?~y~ Contractor ( Z ~L~ ~cJ~~ ~ Address ~J~i'~ ~ ~ C~tYq ~~v~~C~ ~,.,1 State Zip } Telephone # ( / ~ ~ 0~~ ° COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet submissian type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone ) Mechanical Contractor Telephone ) ~~a~~~L;~ i Sewer/Water Contractor Telephone 1 i~~ I 1 _ u I hereby apply for a Residential Building Permit and acknowledge that the informationi is complete and accura±te; that the work will be in conformance with the ordinances and codes of the City of E~~an_and-th~SYa~~~_~%1N Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ without a permit; that the work will be in accordance with the approve plan ~n the c se of work which requires a review and approval of lans. ~~~1~~ 1~`'(~~ Applicant's Printed Name Appli ant's Signa OFFICE USE ONLY Sub Types ~ ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? D3 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch(Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? O6 04-plex ? 12 12-plex albg_Y or _ N ? 25: Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolition (Entire Bidg) - Give PCA handout to applicant Valuation Occupancy MCES System Census Code Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV # of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) FinaUC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addirion) _ Pluxnbing _ Founda6on HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Poo] _ Ftgs Air/Gas Tesu Final _ Framing _ Siding _ Stucco _ Srone _ Brick _ Fireplace _ R.I. AirTest Final Windows _ Insulation _ Retaining Wall Approved By: , Building Inspector - Base Fee Surcharge Plan Review MClES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total ' r".REPAtR' - Lumber and D~ate fai1U~C5 d5 ShONn. °~FT"cR.COMPLETION UF RF.PAIRS. TRUSSES MUSS 8E 1N3PECTED BV THE iRU55 MANUFACTURER OR LOCAL BUILDING DEPARTMENT TO ASSURE ~ (:OMPLIdNCE l/ITN ALPINE DESIGNS AND SPECIFICATIONS. + Meb break 16" from end of inember. MOTE: See drawing 570,076 for lumber, plates and other da[a no[ shown here. Lleb break 24" from end of inemter. , (2) 8"x8"zl/2" C~R plywood gussets, one Der face. At[ach wi[h 3-8d *(2) 2x4x3'0" SPF standard scabs, cne per race. Attach nails at 3" .~a~~ls Co chord and 3-8d nails to web, each face. o.c. - minimum or 4-16d naits/ face on each side of break into solid - wood. " (2) 2x4x4'0" SPF standard scabs, one per face. Rttach to web with 16d 7HI5 REPAIR 15 TO RESTORE TkE'tNTEGRITY~pF THE SPECiFiC TTEMS TND[CA7ED. ~ails at 3" o.t. - minimum of 6-160 nails/face on each side of break into ANY S7RUCTURAI ~EEECiS TO"THE REMAINOER DF THE TRUSS VO1D THIS DESIGN. ~alid wood. ~ABRI~ATOR MUST .YERIFY THAT..EXCESSIVE STRESSES FROM OUT OF PLANE BENDING HOTE: Plates at all joints must be unaffected by break, except as desc~ibed OR FROM OTHER CONDITIONS HAYE NOT OCCURED TO THESE TRUSSES. herein. . Plates missinq at this location. ~-o~ 3 - I 3?(6 i2 i2 3X6 ~rr~tl~~l~ ~ ~.oo ~ ~~.cn ~~,,,,~?'°t f 37~~ ~ I / ~ - , ~ ~ I ; , , ; ; i ~ , , .ti i . . ^ . . L1. . _ " ?r+ R-71ctt V- 5.50' R-2125k 4- 5.50" R-14096 4- S.SD" _ 23~9-~- . - 18 O~C~ 1P 0-0 ^ - - - . _ . - - - - -.3o ii . ~ _ . - ' - - OVER 3 SUPF~k15 PLRTE TYPE--RLPINE SEON-- 89415 FURNISH R COPY OF 1'NIS DESIGN ?0 ERECTION CDNTRHCTOR ~c. r,.i.s sca~c - o.asao RPINE FNGINEE~SO PflOqBiS~ INC. iPU55C+ P~~f111Nf. I:NIRECC LPp! ~ ~ESIGN CR IT REF - ~ fEIMPDRTRNT+f ~,r EE PESPoNSIdE cpq w~r NRRNING - ~ _ ~ ~ pEylqi]pl~ /pql ixESE SVE[liICNTIqb OR M~ OEVIHiIDy FROtl LPxLINL.SEE 'IIY146',itu~~Ci~:t ~Lif, iNU;:Eti~ °M~ . TC LL 40 . O PSF ORTE 09/i,~ 7 ~ C~ O L~ IMIS OfSIGN OR IM FPILLHE 10 Bu::o lnE 1pU55 IN COw'OflFWICE CORICNLqRV H1p RfCU~REw;:r f:iu'-+fPL. 'n i ,.~wrn~"~~ 570 O C O O YIiX i1f. 'OIIRl1Y [q11NOL MYIIIL' BY lPI. PL%NE CONXECIOXS tHb DESI4N fON H1011 iCN9. tiPELiB:. Pk~i^f~~ ~y.UM^ TC DL 1 O.O PSF ORVG ~ O NtE NMRAC~UIE4 fN~Nf 20 GPULE 41kYPNIZF~ SiEEL IHlE55 NENI NRH[INL FEllui~tf/A~;~':. bx~.C1l OP~fPY:'~t ~ ° u LPIN ~ ~~~ay~SE 5141YM~ ~EEiINC REOliI1E11ENf5 Of PSIII P446 CAPGE R. SHWH, i0P ppHO h~ll;( NI: 101E9~LLf BN~C411 ~wn~, ~ 8C DL 10.0 PSf IL-ENG D, „ o~n.+ caaccmns TO BOiX iPCES Nl E~iGH .AINi rop LOCNIE A+ ~ii~ vxooEr~r xnnunn h.rurno z~nmix~„ ~~~~4Lk~ TOT.LD. BO.O PSF 0/R LEN. 3F'D -O ° _ TRUSS ~ OE6I6N BSt~fW~q105o CUIfORflyYliH'NPYPlMLR9LE t pWISI0N5 0~ P$".PECIi1C~YlON OF.S[LN~,40 hG1~11iE~iN1,5 ° .ins~az mo •1P148 qi P[1~Bp. OF.SIGN YOH FIRE NEIFRGCNi ipE0110 tUllf~f~. w~W~ UR.FRC. 1. 15 PITCN ~~12 c o c o 0 0 °i'~"' SPRCING 24.0' TYPE R~PAIR •~-JV] • iR155 PlP1E IXSiITNE MUS - MTIOxHI GFSIL4 SVECI~ICAilOe fGq ~GOG CON:IRU[IIOI - i P 7'~ / -.~s.s~r - - _ " ' L~ ~ ~ ~ ~ n j,~ - ~ ~ i r-~o~c~.usa i _ ~lt Of ~I? ~1J Mav ~ q 2oas ! i ~ gq~/~ ~ ~ ~ ~ ; Pe,mft ~ 38~ Kf10~1 R08(~ ~ Permi[ Fee: ~O i an MN 55i22 ~ ~ EHg ~ Date Received: ~ Phor~e: (651) 675-5675 ~ I 1 Fau: (651) 67Sfi694 ~ I 2009 F;ESIDENTIAL PLUMBING PERMIT APPLICATION ~ a ~-~5 S~~- g ~ ~~-o~ewa;, ~ ~c~w c~ TenaM: ~~e RESIDENT / OWNER n~a: C~~ e v~ ~t- S~ 2 C..~ ~ pE-'~' Pno~:Cs S~- l~ 8 8-(fl c~'~ ~ A[&irPSS I City / 21p: (o S' '~u.v~ e w o ~ c, yQ V c~ C c~ a.~. /Y1N S S/~ 3 ~n~ CONTRACTOR Nartre: ,~e s S i a r. P 1 r. 6~»{T, S e r.. i t..e r Li~rtse O S g S/S- ~~1 ~ _a . ~ e ~ a a ~ ~ a o~ey: ~g~4ti, s~e: 7'Y~n~ zp: s s ia a-o~7~ Phone: $ ~ " ~o g ~ ' g ~ S ~ntact Person: ~ i ~ e s c ~ i ~ TYPE OF WORK _ New ~ Rep~acement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Oesdi on o! warlc: ~ ~-e. u°^~ ~1 e rti ~ d-e, / PERMIT TYPE RESfQENT1AL WaYer Heater _ Water Softener _Lawn Irrigation ~i ,Add PWmbing F~dures ~ RPZ! _ PVB) Main _ Wwer Level) Septic System _ Water Tumaround New Abandonmerrt R FEES: $50 im m Water Heater, Water Softener, or Water Heater ~fi , Softe~er (incWdes $.5D State Surcharge) $30.50 Lawn Irrigation (indudes $.50 State Surcharge) $50.~ Add Plumbing Fixtures, Sep6c 5yStem Rbandonment, Water Turnaround' (includes $.50 STate 3urcharge) 'Water Tumaround (add $765.00 'rf a 5/8" meter is requirad) $1~.5D Septic System Plew ($19.Q0 per as buik) (ndudes CouMy fee and $.50 StaYe Surcharge) $90.50 Rre Repair (repiace bumed out appliances, ductwork, ete.) (inciudes $.50 Stete Surcharge) TOTALFEES$ ~~~D 1 hereby ackrwwledge tliat ihis irdormfidWn is comptste snd aceura~; ihat tha walc vnll be in wrAOrtnence with the wdnanoes and codes W tlre City af EaAen: that 1 undersl8ntl tltis is ~mt a permk, ~II oMy an a{~licatian for a P~iG antl work is not M s[aat without a partnit: tl~at the wwtc anll be in aoemdartce wiTh the ap{Nqved pfan In the c~e ~ wcMc whieh r~uires a review aod epprova~ ot Wa~. x rn, s ~ > > x - Appll anCs PriMed Name Ap~itcant's Slgnakue ~ FC3q +fJF'fri~L'E. iIS~ 4iBV1eWBd ~l~/: :Datec Required (ngp~tlpn~: . ~Under Ground ~ Rou9h=in _}?ir Test ~Gas Te~t _Final I PERMIT City of Eagan Permit Type:Building Permit Number:EA124260 Date Issued:06/25/2014 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description: Census Code:434 - Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required by law in ALL single family homes . Viktar Skirukha Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles B Cooper 689 Stonewood Rd Eagan MN 55121 Smart Builders Inc 7001 Garland Ln N Maple Grove MN 55311 (763) 691-5021 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Plumbing Permit Number:EA135839 Date Issued:04/07/2016 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 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. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087 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 - Charles B Cooper 689 Stonewood Rd Eagan MN 55121 (651) 353-0807 Champion Plumbing 3670 Dodd Rd., #100 Eagan MN 55123 (651) 365-1340 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA152141 Date Issued:10/01/2018 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles B Cooper 689 Stonewood Rd Eagan MN 55121 (651) 353-0807 Home Depot Usa Dba The Home Depot 2455 Paces Ferry Rd Atlanta GA 30339 (763) 852-1044 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA154760 Date Issued:04/10/2019 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:One Window/Door Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Valuation: 1,500.00 Fee Summary:BL - Base Fee $1500 $62.50 0801.4085 Surcharge - Based on Valuation $1500 $0.75 9001.2195 $63.25 Total: I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Contractor:Owner:- Applicant - Charles B Cooper 689 Stonewood Rd Eagan MN 55121 (651) 353-0807 Crew2 Inc 2650 Minnehaha Ave Suite 100 Minneapolis MN 55406 (612) 276-1680 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA163524 Date Issued:09/03/2020 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Please print pictures of ice and water protection and leave on site. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Valuation: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Joseph Perriello 689 Stonewood Rd Eagan MN 55123 (612) 281-6894 Advantage Construction Inc 18750 Buchanan St NE Wyoming MN 55011 (763) 354-8441 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA173688 Date Issued:11/29/2021 Permit Category:ePermit Site Address: 689 Stonewood Rd Lot:003 Block: 001 Addition: Windtree 6th PID:10-84475-01-030 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507) 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 - Joseph Perriello 689 Stonewood Rd Eagan MN 55123 (612) 281-6894 Minneapolis St. Paul Plumbing Heating Air 640 Grand Ave St. Paul MN 55105 (651) 228-9200 Applicant/Permitee: Signature Issued By: Signature