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1496 Thomas LaneCity of Eapll 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 -p]E©E-TE JUN 4 210 ij Use BLUE or BLACK Ink 1 5t Permit #: (-3 4 7 Permit Fee: •....3-0,50 Date Received: C2C Staff: J rr__ 2010 RESIDENTIALl/PLUMBING PERMIT APPLICATION (Y Date: '1 ttD Site Address: 14P16 trent Tenant: Suite #: RESIDENT / OWNER Name: Bc l%t, CAVA 9m'Bch Phone: (46j --14-- -i Address / City / Zip: MCI(' 11 Y V LCIM, Akan, 55 CONTRACTOR lIl Name: �►0 1,0 � 4!' 0 �ic€rise": c.�.-, _( \�� Address: t6 'Q•. City: `CjWAA—' —22-b— CI G l State: NN N Zip: $ Phone: I Contact: 1. l a -• ./: k44.ii I TYPE OF WORK, New %/ Replacement Repair Rebuild _ Modify Space _ Work in R.O.W. _ _ Description of work: PERMIT TYPE RESIDENTIAL Water Heater Water Softener Fixtures Lower Level) Lawn Irrigation _ Add Plumbing ( RPZ / PVB) ( Main _ _ Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) (includes $.50 State Surcharge) Surcharge) State Surcharge) TOTAL FEES $ OD tO $30.50 Lawn Irrigation $50.50 Add Plumbing *Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Fixtures, Septic System Abandonment, Water Turnaround* (add $166.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State burned out appliances, ductwork, etc.) (includes $.50 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.gooherstateonecall.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 I understand this is not a permit, but only anpplication for a permit, and work is not to start without a permit; that the work will be in ac dance with the aQproved plan in the case ofhwork whic(i requires a review and approval of plans. Applicant's Printed Name App icant's Signature nder,Ground Rough -In Air Test -> _Gas Test Flnal Address 1496 Thomas Lane Lot 1 BIk 3 THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION. Date: 9 U 19 ? Yes No Inspector: Final grade (6" from siding) Permanent steps (garage) Permanent steps (main entry) Permanent driveway 9/ Permanent gas t/ Sod/Seeded grass j/ Trail/curb damage Porch 406 Basement finish j/ Deck Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to the outside lawn faucet before freeze potential exists. Contact engineering division at 681.4645 before working in right-of-way or installing underground sprinkler system. White - City Copy Yellow - Resident Copy Pink - Contractor Copy Zip 5512 2 Pinetree Pass 2nd Sub - ---- - -- City of Eajan 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 I memo= I I j Permit #: ? I I I Permit Fee: 9n . n j Date Received: j I I I Staff: - --------------- 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 10 1 %0 - O Site Address: _?'T 1 I 1 1? 1 f ICi t.-.1 1 Tenant: RESIDENT/ OWNER I Name: TYPE OF WORK CONTRACTOR Suite #: Address / City / Zip: o I ?t 11e C? (_? t?l? l , Applicant is: _ Owner X Contractor Description of work: Construction Cost: Name: A Address: I City: °° --1I Phone-.] l 0a Contact Person: Multi-Family Building: (Yes_/NoK) Zip: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW'BUILDING - Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672 Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (4 submission type) • 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? _Yes _No It yes, date and address of master Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone: Phone: 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. Applicant's Printed Name Applicant's Signature ?- Page 1 of 3 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 ----------------i I Fo%?Office; Ilse I I Permit#: 7lO f? I Permit Fee 9?'9 I Date Received: I I ?? I I Staff: I 2008 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1 V 1S Site Address: lqq Tenant: R o dy 9 Ron n I Q S;C? I Suite #: RESIDENT 1 OWNER Name: RQj , 'RON r i P SC_ h Ia N >` / Phone: l65 `?5 /?Z Address/ City /Zip: l'q6 ' r ' a ??-a L -A Applicant is: - Owner ?{ Contractor TYPE OF WORK ) f r Description of work: ?? e r? ??Q ?1 ?? SIO11)l ?l t I"d?(i) a a+J? t 6S9rteb&rS Construction Cost: 0 Multi-Family Building: (Yes _ I No A CONTRACTOR Name: 00,1111A 1V 01rt License #: 206 30 Z3q Address: f65 s rk v City: /?04.eM Pi7/ 33j_ State: Irk Zip: J O Phone:ILA/Z-? b95-7 Contact Person: 99(??[? ? ?a? ?1? COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7672 _ Minnesota Rules 7670 Category 1 _ Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet Category Submitted Submitted (J submission type) • 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? _Yes _No If yes, date and address of master plan: Licensed Plumber: Phone: 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 no if you provide specific reasons that would permit the City, to.- conclude that the are trade secrets.` 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. x Dl-)Vi`i x Applicant's Printed Name Applicant's Signature Page 1 of 3 1999 BUILDING New Construction Requirements PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 Pn OT KNOB RD - 55122 { 3 (651) 681-4675 n n n Remodel/Repair Requirements # 3 registered site surveys # 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) # 1 energy calculations # 3 copies of tree preservation plan if lot platted after 711/83 required: Yes No DATE: /4 C--f C DESCRIPTION OF WORK: # 2 copies of plan # 1 site surveys (exterior additions & decks) # 1 energy calculations for heated additions CONSTRUCTION COST:?? 1 5 n? 2 J STREET ADDRESS: /Y 9 LOT: I BLOCK: SUBD./P.I.D.#: n? Name: Phone #: PROPERTY Last First OWNER Street Address: City State: Zip: Company: Phone -2 CONTRACTOR Street Address:: License # -Exp. City State: Zip: ARCHITECT/ ENGINEER Company: Phone #: Name: Registration #: Street Address: City State/: Zip: Sewer & water licensed plumber (new construction only): C C e/ ,. Penalty applies when address change and lot change is requested once permit is issued. pia g4Z5- g6g-a- 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. ???D /Yyl /?Li _+? ?'- Signature of Applicant (2 OFFICE USE ONLY Certificates of Survey Received __Z" Yes Tree Preservation Plan Received _,Z Tes No No - Not Required n LCE; k?? 121:; ll l/? MAR OFFICE USE ONLY BUILDING PERMIT TYPE C ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish )6. 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. ? 10 = plex ? 15 Deck WORK TYPE L 31 New ? 33 Alterations ? 36 Move ? 32 Addition ? 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning U Basement sq. ft. /Ss59 Census Code I/ f1 Main level sq. ft. -/V6 SAC Code D/ 1? 3,11 11,W sq. ft. ?/ 3-C, Census Units 2 !S)A sq. ft. 9.21 Census Bldg 2 j2goL,( sq. ft. z/ 7 MC/ES System sq. ft. City Water _LI/ ?! 9 Zg- Footprint sq. ft. ??o7 Booster Pump z &S 3H./OU PRV Fire Sprinklered 3 NSO cap<A? ?a,z?o Building Engineering Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total: % SAC SAC Units 9 1 3? Valuation: $ 7 ,7 IaSsG.?Sc ?76x3H =9 Gf1!{ I 26 x3z - sso ?bXab = f33 SZ0 x N la x?y . act ?/?5Y7g85? Sal X16 X13?13 /ya?ra ®u seprcRi` = igs9 D7^GKl?x?y=X17 - I aoo.rx --- -- 7 X OT, - 18 ?7 -67r T x 2 16 •= a93.7.? 102 X'o1.3'5 sK X 3 1, _ / 5f36 66 X 6A y I = 6•$ q y 2 = ?`6 8 $ y Z. t gbx ?3 = l?3 _ a PROPERTY LEGAL: d d d n > a - n Q m d N Q Z t ? ff'?. ? 7 ? ? a O ? ? / LOT SURVEY CHECKLIST FOR RESIDENTIAL LATEST REVISION: DOCUMENTSTANDARDS • Registered Land Surveyor signature and company • Building Permit Applicant • Legal description • Address • North arrow and scale • House type (rambler, walkout, split w/o, split entry, lookout, etc.) • Directional drainage arrows with slope/gradient % • Proposed/existing sewer and water services & invert elevation • Street name • Driveway • Lot Square Footage • Lot Coverage ELEVATIONS Exlstinc c3 ¢. ? Sewer service (or Proposed) ? ? Property corners 9-'13 ? Top of curb at the driveway ? Elevations of any existing adjacent homes Proposed U ---o ? Garage floor E5-,[3 ? First floor 21-,El ? Lowest exposed elevation (walkoutWndow) ra'? ? Property comers e--? ? Front and rear of home at the foundation PONDING AREA (if applicable) ? a-'? Easement line ? 0a ? ? 5?- ? NWL HWL ? ? ? Pond # designation ? cnr'? Emergency Overflow Elevation DIMENSIONS 0-'? ? Lot lines/Bearings & dimensions or' ? ? Right-of-way and street width (to back of curb) 0, ? a Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) 0- ? ? Show all easements of record and any City utilities within those easements r3-- ? y Setbacks of proposed structure and sideyard setback of adjacent existing structures ? r ? Retaining wall requirements, If any 1. Reviewed: March 1999 CRAIGIBIpGPRAITFIVI r - LODGREn BROS. EXTERIOR ENVELOPE AVERAGE U COMPUTATION HADLEY/AwKe/d CONSTRUCTION INC. .5 Site Address Lot Block? 4/ )e -, R s a?? & U Factors R U Opaque Walls .043 935 E. Wayzala Blvd. Wall Framing Areas 09 Wayzala Minnesola55391 Ceiling Insluation Area .023 (612)473-1231 Ceiling Framing Area .027 Rim Joist .04 Masonry Wall .469 Windows .35 Doors Skylights .31 .55 1) Lower Level (Basement) Total Exposed Wall Area Opaque Wall Area Wood Frame Area Rim Joist Exposed Block Window Area Sliding Glass Door Door Area 4-5-& ,?lp X (U) .043 Azt X (U) .09 = e? ? 7!J 17f x (U) .04 //? X (U) .132 = /.S 7f -:5.5r X (U) .35 tp0 X ( U ) .35 = v? X (U) .31 Total SOT ?O? Lun®GR(n B RCVS. 2) First Or Main Floor CONSTRUCTION Total Exposed Wall Area INC. Opaque Wall Area Wood Frame Area Rim Joist Window Area 935 E. Wayzata Blvd. Way7ala Sliding Glass Door Minnesota 55391 Door Area (612)473-1231 3) Second Floor If Two Story Total Exposed Wall Area Opaque Wall Area Wood Frame Area Window Area Sliding Glass Door Door Area 4) Total Ceiling Area Wood Frame Area Opaque Ceiling Area Skylight ?p S/ X (U) .043 = ?CD/p X (U) .09 = X (U) .04 = r J X (U) .35 = I/3. 7J C4 ? X (U) .35 = oZ / J?IG? X (U) .31 = 3l0 Total X (U) .043 X (U) .09 X (U) .35 X (U) .35 = -? X (U) .31 = Total L! X (U) .027 = 5i/ 3 X ( U ) .023 = 39.26 X (U) .55 = ?c13 J Total LtJnDGREn BROS. CONSTRUCTION INC. MINNESOTA U FACTORS Total Exposed p Wall Area C/OJO X .11 MINNESOTA U FACTORS Total Exposed Area Ceiling X .026 (A) Total 935 E. Wapta Blvd Mynla Item 1.blb + Item 2,V6,1 + Item 3133,13+ Item 4 1,4 = S?.?y Minnesola 55391 (612)473-1231 If Total Of Items 1-4 Is Less Than Item (A), Building Complies With SBC 6006 (C)s A -Ft(,E CoFt (SEE ATTACHMENTS) Development Lot Number I Block Number 3 Address Builder Tree Protection Requirements: Tree Fencing Oak Tree Pruning (Seal wounds during April 15 to July 1) Therapeutic Pruning Retaining Wall Other: Replacement Trees: Not Required As Follows: Attachments: M ZU" d«.. ") _ Yes No Additional Notes: Cas SL 41^ ;,A I A GAY a Cf,-j6ArV 1?V n j YW? I I rC( c a+r.a?i ? c? i7?ea r.?eiL-rj 0.e. Zo a.,? Cvov- pg panwm MASON RM 0 OWE -3 if INV' NGjF ?? ? \ 1\ t?7?'iVV?11V?® ' BUILDER: LUNDGREN BROS. CONSTRUCTION 935 E. WAYZATA BLVD. WAYZATA, MN c\c. a-`?., (612) 473-1232 Jv4^? / , f?? ?' /!l •P„ PP? ?? '\/.9S ocs 93:J i'Tt 71tOrmcrioN s 92'4'5//// C \? ?9' VlJ4 • ,> b / \ +"VG ?%?j •g?4'k\842. JM14 ??z\ 000>J Td e 949. 1 \ \\ \ \, np4pZ I y ?J ? ? Q'Ocf \` D F TREE SUMMARY PROPOSED CONDITIONS =5 ?' SIGNIFICANT TREES = 51 A nCi f, tip? TREES REMOVED = 0 d o 0 ;1' ? PERCENTAGE OF TREES REMOVED = 0' x ALLOWABLE TREE REMOVAL = 20% = 10 TREES z .? o HQ y Tp TREE LEGEND ?rczoa t@ / dapu I' I> PROPERTY: \1496 THOMAS LANE TREE TO BE SAVED TREE TO BE REMOVED WRR \ LOT 1, BLOCK 3, PINETREE PASS aEam 2ND ADDITION MG a' DAKOTA COUNTY, MINNESOTA 3 DATE o PLAN PREPARER: SCALE SATERE-HBRGQUIST, INC. Joe NO. 5402-453 ' EXISTING HOUSE TPFDN = 943.3 BENCHMARK . ELEV - 939.05 ° TRAI s , moo/ 21? ?1 \ x9Ati •? 01 el_ ?OD 941.8 X 283 940.6 939.1 942.3 X 92X , a G 939.6 I ? fiV 936.8 11 Lr) r Zt _O O) O 0 L0 In Z 1 DRAINAGE & UTILITY EASEMENT u i ?Q\Ndl bN F PS????/ DO#\`Z (943.0) 1 944.3 X 943.0 q ? I P 1^ / 7 944.5 IV j po 947.9 y X\947 c+ 'o ?J \ 942J \" q1 \ X \\ /943.4 \ e'er X 946.2 -579 130 how k? X 949.4 G tPllb •RfpN LEGEND QS DENOTES SANITARY MANHOLE DEN07M HYDRANT Wil DENOTES CATCH BAMN S DENOTES SANITARY SEWER W DENOTES WATERMAIN ST DENOTES STORM SEWER ® DENOTES STORM MANHOLE DEN07ES STORM APRON SETBACKS MIN. FRONT YARD SETBACK = 30' MIN. SIDE YARD SETBACK m 5' GARAGE, 10' DWELLING MIN. REAR YARD SETBACK = 15' 1 ` 1 1 /14 t3: M.1 G??u r'K.q G c /O, 2;/C Proposed Top of Foundation Elevation-950.83 Proposed Garage Floor Elevation- 950.5 Proposed Lcrreet Floor Elevation- 941.83 Lowest Allowable Floor Elevation- 907.7 0 Denotes Iron Monument + 910.0 Denotes Existing Elevation +(910.0) Denotes Proposed Elevation Denotes Direction of Surface 910.0 Drainage Denotes =Sewer Service ?svation I hereby certify, that this is a true and correct representation of a survey of the boundaries of. LOT. 1, BLOC K 3, PINETREE PASS 2ND ADDITION DAKOTA COUNTY. MINNESOTA And the location of all buildings, if any, thereon, and all view encroachments, ff any, from or on said land. As surveyed by me this And day.of _March. 1999. Gary p Germond Licensed Lard Surveyor. Minn. Lie. No. 24764 i . ._, ... ? .rt.. try,. nY h fZob,-=3???r? i 0 %W te Z O' _ /670 Z `ay,, ate` V7 !9 ui ? O W~- P4 ?? 060W 1::4 ? IL U W a . V DRAWN BDR CHECKED ;. 3-2-99 SCALE: ? N48.,Q.y 3 L BL CITY USE ONLY SUED. ( 7y?ir-? ?7Gt d Ji p(n`O RECEIPT#: RECEIPT DATE: 1999 PLUM$IN6 PERMIT (RESIDENTIAL) CITY OF EAeAN 3830 PILOT KNOB BD EAGM, MN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES TOTAL Bath tub $ 3.00 x 2 = $ - Floor drain 3.00 x I = Gas piping outlet " minimum -1 3.00 x Z = $ Hot tub/spa 3.00 x _ $ Kitchen sink 3.00 x $ 3 Laundry tray 3.00 x = $ -3 °-° Lavatory 3.00 x (? _ $ 8 = Minimum fee alterations to existing dwelling 30.00 x = $ Private Disposal System new/refurbished " requires MPC lic. 75.00 x $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/re air 30.00 x = $ Rough opening 1.50 x .3 = $ Sv Shower 3.00 x Z = $ °-° Underground srinkler if dwelling is under construction 3.00 x = $ 3°= Underground srinkler if existing dwelling 30.00 x = $ ? - Water closet 3.00 x = $ / Z pO Water heater 3.00 x = $ fo Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling i 30.00 x = $ Water turnaround 30.00 x = $ State Surcharge .50 > ----> ----> $ .50 Total > > > > $ °, Reminder. Call 681-4675 for inspections of water heaters, water softeners, alterations, etc. --------------------------------------------------- ----------------------------- I hereby acknowledge that I have- read this application, state that- the info rma6On is correct, and agree to comply with all applicable City of Eagan ordinances. It is the applicants responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: OWNER NAME L" V. OeClq_2-.n S/6`S ?O??ST INSTALLER NAME: STREET ADDRESS: EACH # S P1/ a /tiff, 6/6 v TELEPHONE#: G/?-?/YS=S'6l?, CITY: J / a4 Lc o ??1 /,L STATE: /?/ j ZIP: 57S-3-2 SIGNATURE OF PERMITTEE CD/PERMIT FORMS/RPLBG PERMIT (RES) - 1999 >K>x>k???:Xm?>x???m>x?m>a???>K>X???:>x>x?cm??z?m>x>k>K?>a CITY OF EAGAN CASHIER: S TERMINAL NO: 909 DATE: 0307/99 TIME: 15:14:45 ID: NAME;; LUNDGRE.N BROS. CONST INC 2256 9001 1496 THOMAS I._N 6.09043 Total Receipt Amount: 62091..43 CR 1.0402 6 USER ID: NANCY k?>K %c>k ?X ? X? # ? ? k ? N? ?Y ? X?>% %? X? 5X N ??X ?k ?%?F ? k? h? ?k %c ? YF 7 X k ?>:t> X ?% ?%%? 7 K PERMIT City of Eagan 3830 PILOT KNOB RD EAGAN, MN 55122 (651) 681-4675 Site Address: 1496 THOMAS LANE Lot: 0001 Block: 0003 10-576-61-01-003 Addition: PINETREE PASS 2ND ADD Description Sub Type: Single Family Work Type: New Description: Census Code: I-Single Family Detach Permit Type: Building Permit Number: EA034660 Date Issued: 03/17/1999 UBC Occupancy: R-3 Construction Type: V-N Zoning: Single Family Squar Feet5 31007 'uq.. y IF J? ... Remarks: PI. AN REVIEWED BY WAYNE MILLER. S & W PLUMBER IS ELANDER MECHANICAL PHONE #(612) 445-4692. Fee Summary: Sewer & Water Permit Surcharge 0.50 Account Deposit 30.00 Valuation: $276,000.00 Sewer Permit 50.00 Water Permit 50.00 City SAC 100.00 Water Meter 5/8" 114.00 State Surcharge 138.00 Treatment Plant 468.00 Water Supply & Storage 825.00 SAC - Single Familv Home 1,050.00 Contractor: PIan evi w Owner: 1,286.58 4pp8can? - Base Fee LUNDGREN BROS 1,979.35 LUNDGREN BROS CONST St. Lic.: $ 91.43 935 E WAYZATA BLVD 935 E. WAYZATA BLVD WAYZATA, MN 553910000 r 6124731231 WAYZATA, MN 553910000 r 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. Applicant/Permitee: Signature sued By: Signature CITY OF EAGAN CASHIER: JS TERMINAL NO: 943 DATE: 07/30/99 TIME: 3:03:24 ID : NAME: BONNIE C. SCHLANK 3210 9001 1496.THOMAS LN 60.00 205 9001 1496 THOMAS LN 0.50 3430 9001 1496 THOMAS LN 0.25 Total. Receipt Amount,: 60.75 CR1.14667 USER ID: JAN ?FX<Xk7XXC#?FX?XC?'C?Y?f #?X?7K?X#%t%?%Xk??k?:kX<YF??M?YfgoX?X? ?1K? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) ? 0. ?. 3?2 7 I CITY OF EAGAN 3830 PILOT KNOB RD - 55122 651-681.4675 New Construction Reauirements D 3 registered site surveys showing sq. ff. of lot, sq. ff. of house and glj roofed areas (2076 maximum lot coverage allowed) ? 2 copies of plans (show beam b window sizes; poured fnd. design; etc.) D t set of energy calculations ? 3 copies of tree preservation plan R lot platted after 7/7/93 DATE: jl 30 19'l Remodel/Reoalr Reaulremenh 2 copies of plan 1 set of energy calculations for heated additions i site survey for exterior additions b decks CONSTRUCTION COST: DESCRIPTION OF WORK: i? I o Lo e-d- STREET ADDRESS: LOT: BLOCK: -5 SUBD./P.I.D. #: Name: L `a r` ?( 6'`?/ Phone #: PROPERTY Last First OWNER Street Address: IY? `f? L_E9 ?? e City State: m Y` Zip: 75 ?? CONTRACTOR ARCHITECT/ ENGINEER Street el city Telephone #: area Street City Sewer & water licensed plumber (required for new construction only): Phone #: (area code) License # Exp. State: Zip: Name: Registration State: Penalty applies when address change and lot change Is requested once permit is Issued. Zip: I hereby acknowledge that I have read this application, state that the Information Is correct, and agree to comply with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: ?? - OFFICE USE ONLY Certificates of Survey Received Yes No Tree Preservation Plan Received Yes No Not Required OFFICE USE ONLY BUILDING PERMIT TYPE ? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous WORK TYPE ? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia ? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors ? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair ? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof * Give PCA handout to applicant for demolition permit GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Width APPROVALS Planning Basement sq. ft. Main level sq. ft. sq. ft. sq. ft. sq. ft. sq. ft. Footprint sq. ft. Building Engineering Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance Permit Fee Surcharge Plan Review License MC/ES SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Total (0.QQ- Valuation: .5r) SAC Units % SAC CITY USE ONLY LOT BL .? RECEIPT #: SUBD.?? mot. C c1 ?R? y (mil ?? RECEIPT DATE: 7 ??/ln 9 j MECHANICAL PERMIT # 1999 MECHANICAL PERMIT (RE.SIDENTIAL) CITY OF EAeAN S$SO PILOT KNOB RD EAGAN MN 55122 l? 9f (651)6$1-4675 Date: Complete this section only if you are installing HVAC in construction and not owner /occupied. IAC: 100 M 'BTU ADDITIONAL 50 M BTU • Gas outlets (minimum of one required @ $3.00 ea.) / a single family dwelling, townhome or condo under 30.00 6.00 / L C?= State Surcharge Total .50 SD $ Complete this section only if you are remodeling, adding to, or repairing an existing single family dwelling, townhome, or condo. Please indicate if it is a new item, alteration, or repair. New _ Alteration _ Repair _ Other Reminder: Call 681-4675forinspections. Furnace Air exchanger Other $ 30.00 State Surcharge .50 Minimum Total Due $ 30.50 SITE ADDRESS: 7 ??QQ A4 P? S L.9^i OWNERNAME: L'1 K???L^ ??Os ?"?ST INSTALLER NAME; CLVI l 0.A-L PHONE #: & irk - y?3 -12??l CODE) (AREA PHONE #: t^o /? ?/S' Y6 / ?- ??i?7'O / , ? (AREA CODE) STREET ADDRESS: -s rI ? G'G 'L e CITY: °` STATE: ZIP: S? 3 7/ SIGNATURE OF PERMITTEE - Air conditioning L BL SUBD. APPROVED BY: INSPECTOR RECEIPT #: RECEIPT DATE: MECHANICAL PERMIT* 1999 MECHANICAL PERMIT (COMMERCIAL) CITY Of EAGAN 3830 PILOT KNOB RD EAHAN, MN 55188 (651)6$1-4675 Please complete for: all commercial/industrial buildings multi-family buildings when separate permits are not required for each dwelling unit DATE: CONTRACT PRICE: WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT DESCRIPTION OF WORK: FEES: 1% of contract price OR $30.00 minimum fee, whichever is greater. Processed piping - $30.00 CONTRACT PRICE x I% PROCESSED PIPING PERMIT FEE STATESURCHARGE TOTAL SITE ADDRESS: OWNER NAME: TENANT NAME (IMPROVEMENTS ONLY): INSTALLER: ADDRESS: CITY: CITY USE ONLY ($.50 per $1,000 of permit fee due on all permits.) PHONE #: (AREA CODE) PHONE #: (AREA CODE) STATE: ZIP: SIGNATURE OF PERMITTEE ` L BL CITY USE ONLY RECEIPT #: I lI 5 lk \ SUED. Q??LS.S RECEIPT DATE: 9 PERMIT# 1999 PLUM$INF PERMIT (RESMENTIAL) CITY of EAHAN 3850 PILOT KNOB RD f-AGAN, MIN 55122 (651) 681-4675 Please complete for: > single family dwellings > townhomes and condos when permits are required for each unit > backflow preventer for underground sprinkler system FIXTURES EACH N TOTAL Bath tub $ 3.00 x = $ Floor drain 3.00 x = $ Gas i in outlet ` minimum - t 3.00 x = $ Hot tub/spa 3.00 x = $ Kitchen sink 3.00 x = $ Laundry tray 3.00 x = $ Lavatory x $ Minimum fee alterations to existing dwell' 00 x = $ Private Disposal S s re wires MPC lic. 7 x = $ Private Disposal System abandonment 30.00 x = $ RPZ new installation/repair 30.00 x = $ Rough opening 1.50 x = $ Shower 3.00 x = $ Underground srinkler if dwelling is under construction 3.00 x = $ Underground srinkler if existing dwelling 30.00 x = $ Water closet 3.00 x 1 = $ Water heater 3.00 x = $ Water softener if dwelling under construction 5.00 x = $ Water softener if existing dwelling 30.00 x = $ Water turnaround 30.00 x ---- _ $ State Surchar a 50 > > ----> $ .50 Total > > > -•-a S o Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc. - -- ---- - ----------- -or-d--c'-s. ereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan inanIt is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal operational and maintenances activities to the facilities constructed under this permit within City property/right-of-way/easement. SITE ADDRESS: l Z'''FC s L'? OWNER NAME:: dnnrt SG 1iCcy,4f TELEPHONE #: J4 2 Q/ (AREA CODE) INSTALLERNAME: TELEPHONE #: 6..5%-G ?as'2 STREET ADDRESS: G O / C I rf s . 7 re (AREA CODE) CITY: ? r rl rz. T r \? STATE: ZIP: S S 7 i I) /7/7 isi/?F' j l j I i•1Y?4 2 6 .JJJ ? SIGNATURE OF PERMITTEE --- 111 i / 1t;r Lundgren w0s. June 30, 1999 Phone 612.473.1231 Fax 612.473.7401 935 East Wayzata Boulevard Wayzata. Minnesota 55391 Umber ucame No. GM1413 £0:9T 66, 0£ Nnf Craig Novacxyk Building Inspector City of Eagan 382oPit t Knob Read 'Sp Eagan, MN 55122 ,? I ? prilftyte PASS 2'LL VIA FAX 651) 681-4694 P LOT {' k ib , gp. Re: Schlank Residence! 1496 Thomas a=also. Eagan, MN 55122 LA hL Dear Mc Novaczyk: During construction of the home at the above address, the ceiling of the hallway behind the four season porch became wet during recent storms. The wet insulation in the ceiling of the hallway was removed and replaced with new dry bat insulation. The cciiing of the four season porch was subsequently opened and the insulation in that ceiling was found to be dry. The ceiling of the four season was then closed up. hallway season believe of the this constructed to meal the builder behthe four season porch Bros- of building code. Sincerely, Erik Olsen Superintendent EO:bw Tod S0L S06S N3Z19GNOI T£T6-£L7-2T9 T£T6 £LV 2T9