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1843 Taconite TrCity of Eapil 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit#: l a1cki7 Permit Fee: /` [�� �S Date Received: PI Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Resident/ Owner Name: aat f cL(kdo Unit #: i Phone:1O / 1'5 33 Address/City/Zip: t Ta. t0rl7 *t e_ Yr- FQfy\ YhN £5 )o"? Applicant is: /` Owner Contractor Description of work: i_ 40 Construction Cost:.3 03 Type of Work Contractor Multi -Family Building: (Yes / No \I, ) Company: Contact: Address: City: State: License #: Lead Certificate #: Zip: Phone: 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: 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. r x oda Applicant's Printed Name x 04e,- 6(-4610 Applicant's Signature Page 1 of 3 CITY OF EAGAN r ¦ 3795 Pik# Knob Road Eaton, MN 55122 7014 PHONEt 4S4-8100 BUILDING PERMIT Receipt # ?w L. rud . - -- - ! . FN VM.- rL.*s f O Site Address Lot Block Sec/Sub. Parcel # - W I Name - Address Name uAddress l r:? . DL ... . Erect ? Occupancy Alter ? Zoning Repair ? Fire Zone Enlarge Q Type of Const. Move ? # Stories Demolish Grade p ? Length ry Depth Sa. Ft. Assessment Water & Sew. Police Fire Eng. Planner Council Permit Surcharge _ Plan check _ SAC Water Conn. Water Meter Road Unit - I hereby acknowledge that I have read this application and state that Bldg. Off. the information is correct and agree to comply with oil applicable State of Minnesota Statutes and City of Eagan Ordinances. APC Total Signature of Permittee A Building Permit Is issued to: on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official Permit No. Permit Holder I Mice. Permit No. I Helder Plumbing H.V.A.C. ZZ Z FS b l a n? i- 10 - z3-$ Electric Inspection Data Insp. Other Footings Foundation Framing Rough Plbg. I nsu lation Final Plbg. Final HVAC Final Water YWII Savor Pr. Disp. Receipt MECHANICAL PERMIT Permit No. _ CITY OF EAGAN Fee _ Fill in numbered spaces S/C _ Type or Print legibly Tot. 1. Date 2. Installation Cost / 3. Job Address l?y-3 T Co,,ALot ?T BIk. I Tract C G, 4. Owner 5. Contractor Phone 6. Address 7. City State Zip 8. Building Type: Residential ? Commercial ? Institutional ? 9. Work Description: New ? Add ? Alter ? Repair ? 10. Describe Fuel Type ' 111. No. Equipment BTU - M. Ea. Forced Air No. Equipment CFM Air Handling: Mfg. Boilers Mfg. Mech. Exhaust Unit Heater Mfg. Other Air Cond. Mfg. Gas, Piping Outlets 12. 1 hereby certify that the above information is true and correct, and I agree to comply with all ordinances and codes governing this type of work. Signed : for Rough Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 CITY OF EAGAN Remarks Addition, CEDAR GRAVE #7 Lot 14 elk 1 Paroe 10 16706 140 Ol Owner Street 1843 Taconite Trail State Eagan, MN 55122 ?I J 1 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAN SEW TRUNK 1970 58.18 2.08 28 Paid * SEWER LATERAL 1971 20 WATERMAIN * WATER LATERAL .- 1971 1,615,00 80.75 20 Paid WATER AREA * STORM SEW TRK pSP 1971 20 STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. 230.00 3322 3-15-71 BUILDING PER. SAC 200.00 PARK G.G. TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PBPIIIT AD. 90 The Board of Supervisors hereby grants toC da_? r frovg_ -on=truetion Co. of 7343 Concord Blvd?_.E?, South t P? +1 55075 a H1EA1;?G _____Permit for: (Owner) Cedar Grove Con_tXU jo at 3-6 d 14-1-7 1818 b 1843 Taconite Trail , pursuant to application dated March 1.2, 1,971 Fee Paid: $40.00 Dated this 15th day of March 1971. Building Inspector i /1 16 7 16 TOWN OF EAGAN 3795 Pilot Knob Road St. Paul, Minn. 55111 PEP.MIT NO. 96 The Board of Supervisors hereby grants to Cedar Grove Construction Co. of 7343 Concord Blvd. E.. South St. Paul 55075 a PLUMBING Permit for: (Owner) Cedar Grove Construction at 3-6 d 14-1-7 -1U49 d 1843 Taconite Trail . pursuant to application dated March 12. 1971 Fee Paid: $40.00 Dated this 15th day of March , 197_1. Building Inspector CITY OF EAGAN Include 2 sets of plans, 1 site plan w/elevations & BUILDING PERMIT APPLICATION 1 set of energy calculations. OCL To Be Used For F ^? r valuatio` 3 A /} 0 Date Site Address: I nq? ' WcBWw+f, OFFICE USE ONLY Lot Block Sec./Sub.. _-C. Co Parcel #: (D ((D-Io(o (q6 cq owner: ?tLcti= 2?nlcrc Address: I S4 ? City/Zip Code: Phone #: Li S 4-K - 7 Z APPROVALS FEES Contractor: Address: _ City/Zip Cade: Phone #: Arch./Eng. - Address: _ City/Zip Code: Phone #: SS1Zz . Erect Occupancy 9111? Alter Zoning lP/ Repair Fire Zone Al A Enlarge X Type of Const. Move # Stories Demolish Front cj ft. _ Grade Depth i 5I ft. Assessments Permit 3$ Water/Sewer Surcharge Police Plan Check Fire SAC kng. Water Conn. Planner Water Meter Council - V Road Unit Bldg. off. fl. Y APC TOTAL s y6 ? CITY of EAGAN N° 3347 BUILDING PERMIT Owner .....u^........ t`...................................... Address (present) Z"3...... wla -- Builder .................. ..?.................................... ............... Address ............................................................................ DESCRIPTION 3795 Pilot Knob Road Eagan, Minnesota 55122 454.8100 Dale ....7 ...................../................ Glories To Be Used for Front Depth Haigh! Est. Cos! Permit Fee Remarks or This permit does not authorize the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safely, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE PT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This 3a to certify, !hat.... .... ...............................has permission to erect a........ `?!......."'.°...`/,.`.`.:`..:" .......upon the above described premise subject to the provisions of all applicable Ordinances for the City of Eagan .............. ........................... Per ........ ......... .................................... ......... ........................ ..x . ?..... Mayor Building Inspector CITY OF EAGAN r 3793 Pilot Knob Raed Began, MH 33123 N9 7014 7 PHONEt 434-8100 y C - g 3 BI.ALDING PERMIT Receipt # ? To be used for ENTRY [SLY ADD. Est. Value $3,000 pose N Wember 18 Iq 81 Site Address 84 Taco e Trail Erect ? Occupancy R3 - Lot 14 Block 1 Sec/Sub. Cedar Grove 7 Alter ? Zoning l P 10 16706 140 Ol Repair ? Fire Zone arce # V E l T C n arge R ype of onst. W Name Iawrerx a R. Cudo Move ? # Stories Address 1843 Taconite Trail Demolish ? Length 9 city Phone 454-8272 Grade ? Depth 18 Sq. Ft.- Approvals Fees o Name r- uS Address F r'.., M- Nome _ Address I hereby acknowledge that I hove read this application andi*gte that the information is correct and ag(e to comply with a I'ble State of Minnesota Statutes an Ity of Eagan Ordi S. Signature of Permittee'?yLy'"c? A Building Permit is i d to Lain all work shall be done in accordance with pplic bl ata of Mii Building Official o Assessment Water 8 Sew. Police - Fire Eng. Planner Council Bldg. Off. _ APC Permit im-!A) Surcharge 1-SD Plan check SAC Water Conn. Water Meter Road Unit Total $40.00 on the express condition that Statutes and City of Eagan Ordinances. = ?v EAGAN TOWNSHIP BUILDING PERMIT N? 2396 Owner . . ........................ Eagan Township Address (present) ---------- Town Hall Builder .............. .........---------- .....-..... ............ ........... .... Dale ...................................... Address ..............................................................'---............................ DESCRIPTION Storiol To Be Used For Front - Depth Heigh! Est. Cost ermit Fee - Remarks V 4.f- 4l, !t2 d- a-Y2`..., 1a x >i LOCATION - 9 a- a, . -i-` I & z7 or This permit does not authorise the use of streets, roads, alleys or sidewalks nor does it give the owner or his agent the right to create any situation which is a nuisance or which presents a hazard to the health, safety, convenience and general welfare to anyone in the community. THIS PERMIT MUST BE KEPT ON THE PREMISE WHILE THE WORK IS IN PROGRESS. This is to certify, that.--- t0-1.... t-?- ...... -------- 5?? .......... has permission to erect a.?.. ........upon the above described premise subject to the provisions of the Building Ordinance for Eagan Township adopted April 11. 1955.- .................... =°------------------......... Per ............!? Vic.:' .......V.. `.".`. °o,: ....................-.................---- ff?? °°a airman of Tnwn Board 8 _6 Building Impactor MASTER CARD . LOCATION OWNER STRUCTURE AND LAND USED AS I OWN ? Issued To Permit No. Issued Contractor Owner BUILDING 013 1 A PLUMBING 9Y CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING A (? GAS INSTALLING - SANITARY SEWER 7 OTHER OTHER • Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION FRAMING -------- qy. Y=??- CESSPOOL TILE FIELD FT. FINAL ELECTRICAL -- ! r ? HEATING GAS INSTALLATION DEPTH OF WELL SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWE5, yJ t?11' ' ? Violations Noted on Back COMMENTS: ,- 4 COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS • PERMIT NO. CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. O REINSPECTION REQUIRED DATE OF REINSPECTION • REINSPECTION REVEALED CEBTI FICATION - I certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUi DATE rs. r MASTER CARD LOCATION / Q 0 n vA1 /- P /JYQ X /p - OWNER („/jdQ L• STRUCTURE AND QQr a dd v? LAND USED AS (A Permit No. Issued Issued To Contractor Owner BUILDING PLUMBING 334 7 7_24k _ ?1?2_ ? 1r= CESSPOOL - SEPTIC TANK WELL ELECTRICAL HEATING GAS INSTALLING SANITARY SEWER OTHER OTHER Items Approved (Initial) Date Remarks Distance From Well FOOTING SEPTIC FOUNDATION CESSPOOL FRAMING y .r' JA TILE FIELD FT. FINAL ELECTRICAL HEATING DEPTH OF WELL GAS INSTALLATION SEPTIC TANK CESSPOOL DRAINFIELD PLUMBING WELL SANITARY SEWER Violations Noted on Back COMMENTS: N PERMIT NO. COMPLIANCE INSPECTION REPORTS TO BE USED ONLY IN EVENT OF OBSERVED VIOLATIONS CONDITIONS OF CONSTRUCTION AT THIS INSPECTION NO EVIDENCE OF NON-COMPLIANCE OBSERVED. ? ACCEPTABLE SUBSTITUTIONS OR DEVIATIONS. DATE OF INSPECTION ? NON-COMPLIANCE. BUILDER WILL COMPLY WITHOUT DELAY. ITEMIZED AND DESCRIBED AS FOLLOWS: NON-COMPLIANCE. BUILDER DOES NOT INTEND TO COMPLY. ? COMPLETION OF CERTAIN IMPROVEMENTS WILL BE DELAYED BY CONDITIONS BEYOND CONTROL. ? REINSPECTION REQUIRED REINSPECTION REVEALED DATE OF REINSPECTION CERTI FI CATION -1 certify that I have carefully inspected the above in which I have no interest present or prospective, and that I have reported herein all significant conditions observed to be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require- ments for off-site improvements relating to the property inspected. ? ALL IMPROVEMENTS ACCEPTABLY COMPLETED BUILDING INSPECTOR DATE MAMN. i TO: THO?L9S L. HEDCTS, CITY A=STRATOR FROM: DALE C. RUNKIE, CITY PIAtdNER DATE: OCIOBER 28, 1981 RE: VARIANCE REQUEST FOR MR. LARRY CUDO FOF TIr. Cudo has met with City staff and is addition which would be attached to the proposed would be 10' by approximately This addition would not exceed the 20% 14, BI/JCK 1, CEDAR GROVE requesting to build an entry way existing house. The entry way 9', or a total of 90 scmuare feet. lot coverage for this Particular lot. In reviewing the past cases, the last variance that the Citv pro- cessed was an application by _TIr. Oliver Oppen, who also requested to con- struct an entry way to an existing house. This entry wav was 5' x 9', or would intrude half the distance into the setback than what is being pro- posed by Mr. Cudo. One of the questions staff and Council will have to address is hay far the Citv is going to allow entry wavs to intrude into the 30' setback requirement. Presently, as shown by the site plan, the front entry is 44' from the curb, or right at the 30' setback for the house. This 10' addition would cut this setback to 20'. Again, if staff would process this variance in the normal process, it would appear on the November 24 Advisorv Planning Cormission agenda and then final determination would be made at the December 15 City Council meeting. In looking at the December 15 date, it is very unlikely this addition, or entry way, could vet be constructed this year. This is why staff has reviewed the variance request and has reciuested that the City Council review the variance in order that construction can be done vet this building season. T°r. Cudo has sukmitted the list of property owners surrounding Lot 14, Block 1, Cedar Crove 47. This list has been enclosed for your review. City staff will also notify the surrounding property aa- ners that the Citv Council may hear this variance request on November 4, and if thev have anv comments or concerns, that they can either attend .the meeting or contact City staff. It is staff's understanding that the surrounding property owners are not objecting to this variance request for this entry way addition. If this variance is approved, it should be subject to the following conditions: 1. All other city ordinances shall be complied with. 2. The Council may want to reduce the 10' variance to a shorter dis- tance. If anvone has any questions regarding this variance request, please feel free to contact me at the Eagan City Hall. OCR/jach cc - Dale Peterson, Chief Building Official LOT -L1 BLOCK / SUBD. lJG &* Y. dYYO C / RECEIPT # G C/G 77 DATE V5519/70 1996 CITY OF EAGAN IRRIGATION PERMIT (FOR BACKFLOW PREVENTER) COMMERCIAL INSTALLATIONS: FORM MUST BE COMPLETED BY LICENSED PLUMBER Date: c l 3 -1 (o Commercial _ Residential (boulevards) Existing residential GPM GPM Arealaddress to be irrigated: ($A? --1- nr"1,4 ? ?? Installer: CD er.ZL- R4-1, lft)A - Owner ? Plumber Street address- d115 ?&- e " Inns t City, state & zip code: VC??{Artat?d t- 4 '56U?3 Phone #: 9,L3-IIAl Owner Street address: City, state & zip code: a+ti . MA° 55122- Phone #: Irrigation contractor, if different than installer: Telephone #: (e(2- '455 - 81,5F) I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/ right-of-wayleasement. ///? Applicant's signature Approved by: PRV ? Yes ? No New service Meter Size & Cost Title Date: ? Yes ? No Fees due: Calculated by: yl?</ 1P, /; ' PROCEDURE FOR IRRIGATION SYSTEMS -1996 An irrigation permit is required - please contact Protective Inspections at 6814675. Fees Commercial project: $25.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee only if new service is installed $300.00 per tap if installed by City. Residential project: $20.50 irrigation permit to cover installation of backflow preventer. $50.50 water permit fee if new service is installed. $760.00 pDr connection - WAC. $396.00 pqer co_nDgct- r - water treatment facility. Existing residence: $20.50 ' rigation permit to cover installation of backflow preventer - (not red if backflow preventer previously installed). Meter charge: If gallons per minute are less than 25, a 1" meter will be required at a cost of $182.00. If gallons per minute are more than 25, a 2" turbo with strainer will be required at a cost of $822.00. This information is to be supplied by the designer of the system. No meter will be sold before all sewer and water inspections are complete on anew service. If new service lines are not required, one check maybe written for meter and permit costs. Receipt will be coded to 20-3716 (meter portion only) with pink copy forwarded to Utility Billing Clerk. The installer is to contact Protective Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The Public Works Department may be reached at 681-4300 for water turn-on and set and seal of the meter. Inspection hours are 8:30 a.m. to 3:30 p.m. Monday through Friday. Requests for A.M. inspections should be made on the preceding work day. Requests for PM inspections will be accepted until 12:00 noon. EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR SEWER SERVICE CONNECTION DATE: March 12. 1971 OWNER: Cedar Grove Const. Co,_ NUMBER 713 (Lot 14, Block 1, Cedar Grove #7) Address 1843 Taconite Trail PLUMBER Stein. Inc. TYPE OF PIPE Cast Iron DESCRIPTION OF BUILDING Industrials Commercial{ Residential Multiple Dwelling No, of units Location of Connections: Connection Charge 200.00 pd 3/15/71 Permit Fee 10.00 pd 3/15/71 Street Repairs Total Inspected by: Date Remarks: By. Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota BY. CEDAR GROVE- CON9TRUMTONCOMPANY Please notify when ready for.inspection and connection and before any portion of the work is covered. J EAGAN TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454-5242 PERMIT FOR WATER SERVICE CONNECTION Date: March 12, 1971 Number: 554 14-1-7 Billing Name: Cedar Grove Const. Co. Site Address: 1843 Taconite Trail Owner: Same Plumber: Stein, Inc, Billing Address 7343 Concord Blvd. E. South St. Paul, Minn. 55075 3/15/71 (Permit Fee 10100 pd 3/15/71 Meter No. Meter Reading 1Meter Dep. Meter Sealed: Yes` IAdd'1 Chg. NO Total Chg. Building is a: Residence ..,. Multiple No. Commercial Industrial Other Inspected by Date Remarks: $25.00 RPN PEC T ION FEE FOR DAPROPErLY iNSTALLED METERS. By: Chief Inspector In consideration of the issue and delivery to me of the above permit, I hereby agree to do the proposed work in accordance with the rules and regulations of Eagan Township, Dakota County, Minnesota. By: CEDAR GROVE CONSTRUCTION COMPANY Please notify the above office when ready for inspection and connection. Council Minutes November 4, 1981 RUBY HILTNER - GEORGE PERCELL - SPECIAL PERMIT A complaint had been submitted to the City Council by Ruby Hiltner who lives at 1821 Turquoise Trail that George Percell who lives at 1817 Turquoise Trail is constructing a driveway too close to her home, including a new garage facility at the rear of the Percell property. She was concerned about the driveway being 5 feet from her bedroom window and also concerned about drain- age to her property. Mrs. Hiltner and Mr. & Mrs. Percell were present. It was noted the Hiltner property is 6 inches higher than the driveway and therefore, there should be no drainage problem. Mr. Percell appears to comply with the set-backs, but there were concerns about whether he was operating a business out of his home in violation of the ordinance. He stated that the 3- car garage would house personal vehicles only and that his home has only a business phone, no customers, no sales and no storage. He stated that two vans leave the property after 8:00 a.m. and are in by 6:30 p.m., generally. Only two people operate the business. Smith moved to grant a special permit to Mr. and Mrs. Percell at the location with the understanding that it would be considered a non-business use, that there be no more than two vans, no storage on the property and further, the staff checking the Hiltner property to determine whether there is adequate drainage away from the Hiltner home. Wachter seconded the motion. All voted in favor. Mr. Percell also indicated that he would be building a fence adjoining the Hiltner property. - --- - - - .- --- j Le?''v LARBY CUDO VARIANCE - 1843 TACONITE TRAIL /?/j 6/,, Mr. Larry Cudo appeared requesting a variance of 10 feet from the 30 foot setback to construct a 10 foot entryway on the front of his home. All neigh- boring owners had signed a consent to the variance. There were no objections. Smith moved, Blomquist seconded the motion to approve the request as submit- ted. All voted yes. SULLIVAN'S SUPERMARKET - INDUSTRIAL REVENUE FINANCING A request had been submitted by Diamond Lake, Inc. proposing the lease of approximately 30,000 square feet with a possibility of an additional 10,000 square feet for a Sullivan's Grocery Store at the proposed Pilot Knob Shopping Center, for Industrial Revenue financing. The $750,000.00 in IR Bonds would be used for the acquisition of equipment and fixtures to be used in the retail market. It was noted that the use for the property for the financing was exclusively for personal property which differs from all other previous re- quests of the City, but is proper under the State law. John Sullivan, Jr. and his attorney appeared and it was noted that IR Financing has been approved for the development, but that construction has not commenced. Council members indicated they possibly would not recommend full financing and that certain aspects of the proposal may not fulfill the I. R. Bond criteria. Wachter moved, Smith seconded the motion to schedule a public hearing for December 1, 1981 at 7:00 p.m. at City Hall. All voted yes. 5 i 12- ?QiJ?W?1I? -76 L4 59 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Reauirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas 2 copies of plan Gen of Survey Recd _Y _14 (200h maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _Y -N, 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required _Y _N 1 set of Energy Calculations Addition - indicate don-site septic system On-site Septic System _Y _N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (buildings with 3 or less units) Date 8' l ? l D ' ? da Construction Cost LI Fq d Site Address 1 ?P3 7-/4 Co,,. T (U c '' n Unit/Ste # 12 0 24 5 ?1 ll Description of Work e . 1! I ' Multi-Family Bldg - Y - N ur Fireplace(s)_0 1 - 12 Property Owner A-V-.C Y Telephone # ( t?7 1) q5 y - ?? 7 -z- Contractor d?t1A,ive MV Xu t urn Address [3 N91? ?. IW,/ fl i 1 t city 7-,}, e J State N 15 -t ?4 5 Nil r / Zip S56 3 3 Telephone # (,?p (y 5 2 - ' 1( COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope Calculations Submitted In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? - Y - N If yes, date and address of master plan: Licensed Plumber Mechanical Contractor Sewer/Water Contractor Telephone # ( Telephone #( Telephone #( I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans. LM Ivr M/Av r< /1 0? Applic is Printed Name Applicant's tgnatur OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 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 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 ? 06 04-plex ? 12 12-plex Plbg_Yor_ N ? 25 Miscellaneous Work Types ? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair ? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant Valuation 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) _ FinaUNo C.O. Footings (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: Base Fee Surcharge Plan Review MC/ES SAC City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total Building Inspector A 3IC611 YDYN 2 3795 Picot ioob t oed -.: ; 8t. P.ul, Nioneeeu SStll ' , r,-I f, f T,1opbwM :454.5242 :��., r YOIRY pk WATIR eiMICI COBB®eaoN i v ;D1CN N. h 12. 1971 , wWU; 5 4 r:, idling Nadel Cedar Grove ° COwt. Co. 'Site addrgn 1843 T.unotr. Trail ' pp•fl F` 11a.. 1111101 address 7343 Cwoord blvd. x.': 6 ou th bt.. peal, N1•o. ' , , 4 P1wW ; 1a1o, Ioa Ss073? tics 'el Go.oae�inq ,4 .1166,4 „ }i0, 066026661011 chi. 260.08 on 1 3/11/71 4 4 a F 10100 14 ! � wa w Permit Yee ` ' ester M.dioi� wtat DW 1 4 r , , ;;".,:.,,',;4,.',..:. pater 81.14; Y••.... 04 1 Ob. . ,, i F: , I1.y.aad by j wt o.. .3- Z''— 7/ � ' , aut dip{ le a; 11.114: .. ' f r it # =25 ItEdtiSFERTION FEE FOR r r ; =. r e uuulyl. ; 7W umt1 ' - IWPROPERLY, INSTALLED METERS • rar %^}f� c�C" c..seul lopwoxiel ai .. �r Chiod 7ab;ectcr ` l',..;' Ia coosideritioy ot`the ia/oo ad delivery to no of the above ;bruit. I { , ''. herby agree to do W proposed vork is accordance with the rules aod ,,; y ., •,:.,.,rajylatl.W 01:7oiao YPooktY. Dakota. County, Mlnoeaot., ' i � "� y� cmeR oeovi 7)005 UC7I0;; caeaaNx - j ¢ y i F . } x , )1 1 401 a.c#1 the .hare ' eddies 'IMO reed). for dn.p•etian and coo0eetiaa. 1 , F a 7, v4 y Date: City of Eaaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use Permit #: Permit Fee: Date Received: Staff: gr) 2012 RESIDENTIAL BUILDING PERMIT APPLICATION P 12 Site Address: It Ll 3 1ac.,-r..Tr ' Unit #: Name: Phone: Address / City / Zip: Li 3 Tatnyv 46 Troll 1 ; a", fiM W:37ZZ Applicant is: Owner OZ Contractor Description of work: S iGle i •/ Construction Cost: /0/c Multi -Family Building: (Yes / No ) c� f b (1 2. < C. 06RS Company: Top 1-t we 'l f,(.t,' I Ol of Ll -C Contact: Address: 1 1 2 k r'o 1 ( pr\ -g ti Q tie City: R'.L(l$ 0 j ! ) State: /AV Zip: 56 3 3 1 Phone: 6 t 2 "! tt `) 2O License #: 2.05— 3q -`o g 7 Lead Certificate #: If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) it\o a yVn 6Y- kotier- COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: NOTE: Plans and supporting documents that you submit are considered to{ be. public information. Portions o the informationclassified may be s non-public if you provide specific reasons that would permit the City t 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. _^ ►/�� IAC A ti -i r� Applicant's Printed Name Appl: nt's Signature Page 1 of 3