2206 Storland Rd? . r d
%erti#cate of cccupauc?
aga?c
City of
Zepartuent ?,>a>??ectiua
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: SF DWG Bldg. Permit No. 29365
Occupancy Type R310 1 - Zoning District Type Cont. VN
Ovn`cr of Building Wn AM HMES Addles 9W F. 79IM ST. MRS
Building Addtccs 22t16 C7T1ZItAM FM Locajity j CEW EW-Tr3M
Date. /
suildin otir w
POST IN A CONSPICUOUS PLACE
I
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55 1 22-1 897 Date Issued:
(612) 681-4675
SITE ADDRESS:
I !? I .
til=t nl,?It tr11
PERMIT SUBTYPE:
i
16I?'S- 81 N A
t HI.Ofk
APPLICANT:
TYPE OF WORK:
INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR.
?;1lt.ItlNCi
RF NARKS m 5 A t•I! Pt OR STAR F't NH
I
?x
Permit No. Permit Holder Dab Telephone A
ELECTRIC [f/8(dJt? / /$ Q QO
PLUMBING
HVAC / 9.7 3- 4
Inspection Dat Ina Comments
FOOTINGS idilf
FOUND 121' .' /?
FRAMING ? /
ROOFING
ROUGH
PLUMBING
J
(,?
PLBG
AIR TEST
ROUGH
HEATING 7
?.
GAS SVC
TEST
INSUL .7
GYPBOARD
FIREPLACE
7
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG ii If
ORSAT
TEST
BLDG FINAL
3-11-17 ??nt NI?? Lrd
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
rdress 2206 smaar>D ROnn Zip 5512 2
Lot , I Blk 1 Sub ?OaR HEicus
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: :*057 Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas V114
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
0
0 =448
1?
Reques Date Fire No. .ugh-In Inspection Required Inspection Other Tnan Rough-In
6 (You ust call inspector when early)
Yes ? No Ready Now Q MIII Notify Inspector
Date Reatl
I 2$Censed contractor Downer hereby request inspection of above electrical work at:
Job Address (Street Box Pont, No.) City
B
Section No. Township Name or No. Range No. Cou
0 ant(PRI T) Phone No.
Po' Sdplr Address
E rical Conn for (Company Name
) Contractors license No.
[
-'
ing Atltlress (Contractor or Owner Making
n)
r X536 9
A rizetl Signam on ner along Installation) Phone Number
L
MESOTA E -Room GFE ECT (CITY
f THIS INSPECTION REQUEST WILL NOT
'
sMidway dg. Room $-128 III II II I II I i I I I I ( I I II BE ACCEPTED BY THE STATE BOARD
1821 University Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone 16121642-66W ENCLOSED.
d. // REQUEST FOR ELECTRICAL INSPECTION y EB-oo001--09
y 5, T `C ? see instrucl.re; for completing this form on back of yellow copy. ?-?r -?
?R `V Below Work Covered by This Request
Net% Add Rep. Type of Building Applianceg Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other Specify) o?
Farm Air Conditioner 60
Other (specify) Contractor's Remarks' ,r l
Compute Inspection Fee Below: ,?-Z}?O L4UTY
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps _ 0 to 100 Amps
Transformers Above 2D0 mps Above 100 Am S
Signs Inspector's use ONy: s? TOTAL 0
Irrigation Booms /q o
Special Inspection
Alarm/Communication THIS INSTA ATION BE O SCONNECTED IF NOT
Other Fee COMPLETED 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in \ - Data
certify that the above inspection has
been made.
Final
\
///
OFFICE USE ONLY /u /.il
This request voitl 1e months from IV, X/,?I V
rf 7
OFFICE USE ONLY This request wid IB months from ,alidaflon dale prin t s box.
VIIIIIIIIIIIIIIIIIIIIIIIN111111111?1111 °'(.,, 9 / _jo 053
/!
* r 0 4 1 8 6 7 4 8 *//?S 7' uPL PRINT OR TYPE ?! O J
Reque Uak /?
.? In Rough Mn inapectbn required?
(You must call the inspector wh, as ? No
) Inspection Ocher Th.. RaugMn: early Now t
Rao
11 licensed contractor ? owner hereby request inspection o the above elec wl wor 0-0
Jab Address (Street, Box, or Ro No.t
o S Ciy
Se on No. Township Name or No. Range No. Fire No. Car
Occv nt Ptane Ny (? j ^ l
Q?j_?/,J_?i
power ppli x? ? fires
EI iwl n8actor ( ompony Name]
_'I" 111, 45 Conk cror lic??en\s\e N .
l? Master be. No. (Font Elect. Only(
Main dr (Co Ow??er Performing Installation) ?? 5!y xs
``
J
`??{,',l
/I
1
Aulh i e( Mr ror pe Inasl on) o
?
?
?
EBC"1R--11 8/96 -.-' STATE BOARD COPY -SEE INSTRUCTIONS ON BACK OF YELLOW COPY
X15197
4T,674
-
REQUEST FOR ELECTRICAL INSPECTION 6P 1_
Minns ate Board of Electricity
1° Ity'Ave., Rm. S-128, St. Paul, MN 55104 - -
642-0800
Jj Adme Du lez A t. Bldg. Other: New mcin
Commercial Industrial Farm Remod Repair
Air Cond. Htg. E ui Water Hh. Load mt. Other:
Dryer Range Elec. Heat Temp
"Xn above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
??? !vt? cy
Calculate Inspection Fee -This Inspection Request wd not cepted without the correct fee:
Other Fee tl Service Entrance Size Fee R Circuits/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200Am s 00_ ps
Transformer/Generator INSPECTOR'S USE ONLY T
Sign/Outline Ltg. XFmr.
Alarm/Remote Control _
Swimming Pool I IKre cnti Ihd ,n in b0alim ihed hrmin on the soled
Irrigation Boom xoueh.In o-
Special Inspection .cc= " Z
T
Investigative Fee
HIS INSTALLATION M
AY BE O al 0
RDERED DIS D I D WITHIN 8 MONTHS.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-16725-010-01
PERMIT
2206 STORLAND RD
LOT: 1 BLOCK: 1
CEDAR HEIGHTS
PERMIT TYPE:
BUILDING
Permit Number: 0 2 9 3 6 5
Date Issued: 12/27/96
DESCRIPTION:
Buildin4,--Permit Type
,r?uil,ding Wor,-k Type
UBC Occupancy""`_
J Construction Type
Zoning
/ Building Length
Building Width
B.,uI1AIi'g atories.
Sgiia.r,e Feet ..
Censvs+'0o°d,e
REMARKS:
S & W PLBR - STAR PLBG
FEE SUMMARY.
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
SF DWG
NEW
R-3 U-1
V-N
R-1
56
47
2
2,023
101 1 - FAM. DETACH
$170,000
MISCELLANEOUS $1,923.50
Total Fee $4,764.38
$1,237.25
$618.63
$85.00
$900.00
100
$2,840.88
CONTRACTOR: - Applicant - ST. LTC OWNER:
RYLAND HOMES 18546363 2003544 RYLAND HOMES
900 E 79TH ST 101 900 E 79TH ST 101
BLOOMINGTON MN 55420 MINNEAPOLIS MN 55420
(612) 854-6363 (612)854-6363
I he by a wledge that I have read this application and state that the
n o m do i correct and agree to comply with all applicable State of Mn.
t ty,o.f Eagan Ordinances,. 11 ICANTIPERMITEE 5 - RE ISSUED BI SIGNATUREF i
t CITY OF EAGAN 3830 PILOT KNOB RD 55122
199$ BUILDING NG PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements RemodeVRegaif Requirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (Include beam & window sizes; poured fnd, design; etc.) ? 2 site surveys (exterior additions & decks)
? t energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan M lot platted after 7/1/93
required: -Yes _ No
DATE: IA A. 91,0 CONSTRUCTION COST: 1(20, L4
DESCRIPTION OF WORT
STREET ADDRESS:
LOT 1 , BLOCK
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: 1) i m) N01 r-s;
f 11W
Street Address, E. 79 +h
City: State: 01 NJ
Phone #: Q'A" (0,? L3
C1., # 1^1
Zip: J) X10
Company: SD-" DS OLLIJUP Phone #:
Street Address:
City:
Company
Name:
License #: 2 no 1.5 q3
Zip:
Phone #:
Registration
Street Address:
City:
State:
State:
Zip:
Sewer & water licensed plumber: )ILLY ?I 1 Lrnh 1 LIQ Penalty applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that the infott?ation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. `
Signature of Applicant: G
OFFICE USE ONLY
Certificates of Survey Received V Yes No
Tree Preservation Plan Received Yes No Pft '
=BY;
OFFICE USE ONLY
BUILDING PERMIT TYPE
r
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
x( 31 New ? 33 Alterations
? . 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
? 36 Move
? 37 Demolition
'14 Basement sq. ft.
? Main level sq. ft.
3,.L I Zw) sq. ft.
+2- C ? sq. ft,
a sq. ft.
_ sq. ft.
Footprint sq. ft
APPROVALS
Planning
Building M(3
s. '
' ?
1203 MC/WS System ' !
''•f..
1203, City Water
7-
135? 3, Fire Sprinklered
aNO PRV
Booster Pump
Census Code.
SAC Code o+
Census Bldg '
Census Unit o
Engineering
Variance
Permit Fee Valuation: $ + ro ooD. r
Surcharge s
Plan Review
License 58><zq•s ?13r
MC/WS SAC 7 V zL s Bs.s
City SAC ?'S Y?•> 33.7T
Water Conn. ir.?svy,r Sz.g
y„g 43 8 +S; 14 ovS.
Water Meter s?
Acct. Deposit
S/W Permit Say Q _
S/W Surcharge z =s fh d 59= Lq 9va•
Treatment PI.
Road Unit r_
Park Ded. 3 x a , 3 ??
Trails Ded.
Other Z
3 • x s
39
Copies - 's K N - z?• s
IsF2,5 mjf,54 -7 ;ss.?
Total:
% SAC 20 x az "qo
SAC Units 0 e Zc z`
?vo 0.9 /F ° 1+I, 2461,
J'
m
w
17
Q
a
z
z
7
LF)
F-
N
m
w
m
r
e
m
FOR RYLAND HOMES
I MRST CEM FT IMT THIS PLOT PLAN WAS Pp®AAEO BT NE
PLOT PLAN
- THIS IS NOT A S0MDARY SURVEY
MINNESOTA LIC S . 3 STORLryD RD.
166' R/Y1
,)
54..L•
r\ K 'o.
O AWN
DATE 11• l 1 Z (a
c • IRON MONUMENT
BEARINGS ARE PER PLAT
• - SPIKE SET
c=1 - EXISTING ELEVATION
( I - PROPOSED ELEV.
F - DRAINAGE ARROW
y1J. C. Q T
?YSGao.n°
N 69 D5'41•E 191.77
3 7o v.a v A P 34 2
N W L__ _ `? co 3 - 4
p XW >_ = 9co? •o
O ?? N
O Y
n 5
r
6i d 3 ?,
r
yrL r,- r'
J?
N y
??a 1
SEW-A 1AR1C:'rwµ K• 1„°T 61-( , (3LW-w-Z
%EmcAT{ AV 6L cti.evAZ 1 o wi ' 99 t . 0
S 99'05'41•W 93.36'
?s
0). ? la IiuBgaLt?•
14•S w9r-4 .-f
6R. N
3 4s? ? vt.IZ Zzvr ?\iAS , e? s,\
1.5 :r
0 T \, PIZ.?PpSCD M ' n G
J
00
\"?, 0113 C--
14.4_ i 3 ? l ) \965 ji
SOb 1 N'T J I v
i EAGA14
1 REMWED I y
t2 - rg-fL
26.62 ?6'06 -? S 69.31.32-V 63.00'
PROPOSED
GRADES
OARAOE SLAB - g 68.O?
TOP OF BLOCK 968 •3
BASEWe4T FLOOR 60.5
KURTH SURVEYING, INC.
4002 JEFFERSON ST. N.E.
C0LMIA F[E1G14TS. 4N. 55421
r6121 746-6769 FAX (912) 766.7602
0 30
SCALE IN FEET
ADDRESS : 2.2.0(D S?oRLa??fl ?o
AQ.co.oFDct\vG: s?Ww>,.1', 14onsc.
A1?cA o ? sofl s>aa???', y-roosC.
LOT 1. BLOCK t,
CEDAR HEIGHTS:
DAKOTA CO.. MN.
? F
?
t? ?
?
?
rC ?
?
E? ?
?
? ?
LOT SURVEY CHECKLIST FOR RESIDENTIAL
PROPERTY LEGAL:
l1•Zd11MA; ll?>t?-?.l??t•?3
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage arrows with slope/gradient %
• Proposed/existing sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
Existina
0' ? ?
? Sewer service (or Proposed)
• Property comers
?
2"? ?
? • Top of curb at the driveway
[] Elevations of any existing adjacent homes
Proposed
? • Garage floor
I? ? ? First floor
2" ? ? • Lowest exposed elevation (walkout/window)
9
r ? • Property comers
? ? Front and rear of home at the foundation
?'??? ? PONDING AREA (iapplicable)
Easement line
!' ? ? • NWL
l' ? ? HWL
? ?7 Pond # designation
? ? Emergency Overflow Elevation
DIMENSIONS
13-'0 ? • Lot lines/Bearings & dimensions
0'} ? • Right-of-way and street width (to back of curb)
p ? ? ? Proposed home dimensions including any proposed decks, overhangs greater than 7,
? porches, etc. (.e. all structures requiring permanent footings)
? ? • Show all easements of record and any City utilities within those easements
G-' ?/
? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
0 ? • Retaining wall requirements,_tLpny
Reviewed:
January 1998
CRAIG1999F91.MPRMr.FM
LATEST REVISION:
2,0, R- wo r-v .
2 -4 4
H 68
_8MH -434
CBrMH 60v
12. --
kWCUT EX. STREET AND REPAIR
THIN ONE WEEK FROM ORIGINAL
STURBANCE DATE.
lLSO RESTORE SOD IN FRONT YARD.)
lip
tbd 4 ?
CUTIN WYE ON --
EX, SAN. SWR.
10' OF RISER MAY 956.0
BE REOUIRED. .
FIELD VERIFY WYE-2+70
(rn'-) 4" PVC SERVICE SDR-26
1" COPPER. SERVICE TYPE
I
A SERVICE INVERT
SHALL BE EXTENDED
?ULATED 0 2.0%
rRVIC
A
CONNECT TO EXISTING WATER MAIN
& PLACE BOTH SERVICES IN THE .
SAME TRENCH. 66' R.O.W.
.J i O? ill . ? -Rm _.___...s.-
I
7rLW?j2+54 SERVICES TO EXTEN 15' BEYOI
PROPERTY LINE (TYP )
I CURB STOP LOCATED ON P/L
(P.) w/ 15' PIG TAIL
i
'S
L
2
,,,_ rCY of
THIS
rn OcjEs
U
IT
v
C
Consugin2 Enpisws
Land SwrcJas
E N I N G 2815 worNS 0Nd
MimcsooOS, MN 55405
.A T 10 N 1612) 374.4740
ER PHONE NO.227-77731
i• 1
d
II
Builder Ryla
d -- ? • -•G? ?s
cVMYL ANCE
?
n
Homes
Model Hanover Submitted By R.H. Tracey
Options Page 1 of 2
T
ype Sing
-----
le Family Date 06-14-1996
Deg-Days 8000 Minneapoli
-
- -- --- ------ --------- - Filename HANOVOOA
- Uo Totals
- -
Proposed Required
Comp
onent
walls
Area -- --
Uo Total Uo ---
Total
Ceilings 2958 .
1375 112 332 110
022 325
Floors ,
168 . 3
047 0 .026
8
040 36
Bsmt walls
_________
1227 ,
_
-- .
080 76
.086 7
81
----
-----"-
--"'_- '----'----
Total
44 ------
7 -
This House Qualifies With Total
449 U-value Calculations
Specifications
__________ _ Uo Calculations
Walla
Frame Size
5.5 O.C.
16 Ineul.
19 shear Component - Area -Val
U-Val Total
H Frame 5.5 16 19 1.37
1
37 Frame Wall A I 2105
•054 115,6
C Frame-Gar. 5.5 16 19 . Frame Wall B
D Masonry 8
N/A
11 •45
N/A Frame-Gar C 189 .058 11.02
a
'
E Basement N/A 11 M
sonry D
----
Ring Joist
--
9.25
16
19 N/A
1,37
ring joist
---------
Doors
------
Panel
-------
Glass
------
S
C
' 245
0:61 11.27
Window A 374 .4183
2
A Metal
B .19 I 62 .
.
68 ,
Window a
Window c
Wood
C
Other .46 11 62 .88 Door A-Panel 39
•19 7
41
---------- ------ ------- ------ .
A-Glass 6
Door 6
2 3.72
Ceilings
A
W/Attic O,C. Insul. -
Sheat, Door B-Panel
Door B-Glass
I
B No At
tic 1 24
16 44
44 N6
3
Door C-Panel
C Othe
r Door C-Glass
-__------- Totals 2958 332
3
Ploors O.C. lneul. Cover .
•112
-
Non Cond
Overhang l
16
16 19
30 l
1'23 _
---------------
Ceiling A 1375 .022 30 4
C Slab
---------- N/A
- 5 1.23 Ceiling B
Ceiling C
Windows ---
U-val _
S.C --- Skyight A
Skylight H
vinyl .49 .88 Skylight C
C I Totals 1375 30
4
I
---------------- 11
------ - .
UO=Ut/At .022
Skylights U-Val S.C.
-----------------------------------
A Standard 62 .
88
B High Perf.
C Other NOTICE: Users of this software are responsible
------------ --
-
---- for the speci fications and dimensional data
HVAC Equip Rating used to
the softwarer
of
i
i
r
a
r
e
r
Gas AFUE 78 are
n
no
w
y
responsible
fo
the
1
HP HSPF .
6
8
I misrepesentat ion of any building due to errors
AC/HP.SEER
---------------
.
10
------
------
omissions, or ,
any other misuse of the software.
Builder Ryland Homes Submitted By R.H. Tracey Page 2 of 2
Model Hanover Date 08-14-1996
Options Deg.Days 8000 Minneapoli
Type Single Family Filename HANOVOOA
vv_?®:m_mvrtpmaoCSmms?rvmcm?rcxvgm?mmm-Jrryprvm-aaanemmCrmmprmm=av¢?mmpp?vpr??¢a
Dimensions
--------------------------------------------
--------------------------------
Walls Frame A I Frame B I joar.Com.cl Mason.Dj Mason.Ej
----------------------------------------------------------
Basement Bsmt. Bsmt. 4 1248--
1st Floor 1197 1st Floor 207 Bsmt.
2nd Floor 1288
3rd Floor
Misc.
Misc.
Ring Area -245 +
----------- -------------------------------------
-------------------------
windows
Vinyl 353 I I I 1 21
------------------------------- Q --------------------------------
Doors (G=Glass Area - 0= p
0 a ue Areal - -
Metal G 6
O 21 18
Wood G
O
Other G
O
----------------------------------------------------------------------------
Ceilins f with Attic No Attic I Other I Basement Wall A-
137.5, Depth Below Grade
---------------------------------------------------
Std.Skylites
HP Skylites I
Other
---------------- -------------
Floors ---- ? --- ^--'- -------
Floors 1 Non Cond. OverhangI Slab
------------ --------------------------------------
windowsfQty. } Description IQty.I Description
II 42 I+IMisc,(Enter Area) 7 3260
1 3040 2 2040
4 2820
Insulation Depth
Basement Wall B-
Depth Below Grade
Insulation Depth
Qty. Description
7 3250
1 16068 GLASS DOOR
Doors IQI IENTRYcW/1tFTnSIDLTIQly IGARDeWALLpDtion OOR IQCy.I Description
antes=aaaa__=-c.x====aama_ez._xm=r_xas_-avmcca: rcac=.c-aa=cmmmmemmycxmcmeamscarr
TOTAL P.05
TOTAL P.005
L /_ B?
SUBD0
- LdQ6jLf=
NEW RECEIPT 11 //`746Q?
RECEIPT DATE Y 1()1/ 7
TO
JO
OW
PLEASE BE ADVISED THAT THERE IS A FEE SHORTAGE ON THE ABOVE
ELECTRICAL INSTALLATION IN THE AMOUNT OF $ -Z z
SHORTAGE MUST BE PAID WITHIN 14 DAYS.
REMARKS
?
C? 0 - 30 AMP CIRCUITS I Do
1
I 31 - 100 AMP CIRCUITS =
0 - 100 AMP SERVICE =
l 101 - 200 AMP SERVICE
TOTAL FEE DUE = 13 7
LESS FEE RECEIVED IVJ
TOTAL FEE SHORTAGE DUE _ lz2i
PERMIT $4i?_k27`?
ORIG RECEIPT 11
RECEIPT DATE S /
PLEASE RETURN A COPY OF THIS FORM WITH YOUR REMITTANCE.
????^ U THANK YOU!
CITY USE ONLY /_ O.? p?
L _L BL RECEIPT* J:21
SUBD. DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612)681.4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
New construction Add-on furnace
_ Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: /'ib:/cP
-ter
f
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU / 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) (P,
? State Surcharge ?j .50
TOTAL L
SITE ADDRESS:
OWNER
INSTALLER
STREET
PHONE
CITY: STATE: ZIP:
PHONE #: (?/?) 4 -/l'f
?66? I- I LL
CITY USE ONLY
L BL
SUBD.
RECEIPT M
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
multi-family buildings when separate permits are nW required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee Q[ 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:-
CITY:
PHONE M
SIGNATURE:
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE
CITY INSPECTOR
L _L BL CITY USE ONLY RECEIPT #:
SUBD. DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH N-% TOTAL
Shower 3.00 x _
V'Lat@r OiCSei 3.0 x A _
JE
Bath Tub 3.00 x _
Lavatory 3.00 x _ _q_
Kitchen Sink 3.00 x _
Laundry Tray 3.00 ;t _
Hot Tub/Spa 3.00 x =
Water Heater 3.00 :c
Floor Drain 3.00 x /
Gas Piping Outlet " minimum -1 3.00 x t =
Rough Openings 1.50 x _
Water Softener 5.00 x =
Private Disposal " Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
%'rAI
n I ^
I
SITE ADDRESS: PY1
OWNER
INSTALLI
STREET
CITY: STATE: 1? W ZIP:
PHONE #: (???)
OFFICE USE ONLY
L BL
SUBD.
RECEIPT M
DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Please complete for: . all commerciallndustrial buildings.
mufti-family buildings when separate permits are = required for each dwelling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED? _ YES _ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS
TENANT NAME:
OWNER NAME:
INSTALLER: .
ADDRESS: _
CITY:
PHONE #:
STE. #
SIGNATURE:
STATE: ZIP:
APPLICANT
OFFICE USE ONLY
METER SIZE: DATE: INSPECTOR:
PERMIT # yh597
RECEIPT DATE: 5-? 771
RnIDENTIAL PLUM$IN6PERMIT APPLICATION
crrYoFEAam
38301+UM KNOB RD
EA GA N, MR 55122
651-681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow, preventer for irrigation system
SITEADDRESS: GZD/ ST/rzift/s
OWNER NAME:: ?"- IGGIL cS11L1rT:?- TELEPHONE #: jl? S / 7d 7 ?/6 Z
(AREA CODE)
INSTALLER NAME:
STREET ADDRESS:
CITY:
Place-a ck mark next to the permit work tvpe
STATE:
ZIP:
New residential dwelling unit under construction and not owner/occupied $ 90.00
-Add-on, modification or alteration to existing dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work. ??
_ Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge
1.J: $ .50
I' l AUG 7 NO]
Total ?
?'
$
?
1
Reminder. Be sure to schedule inspections of alterations, i.erwater heaters,-water:softeners, etc.
1_4 -
I hereby acknowledge 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 applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for?ny damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City prop gh of-w ease e
SIGNATU E OF PERMITTEE
TELEPHONE #:
(AREA CODE)
Updated 1101
-4Sgly
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 9 651-675-5694
'j? _?-0 , (0 a
New Construction Requirements Remodel/Repair Requirements &168 use Only 1 1. 3 registered site surveys showing sq. ft. of IoL sq. R of house; and all roofed areas 2 copes of plan Cart of Survey Recd _Y =N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Ores Plan Recd : _Y _ N
2 coples of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required Y _.N
I set of Energy Calculations Addition - Indicate f on-ske septic system On-sde Sepgc System `, `_Yr'_N.
3 copies of Tree Preservation Plan ff lot platted after 711t93
Rim Jolsl Delall Options selection sheet (buildings with 3 or less units)
Date"/ 07
l Ow Construction Cost
Site Address 2-2 1 wV Ay??
?y
0(p ?17CJI BUII LJ W • Unit/Ste #
mi off
- ymf +1m
Description of Work IC..
Multi-Family Bldg Y
N
_ Fireplace(s)
'
r ?? p
A
?
A?
) Ull4e
? Telephone # &51)10
Property Owner
I 1
(J Yom.
II UI? IT
Contractor
Address 4100 EXCELSIOR BLVD. (s (r 0 0 Inn 1 City
State
ST. LOUIS PARK, MN 55416
if) 48 409b
Zip
L7y- ?y
Telepl one # (?S?) q/_?- yv'?? Gf
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted -
Have you previously constructed a building in Tagan with a similar plan? _ Y - N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval f lans. ??y J
1 054)
Applicant's Printed Name App lcant's Signature '
J OFFICE USE ONLY
Sub Types 9
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work
_Types------.___. -
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 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 Bld g) - 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
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof Ice & Water Final
Framing
Fireplace _ R.I. - Air Test _ Final
Insulation
Approved By:.
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Final/C.O.
_ Final/No C.O.
Plumbing
_ I-IVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco - Stone _ Brick
Windows
Retaining Wall
Building Inspector
RESIDENTIAL
I BUILDING PERMIT APPLICATION
? b?
''i CITY OF EAGAN 7? o0
3830 PILOT KNOB RD - 55122 •
651.681-4675
74 7-
Ne wConetnreNon ReautremeMC RemodellReoairReouiremeMs
oi
• 3 registered site surveys showing sq. 8 of b4 sq. R of house; ancLll roofed areas • 2 copies of plan
(20% maximum lot coverage albwed) 1 set of Energy Calculations for heated additions
l
• 2 copies of plan showing beam & window si7m; poured found design, etc) • 1 site survey for exterior additions & decks k"
• 1 set of Energy Calculations hrdicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan g lot platted after 71193
• Rim Joist Detail options selection sheet (bklgs with 3 or less units)
DATE 7 hq ?Oy VALUNION Z, GPI
JOB SITE ADDRESS ZZD 6 STo (/?9riJ)!5 Rd S46421?j.
IF MULTI-FAMILY BUILDING, W MANY UNITS?
PROPERTY OWNER lG/fif CC-
TYPE OF WORK rt
APPLICANT 1?1 *L- sHl//?f£-
FIREPLACE(S) !0 _ 1 _ 2
PHONE#
ADDRESS 7-206 ??vt h " _ , / pq?V ZIPCODE -55-/Z2-
PAGER #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor.
Mechanical System Includes:
Sewer/Water Contractor.
- Air Conditioning
Heat Recovery System
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan Orc
Signature of Applicant
CELL PHONE # FAX #
65(-'.7-S'?f6 Z
Water Softener _
Water Heater _
No. of Baths
_ Phone #:
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
Fee: $70.00
Phone #
and
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of_plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
Y 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Aft- Multi
? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 11 10-plex 0219 Lower Level ? 24 Storm Damage
? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldgr ? 43 Reroof ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to appli cant
Valuation goal)
Census Code
SAC Units a/
Nbr. of Units -L
Nbr. of Bldgs
Type of Const ..4 --x
Occupancy 1C- 3 MC/ES System
Zoning !k/ City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
Footings (new bldg)
Final/C.O.
Footings (deck) Final/No C.O.
- Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water - Final _ Other
Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace _ R.I. _ Air Test _ Final Siding _ Stucco _ Stone
Insulation _ Windows (new/replacement)
Approved By /-,0 , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
_ Plumbing
FIVAC
