601 Todd Ave4/11'P
City of E!pjll
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
For Office Use �!
Permit If: L L 7
Permit Fee:
Dale Received:
Staff:
,f
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: L{ 1 [L cf Site Address:
Tenant: � � U) ( ? -A
Suite #:
RESIDENT / OWNER
-1----.V4_
Name: \ C DIAA Phone� 4 Liti k -i -'t 1
Address / City / Zip: lS%-L \ -L tek_ 1i r,C f N) ` i -
CONTRACTOR
Name: L D\x \2Lt L,IL-Ida-rise #: ` (' Lt. "11 LL) C
1
1, c.-5 \,._, v,,,,a_
Address: L ` .
City: `�t��" k_C - "� State k Zip: I'1 t A. 4,
Phone: 1W C SS] 0 L_C-)Contact Person
TYPE OF WORK
New `O. Replacement Repair Rebuild Modify Space Work in R.O.W.
Description of work:
PERMIT TYPE
RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
_
( RPZ / PVB) (_ Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$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* (includes $.50 State Surcharge)
(add $136.00 if a 5/8" meter is required)
New ($10.00 per as built) (includes Courtly tee and $.50 State Surcharge)
burned ductwork,
out appliances, etc.) (includes $.50 State Surcharge) ,.-� ��,\
TOTAL FEES $ jb `'--'
I hereby acknowledge trial this information incomplete 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 approv of pl n .
x C`
Applicant's Printed Name
A iicant's Signature
FOR OFFICE USE
Required Inspections: Under Ground
Reviewed By:
Date:
Rough -In Air Test Gas Test Final
41111 City of Eau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
ilAy 2 O 2010
Use BLUE or BLACK Ink
For OM ce Use
[ %
Permit t:
Permit Fee:
/G
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION L&,�-
a (01 'r� d c� Aia 1 \ & e- �; 6 -A)
Date:S' I I�'� � Site Address:
Tenant: Suite #:
RESIDENT / OWNER
Name: 19a-1116 JL 01'" lo rre,5 Lee i Phone: l,Q 5 I-- 4 -''f" "i vl3 T
Address /City/ Zip: ( I C7 j Et SS 123
p/lD� I �'t -CI �V �'�iJUI�-�
,
Applicant is: X./Owner Contractor (j I 6' I 31 6, --17'l s
TYPE OF WORK
Description of wog: co -f tAC2, a� ��`"` d CLb U €9{'b(r>e � ' �� v) / 011
tSdvv�
/ r,� Ili. 2-003 e.S 2si:./5am.R- I f7la,41bn„�
Construction Cost:l0 ®�
rL % r 1I
.&---lCi..ciih Mu0-f o
CONTRACTOR
J
Name: S .l License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
_No
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 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 before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 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 approi of plans
x 1 rY
Applicants Prin Name
Applicants Signature
Page 1 of 2
7ald Ati&?(/(r--
DO NOT WRITE BELOW THIS LINE
SUB TYPES
— Foundation i Fireplace
_ Single Family _ Garage
_ Multi Deck
_ 01 of _ Plex — Lower Level
_ Accessory Building
WORK TYPES
New _ Interior Improvement
_ Move Building
Fire Repair
Repair
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_- )
Census Code
# of Units
# of Buildings
Type of Construction
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: _Ice & Water _Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Meter Size:
Reviewed By:
_ Siding
Reroof
Windows
Egress Window
_ Storm Damage
_ Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
_ Demolish Building*
Demolish Interior
Demolish Foundation
_ Water Damage
*Demolition of entire building - give PCA handout to applicant
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Sheetrock
Final / C.O. Required
Final / No C.O. Required
HVAC
Other:
Pool: ,Footings Air/Gas Tests ,Final
Siding: _Stucco Lath Stone Lath Brick
Windows
Retaining Wall: _ Footings — Backfill _ Final
Radon Control
Erosion Control
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: 4 6 I To do! Arm,,.
Applicant Name: Pfr,71rr I
44 T vre e leznyaSZ
q4/ 476
• t GENERAL INFORMATION
o z
Xi ❑ ❑ Applicant name and contact information
❑ ❑ Property owner name
JA" ❑ ❑ Address of property
j2` ❑ ❑ North arrow, scale (1" = 30' or 40')
.� ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
❑ ❑ Location and name of all streets adjacent to property
_la Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
U ❑ House corners
❑ ❑ Property corners
J ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
❑ fa" ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
V ❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
,E1 ❑ ❑ All property/lot lines
A5 ❑ ❑ All Easements on the property
Proposed
Sa ❑ ❑ Pool
,Lit ❑ ❑ Pool plus integrated deck/patio
--0r ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
Reviewed:
G:FORMS/Pool Permit Checklist/02-13-07
,YOR'S CERTIFICATE
icy Ll /-A. L- L -I, l l •• 1 N.
r Il 36-.s') 9500
—STT. I
fI
5' rs.ORAINAGE A UTILITY
rEASEMENT PER PLAT
LOT
�._-- C9>
e,k
HOMES BY CHASE
rv' /t
REVISED IOU SE
LOCATION 0-12-92
-rvI._
f-',1.-.'L)IT: oi,v
N89.24'47"E - 3 70.
)(
rMc.
l
'
•
I --
44.0
P R OPOS Eb
HOUSE
`2.0 o
(9 ct.6.)
-7
0 OAR.
BENCH MARK
tor OP PIP
= 696.1•
t
(9.3"9.8) `-t
95.00
0
(93 a•6 )
PROPOSED
DRIVEWAY
N
o
EY IS TI NO
NOU6E
956.6
Q v yy I (Cl'3i.'1
N89°2447 E. ---
933
r
933
Irl
AVENUE w.
LetiA ‘4 :ivC 1NEEluNG DEPT.
DTE: NO Si'ECPIe SOILS INVESTOATION HAS SEEN COMPLETED
ON 'THIS Lot BY THE SVRVEYOR. THE SUITABILITY OF
SOILS
TTO SUPPORT THE HE SPECIFIC PROPOSED IS
RESPONSIBIL TY OFTHE SURVEYOR.
NOT
�----- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
X000.0 DENOTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
NOTE BUILDINGFOODIMENSIOHORIZONTAL aNVSHOWN ARE
ERTICAL LOC-
ATION OF STRUCTURE ONLY. SEE
AR
FOUN AT ON DIEPLANS �IORNSUILDING
SCALE: 1 INCH — 30 FEET
PROPOSED GARAGE FLOOR — 9 3Y• ? FEET
PROPOSED LOWEST FLOOR r- 9 .72.3
FEET
PROPOSED TOP OF BLOCK -940. 5 FEET
WE HEREBY CERTIFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 3 , Stock 2 , MANOR LAKE 4TH ADDITION, according to the recorded' plot
thereof , Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISON THIS 6THHEXCEPT AS SHOWN.
DAY OF JULY AS
SIGNEL M R. HILL, INC.
PROPOSED ORADES SHOWN WERE TAKEN
FROM THE GRADING O DEVELOPMENT•
PLAN .PROVIDED oY HEDLUND
PLANNING. 'ENGINEERING, SURVEYINO
�•
a
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.•-•
rimaii
RLE N0.
FOLDER
PROJECT NO.
9 2405
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DRAWN BY
S WK
JOHN C. LARSON. LAND SURVEYOR
MINNESOTA LICENSE NUMBER 19928
James R. Hill, inc.
PLANNERS / ENGINEERS / SURVEYORS
2500 W. CTY. RD. 42 • BURNSVILLE, MN. 55337 • 612-890-6044
~
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RBACTIVA~ PQt ~AAII~'ir FII~iI9'i 01/2Q/Q3
~Y ~ P~~ IS~t1Z 454~Q34
cate o~ ~ccu~anc~
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~x~a~s ~«~ca~.,~ .
~ This Certificate issued pursuant to the rrquimnerus of the URiform Building Cade
certifying that at tl~t lime o,
f rssuance thu struct~r~e was ia compliance wit6 [he vatious
ordinances of t6e City ~rgWlating 6~ilding constryction or usa. For the following:
Use Qa~ificuioa: BW6. Primit No. I IE~F
o.•~ e~e;~ ~~•S~ I~C IJfC,- Bj-VIIIE
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POST IN A Cx?INSPICUOUS PLACE
CITY OF EAGAN PERMIT TYPE: ~
0 Pilot Knob R~ad Permit Number: ~~<<' ,
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
{ ~ Y•a N q 1~' i ft .r c~
SITE ADDRESS: , T ; ~t i K : , APPLICANT:
~ ~~~1p it~~~t t ~ r~+~ ~ i;,, .
~ ~ ;,a• , ~ i It , i ~ ~ • ~i
PERMIT SUBTYPE: TYPE OF WORK: +
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Permit Holdar Data Telephone M i
PLUMBING I
HVAC I
Inspection Date Insp. CommenU I
FOOTINGS I
~
FOUND I
I
FRAMING I
ROOFING I
~
ROUGH I
PLUMBING i
PLBG
AIR TEST I
ROUGH ~
HEATING I
GAS SVC I
TEST
~
INSUL I
GYPBOARD i
F~REPLACE ~
~
FIREPLACE I
AIR TEST
~
FINAL PLBG I
FINAL HTG I
ORSAT
I TEST - I
BLDG FINAL I
DOME9TIC I
I METER _ _ I
I IRRIGATION I
I METER _
f FWSH I
MAINS i
CONDUCTIVITY
TEST
HYOROSTATIC
TEST
BSMT R.I.
, BSMT FINAL
DECK FTG ~j~~.Q~ /I(/
~dUr
DECK FINAL
~
INSPECTIC)N RECORD ~ ~°ntrol No.
• CIl'Y OF EAGAN - PERMIT TYPE: ~?u r
i 3830 Pilot Knob Road ~ _ Permit Number. N'~
~ E~gan, Minnesota 55123 Date Issued~ ~ ~ ~ / ~ ~
~ (612) 681-4675
i
SITE ADDRESS: , r, ~ _ ~ „4 . A,PPLICANT:
~
j r,A~ f Y)Ilp A'.If N(1M1f:•~ fSY F'l~Afef
MAN~IIr I~?r~ 4t11 ~t4f: 53:~j
~
PERMIT SUBTYPE: TYPE OF WORK:
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Request~e ~ ve No h-~ninspec~an
e wratl'+ ? ReaCy Now ~'VAI NolJy Inspector
~ 1 es G No W~en Reatly9
d
I icensed coNractor ? owner hereby request inspection of above electncal work at~
' c
Job Aa/Oress ISVee~L
Bo~v Jar Faule N^o.-~ , ~ry ~
(p~ l / O[[U /TI/ Pi
Sectian No Townsnip Name or No Range No ~°°^~Y~t ~
7~
OCCUpa~11PAINT~ P~one No S~~ ~
Trr~ - ~„~enei'f
~ S"^1S-S33
Power Suppuer neerass
i
Eleclr¢ai rnvaclo~ ICOmpany Namel Come9ctor's License No
rt ~i~~ 'c .~ia c G/ii -0 /.30 5~
Ma~~~~9 Atlar¢ss IGonlractor o~ PA'~er Making InsIDllaLOn~
lloS ~`~n+eka.kQ, ~rx -S ls .S'ss~o6
Amnorrzeo S~g~ ure ICOnttac~ovOwne~ anmq Instauatronl Pnona Number
'/ci ~ ~l S~ U
MINNESOTA STATE RRD OF ELECTPICITY THIS INSPECTION REO
Grigge-MlEwey BIEg. - Room ^rtl9 BE nGCEPi
1921 Unlversl~y Ave., St. Ve~l. MN 5510C
9~~RE~UEST FOR ELECTRICAL INSPECTION =~'x EB-DOOOI~OB
F~~9
~ O^ a See instructmns br complaung tnis lorm on ~ack ol yellow copY. 4ay01~ Qi7~~
bd 1 h ' b i~(~~ O«/
~tj,l V ~ Be/ow Work Covered by This Request
e Atl ReO~ TypeolBwlding App6ancesWired EquiDmenlWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Bwlding Dryer Other (Specity)
Comm./Industrial Furnace
Farm Air Condrtioner
O~M1er ~syxily'~ Convactor's Femarks
Compute Inspecfion Fee Below:
rl Other Fee 8 Serv¢eENranceSize Fee # Circuits/Feeders Fee
Swimminq Pool 0 to 200 Amps 0 fo 700 Amps L
Transformers Above 200 _ Amps Above 700 _ Amps
Signs insoea~or§ use Omy: 7 TO L
Irngaaon Booms J~ 3Q• 5'-d
Special InspecLOn
AiarmlCommunication THIS INS7ALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, ihe Eledrical Inspector, hereby Rougb~in r oace~~~f y~
cerlify ihat ihe above inspeCtion has F,,,ai ~a z~ rj~
been made .G 6
OFFICE USE JNLY
TM1is requesl Witl 18 monlM1S Irom
~ 2 7~ 2/i/i~~~~l- ~ iozs~s~ ~o~~s~/
~4~7~~a- . i' Y ~ d= ~
Reque Oale Flre N Rough-in Inspecuon
Reqmra ? Reatly Now yvn~ rvoLty Ins QBr
I l es C Na Whan atl~
I~11c'ensed contractor ? owner hereby request inspection of above e rical wor
Job AtlOre75 ISIreeL Boa or FoNe No ~ ~~~Y
0 oeQ.~
Seclion No Townshi0 Neme or No Range No Gou
OccuOamIPRINT~ ~ P~~S
Power u0~ber ~ , ~tlress
A
~n lc ii ~n. ~
%r ~i,--
Elecincal Conlractor ICompany Name ConVactor5 License No
.x(~ Oi30~
Manmg% o~ess i mracior Or Own Mapr k~ng Ins'allaUOnl ~
%
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r(.% v
Nu~~onzetl gneiure fGOniractor.Owner Making Instalietwn~ Ptwne NumOe~ i-
7~
MINNESOTA STATE OARO OF ELECTHICITY TMIS INSPECTION PEOUEST WILL NOT
Grlggs~MlEway BIOg. - Room 541] BE ACGEPtEO 9Y THE STATE BOAqO
1BY1 UnlversNy Ave.. St. PeuL MN 55100 UNLE55 PROPER INSPECTION FEE IS
Vpone~614~603-0800 ENCLOSED
g~rf/~~ REQUE9T FOR ELECTRICAL INSPECTION °°="e'~ ee-oooo,.o
2 O~^^? See ~nsvviceons lor comdeung ihis form on oack o~ yenow copY ~ /O~~ /
~ _ ' ~ 4~.,~.,
"X" Be/ow Work Covered by Th~s Request ~ p~~~ ~
ew Atld Fep. TypeofButlding ApplianceSWired EqwpmentWued
Home Range Temporary Service
Duplex Water Heater Elechic Heating
Apt Bmltling ryer Other (Specify)
Comm /Indusirial Furnace '
Farm Air Cond~honer
OtM1erlspeniy~ Gonvac~or~ Remarks.
Compufe Inspecfion Fee Below:
N Other Fee # SerwceEnlranceSrze Fee # CircuitslFeetlers Fee
Swimming Pool 0 to 200 Amps to 700 Amps
Transformers Above 200 _ Amps Abov - Amps
Sgns Inspec~m's Use Oniy: Gv TOTAL~ ~
Irriganon Booms r~ p
Speaal Inspection ~ 70
Alarm/Communica~ion THIS INSTALLATION MAY BE ORDERED I~ISCONNECTED 1~ %S
Other Fee COMPLETED WITHIN 18 MONTHS. ~
I. the Electrical Inspector, hereby Rougn~m a, ~ ~
cernty that the above mspection has F,,,a~ ' ~ oaie~,_ q
been made. /T~< /
OFFICE USE ONLY ~ % ?
TA~i reQU25~ WId 1Q T0111h51lOT
Address: 601 TODD AVENUE ~t 3 Blk Z Sec/Sub ~NpR:LAKE 4IH
.
These items we[e/wete not complete at the time of the final inspection.
~p~pg~q2 Yes No
Final.grade (6" from siding) ~
Permanent steps - garage ~
Permanent steps - main entry ~
Permanent driveway ~ ~
Permanen[ gas ?
Sod/seeded grass
Trail/curb damage ~
~
Porch
Basement finish
Deck
Please verify vith tha builder the removal of roof test caps from the plumbing
system and tha shut-off of vater supply to the outside lavn faucet before
freeze potential exists. ~
xecrtuo.rt~
White - City copy Yellow - Resident~copy Pink - Contractor copy
! RESIDENTIAI. BUILDItiG
Permit Application
City Of Eagan ~ ~
3830 Pilot Knob Road, Eagan MN 55122
U Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction Reouirements RemodellReoair Reuuiremenis ~ Iv~
3 registered site surveys showing sq. ft o( bt, sq. R. of house; and all roofed areas 2 copies o( plan CeR of Survey Recd Y N
(20%maximum bt mverage allowed) 7 set of Eneyy Calala~ons for heated additions Tree Pres Plan Recd Y N
2 copies of plan showing beam 8 wirMow sizes; poured found desgn, etc. 1 site survey for additions 8 decks Tree Pres Not Reqd Y N
1 set ol Ene~gy CalculaGons Addifion -mdicate Bon-sde septic system On-srte Sepfic System _ Y_ N
3 copies of Tree Preservafion Plan if lot platted after 7l1193
Rim Joist Detail Options seleclion sheet (bldgs wiN 3 or less uni5
Date / ConsVuction Cost Si 30~ o UO
Si[eAddress (p~~ D~~y ~ UniUSte #
Description of Work ~G~ ~ ~7~-C~- ~ O~KJCx~ q~'`r`~ .17~~ I
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ~O~Y2~ ~4--I U~ G~ ~~Y~P~'~Z Telephone # ) 7'.S~ -~g3 ~
Contractor ~S 211-
Address City
S[afe Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
submission type) Submitted Submitted
• Energy Envelope Calalations Submitted
Have you previously constructed a buildingjn.E5g~n1~~"w~milar plan? _ Y _ N If so, 25% plan review
fee appiies. ~ ~y ~
g 2003
1
Licensed Plumber V~ 1 Telephone ~
Mechanical Contractor ~ i' Telephone # ( )
i
Sewer/Water Contractor ~y Telephone )
I hereby apply for a Residential Building Permit and acknowledge [hat the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
Td,-~r~J Le.~neY-~Z
Applicant's rinted Name Applican Signature
OFFICE USE ONLY ,
Sub Types
? 01 Foundation ? 07 OS-plex ? 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 ? 22 Porch/Addn. (4-sea.) ? 33 E#. Alt - SF
? 04 02-plex ? 10 OS-plex J~ 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
~
? O5 03-plex ? 11 10-plex ~ 19 Lower Level ? 24 Storm Damage
? O6 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demotish (FoundaUon) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) • Give PCA handout to appliwnt
Valuation d~l~ Occupancy ~~Ky= 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) FinaVC.O.
X' Footings (deck) c( FinaUNo C.O.
~ y Footings (addition) T Plumbing
Foundation H V AC
Drain Tile Other
Roof _ Ice & 6Va[er _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By / 7 , Building Inspector
~
-
Base Fee
Surcharge n~~ ~~~Z~t~
I,C /
Plan Review ~ -
MC/ES SAC u~~ ~
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
license Search
Copies
Other
Total
P 0t
~ . i-.. .
- 5/6~y A~n'• ~ld.~ ~ G O ( ~n : ~va
~YOR'S CERTIFICATE HOMES aY CH45E
~ REV13[D FIDU1[
~ocanon e-~r-ez
' n a n i~r- ` r li - I e n r i-~U `~~ir_-
rvi.-~~vl iZ ~JL~~vI/~ ~ _
~ !_~vL+ .~r~)~~;~i~l~ie~ I ~-''t1v ~~~~~:T~l7~v
~H'•`~'•s') 9500 N69'24~47"E-, 3~ 3~ .
-f7T, ~ N r
/ ~ ~ /
I 3''D R.AINAGE 0 VTILiTr I~ , M
EA'-'Eh4NT PEq PIATS~ ` S~ ~ f 1"
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:
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~ PAOPOSED I ~ a:iariwa
~ MOUSE In ~'A~~
MA1 I ~ / A . A
pP 4 9 i o $ 1 m /
GYI~TINO ~ 1 Tr Y I P Q
~.os : ~ I i (9SF.c.) ' ~ ~i
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` 1 '1_,7~u~.R __l- ~ra.97' . ~?o ~ •+`a' ~~f" a . pr s `~i
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i6NCN w>pK ~ I ~ (~3~I~6~ ~ 1 CHiM~I~K/ ~ `
T~I OI IIpE ~ ' ~ P? /C// _=p;
Q y PROPOSEO g -
q9O. ~ ~ , ~ ~ ~ J . ......~j + _ _
,n RIVEWAY ,
~ ,.9 8~ ' : Q _ , i I93~n _
- 95.00 N89°2447 E_ ...Z.
oe.e -..\...-i [Y Y. i~- - t
ayi ii*o ~ ~ _ .
~o- _ -
n ~
_ .x~ TODD AVENUE
_ ~ = _ : ~ . . _
_ - ~
xo'rE: Ho sECric soi~e ~tivesrnaTioH Hna e~rt cor..n.[7t0 '
ON TH19 LAT BY TMC SURVEYOR. TFE SNTAB~IITY OF NOTE' 9UIl.O1NCf pMET1510N5 SHOWN YiE
SVILS TO SUPPORT THE S'EqFIC MWSC PROPpSEO ~5 Fpq Ipl71ZONfAL B VEiiT~[aL LOC-
ItOT THE F1E3PONSIEILITT OF THE SVRVEI'00. . ATIpN pF STQUCTURE ONL7. $EE
4RCNITlRU4L PL4M iafi 9VILDIMG
~ DENOTES PROPOSED SURFACE DFiA1NAGE B FOUNDATION OIMENSIOHS. ~
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
~ OENOTES IRON MONUMEN7 FOUNU PROPOSED GARAGE FLOOfi - 9 39• 9 FEET
XOUO-O DENOTES EX15TING ELEVATION PFOPOSED LOWEST FLOOR - 9 31~ 3 FEET
(000.0) UENUTES PROPOSE~ ELEl~AT10N PAOPOSED TOP OF BLOCK -~JijG 3 FEET
WE HEREBY CERTIFY TO HOMFS t3Y (.MA5E - THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot S, Cloek 2, MANOR LAKE 4T1y ADDITION, oeeo~tllnq toth• f~eortl~d' ploT ~
t~~r~uf, Dakofa County, Mlnn~soTC,
IT OOES N07 PUFPORT TO SMOW IMPROVEMENTS OA ENCROACHMENTS. EXCEPT AS SHOWN. AS ~
SURVEVED BY ME OR UNDER MV DIRECT SUPERVISION TMIS 16TH DAY OF JULY . 1992.
SIGNE MES R. HILL, INC.
PROr07lO OqA0E3 aF10WN yyll~E TAN[N '
F~10M THB 01~ADINO O DEVlLOPMENT• ~ '
rLAN .?f1OVIDQD iY FIEDLUN~ ~ 6 :
~~nnNiNO. 'ENOINEERING, suRV~viNO JOHN C. LARSON, LAND SURVEYOR "
~ ~ ~ MINNESOTA LICENSE fJUMBER'19928
~o~~o o N9
= r mN m~ James R. Hill, inc.
~ ~ o ° _ ~ a ~ m ~ ~ pLANNERS / ENGINEERS / SURVEYORS
_ O m N <
2300 W. CTY. AD. 42 • BUHNSVILL~, MN. 55337 ~ 672-8H0-6044
L
i ~ RESIDENTIAL BUILDING
Permit Application
City Of Eagan ~ `S~-( . a ~
~Ll~ 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
cP/1.~laj
New ConsWChon ReomremenGs RemodellReoair Reowremenis Offce Use OnN
3 registered site surveys showing sq ft. of lot, sq. ft. of house; and all roofed areas 2 copies of pian Cetl of Survey Recd
(20% mazimum lot coverage allowed) 1 set of Ene~gy Calculations for heatetl atlditions Tree Pres Plan Reo]
2 copies of plan showing beam & window s¢es; poured found design, etc 1 site survey for additions & decks Tree Pres Not Reqd
lsetofEnergyCalalations Add'Rion-indibafeiloo-sitesepticsystem _On-sdeSephcSystem
3 copies of Tree Preservallon Plan R bt plattetl aker711793
Rim Joist Detail Options selection sheet (bldgs wrth 3 or less units ll l C Q S~~Y~'e-ln/1
~
Date ~ / / ~ / Construction Cast ~ 1 ~ :J2J ~ . `7 ~
Site Address ~p ~ ~ ry Q~ n UniUSte #
~ a a,+~ m 5 S, Z3
Description of Work ( Y1 S~A l l i n a Gl Gl.f'ID? , q~~ ~ p~ l
Multi-Family Bldg _ Y}~N Fireplace(s) _ 0 ~ 1 _ 2
Property Owner ~"(,{'I'ri~~' ~1--TorrP u +-~!')eY'TZ Telephone # ((p~l ) '7'S~t ,3
Contractor ~Sp/'~S ~ SC.~'12~~PX' ~DY~P~
Address I~~S~ ~ I , City 1~ yQ~~
State n`1A.~ Zip SS~2`1 Telephone #(9 ) 9~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residen6al Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope Calculahons Submitted
Licensed Plumber Telephone J
MechanicalContractor Telephone#~~p il ~ ~
I' ,
Sewer/Water Contractor Telephone )I L iy , I. ~
q
By" - _
I hereby apply for a Residential Building Permit and aclmowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approvalofplans. ~ ~C~~'"'y'=~
Drr~~( L~,~,-~z
Applicant's rinted Name ApplicanYs Signature
OFFICE USE ONLY
{
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ~ 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 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 (screen/gazebo) ? 36 Multi Misc.
? O5 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_vor_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
~ 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation ~D 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) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation H V AC
Drain Tile Other
Roof [ce & Wa[er Final Pool ~ Ftgs ~ AidGas Tes[s x Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ AirTest _ Final _ Windows (new/replacement)
Insulation Retaining Wal]
Approved By , Building Inspector
-
Base Fee
Surcharge //~,/~/~J~/ ~,9~ D
Plan Review U V ~
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
. . _ . ' . P 01
, , -y6iz- ~}r'• ~ld.~i ~ cflJ ~ ~~Di. ~.v~
:
fYOR'S CERTIFICATE HOMES BY ~~SE
w[vis~o wuac
' ~o~rioh 0-~2-93
• n n n pi 1^ ~ ~ li~- I e n ~ ~-~U 1 n~/r-
Ivi~~iVlli~ ~.-w.\ _ JIi~~V~/~~ ~_r~~.\~~
~ !_i~el..~ .^-.~~~~li il/w~ I -~t1'"~ i+~~L~iTil~i~V
~ i H i~.-.G~ ) 9500 Ne9'2a'47°E 3 J 3~
~77. ~ - n ` ~ .
/ S~~Q~I.CMAGE S VTILITY ~eW' ( ~
w3lhCNT PEA PLAT~1 ~ ~ l?
LOT I
~ I "1G. ~ ~
~C:~[ : ir~ ~CI~' 'R ~ i -~-r ~
. d~~ Cs _ . ~ ~ _
o ...a - ls~.a - , i~
z ~ I ~ ~ z
~ ~ I ' PROPOSlD •sis~irro
~ ~y HOUSE n ~'a~~
p / ^ _ A
m \ ~
, ~P e ' ~ ~~Q I I f
CYI]TIMO ~ ~ ~
~ON O
R ~ ~ ~9S9.b~
• - I 1 ~ a~w. ~
~ '1_+7~.54 _J_ " ~ ~ ~ ;
~ g? : = ~
~e cw r~~e i I ~ vn.9.- (`739~6~ •]e.s '„I • ~ i~ : Pa~ ~
f t !
~OIHP • .I ~
•~Y.1~ ~ ~
8 ~y PROPOSED ~ g /
, in ~ ~ ~ RIVEWAY
~ ,~4~~ ~ i:°: _ , ~ r93~n .../,5/. _.Z -
~e.~ 9g.~ N89°2447 E,- i ' •
-'_~.:..-..w 1.:~-'" ~
ay ~ sa~b . . , .
~o' _ ' '
n ~
_ TODD AVENUE
~g . ~ ~I ~ ~ ~ _ . . e~
MOTE~ NO 4ECIK 901L3 INVCST64TION HA! !E£N COM/I.LTCO
ON T1119 LOf 0Y TMe SuRVEYOR. T~E $U~TABIIITY OF NOTE: 6UILOINO pMFIVSION3 SMOMTI YtE
9V~L9 TO SUPibpT TNC S'ECI?IC HW3[ rROP05lD IS FOq FpRIZONfAL 0 VFJiT~C<L LOC-
NOT THE FESPONSIOILIT• OF TNE SUPVET00. aT10N OF $THUCTURE ONLY_ $EE
~ DENOTES PROPOSED SURFACE DRAINAGE BpF~pyNOAT10N o,MEHS~ s~~~~~a
O DENOTES IRON MONUMENT SET SCALE: 1 iNCH - 30 FEET
• OENOTES IRON MONUMENI" fOUNU PROPOSED GARAGE FLOOR - 9 39• 9 FEET
%OiU0.0 DENOTES EXISTING EIEVATION PROPOSED LOWEST FLOOR -932~3 FEET
(000.0) UENU7E5 PROPOSED ELEVATION PROPOSED TOP OF BLOCK -9~1G 3 FEET
WE HEREBV CERTIFY TO MUMES ttt C:MASE THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lai Cloek 2, MANOR LAKE 4TM ADDITION, oeeorClnp Toth~.r~COrG~d' ploT~ ~
f~fr~of, Dokofa County, Mlnn~aofo.
IT pOES NOT PUFPORT TO SMOW IMPROVEMENTS OR ENCROACHMENTS. EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION TMIS 16TH DAV OF JULY , 1892.
SIGN~' M R. HILL, INC.
Pq0?O![O ORADE! 1FIOWH WCI~E TAK[N '
I~IOM TH[ ORAOINO 0 DEVlLOPMlNT• ~ ~
rLAN..IqDV10[G YY MEDLUND B
' rLONNINO, 'lNOINEERING~ 9URVlYINO JOHN C. LARSON, LAND SURVEYOR ' '
~ ~ ~ MINNESOTA LICENSE NUM9ER 19B2B
~ o~N ~ o oy' )ames R. Hill, inc.
- r = O ~ ~ a ~ m ~c
O~ O CT O m y N <
m " ~ ~ ~ PLANNERS / ENGINEERS / SURVEYORS
' 2500 W. CTV. qD. 42 ~ BUFtNSVILL~, MN. bb337 ~ 812-880-8044
' RESIDE~ITIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reawrements RemodeN2eoair Reouirements Office Use Onlv
3 registered s~te surveys shoxing sq. ft. of lot sq. R of house; ana all ioole0 areas 2 mpies of plan _ Cert of Survey Recd
(20% maximum lot coverage attowed) 1 set of Energy Calala6ons forheated addi6ons Tree Pres Plan Recd
2 copies of plan showing 6eam 8 window sizes; poured found desgn, etc. 1 site survey for addNOns 8 Cecks _ Tree Pres Not Reqd
7 set of Enert~y CalculaUOns ACdtion -indicate rlm-sde sepfic system _ On-site Sepfic System
3 copies of Tree Presenation Plan d lot platted after 711193
Rim Joist Detad Options selectlai sheet (bWgs with 3 or less units •
Date 1~ Construction Cost ~ I~ 3?J ~•'f ~
Site Address ~d ~ T~_ UnitlSte #
~ cc a.rt m 5 si Z3
Description of Work { Y15'f'A I ~ r na A~Dl~ A~An a~~(X~ ~
~Iul[i-Family Bldg _ Y YY Fireplace(s) _ 0 ~ 1 _ 2
Property Owner _ Pj,t'r'ri/~~ °f-TOr('P c,r ~~r1 ~"'-~Z Telephone # ((p~/ ) `ts~ ,3
Contractor 7S~ns l SC..heO~,~~pX' Y'~ ~Uf~P~
Address ~S~S~ ~ City~~e yQ~~~
State n'lA, Zip J~ /Z~!
s Telephone # ( ) ~9 ~ -~(~Y~
' ~ /a ~ .
COMPLETE THIS AREA ONLY IF CONSTRUCTING A EW BUILDING
- Minnesota Rules 7670 Ca[eeorv 1 Minnesota Rules 7672
Energy Code CBtegory , Residential VentllaGon Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted
Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephone J ~
s~ ~ ~
Sewer/Water Coniractor Telephone ) • ~ ~ ~
~ '
E i
L==-=-=--- -
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
~om~~! ~en e~-~-z ~ _ ~
Applicant's rinted Name Applicant's Stgnature
s~`~17 RESIDENTIAL ~ ~
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reouuements RamodellReoair Reuuirements
• 3:ryislerea site surveys shcwing sq ft. ot;ol, sq. R. of house: and all roofed areas • 2 co0~es of plan
(20°o mazimum Iot coverage allowed) . I set ol Energy Calcula0ons for heated adeihons
• ? cooies o~ plan show~ng beam 3 window srzes, poured found tlevgn, atc.) . 1 vte survey for extenor adddicns 8 decks
• 1 sal of cnergy Calculauons . Indiwre A home served oy septic system for adaiUons
• 7 copies ot Tree Preservatwn Plan d lol platted aker 711/93
. Rim Jo~st DeWtl Opuans selecnon sheel (bltlgs with 3 or less unds~
DATE %~~-O-Z VALUATION
SITE ADDRESS C/X~ l~ocP~Q (%t,vcn,
~ MULTI-FAMILY BLDG _ Y _ N
TYPE OF WORK e-u- FIREPLACE(S) _ 0~ 1_ 2
APPLICANT A~n~~~
e
STREETADDRESS _ LleenNN20090911 CITY SiATE_ZIP
2700 N. tlMw I11~
TELEPHONE # RnxevNl~-IeN lSA~LL PHONE # FAX #
651/83~-25i1
PROPERTY OWNER TELEPHONE #
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
-
, ~
Energy Code Category _ >f1\'\F;SC.)"l'.\ RCI.Eti J670 C:~l'I:GORY I ~[I\\LSO~f.\ Rl LL•:ti J(i7`1
(v submission type) . Residen[ial Ventilation Category i Worksheet Submitted • New Energy Code Worksheet Suhmitted
• Energy Envelope Calculations Submitted . ~UJL ?
. ~v,, ti ~
Plumbing Controctor. - - Phonc # ~
- - -
Plumbina system includes: _ ~Vater Softencr Ia~en Sprinl:ler 3~ e: 590.00
~Vatcr Hcater No. of R.I. Ba[hs ~.y
~o. of Iiaths
Mechanical Contractor: Phone #
~[cchanicil scs~cnt indude;: :Air Condiuonin, rcc: 570.00
F[cal Rccoccn' S~'stcm
Sewer/Water Coniractor: Phone #
I hereby acknowledge ihat I have read this application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Ecgan Ordixc5h c2s.
Signafure of Applicanf ~y~frT~'(Gu~~ ~YGC~.ov
OFF[CE USE OvLY
CertiFicates of Survey Recerved _ Tree Preservation Plan Received _ Not Required _
Updated ~~02
OFFICE USE ONLY
? 07 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Owelling ? OB O6-piex ? 76 Fireplace ? 27 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07•plex ? 17 Garage ? 22 ?orch/Aadn. (3-sea.) ? 33 Ext. Alt - SF
? O~i 02-plex ? 70 08-plex ? 18 Oeck ? 23 ?orch (screened) ~7 36 Multi
? OS 03-plex ? 11 70-plex ? 19 Lower Level ? 2a Storm Damage
? O6 04-plex O 12 12-plex Plbg_Y or _ N ? 25 tiliscellaneous
? 37 New ? 35 Int Improvement ? 38 Demolish (Interior) ? a.i Siding
? 32 Addition p 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? ao Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booste ~µmp
~ ^
Nbr. of Units Sq. Ft. ~pRPFV
71
Nbr, of Bldgs Length ~~*~re Sp~rzklered
Type of Const Width [1f1~ Y" = '
12:; ix%'~~i
REQUIRED INSPECTIONS
_ Eoocin;s (new blde) _ FinaLC.O.
_ Footings (dzck) _ FinaLlo C.O.
_ Foonngs (~ddition) _ Plumbing
Foundatio n H V AC
Drain'tile Other
Roof _ Ice 1Vater _ Final _ Pool _ Ftgs _ Air,Gas Tesis _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air "Cest _ Fin~l _ Windows (nza•'replacement)
_ Insulation _ Rztaining ~~'all
Approved By , Building 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
Tota I
RESIDENTIAL
+ ~ I BUILDING PERMIT APPLICATION
G., CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
NewConsWCtionReauiremenls RemodeVRenairReauirementa a~ ~ ~
• 3 regislered site suneys showing sq. ft. of IoC sq. ft. of house; and all roofed areas • 2 copies of plan
(20°h maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showirg beam 8 window sizes; poured found design, etc.) . 1 sAe suney kr extenor additions & decks
• 1 set of Energy Calculations . Indicate'rf home sened by septic system lor additians
• 3 copies of Tree P25ervatbn Plan H lol Olatted after 717193
• Rim Joisl Detail OD~ons seledion sheet (61dgs wilh 3 or less unifs)
DATE ~ Zoo 2 VALUATION /P 9SD s
SITE ADDRESS %oDD A?E. MULTI-FAMILY BLDG _Y ?l' N
TYPE OF WORK STo.°~.: ~~Ai; D e_ S,A;,vG~F.tser',t ~~+~-S~:~ec%~fIREPLACE(S) _ 0~' 1 2
~
-~'&+6~ -r~~-i'-r-~'p~gt-~Ztt~--`.3EP6$RFiEb~--
APPLICANT olL.~ v ~w~~de'Qs Luc.
$TREET ADDRESS H~S Nu ('nu.vrY R~ D CITYAJEw B~%G[f~vvnl STATE /ti(~? ZIP SS!<Y
TELEPHONE # bsi-yB3-Sd99 CELL PHONE # GY/-2N8-77z8 FAX #~Si•ycS- 99~.8
PROPERTYOWNER Phr ~%e.P.¢EY Le,~J~TL TELEPHONE# ~S-'ISy y93~
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIKNLSO"1:A RULES 7fi70 CA'I'CGORY I MINNLSO'1'A RULLS 7672
(d submission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contwctor: Phonc # -
Plmnbing syste~n includes Watcr Sottener Lawn Sprinklcr Fee $90.00
VValcr Heatcr No. of R.I. Ballis
No. of 13ad~s
Mechanical Confractor: Phone #
Mcchanical systcin includcs: _ Air Conditioning Fcc: $70.00
Heal Recovcry Syslem
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.
Signature of Applicant G~td/~?ti~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundalion ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling O OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex 0 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? O6 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 Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code 2oning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Foocings (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 Stucco S[one
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Re[aining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
PERMIT 0 8 9 8
CITY Or EAGAN PERMIT TYPE:
3830 Pilot Knob Road B U I L D I N G
Permit Number: 001184
Eagan, Minnesota 55123 Date Issued: e 8/ 0 4/ 9 2
(612)681-4675
SITE ADDRESS:
601 TODD AVE
LOT: 3 BLOCK: 2
MANOR LAKE 4TH
DESCRIPTION:
"Building Permit Type SF DWO
Building Work Type NEW
U8C Occupancy R-3 M-1
Construction T.ype V-N
Zoning ~ R-1
Building Length 44
Building Width 48
8uilding stories ' 1
~
i.'i- i ~ ~ i~
,
~ . ' A` A' :A~ ~ : .
~ i/ ~
REMARKS: ~ ~ ~~C~
~
PRV S& W CONTRACTOR - ALTA MECH
FEE SUMMARY:
VALUATION 590,000
Base Fee $594.50 MISCEIlANEOUS $1,610.50
Plan Review $386.43 Total Fee $3,336.43
Surcharge $45.00
SAC j700.00
SAC $ 100
SAC Units 1
Subtotal j1,725.93
CONTRACTOR: - Applicant - S7. I.ICOWNER:
HOMES BY CHASE 16955337 0001619 HOMES BY CHASE
1601 KNOX CIR 1601 KNOX DR
BURNSVILLE MN 55337 BURNSVILLE MN 55337
(612) 895-5337 (612)895-5337
I hereby acknowledge that I have read this application and state that the
infiormation is correct and agree to comply with all applicable State of Mn.
~ Statutes and City of Eagan Ordinances. ~
~ ,~~-t--~
APPLIC NT/PERMITEE SIGNATURE ISSUED . SIGNATURE
INSPECTION RECORD ~ p g g 8
CITY OF EAGAN PERMITTYPE: eui~oiN~
3830 Pilot Knob Road Permit Number: 00118 4
Eagan, Minnesota 55123 Date Issued: 0 8/ 0 4/ 9 2
(612) 681-4675
SITEADDRESS: ~oT: s BLOCK: z APPLICANT:
601 T000 AVE HOMES BY CHASE
MANOR LAKE 4TH (612) 895-5337
PERMIT SUBTYPE: TYPE OF WORK:
sF owc New
. .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: PRV S& W CONTRACTOR - ALTA MECH
~
~
PERMIT N CITY OF EAGAN ~3,-~~ •~r~
Reuc7ivAtE 1992 BUILDING PERMIT APPLICATION _
~ 681-0675 ~
2 g RECO ~
,1UL . /
SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 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 1n which re uest is made or lot chan e is re uested once ermit is issued.
Date / / Valuation of work~7~P, 7~~
Site Address: ~ O / To ~.l
STREET SUITE M
Tenant Name: (commercial only)
IAT ~j_ BIACR ~ SUBD.~Zai1o/' ~4~-f~ 7~ P.I.D. k
Descri tion of work:
The applicant is: U Owner ? Contractor ? Other <oe8o~tee>
Name ,~i~~ ~'ti~s~ Phone S l5 =-r3~7
Property -~~ST F,RS,
Owner Address /~a / ,~oX
STREET STE /
City l~ //f~~~ State ~~'/n, Zip .~5-~3~
Company ~Qiy1~' Phone
Contractor Address License k llr/y Exp.
City State Zip
Company Phone
Architect/
Engtneer Name Registration #
Address
City State Zip
Sewer 5 water licensed plumber ~~JiiQ~G,. Processing time for
sewer 6 water permlts is two days once area as been approved.
I hereby acknowledge that I have read this application and state Lhat the information is
correct and agree to comply with all applicable State of 'nnesota Statutes and City of
Eagan Ordinances. --iT~ i i
Signature of Applicant: ~l
~
OFFICE USE ONLY
BUILDING PERMIT TYPE ~ . ~ ~ '
O O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ~116'Ba~m,~nt Finish
~ 02 SF Dwg. O 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck ? 20 Public Facility
O 21 Miscellaneous
WORK TYPE
~I 31 New O 33 Alterations ? 35 Tenant finish ? 37 Demolish
? 32 Addition O 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) I/Q/ Basement sq. ft. /i GO MWCC System ~
(Allowable) ~ lst F1. sq. ft. iui City Nater ~
UBC Occupancy 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster PumP
~P of Stories ~ Footprint Sq. ft. fire Sprinkler
Length yy On-site well Census Code id ~
Depth y,3~ On-site sewage SAC Codr. ~T
APPROVALS
Planning Building Assessments
Engineering Variance
RE~UIRED INSPECTIONS
? Site O Footing . p Framing Insulation
? WallboarA p Final ? Draintile ? Fireplace
Permit Fee wi~cco,: S 9'~0°~
Surcharge
Plan Review ~
License y~~+'2y ~
MWCC SAC z,~-ez : zzfi~z..i~.- ''~~f~
City SAC 5, ~_Z____--
Mater Conn.
Water Meter . ~X /S= yoo
Acct. Deposit -
S/W Permit ~
S/W Surcharge , D G~rd3, 5 ,
Treatment Pl . yyX 2 y_~~5, o i :
Road Unit
Park Ded. 7e3' ~Y
Trails Ded. y = yo
Copies /,S,I-~0 : /r
Other ~,sxZv j(,
Total:
'X,,s ~ /o.S
SAC % 2~5 3 -
SAC Units
P B1
ss«~. (od~/-Y6/Y f~{}1n'. rJ~tx~d~tn ~C.~" C9U/'~'pi~ i-iV`
SURVEYOR'S CERTIFICATE HOMES BY CF1~SE
REVIJ[D wuae
t~OGi710N 8-~2-92
~v ~~~~l~i~ :_.-r~~~~ I ~JI ~~vl%La :_.~-~~~i_
l~Vl.~ r~-~1_~~~~i illlv ( -^h~iJ i~~~L~~Til~~v
~ H ,',~-.z ~ ) 9500 NH9' 24~4T" E - _ 3 J "S~
- -n7 ~ r, ~ ` r- -
~ S~DRAINAGE 9 UTiuTV ~ 1
EASEheNT PER PLATf~
~ LOT 3
~ I C`JfG.f~ ~ ~
~i: ~ 4 ~ [ 7~~TG g~ I R ~ ~
~ i
~ ~I 19A2 w ~ b
o , ~~.o
_ Z~ G~ A, ~ i. Z .
^ PROPOSCD et~srirp
H HOUSE A M wUc
~ ~ ~ e~
,Q~ 9 1 p ~ ~ ` I ~ i
Gx1lT1N0 ~ ,
~e ~ I 1 ~ 9 °i9.6J F ~
~ - 1 ~ G4N. N
~ -1_~,.~.4_~_ ggFl~~~ ~
~
.wovoii~°v°K ~ I ~ . (`734.b~ s~e.e 1~~ \ ~ , ~
•~as.~~ ~ ~II
o g PROP03EU ~ g -
1 Mi RIVEWAY _
~ .~`~R~ ~ ~Q.t ~ ~53~,~
~'e1 99.00 N89°2447 E y° -Y~,
oaas aaai E~GA~~T ~.~~1.~~i.~°.~~ ~ 5i di~}~T
~o.- ~ _
M A
TODD AVENUE
_ _ - _
~
~"o ~~e ~~~~~e~'~~:~'
NOTE~ NO SPECrIC 9DIL3 INVWT6ATION MA9 lEEN COMR.ETEO l
ON TM13 LOf BY TME SV~ivEl'OR. TFE SWTGBIIITf ~f NOTE~ BVILOIN6 OIME?1310N3 SHOWN NiE
50~1.4 T~ SUGPDRT THC SF'ECIPIC HOU$[ rNOPO$!G IS FpR FqRIZO!lrAL 9 VERTICaI LOC-
NOT THE NESPON516IL~T7 Oi THE SURVEYOQ aTIpN OF $TqUC7URE ONIY. $EE
• DENOTE$ PROPOSED SURFACE DRAINAGE BpFO N AT ON DiMENB
ON$UILDIN6
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUNU PROPOSED GARAGE FLOOR - 9 39• 4 FEET
XO110.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR-932~3 FEEf
(000.0) UCNUTES pROPOSED ELEVATION PROPOSED TOP OF BLOCK -~f~I6 3 FEET
WE NEREBY CERTIFY TO MUMES EIY C.MASE THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEV OF THE BOUNDARIES OF;
Lat 3, Bloek 2, MANOR LAKE 4TM ADDITION. oceordlnq toTh~ r~eot~f~d' plot
th~r~of, Dakota County, Minn~soto.
1T pOES NOT PURPORT TO SNOW IMPROVEMEN75 OR ENCROACNMENTS. EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MV DIRECT SUPERVISION TNIS 16TH DAY OF JULY , 1g92,
SIGN~'.A M R. HIt..L, INC.
PROrOlFp OqADEB ~FIawH WlI~E TAK[N '
TH6 ORAOINO O OEVlLOPMENT~ ~
rLAH .rqOV10H0 YY MEOLUND ~ 6
rLONNINO, 'ENOINEERING, 9URVEYINp ~ JOHN C. LARSON, LAND SURVEVl7q ~ ' '
~ MINNESOTA LICENSE fJUM9EFi 18828
N
mN D~ D)ames R. Hill, inc.
o~ o~ Z ~ Z~ m~~ PLANNERS / ENGINEERS / SURVEYORS
o m <
2300 W. GTV. qD. 42 ~ BURNSVILL~, MN. 66337 ~ 612-890-8044
'J nlllll II! ~ . ~ . . . . .
----~~t~l~..~.-._C:?y.
C:1~`fsG - ' ' ~'.s'o~~E,, _ 3
siir AUhR~SSf • • •
-
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A`~'_._S 3,.~
i~r.~rnninr vonr~ncz snunnr: r~~oinr,r nr Fnut+
i. iuint. rxi~os~:u ~rnt.~ nurn . ' . " ~
. . . . . . . . _ ~ ~ t x
, d
inini_ nc~nr/r.r:ii.~~is nnr.n • , - y °
. , . , r-
~E--- e q f t x"II" G'~.n J_» ~
~ i
inini_ r.xr~~srb ~rnll nnrn cnLtvi.ntlnns~ ~
, .
In~,l r~poced ~a,ll . ' ~
' ninn nhovn f~nor'~ p 1 „ r .
. . ~ . . . . . . LL~~ C~ s f t ' ~ ~ `
n) l~tal tinll 47InJnF! ereai ~
)'i-3l~_ ~I,zed...... : :
J s n 1 t x u_ 1=-~- '-r~-
s-_~~
4lnsnd
I , - --V. . . . . . . ~ Rq f t x ~~U" -
+ I.,fnl d~,or nrcn
. . . . . . . . . _ ~t) ' ~q f t x "U" ~ ~3!tr • -l°. •~O
c) • l~~tnl al ldln{~ qlass;Joor Areq~'~ r , • ~
___l~f.~C--. h i„T~~i.: 3'~ s~~ r c x~„i~,~ ~~,,n
. _ , 2.-
~~Inzr,d.~..... S<I. << k nU~~
~i) l.,l~l flrcplacr_ ~rnll oren ^
_ _ sr, r~ x ,,-.~`L-__" _3;0;-~
in~nl ~rnll frnn~lnq n~en ~ . .
(Avni nqr. IfJ~)....... ~ C-" /
. . . . _____~1L,~ S q f t x "I I' ~ ~ ~ ~ ~e...~~.
-_s i ~ -
lotnl net tanli nir.n nbovr
fl~~n~' (Insulnlr.d)...... `/y!~'J Sq ft x . .
q) 7otnl ? ^ Q.'~
rl~n Jnlst .nren...... i-- ' .
~ C~ _ _ s r t x u . C?
`j( ~ ~
fr~lril (~~un~litl~~n '
ti~ita (rxprySr~I~........
" `J-__ S~~ (t
lr.ln~ fnvndnt~on .
wlndotd arqa............ ' ' n
+q ft x U
Tr~tnl nrt f~i~md:~~l~in' ~ ' i. • . . - -
irr~ nhovc,qrade~......~` ~Jr~ Sr~ I~ x~~Un J J) 90
~ v "
• intnl. r) th~~~ i) f~~l
If ltr~~~ p1 Ic tl~~~ s~,,,r n.,. or Infs thnn Itr.m pl. Yna hnve met lhe intent of
S.h.C. Sn[tl~n ~~OQ(~ 2.
~.~~~11j.~~ I~~~~~I~Ll:lllllli ~:nLCULAlIU115t ' ,
lolal ~exp~~SeJ • , '
~ ruuf/cclllni~ nrea.. 1
r..~r~~~ S~) . . . .
J) . lotal skylluht. nren.'......_~_Sq ft x"U'~ ~ .
~ .
) i. • , :
1:) 7otal roof/cr.lllnq fromin~~ "
arr.a ~Avcrn~~e If>>).. _~-~~Sn ~t x . .
. C`~/_~_ " ~ D.~_'
lotnl nrt InsuloteJ ~ ,
~
, iouf/ccllinq nica...... L) 9~ sry ft x"~~ 0 cy~ ~J~ ,
. ~ , . ~.L~~ 'a ..C ~ . .
~ , lUlAl. J) tl~ru I) ~ ~j~ ;
tnlnl'of pl~ ~s lhr. sainc as, or Icss lhon P2, you I~nvc mct thc iritent vF ~
I.(:. Sectlon GGnG (c) I. , ,
~ . '
. . • ' • ~ . . . ~.a.
~ . . ' ' ' ~ ~ . . ! . ~ . y.':'. .
. . , . , • . . . . '
, ALIEIU1/1tl• bUILUIIIR EIIVEL01'E UCSIr,N . ~
n irtlllzr. lL~~ l~~tn) crrvclopc sy9lem mall~od~ lhr voluos.e~toLllshed by tlie stnn
f i lr.~na r) nnd h4 Sl~al l not bc prcatcr thnn lhe !wn uf I tcme //l nnJ ~~2,
~ ' ~ 7. . .
3• _ + h, . '
rEitT~F.ir.nituu
I Lcrchy r.ertlfy~~hat I have calcul~~led Uic "11" far.lors nnJ "fl"
val~r~s hc~r,i~~ und U~ot thc Lulidln~~ hcrc dceerlbed mcets or cxcceJs the Stntc
uf I{liu~esola Enciuy f.onscrvatlun /1c1. ~
' ~ I
. i l qnnlu~c . `.'~".~-i--
. . . ~ ~ -9
~
~Y~.~~'~:.
. ' ~ ' CONSTR~CTI~N R VALUE
,r • , tEtLiNf SECTIqN (ltlSULATEU):
_ . 1 Interlor ir f11m (1.h1
2 ~v
3 - . a ' ~
3 4 y Exterior alr fllm sti111 n.~l
TOTAL R ~ .:Z (
U ~ 1/R ' ~~r~/
.
( 5 CEILING FRAMING SECTION:
1 Interlor alr flim • •~.f,l
2 ,P' 1~..c c~v.f .
AIR • VENTED ' " ~~a~e.n'" l.~o~sC <1t~, o0
Interior ai~ f 1m stt 1 0. 1
FLOW 5 inches so t'woo~ „~~y
TOTAL R ~/~13
U = 1/R ° •a~~
CEIL13:~ ;ECTION (IHSU4ATED):
~~q~-,~~,q~~«~~_~__.4~,qA7, . 1' Interior eir film ~.61
2 ' / o,
3
4 F.xteri~r air llm still 0. 1
TOTAI Fi =
~ ~ , U= 1/R°-
; y
l 2 3 4 5 CEILINr, FRAH1~lr, SECTION:
1 Interior air film (1.~1
~ VENTED Z
3
4 F.xterlor air ilm Still 1
~ 5 lnches soft wood
TO7AL R =
U= 1/R=
3 4 5
t,,~? ,
rA ~a~1a~~ , ~ r: i
.r: 1 Insicle al:• . ~.FI
, ; 3 . _ .
~.M I ,2 5 Outslde alr (ii. n,ll
~ ~
TOTAL R =
7~~
. - y. „ ~ ~R e
. ~
. _ L_
' ~ ' ~yrt CQI7STRUCTION ~ R VALUE ~ u;
' l1AL! FRAHIHG SECTION: ' ~ .
' 1 Interior a(r fllm q,(,q
y y
3 ~ In es so c wood G,S7
q i •i ~
~
5 i i . ~
F Exterlor atr m ~ ~
' TOTAL R ~
U' 1/R ~ o O
WALL SECTION (II~SULATED)
1 Interlor eir fllm ~,f,R
2 ~
3 9 ~~.C~~
4 i/ % ,6~
S _ yli~ s.~a.,"teF !07
R Exterlor alr film (1.17
TOTAL R ~
U ~ 1/R ° ,Oh~/v
RIH JOIST SECTIQN:
1 Interlor alr ftlm c1,6A
Z .O
3 ~ a T C.v ,
4 ~ r. ~ .
,
5 /t~~~ nlASSo:r<'7`,. ~7
6 Exterior air film f1.17
TOTAL R ~ ~~.D3
U ~ 1/R ° ,05f~
•p:A' •4
- ~ A,• FOUNDATION SECTION:
1 Interior alr ftlm ~,/,A
.A ~ 2 o
s , 3
4 Exterior air film q,~~
,aQ. ~,p,4 •i!~/,G; t~ T~TAL R / .<3
U ° 1/R - .0~~
SLAA ON GRADE
: -'a• , ,';.,-..;v; c~.,.,Q.
, •.Q• ; ' , ( q r ,~r', ,,~4 '~:,."n' _
~ Q~GI ,a• ,Q~ t ~ii A ~ ~ • 4 L1 ~ . +v ~ 1~~•-•~' a'I
~.4 . U.,~. ~ ,i~ • •q. ;.n'~'.4~ ~
q
'i ~'<S~
4 ~ . . .
' `'~Q` ~ . 4 • ~ d ~ ~ •
~ , ~ 9'
, Q,
,~~~''4" 4. .''Q, '
•Q,•,~ . ; • d. . Q: ;
a•,j•a.-'a 'a 4:~
o • ~ ~ q`~ u
~c~~~~~~~~~~~~~~~~~~~Sc~~~~~~~~~~~~~~~~k~
CITY OF EAGFlN
CASHIER: S TEFMIMAL N0: i63
DFlTE: 08/06/38 TIME: 15:00:40
IU:
NAME: TOf,REY I_. LENFRTZ
32i.0 9001 601 TODIi AVE 50.00
21JJ 9001 601 T(:1L~1'~ AVE 0.50
Total. Receipt Flmo~ln+,: 50.50
CR09F043
USF'k IL~: NANCY
~~X~~~%#~k ~k~C~kXc~%X~X~Xc%c %~%oXY~r,cX~#~C~C~%~%~k~C%~%c~k~%X~~k#~%Xt~k
PERMIT ~
l'CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u z ~ o z N c
Eagan, Minnesota 55122-1897 Permit Number: 0 3 2 7 9 7
(612) 681-4675 Date Issued: 0 8/ 0 5 J 9 8
SITE ADDRESS:
601 TODD AVE
LOT: 3 BLOCK: 2
MANOR LAKE 4TH
P.I.N.: 10-47278-030-02
DESCRIPTION:
Building Permit Type DECK
Building Work Type NEW
Census Code 434 AL7. RESIDENTIAL
REMARKS:
PLAN REVIEWED BY BILL ADAMS.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: OWNER: - Applicant -
LENERTZ TORREY
~ 601 TODD AVE
EAGAN MN 55123
(651)454-4934
0
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with ell applicable State of Mn.
Statutes and City of Eaqan Ordinances.
~ ~
APR ANTlPERMIT SIGNA E V9SUED BV.
S~~
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
-~y-~r.`~ ~ ~~I ~ CITY OF EAGAN
J ~ 3830 PII.OT KNOB RD - 55122
681-4675 ~
New ConstrucYion Reauirements RemodeVReoair Reauirements C~ O"~~~
? 3 rcgistered sde surveys ? 2 copies of plan
? 2 copies of plans (inGude beam 3 window s¢es; poured fid. Aesign; etc.) ? 2 site surveys (extenor additions 6 dacks)
? t energy ralwlations ? 1 energy calculations for heated add'Rions
• 3 copies of troe prcservation plan if lot platted aRer 7/7/93
required: _ Yes _ No ~
DATE: ~ CONSTRUCTION COST; l~~ °~O
DESC TION OF WORK: ~YLS'ITI.tC~ovl
STREETADDRESS: _ tQb I ~ocJ c~ ~P~~
,~/~I_1 . e
LOT: J BLOCK: SUBD./P.I.D. I I 1 Ol.{'~b~''
Name: ~P'~e{~-IL-, 61'11`~~ ~ ~Gt~~lif~ Phone#: ~S`1~"7"~~7
PROPERTY 1.az~ Pirst
OWNER ~pFj I I b d~ /"1 U.PJYU~-
Street Address:
City cGl qGL?\ state: Y~ 11-~ Zip: ~S~Z3
~ompa.y: J ~ Fi~one X:
CONTRACTOR
Street Address: License #
City State: Zip:
ARCHITECT/
ENGINEER Company: I V~ t"C Phone tt:
Name: Registration
Street Address:
City State: Zip: _
Sewer 8 water licensed plumber (new construction only): ~-`a Penatty appiies when address chang
and lot change is requested once pertnit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is correct nd agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances. ~
Signature of Applicant. "
nf-' n '
OFFICE USE ONLY I~ - i,
i" i
Certificates of Survey Received ~ Yes _ No I I I I
Tree Preservation Plan Received _ Yes _ No _ Not Requir ~ ~
~ a
OFFICE USE ONLY ~
BUILDING PERMIT TYPE
? 01 Foundation ? O6 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwelling O 07 4-plex ? 12 Multi Repair/Rem. O 17 Swim Pool
O 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
~ 31 New ? 33 Alterations ? 36 Move
O 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORIAATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowabie) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. ~
Depth Footprint sq. ft. SAC Code
CenauS Bldg ~
Census Unit ~
APPROVALS
Planning Building ~ Engineering Variance
Permit Fee Valuation: $ f2 C10
Surcharge
Plan Review ~
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acd. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
. •
PLAT MAP
Dormwe~iCheni Patricl< J. & 9'orreY 1.. I.enerLz Fe~hio 200~J%9f3,
PrapertyAddress fi01 T~dd Avenue
City Cagan r,w~~~iy ~ul:nta ~ si~~i,: 61N 71nr.od~ 551~'3
~er,d~r Princi ial ResidenLial blorlgage
° ' W~~ Il~U (IU V !~1/ ll~ ~~1~I~01~3 mr~rlrt~~L~71~~-d.5-lli_C ~:i u:.v'___ -_I2f;J_S
t~„y '(aii2l i,2 9G.00 ~ 96.00 Of.IX) -.~.06.00 103. I~1 ~ ~i G n
~6~ ~ ' n, bv
R~ o " „ (i~~(~;) Uw:.~~
e~ ~r,nu)` (~xiir,l ~y~ (iw~5) - o; ~ c
(0752) o~e,r. 1 .S ~v n r, ( ~ ~
_ x, ~ , , .5 , ~
~ - - lainl~. la~iel ~ I ~.f
r' n l°~ ISZ15 ~ ~ ~f ~ ~(M5I)
~ ; - _ _ <al a~. !1. y (i, 22.. , ~1~
. , , ~ ~ ~ ~ , ; f~ z~~~ .
~ ~'.i2. ~,i i~ 3 °fl~ „ ~1 i~. _ ~;iti~,
S ~ ` ~~u.~ c (anol u' Ol~x~) ° o Uxryli) Unc:) I n (oo~x)~
) ' „1' I , I i._ r: `i i~ _ r oC ~u h
~ ? 2 Il
~O 2 in 'R _ _ _ (n~tq- ^ ~ _ '~~J.~f49
~O IOl 12 ` 9'i. fl(11~ 9:i 00 ~ <J'i. ~i 5%
~ ui SY'
4~'Q~ nT1 i.nr ~ l ~
: - 3 ~
-ri _ . .~j_ t~ J - ,
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o~ IUO. A Y~ ~17: A. SU 97. CO I(YJ.
D2 rn ~~Y
(M31) pj p l1 ~ '
3 ~o~s~ ~ nil~ " ~17tru~sl'~ loazr,~ o (i~uis~> >s' 1
212.9N ~ ~~;t a'~ u; °i~ ~ (~bto~
qo a~_ 1 3 4 5 6 7 , ~
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~ u a _ f~ n t7 Fr' q q °'w
ios. ~ qy ~py ry(~ ~p ~ ~ryItt~,~y}ty ~
~0055) v~ II)1.61 Ub.lll y~J~~llll.i 9~~.U(1 I.l9.~1 \n ~ ~e
~ ~ ~ , ~ icon~l ,
~ ' J ~ wu~pn.~ey4'u+LYm,. ~d - O C Il C> ~ ~ ~ ~~~J~\ Y ~
I - I ~ c d S o 'I :~,~~.i ~ilm,s~ ~ 5~(('~.~~~
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~ r.i. ri __ti~. o i t;s on ar. oo ii. s~ /
~ [
~ 9 - ~l i(iCEi_;~ 11=-`_'~- \P, ~ , ~
~vo r~ `~J~l\ ~i, ~ ~ ~ / /
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REACTIVATE ~ CITY OF EAGAN
PERMIT ~k 1993 BUILDING PERMIT APPLICATION
,~,p~// S(
~ 681-4675
((i t/ V ~AN 2 7 Rr:r.~a
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 af
specifications, 1 copy of energy calcs.
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 ~ / / Valuation of wor ~o~O. (50
Site Address: loV ~~~Gd I-~3~~tAP~
STREET SUITE Y
Tenant Name: (commercial only)
i.oz ~,L si.ocx ~ SUBD. "`~~r P.I.D. K!b-~~~~-03~-02
~ O/l
Descri tion of work: ° iS i~
The applicant is: Owner O Contractor O Other toeso~;~~
Name P.?1PY-~L~ Tc~rrP~a ~I- I~a-~t'rc.K Phone ~s~ Y93~/
Property ~~ST FIRST ,
OW~Ef qddress ~o~ ~ c~ ~~t1V~~t.lA2 .
r_ STREE7 STE M
City ~-~AQiYI State m~ Zip-SS123
Company P.~~ Phone
CO~tf8Ct01' Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration ~
Address
City State Zip
Sewer & water licensed plumber ~f a Processing time for
sewer & water permits is two days bnCe area has been approved.
I hereby acknowledge that I have read hi aPPlication and state that the information is
correct and agree to comply with all p 1 able State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
r.. ,
BUILDING PERMIT TYPE ~
. .
? O1 Foundation ? 06 Duplex ? 11 Apt./Lodging ~ 16 Basefient Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool
? 03 SF Addition O OS 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex O 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
,~31 New ? 33 Alterations O 35 Tenant Finish ? 31 Demolish
? 32 Addition ? 34 Repair ~ 36 Move
GENERAL INFORMATION
Gonst. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy R-~ 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
~F of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code U~
Depth On-site sewage SAC Code
~-K- ~ _
APPROVALS ~
Planning Building Assessments
Engineering Yariance
RE~UIRED INSPECTIONS F~NtSH F'nwti~y {,'.~o.:+ B~'~wn~
? Site ? Footing ,C~ Framing ? Insulation
? Wallboard ~.'final ? Draintile ? Fireplace
Permi t Fee ~ L vai~ocs«~: S
Surcharge
Plan Review
License ~
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC %
SAC Units
I
~ 3 e~ ~ CITY OF EAGAN CITY USE ONLY
~ ~ PLUMBING PERMIT
SUBD. +-b~Y_ ~L (612) 681-4675 RECEIPT 5 S
DATE a
REBIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
NEW CONST ~ REPAIR/ADD ON 15.00
ADD ON ~ SHOWER 3.00 3•00
REPAIR _ 2 WATER CIASET 3.00 ~o.UO
I BATH TUB 3.00 3.ao
? IAVATORY 3.00 6-aD
OWNER NAME: WLP.F, ~V l_ InaSP_ _ ~ KITCHEN SINK 3.00 3.uo
T~IJ ~ ~ IAUNDRY TRAY 3.00 3•c~
SITE ADDRESS: ~QOI !O(]d /~V~L'.. HOT TUB/SPA 3.00
. I WATER HEATER 3.00
~ FLOOR DRAIN 3.00 3.~
INSTALLER: /-?~'}a, C.r[~, I GAS PIPING OUT. ~D
(MINIMUM - 1) 3.00
ADDRESS:~QoZ(oO mlLSy~lOY1 ~ OTHER oP~INGS 1.50 ~/'SD
n) WATER SOFTENER 5.00
CITY: rl^i ~-~t~ ZIP: ~S~J7oZ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
PHONE ~k : ~'I ~ D- ~ 7 7 9 _ W. TURNAROUND 15 . 00
~Q~d~ l ~/oAt~Y~ STATE SURCHARGE .50
SIGNATURE OF PERMITTEE TOTAL: S ~3g•~O
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
COiVTRAGi Fi2ICE:
SITE ADDRESS: 1X OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
TENANT NAME: EACH $1,000 OF PERMIT FEE.
SUITE $25.00 MINIMUM FEE.
INSTALLER: CONTRACT PRICE x 1X $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE :
FOR: (SIGNATURE)
CITY OF EAGAN
~ CITY OF EAGAN
L J' B~. ,p~ MECHANICAL PERMIT RECEIPT #/O 5~ %d"
SUBD. ~,~Tv~e~ (612) 681~675 DATE - G .l
' a 7
- RESIDENTIAL
PLEASE COMPLEl'E UPPER PORTION ONLY FOR SIIVG FAMII.Y DR'F.LLINGS. ALSO, COMPLEI'E FOR
TOWNHOMES/CONDOS R'HEN SEPARATE PERMITS ARE REQ FOR EACH DR'ELLING UNIT.
ow,v~t: ~y C c ~ ~Fs
STI'E ADDRFSS: n ADD ON/REMODEL (EXISTING S 15.00
l~ O~'~ 't-~ ~ e ~ CONSTRUCTION ONL7~
INSTALLER: , ~ AVAC: 0-100 M BTU 24.00
PHONE ~ . ` ~ ~ ~O ~ ~ ADDITIONAL 50 M BTU 6.00
ADDAESS: `t- b~ - ~ t~ GAS Oti iLEi'S - MINIMUM 1@ S3 EA. ~ ~p•~ ~
CT17': c-s ~~~C ~ ZIP:~, --Z,~- SURCAARG& S .50
SIGNAT[JRE ~ U~ Qy_ TOTAL: S aQ~~
{ ~
COMMERCIAL
PLEASE COMPLEfE THIS PORTION FOR ALL COMMERCWJINDUSTRIAL BUtLDINGS. ALSO COMPLEI'E FOR
APARTMENT BUILDINGS OR OTAER MUL77-FAMILY BUII.DINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNTf.
WORK DESCR7PTION: CONTRACf PRICE FEES
1~R, OF CONTRAGT FEE.
STATE SURCAARGE IS 5.50 FOR EACH
51,000 OF PERMIT FE& S
PROCFSSED PIPING - S25.U0
$
MINIMUM FEE - S25.oo
OWNER: TOTAL: S
SI1'E ADDRESS:
.
1'EPiAN'f: . . . . . . . . . :
SUITE
, .
: : , , : ; , : : .
. . ,
INSTALLER: . . .
ADDRFSS:
CI71': ZIP:
PHONE CTIT SIGNATURE
SIGNATURE
r/~~~~ 2006 RESIDENTIAL BUILDING PERMIT APPLICATIOA' ~
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWdion Reouirements RemodeVReoair Reouirementr OHlce
Use 0'nl`v
3 registered site surveys showing sq. R of lol, sq. ft. of house: and ali roofed areas 2 copies of ptan showing footings, beams, joisfs CeA of Survey,Recd Y~ ~~N
(20%maximum lot mverage atlaxed) 1 set of Ene~gy Calculations (or heated additions Tree P25 PWn Recd,
~~f` Y"~~ N
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree~P2s Required,~;~~,-'
:r Y.2_ N
lsetofEnergyCalculations Add'Aion-indicateilon-srtesept~csysfem Or~site;Septic,Syslem„_„_ Y-_N
3 copies of T2e Preservafion Plan if lot platled after 7/1193
Rim Joist DetalOptions seledion sheet (buildirgs wM 3 or less units)
Atinnegasco mechanipl ventAa6on tortn .
a~-
Date ~ I l ZD l V~O Construction Cost ~
Site Address ~p ~ ~ I/~ 7 ~v.Q,t'1.L.~Q _ UniUSte #
ra ~~~3
Descrip[ion of Work CornDI PsI-i01'~. (Yt~ YbUO~~~~ lYl 3/~ ~~t~hrcom D~'I 3rd ~~rn
rc~me, a 1 I ~l-,
Multi-FamilyBldg _ Y~ N Fireplace(s) _ 0 Z( 1 _ 2 , ~er~4,a~
"~,1c'1 ~I
0 ` ,1~JI ~ f ~ r
Property Owner ~-TOCYp~ L 2.~/~QX-{-"Z Telephone #(~W T S'7 -T q 3`l'
Contractor oX-+1~
Address ~ City
State Zip Telephone # ( ) - -
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission rype) Submitted Submitted
' . Energy Envelope Calculations Submitted _
In the last 12 monfhs, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: ~
.
Licensed Plumber Telephone )
Mechanical Contractor ~ ~ Telephone # ( )
Sewer/Water Contractor ~Y~ Telephone # ( )
I hereby apply for a Residential Building,Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
~D YYQ~.~ L2YlP~+-Z ~ '
Applicant' rinted Name App]icanYs Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation ? 07 OS-ptex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Exl. Alt - Multi
? 03 O1 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plez ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair
1~ 33 Alteration ? 37 Demolish Building` ~ 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handoiit to appliwnt ' ~ ~ ~ ~ ~
D05CflpflOfl: Water Damage _ Yes
Valuation ~ Occu anc 12 3
p y MCES System
Plan Review 100% or 25%
Census Code L( 3~ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) FinaUC.O.
_ Footings (addition) (~J FinaUNo C.O.
_ Foundation , _ HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs A'u/Gas Tesu Final
ZO Framing _ Siding _ SNCCO Iath Stone Lath Brick
_ Fueplace _ R.I. _ Air Tes[ _ Final _ Windows
_ Insulation - _ Retaining Wall
Approved By: ilding Inspector
Base Fee I
Surcharge ~L° ~
, .
Plan Review ~
MC/ES SAC ~
City SAC
Utility Connection Charge
S8W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
7~~1~3 st~. s~
2oos RESIDENTIAL PLUMBING PeRMir aPP~icaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675 ,
Please complete for modifications to existing residential dwellings.
Date I ~ I ~ / ~ ~
Site Street Address ~~c~ E 11`1 ~ S 5 ~2-3 Unit #
` ~ LFX~et'~'2- ~ 4 y-_ q3~
PropertyOwner ~I- Iorr Telephone# ( SI) S `r
Contractor S~-`~ Telephone# ( )
Address City State zip
The Applicant is: V Owner _ Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. lf you aie installing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
_Other: ~ bU'e r' \-e V e~l
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Totai $ ~~°Sv
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be revieC~PProved.
~n rrQM ~e~'~Z- ~
Applicant's ' ted Name ApplicanYs Signature
IJ V~ D ~-FO~
~~~~~e ~sa ~
~ ~]g'~7 ~
~ D I Permll Il: j/ /~O
City of ~a~a~ ' J*/~ ,
APR. 1~ 2009 ~ pennilFee._ L/ I
3830 Pilot Knob Road I ~
Eagan MN 55122 ~ I
I Dale Received: _ ~
Phone: (651) 675-5675 ~ ~ I
Fax: (651) 675-5694 ~ sian: ~
2008 RESIDENTIAL PLUMBING PERMIT APPLICATION
Dale: ~V V Sile Address: l(i._~_~ 1~
Tenan[:_ 1`~~.~e~(} J~~Z~ Sulle N:
RESIDENT/OWNER Name: 1 \~~QP_~ ) Phone. ~
1~~
ZZ ~D ~'~13t-~
Address / Ci~y / Zip Q1 T~~(~_(~U~.~ ~~.C~
CONTRACTOR Name:~~_C~ ~se 7l. LC~ C'
t __l--
Address' ~l -l~_~~~~ ~
City.'`~i'~ L~l_U ~1~..1~- S~a~e~e j~ Zip. I~ 1`Q--
Phone ~(~I 0 OI OIR~Conlact Person~y~_
TYPE OF WORK _ New f~eplacemenl _ Repair Rebuild _ Modily Space Work in R.O W
Descri Ilon ol work:
~ PERMIT.TYPE RESIDENTIAL'- ~ ~ °
~ . ' ~ . . Waler Healer ~ ~ ~ Waler Sollener ~ . ~ , • . ,
lawn Irrigalion Add Plumbiny Fixlures
RPZ PVB) Main Lvwer Level)
Seplic System Waler Turnaround
New
Abandonmenl
RESlDENTIAL FEES:
$50.50 ~dlrEmum Waler Flealer, Wate~ Suitenei, or Waier Heater and Soflener ~includes $.5o Stale Surchaige)
$30.50 Lawn irrigalion (includes $.50 Stale Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandom»enf, Water Turnaround' (includes $.5o Slale Surcharge)
'Waler Turnaround (add $136.00 il a 5/8" meler is required)
$100.50 Sep~ic Syslem New ($10.00 per as buil[) (includes Cowiry fee and $ 50 Slale Surcharge)
$90.50 Fire Repair (replace burned oul appliances, duclwork, elc )(includes $ 50 Stale Surcharge) T~71
TOTAL FEES $ ~ ~J
I hereby acknowledge Ihal Ihis informalion Iscomplele and accurale; Ihal Ihe wmk~will be m conbnnance wdh Ihe ordinances and codes ol lhe Cily ol
Eagan; Ihal I undersland Ihis is no~ a permil, bul only an applicalion lor a pennll, and wo~k is nol lo slait wilhoul a pernul; Ihal Ihe work will be m
acCOrdance wilh Ihe approved plan in Ihe case ol work which re~uires a review and appro ol pl n
x~ ~ ~~~'~t (Z ~ ~ ~
AppllcanPs~nted Name , A licant's Signature
FOR OFFICE USE Revlewed By: Date:
flequired InspecUons: _Under Ground _Rough-In _Air Tesl _Gas Test _Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA116222
Date Issued:10/04/2013
Permit Category:ePermit
Site Address: 601 Todd Ave
Lot:3 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
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.
Contractor:Owner:- Applicant -
Patrick J Lenertz
601 Todd Ave
Eagan MN 55123
Bulldog Contractors Llc
3300 Edinborough Way
Suite 201
Edina MN 55435
(952) 253-3350
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use I '77 City Ea Permit of Ralll 10~.~5
~ Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received:
I
Phone: (651) 675-5675 ,
Fax: (651) 675-5694 I Staff:
I ,
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 61 ~ Ta _kG4 1--~JJ - a' Phone: .S? ~3 9.~
Resident!
Owner Address / City / Zip: _ to dA Ate,
Applicant is: Owner Contractor
Type of Work Description of work: A Er-S i bE l J f~
Construction Cost: 2 416 d Multi-Family Building: (Yes /No Company: AL,20A. - "0 , Contact: 45-1
Contractor Address: 4119 / LALW& L ilkllz City: 5 1
State: lVkk-~ Zip: Phone:
License AC6 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
i6ui t_T AF7T)U /9 -19
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: j
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 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
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 State Building Code must be completed within 180
days offf permit issuance.
x ~'l'~L ss jf1 'iV6,AJ x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r----------------�
I For Office Use �
' � Permit#:�-7 ��v j
Clty of ����� C,� �-� ,
� �
� Permit Fee: I �.
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax: (651)675-5694 I Staff: I
I I
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: `T°����}�� Site Address: cpt�_+_ j���� �r�- Unit#:
���,���
tii x�;�i�wri ��a�iw��— i��Vu� r,
,���� Name:�CJ�tii :�bN-�,L}� ` ��,G6��;��.t� Phone:ro��—°�'c�2�- 6��=�1
R@�[d�i���� �
� �� ��'�� -"��'����� � �� Address/Cit /Zi
' -C��11�t14F ���- Y P�
��,:
Applicant is: Owner �Contractor
Description of work:_�,,��,G�c � �A�'T("6 ��
Ty�e of Work
` Construction Cost:���� �� Multi-Family Building: (Yes /No�
� �� � �, , = �' �� Company: _!�►of�%� �LQ� ��� Contact: (4a 5�
� ' °; �� ' ��
Con#rac#c�r; , Address:�7�`f L,�ul1,� �,� City: S"i�u,�-�d`�w
,on
�r � ��, � ���c State:�'�,l��Zip: 5���-Cs� Phone:�v-v�l�,.�f�=�1��.Q�mail:�t��:�4`'����a�reJG a(�
� L'v M,c st,°�� �aET
�' � �_ License#:�� �� 3�i Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
f�-n f.i,�i l.c,!Ars �,k,�--c s�F=r� l9°7�
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:
NC1TE:Plan��n�!sup�ortfng�lo��ments�h�ti�,�cr�su�bmit are�r�sfdere�i fcs�e publfc infr�rmatiQr�. P�rr�c�n�vf
the��r�ft��natic�r�rn�y��:�lass+fi'e��l;��n�a�pc�J��fc ifyc�cr�trc�v6al�:�p��1#�c re�sar�s:t��aa�wcrt�ld�p�ercr�it tf�e C�ty to
�'. � ' co»clr#�►e i��t t(�e' ?re r'ade��craf�. '.
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.caopherstateonecall.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 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 t%�J�S f�f� I��fIJ� X��� �
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
�_______________�-
I For Office Us �
Clt of �a a� ; Pe��t#:_ ��s�� 3 ;
Y � � �_— �
3830 Pilot Knob Road � Permit Fee: � I
Eagan MN 55122 � �
Phone: (651)675-5675 � Date Received: �
Fax: (651)675-5694 � I
� Staff: I
�-----------------I
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit tw (2)sets of plans with all commercial applications.
L L�'L�-C
Date: `JO"� Site Ad re s: -��
Tenant: C3�C Suite#:
Resident/Owner Name: ~ Phone: L�J�! ��(f�`"����
Address/City/Zip: B��
, Name: �i License#:
COtlft'aCt01' Address: � City: �'f/"�
State: /���%'�`�' Zip: ���� Phone: ����J�" � l �
` Contact: f 'F � Email:
New Replacement Addition I Alt tio Demolition
Type of Work ' Description of work: � . �-�.,� -t�
NOTE: Roof mounted and ground mounted mechanical eq;uipment is required to be screened by City
Code.' Please contact the Mechanical Inspector for information on permitted;screening methods.
RES/DENTIAL COMMERCIAL
_Furnace New Construction _Interior Improvement
PeCltlit Type —Air Conditioner Install Piping _Processed
_Air Exchanger Gas Exterior HVAC Unit
_Heat Pump y���� —Under/Above round Tank _
g �Install/ Remove)
�Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _ $ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
' $55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal =$ Permit Fee
"If contract value is LESS than$10,010, Surcharge=$5.00 =$ Surcharge*
""If contract value is GREATER than$10,010, Surcharge=Contract Value x$0.0005
""If the project valuation is over$1 million, please call for Surcharge =� TOTAL FEE
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 permit;that the will be in accordance
with the appro ed plan in the case of work which requires a review and approval of plans.
�/�,/ �
x // t X
App icanY Printed Name Applica Ys Signature
FOR OFFICE'USE
Required Inspections: Reviewed By:, Date:
� • Und�r�tind Rough In : AirTest Gas Senrice Test In-flo�-�ieat �I�•� HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148066
Date Issued:03/02/2018
Permit Category:ePermit
Site Address: 601 Todd Ave
Lot:3 Block: 2 Addition: Manor Lake 4th
PID:10-47278-02-030
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
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.
Contractor:Owner:- Applicant -
Patrick J Lenertz
601 Todd Ave
Eagan MN 55123
(612) 303-3596
Seasons View Window & Door Inc
4067 Eaken Ave SE
Delano MN 55328
(763) 972-6185
Applicant/Permitee: Signature Issued By: Signature
r • For OffiUse r `�
•.�.
,0 ..0 ::::e:
cejtp
��'
3830 PILOT OB ROAD I , Date Received:
(651)675-5675KNI 454-8535MN I FAX:55122-1810(651)675-5694
TDD:(651)EAGAN
Email: buildinginspections(a citvofeagan.com Staff:
Commercial Plan Submittal:eplans a(�citvofeagan.com L
2018 RESIDENTIAL MECHANICAL PERMIT APPLICATION
Date: Site Address: t(�`�°{ I C � r vt
---/..,6-2,.
__
Tenant: /��� �" C.-(i-' _ Suite#:
// < ° (f'k `
ReSident/Own+ Name: Phone:
Address/City/Zip: 01 7-;,,,r ��t/�
v Name: / (Ze" 4.7.)24/694(-e;--.1:11/41
9cti %-d( License#:
2�(�� `/oma, / d�
Contractor Address: JJ vG' �`7 T City:
J_63/
6'.57-?()Z,,, -,4‹./1,/
$( � /
State: Zip: Phone:
�' C.er GSL-_
Contact:
Email: �� �!� /
K RESIDENTIAL /
w :.
Furnace
v
,t; �� � � , � ,. Air Conditioner
f r it��e
Air Exchanger
Heat Pump
Other
sr_ '
New Replacement Additional Alteration Demolition
v# Description of work: ���1� cCGrne �`
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge =$ TOTAL FEE
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.
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 le-46-
with the approved plan in the case of work which requires a revie �•.r pproval of plans.
X �'bPt 7 ° ///15O _\ X
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE . °M
2eq'ffuireds State Su .11::t: : Reviewed By w Dat
Underground, r Rough In Air Test Gas S ME`ce Test In floor a$ Final
1 REVISOR 1346.6012
1346.6012 IFGC APPENDIX E, WORKSHEET E-1.
IFGC Appendix E, Worksheet E-1
Residential Combustion Air Calculation Method
(for Furnace, Boiler, and/or Water Heater in the Same Space)
Step 1: Complete vented combustion appliance information.
Furnace/Boiler:
Draft Hood Fan Assisted VDirect Vent Input:
(Not fan assisted) &Power Vent 60,000 Btu/hr
Water Heater: i Ot C7f-
(IQs a Co,mAcrs-boor, all-
Draft Hood Fan Assisted Direct Vent Input:
(Not fan assisted) & Power Vent 38,CO0 Btu/hr
Step 2: Calculate the volume of the Combustion Appliance Space (CAS) containing
combustion appliances.
The CAS includes all spaces connected to one another
by code compliant openings. CAS volume: ft3
Step 3: Determine Air Changes per Hour(ACH)1
Default ACH values have been incorporated into Table E-1 for use with Method 4b(KAIR
Method). If the year of construction or ACH is not known, use method 4a (Standard
Method).
Step 4: Determine Required Volume for Combustion Air.
4a. Standard Method
Total Btu/hr input of all combustion appliances (DO
NOT COUNT DIRECT VENT APPLIANCES) Input: Btu/hr
Use Standard Method column in Table E-1 to find Total
Required Volume (TRV) TRV: ft3
If CAS Volume(from Step 2) is greater than TRV then no outdoor openings are needed.
If CAS Volume (from Step 2) is less than TRV then go to STEP 5.
4b. Known Air Infiltration Rate (KAIR) Method
Copyright 02009 by the Revisor of Statutes,State of Minnesota. All Rights Reserved.
��Tv�a D r For Office Use
91*
::::::e .
OCT 10 20196
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:
buildinciinspections(a�cityofeacian.com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 601 'I'Dcicl A/eruke—i 49af) 6. 123 Unit#:
Name: cl4br reNt erh.. Phone:65/��710 i%L7s
Restdeptl ii /�
Owner Address/City/Zip: �D I 1 cU Ave ) 1Qq Q-Y1 Ind SS 12
Applicant is: y Owner Contractor �`JJ
{oIw n �, q1,CtYY\TP e O#Work Description of work: i"I YIS1 L+' Ie_velf �/CJ 171 + sD
.
Construction Cost: 15lb 0o Multi-Family Building: (Yes /No ✓)
Company: S C. Contact:
Contractor Address: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
Ad"( !:r
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 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 they are 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.citvofeacan.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.gopherstateonecall.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 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 appr al of plans
x Drie-rinLe ti x
Applicant's Pted Name Applic is Signature
DO NOT WRITE BELOW THIS LINE r I OG /-U .
SUB TYPES
_ Foundation _ Fireplace — Porch (3-Season) _ Exterior Alteration(Single Family)
Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex )( Lower Level Pool _ Accessory Building
WORK TYPES
_ New I_ Interior Improvement — Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair Egress Window Water Damage
Retaining Wall I *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation ! 907 Occupancy ZG l MCES System
Plan ReviewCode Editioni5 SAC Units
(25%_100% y ) Zoning /—/ City Water —
Census Code i2',347 Stories -- Booster Pump — 1
#of Units l Square Feet — PRV —
#of Buildings / Length — Fire Suppression Required '—
Type of Construction Width `
REQUIRED INSPECTIO S
Footings (New Bui ding) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) Final/No C.O. Required —
Foundation Foundation Before Backfill HVAC Service Test Gas Line Air Test Hood
Roof: Ice &Water Final Pool: Footings _Air/Gas Tests Final
4- Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Roush In _Air Test Final Siding: Stucco Lath Stone Lath _Brick_EFIS
Insulation ,Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In Final
Braced Walls Erosion Control
Shower Pan Other:
il
Reviewed By: ,i!' ' i , Building Inspector
RESIDENTIAL FEES 'l l g ice /J /5/P- --�/ �
Base Fee / 77
Surcharge
a
Plan Review // .%
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Radio Meter Read
Copies
TOTAL
Page 2 of 3