1779 Talon Tr04/2112014 12:19 Les Jones Roofing, Inc.
4101§. City of kall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (661) 676.5675
Fax: (661) 675-8694
(FAX)9528817009 P.0071011
Use BLUE or BLACK Ink
For Office Bee /�
Permit#: i1"/
Permit Fee: 1 6
1 '1
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION Z52v/9
Date: 404P// f Site Address: /7//- l7 7 S-117 9'-/7fJ 7¢i Lo4' 7Z4 -c_ Unit #:
Name: �a fa0►°i2?1' /Nc. Phone: WI- 5)1i- ?f 419
Address I City / Zip: f o Box 2/ z5- /A/1-2022_1, - ALlem kW 5-52)74
Applicant is: Owner X Contractor
Description of Work: ��/k0�/� ,��: fh�E t i✓6 �S
Construction Cost: $ ,./41210.L7._ Multi -Family Building: (Yee / No _____)
Company:. Lr5 3 4 ES-cFaNt'fi 1 NIC- Contact: C4t42.tS 1DSR-Sot
Address: 941 W' get STIZIEer City:..--e1.t c Lt.Altrn,A)
State: I -,N Zip: 5-S-4'7-0 Phone: `iS 2 ,22241
License #: (p5G O Lead Certificate #: Nil-"- '40372=1
/
If the protect 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:
•
;\,ic(V'
a ntarr�
k/TOYti!i9:e.g1:;i 1/reap>;r
CALL BEFORE YOU DIG. Cell 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 utll Ues. yuww poaherstateonecaN.oro
1 hereby acknowledge (hat this information Ie complete and accurate; that the work will be In conformance with the ordinances and codas of the City of
Eagan: that 1 understand this Is not a permit, but only an application for a permit, and work le not to alert 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 plane.
Exterior work authorized by a building permit Issued In accordance with the Minnesota State Building Code must be completed within 180
days of permit laeuance. /
Applicant's Printed Name
Ap Ilcant's Signature
Page 1 of 3
Address: 1779 Talon Tr
Lot: 3 Block: 1 Subdivision: Greyhawk 2nd
Zip: 55122
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON
Yes No Comments
Final grade - 6" from siding
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent as
Retaining Wall or 3:1 Max Slope
Sod/Seeded lawn
Trail/curb damage
Porch
Lower level finish
Deck
Fireplace t9
r.
• Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn faucets before freeze potential exists.
• Call the Citys Engineering Department at 651-675-56.46 prior to working in right-of-way or installing
irrigation system.
V BUILDING INSPECTOR:/
CONTRACTOR:
MW Johnson Construction
17645 Juniper Path #100
Lakeville MN 55044
Site address: / 7 -)9 TA- /"
Lot _ Block _ Subd.
On April 15, 2000 the Minnesota Energy Cade, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
Tbis structure: is Constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
// OR
This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater ?( 2(¢CC-wr yo C--/ 7W/ `/a••• SrD."?? a.
Furnace ?( !2wG X(L9 Ta000o(ysl a< /-
Dryer IC f n. u -10 7L-7 iz=6G ! 2 Zoo o 5! o r!w^r
EXHAUST SYSTEM
LOCATION
TYPE
MODEL
CFM's VENTED
YES No
Kitchen kitchen ?(? www v z / 1o LG Zzz.C V Z t
Bathroom 1 1"41 Qdar+? t (gk F S a C
Bathroom 2 tJ('&'t. ?,t•,, I yLQ Ste S^ >(
Bathroom 3 /hAI41 g A"r, 1 / 4 S? Y S' ?
Bathroom 4
Other
FIREPLACES
LOCATION
GAS
WOOD
MANUFACTURER
MODEL
BTU'S VENTING
DIRECT ATMOS
(m-44- K /
f ?? ou r&.. '7 S d rru
MAKE-UP AIR MODEL TYPE CFM's
I hereby acknowledge that the above
requirements. _ ,
Si923 / Al W ,7 O b.'-C".'
Company Name
is correct and agree to comply with the Minnesota Energy Code and City of Eagan
Date fff
This form is the responsibility of the General Contractor.
0C? a--7 03 "62lpS2_ 4440. IS
3 blAt ?i RESIDENTIAL BUILDING yyt,._ y(.0s3 -t 0 • So
Permit Application 26'5_0
/? i? 1 lL J . 1 City Of Eagan p' to 2_ e A
h Q 1l ( , ` 3830 Pilot Knob Road, Eagan MN 55122 14(po I .
U Telephone # 651-675-5675 FAX # 651-675-5694 Vo 17-m-o3
New Construction Requirements
3 registered site surveys showing sq. ft, of lot, sq. ft. of house; and all roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window saes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lot platted after 7/1/93
Rim Joist Detail Options selection sheet (bldgs with 3 or less units
Remodel/Repair Requirements
2 copies of plan
1 set of Energy Calculations for heated additions
1 site survey for additions & decks
Addition - indicate Non-site septic system
cs .,)A ..
OfficeOse Onlv? f
Cedof Survey Recd N=r _N
Tree Pres Plan Reod _Y _N
Tree Pres Reqd _Y.k_N
On-site Septic System -Y _N
Date it 1 1 3 10-5
Site Address 17 -7J -TQk0n Construction Cost C00
?TrQ\ 1 Unit/Ste #
Description of Work
S? rl Q rte, - }gym \ 1? ?-? ? rn l ,
`
Multi-Family Bldg
J[ Y - N Fireplace(s) _ 0 X 1 - 2
`
Property Owner .0Pi ozin n so1 Telephone # (g5ar 89a -7-7ao
n sp
Contractor M UJ 070 h n
e
Address ?? S J +n t (?
State Y ? r ?,?n
Zip rJ City t-OL V-0- LA I I -P,
Telephone # ((? "l5- %n4w-7-7a'-0
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? X Y _ N If so, 25% plan review
fee applies.
Licensed Plumber-pl-t-P
Mechanical Contractor Ce o L'1? k r
Sewer/Water Contractor 1j-)eriz.t MC&aVA,10&1
Telephone #(q5-,D 89:(3478
a2.
Talcanhl witltlf 60 0 l /0 (3
Win I I 5? 156 S
I hereby apply for a Residential Building Permit and acknowledgahat-thhru?formatinn i 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.
Applicant's Printed ame Applicant's Signet e
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 ofy plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. 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_Y or _ N ? 25 Miscellaneous
Work Types
31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? • 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) -Give PCA handout to applicant
Valuation 06V Occupancy MC/ES System
Census Code /a2 Zoning City Water
SAC Units O/ Stories Booster Pump
Nbr. of Units O/ Sq. Ft. 9.2 PRV
Nbr. of Bldgs
?/ Length ,?O Fire Sprinklered, --?
?
--
Type of Const tr?v _ Width 26n
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundation
_ Drain Tile
Roof At Ice & Water )( Final
Framing
Fireplace 2L R.I. y Air Test X Final
Insulation
REQUIRE INSPECTIONS
Final/C.O.
_ Final/No C.O.
Plumbing
HVAC
Other
- Pool _ Ftgs _ Air/Gas Tests _ Final
- Siding _ Stucco _ Stone
- Windows (new/replacement)
- Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review sr^"`PH1ir5'
MC/ES SAC
City SAC .
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2nG/Z
Building Inspector
792?C 5?'
/7.2-
//a //a ?,7?
646 S?
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 Mid Units Daylight
Eagan, MN
COMPANY INFORMATION:
MW Johnson Construction Inc.
17645 Juniper Path #100
Lakeville, MN 55044
COMPLIANCE: PASSES
Required UA = 486
Your Home = 357
26.6% Better Than Code
?. i l C31 i N G? l-'
I'I'Iq Ta?l.lc?r,`r? .
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. 2874 19.0 2.0 161
BSMT: Conc. 8.0' ht/4.0' bg/4.0' insul 464 10.0 0.0 74
GLAZING: Windows or Doors, Above Grade 152 0.480 73
DOORS 38 0.350 13
FLOORS: Over Unconditioned Space 290 30.0 0.0 10
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 /tt//,/equi ments of the Minnesota Energy Code.
Builder/Designer[/,( /J a ?1J?
Date
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMFT APPLICATION
Gracvlc Zir? 4w
L07?S z-S
?OI/CI (??e
PRO O
PERTY LEGAL: ,
?
DATE OF SURVEY: ??- -?
LATEST REVISION:
m
c
m
r
U
?
O i O
Q
DOCUMENT STANDARDS
' ? ? • Registered Land Surveyor signature and company
g ? ? • Building Permit Applicant
?? • Legal description
? 09„ • Address
? ? • North arrow and scale
( ?
C
House type (rambler, walkout, split w/o, split entry, lookout, etc.)
Directional drainage arrows with slopeigradient % C n
{?cG? GT
L?
g ? ? Proposed/existing sewer and water services & invert elevation L
6 pKf C 3 C(0!S M'T Vmee t
X ? ? Street name -4076 V" irk . 9 rw de .
CK 11
K ? ?
? Driveway
Lot Square Footage
'S 4 2 a?
? ,K, ? • Lot Coverage
ELEVATIONS
Existing
? ? • Sewer service (or Proposed)
e( C ? • Property comers
? ? • Top of curb at the driveway and property line extensions
? 'K. ? • Elevations of any existing adjacent homes
? ? • Adequate footing depth of structures due to adjacent utility trenches
?' ? Waterways (pond, stream, etc.)
Prooosed
? ? Garage floor
y? ?
? ?
%)Jl6
• Basement floor
Lowest exposed elevation (walko ndow)
?
710 ? • Property comers rr???
S
t the foundation
f h
X ? .W. • C
ome a
Front and rear o
PONDING AREA (if applicable)
? ;?' ? • Easement line
? F ? • NWL
? 0 ? • HWL
? t4 ? • Pond # designation
? ? • Emergency Overflow Elevation
? ? • Pond/wetland buffer delineation
DIMENSIONS
? ?
? ?
? g ?
• Lot lines/Bearings & dimensions
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings) I
• Show all easements of record and any City utilities within those easements (5Na pni n? wes+ sr?E
• Setbacks of proposed structure and sideyard setback of adjacent existing structures
• Retaining wall requirements, if any
Reviewed:
Name
11-26-0
Date
G:/FORMS/Building Permit Application
CERTIFICA TE OF SURVEY -jo4
I DOe
?g•
?i1
I?
I
M C?
i
tc9 1 /
N 9035
rn
LID
n u
J M
? a
w
co
M oa ? b
Iry Uz
a
¢
e ¢y
W
C) 9 9X0
Z 932.0 /
0
PATH
BASIN S 89035' 18" E 164.31
RAPTOR ROAD
11t°7?C`pROPERTY DESCRIPTION:
LO TS 2 I CITY OF EAGAN. DABLOCK KOTA1bOREINNESOTACONO ADDITION,
iUO1 B_B TALON TRAIL
S 89035' 32" E 51.08
- 17.04 z4 ZO-W
DRIVEWAY II DRIVEWAY
1AR 4.2R
n
-6 GARAGE
5.50 2
I m
i ? n
I I S
0
STORYY FB/L0
....24:40 L.
25.84
? oDEC
,I,
Y
0
0
°_
I
932x 1 I .
;H SIN I :®
x
93 2 I '?
DRIVEWAY °
N
B.iR m
20.33
A 9'`? - L.{ e ? 1 It'' SIWmow..
R>j lz-!o??
48.3
DRIVEWAY S
9.7% a_+,9i't 77rt Jo
20.33
M. W. JOHNSON CONSTRUCTION
I :i n r. n \
GARAGE m m GARAGE m
GARAGE n tc9
L \
n
a
3
4
3
5 O
5.67 5.67
: s.50
, 3 \
q 934x0
' ? 933.6
,+? m n
ei n ? n \
4x3
931.0
y n
H n
n
ROPOSED TWO PROPOSED TWO PROPOSED TWO p 933.3
TORY FB/LO STORY FB/LO STORY FS/LO m
26.00 26.00 25.93 20.00
" .............?®
a 932x9
930x9
BLOCK 1
32
LOT 2
PROPOSED GARAGE FLOOR ELEV. 938.4
PROPOSED TOP OF BLOCK ELEV =938.7
PROPOSED LOWEST FLOOR ELEV.=930.7
LOT AREA.= 7768 SOFT.
BUILDING AREA= 1195 SQ.FT.
SEWER SVC INV= 926.0
LOT 3
PROPOSED GARAGE FLOOR ELEV=938.4
PROPOSED TOP OF BLOCK j9=9933 87
PROPOSED LOWEST FLOOR =0.7
LOT AREA= 3213 SQ.FT.
BUILDING AREA= 1195 SQ.FT.
SEWER SVC INV.=925.0
,5141' LOT 4
PROPOSED GARAGE FLOOR ELEV=938.4
F&KC PROPOSD TOP OF BLOCK ELEV. 938.7
PROPOSED LOWEST FLOOR ELEV.=930.7
LOT AREA= 3207 SQ. FT.
r >;0 BUILDING AREA .= 1195 SQ.FT.
11 11 II SEWER SVC INV =925.0
ccoo O LOT 5
L4c3;D PROPOSED GARAGE FLOOR ELEV.=938.4
PROPOSED TOP OF BLOCK ELEV: 938.7
O PROPOSED LOWEST FLOOR ELEV.=930.7
O LOT AREA.- 9902 SQ.FT.
BUILDING AREA= 1195 SQ-FT.
SEWER SVC INV.=924.0
933x6 / 9T !'
OxPGG?S ^6.
O x, ??L
2x5 aa _ -
tce32x8' pQV O?
Si ?f
R=84.00 ??52 3.1 MaximUM
pr SetWning Wail Wi11
NOTE: Be rABgUired
ALL DIMENSIONS ARE TO
OUTSIDE FOUNDATION
Bohlen
Surveying & Engineering
31462 FoGaagga Averue 4735 123rd Street W.
NartM? 5M, MN 55057 B . 20o( lq 55378
5-9258
PFcxa(507)1845577998 PFm: (952)) 89895
eoooxo DENOTES HUB ELEVATION
G DENOTES SERVICE LOCATION
000x0 DENOTES PROPOSED ELEVATION
DENOTES PROPOSED DRAINAGE DIRECTION
000x0 DENOTES EXISTING ELEVATION
® DENOTES WOOD HUB
• DENOTES FOUND IRON PIPE MONUMENT
MHEREBY CERTIFY THAT THIS
DIRECT SUPERVISION AND THATV AM AA DULY REGISITER D LANDNOER
SURVEYOR UNDER THE LAWS OF THE STATE OF MINNESOTA.
DATE- 11-6-03 REVISED 12-09-03 !TA H HLEN LAND SURVEYOR
MINNESOTA LICENSE N0. 10795
F9.ENAME: lots2-5bik 1 cert2.S90
KAo- 1 1 1 R-n..i
111 = 30'
try
Vn q<?
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.
S-O
Date I ? I 41 Tc
Site Street Address
Unit #
//
Property Owner1q,1 c e- Telephone #
Contractor L&? Telephone #
Address Z ,222d city //?7uo.?s??LLv Stateb zip ?
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
-Add plumbing fixtures.
If you are only installing a water softener and/or water heater, the fee is $15.00 plus the
state surcharge - see next section.
-Septic System Abandonment
-Water Turnaround (add $121.00 if a 5/8" meter is required)
Other:
Water softener _ Water Heater $ 15.00
1? replacement _ additional
Lawn Irrigation System _RPZ _PVB -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.
?-6/Y Y 00 Y10AV f? ?j A!h? % ?n c )nn
Applicant's Printed Name Ap licant's SI u X N
7
-:q-0g80
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
Telephone # (
New Construction Requirements RemodellReoair Requirements Office Use Only
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all mated areas 2 copies of plan Cert of Survey Recd _Y _N
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Reod
,
_Y _N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _Y _N
I set of Energy Calculations Addition - indicate ffonsde septic system On-ste Septic System _Y _N
3 copies of Tree Preservation Plan d lot platted after 7/1193
Rim Joist Detail options selection sheet (buildings with 3 or less units)
Date ?r / L e Construction Cost
Site Address ) 7 -7-n/``' A Unit/Ste #
Description of Work F ,/ A ? ( i I-e- '1, c'-r
Multi-Family Bldg X Y
- N Fireplace(s) 0 - 1 - 2
Property Owner / Telephone # (GSl) 6 5 / ?l d??
Contractor
Address City
State -11 Zip Telephone # (G? Z)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category I _ Minnesota Rules 7672
Energy Cade 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
44. . co
f ns, -71; . ,vfJ
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. F7 --F
Applicant's Printed Name Appli is Siture
ref (?1
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 Mufti Misc.
? 05 03-plex ? 11 10-plex IK 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PlbgkYor- 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 eely Occupancy _12-3_ MCES System
Plan Review NA 100% or _ 25%
Census Code 3Z/ 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) _ FinaVC.O.
Footings (deck) Final/No C.O.
Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
_
Ice & Water
Roof 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
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
-?- owl 8 l
2005 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.
X50,50
Date X 1 2-9 1 &S
Site Street Address Unit #
Property Owner r L Telephone # (6S1) 6 P? / -eA6_
Contractor
A
)
Telephone #
Address & State .444-- Zip
The Applicant is: _ Owner Contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water soften er and/or water
heater at the same time. If you are installing only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
new _ replacement
Lawn Irrigation _RPZ _PVB -new -repair -rebuild $ 30.00
State Surcharge $ .50
Total $ 5 0, S 0
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. r --
Applicant's Printed Name Appli ant's Signature c`
m l (? Ar l c?j,?r, Q,u ?O 0
c
-14 -6?A y
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allowed)
1 Soils Report tt proposed building is to be placed on disturbed soil
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy calculations
3 copies of Tree Preservation Plan fi lot platted after 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
Remodel/Repair Requirements
2 copies of plan showing footings, beams, joists
1 set of Energy calculations for heated add'N'ons
1 site survey for additions & decks
Addition - indicate Non-site septic system
Date 7 //47 / 0 6 Construction Cos ?O O
7
Site Address 7 7- /,-, J?
Unit/Ste #
'HkSt ?[Icrr/? /T? c (
Description of Work
7
fi? ?I ?1t (a^?.ti5
?r,rl Clew
Multi-Family Bldg _ Y
>c- N Fireplace(s) 0 - 1 - 2
r _
Property Owner /y / l Telephone # (GS/) C PZ / yy/
0 0
161? L' 4c-P
,
Contractor
(s
?7'79 7`a(cL1 / ki
/
Address
9
City 67,&4 O
n
State Zip SS/ 2 L Telephone # (61 L) -77') 0pyyG
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
(,f 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 # (
IIoco
Office Use OnN
Cart of Survey Reid _Y _N
Soils Report -- -, ;_Y-. _N
Tree Pres Plan Recd _Y _N,
Tree Pres.Required _Y. _N
On-site Septic System , _Y _N
1lt Le.
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.
efe L, 601,-c i?
Applicant's Printed Name
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
tr 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/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
WorkTvpes /16pl4?7Z0 ?'LCbzS r-?--TV ffv?6fL^
? 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
Description: Water Damage_Yes
Valuation J,190,2 Occupancy MCES System
Plan Review 100% or 25%
Census Code -?f- =/- Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const lvf? Width
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck)
Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice & Water Final
Framing
_ Fireplace _ R.I. _ Air Test - Final
Insulation
Approved By:
Sbeetrock
_ Final/C.O.
Final No C.O.
_ IIVAC
Other
Pool _ Ftgs _ Air/Gas Tests _ Final
Siding _ Stucco Lath _ Stone Lath -Brick
Windows
Retaining Wall
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
00 0
f-Ev?s? 7 v
44-nI466
08/26/2014 06:51 Les Jones Roofing,Inc. ffAX�9528817009 P.005l006
Use BI�U�or BI.ACK Ink
� ForOfflceUaa----,—/--`—�
C���' j Permlt#: � `� ,/��
�^_ ��b�� � Pertnit Fee: �/�� I
3830 Pllot Knob Road
Eagan MN 55722 j Dale Recelved: j
phone:(661)675-6676 I I
Fax:{651)675•5694 j S�ff• I
�����������������J
2014 RESIDENTIAL BUILDING PERIVII7 APPLICATION
nate, cY�2.x�Ly Site Address:/�7/-/175-/779-��783 7�-oit/ 7.��4'1�.. Unit#:
Name:l�o P,�vP�r� �,A�2� __Phone:_��- S��u� �19�f9
Resident/
owner Address/City!Zip: Po [�nx .��.�s /�vv� r�o� l�i��. �l�r �'s'b7�
Applicent le: Owner x Contractor
Type of Wo�k Description ofwortc:�U_1�E,4aVD ��AE.f S�DINLr - �ttGL �9GK- 5/�E bF I.��CT'
Constructlon Coet: ���� G� Multi-Family Building:(Yes�C /No�
Company:�.S 7p►JF5 Kr�[�Fll�r� I n�L Contacti��tQ►S f+NDE2So�1
Contractor /�ddrees: �y I �b�' STR�T` City: �31�M.��L�D�J
Stete:�Z(p: �J Z� Phone:�5�-�/a7-Z8I7 Email: W�►"�SGt �!�e6inn�S l u�r��,e LoM
Llcense#: �e5(o0 �.ead Certlficate#: N�4T �037Z—/
If the project is exempt from lead certtflcatlon, please explain why: (see Page 3 for additional informaEion)
COMpLEYE THIS AREA ONLY 1� CONSTRUCTING A NEW BUIL.DINO
In the last 12 months,hes the Clty ot Eagan leaued a permlt for a sfmllar plan based on a master plan9
Yes _No If yes,date and address of master plan;
Llcensed Plumber: Phone:
Mechanlcal Contractor: Phone: �
Sewer 8�Water Contractor: Phone:
NOTE:P/ans and supporting documenfs�tl�at you subm/t are considered to be publlc lnformat/on, Portions of
the informat/on may be classlfled as non-publlc�f you provlde specific reasons that would permit.fhe C;ty to
conclude that the are frade secrets.
CALL��FORE YOU DIG. Call Gopher Stata Ona Cell at(681)4S4•0002 tor protectlon agalnst under�round utlllty demage. CaN 46 houre
betolb y0u Intend to dlg to recalve locates af underground ulIllGes, www.poohetsta e necall.ora
I hereby acknowledge that thls InFortnatlon Is complele and accurafe;lhat the woAc wtll b0 In ConfomlanCe wlth(he ordlnances and codes of the Clly of
Eagan; lhal I understarxl lhls Is nol a partnll, bul only an appllcatlon for a permlt, and work le not to etaR wlthoul a parmlt; thal Ihe wotk wlll be In
eccordenCe wllh Ihe approved plan In the case of work whlch requlres e reWew and approvel of plane.
Exterlor work authorizsd by a bullding permlt Issued In accordanca wlth the MInn69ot8 State Sullding Coda muat ba complatoA wlthln 180
daye of parmlt Issuance.
x G�`��S .4it/D�:��.SO/Y x
Appllcant's Printed Name Applicant's Slgnature
Page 1 ot 3