704 Stonewood Rd CfTY OF EAGAN WATER SERVECE PERMR
3830 Pilot.Knob Road -
P. O. Box 21799 PERM~7 NO.: ~
Eagr~;~, MM 5512ti OATE:
Zoninp: _ No. af Units: '
Owner: - _ ,r: ~.:Onst .
Address:
51te /~ddress: ~ Gr_onewoo~_' ^ ' - ',:~~ZCitze.e
Plumirer. e i€~m s E
t- r~ 1. ~
M+ter No.•.~~`~' 7d ~~SJ` ~ ~~e; S:i~'
Slxe: ° ~~~per~is~i'' ~ 4. t1L': ~ ~
.~s d~ ~,~t v~•~• , ,
r~d~ No.:
~.~r~. fo eanrlp wk~ N~. c+qr L ''''p~
~
OrdlM ti ~ t1R rpes: 15fi.Otlpu T~
R~QV Total: 5t1.,,' ~r,~r
By te Pafd:
~ Dote f Irup.: ry Irap.:
`l ~o~a~-8 ~
CITY OF EAGAN WArER SERVICE PERMIT
3~i0 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: .
Eagan, MAI 55121 DATE: i-~~•
Zonirg: _ ` No. of Units: ;
Owr+er: :
Addross:
$~tO I~1~rlSS: _',r~.>i,~f;~,)~ `>~.•ir j 7 , _ - -
~UR16QC - ~ ~ ;
MeMr No.: -
Size: ~?+nection Chorye:
Accourrt Depos(t: s `
~O~r Permit Fee:
1 pM M eonrol~r wNl~ tlw Cihr ei Ea~ea Surcharge: - ~ F~--._
~~~0~' Misc. CFwryes; _ f ~ F. r', ~ •r.,
Totol:
BY Date Paid: ~ -
DoM of Insp.: Irmp.:
CITY OF EAGAN SE~yER SERylCE
3830 Pilot Knob Road P~~
P. O. Box 21199 PERM~T NO.:
Eagan, Ml11 55121 ,
ZoninQ:
No. of Units: !
~lddross:
Site Nddress: c} r C,. •
Plumber. _ ; { ~ ~ i • t ~ ~ •
, ,
+?IN~ iln C~i1s ef aoo. c.onnecrron o,,,pe; ~ .
Account Daaodt:
Permft Fae:
By Surchorqe:
Misc. Chorpe~
n~ o~ i~,.: r~:
i~.: n~r. r~d:
CASH RECEIPT
'
- ~ CITY aF EAGAN ~ ~
3830 PILOT KNOB ROAD
.
" EAGAN, MINNESOTA 55122
, DATE r ~ ' 1 9
REC6iVL~D ~
FROM
aMOUr~T r $ I
~
ec DOLLARf
toa
~ CASH ~ CHECK
. ' f .
POR ~
FUND CODE AMOUNT
ThankYou
BY
; ~~.4 ;~~-7
White-Payers CopY
Yellow-Posting Copy
Pink-File Copy
BLDG. PERMIT N0.
--,t ~ , -s'; _
+ '.~~r ~ , .
~ ~ ~~i ~,~.t ~~t .
01-321b 'Bldg~. Permit ~ • ; ~ ?
01-3422 Plan Check ~
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge ~
17-3860 Road Unit '
20-2275 SAC • i
ZO-3865 Water Conn. '
20-3868 Water Trmt.
ZO-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn. ;c
11-3855 Park Ded.
~
~l-~ .
TOTAL _ ~
. . ~
CITY OF EAGAN ~ ~ lr~l~3
3830 Pilot Kno6 Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
Tobeusedtor U~iG~G.~R EscValue $Z11i000 Date c~~''l~t:''~~~~ 1g
SiteAddress 7r~4 ~TQNE~40!~ r:D Erect 0` Occupancy ~~3
Lot Block 1 Sec/Sub. I~~fl~RE:F. 5TH Remodel ? Zonina ='li
Paroel INo. Repair ? Type of Const
Addition ? No. Stories
r- r~~w Move ? Len h
a Name ia~P:,~~ iiI7rr: S,t~JJVt. ~ .t~
= 7~ ~ U i•9 ETr~O L'LVU Demolish ? Depth , _
o Address Int. Impr. ? .Sq. Ft
Ciry Phone ~35-iool Install ?
s z~.l~'i,~1!'SO~I & e~55(?C APP~aIs Feea
o Name
~ i Address ~~'~1f~ Assessment Permit ~ -
~ City Phone 5ar:i~' Water & Sew. Surcharge -
~ a . Police Plan Review~~ -
Name_ ~ Fire SAC 575.U,
Address ~ - Eng. Water Conn.~2+
g W ~ity Phone Planner Water Meter-_~2.,~., ~t~
Council Road Unit Z~ ~
I hereby acknowledge that I have read this application and state that the ~ 3 0 g i- ,
information is correct and agree tq co pFy. ith all app~icable State of Bldg. Off. ~ Tr. PI.
Minnesota Statutes and City of Eafga{I~r in~nce)s. APC Park3
,1 , , Var. Date Copies .
Signature of Perminee Total a~ ~
A Building Perroit is issued ta` ~~US'1'T~r SO',d &'.;~:~OC on the express condition that
all work shall be done in accordance with all applicable State oy Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official ~
P~rmR No. P~rmlt Hold~r DN~ TN~pharo M
f.~ -i ,
.~.,1. : ~ ~ )~i:.L~c_, '~;%-C~~~ d~/ /t ~
~ r fJ
H.V.A.C. jC jl ~z ~ ~ ~r ~ ~
E~ ~ ~ ~'~r ~-~C~: i. ~t%/~~s~
son.~.r
Inap~cNon Dtla In~p. Commenb
Footlnp~l ~ 1
Footloy~ IG
Foundatlo~
FruM~y ~7 ~l/~ ~
Roofiny
pouph Plby -~r--ST .
Rouph Niy. ~
Insul. ~
l
Fkaplse~ 15 L:%F 7 l,tJ,~
Flnal Htp.
Finsl Plbp. ~N ? . .
Bldy. Fi~ai / SOK
c.~. o~c. a, ~ ~
j . S~ , ~jo cd~ o.v ,~y
Deck Fiy.
Dsck Frm~.
WNI
Pr. Disp.
. . . . . ~ . +~.w..~ r
~ ~ • ~ . PERMIT F7 ~ y ~I
- PLUMBIN(i PERMIT RECEIPT # ' ~ ~ 7~'/
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE "'4'1 ~
CONTRACT PRICE: PHONE 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
~
~ ' Res. New
~ Name ~ ~ Mult Add-on
~ Address ~ Comm. Repair
c C' ~ % hone ~ Other
N FIXTURES T T ~
~ Name S f ~ S Water Closet -$3.00 -
3 Address -~Bath Tubs - $3.00
O City Phone Lavatory - $3.00 '
Shower - $3.Q0
FEES Kitchen Sink - $3.00
COMM/IND FEE - 196 OF CONTRACT FEE TUrinal/Bidet -$3.00
MINIMJM - RESIDENTIAL FEE _$~p,pp -*-~undry Tray -$3.U0 l~_ ~
Floor Drains - $1.50
MINIMUM - COMM/IND FEE - ~~yater Heater - $1.50 1 ~
STATE SUFiCHARGE PER PERMIT - Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES Gas Piping Outlets -$1.50
BEYOND $1,d00.00y Softener - $5.00
~ Well - $10.00
~ • Private Disp. - $10.00 Q
% ' ' ~ i " ~-Rough Openings - $1.50
SIGNAr1'URE OF PERMII'~E FEE r~~
~•~J
STATE S/C:
~
FOR: CITY OF EAGAN GRAND TOTAL•
, , PERMfT ~ ' ~ M~
MECHANICpL PERMIT RECEIPT # ~ ~ ~
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE '-~,~k-~,l ~k
CONTRACT PRICE: PHONE: 454-8100
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ~ Block y~ ~ S~ c/Sub i'
J Res. ~ New .1~
m Name ~ ! r ~ Mult Add-on
~o Address Comm. Repair
c City > 11 ~ih I~~ldir.~~ One Other
~ Name ~ ' ' S ' FEES
c Address RES. HVAC 0-100 M BTU -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - fi.UO
. GAS OUTLETS - 1.50 EA.
Forced Air M BTU ' COMMIIND FEE - 1°h OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND_.$1,000.00)
Gas Piping OuU~ts ~ ? 5 U
Other ~ - , " i ~ ' ,
FEE ~ . S~ ~
S/C: • ~ ~~ATURE OF PE~ITTEFji
TOTAL• ~ • J
FOR: CITY OF EAGAN
' RESIDENTIAL
.
~ BUILDINC PERMIT APPLICATION
` " CITY OF EAGAN ,3 • ~J~
~ 3830 PILOT KNOB RD - 55722
~ 651•681-4675
~ 5~7-31~0~
NawConatructionReouiremeMS RemodeURenairReaulremenk~ .~V~
• 3 regisfered site surveys shrnwing sq. ft of bf, sq, R of houae; an~p mofed areas • 2 copies o(plan ~
(20% maximum bt cover~e aWwed) . 7 set af E~~gy Cakulations ior heated addiGOns
. 2 copies ot plan showing beam 8 whMow sizes; poured laund design, ela) . 1 site survey for ezterior etldNOns & decks
• 7 set of Enetgy Cak,ulations . Indirate'rf home served by septic sys[em for additlais
. 3 mpies of Tree Preservation Plan il lot pWned aRer 711l93
. Rim Joisl Depil Options selec6on sheet (bldgs wilh 3 a less un~s)
DATE 9~ I~ I ~ I VALU/[ION~ ZS~(XIU ^
JOB SITE
AD
S ~D4 S`I fJY~Wt10d ~U~
IF MULTI-FAMILY BUILD`ING, HOW MANY UNITS?
PROPERTY OWNER ~J8~12.h IYIGW'N YYIO I LI 2A''
TYPE OF WORK S-IZ}v~H ~/~yrt ~pIc71 uYti FIREPLACE(5) ~CO _ 1_ 2
APPUCANT _~~1~iv" ~QW17LLU i Yi r~ Z'Vle. PHONE# ~SI^ ~iBS"O7S~J
ADDRESS ~~og-3 4~I[~AIAN~a TY~~ I ZIPCODE ~Jr/~
PAGER # CELL PHONE #~//2 ~7S - 3~~3 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Vantilation Category 1 Warksheet Submitted
- Energy Envelope CalculaGons Submitted
_ MINNF50TA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. Phone
Plumbing System Includes: _ Water Softener _ lawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcpl Conhactor. Phone #
Mechanical System Includes: _ Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
All above iMortnation must be submitted prior to processing of application.
I hereby acknowledge that 1 have read this application, stote that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan ances.
Slgnature W Appllca~
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1I01
OFFICE USE ONLY y;,, .
? 01 FoundaGon ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Esidg '
? 02 SF Dwelling O 08 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 37 Ext. Alt- Multi
O 03 01 of _ plex ? 09 07-plex O 17 Garage ~ 22 PorcNAddn. (4-sea.) ? 33 Ex[. Alt - SF
O 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screened) ? 38 Multi
O 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg
Yor_N ? 25 Miscellaneous
~ 37 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding
? 32 Addition ? 36 Nbve Bldg. ? 42 Demofish (Foundation) ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •DemollUon (Entire Bldg onl~ • Give PCA handout to applicant
Valuation /~j Occupancy 1Q `3 MGES System
CensusCode Zoning ~ CityWater
SAC Units Stories ~ Booster Pump
Nbr. of Units / Sq. Ft. /d(~ PRV
Nbr. of Bld s
g _L Length y• Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg} FinaUC.O.
Footings (deck} ~o FinaUNo C.O.
~ Footings (addition) - Plumbing
Foundation HVAC
~j Drain Tile
Roof Ice & Water Final Other
~D FIamv~B _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace R.I. Air Test Final Siding Smcco Stone
~ lnsulation _ Windows (newheplacement)
Approved By ~G~7 , Building Inspector
8ase Fee
Surcharge y~ ~ ~ ~ z,LG U ~ ~
Plan Review ~a~ ,~s y~ ~
j 4,/ ~p
MC/ES SAC
c~y sac l~~ L ~
W ater Supply 8 Storage G a,j' ~ S~ = ~~v
S&W Permit & Surcharge ( a~ O
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total -
~
CITY OF EAGAN N~ 1Z7O~
~ ' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
~ ~ PHONE: 454-8100 ~P.f~ ~
BUILDING PERMIT Receiptp ~N /7
7obausedlor SF DWG/GAR Est.Value $111~000 Date SEPTEMBER 30 1e 86
SiteAddress ~04 STONEWOOD RD Erect L~ Occupancy R3
Lot ~ elock 1 Sec/Sub. WINDTREE STH Remodel ? Zoning PD
Parcel No. Repair ? Type o( Const jZg
Addition ? No.Stories
Name ASPEN RIDGE & ASSOC Move ? Length ~4
/3 Address ~400 METRO BLVD ~emo~ish ? Depth~~Q
' ° EDINA. 835-1001 Int.~mpr. ? Sq.Ft
City Phone Install ?
o Name GUSTAFSON & ASSOC Approvais Fees
nddress SAME Assessment Permit S 460.5f
~ city phone same Water & Sew. Surcharge 55 _ 5(
Police Plan Aeview~~ 2
~
F W Name Fire SAC 575 _ O(
i Address
Eng. Water Conn.~QR. Ol
a w City Phone Planner Water Meter F~ 51
Council Road Unit 290 _ 01
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.Ofl. 9/30/86 Tr.PI. ~56.01
iniormation is correct and agre A co I~ ith all applicable State vf
Minnesota Statutes~and City ot ~ i c. APC Parks
~ Var. Date Copies
Signature of Permittee Total $ 2. 3 3 0. 7.'
A Building Permit is issued . GUSTAFSON & ASSOC ~ on the express condition that
a~l work shall be done in accordance with all applicable S te innesota Sta City of Eagan Ordinances.
8uilding Official
?
This requesl void S ~
18 mpnth9 (rom . R
4 4 3 5 ~~7 ~3i ~~.~.F~_~_ ~ `"l~~/ ~-G~
Ne uest Daie Fire No. Rou h-in InsVection
Q G/_ Nequire ' ? ~ReadY Nuw ill Notity_ InsVec-
Fj es No lor When qeadY
icensed ElecV' al Con ractor I hereby request inspection af abave
? Owner elaclricel work installed et:
Street Atldress, Bo r Noute Ciry
o~ c
e uon Townshlp Name or No. Rznge No. County
~
Occupant IPqINTI / ~ Phone No.
'J"1~ ~ 0(.~-p~}L ~~/Ci ~ 4 ~ C
Vowe~ Supplier Address
~ ,~~L~.c
Electrical Cnn[ractor ICOmpany amel Contrar,mr's 4~cense No.
7-ti.: G~ ~ 3 ~3 ~
Mailine AdJress ICo cto~ or wner Makinp Iretailationl ~
S~ ~ o ~.esQ~ f~ l/2 ~N,.~~ 1~ ~
Authori d S~g~alure (Contractor~Own¢r Making Inslellationl Phone Number
~3 ~ ~
MI N SOTA STATE BOAND OF ELECTRICITY THIS INSPECTION HEQUEST WILI NOT
Grigea-Midway Bldg. - Room N-191 BE ACCEPTE~ BY THE STATE BOARD
1821 Universily Ave., St Paul, MN 55106 UNLE55 PROPER INSPECTION iEE IS
Ph.~~a ~s~Z~ ~8~ Z~~~ ENCLOSED.
/~Z~/~//8lp REQUEST POR E'L~CTRICAL INSPECTION ~°yT~ ~
~ See instructions tor eomDleting this form on beck oi yellow coDY.
4, 4 3 5 ~ ""X" Below Wo~k Covered by This Request
FAd .RBp Type of Builtlfng ADP~iancee Wirod Equiymenl Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heatui
Commercial Bidy. rnace Silo Unlonder
Industrial BIAg. r~Conditioner Bulk Milk Tank
Farm O~ner peci y tncr ISp~~r,ityl
t,r Ven y Other Otn~~
ompute Inspectian Fee Below
M ieo Servica EnbeneeSiza tl Fea Fanders~5ubteede~s N Fen Circuits
.pv U t 0 qm s ,6 0 to 30 Am s 0 tn 30 Am
. Above 200 qmps , o~ 31 ro 100 Amps 31 to 100 Am ~
Swinming Pool Above 100._Am s Above 100_Am~
Transtormers Irrigation i3oorr~s Partial.~Oth e
Signs ~ $Ueciallnspection S I
I~ TOTAL FE ~
emerk5 ~
Hough-io Date ,
. ~.z-I~ '~sPector, hereby
certily lhef the nbovo
Finel ~~j~ q~ msoaction hes been
~YP mede.
lhie repuest vo1018 months irom
~ ~ ~dlund Engineering Services ~Eo~1BloomNpronFn~wq
.etl;~a~rr~ en Clvll Enalnun ~0°^~~10"+~O 66~20 .
- . y Land Pionn~n Phonr 88B-02B9
surr~~or~s Gert~ ~cate
_ ~ 800K 92 PAGE ~
8
~ - " • JOe N0. ~-414
~
i lURVE1f FOR~ Aspen Ridge P:. Associa.tes
oescRisEOas~ Lot 7, Block 1, WINDTREE 5TH A~PITION, City of Eagan, Dakota
County, r±innesota and reserving easements of record.
.
N. a5 35 13 ~ /
,
~~9~
y>.
~ ORAiNA6E ~ ` `•l ~ ~
~ `y~ lJi'ILITY Eq~E.MEN S J' 8 • -
R a 2
yC~ QS V~` 58~~
` ~ , \09
~ 4FA
\~1,fi~ / ~`a .
+p' pST' ~ ~i y ~
v \
a ~ / o ~s~~
~i`'\ ~~Q S ~a ~
. • ~P ,o
) 0~ 9`~ v. a ~'i r
~ A~ p 2 i
: O ; q~
. ~ ~ ~ ~ ~ ~6
^1 ~ ~ ~ / p.
' . O-
~3 v~ Q~ ~ / 4
(~P ~ ~~v ~
\~Pi s~ ~',~4 ~j ,~ti3
~ 928.4 ~ ~ ti ~
TOP OF FOUNDATION s 92B a
GARIIGE FLOOR ~ ~.V~
..~BA3E11ENT FLOOR a 9N 1 w~ o4'w~ y Q~
SENIER 3ERVICE ELEV. ~ / ~
PROP03ED ELEVATION3 : G7 V n O,
E%I8TING ELEVATION3 : X 5~. Q'
DRAINAGE DIRECTION3 . ~
~ ~ O Q~V ~ /
DENOTES L(7T CORNER9 : o qti~h ~~Q$ 3~, ~ ~O
DENOTE$ OFF3ET STAKE: a ~ ~
O~~
N e•`'
~ERTIFIC~TE OF SURVEY ~
I Mnbp eerfify thul on 9 i26 i84 I wrv~ped ~M proo d~scrib~d abow ond thaf
th~ abov~ plat is a wrr~ef ~~pr~stnfotion of wld wrv
. o`~~~
Jsf e . LI et~n. Llc~n~• ia~~a
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 709
DATE: 09/20/00 TIME: 10:39:13
ID: ~
NAME: CEDAR VALLEY HEATING & AIR
3210 9001 4086 FOXMRE CT 60.00
2155 9001 4086 FOXMRE CT 0.50
3210 9001 704 STNWOOD RD 60.00
2155 9001 704 STNWOOD RD 0.50
Total Receipt Amount: 121.00
CR137742
USER ID: JAN
~~g~~ ~.b0~50
2000 FIREPLACE PERM[T APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: 9 ' f
Description of Work: _ Construct new fireplace _Gas _Masonry _ Alterations to existing
Install ;eas insert oaly _ Install gas [ine onlv
~ Other~ /Q n a~ ~ `1 p , -
` Cj~
~X~/«~' lX
Job address: ' / (.J~/ [ ) 0 l ~
lll
Lot: ~ Block: ~ Subdivision/P.I.D. l1V f v1 G~ }~Yt~ 5~_ •
Applicant (circle one only): Owner Contractor Permit Fee: $60.50
Name: / ! /~7L.~~LY ~ l l [~1l] ! d-~ Phone ' ~f~~ '.7~ /c~~
PROPERTY Last First /1
OWNER ~ ~ r
_ StreetAddress:~CJ~-/ ~1~/~J(~~.l~~C.~l' CJbI
City ~C..L~~ State: Zip: 5~~~
Company: ' Phone
(area code)
FIREPLACE ~t'~, _,~1 ~~~~~~Y~~~n
INSTALLER Street Address:~~ 4L
C~ty State: Zip: ~
Company: l ~ ( ~l .Q y ~ ~.fll Phone #:~_L~y~~
\ ~ ~area code)
GAS LINE \J
INSTALLER Street Address: ~
~ 'n ~
City State: ~Y l Zip:
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 rdinances.
Si e
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 F'veplace
WORK TYPE
? 31 New ? 33 Alterations ? 39 Gaz Line ? 41 Wood Stove
? 32 Addition ? 34 Repair ? 40 GaSlnsert •
GENERAL INFORMATION
Census Code 434
SAC Code O1
REMARKS
Chimney/flue must 6e inspected before concealing.
~ ' e
s
~ z~ _
1986 BQILDING PBI~IIi APP CATIOH - CITY OF E6GAN
HOYS: Ai.I. COP?RACTORS MOSS SB LICfiNS6D flITH T~ CITY OF EAGAN ~
3I9GLE FAlIILY DAELLINGS
INCLQDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCIILATIONS
MOLTIPLS DiiELLIBGS - HE4IDBNTIAL RENTAL D9ITS FOH SALS 08ITS
INCLUDE 2 SETS OF PLANS, CEETIFZCATE OF SIIRVEY - CH6C% iiITH BLDG. DEPT.~
1 SET OF BNERGY CALCULATIONS
COHIiL~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: ~ Valuation: Date:
Site Address ~~y OFFICE IISE ONLY
$7DA/EZcpDOD D »
Lot ~ Block ~ Ereet ~ Oceupaney
Parcel/Sub ,M,~/~„~ ~ Re~airl _ T ning
~ s p _ ype of Const ~
~ Addition _ ~k of Stories
Owner j Move _ Length ~
Demolish Depth
Address Int.Zmpr. _ Sq Ft
Install
City/Z1p Code ~ , ~ ~~Yx'r -
Phone _ ~ 3 t I OO~~ APPROV9I.S FSES
Contractor Assessments Permit ~/C~o, S
Water/Sewer Surcharge $5.50
Address r• ~ Police Plan Reviex 230. zr
Fire SAC ,~j
•y
City/Zip Code T3'~ Engr Water Conn
Planner Water Meter (ps~.
O
Phone Couneil Aoad Unit 290
Bldg Off Treatment P1 ~
Arch./Engr. APC Parks
Varianee Copies
Address 20'fAi,
City/Zip Code
Phone ~k
r~- 3 ~
NOTE: ADD9ESSSS FOR CORNER LOTS - CONTRACTOR/HOHEOi~NEB Ii03T DESIGNATS HHICH ADDRESS
IS DfiSIRED. NO CBAHGES iiII,L BS ALLOiiED OACfi BOILDING PERMIr IS ISSDED.
.
,~Z~ ~ ~~.~2 ~ . - ~ ' ~ , ,
12 x -~.;~-E ~ x~-t.,- 31~8 ~ ~
\"L ~c 2Ze ~O~id "~j~''C /5~31~ ,
10 ~c 1~ _ ?OU K ~
2 c7 X~c7 e I~O"Ok e 7S'Clb~
l~ ~,1~~ 1`~x /y`.~O
~ x 1~o = IZ~" c~ = Cd ~C/
~ ~ t2 ~ 4 8 ~
~c IZ ~ 4 ~ ~ v 3~ ~
l.~~y2= 33 !~/SZ
~
/~U~~
NlN11f.~01',{ S~,~Tt ~:yt~~~ N~A~ ~;~ccut~tr6as ~°~t„
HO 8~ ED aH
.f.ll PA
7.R~. -LF
7.N E ,~r~
~ , ERr,y ~:ryDE . tY EDITtON
~ dup~~un EfEaetlva I~lf 4 • ~ .
)wner -vv~ ~ 1t~ ~-~n. . g , .
, I'~IC~I._L._~1`, PhoneL~r
~fly~p,rp
ifte Address , • . ' '
:ontractor ~ . L, ~ •
Phane $3,~~ Ad /
lu1)ding Classlficatlon; Type A~ (Singla Fam11/ 3c~Duplexj Type AZ (Residentlal~
(3 stories or ess
(Other) • (Over ] storles),
i~NEr~AL 1NFOAMATION
„ 15 , . • .
I. Bu11d1ng Perlmeter ~/VO~~~i"r fL. ' ~
Wall height (ground to eave) ft. • • • • ~
~
3. 1. x 2. above ' 2`::. , .
~ ~ 9ross Hall a.C.PA. ~7~,OQ ft.
• 1. euilding dimensians (L) ~~~~K~N) ' (p D ft.~ roof 5.floor area
5. Squere faot area of rim Jotst - floor ~o(st slie (Y x yfa 'I~ •
' ~ x Per~er • Rim o st area + ~~~~tY {t2 .
12
6 • Doars - Area Z.~J ~ 'J~"~. . : ' . • , .
' Thic ness n. actor r~~'~ ~ ~4'' .
Type af Construct an -`~erlmeter • ft. •
Nanufacturer
•7. Total door's perimeter {t • • • ,
9. ulndows: Manufatturer JN~~{/~-~ C~~~Vj7" State approved ~
U factor
TYPE ' S12E AR;A (FL.Z) lIU4BEN OF ~ TOTAL FE:T 2
C`~ • EACH UN1T5 '
~ •
9. Tatal ft.~ Glass ~p, ~ . , . . . •
Fireplace area; Wldth x helght ¦ ; . Ft.2
11. Expased foundations Netght x Perimeter ?7 ~ x~~ ¦ Z ~ Oa' ft.2
')PIPLETION OF TIIIS FORM 15 REQUIRED fOR~ALL IIEN COIISTRUCT1Df1, MAJOR REIIODELIIIG ANO Bl11lDiNGS BEIP
1]YED NHEqE ENERGY~ OTIIER 11UIV TIIE MINIMAL COOE ALLQ4IABCE. 1S USEO. • •
, , .
, ;I?. 'Fr~ming area ¦ 10% of gross Ha11 areei ' • ~
. 13. Gross wall area ~7~0 ~ ~ - ft.z ' • "
Nlndow area A~ ~ly~~ ft.Z U wtndows ~ •~7~ U x A¦ bJS
Rim ,~o1st area A t C,P(>~ ~D ft.2 ' U Nm ~o1st U x A ~~j
Door area A .~°"jZ ~ S 2 ' ~
ft. U daor area l Q' U x A•, ~.35
P-A'fl o Y~ct~2 Z .
`Ftrrplazs area A 1(~tg.O ft, u fireplace •~47 u x A•~8~`~~
Exposed foundatlon~A ~!`f'Z ' ft~2 U foundatlon ¦ 1~, 9~
UxA¦L_
framing area A 7'~lD ~ 2
~C2.~
I~ft• U framing area ~ U x A•~2+~,
Net wa11 area A IL~ Si Q" ft. U wal l¦' 4 t74.~ u x A- i 7;
. ,
• (13B) TOTAL . . . . . . . . . U z ,
14. Gross wall area 0.1 A-1 single family 6 duplex ¦ allowahle U x A/Code
• (13. above~ . , .
x 0.23 (A-2 other resldentlal)
x .23 (Other 6u11d1ngs)
• x ,28 (Over 3 storles) • '
, A ~~~Q~~~ x ~ J~'j ^ 8 H Must be larger 1
~ ~4~~. ~ r ~ ~ . 13B a6ove
15. Ce111ng framing area (Af) equals•lOf of ce111ng area' C or the, same as~
15A. Gross ce111ng area ¦ ~ ~L) x ~y~ ~ f ~ ~
' ft.2
15B dolst area (Af) ¦ lOx ce111ng area ¦ ~(p ft.2
15C. Het ce111ng area (A~) (15A - 158) ft.Z
U ceil tnq x A ! b7i2? x I Z ~ ~j?~ Z ~
U framing x A f+ ~GZ~j x' I 14~f . ~~j;~-~
150. TOTAL U x A •~~7~
, -
16. Ce111ng area (15A) x 26-( ;1 single famlly b duplex - code allowable U x A
• x 0.033 (A-2 ather reslden N al) '
x 0.06 (other) ~ '
~(15A} 1' G~ x ~ II Must be targer than 15D (abov~
F , (or the same as~
. ~ t0 . ' . .
NOTE; Use U and'A values o6tained from ops 1, 3 and 4.
wcR.f~ s1~-r" - `
- _
~rb
q.~~ ~ Coo -~t.o~-E- t4
)
G40`8 - _ .
~ ~ C~ - _ - ---'----rL$ _ _
6- x c _ zzo
-
v~vi-s - ~n3+ l~xf- _ 7~.
u~~- p x~- _ ~ _ z
_
_
_ _ - _z~~o .
~ 1~9~ . _ _ _
- _ _
~l,~,~ws -
.
2w- Zax3cv = j3.sx z= z7
iw~ Zo x~oo 4_ "~'X /o,s ~ .__st ,
2Gt~ Zo x GO LI X/__ L_ L/ .
~w• Zo X~.D _____31-n--1___ 3/ _ _
3w-~~4k~io 37 1( l =__37
4 l~ P/X , 2 X 2(0 Sz
L w- Z~fk~B k ~I - - ' ~ _ _ _ _ _
3- Z~k4~ 1 X3f- =-3
I- c~X~e 8_x 1 _ -
Z w-t4X 5~0 z__ 3~,
n `
3S~a
50
_ _ _ _ _
_
~ ~ _ ~ _ _ .
3°fl~ s~ • _ _3
sr~ D zJ _ _ _ _ _ _ _
X • - _
LZO•S .
~r'~'~ I tfINU ~ JAIUE U VAIUE
' . ~ Inaide a!r film .68
. . . I•,
S7ALL 1 t1 IcCterioe wa11 (iiall~ U.~ .
SECTION ( ~ InsulaClon (~~Q~
~ Sheathing 2~ ~Q~-?)
~1 ~ Siding .~7 ' .
~ Outalde alr film .17
~ ~ torat 23.03
' il Ioaide 31r Eilm .68 `
STL'D I. Lntericr vall ~4~
SECTZON M~+ scud ~6~~ R' ~.~ii%(~. rj0(Framtng) ll+ s .
~ ~ Sheaching 'j,(~(o .
~ Siding .(p7 ,i5q,5- .
~
Outaide sir fi2~a .17 ~ ~
, . ?1
R TOTAL b , ~i
~ G Inside air fiUa R~ .68 '
ZND StALL Interior rall '
S£CTION Iasu2atiaa .
(SJaIl ) 0 . 8 '
Shu z
• ~ Exiarios vall ring
~ ' ~ Exearlvo air fiLa B '
x ?OTaL
' IttCerlor siz film Rs ,68
a~ ~ InsulaLion Qp ~
~ ~
JOIST ~ ~ 1} inch aoft wood R=1,89 (Rim ~ a~~
' Jaist)
ShesthLng ZO~e .p9-(
~
fxterior vall eovering ,fv7
• Exterivr air ftie~ ,~7~
~ R TOTAL ?Cq', ~ . ~ . .
Interiar air film R° .68
~ Insulatlon .
~ Foundacion _ ~.2$ • (Fdn.) U ~ 1 .
Extertor air fllm R~ .17 ?Q~
f R TD'CAL ~Tj. ~~7 ~ .
~a~
_ xposed 91uck
w " ~ ,
. . . .
CEILIttr, at?H vE;IT"e~ r7TiC SPACE ABOVE
~ ~i '1~+LL'i 4 lUE
fAA;4I t1G CEIL ING
' 0.61~ Air F11m 0.61
3~D.~ InsuTation ~
~ . 4,3s ~a;st ,
. ,Qo Ceiling i~
j=
~ ' ~ ' 0.61 A1r Film 0.61
, ~2~~(o Total a ~i,7~_
~
, . .d~.3 U ¦ ~ . .b~.
• ,
F! AT RGOF OR CATHEORAL CEILICIG
~ Va ue R YALUE
( FR;.tdIF16 CEILING
0.6t ~ Inside air film ~•61
• . Ceiiing -
Jaist (stud
Insulation
A1r space
Raof decking •
I ~ Insulation
I ' Built-up roof
0.17 Outside air film 0.11
~ Total R
. . . ~ U .
R~
lindaw infiltratian .5 cfm/1lneal faot of crack •
tesidentiai doar infiltraticrt 0.5 cfm/squsrz foot or daor and minimum code requirement
~cn-residential doar infiltration 11.0 cfr/lineal faot of crack .
Jb 12" concrete hlock na insulatfan =:47 R 2.1 =
!b 12° concrete hlock insulated cores ¦.26 R 3.8
l~ 12" light~eight 61ack •.32 R?.1 ~ '
Jb 12" ligntwei~ht 61ock insulated cores ~.12 R 8.3 ' ~
J single glass ~ 1.13; with starm.window .54
1 double glass ~ .55 '
1 triple qlass = .41 • ~
~il exterior wails and ceilings must have a vapor barrler (O.10 perm max.). '
~apor barrier must 6e an the inside (heated side) of watl. :
~apor barriers of the polyethelene thin film hav? na R value. . .
~d~und Engineering Services ~Ean&oomkptonFrwwq
~o .
.ed Surr~yon Clvll Enyle~~rs Land Plonn~n Phon~: 888-0289
~ suriver~or~s Cert~ ~eate
• - BOOK 92 PAGE ~
8
- - , Jpe Np. Sb-414
lURVEY POR~ Aspen Ridge Pi Associa.tes
DESCRISED AS~ Lot 7, Block 1, R'INDTREE 5TH A.DPITION, City of Eagan, Dakota
County, 6Tinnesota and reserving easements of record.
.
N. 85 35 ~3. ~ /
.r ,
~
.,9F ,
y>.,
DRAINAGE ~
~ `y~ l1T~LITY Eq~ENEN ~ 3 /8
X o 2
Yf OS ~q s8p~
{A / . \~y,
~ ~j ~ ~~~A •
~ ~ y ~
,16 ~ C \ 3~
4 ~ O `~'t' ~ ~
ti S
90~ 5\ ~ ~ ~
' ? ~,A \
i~~T ~,n ~ \~v ~ r~~ ryy
~ ~~.A ~ A c~~ 0 2 b / <o o.
`
V \
~ % \ ~.a .
~
, V ~ .o°
- b
v,P~, ~~1. / •`y ~qJ6
4
. \~~26~ r-~4 ~j pry~ ~
e( p
'j'OP OF FOUNDAT ION = 929 \
a 928.0 ` ~o~
GARAGE FLOOR N
. ,'BdSEI[ENT FLOOA = 920.3 ~q0 y ~ ~G~
~ ~ / ~
BEIYER SERVICE ELEV. = Nlp
pROPQSID ELEVATIONS : C~ V, O,
EBI$?ING ELEVATION3 : x 5~. ~ oP
. M~ ~ a
DRAINAGE DIRECTION3 . ~
• , ,,ti~'
DENOTE3 LOT. CORNERS : 0 4~h V1o, O
DENOTEB OFF3ET STAKE: . 0 ~~o~p~y ~yy9/~~vl~~ ~
i~
ti~.
CERTIFIGAT@ OF SURVEY ~
I MrW~r eertify ihof a+ 9 ~Z6 /84 I wrv~y~d .t~e prop dtsoribea aeov~ and fhot
the above plot is o wrr~ct repr~sentotfon of sald wrv
.
Jet e LI pnn, Lic~ns~ No. 14376
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
cirr oF eacar~
~ I ~ r ~ 3830 PILOT KNOB Ra - 55122 ~
J 651-881-4875 ~ ~ ~ ~-5
c~-ar~-c~v
New consnuceon Reawremenn ('/P,~ I~a~l 33 aemadeveeoa~r aeaulremmts
> 3 reglstered alfe wrveys ahowing sq. R ot lot, sq. lt. ot Iwuse ~ aa 6~ 2 copfes of plan
and q~ roofetl areas (7096 mmdmum lot eavemae allowec~ 1 aet of energy edcWalions for heated addiflons
a 2 coples of piqns (ahow 6eam R window slze~ poured Md. design; etcJ 1 sife aurveY tor enteda additlons R decb
? 1 set ol energy cWCWatlons
> 3 ooples of h9e preservatbn plan M lol platted after 7/1/93
DATE: ~l CONSTRUCTION COST: 1I
DESCRIPTION OF WORK: ~ ~ N
STREET ADDRESS: ~ ~ ~ ~T~
t- -
LOT: ~ BLOCK: ~ SUBD./P.I.D. W ~ `'z
Name: Q~~A2- 117Ad1'Y Phone~: J
PROPERfY ~
OWNER
~ Sfreef Address: ~o L S ~
o A~C r,a^n od R~.1- ~
Ciy ~H aR Sfate: in n> . Zip:
Company:~ Z% /Lo.a~~?"vt/a ~one x: a,- ~9S-oo U~
carea coae~
- CONTRACTOR
'Sheet Address: P License # Exp•
City ~.~t~r 5 J' ~~L Stafe: /Yl N, 2ip: 33
ARCHITECT/
ENGINEER Company. Name:
Telephone ( )
Slreet Address: Regishatlon
C~}y Siate: Zip:
Sewer/water Itcensed plumber (i/ installlrw sewerhvaterl: Phonelk
I hereby aeknowledge Ihat 1 have read lhis applicaNon, src~ n,or me ~+romw n is correct. and agree fo comply with a0 applicable State
of Minnesota Stalutea and Ciy of Eagan Ordlnances. 'a
Signalure of Applicant ~I ~ ^ ~Q~~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ~ ~ 2 Q
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. A{t - Mulli
? 02 SF Dweiling ? OB O6-piex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 F~ct. AR - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Poroh (screened) ? 36 Mufti
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Pibg _Y or _ N ? 25 Miscellaneous
? 06 04-ptex ? 12 12-piex ? 20 Pool ? 30 Accessary Bldg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
? 32 Addition ? 37 Oemolish (B4dg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demoiish (Foundation) ? 46 Windows/Doors
` Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units 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 Occupency sq. ft. Ciry Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Suroharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S!W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Totai:
5AC Units
% SAC
. * *x**i****~*~***~**+************#*#
C I TY O F E A G A N ~'AYMENP OF FF~ AT TIME pP` *
. * ~o~ ~ *
. * aPrROVat. oF P~aru~r. *
APPLICATION FOR PERMIT * *
* INSPF7~TION OF SES+]ER AL~ID/OI2 F~R *
* TTaC*i~AT T.A7"~ONS WII+i. ARYI.~ BE S(~ *
SEWER AND/OR WATER CONNECTION P~T ;
~ * Arnxavr~. *
~ k
* *
~ ~
~
. M'*~raFf **ik*! ****ie~Fir*i4**leir*~1at#!#f*1laF##*
P ease Print)
1) PROPERTY ADDRESS ; `7~ L~ ~ 7a~~a 1•l 4 O d
LEGAL DESCRIPTSON: Lo T 7 ID ~ y/ i`hl~r T~~P S~
(Lot/BlockjSu~ivision or Tax Parcel ID )
IF E7Q522NG SiRCCZLiRE. DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: - -
~
(hbn ear
PRFSENf 7ANING/PROPpSID LTSE: ~
? COI'R~RCIAL/f2ETATL/OFFICE ~ R-1 SINGLE FANIILY '
II+IDOSTRIAL Q R-2 DL'PLEX (1~v Onits)
~ INSTIZS]TIONAL/GOVERI~Tp ~ g-3 qp~pDSE (Three + Units) ( Onits)
p R-4 APARZT~NP/COAIDOMINIUM ( Units)
2) ~
: ~~~..ry r~~ ~ ~ m~lJ~s
• ADDRESS:~l~' ~h~iBrri >¢,G'C
CITY. STATE, ZIP:~ j ~i3Li ~ ~l/L~~i~(ftr `~'.5~1~~
PHONE: /P '`j Ln ~ I~.~ lv /
3) • u ~M ~ For City Lse
Plim~bers License:
ADDRFSS: . Active
E~ired
i ~TY. STATE. ZIP: Not tecorded
PHONE• MASTFT2 LZC~ISE# St~iual
4) ~ • ia~•
19- G,~- ~/~~leo~t/ ~
_ ADDRESS: !~~lO J' 1?f {"7-d"~-fJ L~ c~ ~ T I Ll-O
crrx, srps~, ziP: ~~/,`,~r/t i rl ~i3'y3.s ~
PHONE: ~~d ~ -
v ~ ~ r: • : a • o~ - . .
~ CONNEC:TION TO CITY SE,9JII2 CONNECTION ~ CITSC WATER Q O'i'HER .
6) " • • r PLF.ASE HOLD APPROVID PII~I~'IIT FY)R PICK-C~P BY ONE OF ABOVE
~ PLEASE MAIL APPROVID PERMIT 10 1, 2, , 4, ABOVE .
' (Ci e one)
» ~ /4~
, ~'f ~ ~ ~ M ~ ~ ~ I ? 1.~' i~ Y~1" •
r r. • ~ ~ r•r• •,na~ ~ ~ i - ~ •r • i~ r
. FOR CITY USE ONLY ~ ~
PERMIT # ISSL'ED .
~ ~ .
Pd w/Bldg. Permit FEES:
$ $ ~d -S~' SEWER PERMIT (INCLLDE SURCHARGE)
$ $ ~O-S ~ WATER PERMIT (INCLL~DE SC?RCHARGE)
$ (/J 3' -52'~ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL~DE CORPORATION STOP)
- $ $ SEWER TAP
$ S ~5 ' C ~ ACCOUNT DEPOSIT - SEWER
$ $ ~S ~ ACCOONT DEPOSIT - WATER
S `7L5CJ'OC'j $ WAC
$ S 7S ~G C $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRL'NK SEWER ASSESSMENT
$ $ ` LATERAL BENEFIT/TRUNK SEWER
$ S LATERAL BENEFIT/TRONK WATER
$ ~ S~ `C~ C~ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ I Z`7 Y-' S~ $ t~ 7~ TOTAL
G~ l I 7 G~'7a-
RECEIPT RECEIPT
DOES ?TILITY CONNECTION REQLIRE EXCAVATION IN P.C'BLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK ~VITHIN PC!BLIC
Q ROADWAY" MOST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING COLVDITIONS:
APPROVEB BY: l~ti-7~~,>
TITLE:
DATE: ~~/~/~'~j