2120 Wuthering Heights RdDuplicate Per'"' f or;g;"41 r~itspktcPCl'
INSPECTION RECORD
OiV OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number.
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I N(; 111 I IIII I '. RD I
PERMIT SUBTYPE: TYPE OF WORK:
t4 f 1•J
INSPECTION TYPE
.DATE INSPTR. INSPECTION TYPE DATE INSPTR.
I PI ,Iil is I I cip} ' ? I N:i! .
k1 HAi+tt I. i `; 1- 1.1 1-I HI
Ft11111kI It 1NI
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC KO o???
ELECTRI (?5 Q 8 dD
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
N
Rough Mg.
Isul.
Fireplace l?0/7 g &-4
Final Htg. ale,
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
Bldg. Final
a
Deck Ftg.
Deck Final
Well
Pr. Disp.
Werti f irate of cccuvanc?
(FU4 of Oagan
2 cat of Vaubbis 3notedox
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
Use Classification: S' DW Bldg. Permit No. 27736
Occupancy Type RIAM I_ Zoning District 1 Type Const. va_
Owner ofBuildingSF'.A.S{W - TJXIRS_DE Addtess65M CtY7PP , `M
Building, Address 2120 MT11MTW, HF:TrjM iX1ATlLocality T_? RI mare
Date:
Building Otfkud
POST IN A CONSPICUOUS PLACE
Address 2120 wunmmac HEicarrs ROAD Zip 5512 2
Lot , 2 Blk I Sub STEVENS
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Dater ,2/ 9,f- Yes No Inspector: V
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage t/
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn 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
?M 28 62 5 5
Request a n F' o. Rough-in Inspection
IR ?
es r] No NOTICE: You Must Call Electrical Inspector
f A Rough-In Inspection
Is Faceted,
I Vicensed contractor ? owner hereby request inspection of above electrical work at:
Jo s SV ,Box r R to No.) City
semion No. Township Name or No. an a No. Cou 1
fL
ilsl) Ph j
I
Pow upplier Atltlmss
EV nl Contra r ('Dr_ nir ors n o /1,
oy
M 'll tltlr on ractor o n r Making Installatio) Ilk
:An z ignalum ( ctor/Owrrer Maki s ti e u r
MINNESCTA ST E BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-113 BE ACCEPTED BY THE STATE BOARD
1621 University Ave., St Paul, MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0600 ENCLOSED.
01,pgl9 REQUEST FOR ELECTRICAL INSPECTION
I? See instructions for completing this form on back of yellow copy.
M, 2 8 2 6 5 _ X",9elow Work Covered by This Request
EB-00001-08
?? . f5aoy?
e Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building yer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Contractor's Remarks:
Compute Inspection Fee Below;
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 70D Amps
Transformers Above 200_Amps Above t00_Amps
Signs Inspectors Use Only: TO AL
Irrigation Booms O
Special Inspection
Alarm/Communication ISCONNECT
T
THIS INSTALLATION MAY BE ORD ED IF NO
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rough-in Date `?j
/-6
certify that the above inspection has
been made. Final oat
OFFICE USE ONLY
This request void 18 months from
a
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-72570-020-01
DESCRIPTION:
PERMIT
) 0116h5 CR. 11519
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
022236
10/15/93
2120 WUTHERING HEIGHTS RD
LOT: 2 BLOCK: 1
STEVENS
B,,Ullding,Permit Type SF DWG
Building WoIrk Type NEW
,-'UBC Occupancy, R-3 M-1
Construction Type V-N
Zoning _ R-1
Building Length 37
Building Width 46
"i
REMARKS:
S & W PLBR - PLUMRITE INC
FEE SUMMARY.
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
VALUATION
$545.00
$354.25
$39.50
$750.00
100
$1,688.75
$79,000
MISCELLANEOUS $1.744.50
Total Fee $3,433.25
CONTRACTOR: - A P P i i c a n t- 61. L L{ OWNER:
SEASONAL BLDRS INC 14545971 0001652 SEASONAL BLDRS INC
4580 SCOTT TR 210 4580 SCOTT TR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-5971 (612)454-5971
210
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 Mn.
Statutes and City of Eagan Ordinances.
L
J
` N w R.aAl =1'11
A LICANT/ ERM E SIGNATURE ISSUED B : SIGNATURE 'C
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: LOT: 2 B L O C K : 1 APPLICANT:
2120 WUTHERING HEIGHTS RD SEASONAL BLDRS INC
STEVENS (612) 454-5971
PERMIT SUBTYPE:
SF DWG
TYPE OF WORK:
NEW
BUILDING
022236
10/15/93
INSPECTION TYPE
FOOTING .DATE INSPTR. INSPECTION
FRAMING DATE INSPTR.
INSULATION FINAL
FIREPLACE
REMARKS: S & W PLBR - PLUMRITE INC
RE4CTIY>F -------------
PERMIT #
'11/1 1?0
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, I set of
specifications, I copy of energy calcs.
Penalty applies: 1) when ppermit 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.
l? q
Date Valuation of wor
h1_ kozl
Site Address:
STREET - SUITE 0
Tenant Name: (commercial only)
LOT BLACK L SUBD. Q P.I.D. x
Description of work: C?
The applicant i s : Owner Contractor D Other (Describe),
Name Y)J J/? &_&(I) Phone
Property EAST FIRST
Owner Address
STREET STE 9
Zip
City State
/
' f
rS Phone 7 7qi 99
71X
_
,
Company
M Lo ?d' Exp
e
Licens
.3-IS
" ?t
?' 21U
Contractor _
,
Address rr
?
e
?
?
City StateZip -
Company Phone
Architect/
Name Registration
Engineer
Address
City State Zip
Sewer .& water licensed plumber P Processing time for
sewer & water permits is two days once area as been approved.
I hereby acknowledge that I have read this application and state that the information is
licable State of Minnesota Statutes and City of
ll
app
correct and agree to comply with a
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
fr .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ,xl" 16 B'"&ent Finish
19 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. `iw 'D 17"SQ m-Poo1
? 03 SF Addition ? OB B-Plex ? 13 Garage /Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Ple x ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Addl. ? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
1W 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INF ORMATION
Const. (Actual) V-ICJ Basement sq. ft. MWCC System ?(rc5
(Allowable) V- N 1st F1. sq. ft. City Water G5
UBC Occupancy 3 M-? 2nd F1. sq. ft. !- PRY Required
Zoning Sq. Ft. total Booster Pump
l of Stories Footprint Sq. ft. Fire Sprinkler
length On-site well Census Code 101
Depth y6, On-site sewage SAC Code
APPROVALS i.
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? Framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
SAC Units i
MST i wo 1 UOC? WS= / S? ono
'BSh'IT c I poo
I's2 Xio%t = I b
I'?2Xlly.__;Ib?
10,41 x5't% 5
7 zs??
Valuation. $ R.?d a _
, AR/Us l X 2 2 41 q o X 1("= r? C> L
P? T? a4k3u, 8'!te
s?k5? 4a
12XJZS 14y
10/19/1993 16:21 6124691899 WESTERGREN &'ASSOCIT PAGE 02
(geriifiratt of illrU P1,
prepared for:
SEASONAL
BUILDERS, INC.
NOTE
WXf7 R"ANONS &
Mil"WONS PRIOR TO
C0NSTRUC770N
BENCIBURff
ata.m79218f
dno,J Pt o vft . = 777.47
LOT 2. BLOCK 1,
STEVENS ADDITION
according to the recorded plot thereof.
DAKOTA cOUNTY, MINNESOTA
4e;jh4, Qttd
lit = 30'
SnUrgren & .flssnriatts, 3nr.
---- ZAIM SURTZ7YORS ----
8500 11aTH MEET WEST LAKEVILLE. MO SOTA 55044
PHONE : (811) 469-1899 Fat: 469-1999
as shown and
Z??O vWAeW^9
o Denotes iron monument
983.5 ¦ Denotes existing elev.
(987.0) Denotes proposed elev.
® Denotes Off-Set hub
9 A''i7 = Top of block elev.
= Top of fin. garage floor
= Top of basement floor elev.
Indicates direction of surface drainage
l hereby certify that this >s a free and correct representation trod of /and
hereon. Ae jowared by me on this _ r d9Y of OCTOBER ? 199'1'
Held Book 12 1B W04"
Job No. !!s6! Pf a Ada
R-96%
/10.1 u
Minnesota Registration No. 19790
6124691899 10-19-93 04:26PM P002 #44
?i
J
t'
LOT SURVEY CHECKLIST FOR RESIDENTIAL
W BUILDING
Q PROPERTY LEGAL: 0 e
m
DOCUMENT STANDARDS
APPLICATION
Date of Survey: $z 3
? 0 Registered Land Surveyor signature and company
[? ? ? Building Permit Applicant
D" El ? Legal description
e 0 0 Address
0 0 North arrow and bar scale
0? 0 ? House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
9? 0,4 - Directional drainage arrows with slope/gradient ?.
?t,ST ? Proposed/existing sewer and water services
D" ? 0 Street name
0' ? 0 Driveway
ELEVATIONS
Existing
0 Er ? sewer service
? ? Lot corners
I 0 0 Top of curb at the driveway
U? B? ? ? Elevations of any existing adjacent homes
Propose
p ? Garage floor
0 0 First floor
0? ? ? Lowest exposed elevation (walkout/window)
D ? ? Property corners
0? 0 ? Front and rear of home at the foundation
PONDING AREAS_tif applicable)
? t' ? Easement line
? D' ? NWL
? 2i ? HWL
? ? ? Pond # designation
13 -Ff ? Emergency overflow Elevation
DIMENSIONS
0, ? ? - Lot lines
0' ? 0 Right-of-way and street width (to back of curb)
? ? Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
' structures requiring permanent footings)
ithi
?
O ? Show all easements of record and any City n
utilities w
those easements
01?'? ? Setbacks of proposed structure and setback of adjacent
-1 existing homes
? 0 0 Retaining wqL?l reVirements, if any
Name/ / , /
October 1992
EXTERIOR ENVELOPE AVERAGE "U" CONFUTATION
Plan # 2012 Date 10C,-G.':;
owner l u.I z -1=`/s L "z? 1.aa slr z?- -
Contractor __5esonal_ui T
lds___ ________ _____ ______
Site address
I)Total. exposed wall area ___ _199 --- _so,-f
2)Total exposed roof/ceiling _1082 __
- _s.ra_ft__ G2o=_ =28_?_
Wall calculation
Total window area c-
Total door- area _ 38 sa.ft.
Total glass door area - --- na 22=00- 00 -
Total fireplace area - --- na___ _
Total wall framing area _ __74 __ _=g_ft._
Net insulated wall area _ _ 02 -_ sg_000 91' -A6_s_
Total rim joist area 1_6 a.r .04= 5.4
Total foundation area
- i"'_9
--
--- w Et.
- .1.4 -- 17.-°-
=
Total foundation window on 2n c i
3)Total 12?.5
If item is the same as, or less than item 1, you
have met the intent of 2 MCAR1.1600B A and O
Roo+/ceiling calculation
Total skylight area
Total roofceili.ng framing
Net insulated roof area ---X7%4----49
4)Total _?4.2
If item 4 is same as, or less than 2, you met the intent
of 2 MCAR 1.16008 A and O
Alternate building envelope design
to utilize the total envelope system method the sum of
items 1 and 2 shall be greater than the sum of items
3 and 4
1) +2) --•-------.._.__--------
I hereby certitfy that the building here de=scribed meets
or exceeds the state of mi.nnesota energy conservation act.
G 4
Si gned__ 1 ----
WALL CONSTRUCTION
2x6 w/ Bildrite
Framing section
1. Interior ai.r film
1/2" gyp. Lid.
5 1/2" of soft wood
4. 25/7-2 bil.drite
5. Siding
6. exterior air film
Total R
U 1/R
Insulated see-tion
1. Interior air film
?yp. bd.
5 5/8 batt. ins.
4. ,;.5/72 biidrlte
siding
6. exterior air film
Total R
U = 1/R
Rim jgist section
I Interior air film
5 1/2" bett ins.
3. 1 1/2" wood
4. 25/32 bildrite
5. siding
6. exterior air film
Total R
U = 1/R
Foundation
1. interior
1' styro
12" r_onc
4. exterior
?ecticn_
air film
ins.
b 1. 1:: .
a i r f :i. 1. rn
Total R
U = 1/R
.68
.45
6.87
2. O8
.81
.17
11..06
.09
.66
.45
i 9. ! l
17
7-.1v
047-
.68
19.0
1.89
... C!8
.81
. 17'
24.6'
---?=y4
.68
5. CGC;
1 . ?'.8
.17
7.1
.14
C_C_IL_IN_G_ CONSTRUCTION
R- 42.0 blown ins.
Framing _section
I. Interior air
2. 5/8" gyp bd.
3. -3 1/2" wood
4. 10" ins.
Total R
U = 1/R
film .68
.56
4.37
__.24
_7-_8. 85
.026
Insulated- section
1. Interior- air film .68
2. 5/8" gyp bd. .56
14" insulation A2.i?0
Total R _-_ 24_
U = 1/R 023
Sgeci..al c0rld7_tl211
n/a.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------- - ------ -
NO. FIXTURES EACH
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00 ?•??
_
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 o 0
HOT TUB/SPA 3.00
1 WATER HEATER 3.00 ° b
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - 1 3.00 3 °p
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • Daixty, iic. 15.00
U.G. SPRINKLER • home under cont. 3.00
ALTERATIONS • to casting 15.00
WATER TURN AROUND 15.00
STATESURCHARGE
TOTAL:
SITE
OWNER N
INSTALLER:
CITY: -,--'-
PHONE #: (bl r )
PHONE
r
IA
STA'
.50
ZIP CODE:S_S__674
SIGNATURE OF PERM EE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE 0 17-T3
FEES
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS (MINIMUM I @ 53.00 EACH)
ADD-ON/REMODEL (EXISTING CONsmucnON)
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
INSTALLER
ADD
CITY:
TELEPHONE #:
ST.
$ 24.00
6.00
•w
$ 15.00
.50..V
TELEPHONE #:
ZIP LODE:
1993 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN SS122
(612) 6814675
L BL CITY USE ONLY RECEIPT#: (L a 2 4" r,
? ?/?,c?- S?=
SUBD. (lC0,flL? DATE: 5 96,
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
New- construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: 8- a'9 b
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each)
? State Surcharge .50
TOTAL .5?
SITE
ys? -??3`I
OWNER NAME: S ?v Mo oc? PHONE*
INSTALLER NAME: 'X QP\ e - u?C P N2.? A?? o A ?.4? o„? •? ia:.n?
STREET ADDRESS:
CITY: \ ,.\G a •`? STATE: M? ZIP:
PHONE #: (\P\.?L
t,
!"
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA154568
Date Issued:04/01/2019
Permit Category:ePermit
Site Address: 2120 Wuthering Heights Rd
Lot:2 Block: 1 Addition: Stevens
PID:10-72570-01-020
Use:
Description:
Sub Type:Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of house wrap and leave on site for 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: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Donald R Willinbring
2120 Wuthering Heights Rd
Eagan MN 55122
Applicant/Permitee: Signature Issued By: Signature
' , r For Office Use / �7/
Permit.: /9/k 7 cv
, E AGA N
Permit Fee: 60 .a0
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:
buildinoinspectionst citvofeacian.com
u /20 19 RESIDENTIAL PLUMBING' ` PERMIT APPLICATION
Date: 1 `9 —1 1 2 `�
9 Site Address: 2
0 ) U4 Q- t t k
� 5
Tenant: Suite#:
Resi ent n ner'
Name: �CM1 W i Phone: L01Z- 3 ce 3 3`\ l CP
Address/City/Zip: 'Zia `�"
Name: License#:
ContractorAddress: City:
State: Zip: Phone:
Contact: Email:
New Replace ent Repair Rebuil odify Space Work in R. :W.
Type of Work — J �9// /�
Description of work: 1 hcr vi �/- f�` (/!/ / ` /14
Water Heater
Lawn Irrigation L RPZ/_PVB)
Water Softener
Add Plumbing Fixtures( Main/_Lower Level)
DescriptionSeptic System
Description: Ri0J% — 10 ► cu41 Pki
_New
Abandonment Connection to City Water from Well kt4C)W`1
RESIDENTIAL FEES
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 New fixtures, adding or removing piping (includes State Surcharge)
$60.00 Septic System Abandonment
$100.00 New Residential (fee collected with Building Permit)
$115.00 New Septic System (includes County fee and State Surcharge)
$60.00 Connecting to City Water from Well*+$290 for Meter and $190 for Radio Read = $540
*Sewer&Water Permit also required for connection charges
TOTAL FEES$
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.000herstateonecall.orq
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.citvofeagan.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
accordance with the approved plan in the case of work which requires a review and approve plans.
X Do Nio (� \Ai tl 1 v\b-t t v -
Applicant's Printed Name Applicant's Signature
Page 1 of 2
FOR OFFICE USE.
P Revv►,�Ir•
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3830 PILOT KNOB ROAD(651)I 675-5694 building EAGAN, MN 55122-1810
(651)675-5675 TDD: (651)454-8535 FAX: tionsaC�citvofeaaan.com
Page 2 of 2
r For Office Use A`1
% % 1 1 ,�t Permit#: /SSv�o'7' r I,�
•�•• C.,EIVED Permit Fee: o-63, -711"
'
APR 17 2019 Date Received:
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TOD: (651)454-8535 I FAX:(651)675-5694 Staff:
buildinoinspections@citvofeagan,com
2019 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -I-1- i `i Site Address: c. W U 114£1 c-- 14 t` 1 vtFs Unit#:
Name: NO W,. l % l., Phone: IR1?'3co3' qt
Ramat '
ovAddress/City/Zip: 421 10 UJ a4 I-1/f,4) 'r5 (2J •
Applicant is: jC Owner Contractor
Description of work. T'i�t-o-k �C1 Cons► ", - A/t�.J CAet Aft I 5,..e/lit/ 1
Type of Work • k.1-L*. .\;
Construction Cost 5- 0`o Multi-Family Building: (Yes /No
Company: Contact:
contractorAddress: City:
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
64,4 �� M13 - I9srz �.q . 1 Ba,ka �.�
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 `'C No If yes,date and address of master plan:
17
Licensed Plumber: 06.fik- --- Phone: ( 2 5(0r59lr
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
sarebe . Portions of the information may be
Nom i �d a�d�iwrte�s that you utx�it considered to public
clashed : non u ;.:'.i ..;„Y, a t..,rE;i reaso F , . the P• • a are trade .
rA.
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.cltvofeacan.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.000herstateonecall.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
acco •fj•=with the approval plan in the case of work which requires a review and approval of plans.
X �� x
Applicant's Printed Name Applicant's Signature
/iSD(�
DO'NOT WRITE BELOW THIS LINE „:949.0„:949.0Idum6e,1 lC �t ,� is /
SUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
y) Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi _ Deck — Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level — Pool _ Accessory Building 1
WORK TYPES
_ New )0 Interior Improvement. _ Siding _ Demolish Building*
V Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation
3 P/ 6 1 6 7 Occupancy11;e �{ MCES System
Plan Review Code Edition Jlh? 2o 1 C SAC Units
(25%_100°/0 ) Zoning 12-- I City Water
Census Code Stories Booster Pump
#of Units Square Feet b P. 7 PRV
#of Buildings Length 2 `f Fire Suppression Required
Type of Construction l/e Width ID (s ae yu e f)
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) 1° Final/No C.O. Required
Foundation ? Foundation Before Backfill HVAC Service Test Gas Line Air Test_Hood
Roof: p Ice&Water Final Pool: _Footings Air/Gas Tests _Final
c Framing 30 Minutes 1 Hour Drain Tile
Fireplace:_Rough In Air Test _Final Siding: _Stucco Lath X Stone Lath _Brick_EFIS
'p Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: Rough In Final
Braced Walls Erosion Control
Shower Pan M. Other:
Reviewed By: -TOM - "�/�j� , Building Inspector
RESIDENTIAL FEES Li---0 49 f,,Q 6 cf 7 s9- fr ii e ,I
Base Fee
Surcharge J 277 74,1 .0 ` 4/0.
'lD• 4-1 ( Sf.FP
Plan Review
MCES SAC -f C 1\e fl Rvv‘of( / 44'4 51 • ''.-
CitySAC _ � 2o•ca ,'•Fj
Utility Connection Charge 2-6-K, V
SSW Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
WG.7 IGIvVmGI1 a R7.JVV11
. ,.,. ...
(Ln'tiftrait xrf Bourtteg /� '' ILII
4.4 .8.406m, •
prepared for: LOT 2, BLOCK 1 ,
SEASONAL STEVENS ADDITION
according to the recorded plat thereof.
BUILDERS, INC. DAKOTA mum MINNESOTA
Z1IO 4(Lcksev Ale; his Qac 40i
•
AS'C'ALE' : 1" = 30' '' �
e'A / %4 �� ' i� /
05 , l /
de,► $ I /
40 048 , ''
NOTE � ,�' l ..
vim'ELIY4TIONS & 4
CIS 1
D�'x.SlONS PRIOR IV -i-. ' �, �' ���'� l
03
CONSTRUCTION ION � 'o b 641. � ..,
lit
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g� .a, ter, ,.,w i q
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boa• AL I, ____ - , lei, „kitty s AI?
i.
k ,
y / „ \ti,.0
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, i/ ~� t‘' � LOT
ov, I `. •if l
I 19.
s� b r„ . l iBLOCK c purfr
• 11 7 `'
11Y.(744.0 4.
N 89°58'00" E 163.41
BENCHMARK I LOT 1
Iflom11.4 # 9 t ., 792,31
Am...4 Il fs00tr a = 777.47
a Denotes iron monument
983.5 x Denotes existing elev.
(987.0) Denotes proposed elev.
e Denotes Off—Set hub
Irf
tstrrgrrn & Azsoafrs, 3xtr. 1 t� '•i7 = Top of block elev.
---- LAND = ,ORS ---_ '143. = Top of fin. garage floor
611.ci . = Top of basement floor elev.
8500 2101H sflJEET WEST L KEVILI.t:. liONPESCflA 55044 die„,..•.....- Indicates direction of surface drainage
PHONE : (812) 489-1899 Fax : 409-1899 1
I hereby certify that this is a hue and correct representation of a tract of land
as shown and descrr•dd hereon. A arid by me on this 7771 day of 1.093.
tied o P 49-ilin:77� ti Minnesota Registration
stration No. 19790
ob No. 11961 prei irsg� Dan R. llsrtrrp,ur
__ ____
R-96% 6124691899 10-19-93 04: 26PM P002 #44