4606 Tamie Ave JUN 27~ 1991
DATE:
~ .r
- 460b TAFIIB AVE ([~YLAND HOMES)
RE:
X
Your Sewer & VIlater Permit for the above property has been completed. It will be held at the
Public'VNorks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
i '
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer 8~ Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed untit further notice.
COMMERCIAL PRUJECTS ONLY: Please pay for meter at City Hall_ Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNIMG: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEYELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CASH RECEIPT •
~
CITY OF EAGA~J •
3830 PILOT KNOB ROAD • ^
EAGAN, MINNESOTA 55122
DATE 4 Y , ~ 19 ~
nettrveo 1/ ~ ~ ~ ' C
F~p~ r~e ~l L.(x.) l~. , t l~~F" -
~
AMOUNT s '
_1 ~ ~
a ~uRs
•
? CASH ~ CHECK
i ~
~ r. ~ l'~'.-•< 4 - - 1'v~~u ~u < ? Ic t~ ~ _
<"F ~wC~hjAl~
=-I {c ~ 5 Ta~?~i..~ 'Ji~ ~ I qG• . ~c ,
~ :r~-~ ~a~ ~ - = . . ; L .z k~- ~ ~:l
FUN~ OBJECT AMOIJNT
~ j I ' LL.. ~c ~ ~ .i~C'~.'~(
~ ~ 3 - l_ ~ ~1 ~ , _
4 i- > ' I-1k _ ~
Thank You
BY _ -~~~~t_ r ~ .
14 t 95 ~--P°~~
Yello~Postlnp Gapy ~
Pink-File Copy
:cr~:.rlva~ rv!t u~c
PLAN ~FJTO%42 . . . . n, -
V~~ A~ff~m+pR~~~~688-6&`2 CITY OF EAGAN ~7~s
~~~8~ 148 `~8303Pnt~`Knab Road, P.O. Box 21-199, Eagan, MN 55121 3
PHONE: 454-8100
BUILDING~ERMIT Receipt # (1~...`~. t
To be u lor Est. Value QQ~ Date ~]t71~ 2Z , ~g~L
r
Site Address i~Ml~ AIR
LOt BloCk SeC/Sub. I.ARE OFFICE USE ONLY
Parcel No. occ~aancy lr~~ l1-1 FEES
Znning $.1.
W Name ~Y1.AliD NO!!ES ~ncc„apcorui BIdg.Permit ~
o Address 1~~ 1Y1~1l4Y1 -I~[ RiTY (abwab~e) ~ surcnarge
Clty 1!!SC1G(JR PhOne a9~~2696 +r ot Stories _
Length ~ Plan Review '81
o Name P ~
De Ih SAC, City 1~~~
Address s.F, ro~a~ _ 6~~~
SAC, MCWCC
City Phona S.F. Footprints _
~ On Site Sewage _ Water Conn 6~•~
V W Name
W W On Site Wel1 - water Meter 95.~
Addf2S5 MWCC System 30~~
~ W C~ry PhOfl@ City Water x~ ~ct. Deposit
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump - 51W Surcharge
iNormalion is correct and agree to comply with; all applicable State of
' NNinnesota Statutes and Ci ,c2~agan Ordin ~ce . Treatment PI ~~b•~
r.
c~,.ti,Sipnature of Permitee I~ l ~ APPRDYALS Road Unit 3~0•~0
A Building Permit is issued to: ~Y~~ ~a Planner - Park Ded. y
on the express condition that all work shal e done i ccordance with all
applicable State of Mmnesota tutes an~City of Ea ~n Inances. g~dy ph _ Copies
~ y
Building Otficial / ~"~"1'f ~-'~f,-~ Variance - TOTAL
~ Permk No. PermN Holder Date Telephone
wn~a /Q ~ ~ 7 9
SEW~e.R
PIUMBING o ~J-
H.v.n.c. ru, . 7~ 9/ 7-~J~
h~ 83~ ' ~ S / ~Q°~
ELECTRIC
Inapection Date Insp. Commenta
Footings I 7/!
Foundation ~
Framin9 c~ g/ U S
Roofing
Rough Plbg. ' ~-y~
Rough Htg. ~~4 1/ t r
Isul.
Freplace
Final Htg.
Orsfat Test ~ ~ ~
Final Pibg. Plbg. Inspector - Notily Plumber
Const. Meter
EngrJPlan
81dg. Final (,(J~
o~ Fc~. ~C ~2 gZ
Dedc Final ~,2~ 1 ~ - t p /Ll,~
weu B - - ~ .z -
Pr. disp.
SEWER & WATER PERMIT OFFICE USE C?NLY
CITY 0~ EAGAN METER r PERM IT DATE l~ 17 I
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT # 1?a.o7
METER SIZE B.P. RECEIPT # C l 41 S
~ Ur~JE 2 5, 1 y91 ISSUE DATE l~ 'a/~ 91 B.P. RECEIPT DATE ~J 1
DATE .
~ N^_ PRV -BOOSTER PUMP
4 b t`~ ; "'.l ~
:
SITE ADDRESS PERMIT RE(.IUESTED
LOT ~ BLOCK ~ SEC/SUB "'~NOtt LA"~;
SEWER ~ WATER _ TAPS
APPLIGANT: K~xL~A;u ~~c)~~:~ -
ADDRESS: j 445U BUP.NSVILL° PKEaI'i - COMM/IND ~x RESIDENTfAL
CITY,STATE $U~~SV1LLi~ Z~p ~`'37 NEW -EXISTING
PHONE: ~3g4-2536
Lawn 5prinkler Meters are to be Installed
PLUMBER: !~~41~AN1~',~, Ahead of Domestic Meters on Water Line.
ADDRESS: ~4 5~Alv PATC L.~~:: k Credit 1NiL~. NOT be given for Deduct Meters.
CITY, STATE y~~AGE z1P 5-~37,', ~
PHONE: 447-2323 ~ ~;s' ; ; ; ! ) , ' ~
`.J.~?6RE~E COMPC~'Y WITH TY OF
OWNER: Sr~,~ r' A:'"' :,7. ~'~S'~'!" EA OR INANC`ES
ADDRESS:
CITY, STATE ZIP
PHONE: SIGNATURE WHEN TE ISSUED.
~ PLEASE ALLOW~'f'WO WORKING DAYB FOR PR~CES~ING: CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
, ,
SEWER & WA7ER PERMI7 OFFICE USE ONLY
CITYY~OF EAGAN METER # PERMIT DATE `!b r 2 ~
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHIP # PERMIT ~ i ~ 1 C l
METER SIZE B.P. RECEIPT # C t~ i;'
DATE '~Zf~'~ 25, ~~4i ISSUE DATE B.P. RECEIpT DATE i? (
~~K PRV -BQOSTER PUMP
SITE ADDRESS' rf'~~~ PERMIT REGIUESTED
~07" ~ BLOCK SEC/SUB F~'~~a Xa SEWER X~ WATER _ TAPS
APPLICANT ~`~'i LA'Jil tdQl;tS
ADDRESS: 14450 Bt1RN5VI.LLE P[CF1Y COMM/IND s~ RESIDENT~AL
CITY, STATE At1RNSJILLE~ Z~P 353?~ NEW - EXISTING
PHONE: ~4~+-2636
Lawn Sprinkler Meters are to be Installed
PLUMBER: ~~%HAN1C:Ay, Ahead of Domestic Meters on Water Line.
ADDRESS: 13845 D~N PAT~41 LAN~ Credit WIL~L. NOT be gi~en for Oeduct Meters.
CiTY, STATE ~AVAGj. ZIP ~ ~ ~ , ~
44)-2.3? ~ . - , ~
PHONE: - - i '
`_..LA~fiEE TO COMPLY WITH C~ITY OF
OWNER: ~ APP),1C;APTT EAGAN ORDINANCES /
ADDRESS:
CITY, STATE ZIP
PHONE: SIGMATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FUR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
8 ~/s~ ioas7~
p 3852 ~ c~~o°°
iiequest Da[e Fre No. Roug~~in Inspedion
/1~ Pequiretl? LJ Reatly Now~l Notify Inspeclor
1e! / NO W~en ReatlY?
Q ,~~v
LCttcensed coniractor ? owner hereby request inspection of above electrical work at:
Job Atlaress Sveet. 8~ r Raute No.~ A City~
(
L,/r%`+~ Q/X~
Sec~ion No Towns~ip Name or No. Range No. Coun
Ocmpant IPRINT PM1One No.
Power u pM1er Adtlrass ~
Eiechical mracror ICOmpany Name) ~ Co~nlra)c~or5 Li se No.
L% ~
Ma~i~ng Atldress ( nvaclor or Owner Makmq Ins~elle~ion)
~ ~ v~
Aulnonzetl Si aluralCOn[ractoopwner MeknqlnslalleUOnl. ~one Number
o ~3~
MINNESOTA STATE BOAHD OF EIECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Miaway BiOg. - Foom Sn3 BE ACCEPTED BV THE STATE BONRD
1821 Universlty Ave., SL Paul. MN 55106 ' ` UNLESS PROPER INSPECTI~N FEE IS
Phane(612j6G2-0800 ENCLOSED.
REOUEST FOR ELECTRICAL INSPECTION ''~F ee-oooo,-oe '
? Sae Instmctions lor completing this form on back ol yellow copy "~""~-y ryS~
I Y'~&y~;'~ ~O6C ~
i1 "X" Below Work Covered by This Request 'k~~;.n~~~
ew Adtl Rep~. 7ypeofBuilding AppliancesWired EquipmenlWired
Home Fange Temporary Service
Duplex Water Heater Elecdic Heating
Apt. Building Dryer Other (Specify)
Comm./Intlusirial Furnace
Farm Air Conditioner
pinerlsyecity~ Conlrac~or's Remarks'.
Compu[e Inspection Fee Below:
# Oiher Fee # ServiceEn~ranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 70 200 Amps 0 to t00 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecror5 use Only. ~O TOTAL jQ
~
Irrigation Booms 8
Special Inspection
AlarmlCommunication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MON
I, Ihe ElectriCal InspeCbr, hereby Rouqn-~n oa~e w~ ~
certify that the above inspection has F,~ai f oa~e~~
been made. s-J
OFFICE USE ONLV ' ~
Tms requesl void 18 montM1S Imm
~ CITY OF EAGAN N~ . 19323
~ ' 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHONE: 454-8100 ~-I- I~ S
BUILDING PERMIT Receipt # C-''
7obe used for ~ SF DWG/GAR Est. value $88.000 Date JUNE 25 ~y 91
Site Address 4606 TAMIE AVE
LOt 6 BIOCk 3 SBC/SUb. ~NOR LAKE OFFICE USE ONLY
Parcel No. occupa~cy R=3, M-1 FEES
KEYLAND HOMES Z~^~^9 R=1
w Name (ACNaI~ Cons[ YiL Bldg, Permit $ 586.00
; Add~ess 14450 BURNSVSLLE PKWY (Allowahle) yH_ 44.00
~ City B~VIL~ PhOOE 894-2636 kofStories Surcharge
LengtO 48 Plan Review 381.00
o Name SAME Depth 4$ SAQCity L00.00
g~ Address S.F. Total - SAC, MCWCC 650.00
~ City Phone sF. Foo~,~~n~s _
r On Sita Sawage _ Water Conn 6b0.00
°w Name onsi~eweu 95.00
~w - Water Me~er
Address MWCCSystem XX
iw C11y PhOnC Ciry Water 7~~ Deposit 30.00
PRV Required SlVY Permil 30.00
I hereby acknowleqe ihat I have read this application and state ihat the Boosler Pump - SiW Surcharge • 50
informafion is correct and a e lo comply il all applicable State of
Minnesota StaWtes and Ci Eagan Ordin c. Treatment PI 2~6.00
Signature ol Permitee ~4PPROVALS Road Unil 370.00
A Building Permil is issued to: ~YL HO Plenner - park Ded.
on the express condition thal all ork sha be done' accordance wilh all Council -
applica6le State of Minnesm ~ utes a Ciry of arr rd ances. g~d9, pry, _ Copias
Buiitling Otficial - Variance - 707n~ ~3 ~ 222. 50~/
Address: 4606 TAPf~ AVENID: Lot 6 Slk 3 Sec/Sub ~pg ~
These items were/weie not complete at the time of the final inspection.
Il/18/91 Yes No ~(J ~
Final grade (6" from siding) ?
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass
Trail/curb damage
Porch ~
Basement finish
Deck
Please varify with the builder the removal of roof test caps from the plumbing
system and the shut-off of water supply to the outside lawn faucet befoxe
freeze potential exists. ~
,.~«on~a
White - City copy Yellow - Resident copy Pink.- Contractor copy ~
RESIDENTIAL
BUILDING PERMIT APPLICATION
3830 PILOT KNOB RD, EAGAN MN 55122 -7
651-881-4675 / ~ , / ~
r
New Conetruction Reaulremenb RemodellRenair Reaulremanh
. 3 regislered siGe wrveys shaxing sq. ft of lot, sq. fi. af house; and a0 roofed a2as • 2 wpies of plan
(20% maximum bt coverage allaved) . i set o( Energy Cakulatians for heated additions
• 2 copies of plan showirg 6eam 8 wirMow sizes; paured tound design, etc.) • 1 sile survey lor e~terior additions & decks
• 1 set of Energy Calddatipns . ~nCicate if home served 6y septic system for additio~
• 3 copies of Tree Preservation Plan if lot plafled after 7f7/93 ~
. Rim Joist DetaB Optans seleclan sheet (bldgs with 3 or less unils)
n - 9~ - /
DATE `7_~ 7 Z- 'l ~ I~~ VALUATION ~CO, iP~n
SITE ADDRESS l(D lJ lA ~nn~_/7(rP. MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK a,vt f' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT ~,P!)~/~J~~P' _
STREETADDRESS ~~o/fln //Y/.r~PrAn / l~i CITY~STATE/J~l~t ZIP~~/'/~
TELEPHONE #~p~~~ CELL PHONE #~~GTO~j/ FAX # ST(~//T7
~Z ~v~2
PROPERTY OWNER ~`~°~f ~.~/~~~n,J TELEPHONE # GS~ 4!SZ
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY I
Energy Code Category MINNESOTA RLJLFS 7670 CATEGORY 1 MINN rCe '~S ~7692'
- P In~C l~~ ~~~~tl
(J submission rype) • ResidenGal VenGlaUOn Category t Worksheet Submitted . New E~j{{{gy~-Co e orksheet Submitted
• Energy Envelope Calalations Submitted I~ S ~ P 1 8?D02 I~J II
~`J I
Piumbing Contractor: _ Phone # R~~ - _
=J
Plumhing system includes: _ Water Softener _ Lawn Sprinkler ~ Fee: $90.00 ~
Water Heater No. oF R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor. Phone #
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Stgnature of Applieant ~(~efal~
___M___..M......____._..._---...___ .W_._~......r_~_.._...._-----Y.(~Sl.fll~ttc~..__11~J..~.~f. ~
OFFiCE USE ONLY ~
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
- Updated 4l02
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? 08 O6-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. AI[ - Mut~
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 D8-plex ? 18 ~eck ? 23 Porch (screened) ? 36 MuIH
? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Oamage
? D6 04-plex O 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bidg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg}" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `Damolition {Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV .
Nbr. af Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ FinaVNo C.O.
_ Footings (addition) _ Plumbing
~ _ Foundation _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding SNcco Stone
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Buiiding Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
, Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
~ ~ 199 SUI PER~T ~ICATION
ITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTZPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGN ICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE SUILDING PERMIT I 2 0 R n~
~ L5 V
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE I IT HAS BEEN COM ED.
PERMIT MUST SHOW A LICENSED PLUMBER. ~ 2~ kfn
w71
To Be Used For~ tS Valuation: ~ Da
Site Address `spy-~r~~ Q~V OFFICE USE ONLY
p g8~1~D0~
Lot b Block FEES
Occupancy ~'3 M-) Bldg. Permit .~(~6i00
q~p Zoning ~,-1 Surcharge e7~
Parcel/Sub ~"\~Ps~L ADb N Actual Const V-N Plan Review I,ID
1/ ` Allowable V-N SAC, City lDO,D•~
Owner.T~i~,llLai~p ~Ps~~ # of stories SAC, MWCC ~OJ
~l I Length ~fBT Water Conn. ~00+ O
Address ~~~,5~ W~tU~~i~l Depth ~J8' Water Meter $.00
I~^ S.F. Total Acct. Deposit 30~0~
City/Zip Gode~s G~l~~ 1 Footprint S.F. 5/w Permit 3A00
~ S/W Surcharge ,$U
Phone ~(~~Jo On site sewage_ Treatment Pl.a OO
" On site well Road Unit $ D Oo
Contractor MWCC System Park Ded.
City water ~ Trail Ded.
Address PRV ~ Copies
Booster Pump _
City/Zip Code SUBTOTAL
APPROVALS Penalty
Phone Planner Lot Change ~
I l , ~ Council TOTAL ~
Arch./Engr. ~\QV,I~-' Bldg. Off. D~q~
Variance
Address ~ ~ , - ,
~~l- lo`I~ ~ ~ ~ r~vwcc-~~_
City/Zip Code
Phone #
~,~C~p~yr~ agrees that all work shall be done in accordance with
(Signat re of Contr ctoz)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
9/ L. U A-T f O
GA~?2aU~
2'o K 2 z-''~ y D.K ~ 5 ~ (o C~ o c~
~ S~?7 ,
2bxy~ = f I`~~ X 1u~ l6-tyu
~-I o u
~wi°r-~ ~i~~~
,2x7: I~I
~~/z X 5'/~,"~~
M2~°o l~.'~~~ (o~lSS~
8~1a98 mrc. s9,o~o''
J~;N 1'90 12:00 FROM CHANHASSEN SEC. SVC PRGE.001
, EKTERIOR ENYELOPE A4ERAGE."U"_COMPlIT/1TTON_. •
i. ; ` . • .
OWNER: ~0T ~ ' ~~Z~~ -
SITE ADORE55: ~ ~ . PHONE: ~~°lq~ ".~b. '
LDN7RACTOR: ~'C~.t{L ~ai~ PLAN ~ R"-3~r~-]'-,"~t' • ' ~
Determine working square footage of each •
1. Tota] exposed wall area.:... "Z-1 sq. •ft. x.11 = Z.'W 1r~0
Z. 7ota1 roof/ceiling area..... lZ1 Y sq. ft, x .D26 ~ j•: S~ (o
Total exposed wall area above,floor=_19to1
a. Total watl window area ( b;:~l~e
b.. Total door area. .
Totai slid9ng glass door area <<
d. Tota1 fireplace wall area •
e. Tot81 wa11 framing area (average 10~) • I`tC~1•_• .
f. Total rim ~oist area 1~,
g. net wall area a6ove ftoor F't4 ~9
h. wall area above floor.• ~
i. ~ wall area above floor
frame wall area at foundation
Total exposed foundetion area= '14•~ . „ ' ~
k. Total foundation window area `
.
1. Totai net foundation area above grade ~7e,,~5": - ~ •
Oetermine "u" value of each wall segment
(e.g. window, door, each separate wall section) ,
a. ?rit4,lcv X ,'-/7 - ~ ~ . ,
. b. 3~ X n~u z ?Z~ L~ . .
3't~4 X ,.~~,T ~ ~t9 - cs~~~ :
. d. ^ X u~n - w ~
e. 19 cr bVII ~ G/`G ~ a~~ . • .
1 . J~ ~ 11 li'I~~ . ~p~ 1 a I ~ , . , . ' ; ~ .
V
y. ; 1'14y.9 X ,0~7 = 4S,3a .
h. x ~ '
~ i. ~ X ~
_ X ~ '
. if item 63 is the s
r, X~~U~~ _ ~ as; or less than it
~I, you have met tt
~ , "14 .S X "U" , ~ ~ = Ip ~ i ntent of S8C 6006
3 . .................................Total - LIb ~1~, , .
JUN 1'96 12.:00 FROM CHANHRSSEN SEC. SVC PRGE.002
, • ~+:.r a ~ ];l
Total exposed roof/cei.lSng area ! ZI 4 . • ~
m_ 7b~el.skyli.qlit area " ~
n. Total roo_/cEi1±n, •f±-aming zzn,a (:nrcrar~u 100) ~ y~,y •
o. Total nee insulatoC xoof/ceiling rxrc:a...._.:...•.•: (d9~~f~r
Determine "U" value ioi each roof/ceilinq segnent ,
m g uUn r, . ~ ' ~
n. ~ uU° aa'j.' 1....~..~ . Ze 1 ~ ~ • . ~ • • .
O. • Yi ~~Un ~C~L• ~ ZI~SS , ' . . .
5 Tutidl = '
~:t :o*_ai c= ~9 is the sama as, or less t:han N2. you haue met ~he intent of
58C 5005 :c? 1. . , . .
~lte-nate Buildinq Enve2ope Desi.Sn ~
^o :x~ilixa ti;a totz2 envelope 'sysC~n method, the va].ues estzhlishe~ by the s:u~ of
~ itens ~3 ~~d e4 sha.11 rzot ba greater than the sum oE. items P.J. and ~2. '
1. I . ~ ~ + 2 . ~ l . S~o Z~ Z ~O ' . • , .
3. Z[O~ tn ± a. zy ~~1ta = , ~ . . . .
. . . i
, . : r'
,
. . ~ ~ „ - '
: . ~f°: ~ .
JUN 1'90 I2:00 FROM CHANHASSEN SEC. SVC PRGE.003 `
~ Ptax ~ iz - 3 3z~ -'f'1
-
* LINE'.AL FEET 17CPOSID WALL
s~' 4~a+z.~o+2.g fco f'c,+r5-+z~o.x ~s~
1Q~: `I (a + L.co + z5s + ~ s` + L~o = 1 y j ~ ,
W.O.
~[tr~., y4 +x~ r~g +c,~ 4+ ~ rf Zc~ -r ~~z e 1,~7
~ FLJLL 2 : . .
f`IRE,'PLACE: ~
x~t: I s 7 . . . .
, . * sQua~ ~~.'r ~osso wait..st~ . ~ '
siACx: ~ s'~ ~ x. s= 7~ •s- ~
.
1¢~r~E: t N 1 ~ x s= ~ o r '
w.o.: xe=
~vt,t,, i: i s ~ X a= i z s~
~.na. 2: X a ~ ~ . ~ ~ .
F~tacs: X = :
xat: S s'I x 7. = i 57 ~
a
~ ~z~~4,s
* sQt~ t~er n~osm cs=LIN'G ~ 2~ y •
• ~A'H~WS * DOORS .
~ a
. '1•'.z4$6ob..R s'<Pa(e ~ rz~, l$ 3
l't~i1- Z-'t 3~ 4un...~ m ~L ~'1 ~ PATIO DOORS
1- 'z.3 3 r b S. 5q ~ 5`.SCy
. i - c.= ~ ~z.y
t s~+7 ~~t , 4'1. = q,'l ~
t-~3ti 7 a"7 e 7, s I ~ SA5~3~'r UNI'is
t?~ ..t4t5 _ 'l.'76 ~ Z3,3y -
~'25r't8 a 't•3 s t~~to .
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J~N 1'90 12:01 FROM CHANHASSEN SEC. SVC PAGE.094
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JUN 1'90 12:01 FROM CHRNHASSEN SEC. SUC PA6E.005
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~ NOT£: US£ ADbZTZOi3AL SHEEIS if' t"OI2E SPP.
S.?S
NON-VENTF'_D ~ ~p~ FQR DEI'AILS AND CAI~[JLATr~
HEAT FIAW
W
?"IG. ~7
nrrt-c,i i.'~. ai...~~ ~i.~rn,~.. iu_~ ~«,.w~. v~..,
460~a M.AI*Jrf~ TflPAl6- AV~. 33c~'
~~V~VE~Y~~9~ Ci~~~P~~~~'~~E KEY~AND HOMES
NOTE= NO S~pCFIC ~SOILS INVE97IiAT10N MAS B~V COONR.[T~A
ON YHIS IAT 9Y 7ME 9~IV~1/~. Tp~ Y4Y OF
sa~s m surMORV »a~ a~ark r~ is
NOT r?re ~swaee~~.m ~r r~
REVISEO~ p-7-92~
~ 70. _SHOW p3-alAlT ,
TAM I E AVE
o ~
~
96 . 00 N 89° 24~ 47'~ E`.
o °
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i~
n M a ~ p~ OAR. 1°• ~
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~ p i
~ 2 8,0 ~
~ ~
M EJfISTING
~ HOU9E
N ~
~ I
46.0 ~ ~
l i
t"1
O p
-J ° I LOT; 6 °
N DRAINAGE 6 U71L1'fY ~
EASEMENT PER PLAT
5 ~S
~ o O /
` - - i
~`96.~0 N89°24'47"E
~1 I i j i i~-~ ~11
l. I l_\l I I~
~ DENOTES PROPOSED SURFACE DFAINAGE
O DENOTES IRpN MONUMEMT SE7 SCALE: 1 INCH = 30 FEET
• DENOTES IRON MONUMENT FdUND PROPOSED GARA(3E FLppR - FEE7
X000.0 ~ENOTES EXISTING ELEVATIbN PROPOSED IOWEST FLOOR ~ FEt'r
(000.0} DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - FEET
WE HEREBY CERTIFY TO KEYLANp HOMES THAT THIS IS A TRUE AND CORpECT
REPRESENTATION OF A SURVEY OF THE BOUNOARIES OF:
Lot 6, elock 3, MANOR LAKE ADDITION, according to the recorded plat thcKeof,
Dakot? County, Minnesota.
IT DOES NOT PURPORT TO SHOW (MPROVEMENTS OR ENCRpACHMENT5, EXCEPT AS SHOWN. AS
SURVEYEp BY ME OR UNaER MY DIRECT SUPERVISIpN THIS 17TH. DAY OF JUNE , 1891 .
SIGNE . JA ES R. HIIL, INC.
NO?E: 8Up.0~HG O~MENS~ONS SHOWN MH
Ibll MOMiW(f'AL 6 VFR7CAL IOC~
ATION OF STRUCfl11PE ONLI! SEE BY: ~
pitCHl'fECTUA~ pt,qN$ R1R lUItDING
a?ou~o~noN pnr~o?n. JOHN C. LARSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828
m'~1 ?1 cD p O m Q~ A
~ ~ ~ )~r~~s R. F-~iq~, ir~c.
O r~ ~ N ~ pD. Y
_ r m W m 2
O m p o p Z r ~
° Z`~ ° ~ m Z PLANNERS / ENGINEERS / SURVEYQRS
T ~ O m ~o <
n - ' 2500 W. CTY. RD. 42 • BURN5VILLE, MN. 55337 ~ 612•590-8044 ~
A _ _ , . a~aW~ll~~m~~ew~
CITY OF EAGAN FOR CITY USE ONLY
3830 PIIAT RNOB ROAD
~ EAGAN, MN 55122 PERMIT #
PHONE: (612)~r 454-8100 RECEIPT # C 1 I~l
~~8~~~:~!"3~'~ DATE: ~f ~ 9
~~~~3m~`; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERMZTS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
NEW CONST ADD-ON MINIMUM 15.OD
ADD ON SHOWER 3.00
REPAIR ~ WATER CIASET 3.00 ~
~ BATH TUB 3.00
i LAVATORY 3.00 ~~w
OWNER NAME: ~~eS T KITCHEN SINK 3.00 ,`v
~,y~ ~ LAUNDRY TRAY 3.00
SITE ADDRESS: ula-aO ~~C'G~fh,~ ~ HOT TUB/SPA 3.00
I WATER HEATER 3. 00 •~,.Z
LOT:_~ BLOCK ~ SUB?.~~ LS-~~. ~ FLOOR DRAIN 3.00 3.`"
~ GAS PIPING OUT.
INSTALLER: ~ 1 ~~'~"~lCa.` { (MINIMUM - 1) 3.00
ADDRESS:~c~i~ k.c~n ~C^-~Cl~'s vcVS~ ~ OTHER OPENINGS 1.50 K.So
WATER SOFTENER 5.00
CITY: ~
f! ZIP: c~.7c~~JZ~ _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~'~N~` c~'~a~
~ = n ~ SUBTOTAL S ~S •~U
~~e_ ST. SURCHARGE .50
SIGNATURE OF PE TEE
TOTAL: S a"~'~
~0Mt3ERC~AL~3'3~1tfST~IEak~ PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE a $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
IAT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: S
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
, CITY OF EAGAN FOR CITY IISE ONLY
, • 'L 3830 PIIAT RNOB ROAD
' EAGAN, MN 55122 PERMIT #
PHONE: (612) 454-8100 RECEIPT # O U Co
~`C~&'I~I.~"i~S~':~';IE~R?SI~ DATE: .3 /
R~S~S?~N~S`Ii#IS:: PLEASE COMPLETE IIPPER YORTION ONLY FOR SINGLE FAMILY DWELLINGS &
F TOWNHOMES/CONDOS WNEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION FEES
NEW CONST ADD-ON MINIMUM $15.00
ADD ON HVAC 0-100 M BTU 24.00
REPAIR ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00
DF 1 PER PERMIT
OWNER NAME: K'~N ~'Id/hLS
SITE ADDRESS: ~60G ~fFN..a. 14UE SUBTOTAL: $ ~,i~_~
STATE SURCHARGE: .50
LOT:~~ BLOCK ~ SUBD. f~ TOTAL: $.~6•~
INSTALLER: I~EYK~ F~~~l~ ~Z/iC . ~'~~y~`d~e~
ADDRESS: IdgE~ /.Lf~LG'or,~-~ ~tU• S•'~ - SIGNATURE OF PERMITTEE
CITY: ~/'i 6r ~/F''~ ZIP: SSu? ~
PHONE S~~-~/
~OMMER~TAT.j~tl'bUS~'AIAL? PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQU2RED FOR EACH DWELLING UNIT.
°
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN FOR CITY USE ONLY
3830 PILOT KNOB ROAD
EAGAN MN 55122 PERMIT # i
PHONE: (612) 454-8100 RECEIPT #
~~.~~NG P~~S~' DATE: ~7',~-
R~S~A~~`Sl~.:`:: PLEASE COMPLETE UPPER PORTION ONLY FDR SINGLE FAMILY DWELLINGS &
~ TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ - ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.D0
REPAIR WATER CLOSET 3.00
_ BATH TUB 3.00
OWNER NAME:
V~ L d~ ~ 1 M e QGI ~~/f ~ _ KITCftENYSINK 3. 00
/p LAUNDRY TRAY 3.00
SITE ADDRESS:~Y~O~ ~.i ~ /~~?-e _ HOT TUB/SPA 3.00
LOT:~ BLOCK ~ SUBD.~~ fi~~ = WATER HEATER 3.D0
~ FLOOR DRAIN 3.00
l~ GAS PIPING OUT.
INSTALLER: ~ L / /n.o n ~ ,o _ (MINIMUM - 1) 3.00
ADDRESS: 1~ ~ ~'Y~r_n,s ROUGH OPENINGS 1.50
~r/Lt f=6 ' OTHER
~ WATER SOFTENER 5.00
CITY: ~0- S r / ZIP: _ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE / ~ y~ /
SUBTOTAL S 7• ~f
ST. SURCHARGE .50
S ATURE PE ITTEE ~i
TOTAL; S
~i~MMERCZA~.Jij~tISUSTRIALs PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
- MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRE? FOR EACH
DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
SITE ADDRESS: EACH $1,000 DF PERMIT FEE.
LOT: BLOCK _ SUBD. $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 18 $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: S
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
DERMIT - ' CITY OF EAGAN ~e~~-'~°~-
REACTIYATE ~ ~ 1992 BUILDING PERMIT APPLICATION
~ ~ h 681-4675 L~~ f~ ~
~
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made ar lot chan e is re uested once ermit is issued.
Date ~ / `1 Z Valuation af work
Site Address: ~lC, o~ f
i4-vri e f}vL'
- STREEi SUIiE N
Tenant Name: (commercial only)
IAT ~ BIACK 3 SUBD. M~~`ldR ~-A}Ct~ P.I.D. N
Descri tion of work: `D~-?
The applicant is: ? Owner ? Cantractor ~ Other (Describe)
Name _-{~,rit; Qln,; v7 6r ~ i c`~v Phone
Property ~ST F~RST ~r~a ~r'f
Owner pddress _~b~G ~ct,w~-i e- a 3~p<,~
~r , STREET ~ STE f
City _ C-~~,ct,~, State ~ Zip S"S 1Z-3
Company Phone
CO~tfBCtOY Address License # Exp.
City State Zip
Company Phone
Architect/
Engtneer Mame Reglstration #
Address
City 5tate 2ip °
Sewer 3 water licensed plumber . Proces.sing time for
sewer 8 water permits is two days once area has, been approved.
1 hereby acknowledge that I have read this application and state that the information is
correct and agree to comply wi,t arpplicable,~tate of Minnesota 5tatutes and City of
Eagan Ordinances. ,
Signature af Applicant:
OFFICE USE ONLY ` - ti
BUILDING PERMtT TYRE ~'1,
~ ;
~
? O1 foundation ~ O6 Duplex ? 11 Apt./Lodging ? 16 Ba`seinent Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool~ .
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 1.4~epJace ~ 19 Comm./Ind. Misc.
~ 05 SF Misc. ? 10 Multi. Add'1. 15 Deck ~ ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
~ e31
N w ? 33 Alterations ? 35 Tenant finish ? 37 Demolish
--Ca-32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const: (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBE bccupancy fz-3 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
t of Stories Footprint Sq. ft. Fire Sprinkler
Length u~n~2 v wo On-site well Census Code ~ 3c
Depth ~o„~~ x~v On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
? Site ~ Footing ? Framing ? Insulation
? Wallboard C~cFinal ~ Oraintile ? Fireplace
Permit Fee ly~i,., v.~,~c;a,: g
Surcharge
Plan Review
License
MWCC SAC ~
City SAC
Mater Conn.
Nater Meter .
Acct. Deposlt
S/W Permit
S/W Surcharge "
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies , ~o
Other
Total:
SAC %
SAC Units
MANOR TAMI E AVE. ~ ~ 3327
YOR'S CERTIFICATE KEYLAND HOMES
N07C~ NO 3POCFlG SOILS INVESTGATION HIS BkkF711 COYI'LETED
OH 7HI$ IAT !T TNE t{JRV[YpR, T!E ~L
(~iY pF
~ SdLS TO SUP~OIIT T?IE g/~FIC HQIIE~/10!'07c'p IS
NOT T?iE REdl~OUIIN~ITY 0~ TN[ lURVlTOR
MANOR _TAMiE ~ AVE
-
~
a o
~ M
(q3i.5~, 96.00 N 89°24'47"E~.(~{33.5~
o o -
g ~$J`r- ~ °o
W ~ ~ ~ M g~ ~ ~ ~ N
,
rn - - ~q~v~ ; ~
, 2s.oo zo.o •'zo.oo= -
~ ~ ~ ~ ; M
M ~ o~ ~o I
u: ~ o ~ ~ ni GAR. oj 1 jA
~ N N M
~ „ ~ q35.o)~ / M ,
N ze.o ~ O
f~~ ~ ~ ; Q ~
a/ PROPO 0 ~ ~
~'48~;~~ N HOUSE N ~
~ ' r i
' i-
` 28.00 46.0 20_ ~ ~
O: ~ x ~3~ ~ ~
- ~ ° , ~LOT~-- X I o
- ~ ~~ab~ a~.s~ ~
~ ,
~ DRAINAGE 9 UTILIT7 ~ N
EASEMEN7 PER PLAT
5 ~
\
` O p ~ ,
`~~•v~ o ~ ' ' U
96.00 N 89 24 4~~~
~ ~ ~ a
~1 ~ ~ ~
l. ~ L_~J i ~ ~ _ ~
~ DENOTES PROPOSED SURFACE DRAINAGE ~ i
O DENOTES IRON MONUMENT SET . SCAYE: 1`?NCH ~O :-FEEf
• D6NOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR -535.3 ~~fEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR -q3Z.~p FEET
i~0•01 OENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK -q3S.~ FEET
WE HEREBY CERTlFY TO KEYLAND HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION Of A SURVEY OF THE BOUNDARIES OF:
Lot 6, Block 3, MANOR LAKE ADDITION, according to ihe recorded plaf thereof ,
DakoTa County, Minnesota.
17 DOES NoT PURPOFtT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYEp BY ME OR UNDER MY DIRECT SUPERVISION THIS 17TH. DAY OF JUNE , 1991 .
SIGNE . JA ES R. HILL, INC.
NOTE: 8 DIHG qMEN5~ON4 S1qWN ARE
FO I~WIfAL O VOITCAI lDC-
ARGM17ERUAL 7LAN5 ~
4DWG `
BY:
e Fa~r+onnor+ onaeraior~s. JOHN C. UIRSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19828 ~
N I
~ r~ m w`mo C I 5~ C C0 i
T, T~ D~' D ~ James R. Hill inc.
T ~ O C Z ~ I j p ~ m Z ~
a T i i~ i i~, PLANNERS / ENGINEERS / SURVEYORS
~ f ~ i, 2 5 D 0 W C 7 Y. R D 4 2 • BURNSNLLE. MN. 55337 ~ 612•890-BOa4
~0 60, Q3
~
RECORD OF COMPIr~INT ~ ~
Date ~ z -5~
Complaint taken by
Type of building ~"r~
Name _ ~i~cfn~ /~,`m:~~~,y~.~
Address ~d~ r°~~%~ ~re
Legal description
Phone number
Complaint - -S'~rv~ fvr~ / ~rod%~. ?
Action taken w~~~ to ~~e ~a~se an 12- 3i-$/ aHc( ~/,e
f2/~/V ~LV'ab~fw. QOO°i"tKf 7~17 k,P wa1 4 16GS1 ~~t' nl-
~?4S C/Owwins~ ~r ymr~ h.v~ L~H~e.,f/'att~ ~ea~ ~rm~., a.
6~-~4.s~ .
Comments
Signature ° ~~u¢Q~~-~
Use BLUE or BLACK Ink
r-----------------
I For Office Use (n I
Permit 1 (I "
City of Ea~la
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: leo Is, ] i 3 Site Address: Unit
Name: d{%J S E Lest` V_ Phone:
Resident/
Owner Address/ City/ Zip: IA(oCj(0 f-W&N.1F_ A~JC ,
Applicant is: Owner Contractor
Type of Work Description of work: V.E~ -'fZ6C3F'
Construction Cost: 4\'b 4 00(6 Multi-Family Building: (Yes / No
i
Company: C1D<<M Pa-6 Contact:
Contractor Address: _ L(p (3 GL-IE,- &,vC //SIEF - City: ryz 0VZ_ t ~ t=
State: wj zip: Phone: Ifr ~y(t~- Q,9 qs
License P C_ G t4 2rs23 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i
t
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:
t
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the 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.om
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.
x 3 EII~^`~ ~YI-D ►2 t x
Applicant's Printed Name App ant' i ture
Page 1 of 3
A
il
a
For Office Use evo,
iie
ØL *
, • Pei-matt J g 7 �7 t
Permit Fee:EAGAN
/�(/ ' �
Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinainspectionscitvofeaoan.com L .,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#: '
Name: �t \j Phone: ( 5 f 1 CH 4 l .
Resident/ 4(0O(0 .---Owner Address/City/Zip: 1 rkUiA(i✓ i j/e AC56 V j /y i 1 V 56[
Applicant is: Owner Contractor
Type of Work
Description of work: CS"r�4 U Jf�e - �00-P
r,,
Construction Cost: f r I/Vg- ► Multi-Family Building: (Yes /No )
Company:,7 Wi\jiaelt.Cen4- r D`te z Contact: 4 1,.Ipp74—s 1.C�Lu t443
Address: "� S 4tA5 ' � City: '�') ��. P
Contractor "�2 l
State: Zip: 5539-3 Phon- I ` f � Email: C� P p itinaet re) .� ,0
License#: Cr00 4-a4(toLead Certificate`#: ` °' IL-i .',..
If the project is exempt from lead certification, please explain why:
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: '
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered'fo be public Information. Portions of the information may be
classified.as non-public if you provide speclfic'reasons that would permitthe City to conclude that theyare trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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,00pherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be In cont ance with the ordinances a es of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to s rt without a permit; hat e work will be in
accord ce with the appygveed plan
, �
iinn the case of work which requires a review and approval o p ns.
,, }
Applicant's Printed Name App cants Signature