778 Sunset Dr INSPECTION REC4RD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ~ -
(651) 681-4675
, ~ . 4
SITE ADDRESS: i„, , i,,, r~ , APPLICANT:
~ik ~ . , ~ .
' 1 I I I ~ ~ j I ' ~ ~ f
PERMIT SUBTYPE: TYPE OF WORK:
r,~~ ir~ , ;~,hi~~i~~ ,
, . .
• •
- •
~ ~
~ ~
PermR Nolder Dete TslsphorN If
EWER/
WATER
PLUMBING
HVAC
Inspection Dete Insp. Commente
FOOTINGS
FOUND
FRAMlNG
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FlREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLD(3 FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCriviTv
TEST
HYDR0.STATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Receipt ~ PLUMBING PERMIT Permit No.
CITY OF EAGAN FN j~ ~
% ~ ' Fill in numbered spaces S/C -
Type w Prirrr /epibly Tot Cl ._it~~
_
1. Date - ~ ~ ~ ' ~ 2. Installation Cost
3. Job Address f~,i~_E~'d~l r' Lot Blk. ~ Tract ,
4. Owner ~X ~ LJ ~ .i~ . - - ~
5. Contractor f/~~~Gl t" i~ ~L ~ Phone/ ft'.- i~ ~'1~ , 3
~
6. Address 7~ L-~ f
,~--C ~ ~ ~Jf2'~. ; state ~r/~,~ z; - - ,
7. City . ~ )JX'iC"J' 1 P
8. Building Type: Residential ,[ta Commercial ? Institutional O
9. Work Description: New O Add ~ Alter ? Repair ?
10. Describe
11. No. Fixtures No. Fixtures
Water Closet Cesspool/Orainfield
Bath tubs ~ Sepiic Tank
Lavatory • Softner
Shower Well
Kitchen 5ink ~
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Fin.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinanc~s and codes governing this type of work.
Signed: l i'~ c- r'1~_ far
Rouph Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN ^ ' ;
. ~ 38.~0 Pilot Krwb Rosd, P.O. Box 21-199, Esgsn, MN 55121 ~
PHONE: 4548100
eU1LDING ~ERMIT RK~+o~ #
T~ M wd Mr ~ IJ.~. ~/~~r~'r: Est.Volue +'77, ~iC?v Dote -'%ii'i~ •i-i ~9
SiteAd~rea 7l~ .`~~~i`1S~`~ DR Erect ~ OccuPancy -
Lot Block ~/Sub. ~U?S:7t:'C Tf' RemodN ? Zoning „1
Rapsir ? Type of Const.
Parcel No.
Enlarge q; ~ No. Stories
1'~l C~:~~fc~'~.'!?`v'i.`1`l 1td Move ? Length 4i
~ Name - = Demolish ? Depth .1
Address ~ Grede ? Sq. Ft.
City ~ `Phone ~ G % ` ' i~ ~I Inatall ?
A~ovab F~ss
Name
~u A~~s Assessrnent Permit
Wote? 3 Sew. Surchor
City Phone ~ U
Poliu Plan Review
~W Name Fih SAC ~J
~W ~U
Addroa Enp. Woter Conn.
tW City Phone Planner Woter Mete~
Counci~ ttocd unir U
I hereby ocknowl~ thot I haw reod this application ond stots fhot 81dg. Off. • a
th~ inlormotio~ is torrect and ogree to tomply with oll opplicabl~ APC Total u'- . ~
5tot~ of Minnesoto Stotutes ond City of Eaqon Ordironus.
V~r. Date -
Slqnotun of Pe?mitte~
A Buildir~y P~mnlt I~ issued to: _ ~ an t1N ~xpress Condition 1ha~
all work shal~ be don~ ln acaordant~ with oll opplimbl~ State of Mf~nesoto Stotutea and Ciry of EoQan Ordlnonc~s.
Buildinp OHidol - - - -
P~?mit No. P~rmit Hold~r Dst~ TN hon~
c~ y c~ ~ _ S ~
H.VA.C. ~ ~P ~ V Gl L(3• .
ENetric j~ ~ f / r3 ~ c'
33 ~1 ~
Softemr ( 1 , -e
Irap~etion Daa Insp. Othw
Footinp~ S . ~ -
~
Foundation
Fnminp ~ ~ t
Rootinq
Rouyh Plbp.
Rouyh HVA
Inwbtion
Final PIb4
Final HVAC ~
Finsl 7
cavo~. ~ ~ ~ I i Z ~
W.a. wierib. Loe,eion:
YWII
S~w~r
Pr. Disp.
Receipt 4' U~:1 PLUMBING PERMIT • Permit No.
CITY OF EAGAN F~ t,.
Fill in numbered spaces S/C ~
Type or Prrni /egib/y Tot. . ' - ~
c` .
1. Date 2. Installation Cost '
~ - I ~ "
3. Job Address j~ 'v h.t ~ Lot Blk. Tract~
. ~
4. Owner a ~ : R ~
.~f % ' ~ C
5. Contractor ~ ' , • ~ Phone ,~f ~
6. Address - - ~ ~ ~ '
7. City State Zi = - ~
P
8. Building Type: Residential Q Commercial ? Institutional O
9. Work Description: New Q Add ? Alter ? Repair ?
10. Describe
11. No, Fixtures No. Fixtures
- /
Water Closet Cesspool/Drainfield
~ Bath tubs Septic Tank
Lavatory Softner
! Shower Well
~ Kitchen Sink
Urinal/8idet Other
j~ Laundry Tray
T
Floor ~rains
Drinking Ftn.
Slop Sink
~ Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and 1 agree to
comply with all ordinances and codes governing this type of wock. ,
Signed: ...y f - '
, for
Rough F inal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Repipt ' MECHANICAL PERMIT P~rmiL No.
CITY OF EAGAN
Fw, -1 - ~ „
' ' fill !n numbered spacea S/C " ~
Type ar Prin[ ltgib/
y Tot ~ n.•-'
1. Dete ~ 2.Intta118tionCosi ~-'r~
j ;
~ , , : ~ * .
3. Job Address Lot Blk.~ i ~ Trsct
4. Owner ` ` ~ t
5. Contractor , , l , F .-i.. ~ Phone ~`-1 I ~
6. Address . , ~-t-
7. City - ~ - = ~ ~ State ~ ti_~ • Zip , ,
Building Type: R~sidential C~~ Commercial ~ Institutional ?
9. Work Deacription: New GY '/Add O Alter ? Repair ?
10. Describe Fuel Type _i { ~ ~
1 t. No. Equj~~ BTU - M. Es. No. Eauiart?ent CFM
~ Forcad Air - Air Handlinp:
Mfg. ~ _ _ ~
Boilen
Mech. Exhaust
~ . Mfy,
U~it Neater
~D• Other
Air Cond.
~ Mfy.
Gac, Piping Outlets
12. 1 heroby certify that the above information is true and correct, end I a~ree to
comply with sll ordinances and codes governiny tt~is type of wark.
S~g^°d ' ' , _ ~ , ~~or
Rouph Flnel
I~cpectiona: Date Inap. Date Insp.
This is your permit when numbered and approved.
Approvsd CITY OF EAGAN 464~8100
~ r
~ Y OF EAGAN Remarks
Addition SUNSET 4th Lot 1 Rlk ~ Parcel 1~ ~2988 ~1~
Owner Street 778 Sunset Drive State Eagan, MN 55123
Improvement Date Amount Annual Years ~ Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
5AN SEW TRUNK ry 19$1 193 2
SEWER ~ATERAL 1 81 1 ~ t~
Sewer Lateral 7~ 1981 2 1~ " "
WATERMAIN f~cf j981 32.56 2 1
WATER LATERAL 19H1 21 ~4 ,
WATER AREA 5`> I $1 "
Water Lateral 1981 34 40 " "
STORM SEW TRK 1485 ~ 15.46 ~i ~
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
28 4
WATER CONN, SOO.OO
BUILDING PER, lO
SAC
PARK
CITY OF EAGAN ~~j s~~~ P~MR
3830 Pilot Knob Rosd
P. O. Bor. 21198 PERM IT NO.: t' S
Eagan. M11 5~5127 py~~: h-1 I- 5 5
~i"~: No. of Units:
p,,,M~; _ :a11e~;e City Const.
Address:
Slts 1lddress; 77~ 5unset Dr. L1 ~ S~nset r_,~
ef~ i.l! rr V r, , yT
r~ ~i-° _ .
~ 1
. ~l/jSC1
~ NrM ro~e~y wiilf~ elw qe~r ~f fy~¦ C~ar~ct~on (~o~: 4' f' • OO;~d
~M~O~' /~ow~mt D~potit: ' • n
Prrmff F«: • ~d
By Surd~ory~: Pd
Ml~c. Cho~pas;
~ote of Insp.: Totol:
Ir~p.: DoM Pafd:
CITY OF EAGAN WATER SERVICE PERMR
3830 99;vt K~v~b Road ~
P. O. Box 21195 ' PERMIT NO.: ~
Eegan, MN.,55121 ~ ! "
Zoni 1 ~ ~ -
nD: r i, 'y
Owner: C c~ 1 ~ c. k' e l: i t ~ L. i~4~'~
Address; ' ~~'mTES
Site /lddross: , ' . . r' . T. ~ tt e t ' .
~7 ~g~.
Pluriber. - ' ~ ~~.~E'.r-- ,--~a
Meter No.: .~.5~ ,~'1~0~ 1 D Connectian Chorye: 50~ . OOvd ~
Stze: ,~L a•~~ Account Depos~r: 15. ~~J pd
j~Raader No.: ~/~~.0 .~f g 6 Permit Fee• 10 . 00 p~:
I prM to eonpl! ~ 1M Ct1p ~f Ep~¦ SurchorQe: . SCi p,' ~
o~~.~... M~x. ca,a~: i32 ~a~a ~!c
Totoi: ~~-~~'~'"c~Cer
i
' BY Date Paid:
Date of Insp.: q Irup.:
f
~ T'
CITY OF EAGAN WATER SERVICE PERMIT ~
3830 Pilot Knob Road ~
P. O. Bo~c 21199• PERMIT NO.:
Eagan, K,N. 55121 D,,~: 1 1-:;~ ~
Zoninp: ' No. of UNts:
pw,~~; Colle~~e City Conat. ~
llddress: ;
77 Sunset Dr. ; ' ...11i13Pi : ~i
p~~~r_, ~iurr P1bQ AV
' Met~r No.: Connectlo~ Chor9e: S~(~ . OQDd i
Size: Acc«,nt ~eposlt: 15. QO pd .
Reader No.: Pe?mit Fee: 1 U. 00 ~d
1 y~w !s oaeoyr ~ Nw CMp of E~~ Surchorpe: . 50 ad
ar+~.~... r~~K. cb~: i_i2 . n~~o~ pa~~ s/c ;
Total: ~ j ~ . ~:JiTo~ ~~e. er I
By oote Patd; ~
Dote of Insp.: i
i
~
. ~ CITY OF EAGAN nJ~ 1 0 1 6 3
3830 Pilot Krab Road, P.O. Box 21-199, Eagan, MN 55121 ~
PHONE: 4548100 ~
BUILDING PERMIT Receivr #
Ts M~wd fer SF DWG/GAR Est. Value $~~i 000 pafe APRIL 30 ~y 85
SiteAddreu ~~8 SUNSET DR ~ Ereet ({l Oceupancy R3
Lot 1 e~ack 4 ~/Sub. SUNSET 4TH Aemodel ? 2o~ing Rl
Repeit ? Typa of Conrt. V
Parcel No.
Enlarge ? No.Stories
Move ? ~ Length 42
~ Nama COLLEGE CITY CONSTRUCTION oemolish ? Depth 46
~ A~,~, BOX 309, hwv 3 SOUTH ~,~da ? sq. Ft.
~~ty NORTHFIELDpho~e 507/645-6648 Install ?
SAME Apyrovab iem
g Name ~el~~
~ A~~ Assesunent Permit 3o`t'(~A
~ City Phona Water R$ew. $urcharps 38. 50
Polite Plan Review 1$2.00
w Name Firo SAC 525.00
Address Erq. WaterConn. 500.00
~W Citv Phone Dlonror WaterMeter_~~~~
Couneil Rood Unit 2$0.0~
I hemby ackrowladga thot 1 hove ad fhi D~tpticn ond srote thaf g~dg. Off. 4 24 $5 T. P. 132 . OC
the intormation is tortecf and ee t co o ~{th all oOV~~~aae A~ Total 2• 0 . 5~
Stata of Minnesota Stotutea a City f E gan Ordinancas.
Var. Dete
Sip~wturo of Permitt ~ ~ ~
A euildinq Perma is ~ssued ro: COLLEGE CITY ONSTRUCTi N un ths a~cpres+ cord+non ~ho~
all work shall W done in accord e with cll imbla Stme qf7R~v~e, ta Stmutes and City of Eapan Ordinoncx
BuilNrq Offidol ~1~"~• J
~
,n;s.~,~s o;d r5 3Y
- ~~~ns,~am ~ 3-S~
L~ e, ia. oU
fleque at Fire No. flough-in~lnsuect~on f~
_ ~l ' v Re ~red. ~yqfleady Now ? Will NoGfy Insoer
C. es ?NO ~ mr Wheo R¢atlV
? Licensetl Elec[rical ConVaaor I hereby raquest inspaction of above
? Owner electrical work ins~alled et .
Street Adtlress, Bo r Rout No. Cfiy
~
~ ~ usva~-~ ~,~.J
ecLOn o. Townshio Name or No. Range No. Comuy
Occupant IPFiWTI 'y Phane Na.
J e ~
; p F~~ ~ ~ _~a"k.. ~
Power Supplie~ ~ ~ Address
Electtical Cwtra r(COmpany Name) Cant ctor's L~ceose No.
-"7 ~i! !Yp c'N. ~ /C*= 6 ~ .
Mailing Address Contr ctor or ner M~ak/' g Ins~ailatioN
~C?~ ~f'C~y~#1~
Authorizetl Sig ~ re ICon aclo~~vne ~ aking I [allation~ Phone N1urt~p¢r ~y
7 ~J,c~' ~ ~ T
M4NNE$OTA STATE BOAR~ OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bld9. - poom N-797 BE ACGEPIEO 8Y THE STpTE BOARp
7827 Universi[yAae., SL Peul, MN 551U4 UN~~ PAOPEfl INSPECTION FEE IS
Phorn 16121 29].2111 EIVClOSEO.
,EST FOR ELECTRICAL INSPECTION Eg-°°°°'A'
5~~~~ ^ irrstruetio~s for complati~g this torm on bnc4 ot Yellow coOV~
3 3 3~ 1 •~x-- ee,oW Work Covered by This Request 'd~
AdE Pep. Type ol Builtlin0 Aou~ianees WiraJ Equiomem Nired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt.BUilding Dryer ElectricHeaun
Commercial Bldg. Furru3ce Silo Unloader
Industrial Bldg. Air Conditioner BWk Milk Tank
Farm Othe.~ Pec~ Y O[her ISUecify)
t ,r ueufy ~her O~her
ompute lnspection Fee 8elow
p Fea ServiceEntrance5ixe p Fee Feeders~5ubieeders M Fee Grcuits
0 to 200 Am s 0 to 30 Am s 0 to 30 Am
Above 200 qm ~s 37 to 100 Amps 31 to 100 p
Swimmin Pool A6ove 100_Amps Above 100_A
7ransPormers Irngation Uooms ~ Partial'Other Fee
Signs Special Inspection .S TOTALifEE
a~,ks jo ,Q~
RouBh-in Oate I. the Ele ~fsl
Inspecto~, haraGy
i1Y <ha~ tM1e above
Final a1e) ` nspeclion has begn
Qf5 ~ ~roda.
~IW ~epuest vdtl 1B maniha From
,h;s a4 e=, do~d 533 t(1 ~-3--Q~
~rmnths from
, L~ ~ L ~f~rc7~i
Req Ua[ Fire No. Rouph-in I ction
~ fleqwre ?Ready Nuw i I NuGfy Inspec-
/ ~ s ?No ~ ~or When Reatly
icensed lec[ri Convactor I here~y request inspection ol above
? Qwner eleccrical work i~atalled at:
Sveet AdAress, BryoK or Houte No. Ci[y /'b
r1 _ ~l ~ v ~e.J
ecLOn a. Towns~ip Name or No. AanB¢ No. County ,
OccuD'ant ( NT~ Phone No.
~
Power Sup lier Atldress
)
,a a . v " ~
Elect al Cn ra tor ICOmpany amel Contr ' /n/e
/ .
Mailing ~ ess I onira~ i or Owner a na ~~stail io
SG" ~ _'_s f _
Au orized S~gwture ~COnhacror Owner Makiny Installati oie j,
L w G
MINNE$pTA STATE BOARO OF ELECTRICITY THIS INSPEGTION pEQUES WIL~ NOT
Griggs-Midwey 81d9. - Room N•191 BE ACCEPTEO BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
1821 University Ava.. SL Veul, MN 55106
Vhnm 16121 29]-2111 ENCLOSE~.
°~)2 REQUEST FOR ELECTRICAL INSPECTION EB-°°°°r°°
` ' Sea insfructions tor comple~~~9 this ~orm O~ beck ot vallow copv. -
'~i 3 3 3 7 8 ""X" 8elow Work Covered by This Request _ 5~ ~
ReP. TvOe a} Builtlia8 ianees WkeE E9uiDment Wi~ed
Home nge Temporary Service
Duplex Water Heater Lightiny Ffxtures
Apt. Buildinc~ Dryer Electric Heatin
Cortvnercial Bldg. Fumac Silo Unloader
Industrial Bldg. ~ fr Conditioner 6ulk Milk Tank
Farm a~ne. oeuN e~ne~ ISnzc~W1
t r SUecffy Other D~her
ompute lnspection Fee Below -
N ee Se~viceEntrenceSize b Fee Fanders~5ubleeders k Fee Circuits
- G$'y ~ to 200 qm s~ ~ to 30 qm s ~ ~?9 ~ to 3~ Am
Above 200 Am~n- 37 to 100 qmps ",y/C7 31 ~to 700 qm
Swimming Pool A6ove 10D_Am s Above 100_Amps
7ransiormers Irrigation Boorc~s J Pattial•'Other Fee
Signs Special Inspection S • ~
~ TO7Al FEE~
pemarks G ~ ~ , f
C J
flouph-in Dato
1. [he Elgch~~a!
Inspecxoq hereby
certl(y Ihe[ the above
Final . ~'~~~1~' insoettion has been
~ ' ~ ~tla.
rlNs repuest vdd 1B moM1n from ~
This reque5[ void 3 g S
,e E 5a ~
B ~:l 0 , ( ~ `f r o . cs-~
Requesi Date Fire No. fbugh-in Inspeclian
Reqmretl? dy Now Q Will Notify, Inspev
` ~ Qye~ ~ [or When.Ready
ce~s Elech~ al Contractor 1 lremby repuest inspection o7 above
? Ow r electripl rork irmtalled at:
Street AdAress, tlo or floute No. Gty
v ~t `
ecuon o. Townsh~p Nime w No. fiange No. County~
Occup»n INT ~+one No.
, - -~~5~~
Power S pl~er 8d~ess .r~.
~ %
Electrical vactm ICOmpam~ Namel Con or s icense
~Noy.
~ 7 Y~
Mailin tldress (COMractor w r Maki~ bila ioN
~ ' / ~
Authorizetl ture (COnt ct Owner ldaki e ns IlaFion) Phone NumG¢r
~ ~ ~~y
MINNES p STpTE BQ OF EIF ' THIS INSPECTION REQUEST WILL NOT
Gri - idway Bldy. Room N-191 BE ACCEPTEU BY iHE STATE BOARD
YN ~1M UNLESS PpppER INSPECTION FEE IS
1827 Univarsity Ave.. SC Paul, ENClOSED.
_ PMne 18121 297-2111
` r^ REQUEST FOR ELECTRICAL IN~ECTION EB-0O0°''O~
Jt~ ~~J U ' S¢e i sxnctiqrs Ior cnnpie[ing Uis 1vm m Dack of Yellov cooY. ~
7~ 7 ~ '"X~' Be%w tYork L;oveied by This Request ~ 3~~~
AdE ReR Typa of BuiWfng AuV~~anees Itirad quipmant Wired
Home Range Temporary Service
Duplex 4Yater Heater ?ghtiny Fixtures
Apt. Building Dryer Electric Heatin
s CortunerCial 61dg. Furnace Silo Unluader
InchStrial Bidg. Air Crniditioner Bulk Milk Tank
Faf(Il OFtier V pecriy. Dther fSqeCifY)
i r SpecdY ~t~r Ot~er
ompute Inspection fee Below
p Fee ServiceEntrexeSize # Fee Feeders~5ubfeede~s k Fee CircuHs
Ota200 Oto30A Otn30Am
Above 200 Amps 31 to 100 Artips 31 to 100 A
Swinming Pool Above 100_Amps Above 100_AmNs
Transiormers Irrigation Booirs ' O Partial%Other Fee
Si~s S{~eciat Inspection S/~~~
J TOTAL FE
Re~mrks
G
RouBh-in Date 1. ~~e Elacvical
pectoq he~eby
C C9rti(y llmt [he appve
Final ~~.7! irepaction has been
mada.
Tl~ia reQUest voi~ 18 moMhs Irom
Q~ r f RESIDENTIAL BUII.DING
Permit Application
City Of Eagan ~ , ~
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reauiremenfs RemodeVReoair Reauimments Offce Use OnN
3 registered site surveys showirg sq. R of Iot sq. ft. of house; and all roofed areas 2 copies o( plan Cert of Survey Read
(20% msximum lot average allowed) 1 set of Ene~gy CalcuWtions for heafed additlons Tree Pres Plan Recd
2 copies of plan showiig beam 8 window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Not Reqd
1 set of Eneqy Ca~ulatlons Adddiar - indicete i(on-site septic system _ Onsite Septlc System
3 copies of Tree Preservation PWn if lot platted after 7l1/93
Rim Joist Detail Options selecUon sheet (bldgs with 3 or less uni~s
Date ~ / / ~ , Constructio¢ Cost ~I v
Site Address 7~p f V rl,f'~ t' ~RIV~ UniGSte #
Description of Work ~ P. ~ I~n~l'_~ ~ y~/ I~GVI V"
Multi-Family Bldg , X~ N Fireplace(s) _ 0 _ 1 _ 2
ProperTy Owner ~YJ W ~''Ot ~0~7 / / 11.°h/1P Telephone # (~I ) 7 ~j ~L- S,S~O'-i
Contractor G2ea~- I~~~e S w 5rdinu
Address 1~f(o.rj~ C let'~d~t ~C', C~tY I~~
state /7~ /t/ z~p 2 ~ Telephone # (~,~2 ) ~'9~ ,J SjU
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worlcsheet
submission type) Submitted Submitted
• Energy Envelope Calculations Su6mitted
Licensed Plumber Telephona j
Mechanical Contractor Telephone )
Sewer/Water Contractor T ~
~ _ ~
AUG 1 1 2003 L
I hereby apply for a Residential Building Permit and acknowledge a the information is complete and accurate;
that the work will be in conformance with the ordinances and cod ~~of the
~ity_of'~agan 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.
,~,~,I~~ F~~n ~-r~s
Applicant's Printed Name ApplicanYs Si e
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-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 - Multi
O 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo} ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Demolition (EMire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ pl~~g
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Smceo Stone
_ Fiteplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
~
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~ ~ BUILDINGRP RM T APPLICATION ~ ~ / ~ S~
~ CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4~75
New Conatn~etion ReauiremeMS RemodeUReoair Renui~ements
• 3 registered site surveys shovring sq. fl of lot, sq. R. of house; and all roofed areas • 2 copies of plan
(20%mazimum lol coverege allowed) • 1 setof Energy Calculations for heated additions
. 2 capies of plan showing heam & window saes~ paured found design, etc.) • 1 site survey for exterior additio~ & decks
. 1 set of Energy CalculaHons • Indicate'rf home servetl by seDtic system for additions
• 3 copies of Tree Preservation Plan if lot pla@ed aRer 7/V93
. Rim Joisf Detall Options seleGian sheet (bldgs wNh 3 or less untts)
DATE gI~'~IC~~-- VALUATION
SITE ADDRESS U~ ~vn~ ~ MULTI-PAMILY BLDG _Y _N
TYPE OF WORK '~Q---~~7~ FIREPLACE(S) _ 0_ 1_ 2
~ - - -
~'~~~~u¢uu~ 1~~~~ulm$ & ~fl~buu~, Duu~.
APPLICANT 49 SOOIh OW8SS0 BIYd. ,
STREET ADDRESS _ LIl11C Ca11811A, I~V 55114 CITY STATE_ZIP
TELEPHONE# I ~ ~1.~~ - S ~CQ~p FAX~~~~g~~~7
PROPERTY OWNER Y~~-~ TELEPHONE# t- ~~0~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RLILFS 7672
submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheel Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
P1umUuig system includes: _ Water 5oftener _ Lawn Sprinkler ~q~e: ~90.00
nL
~~~at:,r H~zter No. of . ~ ~
- tvo. of B~5 ~ ~ pUG 3 0 2002
Mechanical Contractor: ne #
Mechanical system includes: Air Conditioning u J~'-ee- $70.00
_ Heat Recovery System p,y-
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the inf rrrldtion is corr ct, nd agree to comply
with all applicable State of Minnesota Statutes and City of E an Or ~es
Signature of Applican
.
OFFICE USE ONLY
Certificates of Survey Received ^ Tree Preservation Plan Received _ Not Required _
Updated 4f02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? D2 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-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 AReration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg oniy) - Give PCA handout to appiicant
Valuation Occupancy MC/ES System
Census Code _ Zoning Ciry Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.L _ Air Test _ Final _ Windows (newlreplacement)
_ InsulaHon _ Retaining Wall
Approved By , Building Inspector
E3ase Fee
Surcharge
Plan Review
MC/ES SAC
City 5AC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
LOT: BLOCK: 'f SUBD./P.I.D#: JLIhS2~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EpCAN
~ ~1 S 3830 P1651 68146 5 55122 ~ ~'f .'1 ~
~j J h
i
New Construction Requirements Remodel/Repair Reauirements
D 3 registered sffe surveys showing sq. ft. of lot, sq. B. of house 2 coples of plan
and all roofed areas (20~ maximum lot coveraae allowed) 1 set of energy calculatlons for heated addffions
? 2 copies ot plans (show heam 8 window sizes; poured fnd. deslgn; e1c.) 1 sfle survey for exterfor oddfiions & decks
D 1 sef of energy calculations
D 3 copies of hee preservation plan H lot platfed aBer 7/1/93
? Rim Joist DeTati Options se~ection sheet (buildinps wlih 3 or less unN~)
DATE: I O~ .~I CONSTRUCTION COST: ' 1 I,~,s~ O
DESCRIPTION OF WORK: ~-ES t p~ If mum-familybldg., howmanyunits?
STREETADDRESS: 1 l~ SV~S~T V2~~
Nome: lM E h~ 7`I E 17~ ~ Phone ~S~ S Z= S~ ~'1
PROPERTY ~art Flrat
OWNER
StreetAddress: S~Ji.1cFT ~21~G
City ~~/sfh-~ - State: ~ Zip: 5 S~ 2-3
Company: ~EFC'I" I,a~c ~J~~~,a d S,o,M.Pn
~e#: q~Z fRl• 3~1~'~
(area code)
CONTRACTOR
StreetAddress:~~-Up ~ 1-F--F'lG~a~-+ ~2 - License# ~°O ~~yZ~ Exp, 3 3 0~
City V~~ State: 1~ IJ Zip: ~S1 Z~
ARCHITECT/
ENGINEER Company. Nnme:
Telephone ( )
Sheet Atldress: RegisfraHon
City Staie: Zip:
Sewer/water licensed plumber (if installina sewerfwater): Phone
I hereby otknowfedge that I have read this application, state that the information is correct, and ogree io
comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: G`
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
r,-
Tree Preservation Plan Received _ Yes _ No _ Not Required j"
OCT 3 1 2000
~Y:______
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 2D Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ piex O D9 07-plex O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ~ 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex PI6g_Y or _ N O 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
0 33 Alteration ? 37 Demolish (Bldg)' ? 44 Siding
O 34 Replacement ? 38 Demolish (Interior)
" Demolition (Entire Bldg only) permit - Give PCA handout to applicant
VALUATION Occupancy UC/E5 Systern
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of 81dgs Length Fire Sprinklered
Type of Const Width
INSPECTIONS REQUIRED
_ Footings: New Bidg _ Insulation _ Windows - new/replacement
_ Footings; Deck _ FinaUC.O. _ Siding
` Foorings; Addifion _ FinaUNo C.O. _ Stucco/Stone
_ Foundation Fireplace: _ r.i. _ air test fmal Roof: _ ice & water _ fina]
_ Framing Pool: _ ftgs _ air/gas tests _ fmal
APPROVALS
Planning Building Engineering Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8~ Storage
S&W Permit 8 Surcharge
Treatment Plant
Park ~edication
Trails Dedication
License Search
Copies
Other
Total:
;.r,
:
~
1985 BUILDING PERMIS APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS M1ST BE LICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
~.]~?=v`l r , n C' ~ 7.7L J vV
To Be Used For: ~(?r~t,, Valuation: ~~~~Date:
Site Address: 70 ° n`"- ~~~j~ CE USE ONLY
7 J iJ. ~
~L~-r .(3~ I~;c~~ 7~
~ Ur.:~ t=`T ~
Lot: Block ~ Sect/Sub p~,~~., Erect ~ Occupancy ~-3
Remodel Zoning
Parcel Il Repair Type of Const ~
Enlarge ~t of Stories
Owner 1..L?c_-~,-CLsC~ ~YCY `-aIV~'S+1~X~~.-a Move _ Length ~
Demolish Depth ~
Address .~}J"jT ~ ~;~~~yy Grade _ Sq Ft
City/Zip Code ~'f~1~~.~~~'` h't )
"JJ 7
Phone ,~~7 - APPROVALS
Contractor S~3i~~v ~•~nit~zJ Assessments Permit 3~04.
Water/Sewer Surcharge '38.5.=
Address Police Plan Review 1g Z.`~
Fire SAC SZS,°°
City/Zip Code Engr Water Conn ~p,°~
Planner Water Meter 63.
Phone Council Road Unit 280.°'
Bldg Off ~ Parks
Arch./Engr. 3J~J\~ ~.11,,;fi.~ _J APC Treatment Pl 1'~2. ~
Variance ~ U GL/. < ~
Address TOTAL ~ J
City/Zip Code
Phone Ok
\
2c~ ~x -qr2 ~ I oa Z K = s~~ c~8
I'~ x~~ - 23 4 X S~ ~2~3~ .
~
24~2o J 4or~ x (1 = ~Z~,o
7c~Bo¢
SI[3Md~
SURVEYIfVG Nouse Certificate For~
5t~~v~CE~ COLLEGE C1TY
3908 Sibley Memorial Hiqhw2y
Eagan, Minnesota 55122 CONSTRUCTION
Phone: (612) 452-3077
Cp s~... kW.,-
C 1`5 H.
. bao.n<d E~e~. • Ica.oo
7
p M.N.
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cp
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~J9o~'~ ~t~/ ~i\ ~'Gp ~ Ili~lg AO ~ l~
~ y~ ~ ~eP% ~ m~:o;~% `I~~~1~~~15.9I: i~~~ ~ I
~ p I
5•'~~ 0(9 /C5 F'~ a5,~ N ~E,i':° Preppae ~ i~l . ,,I "r
V GP' ~i~' .d/ _ ~ NO~g~~~o~ ~ ~ ~f
€ ~ ~j,~a^.- ' ll 390~~ ~~~~x ~ ~ y ~
N
~o~} 0 q
Z~I? .!1 Z?' ~`r°~/ ~ ~ 9 . ~3 ~ W
~Z OH" o~~ i ,,•a- -''C~....~ I N
e ~ ~ . ' v
Gh' .80 7i Q E`•''' e'° v.° ~ R
-~~I~ ° ~ Loi 1~~~'/°~ I ~ a
~ - ~/'a;=y~= y_ - - roino9v B UHllly otemenl ~~5 1 0
~ ~ ~ ~
~ ~ -589°48~24~~W 309.36---- - y
0µ,~, ~
~ '
~ Scale : 1 inch = 40 feet
Drainage Direction
o Denotes Iron Monument
o Denotes Wood Hub Set
n9i.3 Denotea Existing Spot Elev.'s
~ ^Proposed Elev. Contour Line
• BEARINGS SH04JN ARE HASED ON ASSUMED DATUM A
Pj20PO8ED GARAGE FLOOR ELEV. = 101.5
PROPOSED FRONT ENTRY ELEV. = 103.0
PROPOSED BASEMENT FLOOR ELEV.= 98.5
PROPOSED LOWER BASEMENT FLOOR ELEV.= 94.0
NOTE: Verify all building dimensiona anc~ floor elevations with final
buildinq plans before construction.
- PROPERTY DESCRIPTION -
Lot 1, Slock 4, SUNSET FOURTN ADDITION,
according to the recorded plat thereof,
Dakota Connty, Minnesota.
\`\\``\`yA~?tn ~~I~IR~4:nryy,,
~ <i,
\~..........~~T..,~
~..a?-,~;, I hereby ccriiEy ihat thia stuvep.
NdAYNE ~';J~ `i plan or r~p:~ri' wa.^, prec:;red by me
= i CORDES or under my dYr~ct sun^rvl~lon and
_ - 4ipt I cun ~ du]Y.Regist2red Lcxnd
:s{;.- 1~1675 -.~1~ Sulveyor under ihe lav~s of the
:,-g•. -
q Stale oE ivfir~nesoia.
~?-h,`r%'•••. ~ ''~.o~``~~ 9
~ s, j„~.~_~ ~~---D~£: I, I9~-
~nn;r,~r,~nn,m"~
Wc~~ne D. Cordes Re4isiralion No. 14675
: ,
, EATERIOR ENyELOPE AVERAGE "U" COMPUTATION
3 BUILDING: RC1~±,YOT~"~ ~~I~NCy ~CO~7L.C~L~-GITC ~~`~JS~fZUC.T~3u~
SITE ADDRESS: 01' 1 LC~ ~ G w~ ~J
ANALYSIS BY: ~M~ ,X~!LµiTF ~=j ~iE ! DATE COMM. N0. i? 5,
As required by Code: Code "U" = Minimum:
1. Total exposed wall area ~0'~3 Sq.Ft. x ~ ~~1 V 310,? C`'~''
2. Total roof/ceiling atea . 11 O Sq.Ft. x,Gq 'l+ aY~~1~ F7~"
a. Total wall window area I~D. D Sq.Ft.
b. Total door area ~{D~O Sq.Ft.
c. Total glass door area . 4 5~5 Sq.Ft.
. .
d. Total wall area ..~?~:P,rfl,,~;!~~!,,,,.......~ Sq.Ft.
e. Total wall area ..,I.dZ~:F,Q~, ~;~,F,(J tp,/~(~~„ q-(o3,0 Sq.Ft.
f. Total wall area - Sq.Ft.
g. Total wall area - Sq.Ft.
h. Total foundation wall window area o• O Sq.Ft.
i. Total net foundation area above grade ~C~. o Sq.Ft.
("U" value of each vall segment calculated on a[tached shee[s.)
a. 1(00 S~ x~~0" Q~ 4q = `1Q;.4 BTUH
b. cfn x~~U•• Q, ~Cn Z.` BTUH
c. 4s ~ 5 S~ X~~U.. o~ 4 5 = zo, q~, aTtnt
a. a33 ,o s~ x,.U,. o, o~6z = Sz.. e 3 szux
e• L}l~~.e~ S~ x~~U•~ U5~c2 = 2la.02 BTUH
f. x "U" ~ BTUH
g~ ~ X ~.U" - BTUH
h. - x "U" - _ - BTUH
i. o. Sv x•.U.. l~. oq'Ifa ° "i.4:I BTU[t
3. Building Walls: Total = ~~~,r~q BTUH
If Item fl3 is [he same as, or less than Item Ifl, you have met the intent
of SBC 60D6(c)2.
j. Total skylight area „~~o~'~''~E(L ir~~~a7o~+~ _ .~p Sq.F[.
k. To[al roof/ceiling framing area•(average•10%). Sq.Ft.
1. Total net insulated roof/ceiling area 11n ~ Sq.Ft.
Determine "U" value for each roof/ceiling segment:
~0 5F x"U" o, USr~2 'L.24~t BTUH
k. x ••U~~ _ _ BTUH
1. ~ i o o SF x"U" v~ oz« ~ = 23,R44 BTVH
4. Building Roof/Ceiling Total = 2L.la'L BTUH
If total of li4 is the same ae, or less than N2, you have met the intent of
SBC 6006 (c)1.
Alternate Building Envelope Design
To utilize the total envelope sys[em method, the values established by the
sum of Items 83 and #4 shall not be greater than the sum of Items ~fl and /f2.
Code: 1. ~~1D.3 R~r~r.t + 2. 4~,(~ f.'rv}1 355~9 BTUH
Suilding: 3. I p~'T, S$T~µ + 4. 2G,i BTUa 213,'7 BTUH
Difference: I 42• 3?~u ~-E5:
- REaz~D
„ ' ' page ~ of
, Uni t yp~ P+ n~-
, N0. 13s4
taeLE 3.3
~ U-Yatue Calculntiort
Construction ~XT~d~d~ STvp Cu,~~Po~Gr~fS ~~~}n~ uQu
Otagram ' Lomponents R-Yalue
Outside 0.ir Film
' ~i~Orr~(t U,Sv
~i,~~~ INjvl~~ ~iVEPTµI'-~f ~ IN~iUIi 3~q~~~~NEI~MA~V ~ .
IS~'o YJBS ~~/y° d,fDSle
~~~~i gA~s ~ f~•I~ as~o !NS~~ Yz.~i ~1,3s
~I _ P.rLA Ytiu o ~ c~s
Inside Air Film d,
Area = ~33 5~ RTotal ~
A~~3 SF ~ , ~ , oS~z
RTotal
iI
Construction L~~ ~ L~'~~ ~"J~ F~Ldn~n~ INSV~A"(lor~
Oiagram Camponents R-Value
~2= 3,$ ~INcI+ U, !~I
Outside ~ir Film
_
I~% ~!t-F M I N~t S~ ~
, ° ,2
~ I~'/a ~Ns~w g,S 3 3
I,~~;~ qo% ~~Sv~ I z" 4I , 04
~
r~vss ~r.1 ~ctiLc vL ~:-o~oc (~~I P«U ~~L~~ o~ 4 S
Inside Air film 0~ I'1
~Total ~~~4-
Area
1
~ RTotal ,DZII~C
i
~ ~ ~ Page ~ of 2
Unit ype k NT--
I " _ No. i354
I
TABLE 3.3
U-4alue Calculatiort
I
I Constructtan WIN~' O~N~ ~ ~f~~(CO !~(b~
' Oiagram ' Components R-Yalue
Outside Air F11m •17 , «
• 5/g'~ ~i.~n--~~./~ss , winlpou~F~ c%s~M 2,04 -
P,a7c o~~~- z. n 8
Inside Air Film ~ ~o$ ~ ~O ~
Area = RTotal 'Z`bq /
~=R~ .346
' VSE1~ `l.T=,~ ~ -~tal 4~
Construction ~i1n~O~ lal~l W~'~
Oiagram Components R-Value
~ Outside Air Film . U' I~
~~1L~~ IrrSul.~ ~ ~ S`v
r
' lL" BwGK. I ,
,
~ ~
_ _ o, 6$
~ ~~L~~ ~~v~ Inside Air Film
' R = ~0~2~
To[al
I! . ~ Area
; ~ 1
i ~ ~ oq~(a
i . G~cT~+o~ 9D~ZS = T~htirZMo-"f~J ,~~G ~ ~2- is+
;
~ ~
i
PERMIT
,.CI~'1( OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: g u x~ o r rv ~
Eagan, Minnesota 55122-1897 Permit Number: 0 3 3 7 8 8
(651) 681-4675 Date Issued: 10 J Z 6 J 9 8
SITE ADDRESS:
~~s suNSEr nR
LQT: 1 ~iLOCKa 4
~ SUNSET 4TH
P.I.N.: 10-72988-010-04
DESCRIPTION:
L.,_ r.o. ~ REROOF
Bu:;i'lding"~Permit Type STORM DAMAGE
8u'ildtng 4Jb~~k Type REpAIR
tCen.s~I.6 Cod~e 434 ALT. RESIDENTIAL
-
f'
!
Jn /
O.
- F7t
~'^'('~i .1 "l_
6 ~ t ~/i""~
~ 7 ~ y
~ 4~ r i( t ~{t } i;?
f ~ , ; ' i_,l` ~ w~ i~~
~ - ~ ~r1 ' , ~
x, -
REMARKS:
FEE SUMMARY:
CONTRACTOR: OWNER: - fl p p 1 i c a n t-
MENN~ ROBER7
778 SUNSET ~R
EA6AN MN 55123
{651)452-5564
I heraby acknowledga ~hat Z have read this appJ,9:cation and staCe that the
infiormatian is carreot and aqree to comply ~ith a11 applicable State of Mn.
Statutes and C'ity of ~agan Ord'inance5.
~ ~
~ s 4 t~ A
APPLICANT/PERMITEE SIGNATLIRE UED eY: 51GN TURE ~
~ 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
r'i Q~ CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-46T5
New Construction Reauirements RemodeUReoair Reauirements
? 3 registered si[e surveys ? 2 wpies M plan
? 2 copies o1 plans (inUUde beam & window sizes; pouretl fid. design; elc.) ? 2 stte surveys (axtenor addkions 8 decks)
• 7 energy cakulations ? 7 energy ealwlations for heated add8ians
• 3 wpies of tree preservation plan if lot platted after 7/1/93 ~
required:'_ Yes _ No ~ ~ ~ ~ ~ ~o
DATE: ~r _ 2O d---~ ~
CONSTRUCTION COST; 5~ S~
DESCRIPTION OF WORK: re- ~ r'c~~ C~ ~I.R~Q_C~.w
STREETADDRESS: vn e ~
/ ~p,~
LOT: ~ BLOCK: ~ SUBD./P.I.D.
Nacne: 7~-E'l ~ ~ 1 Phone 4 S 2^ S S~ Y
PROPERTY L%~~ ~~s~
OWNER ~7 o 7~
Street Address: p J Vh~~~ ~J`~ ~
City ~ Stare: r v/ /v Zip:
Company` ~ ~ rt9-C~ I
CONTRACTOR
Street Address: ~ ~ ~ License k
~;ri ~a ~ ~?v Z~P: ~S~SI z3
ARCHITECT/
ENGINEER Company: Phone
Name: Registration tt:
StreM Address:
City State: Zip:
Sewer 8 water licensed plumber (new construction ony): ~ Penalty applies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the iniortnation is coRect and agree to compiy with all applicabl
State of Minnesota Statutes and City af Eagan Ordinances.
Signature of Applicant: _
~ r~'I~,,
OFFICE USE ONLY ~ 1 '
~ ~~l i C ~ ~:i~ ~
Certificates of Survey Received _ Yes _ No ~
Tree Preservation Plan Received _ Yes _ No Not Requir
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Faundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Owelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
? 03 SF Addition 0 OS 8-plex ? 13 Garage/Accessory ? 2Q Public Facility
0 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition O 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 Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNU Pertnit
SJW Surcharge
Treatment PL
Park Ded.
Traits Ded.
Other
Copies
Total:
% SAC
SAC Units
~
SUBTERRANEAN EfVGINEERING CO~RP.
: 6875 Highway No. 65 N.E. P.O. Box 32371 DATE
, MlNNEAPOLIS, MINNESOTA Phone 574-1242 ~A 30 l985
EARTH WORK OBSERVATION REPORT
I OBBERVED
Job Nams 51nV~~ ~_~t~1 ~d~i1~'/I'oV~ob No..~$~I_~~ EXCAVATION• ~
Job loeation ~ Z`d~~ 5e~ __C~~,~Q~~ ,_~M_!!1_-- ~o~ -
Earthwork , Biock
Contnctor C~q C~_ ~C~ ~~_yij~NCllent Col~ C~'fl~ ~n~Yj_ p~at ~I`'
T '
Arriva Job ~?_3° . Mileage Total FILLPLACEME~
3° Traval Tlme 3~k N Cha?psable n 3~ Lot ~
D~oart Job Hours L 1~
% Fl. Bloek
Lab. Time ~
Total Houre N i H• Ehg'r _ Plat
On Job ~ Rsport Time ~ _ Raview Tims ~
Summary of Technicsl and ior Fnplneering Seralc~m per}ermed- Inr_lu~~na .ileid lest ~ata, Loeatlona, -
Elevetlon~. and Deoths ara estlmatsd. THE'LIMITATiON OF LIABiLITY S7dY'EMENYS OW TNE REVERS~E
SIDE OF THE COMPACTION pUALITY CONTROI TEST REPORT CONSTITUTE AN INTE(iRAL PART HEREOF.
1~_ feat deep h W ~1`- tast dsep S~
1. Excavatlon is _ Elevatton at snd , grading to _ _ _ Elsvallon ~t ~nd
2. Slde Slopss are apDrox.: vert. 1$I 1/2 horiz.: tvart. ~ 1 horiz.: 1 vsrf. U
2 horiz: 1 vart. ? flatter than 2:1 ~ othsr
E 3. Construetlon Staking Is: adequata ? not avaflable ? Incomplat• ?
X 4. Exeavation Is overslzed 3~ tsst outside o/ building linas.
~ 5. Exeavation Is: dry ~ wet ?
A 5a. Water is seaPin9 trom -
_
~ bb. Depth ot watsr In sxcavation apDrox.
A Sc. Dewafsring is: necsesarY ? not rsquired
T 8• Excaratlon is wlth : dragline ? backhoa ~ •crap~r ~ dozor ?
~ 7. All unsultable soils have bsen e:eavatad. YES ~(1 NO p
0 ' •
Ta. test oi~~_ +_.l.c~~R!
~_.-1~.p._s~~L ao~~ r~melns to be r~moved.
N B. Soll at excavation baae Is: ~
Sllty Clay p Sandy Clay ? Clayay Silt ? Sllty Sand ~
I~- Cleyry Sand ? Clean Sand ? Othor _ -
9. faot ot fHl repulred to roach dealgn aubgrads.
10. Excavatlon Is: Approved ~ Not Approved O for 1111 plaC~m~nt.
11. FIII 1~ ~f~~w~_---~,~ e-~^1 vn ~typ~ of ~olq
1 1 a. Imported ? On-sits borrow 6S1
t tb. Compactlon Is wlth sheepstoot roller p manual tsmDSr ~ rlbratory ~
F smooth drum roller ? ~Nf-propelled ? non-vlbralory ?
~ 12. Per/ormed flsld dsnsity tssts. Sse Compactlon Quellly Control
~ ~ ~ Te~t Raport No. ~
~ 13. feet of fill remalns to bs placsd.
11. Density tsata msst co~nDaetlon specltlcatlon~. YES ~ NO ?
14a. Teat No's. _ ' _ did not msat compactlon ~p~c Ic~tlom. / I
15.Addltlortal obssrvatlorts nd/ t f er rs uly d YES NO rlt5 YP ytSteq
' FROST ADJAGENT
0 DEWATERING;' PROTECTION: i STRUCTURES: WEATHEfi CONOITIONB:
~ N well polnts ? straw blanketa' ~ ~.yP~~ Hot ~C] Dry ~
~ -deep walla ? loose soll - ? Warm ? Raln ?
j ~ opan ditch ? frost ripbing ? wlthln 20 lsst ? Cool ~ 8now ~
~ N tump pump ? tamo. heat _ ? 20-4p fa~t ? ~ 3?'F ~ ~ -
S other ? other ? 40 or mora fast ~ Sub-h~~zlnp?
RECOMMENDATIONS/SUMMARY/WOHK PROGRESS~ ~/r°<f< '/NrP~t ~ CPec<•
DISTHIBUTION:
/ cc: -.~_1_r si~' _ _..~,-~Jr --~hsfru~~~
~ ce: EAq~--- . 2"~5~, . ~
~ ~ ~ - ~,v~~~ ,~.'1t%~
bY _ l~~ip.
_ CC: . .
. . _
_ _ _ ~SUbterrap i~an En~4q'eering Corp.
_ C.
ec:
THESE LIMITATION OF LIABILITY STATEMENTS SHOULD BE
CONSIDERED i0 BE AN INTEGRAL PART OF THIS REPORT:
I. In performing our professional services with regard to earthwork inspection and qualify
control, our findings will be ob+ained and our recommendafions made, in accordance
wi+h generally accep+ed engineering principles and prectices. We will observe, monitor
and test lhis work, end may advise or make recommendations, bu+ we are not guarerrFor~
This warranty is in lieu of all oiher warronfies ei+her expressed or implied.
2. $ubterreneen Engineering Inc, does nof prec#ice in +he field of land surveying, end
is not responsi6le for 4he eccuracy of grade siakes and/or building loeation s+akes a+
fhis jobsi#e. There must be adequafe cons+ruc#ion stakes, cleerly marked, fo enable our
soil inspec+ar to properly assess +he exwvetion. We will not 6e responsible for eny herm-
ful wnsequences rasuHing from improper or incorrec# construction sfaking.
3, Tha field density tert dafe presented with this report represenh tfie values at par-
ficlar locelized poi~s within the earthwork. Alhough fhis is believed to be fairly repre.
sen+ative of 4he conditian of the fill pkced and compac+ed on this date, canditians a}
ofhar.locations and elevefions in the fill may vary, and we do no+ warran+ or guarontea
uniform fill densifies
4. We wnno4 eerfify, eifher ezpressly or by implice+ion, 4he quality of any work on }his
projecF which we did not heve fhe opportunity to observe at first hand. ImpeeFion of fhis
earthwork project ai irregular intervals does nof permit ihe inspector fo euess the full
scope o4 the contrector's adivi}ies.
5. If the strucfure is redesigned in size and shepe, or if i4 is oiherwise moved subsequen4
fo our inspec+ion, we should be nofified so the+ we cen asseu if addi+ional inspaction
work is required, or suggest wund angineering elfernatives. We are nof responsi6b
for any soil-founde4ion system where the structure has been relocatad wi+h respacf to
ezeevation and fill eree, subsequen+ to our inspecfion.
- SUBTERRANEAN ENGINEERING CORP.
8875 Hlghway No. 65 N.E. P.O. Box 32371
re. MINNEAPOLIS, MINNESOTA 55432 574-1242
COMPACTION QUALITY CONTROL TESTS
Project Sunset 4th Addition Repori No. 1
_ 778 Sunset Dr., Eagan Job N0. X--5100
Sand Cone Method ~ Indicated Percent Compaction: ASTM
Nuclear ? ~ Max. Modified ProcTor Dry Oensity D-1557
Other ? % Max. Standard Proctor Dry Density D-698
ELEV. AND OR
EPTp' E~,qN! Wel Denslt
Fooiin y Dry Density MaKimum
Da1C TB51 Of Total MOISTURE Lobaalory % RECOMI.ffNDAT10NS REMARKS
N0. Floor Grade SamDle CONTENT ( Corrected Co actbn -
Desi nG~ade For Slone y ~~Y ~"~'~Y ~
~ Fi II SurlaGe ~nCludinq Slore) % p C 1
May 30. 1 -1' 129.4 7.2 120.6 122.0 99 Meets specs.
1485
Z -1' 117.0 6.0 110.4 122.0 90
Marginally
Meets specs.
NOTES~ I.) ALL TESTS CORRECTED FOR STONE CONTENT, WHERE APPLICABLF.
2.) APPROXIMATE DENSITY TEST LOCATIONS ARE SHOWN BELOW.
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_ i
~i ~ ' CITY OF EAGAN
~ /
?`I~i APPLIC~TION FOR PE~'4IT
SEWER AND/OR WATER CONNECTIODi
(PLEASE PRIHi)
1) P..pC)PFTt^_'!' ADDRESS: ~l7 ~Cf~s.~~ p~.!/l~
rFraL DV.SG2TPTICV: ~ - y' „S~
(LoL/Block/S •t.vaivislcn or T~ P~el I.D. N~n;~er)
~ W;I~:'~:G S?~L'~.-n~'~. DrIT:' 0~' Oi2T.Gl^.AL LiiZI.J' P:G =.-;~ST T_SS~r~C.:
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? R-2 C•LTPL...`'Y (2•.~~ LSIITS)
? ~Z-3 '~C7.:~~?CL'~E ('rr'o.
LL. + U`]ITS) ( W~m~~
? r~.-~1 A?v~T"+z-VT/CC:~Ci.1TjP~-M ( UtilT'S)
? CCL"rvI~CL~I./RE^~PSI,/OF:'ZC'::
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3) pu,~.•cc4-~ (PLEASE PRINTJ FOR CITY USE NLY
NPP'L _ _ -
~ ~ PLJMB~ ICE45E•
PDDRESS: gpyD 151stSTaA/ ~ ~ Active
CIiI, STATE, ZIP: APPLEVA EY,ME{w5~$24' - ~ zpi d
tiarcr. of Re ord
- PI'~~; ~ PLtlMBER LFCEYSE p QO~~~~~ ~
- ~ arr . icia~ .
4) OCC?;?F~1T/C!v'CIER (PLEASE PRINI)
NAf~:
ADDRESS:
CI^_"l, STATE, ZIP:
PHO*IE :
5) II~]DIG.TE :JFIICH PER•lIT IS BEING RF~UESTID:
~'rI0~7 'IC) CITY S~T^iEK
w:vr~x..zzc:v ~ro ci~ ivA~
? dil~R (PI.I'I15E DF_SCRZBE) ~
6) ~ ~iG:::: C:s.: .
. ? PIL~SE f?OLD APP?2(7VFD pg2,'NIT F17R PICi:-L~t BY ONE OF AE(Z/E
"`_'~L APPROVID PEP~ lIT 1''J 1, 2. 3~4 ASWE J
fCircle one)
7) SIC..,'IL'RE: ___sz~ ~i~E~ f~ /f
DATE:
~l4:RilllsJS i~ il s! ~a:afl~! A r+tsaira+A ~ ~ iss:a:~a iela!l~y1l~i~ a~ ! Iiit ~5~~ ~
~
FOR C ITY U S E ON:,Y
PEB}lIT ISSUED
grr.S: $ S~':LR P~3~1rT ~I\IC~T;:i:1. .JUP.C:ARGGJ
S l°-s~' waT~~ PEZiTm tirrcLun~, sL~cxa~cL)
,
$ --r ~'-*J WATER METER/COPPERHORN/OUTSID° REe;DER
$ WATER TAP (ZNCLUDE CORPORATION STOP)
$ S~:dE~ TA°
$ ~S^`^-rJ _._~Oi::i'_^ ~.:.=('.SI= - a_:.~~
$ ~ Sl "`"U AC^CUNT DEPnSIT - p7ATE2
s ,~"oo_ ~ taac
$ C'2 S'~-,i SP.C
$ TRliVK SVATER ASScSS:?E.dT
s TRi;~TK SE:~IER ~SS: SS;I°_~iT
$ Lc.TERIL BENEr IT/TRUDIK SE:~:~R
$ La:cR.'vL BEVEFIT/TRU::K SQATEP,
S WATER TREATMENT PLANT SURCHARGE
$ ( °U OTHER:
$ TOT~L
$ . Ai".OL'.~'I' PAIDjREC~'IPT ,1, ~~~G7 U
' , . . , .
DO~S UTILITY CONNECTION REQUIRE EXCaVATION IN PUBLIC RIGHT OF WAY?
YES IF YES, THEN H"PERb1IT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
~..NO ENGINEERING DIVISION_ LIST AS A CONDI-
TION.
SGBJECT TO THE FOLL0~4ING CONDITIONS: •
APPROVED SY:
TI':LE: •
DAT°: 1 ~
.e ss~ w~ ~ s~ .i.~ E~ w~ ~r±~ w~ wi ~-w w~ ~c+ ~r~ i
w:~ w~ ~ sa w~ ~c~ ia sw
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TL 73• A final assessement hearing was held for Project 374 (Eagandale Office
Park - Streets & Utilities) and the final assessment roll authorized for
certification to the County for collection.
TG 14. A final assessment hearing was held for Project 387 (Lexington Place
Addition - Utilities) and the final assessment roll authorized for
certification to the County for collection.
"~(Cr 15• A public hearing was held for Project 416 (East Blue Gentian Road - .
Streets), the project approved and the preparation of detailed plans and
specifications authorized.
7 C 16. Bids were reeeived for Contract 84-10 (Silver Be11lCoachman/Four Oaks Road
- Streets) and the contract awarded to the low bidder, Bituminous
Roadways, INc., in the amount of $395,057.35•
17. A boating and related water activities ordinance was continued.
~ Q 78. The preliminary plat for the Windtree 4th, 5th, 6th and 7th Additions was
approved.
Q R 19• The preliminary plat of Crossroads of Eagan was approved.
G b~~ 20. Multi-family housing revenue bonds in the amount of $1,900,000 for the
'~N Crossroad Properties project were approved.
De 21. An amendment to the Winkler/Jackson Planned Development to allow a service
station and convenience store was approved.
22. A variance from the 35~ maximum lot coverage limit in an industrial
district,as requested by Edina Engieering, for Lot 3, Block 2, Sibley
Terminal Industrial Park, was approved.
23• A variance from the 30-foot front setback requirement in an R-1 District,
as requested by Mr. Robert Krebs, for Lot 8, Block 5, Cedar Grove ~k4, was
approved.
24. A varianee from the 10-foot sideyard setback requirement in an R-1
District, as requested by 3rian Thorson, for Lot 22, Block 1, Wedgwood
Addition, was approved.
D~ 25. A variance from the 30-foot front setback requirement in an R-1 district,
as~equested by Swe-Dun, for Lot 1,-Block Sunset 4th Addition, was?
- --1
approved, , ~ ~ -
T~~ 26. Industrial revenue financing in the amount of $2,500,000 for Road
Machinery & Supply Company was approved.
""r N 27. The City Council convened as the HRA and a resolution establishing general
guidelines and criteria for interest rate reduction programs for multi-
family housing developments was approved.
28. A request by the DNR to allow shotgun hunting of deer in Fort Snelling
State Park en November 17 and 18 was approved.
~
~ , ~~'U~z3"~~~~
~-z/~
CITY OF EAGAN
SUBJECT: VARIANCE
APPLICANT: SWE-DUN PROPERTIES
LOCATION: LOT 1, BLOCK 4, SUNSET 4TH ADDITION
EXISTING ZONING: R-2, P.D.
DATE OF PUBLIC HEARING: AUGUST 21, 1984
DATE OF REPORT: AUGUST 13, 1984
REPORTED BY: GREG H. INGRAHAM, ASSISTANT PLANNER
APPLICATION SUBMZTTED: An application has been submitted requesting
10' variance from the 30' front setback requirement.
COMMENTS
The applicants wish to construct a single family dwelling 20' from
the road right-of-way on Lot 1, Block 4. This lot is located on
a curve of Sunset Drive so the altered setback should not be too
noticeable. The Variance request stems from the difficulty of
placing a structure down the steep slope of the lot. By moving
the house 10' toward the front of the lot, the trees on the rear
portion should be able to be preserved.
If approved, the Variance should be subject to all other applicable
ordinances.
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SUNSET ADD' ~-~a' ' _1'
~`Cr~C~ (I RESIDENTIAL BUILDING
~ Permit Application c~ ~D~
City OfEagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWd'wn Reouirements RemodellReoair Reauirements Offce Use OnN
3 registe2d sile surveys showing sq. ft. of lot sq. ft. of house; and all roofed areas 2 copies of plan _ Cert o( Survey Recd
(20% maximum bt coverage allowed) i set of Energy CalcuWtions Mr heated addiUons Tree Pres PWn Recd
2 copies of plan showing beam 8 window sizes; poured found design, etc. t sde survey for additlons 8 decks Tree Pres Not Repd
1 set of Ene~gy Cakulations AddRion • inditate i/onsde sepGc sys[em _ On-site Sep6c System
3 wpies of Tree Preservation Plan if lol platted after 7l1/93
Rim Joist Delail Opfions selectlon sheet (bidgs with 3 or less units
Date ~ l~~ l dJ Construction Cost yp~/y0/~~ -
SiteAddress ~Gl' ~
~ ~'/4~ ~ UniVSte #
Description of Work l Q..S ~71 / j^~ ~~~f~ ~ U`/~/~'l('P_ L'P/'~f~
Multi-FamilyBldg _ Y_ N Fireplace(s) _ p YE~~r~l~3'
~l~
/j S ~
Property Owner /JlJ~~ ~Gv1 ~ ~ Telephone # ) `~`~~`69.5
.
Contractor I~~J l
Address W , ~ /A/ [w /3 C~tY
State ~ ~ ~ Zip ~Telephone # ( ~9~"~ ~
COMPLETE THIS AREA ONLY IF CONSTRUCTING-A, N W BUILDING
~ ~ ~ ~ ~ 1 ~
Minnesob Rules 7670 Categorv 1 ~ , Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Wotksheet,~~ i1~, G nn I~N~ew Energy Code Worksheet
(d submission typeJ Submitted ii Submitted
• Energy Envelope Calculations Submitte~~ ~,,g~
` -._...-I.
Licensed Plumber '~y-=~~Y~lepho~ J
Mechanical Contractor ~1`C ~L'IAY'~ 'V- I/(~l4'i~P Telephone #~Y~) li 9(L,r~,2h~~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 apptication 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
approva of plans.` ~ ` ~
JI ^
~J~ ,
Applicant's Printe me ApplicanYs Signatur
,f~e~ ~r~ ~ ~r~S~l1~
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accsssory Bldg
? 02 SF Dweliing ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 77 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex p t i 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ~ 35 Int Impravement ? 38 Demolish ~Interior) ? 44 Siding
? 32 Addifion ? 36 Move Bldg. ? 42 Demolish (Fou~dation) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ~ •Demolition (Entire Bldg) - Give PCA handout to appliwnt
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Foorings(new bldg) _ FinaUC.O.
_ Footings(deck) ' _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final .
_ Fracning _ 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
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
CASH RECEIPT
~ ~
' CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
i
DA7E`- - - ~ 1 9~
REC6IVED ~ f . ~
FROM _ . i ~ ~ ~
AMOUNT $ I
& DOLLARS
~oo
? CASH ~ CHECK
/
eG~~ ~ `a ~ / G,~ ~ / % 7 . ? . . T 4'~~~~
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~
FUND CODE AfAOUNT, ~
~ ^
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: ± . i
Y~ _ ~ )
is~.
~
7% ~ ~ s
_ ~S ~
- ~ , -
_ ;
, _
Thank You _
~BY ; ~~-S ` _ ~
;
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CASH RECEIPT
L
' ~ 'CITY OF EAGAN
P. O. BOX 21-199
EAGAN, MINNESOTA 65121
DATE I I 19 ~ ~
~ .
RtCt~V~D ' ~ , , - -G
R1lOM ' " lJ~:
AMOUNT $ I -
6 COLLARS
teo
~ CASH CHECK
- Ja~
•OR ~ - i~~ ' - --~il/~
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._~-ry.r'~"1
FUND CODE AtAOUNT
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White-peyen Copy
Yellow-Posting CopY
Pink-File Copy
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
I � I
Clt of �� �� � Permit#: �
Y � � - ��;
� Permit Fee:
3830 Pilot Knob Road � ' � /
Eagan MN 55122 � Date Received: -' `�-'
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � ��' l�`1` Site Address: ��U ��yjf� �' �� Unit#:
" ' ' Name: �/� ,/�f �/�s�� Phone: �lZ.���. G����
R�si�lent! � 7�2 .S c.� �...�- � fi.,�'
• �QYytl�l'�� �� Address/City/Zip: G> �L g�/ �� • C��l�1 c'�i� ��/2�
, >.
Applicant is: Owner �ontractor
Description of work: � ��"�' �i�� �� ���f
Typ�e of Work �,. oL,
' Construction Cost: g p� Multi-Family Building: (Yes /No��
I ��
' Company: (l�/�ULV COs�T/1..�G>"i�d�ontact: f.D `�i9iP��v
� � � � � Address: '2�l� Cf�f'r lL f��Yv✓� �/.�. � `2 City: �/���ii 'z.
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' State:�I�Zip: 'S��/�' Phone: 612- �d1• �3��mail: �K�.�i/10ct��G�-,'il,.��L, r
'. License#: �� G�7 y�� Lead Certificate#: �` ( M l��l L�"'�a' ����
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NC3TE:Plans and supporting dacr�m�rtts tha#yau submit are consider�d to be public inform�tion. Porl`ions af '
the informatian may be clas�ified a�nar�'',�public ifi you provide specific r�asans th�f wc�uld p�rmit th�City tp
'���� cori�C�d�tt�at�he'� are trad�se�cret�.
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.ora
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.
Ezterior work autho�ized by a buildin ermit issued in accordance with the Minnesota State Building Code mus completed within 180
days of permit issuance. ~
x x � �
Applicant's Printed me Applica Signature
�� ���v� Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152953
Date Issued:11/09/2018
Permit Category:ePermit
Site Address: 778 Sunset Dr
Lot:1 Block: 4 Addition: Sunset 4th
PID:10-72988-04-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Robert Menne
16640 Galaxie Way
Rosemount MN 55068
(612) 916-4638
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature