4658 Stonecliffe Dr m~zm~mm~mm~~wz~w~~~w~~~u.r•<~r~~:~:~m~zmm*~~~m>s~~~
c:cYV oF ~~~rnr~
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r
; ; ~00~~ BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EACAN
r / ~ ~ 3830 PILOT KNOB RD - 55122 ~o U -
651-681-4875 l - 2-f~-C)C~
RertatleUReoalr ReaAremenfs
D ~ reylslered slte wneys showlnp tq. R. of bt. W. 8. W house 2 coplea of plan
and ~ roOletl ar6as CJ~;S rta~lmum bt careraae allowedl 1 set Of eneryy eWarlaMOns /or healeC addHlarn
D 2 coplea of plana fshow beam R wlrWpw aizes: pouretl hW. dealpn; eMJ 1 Yh wrveY Iw exteAor additlons ~ tlecks
a 1 zet a enerpy emcWamoiu
> ~ capi9a of 1ree Pretervatlon plan if IOt Plalfetl ofler 7/1/9~
~6
DAiE: I~ Zc~ OU CONSiRUCTION COST:
DESCRIPTION OF WORIC ~~c~ A/J/>! i/~n/
SiREET ADDRESS: ~ S~ ron! G G '/v/v
~or: 3'~
~ BLOCK: ~ SUBD./P.I.D. A: 'CJ`A~-
Name:__ ~ r/~ I/1.81 , ~J6'12/xs~ ~ J~.97'l/ Phone / 7 ~ 7
PROPERTY tast Rrat
OWNER
Sheet Address: S7on//zCL i~/` Z~.+~~l~iC
C~ty 1= AG' ~n/ Srate: 11~in/ z~p: ..SS /a.. Z
GG
companr•'~~i'.~ /,7i~ cl~ lJoo~ ~m ~i~~ Pnone:: ~~L -~r~ro - J~ i~
(area eode)
CONiRACTOR
Sheet Address: //6~31- ~Gll~y AUlz UCense # S`~~ExP, 3}i o~
CMy 1/i!//fz/~~a'i//2 /~/.~'lc.~T.I StCte: l~/~./ ZIp: S3 677
ARCHITECT/
ENGINEER Company: Name:
Telephone i: ( )
Sheet Address: ReglshaBon M:
CMy State: Lp:
Sewer/water licensed plumber (N Installina sawer/waterl: Phone
1 heteby ackrawledpe thaf I have read this applicafbn. state ttwl lhe 6ilonrwMon is cortect~ aW a~ee to comply wNh ap aPPp~ble Sfale
W t~Ainnesota Stalutes and CiFy of Eagan Ordirwnces.
' Signalure of Applicant 1~~~c~l~9,r ~ /
~
OFFICE USE ONLY
Certificates af Survey Received ~ Yes _ No ' ~ 5
Tree Preservation Plan Received _ Yes _ No _ Not Required
~
OFFICE USE ONLY ~ ~ 7` ;
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex O 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multl
O 02 SF Dwelling p 08 p6-plex ? 7 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 03 01 of_ plex O 09 07-plex ~8 Deck ? 23 PorGh (screened) O 36 MuIG
? 04 02-plex p 10 OS-plex 0 19 Lower Level p 24 Stortn Damage
O 05 03plex p 11 10-piex aicp Yo~_N ? 25 Miscellaneous
? O6 04-p~x ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New 0 36 Move Bldg. O 43 Reroof
iE~ 32 Addition ? 37 Demolish (Bldg)" ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) 0 45 Fire Repair ~
? 34 Repair O 42 Demolish (Foundation} ~ 46 Windows/Doors
` Give PCA handout W applicant for demolition permit
GENERAL INFORMATION
SAC Code o ~ # of Stories sq. ft.
No. of Units I Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code y3 y
(Aliowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? StuccolStone
APPROVALS
Planning Building ~ry Engineering Variance
Permit Fee 0 Valuation: $ 1. ~CJ~i.
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
~
Treatment PI.
Park Ded. t
Traits Ded.
Other
Copies
TotaL• ~j , 5 0
SAC Units
% SAC
1~
~ d,,,~ r.rf• , _
L~ J,,.~,~;~ ' :'r"
~
,
Sl1C{a ,
riil~.P'.'.~ ' ' .
~„_.,:i,~•~•
i .c'pi3W i ~ . .
I
~ _ _ -
I a~ ~
HO USE'
i ~Q ~ea~"^~~ 3F~1;yi'+'~Cut:uY,.~,.,,:wn;.~ , i
/ u!3JwQ~t~'ii~t~i~"~i+, ~ .
p _p~f-
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1
A T~ L~ _.~"l~e~ L.'A~M ~
~~~~OL~~v~4-;,_
9~ , ,s•- • i
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~ _ 1'~ .U(3
~ i
en ~r~nn~~,~~~:
~ ___~._e! L,~x ,
A
o._~ .
e'- '
A
A=16
H=16
FROST FDOTING c=t6 ,
?=l6
~,HECKING TO HE 5/4 X 6 CE?AR SELECT ?EX APPLIE? D[AGONALLY
~ ALL RAILS MEET OR E%CEED UHC REfiUIREMENTS FOR 1998 < 4' OC PICKETS 42' DEEP
~JOISTS PRE 2X10 TREATED 1fi' D.G .40 RET SYP >t3`-3' °~s~o°Oa~r~mma v im ixw v BASE AS REOUIRED S M~, q I
~~o,R ~arvmw 6X6 POST
'~H AMS ARE 2-2%SU TREATm NAILE? CONCRETE BASE
~ C~R IS fLRSHE? RND LAG BOLTE? AT HOIJSE
rvo <z~ LAG B~LT 3/B' X 4' 16 O.C. TEIE DBCK ~ DOOR COAIPANY INC. I
~.~YST HANGERS ARE SIZE? ANO NAILE? RS REOUIREO Hr HEIDENREICH
~
/P~S7S ARE 6%6 TREATED CCA ,6U RET 3CALa: KLEFSAAS
?TAIRS MEET OR EXCEED 1998 UBC REOUIRqENTS 8' NA% RISE 3 1e~'~~ 4658 STONECLIFFE DR
~ ~ . ~
~
~,~v LEGEND ~~-w
s~-~. Ji.S
/ S~ s0 ua~o,ES sM,R,,RY ~ru~aiaF
60 v ~ uoao~s ?+mwurr
~r n~o~s cn~ B~sN
3q S DFNO7ES SANITARY SEWER
W DENOIES WATERMAW
S84~10,15"E ST oao~s sTOw~ s~ ~
~ 189. ~ oaro~s sTOr~r ?~urHO~ ~
.
~X~926.a> X~92a.a~ EMERGENCY OyERF~ 5-~ ^ oorohs sraRU n~oN ~
~ 926.9 X(927J)54.SZ x~922.0) x(920.0) x~918.0) x~910W ` SE7BACKS ~.~i.~° ~
X(914.0 ~ ~ n
j 925.7% I~ 12.0) g~~u
~ ~ i19. X MIN. FRONT YARO SETBAqC = 3p' Zh ~
I ~ ~~~g 27 ~AI~'~9o8p MIN. SIDE YARD 5ET9ACK = fYr "
~ ~ ~ ~ x ez~.i ~ ~ ~ o:
_ ~ \ ~ x~sos ~ 5' GARAGE, 10' DWEWNG ~ ~
a? ~ ~ a
Q V 0 / , ^ ~ ' \ ~ 1 x • , 1~ •
\T `
~ WW ~ ~ ' -e. . 915J 911.Sx ',O ~ ~
~ ~ ~ N ao ^ ryo~ ~g ~ x ~ 'Z (eoa.a) ~s~ ~ ~a
~ 042~5~ ~ 4 ~ 919.8 fT N ~ H
N O / tSe ~
~ Ds6 ~ g5 9v.zk ~ ° ~ ~
~ 917 ~ ~ $
O ~ o; w a r ~ tn . - U~! S
~ ~ + ~y j /
x 3~
. ~ i/~ / a~ 14.42 922.4 1 ~ / 907.6 ` ' „ ~ a~~~~ 89
; / ' ii.3.8 i ~ ~ ~ X ezi a ~ ~ (eoa.s) - ~
~
szs.z f~ ~ ~?o ~~!i/~~Z ~co sz~s 1 sz, ~ ` 9~e.s.~ ~ `'3,. t~
/ ~~y x „ ~ DRAINAGE de UTILITY
/ a~j ~5.~~ r , qp"~ E. ~ EASEMENT ^rq~^~",_..'.^: - . _ `~+a ocs`~
9 k X g9 94y g ~\$g
+j1 9~ sza.o x ~ ~ }
~ X
5~
~ ~~~p ~ 9 7 9) ' 65 ~ , 02~~ ~
~~.eKOO ~ ~ of Foundation ~evaH~
5 28.83 ? O `
\ ~ Q, ra9e Floor EJwwattion~ N~~ z
~ ~ 927.8 N 1 2 ~ed Larsat Floor ~evpljp~la 919.83
O ~ ~ Z~cp 56 Lowest Alb~rable Floor ~evatton~ 907.7 i.r ~
~~S ~ W~ . ~
s2~.e ~ 't~ v, Yp' L ~ Danotes Iron Monumait a F., ~ il
+ 910.0 Dsnotes Exieting pevcNon a
~ o +(910.0) Denotas F 4 l A
~P~d ~evatan
~ tn Denotes ~INroctlon of Surtoce a Z U a
y 9 1 0.
0 p~o t
e
s S
an i t
o SeMrer ~ a
~ ~ ~ rt~ . ~ /.S 2 3 `r aevatrw, Servi`° U
\ no,ar ~oJ. ~ "~~,1 I hereby cs~ify the{ this is a true and oorroct repreesntation
~ t~ of a survey of ths boundartes of:
~G, _ LOT 1. BLOCK 2. PWE7REE PASS 3RD ADDfTfpN
\ Q ~ DAKOTA OOUMY, MINNfSOTA pR~
Md the looation ot all buildinge. if arry. thsroon. and all vtsibie
9~ encroachmenb, if anY~ from or on sald land. As aurveyed by CHEpCm
me thie 21et day of ?il, t . ~G
\ ` . k~.l~~.~° -
~ 3-31 99
6ary R. Germond SCALE
Licenaed Land Surveyor, Minn. Lic. No. 24764
JOB N0.
. 3402-488
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s
, ` l.Q99 BUILDING PERMIT APPLICATION (RESIDENTIAL)
, ' CITY OF EAGAN
- J-~ 3830 PII.OT KNOB RD - 55122 1 9~
~ ~ (651) 681-467b ~ ~ ~ ~ 3g~ 1
New Construction Reaviroments RemodeVReoair Requirements ~~C„~~ 4 ~o
? 3 registered site surveys ? 2 wpies of plan
? 2 copies of plans (include beam & window sizes; poured tnd. design; etc.) ? 1 sde surveys (exterior additions & decks)
? 7 energy calculations ? 1 energy calculations for heated additions
? 3 copies of trea preservation plan if lot plalted after 7/1/93
required: s N
DATE: ` CONSTRUCTION COST: ~~rZi
DESCRIPTION OF WORK: ~ /
STREET ADDRESS: V~
LOT: BLOCK:
/ ~ SUBD./P.I.D.
Name: Phone
PROPERTY Last F'vst
OWNER
Street Address:_ fi' J '
City State: Zip:
Company: Phone ~ -
CONTRACTOR C
Street Address: G License #~`7 Exp. ~
City State: Zip: ~
ARCHITECT/
ENGINEER Company: Phone q:
Name: Registration
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only):G,.. p~'~ Penalty applies when address
change and lot change is requested once permit is issued. ~ y~~_ ~ g,~
I h~reby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable
S~.ta of Minnesota Statutes and Ciry of Eagan Ordinances. ?
~ Signature of Applicant: ~~D/I~~/Y1~
~ f : :_I ~ ~ ' ' ;
OFFICE USE ONLY ~
i•i G ~ , i
Certificates of Survey Received _~es _ No J
i,
~.i
Tree Preservation Plan Received _ Yes ~o _ Not Required
n
l
OFFICE USE ONLY ~ ~ . ~
BUILOING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
~ 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
~ 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. . Census Code l_~_
(Allowable) ~Z N Main level sq. ft. G~' SAC Code
UBC Occupancy ~~u-I sq. ft. 7~~ Census Units
Zoning rz/ sq. ft.9o r Census Bldg /
# of Stories ~l sq. ft. MC/ES System ~
~ength ~`(,1 sq. ft. City Water
Width Footprint sq. ft. ~ Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
004
Permit Fee Valuation:
Surcharge QsY ~ ~y~e x oc~
Plan Review = Z~ q~-~
License l'~4ih 76G/7C S~/ve > ~ p~,~Sl~
MC/ES SAC ?M ~ ~ ,~t~ o -
c~~ysac ~u~° Gg~ x ` l ~a ~~o
Water Conn: ~
Water Meter
Acct. Deposit
S/W Permit
SNV Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies ~ •
Total: `
% SAC
SAC Units
. ~
,
~~~~r~~~cr~
;
EXTERIOR EPIVELOPE AVERAGE U COMPUTATION
COFISIRUCIION . ~ ~
INC. • e
Site Address y ~ ~ .Lot /Qloc~
- - ~
R & U Factors p (1 ~
Opaque Walls .043
!135 E. WayiMa Illvd.
w.~,~~~~ Wall Frami~g Areas ,p9
Mhuariola55791 Ceiling Insluatlon Area _~g' • b~,
(012~~I7J I271 Cei 1 i ng Frami ng Area g~'r
Rim Joist ,pq
Masonry Wall _ yg" • 0~
Wi ndows , ~J'fG/
Doors .31
5kylights .55
,
1) Lower Level (dasement)
Total Exposed Wall Area
Opaque Wall Area' ~~iQ'j % (U) .043 ~
Wood Frame Area ~~.Q. X (U) .09 = ~].~f
Rim ~aist ~'~Q ~X (U) .04 = (,P•~
. OP> . „
Exposed elock S~•° X (U) ,.1~J2 = -l "
Window Area ~r'~.~X (U) .35 = tZ•~
Sliding Glass Door ~ X(~U) .35 = ~
Door Area. / X (U) .31 = ~
Total ~ ~
~
. ~o~.~~.u~ C~
~
t~~~~~~~n
2} First Or~Main Floor
Cql ISIRUCIION ' ~ ~ . G~
Total Exposed Wall Area ~
IIJC
Opaque Wal l Rrea ~(~~.~X (U) .043
lJood f'rame Area l?• X(~} .04 =~T
Rim Joist i tq'~•~X (U) .04 = ~•a
Window Area , X (U) .35 = ~p~.4'
oa~ i:. w,Y:,i, oi~d.
w;,~,~~~ S1lding Glass Door ~0 X(U) .35 = I~'~
Miinu:s~da55191 Door 11rea ~~a X (U~ .31 ~ , I • ,
-k a
(fi12~47J l2:fl To la 1 ~~,Q~
• `
3) Second Floor If Two SLory
Total Exposed IJall Area ~~j(p~
Opa~ue Wal l Area 1'~~=j`~
. X(U) .043 ~
Wood Frame Area ~ x(U) .09 = ~ l~ • u
WI ndow Area 1 ~ •~'X (U) .35 = ~j'
~
. ~
Sliding Glass poor / X (U) .35 = /
Door Area / X (U) .31 = f
Total
A) Total Ceiling llrea o~
Wood Frame Area _1g~j_~X (U) „~7 = ~•g
Opaque Ce111ng Area ~`Qf (U) Q~2~
Skyliglit f X (IJ) ,55 =
Total ~'1,.•~
. . - ~ ~o~.~~u- U
- ~ : . .
Lt~f1DGREf1
~~a~. ~
cor~siaucnoN '
I o~
iNC. MINNESOTA ~ FACTORS Total Exposed Wall Area ~QJ' X.11
MtNNE50TA U FACTORS Total Exposed Ceiling ~
Area X ..026 =
(A) Total • _ ~2.~
~.15 C Way:ali Dlvd.
wml~~~ I tem 1~~ + I tem 2 ~ t0~ I tem 3~Zt.Q I tem 4~_ ~~Q'
Mimrsnla 55391
(GI2N73-1231
[f Total Of Items 1-4 Is Less Than Item (A), Buildiny Complies With
SBC 6006 (C)s
.
. ' l0T SURVEY CHECKLIST fOR RESIDENTIAL
B111L01NG PERMIT APPLICAT N
PROPERTY LEGAL ~ , ~ ~ ~
U DATE OF SURVEY' ~ c/
~4 m LATEST REVISION:
y N
~]a >
~ U ~
m a d DOCUMENTSTANDAR~S
a, Qn n
N
~
¢ z° g
? • Registered Land Surveyor signature and company
~ ? ? • Building Permit Applicant
o'"~ ? ? • ~egal description
~ ? • Address
a~ u • North arrow and scale
0 0? • House type (rembler, walkou4 sp~'d w/o, splR entry, loakout, etc.j
'~~o ~ • Directional drainage arrows with slopeJgredient °.6
o~'u o • Proposed/e~dsting sewer and water services & invert elevation '
~ ~ • Sveetname
a~'o o . Driveway
y o • Lot Square Foota9e
• LotCoverege
ELEVATIONS
Existina
~ • Sewer service (or Proposed)
y c ? . Property comers
• Top of curb at the driveway
• Elevations of any epsting adjacent homes
Prooosed
~o ~ • Garagefloor
? a • First floor
7' c? . Lowest exposed elevation (vralkouVwindow)
~ ? ? • Praperty comers
e- • Front and rear of home at the foundation
PONDING AREA (if aooRcadel
o ~o • E~ement line
a ~ ? • NWL
? • HWL
? ~o • Pond # designatlon
? e% • Emergency Ovefiow Elevation
DIMENSIONS
~o ? • Lot Iin~IBearings 8 d~mensions
r.~o ? • Rightof-way and street wid~ (to back of cur6)
ra~a ? • Propased home dmensiorre i~dudng any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanentfootings)
? • Show all easements of record and any Cily uG6fies within those easemenCs
~a ? • Setbacks of proposed structure and sideyard set6ack of adjacent ebsting structures
? p~ • Retaining waU requirements, if any
~ ~ ~
Reviewed:
e ~ te
March t9B9
ca~ic19~0ovRe~r FlA .
/ REVISIONS BY
/s' ~ ~ ~
LEGEND ~zf,~
0
~ p OO DENOTES SANITARY MANHd.E
~ DENOiES ITYDRANT
6~ ~ DEN01E5 CATdi BA9N
S OENOTES SAMTARY SEWER
34 w DENOTES WAIERMAIN ,
$84 ~ 10'1 S"E ST Da0~5 S1oRM ~ ~7~
~ ~ DENOTES STORM MANHOLE ~ ~i ~
~ EMERG ` 189•59 ^ DfNOiES STORM APRON a
~X(926.0) x~9z,.a~ ENCY pyERF ~ ~
( "~9zz_°~ xrezoo> ~ x ~~7w ~ 1- SETBACKS
t ~s~s o, X s,e.o,
~ 926.9 x 9v 3 g4.52 (976.0 X(914 0 ~ s
j szs., x s~z o) x s,~ o MIN. FRONT Y
A R D S E
T B A C K = 3 0' ~ 1
D-J' ~ D 10.6 ~ 1i9•27 TF'q~Lx1(soao~ MIN. SIDE YARD SETBACK = 5' 6ARAGE, 10' DWEWNG W~
~ w N f~ xsz~.i`~ o.o SX~9ps.o~ ~s
o vo /J 7. 7`--_. x ~ t~
W09 ~ ~ 1 n ~ X 91 Z 411.5x ~3~ ~ ffi
~ V N~ 921 0 x ' ~ (908 3) ~ ~~c~
~ ~ ~ N ~N ' `y ow ~ ^920.3 919.8 l v~ , ~
1 o4'L~5 rn a `o ~ NN , ,~0 ~s., ~
11 ~ a6 5 sz~.`z~ ~ t p N / ~ V2 ~
W ` D Z16s~7.5 ' 4 ~ ~ `W ~ / x ' >~`°as g~i
~ 10~ a ta.a l ~ 9 07. 6 ~
1~' i r:~ n. r
~I /~r~v/ i (~p 2 922 4 ~
/r~ ~F X 8~4..9 v~~. ~ ~ H
F, ~ X V ~ )
i ~ ~i v~3.8 f~ ~ = e2i_s szi ~ ~ ~ _T~_~~ _ / ~ `~r
, ~ %
% 'c;' ~ ~ sas.e~ , ' . vc
szs 2 ~ , ' / 2 <ap 7. ez~ s ~ ~ DRAINAGE & UTiLITY ~ ,.r H'~ i '~^~•-r"]1~;~~FT~.~~~~;
~
<N x ~ ~--f EASEMENT
?l 1 3j~pS
%~~N oAA
~ X 22 - N999~y 9 ~ \18g~5
.y1 ~ eZS.o~ ~ Z' ~ UI
~ X 921"~~ ~r BENqiAIARK Propoeed Top of Foundation ~evation= 928.83 ~ ~ F
/ Z'j, , 2°~ ei.ev = ssa.oo Proposed Garage Floor Elevation~ 928.5 U
\ ~p ~ 9~ s~ 65' p ar ~ Proposed Loweat Floo~ ~evatian= 919.93 ~
~ ~~I 927.8 y~ y~ 56~ 2 Loweat Allowable Floor Devattone 907.7 ~ z
O ~ j~ WN ~ W
/J ~3 ~ o+~ o Danotas iron Monument ~ ~ ~ E-' ~i
~ ~ ~ r + sio.o Denotes Exieting Elevotion ~ ~ ~ ~
92~_6 N i +(910.0) Denotea Propoaed Oevotion U Z
~ o a'+ Denotea Direction of Surtace ri ~ Z C~ a
'~i Drolrtage ~ G. ~ ~
/ ,0 ~ 910.D Denotes Sanitary Sewer Servtce 4J a
~ ~ ~ ~ ~ r~t..~ , ; Z ~ ~evation V
~ ~ \ ~oOF `oJ- ~~~~l I hereby eertify that thia ia a true and correct representation
of a aurvey of the boundariea of:
LOT 1, BLOCK 2, PINEIREE PASS 3RD ADDfRON
O ~G+ - DAKOTA COUMY, MINNE50TA D~R
\ Q And the bcction of o11 buildinga, if arry, thereon, and all visible
~ -y encroachmer~ts, If arry, from or on said land. A9 aurveyed by CHEpCm
~ ms thia 21at day of Ap~il, 1 99. GRG
\ /G~ ` 3-31 99
SCALE
Gary R. Garrrand 1•=30•
Licenaed LcnG Surveyor, Minn. 13c. No. 24764 J~ NO.
5402-468
5~ P 2 6 REC'~ Z005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ cxJg
City Of Eagan
,~1~~ 3830 Pilot Knob Road, Eagan MN 55122 t~ ~ ~
''~t)"' Telephone # 651-675-5675 FAX # 651-675-5694 ~
New ConsWCtion Reouirements RemodeVReoair Reauiremertls O~ce Use Onlv
3 registered ske surveys showing sq. ft. of lot, sq. ft. of house, and all roofed areas 2 copies of plan CeR o( Survey Recd Y~ N
(20%a maximum lot coverege allowed) 1 set o( Energy Calculations for heated additior~s Tree Pres Plan Recd Y_ N
2 copies ot plan showing beam & window s¢es; poured found design, etc. 1 site survey for addNons 8 decks Trea Pres Required Y~ N
7 set uf Ene~gy Calculations Addrtian - indicete Xan-site septk system On-site Sepdc Syslem _ Y_ N
3 copies of T2e P2servation Plan'rflo[ platted a8er7f1193
Rim Jois[ DetaB Options selection sheet (buildings with 3 or less units)
Date ~/~i~ / v 1 Constr ction Cost I~ i vw
Site Address ~`-~c~,Q ( S UniUSte ~t
~.Y~ ~ ,
Description of Work ~ ~ ~oi • ti ~
Multi-Family Bldg _ Y_ N Fireplace(s} _ 0 _ 1 _ 2
Property Owner '~~{3--~~~ p,~~ Telephone # ( ) 4~ ' (
Contractor ~ l
Address ~ City IC_e v~ S
State Q~-~ ~ Zip ~~jTelephone # ~7 33" ~~-~~j
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontypej Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 mon}hs, has the City of Eagan issued a permit for a similar plan based on a master plan8
_ Y _ N If yes, date and address of master plan:
Licensed Plumber Telephone )
Mechanical Contractor Telephone J
Sewer/WaterContractor 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 of plans. ~
~
~ o a.?~v~,~_~\2~~-~. v~~
' anYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex f~ 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? k4 Siding
~ 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ~ 46 WindowslDoors
? 34 Replacement "Demoli6on (Entire Bldg) - Give PCA handout to applieant
Valuation L~'Z7 Occupancy MCES System
Plan Review 100% or 25%
Census Code _ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings(deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
RooF Ice & Water Final ~ Pool ~ Ftgs X Air/Gas Tests ~ Final
_ Framing _ Siding _ StuccoT~ Stone _ Bnc
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: ~ , Building Inspector
Base Fee
Surcharge /
Plan Review O(/ ~ ~7
MC/ES SAC ~S/ l/ ~p
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total '
Addiess 4658 STONECLIFFE DR Zip 5512~_
LA[ ~ Blk 2 Sub PINETREE PASS 3RD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: ~ _ (o _Qq Yes No Inspector:
Final grade (6" from siding) ?
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway r/
Permanent gas
Sod/Seeded grass ~
Trai1/curb datnage
Porch ?
Basement finish ?
Deck ~
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of watet supply w
the outside lawn faucet before fineze potential exists.
Contad engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Ye]low - Resident Copy Pink - Contracror Copy
CEY~: C- ~^E::\i ?=t-'v::~'f
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' - . .',i ~71:.; L~!.",~-~'ail ~
1999 BUILDING PERMIT APPLICATION tRESIDENTIAL~
CITY OF EAGAN
-3c 3830 P 651-881-4675 55722 ~~o S Sd
O
CsU-Q.~ l0-1~5 ~
New Constructlon ReauiremeMS Remodel/Reoair ReaulremeMs
? 3 registered sNe surveys showing sq. M. of lof, sq. B. of house 2 eopies ot plan
and all roofed areas (20% maximum bi coveraae allowed) 1 set of energy calculatlons for heated addXlons
? 2 coples ot plans (show beam S window s(zer, poured Fnd. design; etc.) 1 sMe survey for exfedor addBlons S decka
> 1 sef of energy calcuiatlons
? 3 copies of tree presenaflon plan 8 lot plaHed alfer 7/t/93
DATE: t D~~I49 CONSTRUCTION COST: f~ ~S~OOp °G
DESCRIPTION OF WORK: ~~~?~SN ~FF LOWE~ LEUEL
STREETADDRESS: ~6'r~ SToaECL/Fr~ VE
IOT: ~ BLOCK: SUBD./P.I.D. ~ ~-^~-t~^ ~ s-- ~SS ~ ~
Name: KL~~SRAS 11aBfl~T ~~i4% I"~ Phone
PROPERTY wst Fir~t
OWNER r l~,,
SheetAddress: ~~7 g S7DN~ CC/fl~' ~ 6~K(?C
Ciy ~AGAN Stote: ~N Zip: SSIa~
Company: ~ ~Srd ~~'RG IN~- Phone b S ~ ~f 5 7- g~b/
~~~31/2-~Jdc~ ~
CONTRACTOR q
Sfreet Address: ~ ? - S th J7 V~' ~~a _ license # "7 ~f73 ~p. ~ 3 oa
City ~LOOI111,V1 TlJN State: ~ti Z~P~ 5~~2~
ARCH{TECTj
ENGINEER Company: Name:
Telephone area code ( )
Streei Address~ RegishaHon
Cryy State: Zip:
Sewer & water licensed plumber [reauired for new consfructlon onlvl:
P~gnalFy applles when,address change and lo} change is requested once permff Is Issued.
I hereby acknowledge that I have read this application, state That ihe Information Is conect, and agree to comply with all appllcabl
STate of MinnesMa SMtules and City of Eagan Ordinances. q
Signature o1 Appllcant: ~
OCT 1 2
OFFICE USE ONLY
~~,J
Certificates of Survey Received _ Yes No
Tree Preservation Plan Received _ Yes _ No ~ Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? D1 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-piex ? 12 12-plex ? 17 Garage ? 22 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 8 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ~19 Lower Level ? 24 Storm Damage
? OS 3-plex ? 10 8-ptex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
?~2 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 ~ndows/Doors
~~33 Alteratian ? 37 Demolish Bldg.' ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code ~-I3N
(Ailowable) Main level sq. ft. SAC Code U 1
UBC Occupancy sq. ft. No. of Units ~
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee 6~ , SO Valuation: $
Surcharge
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
Tota~: ~ G:S SU
SAC Units
% SAC
CITY USE ONLY 1 "a_
L ~ L ~/~1 RECEIPT 1~ v Q
SUBD. ~•l nn A/l A J~- 1~.A~- ~Y~ RECEIPT DATE: ~ a- - b~ C~
PERMIT # ~~CS ~ b ~
1999 ~LUM$1N(~ ~~fiMTT (it~SID£1v17ALl
c?1YoF ~as~
S$30 PILOT KPOB f~D
~,ts~1v, ~ 551 YQ
(65t)6$t-4B75
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backFlow preventer for underground sprinkler system
c~~.c.~- ~ ~~y~
U FIXTURES EACH # TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in outiet " minimum - i 3.00 x = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x / _ $
Minimum fee alterations to existin dwellin 30.00 x = $ ~
Private Dis osal S stem newlrefurbished " re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x ~ _ $
Under round s rinkler if dwellin is under consVuction 3.00 x = $
Under round s rinkler if existin dweilin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener if dwellin under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e .50 $
TOt81 $ . l9 S
Reminder. Call for inspectfons of alterations, i.e. water heaters, water softeners, etc.
I hereby acknovAedge that I have read this appiiration, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances.
It is the applicanYs responsibility to notlfy the property owner that the City of Eagan assumes no Iiabiiity for any damages caused by the Ciry during its
normal operetional and maintenance activifies to the facilitles consWcted under this permit within City propertylright-of-wayleasement.
SITE ADDRESS: ~~PS~~ SJ"G~t'J~G°Gl~~ l/~fUl°
OWNER NAME: : ~a~ /1 /Ue~S%~~f TELEPHONE ~RS/ - 9CS-/7/7
(AREA COOE)
INSTALLER NAME: I'~O /L~d'Y/J~/~(J~p TELEPHONE ~~~Y I.~~~
STREET ADDRESS: GUPNrav~,~rr (AREA CODE)
CITY: I ~~GD'~//(J/yTGtK_J STATE: /'Vl ~ ZIP: ~s'~~D
~~(~'~f~t~A~C'r~~d.iJ
SIGNATURE OF PERMITTEE
CITY USE ONLY
LOT ~ BL Z RECEIPT lS f
SUBD. f I.L 1 ! ~ ~~1~ RECEIPT DATE: ~ '
MECHANICALPERMIT#
Y 99914f~GFI~IHIC~kL. ~P~~hIIT (~~SIB~F~ITIA;L)
CITY OF ~FfiRH
3850 PILOT KNOB RD
£R6AN MN 5512E
~8 ~ I651) 6$1-48?5
Date: 7
Complete this section onlv if you are installing HVAC in a singte family dwelling, townhome or condo under
construction and not owner /occunied.
• HVAC: 0-100 M ".~F~~ $ 30.00 '
ONAL 50 M B~ 6.00
00
• Gas outlets (minimum of one required @$3.00 ea.) 'f ~ Z
State Surchazge .50
Total $
Complete this section anlv if you are remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or repair.
_ New Alteration Repair _ Other
Reminder.• Ca11 681-46 75forinspections.
_ Furnace _ Air conditioning
_ Airexchanger _ Other
$ 30.00
STate Surcharge .50
Minimum Total Due $ 30.50
SITE ADDRESS: `T F7 S~ / 5`dvr
OWNERNAME: ~l.c~(,7'('iq ~v~ ~io-5 Cd.?ST• PHONE#: ~olL - ~73''"~~3~
INSTALLER NAME: ~ C!' ~c ~ r (A~A cons)
/ c~' ~ ~ ~ ~ ~-c PHONE ~ - S%~S - ~~S'1
/ / (ARBA CODE)
STREET ADDRESS: Ls Y~ S~IO-ri/ v-~
c»': S~~G~ir/~~~ sTn~r~: ~ zir: .~S 3 7 j'
~C~%~~~:C~G%~'~
SIGNATURE OF PERMITTEE
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MECHANICAL PERMIT
~ 1999 ~~c~~xlct~L ~~~iT (coa~[~~~ci,~[.)
crrY Q~ ~srtrr
S8S0 f'1LOT KNOS ftD
~46AN.1~[r~t 551 QQ
(s51) s81-4s75
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE: CONT£.it~T PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ]%ofcontract price OR $30.00 minimum fee, whichever is greater.
Processed piping - $30.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE ($.50 per $I,000 of nermit fee due on all permitsJ
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLI~:
INSTALLER:
ADDRESS: PHONE -
(AREA CODE)
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
L ~ gL CI USE ONLY ~
~L ~ RECEIPT
1 ~ ?1 /1 Y"1/B /y
SUBD. '
1/~ /C RECEIPT DATE: J ~C
PERMIT # Z
Y 999 ~~-UM~II~i~ ~'~MIT Q~SID~IVTI~L)
crrY oe ~Aa~
ssso ~aor ~os ttn
£A6I?N, MI~ 551 E2
(651) 6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
> backflow preventer for underground sprinkter system
PIXTURES EACH # TOTAL
Bath tub - $ ?.oo x z = $ 6 ~
Floordrain 3.00 x / _ $ O° ~
Ges i in outl2t ' minimum - 1 3.00 X _ $ P!y ~
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x 1 = $
Laundr tra 3.OQ x / _ $ ,3
Lavato 3.00 x ~ _ $ / -e ° /
Minimum fee alterations to existin dwellin 3D.00 x = $
Private Dis osal S stem new/refurbished * re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installationlre air 30.00 x = $
Rou h o enin 1.50 x ~ _ $ S'O ~
Shower 3.00 x = $ 3 DP
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x 3 = ~ ~
Waterheater 3.00 x = $ °O -
Water sokener If dweliing under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Water turnaround 30.00 x _ $
State Surchar e 50 $ 50
TOtdl $ ~U
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
, .
1 hereby acknowledge that I have read this application, state that the informatlon is cortect, and agree to comply with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibildy to notify the property owner that the City of Eagan assumes no liability for any damages caused 6y the City tluring its
normal operational and maintenance activities to the facilities consVUCted under this permit within City property/right-of-wayleasement.
SITE RDDRESS: ~6.~cg ~Yx~it~ ~~-F`tC ~/i d-L
OWNER NAME: : Li_t
vt ~f'i/P ~q v~ i~ 5 TELEPHONE F~
' (AREA CODE)
INSTALLERNAME: /'/ilCl.t~/ j"(//~('Gtit~r/C,GL TELEPHONE#: l~ ~~s-76~.~
STREETADDRESS: S ~ ~p~ ~,,~v~ (AREACODE)
CITY: S~t l~~G-0~~~ STATE: /~'l~ ZIP: 55~3
//~L,~.~~~~~~~ ~
~
SIGNATURE OF PERMITTEE
city oF eac~an
PATRICIA E AWACA
October 21, 1999 "'OyO`
PAULBAKKEN
Mr. Eric Olson BEA BLOMQUIST
PEG6V A, CARLSON
Lundgren Brothers Construction SANDRA A MASIN
Counal Members
935 E. Wayzata Blvd.
Wayzata MN, 55391 THOMAS HEDGES
Gry Atlm~ni5lrO~Or
651-473-1231
/0 ~76~Z ~Z' CityCe~rk OVERBEKE
RE: Pinetree Pass - Erosion Controt Conceros
4654, 4658;
~62 StonecGtYe Dr.
A City staff person has observed the site where the permitted work is taking place and has found
deficiencies in the erosion control efforts.
The City Code clearly sKates the authority of City staffin enforcing the removal of siltation, dirt, clay,
or soil (SIL'1~ upon any sueet within the City (Section 7.05, Subdivision 5.1 ofthe Eagan City Code).
Due to the £ailure on your part to respond to previous notices, the following actions have been
taken in regards to the aforementioned properties.
1. Ordered the installation and maintenance of approved silt fence and fiber mat (where
needed) at curb and property Gnes.
2. Charge/mail installation invoices to developroent contraM obligee or permit holder.
We appreciate your cooperation with our erosion comrol efforts. Please call us with any questions.
Sincerely, Cc: Russ Matthys, City Engineer
Doug Reid, Chief Building Official
Engineering Section Dale Schoeppner, Assistant Building Official
Depaztment of Pubic Works Stan Lexvold, Constiuction Supervisor
City ofEagan
MUNICIPAI CENTER THE LONE OAK TREE MAINTENANCE FACIIITY
38J0 PitOT KNOB ROAD THE $VMBOL OF SiRENGiH AND GROWTH IN OUR COMMUNIN COACHMAN POiNt
EAGAN. MINNESOTA 55122-1897 EAGAN. MAVNE50TA 55122
PHONE (65q6B1-4600 PHONE.(65q6B1-4300
fA7( (651)581-4612 Equal OppoRunilyEmployer FA7C (651)68I•d360
tnn /A51\dVAStS ..,..~.•nlh~nFen.~e~n,-..... rnn rFSnese-eS75
~ For Office Use ~
(7 i r~11~tf~ i
Cl~~ O~ ~LL~U~ ~ PermRk ~/Z ,
~ PermitFee ~v ~
3830 Pilot Knob Road i ~y, 7 ~
Eagan MN 55122 i Date Received ~ ~
Phone: (651) 675-5675 i sian L~~ i
Fax:(651J675-5694 i i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `ll ~ ~ D~ Site Address: "7~~~ c~'~'n e- ~1 ~ (
Tenant: Suite
RESIDENT/OWNER Name. ~b F~I~~g~s Phone(OIsZ-S~I~ C03FSo~.
~
Address/CrtyiZip: `f~cJ~~ .~~ne. C~~.~,f, ~r.
Applicant is _ Owner _ Contractor
TYPE OF WORK Description of work: QGfDOf ~tou.S2 ~ 6e.{c~/ ~
Construcuon CosC ~~~l Multi-Family Building~ (Yes No ~
CONTRACTOR Name ..J~.~GL ~OC~LiM License
Address~ 'l~~ G1C..C~n~S1D~( J~L-?~
a~y s.l Lp,.~ ts ~ State ~~1 z~P SS~ 1(0
Phon~Sa
q~s-~ Contact Person dJ~*~." L-~ ~i~' ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Enefgy Code . Residenhal ventilalion Category 1 Worksheet • New Energy Code Worksheet
Category Submitled Submitted
submission type) • Energy Envelopc Calculations Submined
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 Plum6er: Phone:
Mechanical Contrector: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions o/
the information may be classified as non-public il you provide specific reasons that would permit tlre City to
conclude thaf the are trade secrefs.
I hereby acknowledge that this information is comple~e and accura[e; [hai ~he work will be in conformance with ihe ordinances antl codes o~ ihe Ciry oi
Eagan, tha~ I unoerstand ihis is not a permii, but only an applicauon for a permit, and work is not to start without a permlt; that ihe work will be in
accordance wrth ihe approved plan m ihe case ot work which requves a review and appmval ot plans.
x x
Applicant's Prinied Name Applicant's Signature
Page 1 of 3
Date:
City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
r �
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
I-73,
3O-12-
2012
6-12
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: i41O5 S-ftJ)Q-Ch'4ft D(k
Unit #:
RESIDENT /
OWNER
Name: ` ja Phone:
Address / City /Zip:c—g 1,,,
qb'I
Applicant is: Owner f Contractor
TYPE OF WORK
Description of work: 1010 1 ,
1______
../
Construction Cost: Multi -Family Building: (Yes / No
CONTRACTOR
Company: /� .0 Contact:
Address: 84)91W tell City: (-,4-e.
State: MO Zip: 553' 7) --'Phone: (Pi d' /5 14 398
License #: 6230 3 x-7 Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
ig_ v:IA-. t`rtal
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.qopherstateonecall.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 Minnesot tate Bu' ing Code must be completed within 180
da pf p/e�rmit issuan -
x 1,11 x
Applicant's5Printe• Name Ap nt's Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace
Single Family Garage
Multi .e Deck
01 of Plex Lower Level
Accessory Building
WORK TYPES
New
y_ Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
Interior Improvement
Move Building
Fire Repair
Repair
006 4°
(25% 100% 17(
Census Code 1713Y
# of Units
# of Buildings
Type of Construction
v3
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
Siding
Reroof
Windows
Egress Window
Storm Damage
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
,ti2 C ^ MCES System
SAC Units
X —i City Water
Booster Pump
o27D PRV
Fire Sprinklers
Meter Size:
Final / C.O. Required
AL Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: Footings Air/Gas Tests _
Siding: Stucco Lath Stone Lath
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Final
Brick
Erosion Control
Building Inspector
RESIDENTIAL FEES V
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
/O 3
?
TOTAL
Page 2 of 3
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City of Eaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
JUL 1 5 2013
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
Staff:
6
7 r3
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 0'7 3 Site Address: 46 S 54C -9V_- C J Vi'161i Unit #:
Resident/
Owner
Name: 7 r"C,1 J 'L,) Phone: e'l;)-- 66 /
/'
Address / City / Zip: / C� 1 S t.)1/1; l.-- ceii 414
Applicant is: Owner Contractor
Type of Work'
� % -/ )1 ) ins—r--) 5h-c...4-4,1;Li , ,
Description of work: C V.-e...-V.-e....t�rr om,
Construction Cost: r CLO Multi -Family Building: (Yes / No ...-1
Contractor
Company -2 Q„ve Q kpcto.CIi ,rt[. Contact:
ts
Address: X67 /O`3 e4 J r; City: B4Like
State: if f'1 • Zip: Ss -VW Phone: CO P - (9.)-1-1W`74`3 -.2W )
License #: C Jib 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
Applicant's Printed Name
For Office Use ������
a �
n a $ , :::e:
.,,t:',.. 4,,,' „, EAGAN
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspections(a�cityofeagan.corn L
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: --. o5 e_.?1,-, e.l 1 4-QA Phone: Ur st- -sa 1— 34Wl...
I Resident/ 11 z I
Owner Address/City/Zip: �-F6 S •13� e ci i Ac� Cts c Qv1 Mitt) SSI,
i OJ
Applicant is: Owner K Contractor
Description of work: r e. ila2`
Type of Work
81
Construction Cost '�� 00 / Multi Family Building (Yes /No )
..-...».....w+..rnw...w.,.�.+w,wµw.:,wxww.,w. < ,-
Company: ( ,Y��et-CQvt,c ..to I� ILC Contact:
i
I Address: 1-t b 1-&CC \\ry_crJ c d City: toc \- C u kS
Contractor
5 .
( State:M V Zip: 550.g�f Phone:( l3 991-5-51'mail:
1:3C
I License#: �G COO 91- 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: Phone:
a Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
I
I Fire Suppression Contractor: Phone: I
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of the information may be'
i.classified as non- ublic if ou ro,ide specific reasons that would .ermit the Cit to conclude that the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours before you
intend to dig to receive locates of underground utilities. www.aopherstateonecall.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.
x t<eUi 0-V.S x lu\
Applicant's Printed Name Applicant's Signature