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4668 Stratford Lane
~ a.. ~ ~e~~icate a~ ~cc~anc~ ~~t~ o~ ~aga~.-e.-_ ~e~rartmeut s~ ~xii~isug ~u~pcction This Certificate issued pursuant to the rrquirements vf the Uniform Building Code certifying thai at the time of issuance this structure was in compliance with the various ordinances of tite City r~gulating building construction or use. For the following: UsaClassifiqtion: Bldg. Permit No. ~q~ paupancy lype ~ 7.uning Diuria R ~ 'fypc Const. ~ Ownerof Bwiding ~~'X.~.S ~ Addtess ~ Q~ FQ~Y 8~ ~_~Z~~ Building Addras ~F~ ~ I+~ I.oc~liry~,~ B5~ ~Q~ ~.u ~ ~ r ~ ~ ~ !r ~:.i euilding ol~icnt P~ST IN A CONSPICUOUS PLACE ~ . . .INSPECTI~N REC~RD ~ . . ~ C1T~ QF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: ~ Eagan, Minnesota 55123 Date Issued: ~ (612) 681-4675 SITE ADDRESS: , ~ ~ ~ ~ , ; ~ ~ , APPLICANT: ~ ~ ~~t . , t: ~ i , . ;14 , PERAIIIT SUBTYPE: TYPE OF WORK: . . , , , , ,,~,~1~~,. ~ , , ~ ~ , : ,t)~ ~5 1 t i~C.i ~ i; ~ r 1,~~'li~~ , I~ ,'t i: i,il; . , I P~:'.~ 1! i~.i: I ile;i ~ ~ f / 1 i - . I ' i , . . i , i i : I . ~ , . ~ ~ ~ ~ ~ Permit No. Permit Holder Date Telephone # S/W ~ PLUMBING 533" HVAC f`7 9~q-~(J ELECTRI ~ ~a ~ ELECTRIC Inspection Pate Insp. Comments Footings I 4 7 Founciation ~G ~ C Framing ~l~ Q Roofing Rough Pibg. 4~ LF/CO_, r Rough Htg. G ~ c.~ 7 s~_ r ' l~ i' Isul. Fireplace Final Htg. ~ ~ Ors~t Test ~ ~t = - - L: ~ e $ Final Plbg. y~ ` cl ~a'`Q "~Ibg. k(s~ec~or`~'- !Jo`ti~ ur~{ibe~~~ i Const. Mete~ EngrJPlan . I Bldg. Final s 9• I I Deck Ftg. II Deck Final I Well Pr. ~isp. I /~-~2 ~sT'~ ~f~'/' Y/~/9Y ~ INSPECTION RECORD ~ CITY OF EAGAN PERMIT TYPE: ' ` ' ' ' ` ~ ~ 3830 Pilot Knob Road Permit Number: Eagan, Minnesota 55122-1897 Date Issued: ' (612} 681-4675 SITE ADDRESS: ~ ' ` ~ ' ' ~~y APPLICANT: ~ ri ~ : ~v~ l,1 r. ; ~ 1'tA~'P'ORtI t ANF , ~ i ~ ~ ,~.t~ :ili~ . .Y'dll , ~ ~ PERNIIT SUBTYPE: TYPE 4F WORK: . , , ~ , , , . . ~ . . . ~ ~ , ~ ° : ~ ~ ~ ~ _ I . , ` - , ~ I~ _ Permit No. Permit Holder Dete Telephone N ELEGTRIC PLUMBING 1iVAC Inapection Date Insp. Comments FOOTINGS FOUND FRAMING ROOF~NG ROUGH PLUMBING PIBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP BOARD FIREPLACE FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TES7 BLDG FINAL BSMT R.I. ~ BSM7 FINAL DECK FTG DECK FINAL ~~~3~9~ //~I95L ~ias~` o?// ~5 E~02450 ~ 5 Reyues~ Oate v Firp No. Rough~ln Inpaeclion PepuirBtl In pection Ol~er Than Rough~ln p (YOU must cell inspeclor when reatly) ~peatly Now ? W III Notily InaOector 3 -~~p- I ~-Yes No DetaRead - on I~licensed coniractor ] owner hereby request inspection oF ebove ctrica~ work ~ Jo0 Atltlress (SVeet. 8ox or Route No.) City l08 5z~a-Y~o~ f.-,.~ Sect~on No. Township Name or No. Range No. Cowry N~IW~ OccupantlPRINTI Phone No. IW PowerSupD~~ar AOtlress LL S1~~~L ~'~0~ ~+~L~X~ ~L'U ~ r ~L y; ' 1`-~ Eleclrical Conlractor (COmpany Namel Conirector's License No. r ~G Matlmg Atltlress ICOnVactor or Ormer Ma4ing Installation~ 2.Ot~o ~t~.~tF.~oD S~ ~ ~ SS3o Authorrzetl Signawre Go~bactonOwner Ma ~n Insl I~aoon~ 1 Phone NumOer n ~ 3-l`l MINNESOTA STp~E BDARO OF ELECTHICITV THIS INSPECTION PEOUEST WILL NOT Grigge~Mitlway eldg. - Room S-1]0 BE ACCEPTED BV THE STATE BOARO iB21 Universi[y Ave., SL Peul. MN 55106 UNLESS PROPER MSPECTION FEE IS Plrone(61Z~60]-0800 ENCLOSE~. ~'7 9 REQUEST FOR ELECTRICAL INSPECTION ~~A ee.oooo - ~~q yr~" ~ See insimctions lor completing ihis form on back of yellow mpy ~~~1 p?" 7 y~ ~ G 5 ~ ,`X" 6e/ow Work Covered by This Request ~~a j~ ew Adtl Rep..r_ TypeofBUilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplez Water Heater ElectriC Heating Apt. 8uilding Dryer Loed Menegement Comm./Industrial Fumace - Othe~ (Spec'iTy) Farm Air Conditioner Other~5pecity~ ConVactor's Remarks'. c, ~~~J Compute Inspecfion Fee Below: (;lG(i7 ~l1 ~1QL~ ~ OIe' '^'S $ "i' # Other Fee # ServiceEntranceSize Fee Circuits/Feeders Fee Swimming Pool 0 ~0 200 Amps 0 to 100 Amps Transiormers Above 200 _ Amps A _ Amps $IJfIS Inspectar5 Use Only: OTAL s ' Irrigation Booms ,y r ~ L S Special Inspection / U /i~L. ~J ~ ~0' Alarm/Communication TNIS INSTALLATION MAV BE ORDERED DISCON EC ED IF NOT Other Fee COMPIETED WITHIN 18 S. I, ihe Electrical Inspector, hereby Rougn~in ? o a +C y_ p -G certify ihat ihe above inspection has F;nai oa~e t-~ been made. f`Q~ OFFICE USE'JNLY This request vaitl t8 monlh5 ~mm Address 466s sr[tn,r~roxv ~ Zip 5512 3 I.ot ~~3o Blk s Sub wFSmx rm.r.s zrm THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION. Date: ,5 lf 9 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) 1~ Permanent driveway Permanent gas f Sod/Seeded grass TraiUcarb damage . Parch ~ Basement finish Deck Please~verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply lo the outside lawn faucet before freeze potential exists. Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~ White - Ciry Copy Yellow - Resident Copy Pink - Contracmr Copy lv ~713 2004 RESIDENTIAL PLUMBING PERMlT APPLICATION CITY OF EAGAN 383U PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residenkial dwellings. Date ~P I 1 ~`I ) ~ ~ ~ Site Street Address ~~9 g ~~~t(~lit1, L(.7_Y~~C Unit # Property Owner 1~-~ ~ ~ Telephone # (Io `J~ 9 9 `7 " ~o ~6 Contractor Ur~~~~s Telephone# (la~a) ~D~ Sa~Oa Address ~a~`1 3 ~v~ S c~ri H~~~~~'"~~"~ State r"~~ z~P`~'~3~ The Applicant is: _ Owner Contractor _Other Alterations to existing dwelling $ 50.00 _Add fixtures to rooms, exclutling water softener and water heater _Septic System Abandonment _Water Turnaround (add $121.00 if a 518" meter is required) Other: Water Softener Water Heater $ 15.00 _ replacement _ additional JLawn Irrigation System RPZ_ new~ repair _rebuild $ 30.00 State Surcharge $ 50 Total S~' I hereby appiy for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. ~ ' ~ ApplicanYs Printed Name ApplicanYs Signature U~~0~4 i ~~i. ~ • - RESIDENTIAL ~ BUILDING PERMIT APPL(CATION CITY OF EAGAN i,~ J~ 3830 PILOT KNOB RD, EACAN MN 55122 ~ ~ 651-681-4675 / -7 New Conatruction Reauirements RemodeVReoair Reauirements \Q f~?~ • 3 registered ate sunreys showing sq. ft. of lot, sq. ft. of house; and all mofed areas • 2 copies of plan (20% max'unum lol coveraqe allowed) . 1 set ol Energy Calculations tor heated addNOns • 2 copies of plan showing beam & window sizes; poured found design, elc.) . t site survey for exterior addilians R decks • t set of Eneryy Calculatbrs . Indicate if hane served 6y sepGc system for adddions • 3 copies af Tree Preservation Plan if lot platted after 7/tl93 . Rim JoislOefail Options selection sheet (bldgs wilh 3 or less uni45) DATE O Z VALUATION ~ I~~I,Il~ ~ SITE ADDRESS S~~~CF~~ I~I MULTI-FAMILY BLDG _Y ?'iV TYPE OF WORK S1 A t i~1 L7' FIREPLACE(5) _ 0_ 1_ 2 APPLICANT ~t~F.K.~Lt.a ~ti~-~~?~V W1.TC~A~-'Ct7'k-S r~NG, STREETADDRESS I~Z'~~ N1GDL4~Y. V S CITYE~uRwS~~~~~ STATE~ZIP SS 3~ TELEPHONE # 952-`fo?- 6959 CECL PHONE # ~ . _ - . FAX # °1SZ I_~F1~-_~~Us PROPERTYOWNER ~`~A..~ ro~..(,1_~+•1 S~~n~ TELEPHONE#~SL-`~D~" S93LI COMPLETE TH15 SECTION FOR ~NEW" RESIDENTIAL BUILDfNGS ONLY Energy Code Category _ ~fINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (J submissio~ type) • Residential VentilaGon Category 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Phone # Plumbing system includes: = Water Softener _ Lawn Sprinkler D :.=$~.~00~ _ Water Heatcr No. of R.I. Baths AUG 1 2 No. of Baths 2002 Mechanical Conhactor: Phone # Mechanical system includcs: Air Conclitioning e: ' 7. - Heat Recovery System Sewer/Water Contractor. Phone # ° • I hereby acknowledge that I have read this application, stpte that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applican~~ V~" c~ ll~~' 1 OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _ Updated 4/02 OFFlCE USE ONLY ~ ' ? 01 Foundation ? 07 p5-plex ? 13 16-plex ? 2D Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 E~ct. Alt - SF ? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement `~emolition (Entire Bldg only) - Give PCA handout to applicant Vatuation Occupaney MCiES System Census Code Zoning City Water SAC Units Staries Baoster Pump Nbr. of U~its Sq. Ft. PRV Nbr. of Bldgs Length ~ Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addirion) _ Pluxnbing Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new(replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply 8 Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Totai .F ~ _ * ~ 7422 Entaprlse Drive : ` * . * MandOta Heights, MN 120 , i PIONEFA B~2 681-1914•FOx 681-4488 ' t~~•. uu~D wRVeronS • a~+~ er~on+ccas ~ ~ I l~ ~n~ ~QQ~ Ae uNe auuaacs - uwoaoMC ~naert6lf 826 Hlghvroy 10 NorlAeest e. ~ . , Bioine. MN 554J4 , 'k * * f {s1z) 783-188o•Fox 783-t883 ; , Certi~cate of 5urvey for. gomar Ho eS. ~11C. • ; House Address: 4668 .Stratford Lone. EaqS~II~rI ~ ' Mode! Name: S9R~ i ~ . ' ~ • t': . . . . . . ~ ' ' / ~ . / ~ / ~ . / q53g% : ~ ~PN~ . ~ oRO q53.~ ~ ~ p,,~F 2~ , . . ; ~ S~~ ~~~~5ti s4 ~ . ~ 6 ~g ~ : . • D 1~19 . ; y qsLi / / ~ , . ; ' ` a' ,,,,r' S . ~ ~ z:w , J `1s`!, r3 . . ~ . ~ sf~ ~ : , / ~ ~ 4 , ~ r~ Y~ca~ t' • ~ ' - ~ ~ d~9sex N ~'rs.! ~ ~ O t~, . ~ ~ ~.t; , r 1 r N'O ~ 9b23 3i~ ~ ~ ~ • . . w~p~ : ~ ~ ' ~ ' ~ ~ e ` '~98't.y1 'lc ; / ~ " ~ ~ . ' . y,~r ~~f ~ ~ ~;3.ts ~ ~ ' ~ ~t, ~ * i • 's2,a9 \ ~ y ,1 • ~ \ ~ e 1 . ~ \ ~~d~y 9 .7 ; . . _ • ~ ~ . o ~ r,~°SaTS~ ~ . . ! ~ 9I? ! ~ n ~ ~ 95d.2 ~ i ' ~ VscAn't' - \ ~ . ~ / . . ~ ~ ~ ~'S ~ 1 ~ • !l0.6; ~ , ti~~ / Efit~~i~ , ; 'a~~ 95e.~, ~ R E v i ~'w ~ ~ ~ . . ra~s` ~ 3Q / ' ~ ~ 3 BY ~ ~ ` . \ / ~iN~ '3 ~_~c.-r-~ i : '1~ ~ " \ / N 'aw na~ ` , ~ ~ ^O r~ ' . J ~ y`~ ' i \ : . '~iGAN E Gl ~ E G DEPT, 'Q e , • • e~" x, , ; ~ ~ g~ , : . ~ '~i r Wa d~S~u~:. , , ' . ~ ~ NOIE! NNiR11C10R YUSi Vq1FY ML OWEH9101i9 MIO ONIVEWAI' OE9aN . . , . i 900.o penotes Ex(9tinc~ Elavation F+it~POSED, HOUSE EI.EV~T10 . D~?otes Proposad Elevatlon Lowest Floor Elevatlon:951.95 ' ` -Denotes Oraincge dc.Utlity Easement Top of Block Elevotian•955.16 ~ ~ Qanotes Droinage Flow Direction ~ ' , ' Denotea Monument Garaqe Slab Oevatlon:954,83 " Denotea Offsst Hub Bearinge . ahown ere asaumed ~ ~ ~ LOT 30, BLOCK 5 WEST~N HILLS 2ND ; ADD. j • DAI(CTA CWNSY. MINNESQTA ~ 1 MrWY qtllh tlwt tAh wMY. Pl~n a rpwt wn prq»r~d bY m~ er an~Nr mY direte iaparvlden and that I ~m duh ppisprKl L+nd SumYer ~ ' ~ undOt fia 4w1 et Ma 8uu Of MIfMObq. O~ad IhI~Zl1Q_dW OI abrwi^ . A,D.19~.~L, ~ ~ . Add~d I G. G i ' i rs~ c.a dao. 2•ZL•9Y . ndJ.d gv:~f • 0.,... L-xS-94 p~ 3~= fROI J~,~s..._e ~ V]a.~..~ • Sca~~: 1 3~ l aoeaare.aiK~cN~,s.n .NO.uao~ . ~ ~ tsxse.os ' ~ . . . w......:~.~~v.....f~Ti ~ • PERMIT # f~~ l 4 ~p RECEIPT ~ATE: O I ~SID~NT1FtL ~LUM$IN6c ~'~E$MTT ~~P~LIClETION cmC oF ~s~rr s9so ~nar xxos gn Ef4flAN, MN 551 EQ ssi-s81-as7s Please complete for: ? single family dwellings ? townhomes and condos when permits are required for each unit ? backflow preventer for irrigation system SITE ADDRESS: / l~ ~ v S~ V' C~ ~ y~ ~ OWNERNAME:: ~ Y`~ Iv S~x~~ ~ TELEPHONE#:l~ ~ z- O~-~~3 (AREA CODE) INSTALLER NAME: ~CC. 3"'-~~ 1~~~ U~~~~ TELEPHONE ~'r L~ ~I ~l T ll V ~ (AREA CODE) STREET ADDRESS: Z ~ O CITY: ~ STATE: 1~ ZIP: S~~I Place a check mark next to the ermit work t e New residential dwelling unit under construction and not ownerloccupied $ 90.00 Add-on, modification or alteration to existinp dwelling unit, including: $ 50.00 • abandonment of septic system • new installation/repair/rebuild of RPZ • lawn irrigation system • waterturnaround Nature of work:~ ~ Lr~ ~ 1 ~ r'o 6 N~ Septic System, new/refurbished - $ 225.D0 • includes County & Consulting Inspector fees . requires MPC license State Surchar e ~ fl ~ $ .50 s ~ u ~y~ 4 Total MAR 0 1 2001 ~ Q~ Reminder: Be sure to schedule inspections of alterations, i.e. wate ~aters, water ssZf , etc. I here6y acknowledge lha[ I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It is lhe applicanCS responsibility to noGfy Ihe property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to ihe facilities construCted under this permil within ' ro ertylright-of-w / s ent. ~ SIGNATURE OF PERMITTEE Updated 1lOi ~Q/h PERMIT C~ ~ ~'~i Y OF EAGAN ~/~`/5~ 3830 Pilot Knob Road PERMIT TYPE: u z ~ p x N ~ Eagan, Minnesota 55123 Permit Number: 0 2 2 9 2 0 (612) 681-4675 Date Issued: 0 3/ 0 4/ 9 4 SITE ADDRESS: 4668 STRATFORD LHNE LtlT: 30 BLOCK: 5 WESTON MTLL5 2ND P.I.N.: 10-83751-300-05 DESCRIPTION: 1"~-,. Br~aild3ng~~perm3t Type SF DWC~ Build:ing W~.rk Type NEW ,'t76C 4ccupan~~g`,, R-3 M-1 ~~"Gons~rustion Tqj~e v-N Zaninc~ R-1 ~r' Buildinq LsngtiM ~ ~ 48 ~ Building Width ~ 47 @ui.15~iRg stkrkes 1 - fl°~ ~ ~~l i.~/i.. . ~ ~si ~ ~ ~ ~r: " 1~ : /l ~~/J ~~~'1~~~ ~~~~~~~L ~ - , _ REMARKS: PRV S& W PLBR - BJORLIN PLBG FEE SUMMARY: VALUATION $105,000 Base Fee $657.00 MISCELLANEOUS $1,828.50 Plan Review $427.05 Total Fee $3,765.05 Surcharge $52.50 SAC $800.00 SAC ~ 100 SAC Units 1 Subtotal $1,936.55 CONTRACTOR: - Applicant - 57. ~IC. OWNER: ROMAR HOME5 CO 14844844 0001281 ROMAR HOM€5 CO 1801 OLD HWY 8 116 1801 pLD HWY 8 116 NEW BRIGHTON MN 55112 NEW BRIGMTON MN 55112 (612) 489-4044 (612)48G-4044 T hereby acknow~edge that T have read tl~i~ appl.~c;~ttsarr arrd: state that the infprmatiprr is correct and' agree to ~omp~g with all ~p{xlicabl~ SC~Ce o`f FFet. 5~atutes and City of EaqB-r~ Ordinanoes. " ~ : ~e..+. ~ ~L~ ~n . n ) ' APPL~E E N TUFfE ~SSUED B. IGN INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: s u i ~ o r N ~ 3830 Pilot Knob Road Permit Number: 0 2 2 9 2 0 Eagan, Minnesota 55123 Date Issued: 0 3/ 0 q/ 9 4 (612) 681-4675 SITE ADDRESS: ~ oY : s e B L 0 C K: 5 APPLICANT: 4668 STRATFORD LANE ROMAR HOMES CO WESTON HILLS 2ND ~(612) 484-4044 PERMIT SUBTYPE: TYPE OF W~RK: 5F DWG NEW . . FOOTINGS FOUNDA7ION FRAMING ROOFING TN5ULA7ION FIREPLACE ROUGH IN pLBG ROUGH IN H7G FINAL PLBG FINAL REMARKS: PRV 8& W PLBR - BJORLIN PLBG ~ . ~ ~ _ ~ ~ 4 ~ ~ LOT 8VR9EY C8ECICLIBT FOR RLSIDENTI7IL ~ BIISLDINO pERMIT 71?PLZCI?TION pROPERTY I,EGALi ~ Dat~ of Survep: Z/~9 ~ ~ Docm2srrr sT~?xn n s ~AT~T ,~t;/ .~~.~.T'~9~/ Q~ n • Reqistered Lnnd Surveyor signature and company E'0 D • Building Permit Applicant ' 0 • Legal description D 0 • ~?ddress H~ D 0 • North arrow and..ba~ scale H''D C • House type (rambler, walkout, sp11t w/o, ~plit ~ntry, lookout, etc.) ~ ~ ~ • Directional drainnge arrows with ~lope/gradient f. 0~ 0 D • Proposed/nxisting sswer and water services 0~ 0 0 • Street name ~'D 0 • Driveway ELLVATIONS Lxistinc D~0 D • sewer service 9' ~ D • Lot corners ~ 0 0 • Top of curb at the driveway lY 0 D • Elevations of any existing adjaeent hcmes ProveseC 9~ D 0 • Garage floor • 0' D 0 • First Plooz D D • Lowe~t exposed elevation (Walkeut/wiadow) D' ~ 0 • Property corners D~ D 0 • Front nnd rear of home at the foundation pONDING f~REAS fii aDplieablel D 0~ ~ • Ensement line 0 Q' n • xwL O 0' 0 • HwL 0 Cf~ 0 • Pond M designation D D G • Emergency Overflow Elevation DIDSEI~IBICNB L~ D ~ • Lot lines ~ 0 ~ • Right-of-way aad atreet width (to back o! eurb) ~'0 D • Proposed home dimenaions includinq any proposed ~aecks, overAangs qreater than 2', porches, etc. (i.e. all / atructures reQuiring permanent footings) I~" 0 0 • Show all easements of reeozd and any City utilities within those easements 8' 0 D • Setbacks of proposed structure and setback of adjacent existing Aomes, . D G~6 • Retaininq e rement~, ii aay Reviewed: J / ~ Na / Date Oetober 1992 / y ` _ _ ` _ / i 1 ~ ~ ` ! ~ / ~ 1 ~ ~ ~ l~! ~ ~ \ 1 ~ ~ / nJ y ~r J 1 1 ~ ~ 3~ ~ ~ ~ 'w i 'i i ~ ~ ~ ~ ~ / y ~I 1 ~ 1 1` WVE 0+95 ~ ~ I SAN ELEV. @ PL 941.33 ~ I I 1 1' ~ ~ ~ I I 1 1 ~ ~'.p~gj I ~ ~ wve ~+e~ • \ ~ ~ ~ ~t'~ti r WYE 1+55 I ~ SAN ELEV. (o@ Pl 942J6 , ~ ~ SAN EIEV. @ PL 945.38 ~ L I ~ _ ~ Pp i ~ - - - - - - ~ L - ~ J 1 S ~nf+ Et ~r ~ yG ~ ^ ~ ~ , 2 'MH-e _7 - ~ ` 8 q,tiA ~ i ~WYE0+95 \ ~ p~ - '~-PVC SAN=~~ .T ~ SAN EIEV. @ PL 941.09 ~ \ 176' " 71P'!3 ~ ~ \ ~ _ ~ ~ wve ~+sa ~ ~ ~ _ ~ 1 `SAN ELEV. @ Pl 94223 ` \ ~ - r- - _ _ _ - -1 r ~ \ ~ 6" HYDRANT ~ \ J WYE t+69 ~ ~ WYE 0+08 ~ ~ 6"X6" TEE ~ SAN ELEV. @ PL 9C6.11~ ~ WYE 0+85 ~ ~ ~ 9' - 6' OIP ~ ~ ~ SAN ELEV.@ Pl 9A3.21 , \ \ ~ I SAN ELEY. @ PL 944.50 I I ~ ~ ~ ~ , , , ~ 5 ~ STRATFORD LANE STA. 1+76.35 = ~ ~ , - ~ ~ WESTON HILLS DRIVE STA. i13+91.40 ~ ~ 1 2 g ' _ , NOTES: SANITARY SEWER _ SANITARY SERVICI NORTH O'F WATERMAIN SHALL •ELEV. 931.60 WATER SERVICES ' ~ „ R, ~ r~^, k~;,,~~T ~t,1~4~~f~~~~-~~"~ CURB STOPS TO B ~ Ti-d~C!'C~(~~ ~f"` ~ , ~ r°;~~5 ~~v~/Z,~ SAN. 8 WAT. SERV Atiti ~ s ~ ~ ~~C :~~!';T;~~'J ~I.~l`~~~~tsry~~. 9 ,?~„r! ~•_Fa)S: ~i~a;~S ALL 12" AND 15 F Pt~~:~i;~„~`~. r`:_~~ ra:.~~,,.':~ ~~i U:~~~l~ €T ALL HYDRANTS SF SH0IJLD U'E~~~' T~E ~~~ORf~ATiON OfV THE SITE. THE 1'2" BARREL ! ~~'~ATFOAD LANE W~LL NOT BE REQ , .....CB-106,.CB-107, CI . . . _ IVIM~~3 : : 3 a. _ _ . ~t~? a~ii , ........f, ~..s~a:. 2~se ~ Tap s5z$s ~ . . . ; ~~p •9~5 57 . . , . . • . , . ' FIWtSH ' • . , . , . ~q::PE~t~F1~E . . . ; ; . . , , , . . ~ n . , . . . . . . . . . : .......A : : ~7„ . . . , . ~ . , . . . . • P~ . G. . . . . , . • . . ~ , . . • . . ....r... . , . ~ . • . DIP . . . , . . • . . ~ . _ . PVC:`.....:~ : ; ~ 1.~]9~~:::::::: ° ......:...................._}75:`.=:8':::P1'iG~ ~ . ...;.5~~::~6 ..........~.~::~.x:i~,::::::::::. ...p .y,,~, • . ~ ......................:......................:......................;.......Si~R•35~;.....::...:...;....::...:....:...:............;....................::::. `'•i~l%C•~~.... l 3:79~ , • , . . ~R 3 . , . . . . . . . . . _.a, _ . . . . . : . : . a ~ ; ~ , _ i. : . ,a . uy • .d, : . . . , . ~ ~ . • i : ...i... . . • . ..............A . . . ~ • • . ~ . . . .....a . ......................:.................z ......TH~:~l.~Y~:~~~1';~¢",':~.C'+~~r•7~'fi3Tf~~.'R. ~'F,£T~~'.'........ . . • ~1y:iuh. ~1..j1 4i3';./ or~ .n~ r` : : a..,.... ~:~`+~~%i~Y`~ . . . . . . a'i u~r~,sa;(~tfi~~~. . . . . . .....t ~ p~t~e,~Y+. Ji En 1 ~ L~! ~~~I~~f~~~ . . . . *.s Y ~ . ~ . : . . • T~ , ~'~~i r . 2, 7 `,!1 a;:;t~.a ai~it'~ii. ~7T . • . . : : . : SFf(?~i~. 'tls~s9rY ~'s~~....d~~U~ti'~,4~€(3r~:..0i~ :..Ci~E - ~ ' _ :............................:...........................+~0 : .......5! E:...... . : +00 3+00 + I NEREBY ~CERTiFY THA7 THIS PIAN WAS IULTINd ENQ~INEERS, PREOAREO BY ME OR UNOER MY DIRECT~ ANNEAS ond IAND SURVEYORS SUPERVI.SION AND THAT FN~:~NFFR ~Y REGISTERED UNDER THE LAWS OF THE STA7E 9&26•9; . 0 F M I N N~ T. f~ ~i 2 621-9 7i /v 1 &S9' - ] 1 OO N0. DATE D TE REfi. N0. BURNSVILLE ~ MINNESOTA 55337 PN 432-3000 ~ ~ . ~ ~ E%TERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER TG~.s- C~~E- !vacrou- ^ ~.~.~.;~cw • S2TE ADDRESS _ W~~Q~ ~YCa-~\~ti )\n~,r~ ~ CONTRACTOR DATE PkONE Determine working square footage of each. 1. Total exposed wall area " UO S sq. ft. x./~/ 2. Total rooE/ceiling area 1 3~ y sq. ft. s r0~(~ = 3 S.4 ~ Total exposed wall area above flaor = ? I d~ a. Total wall window area ~ 3~ b. Total door area . S c. Total sliding glass door area TSl~ d. Total Eireplace wa11 area c~ e. Total wall framing area (average lOX) 1'I~r f. Total net wall area above•£loor I L~1 g. Total rim joist area t7 2 ~ Total exposed foundation area = Sf~ h. Total foundation window area v i. Total net foundation area above grade 4S C~ Determine "U" value of each wall segment. a. 1~. ~ X~~U~~ e us ~/U~a•y0 - b. S g~~U~~ , d 7 = 3./S ' c. 45 U x"u" . vS 3G.0 d. O X~~U~~ O O e. / 75 x ~~U" ,G~7 ~ /s:S7 f. /6 x "U~~ ~ p~rz = 67.G~b g. I 72 X~~U~~ , pu0 a-6 . s5 ~ h. G' X"U" d p , . i ~ Co X ~~U~~ -,G = G 3 ...Total n ~ ~~i, ?,J If item If 3 is the same as, or less than item r'l1, ycu have set the intent of SBC 6006(c)2. , . ' Total e:cposzd rooF/ceiling area = ~ 3~ Y Tota1 gross roof/ceiling area = ` j. Total skylight area - k. Total roof/ceiling framing area 1. Total net insulated roof/ceiling area !2~s,' Determine "U" value for each roof/ceiling segment. j. O X~~U~, p p IC. X~~U~~ ~ ~ a S~ 1. ~5 X~~U~~ . OZS ~ 3~, 2 4 Total 3 S+. 7 i If total of !f4 is [he same as, or less than 02, you have met the intent of SBG.6006(c)1. To utilize the [otal envelope system me[hod, Ghe values established by the sum of items 03 and U4 shall not be greater than the sum of items O1 and ti2. i. 2GG.S~ + 2, 3S~S$ x 30~.~1~1 3. ~ va. 20 + y. 3~.7y = i~`•' ~ ~ A L~~. ~~q ~ h~C,~~~ ' HeAr ioss ca~,cvz,ar~or~s a ~ _ _ Wcathcrattip/ A.~~}~y,E,j , i Guide I__ Comtruotian Na, Inwlution Window~ poon J f~efcrance Qut. Wa11 ~nl. Wall CeilinQ ~'2uof Flnor Kind Naw Applicd es- o ~~~~o I 19..r I ~ ~FI. - - - - - MS m LenQth Width ~ Height ~I ~~I,~ ~ Room I,.en ~h I ~ sr~Vidch „i~ Heiglit Window~ ,nd Door~-CracL•ag~ and Arse Window~ snd DoorrCrsc~nse ~nd Arca ^lNmn Nrl~nl Nn af Wnnl!{. Ax~ S I NO ! C~n1 01 p~n1 ll,~~~l• Ot PlMeM ~q, tl. ICI~ HII[M1l NO. 4~ ,Llq~\I fl. Af~R J r~ L t N.o. of p~m el p~n~ ll~~l~ Of fnak ~0. f~. ._..L_ r' ~ - ~ ~ - ` , _ [ ~ ~ , ~S 3 ~I~ ~o ~2 __1,. ~..t. ~ toef. 8tu T Coe(. ~Btu ~ln6~ttatim~ ~ ~ 1n61trntion~ ~ ' / „"2d ~ ~ C~laaa ~ • ~011 c~ _ ~cP. well ~ _ ~ _!i I~G n~et eXp, wa~~ _ p, wa _ - IVet exp. wall ~ 4~ Mln~, wall ._..W.._._ . Cr~link ` ~nl. •IAII - Dr~ Cc~i~nq .J /G ~ f'I,or ~Toial Dtu. - u.~L.-~~. F!oor~..^ ~ t~~ 7nlel Btu. ~f ~Rcvupirr:l ~~~q. f,~, E.p,R. or ~q.~ine~W.A. Leader area ~ ~ i F'~~~ Raom~ ~ength Width Heieht ~ Requircd ~q, fi. ~.p.R, or eq~ ine. W.A. Lcnder erta -L- ~ F1.4 ~ Room 1 Len~1h Wi ~h eg t Windnwc and Docrs-Cratl~~Qa and Arsa ~ w~n~n n,~rni xo o~ t~~;,i rs, Windowr snd poor~-f:rackage and Arca Na. oreMn~ otl~yn~ OiMt. ePe.~ek ~0 fb -T~~ 'Idttt N~iRnt Ne.el Inullt. Aeu I ' Ntl, y~y~~~_ e[O~h~ IIfRb OtCe~Sll IQ (t. _ A W. cntr. ar~ - ~f. " In~fl7at+o~ n - ~ Cl~~. _ Infiltration ~ ~ /2 E[p. w.il ~ _ _ GEast ~ ~vet exp~wall~_~__~___..."__. ~xp, wall _ ~u6 wa ~ V Net exp. well ~ ~ ~,~pf 3.s_ op j? Int,wnSl Y~~t~ng _ ._Flo<>i - ~ CcilinE ~ ~ ~'~?'C~ Flnnr Tetal FJt~. To~nl 6~u~ ~R<qu~red aq. fs, E,C7 ~t, or rq, ini. W.A. L.eader nrta Required eq. fL E.D,R. ot tq~ in~. W.A. L.eader ~res J ~1. {:`d],~ angth Widt Neight I ~Fl.~ eyaR„ Room I Lcngth Ca W~dch / Hdg6t , j _ Vlinduwa and oav~rac4~Qe ~od Ares Windowe And Doon-•-Crackage tnd Ares WI41~ HtllM1t Nu, ei L(nul f~. Aro~ wie~n H'el{ t P. uI Lln~~!!t. Ar~a /~j Nn. 1 p~r.• at a~n• llf„~. ot <r~e4 ~y It. No. ul p~u~ ef O~n~ Il~~u ~f en<N ~u It r 3 b 1 G ~ ' & ~ ~ ~ ~ L y~ 1~ ~ _ ca~E, sw . I_` Co<t. e~u ~~~i«~,~o~ "~~''y'.. ~ _ ts ~ y Ih~7It~0lloq ~ 1a _C.let~ Cluee Y F..xp. wnll _ Fxa~ wall ~ Nc! cxp. wa~I __.__T NM exp~ wall (t."~',' aLaC ,~l~7 ~[~1 lnt. well r..,._ ~ -~-~nc:-/vmli . ~/~e"~~~~ JtC~4 Cr~img__..... Ceilind- ~~0~7 I F~u~~ I._. ~ , rot:i g~u. ~ roc~i a~~. w~ ' RCqU.fCd ~~(1, E.D.~. Of 7. 1ttt. W.A. LtA~Gf ~i4! ~I ~ Required iq. tr. E,D.R. or ~q. in~. W,A, Leadrr ~rc~ ~ F~ ~ EfV ~MG. Ruom ~Length f Widih H<ight y"" ' ' -~F1.~~wJ"x' Room I Length Wid~h '~-5 Height ~ ! 1L'~ndawe and qoorr- Crac kage sn d Arer I ~.iindow~ snd ~oocwCrack~ge and Aren ~4iotn H.Irh~ Ne, ef LlMaal It, e~~~y ` Ietn N~Ifnl Na. et L1n~~i f!, ArF~ 4a of p~n• eI yanJ 141~~1~ pl o~~e% ~0. fl~ No, of p~~~~ af qanl ~1~ht~ e! cracM ~a fl, ~ _ 5 ~ /~b _ . _ ~ . cn~i. .~1nhl~ration ry~ ~oeF~ gtu . l Q~'-~1 Infiltration ' ~Glai~ _ s ~Ci~sSa _ ~ ~ Exp. wnl~ F~cp. wnl~ /~'/!.A?~t ~E U DQ ' N« exv. wall ~-"`N« .xn. wall ~S~ G, ~jC 8 ~L~I~~ Cnt. wop 1nt. wal( C` eil~ng ~ : ~ar„ .....~;ciling T- ..~:luor ~ Ffoo~ ~ G ` ~ - ro,~e~~~: - ~~,5_. ra~;i's~~: :~.L R~y~~r~d ~G, fi, £.D.R. or w. i~~, W.A. I.cader uaa 4_ Required ~q. fi. E.Q.R. or ~q. in~. WA. L,eader ~rc~ ~ ~ * 2422 Enterprlse Qrivs . $ ~ Mcndota Heighia, MN SS1Y0 . f " IONE6A ~,R,~„ • a~ v+ar+~s (612) 881-1914•FO~ sa~-9aae i r. ~C', ~µp ~~s • unoaol~Pi ~aae~lcR g2p MlghNay 10 Noriheast ' e.* e'~1g ~1@CAIf1e B~alna. MN 55434 . .,,k 7k (812) 783-7880•Fox 783-1883 ; * . ; Certificate of Survey for: ~omar Homes, ~ 1~C. ~ i House Address: 4S6S trotford Lone Eags~n. MN ~ Model Name: ~9R~ ~ . i . ~ ~ • i . i / ~ ~ : / ~ / as3~% : ~ ~ N : : ~ ~P ~ ~ ~ ' i : R~ qs;-/ ~ ~ ,~Fo f ~ . ~ S-(RP' ~~,~~5y' 4 ~ ; ~ ~ 15 ~ . . ~ 4 ,R,9 ^ ~ . . ; p . , / ~ 1 a. q~~~ ~ ~ 4~ ~3 . ; ~,r-d" S . ~ ~ ».aa . ) ; ~ ~ . / ~ i "~r y,l '~'fsf' ~ ~ ~ ??c°^ t- i ~ d~"'-9sl.v ~s3.{~ ~ ~ ~ i , p~ " p p,, 1' ~ Di ~cro. • i ; 9523 'b ~ ~ ~ ~ ~ . 1? V+ ~,'s ' ~ ' ~ ~ ~ ~ ~ ° ~a~' ' ~ ~9sz,9~ ~ ~ , ~ ~ ~~o ~ ~8 , ~ 1 ~ ~ ~Y~~' x~.J~~ ; ~ ~v ~ ~ ~3.zs ~ ~ ~ ~ n ~ .'st, ~ • 952~gg \ ~ iy ~I • i A 1 •7 ~ e 6 ~3',~ y . ~ ` .~o ~ ~ ` ~ V>eon'!" \\`vei g roR~`g, ~ 7, / 953.2 . ~ ~ i ~ y~s~ . . 4to, dt ~ . ! ~ % E~i(aAS~ . ~ . ' y`~~3,d'~p '~9se.3 ~ R E N I'E~W E D• i ~ 30 ~ r~, s i N t3 8Y- S y ° ~ ` ~ \ ~ ~w oA~ 3~~ ~y _~4' ~ ~ b~ : ~ ~ D~T . ~ . . . I ~ T , cJ ~ ~ . . y - - . . i ~ . r : ' . ~ '~n2`r~1 E G E G DEF'1: +o . , : ~ i;, . , ~o o~o . . Noie toafa~erart Wst vCA~Y ~tL ow[~oHa ua owvnt~r aFaw ' ' art . , Oenotea Exlating Elevotlon PROPOSED HOUSE ELEVATION . Danotes Proposed Elevatlon Lowest Flaor Elevation:951.95 ' ' Uenotes Orainoqe dc Utility Easement Top of Bloek Elevatlon•955.16 ~ ~ Denotes Drainoge Flow Direction ~ ' , Denotee Monument Garage Slab Qavation:9S4,83 -e- Denotea Offsat Hub Bearinga ahowa are asaumed ~ i ` LOT 30, BLOCK 5 WESTON HIL~S 2ND ~ ApD. i , , _ . . . DANOTA LWNTY. M{NNESQTA - 1 MnbY ~'+Rtly tMt lhia wrwV. Phn er rpwt wn prep~nd bY 1n~ er 4ndsr mV dirott wpcrviden and th~t I am duly ppistxM Land Surnyor ~ ~ under sha q.n e} eAa eute M Minnpoa. Ds~d thii~dSL.aY of Qbr~~~ ./~0.19~. - I - . Pdd~d: Cw Gai S rsv ud dcm. 2•Li•9Y . . . . . . . ~ - ~ ' - .AdS.c~ er:t~ ~ O~,r. L-25'~14 n"..'~'~"~'+ r . Scale: 1~=3Qf~ I.ewte~.te G• ~ : ROCER7 B~ 4~KICM ~,s. R . NO.1M91 i . . ~ ~ ! ~ 13'186.03 . _ _~.~.~T,.~.,~._ . t , •b] ° ' . . . . . . - . .~W RE~ti.TIYA•7E _ CITY OF EAGAN PEr~I?? r, 199r~-BUILDING PERMIT APPLICATION -~3,'!(.°`.~~ ~ ~ '4'~ 681-0675 r, r+'",+F p„ SINGLE ~ MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. . COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month. in which request is made, 2) address is changed or 3) lot change i.s requested once permit 1s issued. Date / / Yaluation of work C~ Site Address: ~L~4~9~ ~xca~\~c~~~c~c~s~F fTREET ~ ~ ~~TE y Tenant Name: (commercial only) IAT BLOCK G SUBDy p•I•D. M W .5~1.7~J.tJ-x Descri tion of work: The appl icant is: Owner ~LC~ntractor ~ Other CDescribe) . Name Phone Property ~.ST FIRST Owner pddress STREET ~TE ~ City State ZiP LompanY ~j,C1~j$,~~C~ c> ~ ~ - Phone ~4~`~- y~'~~~ Contractor Address \Qtl\ c~~..~~z License ~'pd~\~~ Exp?~ City ~Q,~~o~iz cliJ State Zip ~e.a\\'Z~ Company ~j ~ ~ ~ ~ c~ '~C Phone y~~ ~ - y.~C>'~ Architect/ Engineer Name Registration 1~ Address ~ City State Zip Sewer & water licensed plumber~~~n. Q~-~~ ~.~*~C~, . Processing time far sewer 8 Water permits is two days unce area has been approved. I hereby acknowledge that I have read this apPlication and state that the information is correct and agree to comply with all applicable 5tate of Hinnesota Statutes and City of Eagan Ordinances. , Signature of Appl icant: ~ r~. .s c~~ a a;~c~ ) z_ OFFIGE U5E ONLY . BUfLD1NG PERMfT TYPE ~ ~ . ~ f " ' O O1 foundation O 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ~ 17 Swim Pool O 03 SF Addition ? 08 8-Plex C] 13 Garage/Accessory ? 18 Comn./Ind. ? 64 SF Porch ? 09 I2-Plex ? 14 Fireplace ? 19 Lomm./Ind. Misc. O 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New O 33 Alterations ? 35 Tenant Finish 0 37 Demolish ~ 32 Addition C7 34 Repair ?.36 Move GENERAL INFORMATION Const. (Actual) ~ f~ Basement sq. ft. ~ NWCC System (Allowable) lst F1. sq. ft. ~ 2 3 City Water UBC Occupancy 2nd F1. sq. ft. PRY Required Zoning Sq. ft. total Booster Pump i of Stories / Footprint Sq. ft. Fire Sprinkler length On-site well Census Code ~d7 Depth ~.33 On-site sewage SAC Code ~ ~ APPROVALS f Planning Building Assessments fngineering Yariance RE~UIRED INSPECTIONS ' ~ Site ~ Footing ~ framing Insulation ? Wallboard ~J Final ? Draintile ? Fireplace Permit Fee r.~~.cia,: 8 p°O Surcharge 13S~.,t J G Plan Review ~2 ~ 2~ ; Gv License S6 zz ~yz~.cy.~ , ~wcc sAC l~`X 5~ i b~- ZZ : zZd~ c;cy sac a~ /~960 =~oyk~~= Water Conn. l `/X l~~'- ~ _ .z6~ Water Meter - ti~---_ Acct. Deposit ~ S/W Permit l~~/ L~6,s_,..Z~-'`" S/W Surcharge pp Treatment Pl . ~Z'~z"y " l S~ Road Unit / ~Jk ~ Park Ded. ~ yX Z/. = 303, 3~ Trails Ded. ~ ` CoPies ~ y,r y : Other -f~~ Total: 1y23.3~x sy- '~~~g~z,~Z 5AC % SAC Units ~ • ~1~tI.~' s . . k~~"~~~~ ~IF'`~ ~ F33a~~~~3~si" ~ ~ ~'4fiz~~'~ s . ' ~q . g c,. `'c a'~°~h a ~a~ ~`a~ ~„~bi ~ ~ ~k', a~9 u." ai r~ H r ~ F~,°~.~.. £:3 s y . SUBA p~~ ~~g ~ s~~ ~z • ~ ~~.i~<. a . >.v...i',4 k x :kw.>..~u£.~'~",k? Yit ~`~7.?~.,h ~ e~ix~x.>.xaw.~x> 3~.g ~`~f~~~w i ~y ~ ~ ` _ . ..o.,.n. . w...{.a.n..,,. . ~...,~.<r.. . . ' 1994 MECHANICAL PERMIT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND CONDOS VVHEN PERMTTS ARE REQUIRED FOR F?~CH LT:~TIT. NEW CONSTRUCTION ADD-ON A/C ADD-ON FURNACE FIREPLACE INSERT DATE ~ I ~S ~ ~ ~ FEES HVAC: 0-100 M BTU ~ ~ ~~~~oX ~a04~3 $ Za.oo ADDITIONAL 50 M BTU 6.00 G~S ~ETI~~MI IIW~. 1~i$1-lul9m~~l`~~ ~ ~ l~flf-Pl'~` ~ 4-CXY\ ADD-ON/R~MOD L (EXISTING CONSTRUCTION) $ 20.00 STATE SURCHARGE .50 TOTAL 3~ ~5 O SITE ADDRESS: ~-I~D~~~6 5~ra~ rY'1, ~/lJ OWNER NAME: "~1(`{"~ 5 _ ~ TELEPI-30NE INSTALLER: VQ~aT NEATING 8 Alfl CONDff1~NINl: 3260 G~RNAM AUE. ADDRESS: ST LOUIS PARK. MN 55426 SALES 929-67E7 SERVICE 929-4011 CITY: STATE: ZIP CODE: TELEPHONE ~ u ~U~~iY1 ~ ~ ~ SIGNATURE OF PERMITTEE -t~ ' . ~ 3, . ~~e. '~~st`~` . ' x'~'g~ . . :x~~F'<x<c a c~i ~via l~~~ki~"~~~'~3£ t F 3Fy'~yy%"' S', i ~ s a. ~~n . > aa~"Y'N~y,~~ y~.."~m`K'` ~a„'r~e~'z,~r~{~~~w-~u'~ rr.'S~tF.rreusaw~,.e~+§~aex„s,.r~rE~i ~ /h Y"zs~.tya ~e i.r~~?~,~ ~S ~Ax~ 3 n ~ ;cs~ ~g~ t : r.;£ .~,~x~3~i ~^K r£~r:r~ax ~ ~ . r£~3i x rc ~n a r ~ ~ , ~ . ~~~p,s:.»N~L~...c~SN>~~~~..~~~~~~y'~~czw~n.£~A',~..~~.w.ew,.r~a.~.~~`i~;.¢a~.'.~~a.~~4.A°y$,~#~vk.~z~;.¢,aa2:L¢Y~~.~~~~ .~~w..~~~~, .,,..x. . 1994 MECHANICAL PERMTf (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO COMPLETE FOR A.° MEidT BL'II,DINCiS OR OTHER MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. DATE: ~ CONTRACT PRICE: $ NEW BUILDING INTERIOR IMPROVEMENT WORK DESCRIPTION: FEES 1% OF ~N~'k~,QG`;~ FEE $ PROCESSED PIPING: $25.00 MINIMUM FEE: $25.00 STATE SURCHARGE $.50 FOR EACH $1,000 OF pE~A+IIT FEE. TOTAL $ SITE ADDRESS: OWNER NAME: TELEPHONE TENANT NAME: (IMPROVEMENTS ONL1~ INSTALLER: ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE SIGNATURE OF PERMITTEE CTTY INSPECTOR "'r.'.'a:'~kMX<xG..~h~ik. ~~:Y~:<;,`Y' Ct Y.)"`p,95: -t CSTV t.)F ~"-~GFi:d L~`ii~:'~.CI~.!^.;' `ii T~F~~?tp4:f.i•.;PiL. ~'flr h'~ Iiq~iF". :!.i;;.'(J6: `:77 ~1~?~~ii?:,; ::.4;'1,iia ~.h. . ,i~ ~ ~ ~i~,~~:° SAP°:c:,e(i;~-L:I'.~!'i?1.;~:!_:~: Tp:r, ;3~1,~ o{)CIi. 4i;f~c? F.~T~2Fiil-(7r~ii i'4„'i'° p.,~~_; 9Cir'.i;. 4E:,~:,ii '?"tr.;;F;',~~"..r7 ,Sp , , _ ~ ~ - , ...:e:_C:=;.{..~ ili?O ~i'. r _ ~ i: (lf?!.Iii <i. ~i~'•=.F: J:1':. h.!AiJf;4• ,.uY>.~r~;!.~ ry%..i~~,:{C:. K ':.K-.~ti'(.} - .{r .~:Y.;,c~):p.~~F,^;:~ PERMIT . CITY OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road B U i L D I N ~ Eagan, Minnesota 55122-1897 Permit Num6er: 0 3 0 9 2 5 (612) 681-4675 Date Issued: 10 / 0 6/ 9 7 SITE ADDRESS: 4668 57RATFORD LANE LOT: 30 BLOCK: 5 WESTON HILLS 2ND P.I.N.: 10-83751-300-05 DESCRIPTION: :"`~v-,., (R00FING) @~uitd~n~~~Permit Type SP (MZSC.) ~Bu~iltling War,:k 7ype REPAIR , Censu.s Code 434 A'LT. RESIDENTIAL rd` ^ " ~ . . . . ~ ~ -.Y ~ ~ ~ ` I~?4, { .Y•~ ~ . Y~~ ~1j ~ f"L "`J,n\ "ur: t~:t ,.~'.r d,Y"':'t:^«::- ~ d f H j ~ E:'~l~'1li,~ii~i,~ S~ryd~t ~,~l~v~f~~~„~•-'~?• A~ ~F:. '+-..,L, ~ "7.,1 k ~4:.t' v~~~'~ `E ~z 7L.m., . r,...~ ~ f "'v^`~:ek`^-"_ REMARKS: FEE SUMMARY: VALUATION $3,000 Base Fee $74.75 Surcharge 51.50 Total Fee $76.25 CONTRACTOR: - Applicant - ST. ~IC OWNER: SAMPSON-LINDGREN 17215546 0003129 MORRIS JODY 2228 E 35TH ST 4668 STRATFORD LN MINNEAPOLIS MN 55407 EA6AN MN 55123 (612) 721-5546 (612)686-8141 I hereby acknowle,~ge that `T hav~e read~~~h.is a,PPlica~~ora ar~d` SCat~ tha~ Ckie. infiorrt[~tion i& cor~rect and agr~e to complY .'~i~CE~ appli:c~h~~ ~~ate +?fi M,n. L Statutes end City afi Eagan Ordinanc~s.' J ~ (uJ/1 ~ .~ll,~~ ~YI ~ APPLICANTlPERM E SIGNATURE - ISSUED B SI ATUR 1997 BUILDING PERMITAPPLICATION (RESIDENTIAL) '~~~'°2-'~ ciTr oF encaN 3830 PILOT KNOB RD - 55122 681-4675 New Construdion Reauirements RemodaVReoair Reeuirements ? 3 registered sfte surveys ? 2 copies of plan ? 2 copies of plans (inGuda beam & window sizes; poured fid. design; etc.) ? 2 site suneys (exterior adtliGons 8 dedcs) ? 1 enargy ealculations ? t energy calculations for heated adCitions ? 3 apies of tree preservation plan if lot platted after 7/1/93 required: _ Yes No ~ DATE: CONSTRUCTION COST: d~ D U DESCRIPTI~N OF WORK: R L~ o~ STREETADDRESS: ~b ~ ~ ~ rD/L-~ Li~/?G LOT ~ ~ BLOCK f _ SUBD./P.I.D. w~~~ ~ ~~~~A • PROPERTY Name: ~G3~ J ~ o/L-2 l~ Phone OWNER -~j/ StreetAddress: 7~~ G~ ~~~'~"~~~0` City: State: ~ Zip: ~ CONTRACTOR Company: ~s+? ~ or? G~ c,v~w-~Phone S3~ Street Address: ~ ~ 51` License 2 ~ Ciry:~{~ ( ~ State: ~ ~ Zip:SS~~ 7 ARCHITECTf Company: Phone ENGINEER Name: Registration Street Address: City: State: Zip: Sewer & water licer.~ed plumber (new consUuction only): . Penalty appiies when address change and lot change arc ~equested once permit is issued. I hereby acknowle~ge that I have read this application and state that the information is rrect nd agree to comply ith all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY Certificates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY ~ ~ 4~ BUILDING PERMIT TYPE ~r ? 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 o 08 8-piex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace n 21 Miscellaneous ? 05 SF Misc. 0 10 _-plex ? 15 Deck WORK TYPE ? 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Allowable) 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. Depth Footprint sq. ft. SAC Code Census Bldg Census Unit APPROVALS Planning Buiiding Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MC/WS SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit SMI Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units ~ B 5 v UBDI/ ~a~ ~.k~/~~ EW RECEIPT II a ECEIPT DATE 5 ? , 5~ ~_9~ ~ JOB out~x PLFJ~SE BE ADVISED THAT TF~RE IS A FEE SHORTAGE ON '1'}~ ABOYE ~ II.ECTRICAL I2STALLATION IN T}~ AMOUNT OF ~ ~O ' SHORTACE MUST BE PAID WHITHIN !4 DAYS. REMARI6 00 6~/- 0 to 30 amD. circuits= 31 to 100 amD. circuits= ~ /J ~ OCl - 0 to 100 amp service= 101 to 200 am . service= ~ G~ TOTAL FEE DUE= LESS FEE RECIEVED O O ~v / ~ TOTAT F F cHORTAGE DUE e L PERMIIf! Q a~J O ORIG. RECEIPTII l~jJ U RE~EIPT DATE J REIURN A COPY OF IHIS FORM WIIH REMITTAN~E. . • ~~1D ~ gdD~a o.oa 2D1~ RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pitot Knob Road, Eagan MN 55122 Telephooe # 651-675-5675 FAX # 651-675-5694 Ne.wcau9~on Rearvae~ RanodAl~au Remeiana~s otke use adv 3 re9~taed~s~e su~ys ~ uF ft oTkl. s4 R aFhase; apl ep mofed aws 2 c~pies of ~ shuwm9 faaNiAs• 6~r'.~ 1a~5 Cert fiStorey Powtl _ Y_ N (ZO%maim~wmbtmve~age~) isel~Ew9f'C~ulaE~nsiahe~edad~s TreePreaPlar~R~d _Y _N, 2oopi~ofplanslaWing6e~n8w'vMOws'ves:Panedfa~desigqelc. 1s~xsurveyiaadd'~6ans8~s heePresRe~ed _Y _N 1s~ofEnergyCakvl~Ons Addm'm-YdlpteBOrF~e~csysfem Onahs~Syslan _Y _N 3 c~es of Tree Preserrafion Flai iFlot plAOed ~ler 711193 Fam.lasl De~l oD~s selecdm sl~et (hud~~ r~ 3 m~ undsJ Mimegasco mechanical ventilffiion form Date ~ J~/~_ Cons[ruction Cost I~I ~ OO~~ SiteAddress ~`Q~__=~~~~)~([~ ~ Unit/Ste # Description ot Work ~C ' ~~JL Multi-Family BWg _ Y~j N Fireplace(s) _ 0 _ 1 _ 2 Properiy Owner £ ~ 1 5~ ~ Telephone # ( ~p~ ) ~ L' ~ UI ~ _4b Cont~actor ~ ~ ~Q Address . ` City ~ ~ ~l State M 1~/ Zip a Telephone #((0~ COMPLETE THIS AREA ONLY IF CONSTRUCTII~IG A NEYY BUILDING Energy Code Category - Minnesota Rules 167D Cate¢orv i _ M~nre~sota Rules 7672 . Reaidenlial VeMilation Categmy t NPorksl~eet • New Energy Code Waksheet (J submasion type) Submitled Submitted • Energy Fmelope Calculatirns Suhmittl.M In ihe last 12 months, has the City of Eagan issued a permit for a similar plan basetl on a master plonZ _ Y _ N If yes, date and address of master plan: Licensed Plumber Telephone J Mechanical Confractor Teiephone # ( ) Sewer/Water Contractor Telephone J I hereby apply for a ResidenUal Bnilding Permit and acknowledge that ihe information is complete and accurate; that the work will be in conformance with fhe 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 reyuires a review and approval of plans. ~~C~m~~e. ~~rnnscm ApplicarR's Printed Name A icant's Signature I , t ~7"~ ~'S~ CSY~fiI..Y ~Jy s~~v ~"s~~~~3~"$~j3:~3 r sa s. t r E. °"°~'S~xg,~~'~,~ : E F S': ~D4'~YS x r~ xfd s t h~: f 1 a¢a a'~ ~ Y•: ~i§k~ ~*,a~ R 3 lx.~. . ~ f t i ty~ ~ ~ s ' pl e.`~•c :sax~,~~E c~3 ~L~'~~~~~.~.t3,~'i' Easaec~~-~w•• ~ tfs3aa.fii~~ ~ 3 z 3 U~D . . .............,,.....5,...:::i..::~t.~>.a. R n.v.-z;~z3~?3.E.'~.:.::~;.s...s.. ~.,..4:L..wi<~....~1.~= _..,...,.u~. ~<...u.a...,...~ .4...z:~ , , , . . 1994 PLUMBING PERMTT (RESIDENTIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AiS~, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT. NO. FIXTURES EACH TOTAL SHOWER 3.00 3 . ~b ~ WATER CLOSET 3.00 (c • 00 BATH TUB 3.00 3• oc"~ 3 LAVATORY 3.00 9 - ~ ~ KITCHEN SINK 3.00 • po 1 LAUNDRY TRAY 3.00 3-~ HOT TUB/SPA 3.00 r.~-~ ~ WATER HEATER 3.00 3-~ ~ FLOOR DRAIN 3.00 3 - ~ GAS PIPING OLTTLET • m~nimum • t 3.00 3- 67~ T ROUGH OPENINGS 1.50 • s~ WATER SOFTENER 5.00 PRIVATE DISP. • Dak.Cry.lic. LO.OO U.G. SPRINKLER • nome under consi. 3.00 ALTERATIONS • ~o «~:ung 20.00 WATER TURN AROUND 20.00 STATE SURCHARGE .50 TOTAL: ~F - SITE ADDRESS:_ ~lD~og ST~a~-~v~ OWNER NAME: ~~"7Y~O~l~ ~OYY~ INSTALLER: 't' ~ l ~ ~Y~'t~- ~ l YLUL~ t Y~4, ADDRESS: ~o~ Dq ~J 1,n nn J~`~a ~ CITY:_J'd' 1,6U IL~ i~~y) P~- STAT'E: f T 1~-~ ZIP CODE: 55 y d~ PHONE ( ~ 53~- y-3S1 V 1,~V1.le~-~-- 1 I.t~l~.~ SIGNATURE OF PERMITTEE \ ~j y ~ ¢ ~'X' ~SS~ ~!I~.Y ~ , 1J` ~L ~~"~"S F..~ Yl~`,~'#W e0.~YV.u9 ~'Y'S d tZ . S)6 LT~ C /i f . S W ar 3~H~.~„~'~„.~ .;3qT~,EZTM'~~ ati ..P 3~x 0~ ie c~~ ,rc zc: . E at . ~~ta ,eS S~S3`i) s S ~ ~ ~~.?nL ~ Y'r 4 a.~'fi ,c ~.z '`x o-s . s Y ' i~ F? r'w.n zx~k'c v: ~'i ~ S~' '~£~s"W'°~ yc3a. s P`v°3 s'£ °'~Fa ~ i~ ~s s 3~ y s k e i ~L. '~.'..'o..s..~..~x,Rw,~,,...~g'fux S.z~.~`P~~„'4^x~ l a~Y.irsn~ i`]~x.4 s n:3s~. t¢ :s ' . s ~ rc.wr.~.i i~'a' .<.~«~u, ~,.na~,n,..,.v> .,.«~e...r~a ..zxv..~.wxsw~'."s.~'«£e..r..R.A.a 1994 PLUMBING PERMIT (COMMERCIAL) CITY OF EAGAN 3830 PILOT KNOB RD EAGAN MN 55122 (612) 681-4675 PLEASE COMPLETE FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI- FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. _ NEW CONSTRUCTION ADD ON REPAIR WORK DESCRIPTION: CONTRACT PRICE: $ Fi3C: 1% OF CONTRACT FEE. STATG SURCHARGE: $.50 FOR EACH $1,000 OF P~ItMi'f FEE. D1INI111UD4 FE& $ 25.00 COI~'TRACT PRICE X 1% $ STATE SURCHARGE $ TOTAL $ SITE ADDRESS: TENANT NAME: STE. # OWNER NAME: INSTALLER: ADDRESS: CITY: STA1'E: ZIP CODE: PHONE FOR: CITY OF EAGAN APPLICANT RESIDENTIAL BUILDING PERMIT APPLICATION ~(,1 r l CITY OF EAGAN O_~~ ~"7 i 3830 PILOT KNOB RD - 55122 n 651-681-4675 `_._X~~--~ New Construction Reauirements RemodellRenair Reouirements - I~- Q r . 3 registered sile surveys showing sq, ft. of lot, sq, k. of house; and all rookd areas • 2 copies of plan (20 % maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions • 2 copies of plan showing beam & window sizes; poured found desgn, etc.) . 1 site survey for extenor addi~ions & dacks . 1 set of Energy Calculations . ~ndicate if home served 6y septic system for addilions . 3 copies of Tree Preservation Plan if lot platted after 7!1l93 • Rim Joist Detail Options seleclion sheel (bldgs wifh 3 orless units) ~ DATE 2- I~`6 ~ C~~ ~v VALUATION (EXCIUDING LAND) ~r~ JOB SITE ADDRESS 6~~5 ~ 1 R~ ~~=~~C7'~v v IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~ ~'~J S~ ~ ~ TYPE OF IAIORK \ N~ S FIREPLACE(S) _0 _1 _2 _3 APPLICANT R~A`~~G. 0~. I~C- ~~y~~z~ PHONE# ~DS~ 71~E S'~7~~ ADDRESS ~e ~7~?' ~~0~- P~-e' ZIPCODE ~~Z'S PAGER # CELL PHONE # ~ FAX # ~PS 1 ? 1 `4 ~e 3 b NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy code Category _ MINNESOTA RUI.FS 7670 CATEGORY 1 (check one) - Residential Ventilation Category t Worksheet Submitted - Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: Water Softener Lawn Sprinkler Ia'ee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: Air Conclitioning I'ee: $70.00 HeaL Recovery System Sewer/Water Contractor: Phone # All abova information must be submitted prior to processing of application. I hereby acknowledge thot I have read this application, state that the information is corre ,~q~~~ q~~ ith all applicable State of MinnesoTa Statutes and City of Eagan Ordinance . D Signature of Applicant Certificates of Survey Received _ Tree Preseroation Pian ceived _ By Updated 1l01 OFFICE USE ONLY ? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? ~8 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 6ct. Alt - SF ? ~4 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 1 D-plex ~ 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ~ 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 WindowslDOOrs ? 34 Replacement *Demolition (Entire Bidg only) - Give PCA Yianii6ut to applicant Valuation o2000 ~ Occupancy NIC/ES System " Cen~us Code ~`3 - 7_onina C;ity Wa_ter ' SAC Units ~ Stories Booster Pump . Nbr. of Units j Sq. Ft. PRV , Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const .5'`~ Width REQUIRED INSPECTIONS _ Footings(new bldg) FinaVC.O. _ Footings (deck) FinaVNo C.O. _ Footings (addition) Plumbing _ Foundarion HVAC Drain Tile • ~ Roof _ Ice & Water _ Final - Other - - - Franung Pool Ftgs Air/Gas Tes[s Final Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone ~ Insulation _ Windows (new/replacement) Approved By~_, Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ; ~ ~ RESIDENTIAL ~~53 ~ BUILDING PERMIT APPLICATION CITY OF EAGAN ~ 1771 fV~ 3830 PILOT KNOB RD - 55722 I U W ~ ~ 651-687-4675 ~SSnciP c' 2 J` NewConstruclionReauiremeMS RemodeUReoalrReauirements D J'Uj • 3 regrstered site surveys showing sq. 8. of IoL sq. ft. of Iwuse; and all roofed areas • 2 copies of plan (2~% ma~cimum lot coverage allowed) . 1 set of Eneigy Calculations tor heated addNons . 2 copies of plan showing beam & window sizes; poured found design, elc.) . 1 stte survey for e~cterior additions 8 decks • 1 sel of Energy Cakulations . Indicate if home served by septic system for addi6ons • 3 copies o(Tree PreservaUOn Plan'rf lat platled afler 111143 • Rim Jaist ~eta~ Options selection sheet (ddgs wilh 3 or less uniLs) v DATE ~U / VALUATION ~a00 ~ JOB SITE ADpRESS~~L ~ r~ ST~A/~~~~v L~.1-M/~ IF MULTI-FAMILY BUILDING, HOW MANY UNITS? PROPERTY OWNER ~P~~~ ~G//~~ .S/~DC ~O~ TYPE OF WORK~~ i~GLC ,A~.t~ l,T-/O~J FIREPLACE(S) _ 0_ 1_ 2 APPLICANT ~65~/f ~ Ck ~/~oon ro _ JNC PHONE# 612'~~' ADDRESS 3 z- .~J G~.~~ dU` - ZIP CODE -~~~d 7 7 PAGER # CELL PHONE # Gl2- ~~o` ~s~~ FAX # 1~Z'~~~ 3~0~ NE11' RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category MINNESOTA RULES 7670 CA'TEGORY 1 (check one) - Residential Ventilation Category 1 Worksheet r~n ~ - Energy Envelope Calculations Submitted D U ~ MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone BY Plumbing SysCem Includes: Water Softener Iawn Spru~kler ree: $90.00 _ Water Heater No. of R.I. Baths _ No. of Baths Mechanical Conhactor: Phone # Mechanical System Includex _ Air Conditioning Fee: $70.00 _ Heat Recovery Systcm Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~ Signature of Applicard ~ Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 1/01 , OFFICE USE ONLY ~ O 01 FoundaGon ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 E~ct. Alt - Miul;i ? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 08-plax ~ 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex ? 12 12-plex Plbg_Y or _ N ~ 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors ? 34 Replacement •Demolition (Entire Bldg anly) - Give PCA handout to applicant Valuation ~ 0/~O Q~ Occupancy ~ MC/ES System Census Code ~2.~ Zoning /l~ City Water SAC Units ~L Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Xl W idth REQUIRED INSPECTIONS Footings (new bldg) FinaUC.O. ~jj Footings (deck) ~ FinaUNo C.O. _ Footings (addirion) _ Plumbing _ Foundation HVAC Drain Tile Roof Ice & Water Fina7 Other _ Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone _ Insularion _ Windows (new/replacement) Approved By ~ , 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 City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use, f Permit #: IL1L OD Permit Fee: Date Received: q I1(p /13 Staff: 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: -AC-(3 Site Address: q v S�-�4 tcC LA Unit #: Resident/ Owner Name: 4.11 S4-,2- Yr► fQ cv� l i Phone: Address / City / Zip: Applicant is: Owner )C Contractor Type of Work Description of work:.. cCDOC / �ti 2S "c,, Construction Cost: / Sp c/T6 • 0 0 Multi -Family Building: (Yes / No )C ) Contractor Company r' "Old I '4-_ .� . ■ a _ ontact: k.. i t.- -(- Address: // 7)a .rill k ---,-L vb14-41-e£. i e _S City: b - l b4 -1A 0 State: MIA) Zip: 3 6 3g 7 Phone: ci 5-3 - c::24(3 —37 % License #: j 6 7 947 / 1' Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. x I t / e.rt.tl✓1 Applicant's Printed Name Applicant's Signature Page 1 of 3 r City of Eaaan Date: 1 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 OF r Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: �p-0d Date Received: Staff: I Jr) 4'1(0 IAC) 2015 RESIDENTIAL PLUMBING PERMIT APPLICATION Ztel l Site Address: 4/6.7 S---h-cd-- Tenant: w Tenant: (Lt • n n f tt,, � < Name: ..)Lci Y7 �� CtiS-.( Phone: Address / City / Zip: v. � ' a� --- qi = iCi or ^8d Name: License #: Address: City: State: Zip: Phone: Contact: Email: _ New Replacement Repair Rebuild Modify Space Work, in R.O.W. _ _ _ f ` Description of work: 4' �ct.c t' S 1'v -'l {'fie' , C � tom. t „S c fi RESIDENTIAL Water Heater Water Softener 0 Lawn Irrigation ( RPZ / PVB)(� �tDor- c� 7v Add Plumbing Fixtures ( Main / Lower Level) _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $60.00 Water Heater, $60.00 Lawn Irrigation $60.00 Add Plumbing Fixtures, *Water Turnaround $115.00 Septic System Water Softener, or Water Heater and Softener (includes State Surcharge) Turnaround* (includes State Surcharge) TOTAL FEES $ (includes State Surcharge) Septic System Abandonment, Water (add $280.00 if a 3/4" meter is required) New (includes County fee and State Surcharge) CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 • of to start without a permit; that the work will be in accordance with the approved pl• the case of work which requires a review and approval s. Applicant's Printed Name x Applicant's Signatur City of Eaaari 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink / For Office Use /,j� I ,( Permit #: /` /� 61 Permit Fee: -/ Date Received: Staff: 2016 RESIDENTIAL BUILDING PERMIT APPLICATION Date: /0 ,26"/ (P Site Address: LA's � Unit #: Resident/ Owner Sr Phone: 6S-7 3 `i .i Address / City / Zip: 7�`(c� Applicant is: 2' Owner Contractor Description of work: C 1 u_ Yu -c- r Construction Cost:) Multi -Family Building: (Yes Nom ) Company: Contact: Address: City: 1 State: Zip: Phone: Email: License #: Lead Certificate #: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Phone: Phone: Sewer & Water Contractor: Phone: Fire Suppression Contractor: Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that the are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 appro -1 of plans. Exterior work authorized by a building permit issued in accordance with the Minn dayrmit issuance. oS 414 n -e ct/S? x Applicant's Printed Name State Building Code must be completed within 180 licant's Signature Page 1 of 3 DO NOT WRITE BELOW THIS LINE SUB TYPES Foundation Fireplace Porch (3 -Season) Exterior Alteration (Single Family) Single Family Garage Porch (4 -Season) Exterior Alteration (Multi) Multi Deck Porch (Screen/Gazebo/Pergola) Miscellaneous 01 of _ Plex Lower Level Pool Accessory Building WORK TYPES New Addition \f, Alteration Replace Retaining Wall DESCRIPTION Valuation Plan Review (25% 100%) Census Code # of Units # of Buildings Type of Construction Iii r?© 5�-uwr Ir Interior Improvement Siding Demolish Building* Move Building Reroof Demolish Interior Fire Repair Windows Demolish Foundation Repair Egress Window Water Damage *Demolition of entire building — give PCA handout to applicant oo� UI, Occupancy Code Edition Zoning Stories Square Feet Length Width o/2 -e7 (5- MCES System SAC Units City Water Booster Pump PRV Fire Suppression Required REQUIRED INSPECTIONS Footings (New Building) Meter Size: Footings (Deck) Final / C.O. Required Footings (Addition) )c1 Final / No C.O. Required Foundation Foundation Before Backfill HVAC Gas Service Test Gas Line Air Test Roof: _Ice & Water _Final Pool: _Footings Air/Gas Tests Final Framing 30 Minutes 1 Hour Drain Tile Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick _ EFIS Insulation Windows Sheathing Retaining Wall: _ Footings _ Backfill _ Final Sheetrock Radon Control Fire Walls Fire Suppression: _Rough In _Final Braced Walls Erosion Control )C. Shower Pan Other: Reviewed By: 1 ` , 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