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4329 Teal Cove W-ertificate vf cccupanc~ (Fit4 of Ci-'agan Tqwrtmext of V«mble andoeleflnn 7his Certiftcate issued pursuant to the requirements of 1he URiform Buildrng Code certifying that at the ti.me of issuance lhis structurr was in compliance wrth rhe various ordinances of the Ciry regulatiRg building construction or use. For the following: use ausdicauoe: SF DW 9?ag. vermit No. 23446 oaw-r ~ RUMI z~i.g oi.,u;a R I TYPa Cons1. VN owner or suiu,igl~ T ~JOt1ST ~JD Aaa,, 3480 lk'M 14cnE ST W. -ROSM[IINi' a„iwing aaanm 432Q IEAL a t,wayi44, B2, MAId.ARD PARK 3M Daw-: s.uwing offkaal POST IN A CONSPICUOUS PtACE . INSPECTION RECORD ~ CITI( OF EAGAN PERMIT TYPE: 3830 Pilot Knob Road Permit Number: 4 4 Eagan, Minnesota 55123 Date Issued: (612) 681-4675 SITE ADDRESS: , „ t I;, APPLICANT: ~ti i:iVf i!...,~~ i il;!. f ~ 1, PERMIT SUBTYPE: TYPE OF WORK: INSPECTION . I I'I~I•f I 1'~i, :tl~i~ I fli, ~ ~ - ~ Permit No. Permit Holder Date Telephone M ~ S/W PLUMBING HVAC ELECTRI ELECT 3~ ~ j,. lnspectlon Date Insp. Comments Footings I s / D r Foundation W Framing Roofing Rough Plbg. Rough Htg. IsuL Fireplace Final Htg. / 3 ti D f Orsat Test Final Pibg. _ G Pibg. Inspector - Notify Plumber Const. Meter Engr./Plan 8tdg. Final ~ Deck Ftg. Deck Final Well Pr. Oisp. / ~ e - b ~ 393 61 3~'' °°5 Request Dete Fire No. augh-In Inpsection Require0 I~s eclion Otner Than Rough.ln (Yau musl call inapedor whan reatly) qee0y Now ? Will Notity Inspeclor S-~ ? Ye% ? No Oate ReaOy ~qcensed contractor ? owner hereby request inspection of above electrical work at: Job Atltlress (SVeet. Bax or Route Na.) Giry 3 - Senion No. Township Name orNO. Range No. Caun Occupant(PRINTI Phone No. PowarSUODI' qtltlrass ' . A_C/W 4~ Elecirical Con actor ~COmpany Name) ConVac[or's Lmense No. Meiling AtlOress ICo rcacmr or Owner Making Inslallation~ S AuUorrzeO S~gn ure (Convactor'Owner Making Inslallationj ~ Phone mber D 'lO~lo MINNESOTA STATE BOpqD OF ELECTRIGITV THIS INSPECTION REOUEST WILL NOT Gripge-MlOwey Bltlg. - Paom 5-113 8E ACGEPTEO 8V THE STATE BOARD 1831 Universi[y Ave., St. Veul. MN 55106 UNLE55 PFOPER INSPECTtON FEE IS Phone (612) 642-0900 ENCLOSED . Ct C~,~ REQUEST FOR ELECTRICAL INSPECTION ee.oaooic-os & ? See nslruqions lor compleling this foom on back oi yellow copy. J 0335 61 Below Work Covered by This Request ewAdd Rep. ?ypeofBuilding AppliancesWired EquipmentWired Home Range Temporery Sarvice Duplex Water Heater ElectriC Heating Apt. Building Dryer Load Management Comm./Industrial Fumace Other (Specily) Farm Air Conditioner Omer (specity) ConVaaor's Remarks: Compute Inspection Fee Below: # Other Fee # Service EmrenceSize Fee 8 Circuits/Feedere Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs , Inspecror§ Use Onty: TOTAL Irrigation Booms Special Inspection AlarmiCOmmunication THIS INSTALLATION MAY BE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rougn-in oete Certify that the above inspection has Final . Date...,~ been made. OFFiCE USE ONLY Tnis request mb 18 months Irom f N 3 3 5~~5 $8'S°°'5 RepueslDatS ~ ire NO. ouph-InlnpsecfionRepuiretl InspectqnOtherT~ougM1-ln (VOU mu9i call inspedor when reatly) 0 qeady Now WIII Notify InsOectar S ~ 9 ~ Ves ? No Dale ReaEy %licensed contractor owner here6y request inspection ot above electrical work at: Job Adtlress (SVeat eox orRoute Na Ciry , Setlion No. Township Name or N0. Range No. Coun -11 OccuOant(P NT) r Phone No. Pawar $upplier Atltlress • ElecVrca~ ntmclor ~COmoany Name) ConVec License No. Meiling Aodres IComraclor or Owner Making Installalion) 1-3 AuIDonze gnaNre IComract Owner Maeing Insla ation ~ Pbone Numser d a-(o36;I MINNESOTA STATE BOARD OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT Grigga-MiOwey BIEg. - Room S-113 BE ACCEPTED BY THE STATE BOARO 1821 University Ave., SI. Paul. MN 55106 UNLESS PROPER INSPECTION FEE IS Phanp(6lt)6CR-0B00 ENCLOSED. ~'~j3 ~ REOUEST FOR ELECTRICAL INSPECTION 4k eaoaoo,-oe ? See inslrudmns for comple!ing this form on Dack of yellow copy. °_~)L"~~ ~ 'X" Below Work Covered by This Request ~133575 _ • e Aad ep. TypeofBuilding AppliancesWiretl EquipmentWiretl Home - Range Temporary Service Duplex Water Heater EleCtriC Heating Apt Building Dryer Load Management Comm.llndustrial Fumace Other (Spec'dy) Parm qir Contlitioner Otherisyecdyl Contraaor's RemaAS: Compute Inspection Fee Below: # Other Fee # Service EntranceSlze Fee # Circuits/Feeders *Fee Swimming Pool 0 to 200 Amps ~ 0 to 700 Amps Transiormers Above 200 _ Amps Above 100 _ Amps Signs , Inspector's Use Only: TOTAL Irngation 8ooms Special Inspection Alarm/Communication THIS INSTAILATION MAY OR I~ICONNECTED IF NOT Other Fee ~ COMPLETED WITHIN 1 H I, the Electrical Inspector, hereby Rougn-in ate ~ Certify lhat the above inspection has Final oate been made. ~ OFFICE USE JNLY ~ Thi3 rapuest voi0 18 monihs!rom Address 4329 rEnt, !xM ' Zip 5512 2 IAt 44 ' Blk 2 $llb MAi7.ARD p(+,W 3RD THESE ITEMS WERE / WERE NOT COMPLETE.AT THE TIME OF THE FINAL INSPECI'ION. Date: /D ~9 Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Peimanent steps (main entry) Permanent driveway Permanent gas ~ Sod/Seeded gass TraiUwrb damage ~ Porch Basement finish Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to the outside lawn fauce[ before freeze potential exists. Contact engincering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~ White - City Copy_ Yellow - Resident Copy Pink - Contractor Copy CITY OP EAGAN Remarks AdditionMa],jgTa pnrk ThiTrl Additinn Lot 44 Blk Z Parcel #10 47252 440 02 Owner Street 4329 Teal Cove state Eagan, MN 55122 ',1s3 PztL Improvement Date Amount Annual Vears Payment Receipt Date STREETSURF. Im .~lpy' 1981 2698.43 539.69 5 107q.L1 L STREET RESTOR. GRADING SAN SEW TRUNK ~~j * SEWER LATERAL 19$1 3412.34 6$2.47 $ 0 WATERMAIN * WATER LATERAL 19$1 WATER AREA 4 STORM SEW TRK 7• 1 Z ~ STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT WATER CONN. BUILDING PER. SAC PARK PERMIT q --'~~CITY'OF EAGAN 3e30 Pilot Knob Road PERMIT TYPE: B U I L D I N G Eagan, M innesota 55123 Permit Number: 0 2 3 4 4 6 (612) 681-4675 Date Issued: 0 5/ 0 3/ 9 9 SITE ADDRESS: 4329 TEAL COVE LOT: 44 BLOCK: 2 MALLAR? PARK 3RD P.Z.N.: 10-47252-440-02 DESCRIPTION: Building'Permit Type SF DWG Building Wbrk Type NEW ,UBC Occupancy\ R-3 M-1 ~ Construction Type V-N Zaning R-1 / Building Length > 64 Building Width 44 \ Building stories 1 , - V~ -'r • cf~r -1 / /i -21 REMARKS: A PRV S& W PLBR - GENZ-RYAN PLBG FEE SUMMARY: VALUATIDN $105,000 Base Fee $657.00 MISCELLRNEOUS $1.828.50 Plan Review $427.05 Total Fee $3,770.05 Surcharge $52.50 SAC $800.00 SAC % 100 SHC Units 1 Lic. Search Fee $5.00 Subtotal $1,941.55 CONTRACTOR: - APPYicant - sT. Lzc. OWNER: WOOOVIEW CON5T CO 14231660 0002834 WOODVIEW CONST CO 3480 UPPER 149TH ST W 3480 UPPER 149TH ST W ROSEMOUNT MN 55068 R03EMOUN7 MN 55068 (612) 423-1660 (612)423-1660 I hereby acknowledge that T have read this application and state that the information is correct and agree to comply with all applicable State ofi Mn. Statutes and City of Eagan Ord3nances. L ,~.L~~ L D(ka,r APPLICANT/PERMITEE SIGNATURE ~K`i ED BY: IG ATUFE INSPECTION RECORD CITY OF EAGAN PERMITTYPE: BuzLozNs 3830 Pilot Knob Road Permit Number: 023446 Eagan, Minnesota 55123 Date Issued: 0 5/ 0 3/ 9 4 (612) 681-4675 SITEADDRESS: Lor: aa BLOCK: 2 APPLICANT: 4329 7EAL COVE WOODVIEW COMST CO MALLARD PARK 3RD (612) 423-1660 PERMIT SUBTYPE: TYPE OF WORK: sF owc New INSPECTION . FOOTINGS FOUNOATION FRAMING ROOFING TN5ULA7ION FIREPLACE ROUGH IN PLBG ROUGH IN HTG FINAL PLBG FINAL REMARKS: PRV S& W PLBR - GENZ-RYAN PLBG F- L ~ , CITY OF EAGAN -$,51 q q Q. 0.5 2.3 1994 BUILDING PERMIT APPLICATION ~~44C 681-4675 SINULE & MULTI-FAMILY 2 sets of plans, 3 registered site surve - calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. i Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date Val uation of work ~ ooD ~ Site Address:_ 4132 q /o-A < <-6L-,~2 STREET SU1TE # Tenant Name: (commercial only) _ LQT ~ BIACR v~- FD. ,/4-9'~ ~'4" " P:I.D. # "f Descri tion of work: /L-¢-t-`j tqai'-tc- The applicant is: ? Owner Contractor ? Other (Describe) Name Phone Property LasT FIRST Owner qddress STREET STE # City State Zip Company 1i1700/)V l e w C_ cM s"F- C-o - Phone q,~-.3 -/&b o Contractor Address 32f80 UPP~ iq-7~`Srw License # 19019831/-Exp.~"3/2s' City ROSEmav-T- State /L/•j z;p ysa 6S' Architect/ Company Phone Engineer Name Registration # Address " City State Zip Sewer & water licensed plumber &&nJZ-' R rt~? Processing time for sewer & water permits is two days once area ha been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT IYPE - ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish E~ 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 03 SF Addition ? OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. ? 04 SF Porch ? 09 12-Plex ? 14 fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Public facilii:y ? 21 Miscellaneous WORK TYPE 10 31 New 11 33 Alteratians ? 35 Tenant finish ? 37 Oemolish ? 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) ~ Basement sq. ft. f31-z MWCC System ir (Allowable) y~ lst F1. sq. ft. 1~S'L City Water k UBC Occupancy 3W~ 2nd F1. sq. ft. PRV Required i! Zoning Sq. Ft. total Booster Pump # of Stories Footprirtt Sq. ft. Fire Sprinkler Length On-site well Census Code e/ Depth ~ On-site sewage SAC Code ~ APPROVALS eensus Unat ~ Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS ? .Site (B Footing 0 Framing ,0 Insulation 11 Wallboard ED Final ? Draintile 0 Fireplace Permit Fee vsiuscson: g )4S 660 Surcharge G~ Plan Licenseview Qs~r~a-~ia;, 3Ykzo k ~G~ MWCC 5AC 2 `l,F .~b ' (-zao / p ~80 C i ty 5AC /?~,r- y - 'yo J Water Conn. Water Meter Acct. Deposit pQ S/W Permit 135Zk S/W Surcharge Treatment Pl. Road UniC Park Ded. Trails Ded. Copies Other Total: SAC % 5AC Units Certificate of House Location For: • Woa;"view Homes ' " 3480 Upper 149th Street West 175/22-23 Rosemount, ZfN 55068 DELMAR H. SCHWANZ ' LAND BUHVEYOR9. INC. n.oI.t«w u~ um w Tn. sl.n or Mi,n.w. Scale: 1 inch = 30 £eet - 14750 SOUTH ROBERT TRAIL R03EMOUNT, MINNESOTA 65088 81214231789 SURVEYOFi'S CEHTIFICATE 7,~~ ~~,q L~p J o= Iron pipe monument • q 3~ q U = Set wood hub f~ K933 = Sxisting spot elevation 0= Proposed elevation 0 0 BH:. Top of sanitary manhole at end of Teal Cove = 928.96 (City Plans) `1 :>1 . . k. • 1/ v~ ti~ ~ Qo \\\\k 93 o X I \\434. 9/ q3~/~ u 6 \ to s / P\~ 133,5 ° os ~ ? \ 5~% 93 ~ j ` 30 \ 130~ , - 93 i 1 2 y / \.slo • ^ ~ `pa ~ /q3 \•~2 \ ~ / b ,~q ,~~li ~ ~ ~ 936•~ a~ e8,~..... EAGAN F~T EERIIVG DEPT. ( DELMAR H. q32•4 ~ SCH'sJANZ < V - 8625 - Proposed garage floor elev. _ 'Q r N1, o - 431. Q ' elev. ~*d SU,~~a ~ Proposed top of bloc93N 33 - ~rrmmncm~ Proposed lovest level elev. _ Alao showinq the location of a 9~-6•33 proposed house thereon. E A ~,~j Description: Lot 44, Block 2, !7AI*_aRn pAEtK THIRD I hereby ceAlly thet thb survey, Dlen, or report wes RE Vi-E~ ~ D ADDITION, according to the IeCOlded p18t Minnesota _ prepsred by me or under my direcl supervlalon end thei of, Dakota 77,,, thet 1 sm a duly Reglatered Land Survsyw undar ` swa ol ths Stsls ol Mlnnasota.. gY o~,~ i Ihe I April 25, 1994 slmarH.Bchwanz' . Dated Mlnnesota RsplNnNOn No. 8625 L/) Cities Di ital sualitv Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ; ~ ~ WET TAP ~ p . \ --FIYD. , 611G.V. ~ °_'•I ~ ~ ~ / 03 °I 45 t',j 44 / I t85 LLJ I t00 N' I~ C.7 u X- Q 6 46 ~80X wl ` ~ 4 1Y ~ 2t05 175F) iP EX. MH W MH- 32 9a.8'', 47 zc~.ti'~ o I~ U ^ ~ t1J0 ' 91 •1 ~ 0q~ 48 N%b 2 ~,1 49 I~ Z 1190 1175 ~o = cRilicAl- TO AVOID ~ O L-oT STORM SEWE ~ y NOTE° . ~ AN watsr mria shdl MaMe 81oot mwmm "M, ^ TEAL COVE__ SC81e ~ ~ _ .{J EZ Cr! N' OrCF:c AN nOE) niO7 GUfS+~ N_ TtE - ~ CI~~~ACY OF U ILITY LOC IOf~S V0R EL 1,rA1'IOfUS. 1'~ IS .DAI'A I FOR f~^OF~~~°A110~~ PURPO ES ONLY Af~D ~E~SQ1!,~, UPING IT SH ULD VcRli= f THE INI`0RWiAt IOrd ON THE SIVE. E. MH MH 32 9 2.5 I MH- 28.96 ~ ; ~ i l.400 / i I ~ ' . I k : ~ - - - ~ i . ~ ~ I N fi m 0 om_ I j - o~r }mm 2---------~----_..-~0 . ` -----~~?O N/,/ f.. V LOT SURVEY CHECRLIST FOR RESIDENTIAL m.,w BUILDING PERMIT APPLICATION ~ cn ~ 44 J ~ PROPERTY LEGAL: m < a w U< N Date of Survey: ~ < Z .2 DOCUMENT STANDARDS 0'? ? • Registered Land Surveyor signature and company E~ ? ? • Suilding Permit Applicant V po ~ : Legal description Address 0" ? 0 • North arrow and I;.a4 scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) p~0 ? • Directional drainage arrows with slope/gradient ? • Proposed/existing sewer and water services ~q ? : Street name p0 0 Driveway ELEVATIONS Exiatina [~p ? • Sewer service ? • Lot corners ? - Top of curb at the driveway L'f • Elevations of any existing adjacent homes Provosed 0~? ? • Garage floor Q~ ? ? • First floor ? ? • Lowest exposed elevation (walkout/window) ~ ? ? • Property corners 9-~ • Front and rear of home at the foundation PONDING AREAS (if BDplicable) ? C3-~ ? • Easement line ? @' ? • NWL ? R~ ? • HWL ? p' ? • Pond # designation ? p'? • Emergency overflow Elevation DIMENSION3 2"10 ? • Lot lines CY • Right-of-way and street width (tb back of curb) CY'? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footinqs) C~ • Show all easements of record and any City utilities within J those easements p?? • Setbacks of proposed structure and setback of adjacent existing homes p~ • Retaining wa re rements, if any Reviewed• z / N me Da e October 1992 RESIDENTIAL BUILDING PERMIT APPLICATION L~~ CITY OF EAGAN J 3830 PILOT KNOB RD, EAGAN MN 55722 651-681-4675 Naw Conatructbn Heaulremenu pemodeVReoah ReauiremeMa • 3 regislered stte suNeys swwing sq. tt. of lot, sq. N. of housa; and AD roofed areas • 2 coDles of plan (20%ma)BmumlotwverageelbweA) • 7setofEnergyCalculatlonsforheatedatlditions • 2 coples of plen stwweng beam & window sizes; poureC IounO dasign, etc.) • 1 site survey lor e)derior atltlAions & decks • 1 set of Energy Calculatbns • Indkate'rf home servetl by seDtic system tor add'abns • 3 cOples of Trea Preservetbn Plan fl bt platletl afler 7Ml93 i • Rim Jolst Detall Optlons selectbn sheet (bl0gs wilh 3 or less wits) 115 7 Z? DATE VALUATION SITE ADDRESS 032g 7,54L ULTI-FAMILY BLDG _Y "N TYPE OF WORK/~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANTTALek/~,e eS~l.L~.~- N STREET ADDRESS,20/ Ll~~r/d~~!!/E,ii/ ~/Gtz CITY~~y~isSTATE~ZIP S~/ ~ TELEPHONE #20-FAEY-AWkn CELL PHONE # 0/<2-2Z/-442~- FAX # P,?Z -27LIMr.7 PROPERN OWNER '22 TELEPHONE # COMPLETE THIS SECTION FOR uNEW- RESIDENTIAL BUILDINGS ONLY I - Energy Code Categary _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672 (+1 submission type) • Residential Ventilatlon Category 1 Worksheet Submitted • New Energy Coda Worksheet Submitted • Enargy Envelope Calculations Su6mitted Plumbing Conkacfor: Phone # Plumbing system includes: _ Water Sofrener _ L.awn Sprinkler Fee: $90.00 _ Water Heater _ No. of R.I. Baths _ No. of Baths Mechanical Conhactor. Phone # Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Wafer Conhactor. Phone ti JUN 1 7 2001 I hereby acknowledge that I have read this application, state ihat ihe Informatlon is co ct, and agree to compl'y with all applicable STate of Minnesota Statutes and City of Eagan Ordinances... Signafure of Applicano~~~,.~~,-.%~/~ ~ OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4/02 OFFICE USE ONLY 0 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool O 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 O 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03-plex ? 11 10-plex O 19 Lower Level 0 24 Storm Damage ? OB 04-plex ? 12 12-plex Plbg_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 •Demolkion (Erkire Bldg only) - Give PCA handout to applicant Valuatfon Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bidgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinallC.O. _ Footings (deck) _ FinaVNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ A'v/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Fueplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ Insulation _ Retaining Wall Approved By , Building Inspector ------------_W W~____--------------------- Base Fee Surcharge Plan Review MGES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total RESIDENTIAL 'k BUILDINC PERMIT APPLICATION CITY OF EAGAN ~ 3830 PILOT KNOB RD, EACAN MN 55122 651-681-4675 ~ Loi NewConatructlonReauiremeMt RamodellReoairRaquirements • 3 registered sile surveys showirg sq. ft. ot lot, sq. ft. of house; and all roofed areas . 2 copies o( plan (20% maximum lot coverage allowed) . 1 set of Eriergy Calculatbns for heated addNons • 2 copies of plan showing 6eam & vrindow sizes; poured found design, etc.) • 1 site survey for ezterior additions & decks • 1 set of Enerqy Cakulalions • Indicate'rf home served by septic system for additions • 3 cropies o( Trce Preserva0an Plan If lot platted after 711193 Lv L~; • Rim Joist Detail Op6ons selection sheet (bldgs wBh 3 or less uni4s) DATE - rv~Z VALUATION 3Z~S9O SITE ADDRESS 29 Tifctl Cevc- MULTI-FAMILY BLDG _ Y ~ N TYPE OF WORK_ ArM Xati. FIREPLACE(5) _ 0 a 1_ 2 APPLICANT a~S Nl/ STREETADDRESS 437-1 Ck I (1avt, CITY~STATE114ZIP ~S~ZZ TELEPHONE #661-Y5 1-31Ye CELL PHONE # IP1L 7Y7-6 S13S FAX # PROPERTYOWNER 74 O/tO S A TELEPHONE# COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATL,GORY 1 MINNF.SOTA RULrS 7672 (4 submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculadons Submitted Plumbing Contractor: Phone # Plumbing 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 Condiboning 44 , _ Heat Recovery Syscem MAY 2 1 2002 ~E Sewer/Water Coniractor. Phone # Ii eY - • 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 Eaga inanc ~s. Slgnafure of Appllcant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool IO 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Att- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garege x 22 PorohlAddn. (4sea.) ? 33 Ext. Ak - SF ? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Muki ? 05 03plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement O 38 Demolish (Interior) O 44 Siding )!r, 32 Addition ? 38 Move Bldg. O 42 Demolish (FOUndalion) ? 45 Fire Repair ? 33 Akeration ? 37 Demolish (Bldg)" 0 43 Reroof ? 46 Windows/Doors ? 34 Replacement •Demolitian (EMire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code y~7 Zoning City Water SAC Units ol Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs ~ Length Fire Sprinklered Type of Const ?r1J W idth REQUIRED INSPECTIONS _ Footings (new bldg) Final/C.O. Footings (deck) ~ FinaUNo C.O. ~ Foo[ings (addition) Plumbing Foundation ~ HVAC Drain Tile Other Roof _ Ice & Water _ Fina] _ Pool _ Ftgs _ Air/Gas Tests _ Final ~ Framing = Siding _ Smcco _ Stone Fireplace 4 R.I. ~ Air Test Final Windows (new/replacement) ~ Insulation Retaining Wall Approved ByT 2- , BuiWing Inspectar '"'""'""_""W------------------------------------ r 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 ~~aL Job Site AdJrcNs: ENERGY CODE WORKSH ET FOR city oF eagen ONE & TWO FAMILY DWELLINGS I VSTRC'CTlOYS: Comp'IE(e P9hi I, I( and I[I. Clearly mark plans with: insulation R-valurs: window and sl.}'lighr U-values; size and npe oi equipmenr, equipmznt contruls; and location or interior air barrier. vapur recardar and windaash barriers. Nlore de[ailed in[urmacion can be Found in ehe ,Nrnnesom Energv Code Sunrmarv Skeets availabfc trom che Nlinnesota Departmen[ oP Public Srrvice. Part I. BUILDING ENVELOPE CheCk Opt(on uSed: ?"Cookbook" Mechod (complare worksheet below) ? binCheck method (aaach rcport) ? Buiiding Component method (attach ca(cula[ions) Q 5} stems Anafysis mechod (amch analysis) "Cookbook" Worksheet MlNfor~C okREQUiv book0 titonTs 91 Heatin svstem efficiencv: Niinimum 90%AFClE Ius'r2UCttoxS iff- Entry Doars: I'/." solid wood or ma+cimum U-value of0.40 Step l. Check item(s) thac design meets on d4innnnm Requrremenu $ Skvligh[s: None ermitted list to the right Must meet all items to use Cookbook oprion. Ceilin Insularion: Minimum R-38 Step 2. Indicate proposed wail rype on table below. "frame loist fasulation: Minimum R-10 S[ep 3. Indicate Window U-value and source. ors over unconditioned s aces: bfinimum R-30 Scep =1. V erify to[at window (including area of all foundarion win- ndarion windows: Y_" insulaced glass in wood or vinyl dows) & door azea is equal or less than allowable percenrage or maximum li-va]ue of 0.5 t TABLE FOR DETERViilYIlYG hIAXLMUM WL*tDOW A:W DOOR AREA ilyfaximum Allowable Total Window and Door - ' ` Area as a Percenta e ofE sed Wall 10% 12% 14% 16% 18% 20% 22% ) 24% . 16% 28%- Walf T e R-5 trp to R-10 Fotmdation Iasal. : Maximum Avera Window U-value ex t foundarion windows p 5.6 sf ? 2x4, R-13 insulacion, <R-5 sheathing 037 0.36 030 026 023 020 0.18 016 0.15 0.14 . ? 2x3. R-13 insula[ion. 4 R-5 sheathina 037 0.37 0.37 037 035 0.31 0.28 025 0.23 022 = Z) 2x4, R-13 insulation, a R•7 sheathin 037 039 037 0.37 0.37 0.34 031 0.23 - 026 024.- ? 2x6, R-19 insulation. < RS shzathin 037 0.37 : 037 0.37 034 031 028 0.25 023 021- :1 2x6. R-19 insulation, G R-5 sheathin 0.37 0.37 0.37 0.37 037 0.37 0.33 0.30 028 ' 0Z6 - ZI 2x6, R-21 insulacion. <R-5 sheathine 0.3T 037 037 037 0.37 0.33 030 027 015 0.23" Zi 2x6. R-21 insulation, 8 R-5 sheachin 037- 037: 0.37 037 037 0.37 0.35 031 - 039 ' OZL-'' WaII T e with R-10 Faimdation Insulazion :Maximurn Avera e W'vidow U-value exac t fotmdation windows p 5.6 sfl: ? 2x4, R-13 insulation, <R-5 sheadtin 037 0:37;; ..033 028 025 02 - 0100.18 ;:D.1T,= O:IS - ? 2x4, R-13 insulaaon, 8 R-S sheathin 037 037=; 0:37:: 037 ::037 . 033 . 030' ~ 027+ ~.Q.ZS'..: '"Q:23 ? 2x4, R-13 insulation, 4 RJ shea ' 0370" ''037w •'037 031 037 036 • 0.33'= 0:30 027" -0253 2x6, R-!9 insulation, <R-5 sheathin 0.37 : 037 0.37 037 0.37 032 =019 0.27.' '024 :_:0.U._ '7 2x6, R-19 insulation, n R-5 sheathin 037 0.37 037 0.37 0.37 037 035 0.32 019 027r_ O 2:c6, R-21 insulation, < R-5 sheathin 037 0.37 0.37 037 039 0.35 0.31 029 0.26 024'* ? 2x6, R-21 insulation, 4 R-5 shea[hin 037 037 037 037 0.37 0.37 0.36 0.33 030 0.28 ` Walt Type with R819 Foimdation Insulation : Maximma Avera e Window U-value ecc t foundadon windows p 5.6 s: ? 2x4, R-I3 insulation, < R-5 shea[hin 037 037 0.34 029 0.26 023 0.21 0.19 0.17 0.I6 : O 2x4, R-13 insulation, 4 R-5 sheathin 037 0.37 037 0.37 037 034 0.31 028 0.26 0.241 O 2x4, R-13 insulatian. 4 R-7 sheathin 0.37 0.37 037 037 037 0.34 0.31 028 0.24 : 2x6, R-I9 insulation, < R-5 sheathin 0.37 . 037 0.37 037 037 OJ4 0.30 0.28 025 0.23' 0 2x6. R-19 insulation, b R-5 sheathin 0.37 0.37 037 037 037 0.36 0.33 090 028'° O 2x6, R•2l insulation, <R-5 sheathin 0J7 0.37 0.37 0.37 037 0.36 0.32 0.29 017. 025': O 2x6. R-21 insulation, 8 R•5 sheathin 037 0.37 037 037 037 0.37 0.37 034 031 029 Window U-value: Sauree: O NFRC 0 Code Default Table (see Part 7670.0700) iao x ~ y. .2 C'°` L' ur2 = l~•vZ % ` .3 ~ % . window & door area goss exposed wall azw DES[GN AL[,OWABLE (from [able a6ove) RESIDENTIAL ~J BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 New Construetion ReauiremeMS RemodellReoah Reauiremants . 3 registered sile surveys shaxing sq. ft. of lot, sq. N. of house; and II roafed areas • 2 copies of plan (20°/a marimum lot coverage allowed) . 1 set of Energy Calculations for heated additions . 2 copies of plan showing 6eam & window s¢es; poured (ound desgn, etc.) • 1 sAe survey Por exlenor addiM1ans & decks , • 1 set af Eneryy Calculations . Indirate if home served by sepdc system for additions • 3 capies of Tree Preservation Plan'rf lot platted after 711193 • Rim Joist Detail Optbns selecGon sheel (bldgs with 3 or less units) DATE VALUATION 13,10a QqO•;q- SITEADDRESS 4. 3_ a9 76AL COV£ MULTI-FAMILYBLDG_Y '!N TYPE Of WORK TFAfL ~ fi KE S/~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT LJ STREET ADDRESS 3Sb CITYAq~4S STATE&6IP,<('Vdf_ TELEPHONE A2•M'~M CELL PHONE # FAX # ~CJrY~•~DO PROPERTYOWNER TELEPHONE# 6J! COMPLETE THIS SECTION POR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RULFS 7672 (4submission lype) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted . Energy Envelope Calculatlons Submitted Plumbing Conhactor: Phone # Plumbing system includes: Water Softener _ I.awn Sprinkler Pee: $90.00 Water Hcatcr No. o£ R.I. Baths No. of Baths Mechanical Confractor. Phone # Mechanic:tl systcm includes _ Air Conditioning Pee: $70.00 _ Hcat Recovery System Sewer/Water Contractor: Phone # I hereby acknowledge that I have read this application, state that the information is cori-"ec~af~q~gree to comply with all applicable State of Minnesota Statutes qnd City of Eaga s. AUG ~ U L SignatureofAppiicant rd' ance 1320 Oz l~ N OFrICL LJSli ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 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 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Muki ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04plex 0 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous ? 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 only) - Give PCA handout to applicant Valuation Occupancy MCIES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ _ Footings (deck) _ FinaUNo C.O. ~ _ Footings (addition) _ Plumbing Foundation HVAC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final _ Framing _ Siding Stucco Stone _ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement) _ [nsulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MCIES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumhing Permit Mechanical Permit License Search Copies Other Total I ~ ..u. I... , ERTERIOR-ENYELOPE AVERAGE "U" CUMI'UTAIIUN_ „ DWNER• S i TE ADDRESS : ~ - CONTRACTOR: WOODVI 'lE.4V Determina working sqnare fonf.iiqft nf e~xh 1,' Tatal exposed wall area.....sq. ft. x.11 T, 2. Total roof/ceiling area....._4po, sq, ft. x_.026_= - Total exposed wall area abovc floar= a. Total wali wlndow area I b. Total door area .....................I c. Total sliding glass door area.......................... d. . ~ Total fireplace wa11 area....................... .........I... e, Total wall framing area (average lOZ)........................... . f. Total rim 3otst area 9. net wall area above floor h. wall area above floor...... 1...... r. 'i4 wall area above Ploor .............I ~ J. frame walt area et foundal-iori....... ;Total exposed foundatlon arnn^ . A , k,, Total foundat,ion window area....................... ' 11otal net foundation area above graJe.... , ~ ~--r- ~ Oetermine "u" value of each wall seqiarFt ,(e.g. winJow, (loor, each separate woll Rretten) ' ~ 1 aa~4_ x „ ~ ^ b. /1 aUn • 13'7. ' ~ C. y u1V111 . s ~ • h d. ^ X clluol _ ' " . e . x „U" , . x „u,l?. S 9 • ( .3 x „u„` • p~ . . _5~ ~ h. X fluil ~ ~ I i. X lfuli „ I ---.r-.~~... . . ~ i J. X Ilull ~ I . , i ~ k. Xflull ~ 4S9 ifr 1ost then 1tnnl 41, y^io h&ve met tli9 1V • X"U" O, (p Inlant ol SOC 6006 (c) , 3. .............................:...Total , ,.........._.......r.......~_ _ r ~ eT281 PLtiAki .yn. . ~:~jn.~ ~~r..:: i~'. . . i _ . . w~t r~, L~• N ~ .LfF..Ac L 1 T/ ~POV?D •lALL'n . ~ 0'!$t$+26t2lo+ t.Zfi~lr = IS2. . . ~ E`1 14t 2+ t ZZ = 70 ~PU L L( j~ PsLK-t 2 s I 5'F FvI.L?~, . . ^ , l;l WSaAL.: ; T. eKpoSED WA L1,. ~EA % IS~ x 05 ~~11 ~5~! . . Y~;r J i~r~• ~ ~ -7tk 35O ~4~,~ ~l~•~Ny~ I ~ ",;.r 1li ~ ~ „ i ~'.r+~ ~ r • f ; (1+ ~ ~1+ 1 r ti;j? , k4 51 X S ~~y~'~ ir;~. 1 s~ ~ rl~f ,dt , f m ~ tA1... = I 812 , t ~ ~ , ~ v-r. Y ~ ' r~.. • ~A ,y ~ 4.u~y,i~ 1' : 1 ! EKa05ED GEI Lf IJq + > . . . . r ~ ~~r. 4„4 ~'f ~ r_!.S}r~,P~ yL ~O~~e `~'A;,.L. it _ ' ~ . . . . . . i m ~WDx15 11 DooP.s ~tal~~ t I' . o~ ~ y-• . . . 1 ~ i t . ~ ~ r r~1 i < r, . y. 1~11 ' I . ' i • :~.'~~,k~~ , . ~ 7 . 4 ~r Y II •ri O y'IDLS } f r ~f ~ R~(.~~~IrS~ ~!~`~`!~l.ll ~ . ! ~ ; . ` ~ 1 1 1 ^1 A ~ S I ~ , ~UIJr+S , . v~'~ . Y • c y~ r s.r ? r . 4 Y-{•~` St hk- 5~~j Y i ~ J. ~ tt~A~l~~~ ~ uYSi"~sx~ SAy~ `a '~qt`7~~ ~:'~y"'~~ r ~ 8~ P r , z~' `4"agy'~$° v e'.~ . ~zy~" E'' b-r • ' ' . ' . L2craa.YJ~ ,..~.J' ' ~?..avoa... ..w : • dY.Mk ffa`r' A 4 ; ~ iY Yi ~ [sY 5 y 1994 PLUMBIIVG PERMiT (RESID~) CITY OF EAGAN , ~ ~ ;n~• 3830 PILOT KNOWRD,, EAGAN MN 55122 (612) 681-4675 PLEASE COMPLE'TE FOR SINGLE FAMII,Y DWELLINGS COND05 WHEN PERIviTI'S ARE REQUIRED FOR EACH iJNIT _ v a- NO.. F~URES SHOWER 3 00 ~f ~ 1-21 WATER CLOSET 3 00"' + BATH TUB 3~ , . • ' LAVATORY KTTCHEN SINK 3E00~,~~ LAUNDRY TRAY 3 QO# s. ~ ~ Y 1wy~I H~ % HOT TUB/SPA 3 09 WATEFt HEATER ~ FLOOR DRAIN 3 OU r ~ m~` ,x GAS PIPING OUTLET • mmimmn - i 3 13 ROUGH OPENINGS 15U"" ~ . _ • ~ ' - - WATER SOFTENER - PRIVAT'E DISP. • na]Lcty. um 20 , U.G. SFRINKLER • eome una« oonsL ALTERATIONS • to c&tmg 20 Q0~ „ - , WATER TURN AROLJIVD 20'{Q0 t4 n~.` ~ M, ~ STATE SURCHARGE ~ TOTAL: K M srrE.a,DDxESS: OWNER NAME: INSTAI.L.ER: ADDRESS: 1 ~ ~ y ~ic.._ , a STATE: CTTY'• r FZ CO~ : ry~,~i. sg 4 r l~ . . PHONE T S4. w I GN T REOF PErt; Y ti y .~21, - ~ -x F N t N . s ~ n 4 2 e~ ~A ~F~~ . . . . :a . . . . . . , . . - . . 1994 PLUMING PERMIT (COMIVIERCIAL) ' CITY OF EAGAN ' 3830 PII:OT I{NOB RD EA'GAN MN g512Z (61~2) 6814675 PLEASE COMPLEI'E FOR ALL COMME&CLALJINDUSTRI~I. BUR.DINGS. ALSO..Fb~t MUI.TI= FAMILY BUII.DINGS WI°IEN SEPA"R~.ATE PERMTTS ~ARE NOT REQ.LTIRED FOR E??CH DWELLING LTN1T. _ NEW CqNSTRUGTION _ ADD ON ~ _ REPAIIt ' WORK DESCRIPTION: ' CONTRAGT PRICE: $ FEE 14'o OF CON11tACPFEE. STATE SURCI3ARCyE: $,.50 FOR:E;4CH $k;000rOFe FEE bIINIl~fUhf ,FE& $ 25'00 CONPRACT pItICE X 1% $ STATESURCHARGE a TOTAL $ SITE ADDRESSa ' TENANT NAME; STE.*' : OWNER NAME: INSTALLEIt: , ADDRESS. . . CITY: S1`ATE: ZIP CODE: PHONE . FOR: CITY OF EAGAN APPLICANT RESIDENTIAL BUILDING 11~ Permit Application City Of Eagan ~ b•~ 3830 Pilot Knob Road, Eagan Mn 55122 ~_Q,c_,~ ~ Telephone # 651-675-5675 FAX # 651-675-5694 6'~~z/~~ New Construcfion ReauiremenCS RemodeUFieoair ReauiremenLS INfce Use Onlv 3 regislered site surveys showing sq. ft of lot, sq. k. of house; and all roofed areas 2 coDLs of plan Cert of Survey Recd (20% maximum bt coverage allawed) 1 set of Eneryy Calcula5ms for heated additions _ Tree Pres Plan ReW 2 copies of plan showing beam 8 window sizes; poured found desgn, etc. 1 site survey far additlare & decks Tree Pres Not Reqd 1 set of Energy Cakula6ons Addifion - indicate if on-sde sepfic system _ On-site Septic System 3 capies of Tree Pieservabon Plan if lot plaHed afler 711193 Rim Joist Detail Options selection sheet (bldgs wilh 3 or less units Date 1 / / ! 03 Construc[ionCost /3pC~ SiteAddress ~.1 Z~ ~~l 6e.-e, ~ f/af~? Unit/Ste # Description of Work lJ{'e-k Multi-Family Bldg _ Y_2Q N Fireplace(s) _ 0_ 1 z 2 Property Owner 771 DikGJ 4 . 1)2 y Telep6one #(6s'l }'Yf~1'31Y~P ~L-7 9- 41r Contractor AVtitE Address C'tY S[ate Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Ca[eeorv 1 _ Minnesota Rules 7672 Enefgy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculatlons Submitted Licensed Plumber Telephone ) Mechanical Contractor Teiephone ) Sewer/Water Contractor 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 approv d-glait-ii he case of work which requires a review and approval of plans. ApplicanYs Printed Na e Applicant's Si re OFFICE USE ONLY Sub Types 0 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ait- Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex K 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc. ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex p 12 12-plex Plhg_Yor_N ? 25 Miscellaneous Work Types t6 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 ReplBCement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt Valuation 11 OL, ~ Occupancy MC/ES System Census Code ~ Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS. Footings (new bldg) FinaUC.O. XJ Footings (deck) ~ FinaUNo C.O. _ Footings (addition) plumbing _ Foundarion FIVAC _ Drain Tile Other Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests Final - FraniinS _ Siding SNcco Stone _ Fireplace _ R.I. _ Au Test _ Final Windows (new/replacement) _ 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 Capies Other Total of 6ouse Lacation For: Ro~s 17 2-23 er 149Lh Street West 5/2 l110 55068 DELMAR H. SCHWAN2 UND SURVEYOiib, INC. s+- ' wym«.e u~a.' i,.. w n,. sna a rin~. Scale: 1 inch = 30 feet s;. . 11750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55098 E12/123-1789 SURVEYOH'S CERTIFICATE ` o= Iron PiPe monument q3~.9 D = Set xoad hub rO3 = Sxisting apot elevation Proposed elevation BM: . Top of sanitary manhole at end of ~rF Teal Cove = 928.96 (City Plans) 3rs +~03Y.6 q",3' Q yV . p . . rkv 134.9! 933•`~_\~cJ` q 10'y ~ q33.3 ~ 0-,/ o ga ' / O rAO % y /av.1,`c, 9gp.5 i g3 . 36 y \ 9298~ ' ~ - 1 r ~ ~ 4. \ ` 'n ..,~•v.uF• \e ~ ~ ~ y~ ;X..,.. 930- a EAGAN ERING DEPT. DE~M";R ri. ~ SCHYJ::i,aw Proposed gara4e f loor elev. _ q;,+L 3~, / ' 93v. o P=oposed top of block elev. _ m,'~~R3N.33 Proposed loxest level elev. _ Aso showinq the location of a ,n peSMiption: qz6.33 )roposed house thereon. ~ A L'1 ANIqt 44. Hlxk 2. NALLA[tD PARK THIRD I nereDy eenify enn tma survey, pian. or ropon wn ~ R E V l E W~-tr~ ADDITIOA, acwrding io the recorded plat propared by ms or under my dlrecl wpervisbn end the! ~ DBkota poupt~~ 1 esota. Ihel 1 am a duly Regieterod Land Survsyor und tne lewe of the Ststs ot Mienasou. gY , r April 25. 1994 2/-) slmar H. 8chwan= olad N z-' M D fnnuole RpIHrNlon No. 8826 (J , . . . , . , : i..r. . . . , . _ . . . . . . .,.r:., _ . . . ~ t . . . _ _ . . . . . . . a^ . .c . - ' : : . . . . . . . , 06/08/2012 12:36 South Metro Faxes City of Eagan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 6755675 Fax: (651) 675-5694 fAX)9524923392 P.003/003 Use BLUE or BLACK Ink For Office Use Permit*: X`-�617 / Permit Fee: 6o • 2 Date Deceived: Staff: 2012 MECHANICAL PERMIT APPLICATION ❑ Please s b t two (2) sets of plans with all commerclal applications. Date: I Site Address: 3r2 jam/ -e- Tenant: Suite #: RESIDENT °. OWNER; Name: '/ ' Phone: C047-' 7Y"7 --C q Address / City /Zip:.</ / /..4/ CoY� CONTRACTOR:.. 1 OA> Cr0wh2.�s•r ..".s•a9 �.,- Name: DI' .Svav a&,.�.g. / //0 '' 4 ' License #: Address: C/2 4/ Agre�� 5 -- City:.�'`ci State: %7� Zip: .�S 3S� Phone: /,..' �*‘5+2--.�-3 9'9 Contact: "i'‹ -e- 7064 ' Lv ,2E,5::::A mailc,�-ro% sc+ 6o3►eie,.z.✓v 67,/*.E-" � G'otij. ! TYPE.OF.WORK;.' •., ° New Replacement Additional Alteration Demolition iDescription of work: NOTE:Roof mounted and: ground, mounted: mechanical. equipment is required to be screened by. City '. i., Code.. Please contact the Mechanical_,Inspector:for..infortnation on'permitted screening.methods:.. . PERMIT,T.YPE i RESIDENTIAL Furnace COMMERCIAL New Construction Interior Improvement Air Conditioner _ Install Piping Processed Alr Exchanger Gas Exterior HVAC Unit p Heat Pum'. _ Under / Above ground Tank (_Install / • Other _ _Remove) RESIDENTIAL FEES: $60.00 Minimum Add-on or alteration to an existing unit (includes 55.00 State burned out appliances, ductwork, etc.) (includes Surcharge) a¢g $5.00 State Surcharge) _ $ 4fQ TOTAL FEE $100.00 Fire repair (replace COMMERCIAL FEES: $75.00 Underground tank Installation/removal $60.00 Minimum (includes State - If the Permit Egg is Tess than (includes 55.00 State Surcharge) Surcharge) $10,010, surcharge Is $ 5.00 surcharge increases by $.50 for each $1,000 Permit Fee requires a $ 5.50 surcharge) OR Contract Value $ x 1% = $ Permit Fee = $ Surcharge • If the Permit @ is > 510,010. I(i.e. a $10,010-$11,010 Permit Fee _ $ TOTAL FEE CALL BEFORE YOU D10. Call Gopher State One CaII at (651) 4544002 for protection against underground utility damage. Call 48 houre before you Intend to dig to receive locates of underground utilities. www.nonherstateonecalt.orq I hereby acknowledge that this Information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan: that 1 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 Name FOR 'OFFICE .USE Required` Ins pectione: Underground` Rough'In Air Test 'Gas Service Test : In -floor Heat . Final :. _ HVAC Screening Applicant's SI Revlewed .By: Date:: Use BLUE or BLACK Ink I For Office Use I s I Gj~j I Permit l F City of EaV I Permit Fee: ~ ~S•a I 3830 Pilot Knob Road I I Eagan MN 55122 Date Received: 9 1 013 Phone: (651) 675-5675 Fax: (651) 675-5694 I Staff: I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: ZlJ a 741( ~ 116,4A/ Unit Name: IC-Al /,),.I V Phone: Resident/ Owner Address / City / Zip: Applicant is: Owner _X, Contractor Type of Work Description of work: _i 2 Df7A16 Construction Costy Gp Multi-Family Building: (Yes / No Company: S--Contact: Contractor Address:,,/6-z/ 1,gsv yAb 5 I w! 501~4 /Dh city: WPp2i State: Aly Zip: d Phone: v2, 02 License 5-~zl -7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) 0" ~ S, V d 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: i Mechanical Contractor: Phone: I Sewer & Water Contractor:Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of ~4 the information may be classified as non-public if you provide specific reasons that would permit the City to conclude that they are trade secrets. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours m~ before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org 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 Stafe Building Cody must be completed within 180 days of permit issuance. f/ x s~19~ x Applicant's Printed Name Applicant's Sig~+ at ' e .r r Page 1of3