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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