4913 Sycamore DrDate:
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
11
Tenant: (v/tdd 14\1
AY 3
Orrli
ci
Use BLUE or BLACK Ink
Permit #:
;9339
Permit Fee: 4Pgc D�
Date Received:
3/-)1
Staff:
2011 MECHANICAL PERMIT APPLICATION
SiteLICI t Address: *OOor
Suite #:
RESIDENT / OWNER
Name: 4/`� Vtc 1 74 b } ()/ Phone: t'� �I ✓ 5
{�
Address /City /Zip: ( 1(T3 5)(l.,al fO( r)1elf/II() 5'1 24
CONTRACTOR
Name: Ron's Mechanical Inc License #:
Address: 12010 Old Brick Yard Road City: Shakopee
State: MN Zip: 55379 Phone: 952-445-8585
Contact: Linda Email:
TYPE OF WORK
New Replacement Additional Alteration Demolition
Description of work:
8
PERMIT TYPE
,/ RESIDENTIAL
COMMERCIAL
New Construction Interior Improvement
zTurnace
Air Conditioner
Install Piping Processed
Air Exchanger
Gas Exterior HVAC Unit
_
Heat Pump
Under / Above ground Tank ( Install / _ Remove)
Other
** When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$55.00 Minimum Add-on
or alteration to an existing unit (includes
burned out appliances, ductwork, etc.) (includes
$5.00 State Surcharge)
$5.00 State Surcharge) $ 5 50° TOTAL FEE
$95.00 Fire repair (replace
COMMERCIAL FEES:
$75.00 Underground tank
$55.00 Minimum (includes
installation/removal OR
State Surcharge)
$10,010, surcharge is $ 5.00
surcharge increases by $.50 for each $1,000 Permit
Fee requires a $ 5.50 surcharge)
Contract Value $ x 1%
$ Permit Fee
- If the Permit Fee is Tess than
Fee = $ Surcharge
- If the Permit Fee is > $10,010,
(i.e. a $10,010-$11,010 Permit
= $ TOTAL FEE
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.000herstateoneca l.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in c
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t
with the approved plan in the case of work which requires a review and approval of plans.
X ..\ nthQrade(
Applicant's Printed Name
x
formance with the ordinances and codes of the City of
tart without a permit; that the work will be in accordance
Applicant's Signature
. . 1N~Y~(:'1'lUN K~(:Ulll~
~ C1~=Y OF EAGAN PERMIT TYPE: ~ ~ ' ~ ' ~
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: r'
(612) 681-4675
, ~ ct . ,
SITE ADDRESS: ~ ; ~ APPLICANT:
. , . ~ .-Il~,ftt ~~~i ~ , „ ~ : i ~ i t ck~~'~~~
~ ~ ~ , . , ~ ~ . , ~ ~ . , , I I'~
PERMIT SUBTYPE: TYPE OF WORK: '
~ , ~ ,
. .
, ~ r~~, ~:~~~~i ~~v+;
, , i . ~ ~ , , i . ~
~ . , . . , .~~i~,,, ~ i
I t fic r t r,,;i
~ ~ . . . , I ~ , ~ , ( ~ { ~ t
. & LS k'1 ~IMttF:lt : ,1~.
~ • ~
~ ~
F
Permit Holder Date Telepho~e M
~ PLUMBING , ~
HVAC " . 9 ~ 9 79
Inspection ate Insp. Comments
FOOTINGS ~lQ~' ~
FOUND 1
%
FRAMING ~9/9~
6
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
H~EATING ;3 `'t/ ~r G 1/ e h,TG 41
GAS SVC ~ y)
TEST ~C
INSUL ~ qi~
.~.p.~
GYP BOARD
FIREPLACE
- - - - -
FIREPI.ACE
AIR TEST
FINAL PLBG (~/C~~C g ~1a
7 d~r7
FINALHTG ~~~/~^g A
1~
ORSAT
TEST
BLDG FINAL ~~plp~ ~
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
_ . _
~ ~ : . . . .
C~~ei.~ti~cate o~ ~ccu~anc~
~it~j of ~agatt
~e~artm~at of ~xitbing ~n~reccion
Tlus Certifcate issr~ed pursuant to the requirersents of the Uniform Building Code
eenifying that at ti+e time of issuaRCe this strercrure was ire compliance with the various
ordirrances of the Ciry regulatireg building corrstructrort or use. For the followirtg:
Use Qassificuion: S F ~WCi Bldg. Pertni~ No. ~ 2 2 S 9
o«„~, T~ R- 3 U-1 zo,,;,~ n~n;~ R-1 ryv~ ca~5~. V n
~~g,,;b;~ ROBT L GLARK ~ONSTA~ 14906 MANITQU RD NE.. PR10R LAKE, MN
~ 4913 SYCAMORE DR ~;,y L8, B3, PINETREE FOREST
ns
) ;
, e~ a~~-7~r o"`~ ~ ~ i
POST IN A CONSPICU~US PLACE
Adtlress 49 13 SYCAMORE DR Zip 5512~_
LAt 8 Blk 3 Sub PINETREE FOREST
THESE ITEMS / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 9 Yes No Inspector.
Final grade (6" from siding) v
Permanent steps (gazage) ~
Pertnanent steps (main entry) ~
Permanent driveway
Permanent gas i/ •
Sod/Seeded grass
Trail/curb damage ~
Porch ?
Basement finish
Deck ~
Please ve~y with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
ihe outside lawn faucet befote freeze potential exists.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - ConVaclor Copy
(r~I'l ~(o ~ J-
2005 RESIDENTIAL BUILDING PERMIT APPLICATION C,Q~,~~„ p~/2~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telep6one # 651-675-5675 FAX # 651-675-5694
New Constructbn Reouirements RemndaVReoair Reaulrements Office Use Onlv
3 registered site surveys shawi~ sq. R. of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeR oi Survey Recd _ Y_ N
(20%maximum lot coverage allowed~ 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y _ N,
2 copies of plan showing 6eam & window s¢as; paured found design, etc. 1 sile survey for add'N'ons & decks Tree P2s Required _ Y_ N
isetofEpergyCalculations Addition-indicateilon-sdesepNcsystem On-sileSep6cSyslem _Y _N~~
3 copies of Tree Preservatian Plan if bl pWtled after 711/93 -
Rim Joist ~etail Options selectbn sheet (buildings wAh 3 or less units)
Date / / p s Construction Cost ~ S Oa8
~ ~ ~
Si[e Address ~~/.3 Sy Gsi n.~ s yG 1~ v, Unit/Ste #
~1 MnJ ss~a3
Description ot Work ~«.S e...~ a.Jt"~ ~w~~s' ti-
Multi-Family Btdg _ Y~ N Fireplace(s) ~ 0 _ 1 _ 2
~
Property Owner ]~c~V e, s ~ ~ ~I ~ ~ ~ a-/S Telephone # (/cSl ) ~a3 - /~~D l
Contractor ~DSGO 172-5l~ w 6w~ ~t~ Z,~c..
Address f L~73 G`(n.i.}y~~,ti.,~o.,(e ,d~?e UJ. City l`-~Se.w)kev'f'
State /'7 ~ Zip SSD~ ~ TetepNone #(ESl )~a 3-1L~l~ l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 767D Cateeorv 1 Minnesota Rules 7672
Enecgy Code Category . Residential Venfilalion Calegory 1 Worksheet • New Energy Code Worksheet
(~Jsuhmissiontype) Submitted Submitted
• Energy Envelope Calculations Submiflad
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
Sewer/Water Contractor 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 re uires a review and
approval of plans. ; D ~ ~ ~ ~ ~ ~
l~~`~ ~wLE`~ / ~ 4 2005 ~
AppIicanYs Printed Name ApplicanY ~ nature J
BY
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory 81dg
? D2 SF Dwelling ? U8 D6-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 E#. Alt - SF
? 04. 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05. 03-plex ? 11 10-plex ~i" 19 Lower Level ? 24 Storrn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work 7ypes
~ 31 New ? 35 Int Improvement ? 3S Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Founda[ion ? 45 Fire Repair
~ 33:Alteration ? 37 Demolish Building* O 43 Reroof ? 46 Windows/Doors
? 34~~ Replacement "Demolitlon (Entire Bldg) - Give PCA handout W applicant
Valuation f! Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type af Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Final/C.O.
_ Footings (deck) # Final/No C.O.
_ Foo[ings (addition) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests Final
~ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
~ Insulation _ Retaining Wall
~
Approved By: ~ ~ , Building Inspector
Base Fee
Surcharge ~.L ~~/.,,~.~~j~}*
Plan Review ~ ~ ~
MC/ES SAC ~ t
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
~~~Sg ~ s~.5a
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 2 ! I ~S '
Site Street Address "~~JT Unit #
Property Owner tt.~.Cl~ Telephone # (65/)
Contrector 'f)1 ~e.~ i~~~ n Telephone# 4~.3-3~~
Address / City ri~~L State~_ Zip .53'068~
The Applicant is: _ Owner ? Contractor _Other
Alte~tions to existing dwelling , d p $ 50.00
~cuo.rxz -t~utx.~
~Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.00 if a 5/8" meter is required) ~
Other:
Water Softener _ Water Heater $ 15.00
_ replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ~
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
E/a~ne.l`l~. l.ukavriez fl~".~
ApplicanYs Printed Name Applic nYs Signat
r~-~~__-_
I,II~ l-;'f 'i II
i FEB ~~~0~5 I~~ ~
~ll i ~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
I~' 1 3830 PIL~OT KNOB RD • 55122 5
r ~ 651-681-4875
~W R~~re~~ R~,~~R~re~~, Caucd q-a2-c~0
> S registered ~Ite wrvays Yww~ng fq. k, d bt, fq. R. ol house 2 copiea W pian ~
o~W ~I roofetl areaa (1096 maxlmum bl covaraae allowaN 1 set of enaryy cadCUlaNOns tor heafed addlMons
D 2 eoplea of plana (show beam k wintlow sizea; poured Ind. design: etc.) 1 slta wrveY ror exlerior addiHOna # decW
a 1 set ot enerpy cdculallons
> 3 copiea W hee preservalbn plan H lot plalted atler 7/1/93
DATE: S~6~I00 p CONSTRUCTION COST: 'r ~1 ~U
DESCRIPTION OF WORK: SG~~-1-, Y~ ~f
STREETADDRESS: ~{~~3 ~c.~ r'4~.-0~~- ~~~1 ~2
LOT: ~ BLOCK: ~ SUBD./P.I.D.~: ~ ~r~~°~'"~S~
Name: ~ S v~-, w~ 0~ ~w... Phone i: ~a.~~ > ac~ Jz 3
PRQ~k'r( Lp61 FI~St
OWNER Sheet Address: ~1 3 5 y G w~ ~-d~
CBy c, c.,~ / State: _ Lp:
. Company: ~ ~e/f L . C'~a~ ~ 5~ Phone t: ~f ~ ~7- ~O `/~'U
(area code)
COMRAGTOR .f" License ~ l U ExP• 3~"JI
Sheet Address: ~ ~ y0 (o !?2 ~.-L , ~
ciy ~~~w G.~_ /G srate: ~1 zip: S S 3~~
ARCHITECT/ ~ L ( l
ENGINEER Company:~,d~~> ~ ~ ~ ~ ~ Nome:
Telephone ( )
Sheet Address: Re9~~~
Ctly r State: 7~P~
i
Sewer/water licensed plumber l`If i~tallina sawerJwaterl: P~e
I herebY acknowledpe that I have read this appi(catbn, state ihaf Ihe infomwtion is coRed~ and agtee to compy wilh a0 apPr~ble State
of Minnesota Stalutes and Ciy ot Eayan Ordinances /
Signature of Applicant ~~~/~-'~~,r~~~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No ' - " ~ - -
Tree Preservation Plan ReCeived _ Yes _ No _ Not Required SEP 21 2000
~`Y'---~J~-.
OFFICE USE ONLY
r ¢ ~
BUILDING PERMIT SUBTYPES
? 07 Foundatian ? W 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 02 SF Dweiling ? OB OB-plex 17 Garage O 22 Porch/Addn. (4-sea.) 0 33 Ext. AR - SF
? 03 01 of _ ptex ? 09 07-plex ~ 18 Deck ~ 23 Poroh (screened) ~ 36 Muw
? 04 02-plex ? 10 OS-plex 19 Lower Level O 24 Storrn Damage
? 05 03-plex ? 11 10-plex Plbg _Y or _ N ? 25 Miscellaneous
? O6 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory 81dg.
WORK TYPE
? 31 New ? 36 Move Bidg. ? 43 Reroof
~ 32 Addition ? 37 Demolish (Bldg)' O 44 Siding
33 Alteration ? 38 Demolish (Interior} ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demoiition permlt
GENERAL INFORMATION
SAC Code D l # of Stories sq. ft.
No. of Units ~ Length sq. ft.
No. of Buildings / Width Footprint sq. ft. ~`T
Const. (Actual) .s' .r/ Basement sq. ft. Census Code
(Allowable) ~ Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning ~ sq. ft. Booster Pump
PRV
Fire Sprinkiered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ~ Engineering Variance
~v
Permit Fee Valuation: $
~G~C>= 4~-~~~a
Surcharge
Plan Review !s~ ! L~ y ~ ( ~ ~~O ~ 30~
License l lr
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
Total:
SAC Units
% SAC
~ AOBE aqNEERS. BOB CLARK CONST.
~ENGINEERING ~N~ ~d ~D SURVEYORS PRO~C7 N0. E45~.o0
COMPANY INC. B~` ~S
i PAGE 39
~1000~EAST 1~Bth S7REET, BIlRNSVILLE, MINNESOTA 55337 p11 ~72_yppp'~..
CERTIFICATE OF SURVEY
Legal Description: LOT 8 BLOCK 3 PINE TREE FOREST
DAKOTA COUNTY MINNESOTA.
~80_5, DENOTES EXISTING ELEVA710N
~ 83. ~ DENOTES PROPOSED ELEVATION
~ 4
00 _ INDICATES DIRECTION OF SURFACE DR/UNAGE
FINISHED GARAGE FLOOR ELEVATION
~ ~ 6 • ~ = BASEMENT FLOOR ELEVATION
5•~ = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30'
~ARK : 7,~H AT COT /2~ d~'.t' 2.
E1.6~/. = 983.45 •
ADD,~SS ¢9/3 SYCAmaPE DRi~.~'
~ ~-i so.oo
~i I ~
DRAINAGE AND
q~¢, g UTI~IlY EASEMENT '
589'41'52"YV ~g=96c,3z ~g,,)
~974.~'~ 136.50 o~z,oo C9@o:!% ~$i i°'
~ ws~.oo ~i i~
N~e= 915. a4 ~q 83 $ p~
to ~ /Q74.5~ • '
I I V.~__~ a20.00a 48C.7i ° i
~ O Wv p -
!'n I oo ~ 8.6y;1 ° i~31 ?I
p0 oo.o Q~ ~R ~
00 ~ ; } -.--~~i4~ ° ~ ~,o N ~ ~ ~ ~ o
r a.oo ~ ' W
' oo°• F- ~__,o.oo
m I O ~ ~ - ~ ~ ~ ~ `v 98h 30.33 ~ ~ ~ ~
o I J ~ .1 S~ o v~w ~ ~ oo
z ~ o o cn ~.oo~ 9d3•7 lo-~ moo ~ Q
i.t ~i.~ a O O o ~ I ~ m0 }I
I " , z.ooo 813.7~ I c°n
975.3 ~ ~ ~ 979 l ~ .
to L--- 978.} 0 8~3,2~ -~f''a
~
9 0~00 uJi i~
(~jjj,~ Hug=975.65 136.50
043.So 8/,S+ I~ lao
/9~,~ N89'41 52"E Iiu9=981,45 ~81,~
l
. ; ;.~1 .r :
.i 1 1
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared by me this 28~' day of AY 19~
R~~55~ P/~~ ~~'S. 6-5- 98 _p ~l~„ Minn. Reg. No. ~ 90$6
..:y,.~. . ,av °~e.~-,~~;~•o-g<
.
$cN:: L$;$.. . ,.(.,,.~tYn;ns. :.1~t:F'4,sYZ'.. , ~ a.. ~ ;g7l: `~F.",i`: . .I(n: ~
~:.:C7V t:!~ I=.:;G~1N
~::.-^,'G!{Ci;:Fie S i"!"r;:~S7:~tn!... A:17e 73J
Pr'~~i-rr, pri,!~Lr,iSd<~; ;:;:t'iP.;; .-.,:~r4~r,;:?;;
iT!~
,i ti f-. ~.a...~..," I r. t'; " l . f
t1-.~'4._,; i^-..].~;_r:.( . .;L n. . t.LiQ...l .~.h..,
. . .
r?`~E, ~.)CiI.)1. t..`:a:1..:5 ;'~'~'i^,ri(:1:iP.: D 1~a r.r!i i I.
~
4
. ~ . ...r~.~...~
..~.r]i:;9.1. ~1.ErbF27.17'F r;'irtis.EY}'r,E A~.~;.>r..~~'1
i~ Q`_'~1; i.°i:rliv~
,.f' ~ .rrll' Idr.'~'^'d
ll,o,:..... "ile~..
1[;^M',~:Y~:Xi""1,::~iipYC9F~Y!:MNa;.i;iti:ifY !:Y6 iii:r:C;t)n>}:%'Sti::4~;:;.i::;';i;~:~}l'i};
PERMIT
` CITY OF EAGAN pERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Eag~an, Minnesota 55122-1897 Permit Number: 032259
(612) 681-4675 Date Issued: 0 6/ 16 / 9 8
SITE ADDRESS:
4913 SYCAMORE DR
LOT: S BLOCK: 3
PINETREE FOREST
P.I.N.: 10-57650-080-03
DESCRIPTION:
6-uilding~Permit Type SF OWG
Building Wgrh Type NEW
r'UBC OcCUpancy,, R-3, U-1
( Cpnstruction Type VN
Z~o~nin9 ~ R-1
Building Length 40
! Building Width ' 66
Buildirlg stori~s ~~r 2
$~~tare Fee~t 2,000
C~;p~S,.,Cad=v~° 101 1- PAM. ~ETACH
V`y;,
~t i
t~ ~ ~ x }
' . . .
F, . `y' t ~k~l'~_ e _ _€c j t'~,
- , .
REMARKS:
PLAN REVEWE? BY MIKE BARCK
S & W PLUM6ER:
FEE SUMMARY:
VALUATION $179.00@
Base Fee $1,282.25 MISC FEES $1,592.50
Plan Review $833.46 Total Fee $4,797.71
Surcharge $89.50
SAC $1,000.00
SAC ~ 100
SAC Units 1
Subtotal $3,205.21
CONTRACTOR: - Applicant - sT. ~IC OWNER:
R~ BERT L CLARK CONS7 14476990 1180 ROBERT L CLARK CONSTRUCTIO
?JA906 MANI70U R? NE 14906 MANITOU RD NE
P'RIOR LAKE MN 55372 PRIOR LAKE MN 55372
#612) 947-6990 (612)447-6990
I hereby acknowledge that I have read this application and state that the
information is correet and agree to camply with all applicable State of Mn.
5tatut~s an'd City of Eag~n Ordinarices.
L J
i~`1a~C~um~ ~~Qn~
APPLICANT/PERMITEE SIG TURE ~SSUED BY: CaNATUFE
~5~,~!
~998 BUILDING PERMIT APPLICATION (RESIDENTIAL~
~ < CITY OF EAC3rAN
' 3830 PILOT KNOB RD • 65122
681-4676
New Construction Reauiremants RemodeVReoair Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 wpiea of plans (inGude beam 8 window sizes; poured fid. deeign; etc.) ? 2 site surveys (exterior edGRions 8 dedcs)
• 1 energy calculations ? 1 energy calwlatians for heaMd addNions~
? 3 copies of tree preservation plan H IM plaked after 7l1/93
required: _ Yes No
DATE: Co ~ O CONSTRUCTION COST;
DESCRIPTION OF WORK: ? w G
STREET ADDRESS: I J
~ ~ BLOCK: ~ SUBDJP.I.D.#: ~l 7`/~C ~ ~ S~
Name: S~ ~ Phone
PROPERTY Last Fim
OWNER
Street Address:
Ciry State: Zip:
Com an ~~KJLi2r ~ 1l~ IC ~0 N ST Phone ! ` 7 ~ ~ ~ ` V
P Y-
CONTRACTOR c, ,I / ~ ~
Street Address: l ( D ~ T~ U .N ~ License # 1~
City l b~ L l~'l« State: ?Yl Zip: ~ S~~~
ARCHITEC7/
ENGINEER Company: Phone
Name: Registration
Sueet Address:
City State: Zip:
.
Sewer 8 water licensed plumber (new construction onty): u "T Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the informat~on is
co~~to comply with all applicabl
Sfate of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant ~
p~c~~od
OFFICE USE O
CeRficates of Survey Received ~a'~ Yes _ ~UV 9~~~i
Tree Preservation Plan Received _ Yes No _ Not Required ~
I ` -
a,...~„ „ . ,
. `
. . w
a ~ a
OFFICE USE ONLY ' ~ ,
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
',~1, 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
`~1, 31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. i3k7 MC/WS System
(Allowable) L Main level sq. ft. i3v4 City Water
UBC Occupancy Z~3, J-J 2r'° Sq, i 347 Fire Sprinklered
Zoning R-J hrr¢A~E sq. ft. a3/ PRV
# of Stories 2 sq. ft. Booster Pump
Length ~fD sq. ft. Census Code. t v I
Depth L~, Footprint sq. ft. ~~o SAC Code v I
Census Bidg i
Census Unit t
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ ~ 7 9, o o~, ~
5urcharge ~'`'yE'~Nr
Plan Review qv ~o. s Gy ~
License s K L i i v s
MC/WSSAC 3o.sx3~ ~09$
City SAC +u z 3. S ~3 S
WaterConn. zx ~3 ~
Water Meter ~ 3 N7 S_ Zp Z~ r
Acct. Deposit ~ s,-
S/W Permit
S/W Surcharge Z~"'"^y n~ u s ~ 3 V7
Treatment PI. ~ 2
S~f . r~ 7 r~-.~+
Park Ded.
Trails Ded. Z,,,n~ t3 ~ y rb ~I S~ _ ~3
Other ' ~ 2~'
_~i~, - aRruc R~s c~ '7z,73~.-
" , J'r ~'.~Y7 ~7l~ 5~( _
ToWI:' i~; if ~i,ef~FE
- t ~ax 3c~
°k SAC , f;;;~ a~` 2o.s y t
5AC Units - zj r ~
~ i'° o4L.-
. ~ A6c~ ~31 ~'!/tG. i ~ too,^--
t~ Q, t bS'. -
~
CONSULTNG ENqNEERS, BOB CLARK CONST.
R~~E PLANNERS ~d LAND SURVEYORS PROJECBO~ 8~500
ENGINEERING
C~MPANY, INC. PAGE 39
~ 1000 EAST 748th STREET, Bl1RN5VILLE, MINNESOTA 55337 PH 432-3000
CERTIFICATE OF SURVEY
Legal Description: ~oT s, BLOCK 3, PINE TR~E FOREST,
DAKOTA COUNTY, MINNESOTA.
(~80 5~ DENOTES EXISTING ELEVATION
~ 83• DENOTES PROPOSED ELEVATION
4 _ INDICATES DIRECTION OF SURFACE DRAINAGE
~ 6•~= BASEMENTGF
OOR ELEVATION~A710N
5•~ = TOP OF FOUNDATION ELEVATION
SCALE : 1" = 30' ~~,N ryj~{,QK :~ij'H AT CDT /2~ BLLC',(' 2.
E~v. = 983.45
ADDRESS ' ¢9/3 SYCAilIDRE DR/l.L~
, 3o.oa
~
DRAINAGE AND
~q7q-_~ UTILITY EASEMENT yr~g:98o,i2 9So~6
S89'41'52"W
9~4.8~ 136.50 ~2Z,oo C98oJ ~gi io~
~ -
u~ ~37.00 v~ ~I I~
~ N~6=9'15,34 983.1 ~ °0 10'
,o ~ . '
I~74_5i o 20.00 a 480.7, i
° Wc/ o
I ~C ~ I Q Y.00 n 8 6 e I a ~~i j
z I 00 9~b.g oo.o Q~ ~~R i~
{ ~ o ' ~n c°~ ~ ~ 0
O ~ ~ i ~q~4=Z~ 6.00 ~ ~ ~
~p I ~ ~__10.00 W W
f~ p in 30.33
oca 3~ w N 98/,3~ Qo O
° I -J ~976•5~ o O (w/1 i.oo~n ~ ~983.7~ ~ o~ Q
N I I~
Z ~ o o ° ' ~y ~ ° o ~ ~ ~
I ~x 0-' S 2.OOo I3.7~ I\ f~A ~
975.3
~ ~ r°i 979{ _4~
~o L--- 978.~ 0 913,2~ --~'o
J ' ~ ,
~ Q o~00 ° ~ ~°;i ~ol
~~b H~6 = 975.65 136.50 Q45.5o 8l, $~i I~ j~ .
I
(97~• N89'41 52"E N~g=9B1,45 ~8~,5'S
~
~
i r
L~sQ~~°, R9
~~MD N~i°~~~ ~~~~~,r!=?
e - ~
~a-~ G- ir- 98 - - ~ ~
. . ~~u?~-.....
tUIL~ING INSPECTIONS DEPT. :°~.~:^.rT:~~'~'c~~" ~,r'
I hereby certify that this is a true and correct representation of a tract as shown and described
hereon. As prepared 6y me this 28~' day of AY , 19.`~B.
~ev+5c~ P/rovt~a C-r~~ 5• 6-s- 98 Q n~.lyc„ Minn. Reg. No. ~ 9~8~0
< ~ ~
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
a • PROPERTY LEGAL: ~~S~XiC~-~ ~~'N o ~.f~
i
~ DATE OF SURVEY: S~ ~Z_.P
~ ~ ~ LATEST REVISION: ~.~5,~
~ . -
~ ~ DOCUMENT STANDARDS
a
? ? • Registered Land Surveyor signature and company
~g ? • Building Permit Applicant
m~~o ? • Legai description
[Y g ? • Address
p~~ ? • North arrow and scale
? • House type (rambler, walkout, splft w/o, split entry, lookout, etc.)
C9" ? • Directional drainage arrows with slope/gradient
? ? • Proposed/ebsting sewer and water services & invert elevation
[3~~ ? • Sheet name
CT ? ? • ~fireway
ELEVATIONS
Ew'stina
f3/ ? a • Sewet sesvice (or Proposed)
[~l ? ? • Property comers
? • Top of curb at the driveway
? • Elevations of any ebs8ng adjacent homes
Prooosed
~ ? ? • Garage floor
.e~ ? ? • First floor
~ ? ? • Lowest exposed elevatia~ (walkouVwindow)
p~ ? ? • Properiy carners
qi ? ? • Front and rear of home at the foundation
PONDING AREA fif appiicable)
? ~ o • Easement line
? p~ ? • NWL
? ~ ? • HWL
? e~ ? • Pond # designation
? o% • Emergency Overflow Elevation
DIMENSIONS
~7 ? ? • Lot lineslBearings & dimensfons
? • Right-of-way and street width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ali strudures requiring permanent footings)
pi ? ? • Show all easements of record and any City utilities within those easemeMs
[3~ ? ? • Setbacks of proposed structure and sideyard setback of adjacent ebsting structures
? • Retaining wall requirements, if any
Reviewed: ~
Na e / at
January 1996 ~
CMK'atBBelBLDGPRMT FM
j L d~" ~~S ~ ~ f'~ he r r~ec' ~~e s ~
/ r ~
~ " ~ ~ f ~ S' ~ ! ~ 'l_ ;^~2 ~ v~ ~
~ 5.~ ~~Cles ~ _
~
;:.z...~_.w - 4 ~ Ct
M...Yer•'rw° ~ . ,.:t.i, I 1 Q ~ ..w
I ~
3a' ,~h~~ ~'_f,~:,i4 ~o ~ o,~ G~~
, s... ~
~ ~
d ~ ~ y ' Gv ~ ~ ,~..~~:~Q~_ ~ ~ ~ o~~ ~ ~ ~ y
_
~ ~ ~N~~,.~,.
;
r r. , ~ ! , 3 ~ I _ .
~ , ~,N~ ~~r~= y , ~':rGi
~ ~1
_ ~
- r ~,~.n
. o- ~r
_ -
~ i i rti titl-Y?'L ~1 µ
_ ~ ,
~ 3 6 ~
1~
_ .
, , d ~ !T
_ r..
~ ~ 6 ' ~.c~ ~ ~ ~ ~i t.,~ i r ~ ,-.-v G.t S ' ~ °'7i
.
. _ p~Vf1S@O
.
_ r.a~ c~r ~l hC _ . ~ ~
~
'r f ~.I ~ a
/ ~ `6d A rU'J a~.) ~ t ~.~p~ \
. .,.r.:.. . ..1'.~..... ! , . -~--1 .as IJ`~ ~
qp i ~f.
s' t l~;N C?.:~ r4~~_t~.,L1 ~`E ~.,1. ~ .
~r.~,....~ . f . . . .
~ A ~ /
~ I ~I
_ . . .1V ~-1#! ~ ~?'~1 k t.. _ 'S r
~ ; ' I
i ~ ~ ~ ~ ' %~d~ ~`4, ~ ' ~ ~ • ~
` s~ t!.
' ~ ( ~ , 1 ( i ~`Y~V
f ~ _ 'c~-
~ i
; i
- rd~. ~ :1y~i-, , " ' , - .w . , _
1 ~ r ~ ~ _ _ ~ `
~ i ~ _ rC t v "`S~~s.,~ ~ t ~
. .T. s.~._..
, ,
; ,
~~3 ; ~ ~ . ~ ~
I4~ f-~ 5~;~`.1_.,.' ~~..,..h I ,~r~..._._.µ _ t,Jlk1?~C1~1 G-~
j ' ~ / ; J
~ ~ ~ ~ .k-C~tr l~t ~t~ ~ V~ n22 ~
~ '.l . ~ , ~ <.~17~~1
~ ~ ~ ,rv vz-i '~'e:.,y I `=c, ,.,1 k +
~ ~ . . ~ ~ d u i ~a~~ ~ I J
-.r . r + * ,s~
~Y 1 ~~.~r...~.ay~..~,.` ~...y.~.,,..
, f,,r , ~ {~'1ji ~~~1~'~.~Gl~s
: V
~ I~~rr'~~'.~til.nd °f'~ i lj t i
: , , ' `~v~h ~Fa~f"~,~ ~ t'!,. j.:
i 1 ~ l~( ~
~ ' ` G~Jb1 C.
.~r ~dN APP VED I /3;'U-4sr? J~'"' ~ r
~ ~r r~vi~~ r ~ ~ ~
u E $tT~ gl~ VEY ~ ti~. H•~a.~ ~~S
i,~°j ~ ~ j ti. ~ , i ` ~S 7 f
~ ~ ~~?f~E~dbEn FOR TREE
RRES~RVATIOAt,.y ~
/~,,o~ o S~ C:~:,;.~ ~S~LIANC~ ~~"'-~",L'¢ ~
~
~~/'*7~ci~~~~i:".-}S~.,i F~,::;~r.~s ~~~~+:.±~P"~ ~.a. ~ .
+ # 7 . ~ r , / r y 6~ k..-~,_ ,~y,,,y
~~~~y.~ 4~4`.1c~- .,f~ity 6„~-'';' '
v ~I ~t~r'~
~9 s
~
. . •
. ~ ~ ~1^
~ ~1 i J
N00' 18'08"W o
88.00 ' v
o ~ ~~t ~
0
5 5 cv
i~~ (/3~~ ~ ~
~ ^ LOT,` 8 ~ ~D
~ ,
~ I ~ ~ b~ ~ i `4"~~ ~ ~ m
,
a ' Y: 4; v i,r r~ S+ e:-:-~L,~~~~,,,t ~l W m D
.D ~ ` v
~ ~ '~~d~ C~) ~ .~I m '
~ ~ ~ ~ ~ks~ir r
r-- Z~_~ I V i o~ "`-~IS ~(6~ ~ ,~'~z_ d drfvi
~ ~ ~ ~ ;~'fl iA 1. ~ OD a'~~ ~~t~"`'~
;
~ ~ W $ ~w~r«~ a ~ cp ~_h S
I 41.00 ~'`iu~K' oo~ C~ ~
~ ~ -
~ ° (n a
.
~s N° PROPOSED 9,00-~ ~1;,~~ ~N ~
~
HOUSE!~~ o ~~'~I ~ CC1
o r 16.00
~ o'o ~ 3.00 ~ 0.25 12.25 GARAG E o ,`g
~ o D~oP IC o ~ ~
.c
~p 0 20.50~10.00 00 Zl Q a+
. ~ t~i .~o
( u~~~ 98~ o 0
~ W .
~'W ~ ~ I
O ~
. ~ ' ' S CWw~ ° ` 5 ~
1
1
O~',~' ~ /N1/~= ~71 ~ ~ 1~ ~ ~
~V~~ O S&~?/C~ - - - - ~ \ '
-'S0.0^ -
~ 88.00 ,
S00' 18'08"E
w...... _
o- -
~~_9~; _ (~D, 28; Bo, oo ~ °o
02 SYCAMORE DRIVE ~18a
iv~ ° ~
~ Po~Rlt° brand fdx tfenBmftlPl mertW 787'I ~ay~y~~ r . .
. . ~ l
i
i ~ ~ ~IW C C~.. ~
~ s~xM ~ ~ 1.~1~ ~
ul~~ ;ao,; o0
vu.vv v
o ~~iH ~
0
5 (sl (/3)~$ ~ °
~ ~.4r 8
C z
F' ) ~ ; r~ r-. 1~,~ ~ ~ ~ •
~ I ~ ~I 6 . i `4~ ~ ~ (pr~ FTI
y Y~ C) ~-w r N f ~:~j'1,,7~•~:e :i i~ D
a I , ~t {~e) LB) ~ l7~ ~ I . Z ° ~
i~ ~ 2~ a ~ ~ n~~, w 8 ~ ~h
~ d r~,p'~
g ui f''°'"~.~+~-~ . ~ ~_Cj(~f~+-~.
.n,l
• J ~ ` • v t,a ~
i 41.00 ~ a O~ ~ ~ ~j
NQ $ • ~ :
~ ~ , PROPOSED 9.00-~ ~cu;~~ oN
I~- HOUS~~ ~ ;~%~I ~ c.a
~ ~ ~--r- , s.oo
~.o i 3.00 ~ o.2s° ~ z.zs GARAG~ o
~ o aRo 1 Q
,D~ c 20.50 ~t0.d0 00 1 `p ~
~'ia~ ~'~l~'~ ~
~ 9~~~'•°'c~' ! $ ~
~ Op .
`~J ' p . .
, . 6~
.r v, c.=
g i" , ~ ~ 5
~l~' o ~?itF ~ l~ ~ ~
- ---50.0- '~J
~ 88.00
S00' ~ 9~08"E
. a
(~o,_Z'8; 8o.og, ~ '
_
~8i
o_'~ _ SYCAMORE DRIVE tlBo
io~
_ _ _
RervreJ~tc~/1'rli~~a~ah P~.~+n - S~-Q ~4,x.~' 1" ~
`J
• . - 1~ot ~3//< 3 ~ ~1r~e.e ~~-PS~
7,''cr 1`~'~~}~~-. Sc~Ze~c~/~e
~z v~ ~ v~ 2 r 7`o Trie e $'~D cz c~~ ~U r~e,,
~rvrrl 'f ~~e 7 G r lM . lTiD/~!'o~ L o C 4.?`i rri, S
j'~j r~ r~~~ ~ ~ /4 t/~7y' v u- h ~ p 1 d J~
~ l~, ~ ('Fr~„~f ~ Sic'c ~
J ~
.~',~~k
.~~-,s~
s
L, ~ ~ ~
~ c'+/ BL ? CITY USE ONLY RECEIPT / ~ ~ / ~
lj d'
SUBO. ._2^,+?.C.~
i;~ ` SNQl~AC~ RECEIPT DATE: a~ p
1998 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT IQiOB RD
EAGPN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x ~ = 3•l~
WaterCloset 3.00 x = 9.~
Bath Tub 3.00 x _ ~o
lavatory 3.00 x ~ _ ~
Kitchen Sink 3.00 x = i. w
Laundry 7ray 3.00 x f = a,~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x _ ~
Floor Drain 3.00 x J_ = 3.~D
Gas Piping Outlet ' minimum -1 3.00 x 1 = ~ UC~
Rough Openings 1.50 x _ ~ro
Watef Softenef "fordwellings under constmction 5.00 x = _
Water Softener " for existing dwening 20.00 x - _
U.G.Sprinkler 'fordwellingunderwnst. 3.00 =
U.G. Spfll7kle~ `forexistingdwelling 20.00 =
Alterations " to ezisting residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System * MPC iic. 75.D0 =
(new and refurbished systems)
Private Disposal5ystems"Abandonment 20.00 =
RPZ (~ew installation on{y) 2D.00 =
5TATE SURCHARGE 50
TOTAL °
I hereby acknowledge that I have read this application, state that the infortnation is corred, and agree to comply with all applieable Ciry of Eagan ordinances.
It is the applicant's responsibility to notiry the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within Ciry propertylright-of-way/easement.
SITE ADDRESS: ~
I.~~
~yC ~ m n fL~
OWNER NAME: C L-_-~ R C~ tr~S~F
INSTALLERNAME: nC.S ~--..J ~~.-IA VY~~=E o?b _ TELEPHONE#: ~3.~-"I ~7 ~J
STREET ADDRESS: ~D 13 ) ~ ~ i ~ ~
cirr: _T~p~ E v~? ZLF r~ STATE: /Y)+~ ziP: ) d. y
SIGNATURE OF PERMITTEE
CO(PERMIT FORM5(RPlBG PERMIT (RES) - 1998 ~
I
' / CITY USE ONLY
v p~
LOT ~ BL ~ RECEIPT 9Cp 6 g 9
SUBD~ M a~l i~ ~ RECEIPT DATE: g/~IN 71
1998 M~c~~viC~L ~~~rr (~sin~rri~[a
crrY o~ ~ne~?iv
S$SO PILOT KA09 RD
EAHAA l~1V 551 SE
L}`2 _ C~~ [sr$l s8~-as~s
Date: r ~ r
Complete this section onlv if you aze installing HVAC in single family, townhomes or condos under
construction and not owner /occupied '
• HVAC: 0-100 M B T U $ 24.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets ( m;n;mum ofone required $3.00 ea.) ~
~91"f~ ~ - (~as ~e,.c • (~/~-s /~'~AVtw.n.a
• State Surcharge: .50
. TOTAL: ~ ~U
Complete this section onlv if you aze remodeling, adding to, or repairing existing single family dwellings,
townhomes, or condos. Note: Mechanical pemut is not required for alterationladd-on to ductwork in
existing residential units; but is required for the following:
_ Install fumace _ Install air conditioning
_ Install air exchanger, i.e. Vanee system, etc. _ Other
Minimum fee applies to all remodel or add-ons of existing residences $ 20.00
State Surchazge . .50
Total: $ 20.50
SITE ADDRESS: `T ~ ~ 3 S (/C~~nQ+
OWNER NAME: ~C~YJ ~ ~ ~ K ~ ~,Q-w~ ^E' PHONE `-f T 7'ro / g ~
INSTALLERNAME:r ~R L PHONE#: ~ ( Y R ~ / 3 ~
STREET ADDRESS: ~ ~ I~ ~ G~
CITY: ~`LW 3 U ~ I~ Q STATE: ~ ZIP:~
ATURE OF PERMITTEE
75/FORMS BLDJMECH PERM[T (RES) - I998
CITY USE ONLY
L BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: ,INSPECTOR
199$ ~~C~l~kNICAL ~£{;M1T (COblM~ERCIiRL)
CITY OP ~EH~k1V
S$SO PILOT KNOS gD
~A&~kN.1NP 55188
(61E) 6$1-4675
Please complete for: all commercial/industrial buildings
muiti-family buildings when separate permds are not required for each dwelling unit
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: 1% of contract price OR $25.00 minimum fee, whichever is greater.
Processed piping - $25.00
CONTRACT PRICE x 1%
PROCESSED PIPING
PERMIT FEE
STATE SURCHARGE (g.50 per $1,000 ofcermit fee due an all pemiifs.)
TOTAL
SITE ADDRESS:
OWNER NAME: PHONE
TENANT NAME (rn~ROVEMENrs ONL1~:
INSTALLER:
ADDRESS: PHONE
CITY: STATE: ZIP:
SIGNATURE OF PERMITTEE
4 ~
INSTANT TESTING COMPANY
IT - 4~0~ BEAU D'RUE DRIVE
- CO EAGAN, MINNESOTA 55122 TEST REPORT
(612)454-3544 INSPECTION REPORT
JUNE 26, 1998
~~,~CEIVED
ROYAL OAKS REALTY ~ JUL ~ s~9Q~
4196 LEXINGTON AVE I~
SHOREVIEW, MINNESOTA 55126 ~ ` ~x"-,~
_ p~v
<
RE: ~50- ~~3 SN
P~EC~i,~6Mi~ 1y-~ - -
r . k~~Y£„'~.~' 1~. . ..l
/
DATE OF TNSPECTION: 3UNE 24, 1998 AT 8:5C A2d
A VISUAL INSPECT:ON WAS CONDUrTED ON LOT 8 BLOCK 3. THE HOUSE PAD WAS
STAKED. ALL TOPSOIL WAS REMOVSD DOWN TO A N.OIST BOTTOM. SHALLOW HAND
AUGER PROBES WERE DONE TO VERIFY SOIL CONSZSTENCY WITH BEPTH. WATER WAS
VISIBLE IN THE EXCAVATION BUT W~S NOT ENCOUNTERED IN THE HAND AIIGER PROBES.
ALL UNSUITABLE MATERIALS HAD BEEN REMOVED TO A SUSTABLE BOTTOM SOIL. THE
ESTIMATED OVERSIZING WAS ADEQUATE. BAS~D ON THE INFORMATION OBTAINED, THE
CONTRACTOR WAS ADVISED THAT THE LCT IS ApPROVED FOR FILL.
BLOCK AND LOT NUMBFR LOT 8 BLK 3
FROnT 6'
OVERSIZING REAR 6'
SIDE 1C'
FILL REQiJIRED FRONT 6'
REAR 3'
DEPTX OF SUBCUT FRONT 8'
REAR 3'
DESCRIPTION OF EXCAVATED TOP SOIL
SOILS BOTTOM CLAY
RELATIVE
FIRMNESS OF FIRN,
SOTTOM
INSTANT TESTING COMPANY
DAVID KOLSTAD, INSPECTOR
COPIES TO: CiTY.OF EAGAN
BOB CLARK BUILDERS
CHARGE CODE: SOILS INSPECTION...#602 1 U
MILEAGE............#612 15 ~ ~
(j(%FJ)
s~~ea
CaH Andermon Prokcaional Enplneer - Re9~~~~ o. 10736. r
~
~
INSTANT TESTING COMPANY
IT - 4000 BEAU D'RUE DRIVE
= CO EAGAN, MINNESOTA 55122 INPLACE DENSIT~EST REPORT
(612) 454-3544
FOR: ROYAL OAKS REALTY PROJECT: PINE TREE FOREST
LOT 8 BLOCK 3
ATTENTION: MR. MARCEL EBINSTIENER DATE TESTED: JUNE 24, 26, 1998
ftOYAL OAKS REALTY
4196 LEXINGTON AVENUE REPORTED: JIINE 26, 1997
SHOREVIFW, MINNESOTA 55126
TESTS ORDERED BY: MIK~' BLACK
INPLACE DEIQSITY RESULTS
TEST NUMSER: 25 26 27
LOCAm?ON: LOT 8 B:.K 3 LOT 8 BLK 3 LOT 8 BLK 3
DEPTA BELOW GRADE: 4' 2' ' 0'
PROCTOR CUkVE NUMBER: 98-01 98-01 98-01
VISUAL SOIL CLASS: LOAMY S~ND LOAMY SAND LOAMY SAND
$ MOISTURE: 6.8 8.2 9.5
OPTINUM MOISTURE, 10.1 10.1 10.1
RELATIVE MOISTURE, 67 81 94
FIELD DEIv'SITY, PCF: 132.3 133.9 124.8
STANDARD MAXIMUM DRY
DENSITY, PCF: 131.1 131.1 131.1
RELATIVE DENSITY, 101 102 95
REQUIRED MINIMUM: 98 98 95
REMARKS: RELATIVE DENSITY RESULTS BASED ON STANDARD PROCTOR.
TEST TECHNICIAN: DAVID KOLSTAD, ITCO
COPIES TO: CITY OF EAGAN
BOB CLARK CONSTRUCTION
CHARGE CODE: DENSITY..~306 3 '
MILEAGE..#612 15
HOIIRLY...#601 2
~
, sqnea
Carl Andenon Protessiona~ Enpinaer- Repistre6on o. 70736. '
Use BLUE or BLACK Ink
r
For Office Use
J9
#bl Permit Us/ e
City of Ea ~l~Il )~5,or
Permit Fee. l~J
3830 Pilot Knob Road I I
07
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: _ I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phone:
Resident/
Owner Address City Zip:
Applicant is: Owner Contractor
Description of work:
Type of Work
I Construction Cost: Multi-Family Building: (Yes I No
~..•b
Company: C2 Contact:
Contractor Address:iZ ~ X~~ City:
Stater Zip: Phone:
License Lead Certificate
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:
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 I
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.oopherstateonecall.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.
Exterior work authorized by a building permit issued in accordance with the Minne ate Building Code must be completed within 180
days of permit issuance. 21
x _5ay -
Applicant's Printed Name Applicant's Signature
Page 1 of 3