1700 Talon Tr04/21/2014 12:17 Les Jones Roofing, Inc.
41? CityofEaaall
3630 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (661) 676-6694
(FAX)9528817009 P.002/011
Use BLUE or BLACK Ink
For office Use
Permit #:
Permit Fee:
Date Received:
Staff:
c[
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: W/41/ f Site Address: /lO /7OP'- /708./7/2-/1/4-/77.4> / t /A -+at -t-- Unit #:
9t4Z5-Z,/ ? J
110/1 ic/0
` Name: 9142 pr20#W Y G /it/ 2-• Phone: 405/^ 53-+¢- 94 V9
Address / City / Zip: Po Sok zi z' AIWA- c7t PrS 65D7�
71
u . ' �;: , '° Company:. I --E5 Z t.) ES �F:.NC 1$ k e Contact: Ci-trziS 4 t�Z.TioN\
Address: 1 I lN. ► STIP IST'
w _ City: --ea-C7C)AA.1.NeTTbAI
Applicant is: Owner , X Contractor
Description of work: reggeWe Af//4 /4 (.-
Construction Cost: $ 3II 214. `tg Multi -Family Building: (Yes )( / No
.^ - I State: MA Zip: 5-S-0-0 Phone: 9S L -$$l —2-24/ .
; ,., = : ,. License #: logo() Lead Certificate #: NA -T` Efo3
If the protect Is exempt from lead certification, please ekplaln 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:
rZT:�tr�b;jYak-�
C.r LA L BEPOf2 MAG. CaII Gopher State One Call al (681) 454-0002 for protection against underground utility damage. Call 48 hours
before you Intend to dig to recelve locates of underground utilities. www.gopJlerstateonecall.oro
I hereby acknovAedge That this Information le complete and accurate; that the work will be In conformance with the ordinances and codes of the City of
Eagan; that I understand this le not a permit, but only an application for a permit, end 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 end 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.
1TH4 434/,00,--A.s
Applicant's Printed Name
Ap Ilcant's Signature
Page 1 of 3
C)k o ?t ?s"-(,v env _ 6-DAo I S q%W(o.U9
2004 RESIDENTIAL BUILDING PERMIT APPLICATION Mp , (p ?,,qOa
$ -I p SD
City Of Eagan '10-5b
3830 Pilot Knob Road, Eagan MN 55122 (+ 3`fo3 's Telephone # 651-675-5675 FAX # 651-675-5694 r-{ Cos ?1, Lp9
nx?,3 to c?
New Construction Requirements RemodeUReoair Requirements Office Use OnN
3 registered site surveys showing sq. ft. of lot, sq. it of house; and all roofed areas 2 copies of plan Cer?of,5urvey fs ali " sN
(20% maximum lot coverage allowed) l set of Energy Calculations for heated additions Tree Tres Planr!
2 copies of plan stowing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pies Required--
set of Energy Calculations Addition - indicate N on-site septic system On site Septic Syslem,_,e,,,.,,'„_:N
1
3 copies of Tree Preservation Plan if lot platted after 711193
Rim Joist Detail Options selection sheet (bldgs with 3 or less units to n ,, r\-A- ?Sd'V
Date / lb ///??Q/??
Site Address 11 CD (D- I M
r 11 Construction Cost GO, DV O
I l Unit/Ste #
Description of work 1 w 1? ?l 11 1 l ?? Y F? l/
x Y _ N
Multi-Family Bldg Fireplace(s) _ 0 2
y?
Property Owner WU )W I !)D 1 Telephone # (qEQ) M,-? ' -7-72 0
Contractor 11 1 n
Address n? I
State Iv 1 1 V ', n
City a p v) lf
Zip Telephone # ffja)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cate2orv 1 _ Minnesota Rules 7672
Energy Code Category • New Energy Code Worksheet
Residential Ventilation Category 1 Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plank _2? Y _ N If so, 25% plan review
fee applies.
Licensed Plumber F T p
/
Mechanical Contractor \p - ?I x1 ` Y u M ¢
/ Y-
Sewer/Water Contractor Y\mQ 1?nr , cc/?1 ?A I
Sewer/Water n f
Telephone #fD ) (`/9- 64-7 Telephone #(c6j) qt?V'(Ooga
Telephone # 61)
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.
m Co vet
Applicant's Print 6d Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AEcessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
t'p 03 01 of.Afplex ? 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
j$ 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 ) D Z , oa o Occupancy 2-3 MCES System
Census Code 20 Z Zoning City Water
SAC Units 0 t Stories Z Booster Pump
# of Units 6 I Sq. Ft. j Z PRV
# of Bldgs 0 1 Length S Fire Sprinklered
Type of Const V Vl Width Z?
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
Lc Foundation _ HVAC
Zo Drain Tile Other
Roof ?L Ice & Water Final _ Pool _ Ftgs _ Air/Gas T ests _ Final
x Framing - Siding _ Stucco - Stone - Brick
Fireplace X R.I. )( Air Test ) Final Windows
Insulation _ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge ?sz?b Q5p
Plan Review mx
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
YY1A`n FIoo2
aO17 h)?nR
6rA?Rb-L
? 5 Z s? ? 45y. ao
gb, 5-g F,?-x5-41.00
L/ o 5-s F?- x /6 . o-0
GREYHAWK 2ND 30976
PERMIT
DATE &
TYPE LOT BL ADDRESS
010 01 4106 BLACKHAWK RD existing
12/03 4-Plex 020 01 1783/ TALON TR
030 01 1779/
040 01 1775/
050 01 1771
1/03 4-Plea 010 02 4172/ RAPTOR RD
020 02 4168/
030 02 4164/
040 02 4160
9/03 5-Plea 050 02 4156/ RAPTOR RD
060 02 4152/
070 02 4148/
080 02 4144/
090 02 4140
9/03 5-Plex 100 02 4136/ RAPTOR RD
110 02 4132/
120 02 4128/
130 02 4124/
140 02 4120
150 02 1711/ TALON TR
160 02 1715/
170 02 1719/
180 02 1723
010 03 1720/ TALON TR
020 03 1716/
030 03 1712/
040 03 1708/
050 03 1704/
060 03 1700
APPROVED 2003
PAGE 1 OF 2
15.3 'Y 01
MNcheck COMPLIANCE REPORT
Minnesota Energy Code
MNcheck Software Version
COUNTY: Dakota
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Multifamily
DATE: 5-21-2004
DATE OF PLANS: 01/02/03
PROJECT INFORMATION:
Greyhawk End Units Slab
Eagan, Mg-
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 487
Your Home = 354
27.3% Better Than Code
5 u; l CA?'v? 'I U
Permit #
Checked by/Date
Area or Cavity Cont. Glazing/Door
Perimeter
-------------------------------- R-Value R-Value U-Value UA
-------------
CEILINGS 980 -----------------
44.0 0.0 ------------ -----
26
WALLS: Wood Frame, 16" O.C. 2322 19.0 2.0 130
BSMT: Conc. 4.0' ht/4.0' bg/4.0' insul 464 10.0 0.0 32
GLAZING: Windows or Doors, Above Grade 132 0.480 63
DOORS 38 0.350 13
FLOORS: Over Unconditioned Space 290 30.0 0.0 10
SLAB FLOORS: Unheated, 42.0" insul. 116 10.0 80
HVAC EQUIPMENT: Furnace, 80.0 AFUE
------------------
---------------------------
COMPLIANCE STATEMENT: The proposed building -----------------
design described ------------
here is -----
consistent with the building plans, specifications, and other calculations
submitted with the permit application. The proposed building has been
designed to meet the requirements of the Minnesota Energy Code.
Builder/Designer /{ ?? Date 6f Q
LOT SURVEY CHECKLIST FOR RESIDENTIAL
- BUILDING PERMIT APPLICATION
r?
PROPERTYLEGAL: L-?s I`G? a?oCK 3 , G.-apy?jqui? ?vrm?n-yww
DATE OF SURVEY: Z-/Z -GY
LATEST REVISION: Sao a-,e y
. m
ar
c
R
L
U
O
z ¢ DOCUMENT STANDARDS
? ? • Registered Land Surveyor signature and company
? ? • Building Permit Applicant
? ? • Legal description
? ? • Address
? We . North arrow and scale C Sca,fc a+'+133i.+y?
$ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
? IV • Directional drainage arrows with slope/gradient % Sea po.d Q nAt?
? 4W • Proposed/existing sewer and water services & invert elevation (L d+ ` SlrL-If rne MisSisq'?
? ? • Street name
& ? 0 • Driveway (grade & width - in R/W and back of curb, 22' max.)
;C ? JIMN • Lot Square Footage
? ? . Lot Coverage
ELEVATIONS
Existing
J? ? ? • Sewer service (or Proposed)
? ? • Property comers
? ? . Top of curb at the driveway and property line extensions
? JK ? • Elevations of any existing adjacent homes
? W ? • Adequate footing depth of structures due to adjacent utility trenches
8( ? ? • Waterways (pond, stream, etc.)
Proposed
0 ? • Garage floor
? ? . Basement floor
$ ? ? • Lowest exposed elevation (walkout/window) (err-"a-)
D 4R • Property corners Csoo- ! wrlSSrn )
r, ? *p • Front and rear of home at the foundation (r-env- 0-9 L •t4?
PONDING AREA (if applicable)
? ? • Easement line
? 0 • NWL
? ? • HWL
? " • Pond # designation
? gka? • Emergency Overflow Elevation
? X ? . Pond/Wetland buffer delineation
DIMENSIONS
? 0 • Lot lines/Bearings & dimensions
JK ? ? • Right-of-way and street width (to back of curb)
V! ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
? 4#11611! • Show all easements of record and any City utilities within those easementscs-Win „e r ?'iarc
? • Setbacks of proposed structure and sideyard setback of adjacent existing structures ?S?ow (ack a? curio)
? - • Retaining wall requirements, i any eYGeP.0 3 d/ araala mao? r=e Qon'+ rwv- 25 rwln
/ P"a e-drmm+rY-
Reviewed: ?4?a_?CMd 2-20.05/
Name Date
G:/FORMS/Building Permit Application Rev. 12-16-03
CERTIFICATE OF SURVEY
FOR
N
O' ah ?1 `
M.W. JOHNSON A?
CONSTRUCTION
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1186-03
BENCHMARK - TNH LOT 18, BLOCK 2 = 937.49
LOTS 1 TO 6 SEWER SVC INV: 924.8
BUILDINGS 1 & 6 AREA.= 1195 SQ.FT.
BUILDINGS 2 - 5 AREA.- 1200 SQ.FT.
LOT 1 AREA = 6107 SQ. FT.
LOT 2 AREA - 3271 SO. FT.
LOT 3 AREA - 3232 SQ. FT.
LOT 4 AREA = 3498 SQ. FT.
LOT 5 AREA = 4021 SO. FT.
LOT 6 AREA = 29887 SO. FT.
-46NOTE. FINAL GRADING OF POND AREA
TO BE FINSHED UPON COMPLETION OF BUILDING
LOTS 1, 2, & 3
PROPOSED GARAGE FLOOR ELEV.=936.1
PROPOSED TOP OF BLOCK ELEV.=936.4
333x8 i
'
: :927x4 LOTS 4, 5, & 6
( 923
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GARAGE FLOOR ELEV =935.4
PROPOSED
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PROPOSED TOP OF BLOCK ELEV.=935.7
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PROPERTY DESCRIPTION:
:Y 1-6, BLOCK 3, GREYHAWK 2ND ADDITION,
931x4 --F: CITY OF EAGAN, DAKOTA CO., MINNESOTA
t _ -
-.j"
.'>
'
:!.. =?C)a?.5::.t;,Ji GDL4PT. :NOTE: ALL HOUSE DIMENSIONS
936,3 - .
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. ARE TO OUTSIDE FOUNDATION
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MAR 0 1v%-
00 y HBohlen
0-7" Surveying & Engineering
939x9 4735 123rd Street W.
31462 Foliage Avenue suite 200
Northfield, AN 55057 B E 9ovage, MN 55378
Phone: (507) 645-7768 Phone: (952) 895-9212
Fax: (507) 645-7799 Fox: (952) 895-9259
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..•...szs....... DENOTES PROPOSED CONTOUR
se000x0 DENOTES SPIKE/NAIL ELEV
00 x DENOTES PROPOSED ELEVATION
DENOTES PROPOSED DRAINAGE DIRECTION
000x0 DENOTES EASTNG ELEVATION
0 DENOTES SPIKE/NAIL SET
o DENOTES FOUND IRON PIPE MONUMENT
4 DENOTES SERVICE LOCATION
I HEREBY CERTIFY THAT THIS SURVEY WAS PREPARED BY ME OR UNDER
MY DIRECT SUPERVISION AND THAT I AM A DULY REGISTERED LAND
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
DATE. 2-12-04 s (a ?d,-ems
REVISED 2-27-04 LEROY H. a6HLEN. LAND SURVEYOR
REVISED 3-08-04 MINNESOTA LICENSE NO. 10795
FILENAME: lots 1 -6blk3Cert.S90