4742 White Oak Ct
r.._ " _ -,~~•r-r.• . . ' . _.t,.~y;.._;,- .
CIT1f OF FAQAN Permit No: 9 2 uC Date: 11- 3 0-8 7
3830 Pibt Knob Road Meter No: g ~ q 6 Size:
P.O. ~jDx 21199 Reader No: -S Dat~
I Eap~an, MN'55121
Mark 3:lko Flomes
Owner.
Site Addreas: 4742 White Oak Court L3 B1 Oak Cli 4tfi
~ Plumber Star P1unt"Q ,
~~in~~ltieS ~~1 '
Conn. Chg: 52 S. .9116
~ Acct Dep: 15. UUn ~~A61~.-$~~ 1
Permit Fee: 1~ • • v ~
Surcharg~ OMI B~1prM?1b amnWr with th* Clty ol F_aqan
! Tr. Piant 18 0. D Ordinenc~s.
Met@f: ~ nn_4
Misc.: B!?
WATER SERVICE PERMIT
f - ; - -
' 4 st9 ~
CIIY OF EACiAN „ Permit No: Dete: 11-30-87
, 3830 Pifof "Road B1 P No: 734° 5 Date: I0-21_"7 .
' P.O. " 24199 ;
~ Eagsn~ MN 55121 j
{ Owner. "'$rk Elko gomes
~ SiteAddress: 4742 White Oak COUrt 1.3 B1 Oa'ic r115f 4!'~,
~ Plumber. atat Plu.*ahknF I
+ MWCC: ~i2 5.001;4~ Zoning.
~ Ciry Chg: ` : No. of Unita
Acct. Dep: p ~
i 1Q I agres to comply wRh tha Cpy of Esgan I
~ Permit Fee: .~0~'d Ordinancea.
Surcharge: ' S"Pd ~
~ Miac.: By f
SEWER SERVICE PERMIT
I
i ~
~
,
.
~ - (tertifira#e of (Orrupanrg
, .
' ~itp of ~a~an
iorprtmm of guai" jwrr#inn
This Certifrcate issued pursuanl to tlie requirements of Section 306 oJtlre Uniform Building
Code certifying thar a1 the dirre ojisruance this structure was in compliance with the various
ordinances of the City regulatrng building construction or erse- For !he foUowing.•
ttxahufficom Sk DW619GF.K M& FwmicNo. i 4 3 34
o-May Tiw R 3 zoj.a Da,a ' I 7Yve V n
owo« a ead.4 KAR'K aW naaa 131 17 HI LNT OIM,D' V. i.i3 .
Bm1d;n&Ad&m %,?L}') WHI7F QAfC Tk • l.ontit, 1-3- El- .(AK MSFF Glfl
Do, rnrst~t~Y 1 1~?SP•
" Bwldias oMCM1
POST IN A CONSPICUOUS PIACE
~ - • CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt • I
To be used for Est Value ~ lt2.i'tko Date ,19 ' i
Site Address =741 1~ ~ I't'i, i~r,k G'C OFFICE USE ONLY ~
~
2 OA K. C L L f F v: h On Site 3ewage Occupancy - ~
Lot ' Block Sea/Sub. ,
~ MwCC System x zoniny i
ParCel No. On 3ite Well (Actual) Const Yti
a Name City water X (Allowable) ~
= Address -y i ' ' " i PRV Required ~t of Storles
0 City PhOne '3 `V L' BoosterPump Lenflth Depth
o¢ Nam@ S.F.Total
.
~ ~ ~ Address Footprint S.F.
1- City Phone APPROVALS FEES
u ¢ Name Engr./Assess. Pe?mit `
W
z~ Address Planner Surcharge , I
~ W City Phone Council Plan Review
Bldg. Off. SAC, Ciry I
I hereby acknowledge that I have read thia application and state that the Variance SAC, M WCC
informatfon is correct and agree to comply with all applicable State of Water Conn. ~
Minnesota StaWtea and Ciry of Eagan Ordinances. i
~ Water Meter
Signature of Permfttee ~~t Road Unlt I
~
A Building Permit fs issued to: ° •'•~Treatment P1
on the express condition that all work shall be done in accordance with all , f
applicable State of Minnesota Statutes and City of Eagan Ordinances. Parks
Building Ofticial_ TOTAL
l
~ Psrmit No. Permit Holder Date TeIephone 7f
,
Plumbing
H.VAC. 7~
Electric , ; ~4 G~~t
Softener
In.poction Dato lnsp. Commenb
Footings I e
Footings II
Foundation
Framing
Roofing
Rough Plbg. .947
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Finel
Well
Pr. Disp.
77R,--'_ $`'w„~~
PERMIT #
j MECHANICAL PERMIT RECEIPT #
~ CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ~
II CONTRACT PRICE PHONE: 454-8100
~Site Address 7 7 " BLDG. TYPE WORK DESCRIPTION
Lot Block ~ S/Sub Res New ~
Name 2'rwF ' • ,l Mult Add-on
~ Comm. Repalr
~ Address C K
i ~ City s~S.3G 4 Phone _ 17
j FEES
Name RES. HVAC 0-104 M BTU ~-$24.00
~ c Address i,' ADDITIONAL 50 M BTU - 6.00
p City ~~~n s++i( e Phone ~ (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEHMIT) 1.50 EA_
TYPE OF WORK ' COMM/IND FEE - 1% OF CONTRACT FEE
Farced Air .1~.~ M BTU ,0 APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL. FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond.' M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping OuUets # So BEYOND $1,000)
Other r
~J
FEE: 2
S/C: 'S`IGNATURE OF PERMITTEE TOTAL• v V
FOR CITY OF EAGAN
. _ . , ~ ,
PERMIT li y/ ~v
' PLUMBING PERMIT RECEIPT t!
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN $5122 DATE:
CONTRACT PRICE PHONE: 451-8100
' Sita Address 1• BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub Res. x New
Muit Add-on
F m Name ~ Comm. Repair
~o Address Other
c City hone RES. PLBG. ONLY - COMPLETE THE FOLLOWING_
N0. FIXTURES T TAl
Name ~-Water Closet - $3.00 . C ~
~Bath Tubs - $3.00 ~ Address ~Lavatory - $3.00 y
p Ciry Phone -LShower - $3.00
-L_Kitchen Sink - $3.00
FEES Urinal/Bidet - 53.00
COMM/IND FEE - 1% OF CONTRACT FEE _L-Laundry Tray -$3.00 ~
APT. BLDGS - COMM RATE APPUES -.L-Floor Drains -$1.50 1C,
TOWNHOUSE 8 CONDO - RES. RATE APPLIES ~Water Heater -$1.50 1•.9y
' MINIMUM - RESIDENTIAL FEE - $12.00 -1-Whirlpool - $100 • 0'41
' MINIMUM - COMM/IND FEE - $20.00 t_Gas Piping Outlets - $1.50
STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn
(ADO $.50 S/C IF.PERMIT PRICE GOES Softener -$5.00
i BEYOND $1,000:00) Well - $10.00
Private Disp. - $10.00
~Rough Openings - $1.50
SIGNA RE'OF PERM EE i FEE
STATE S/C:
FOR: CITY OF EAGAN GRAND TOTAL•
. . . _ . , s,
CtTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100
BUILDING PERMIT Receipt~
Tobeusedfor ~~VISAR EstValue 412200W Date ~EOBEk Zk ,19A7 ~
Site Address 4742 idilll'B OAK CT OFFICE USE ONLY ~
3 1 W1K CL2FT 47ii on sile Sewage Occupancy R3
Lot Block Sec/Sub. MWGC System X zoninp k 1 I
Parcel No. On 3ite Well (,4ctual) Const Vfl
a Name K"y` ~KLO Cnywater x (Anowable) Vn
W ' H LC~ Iii CEi1iVE PRV Required a of Stories
= Address 13117 bg
~ City 6'VIL~ Phone 431-6430 Booster Pump Length
Depth 42
, p Name gAME S.F. Total
~ ~ Address Footprint S.F.
f- City Phone APPROVALS FEES
~ a . Name Engr./Assess. _ Permit ~ 369.50
Address Planner Surcharge b l.OU
u v ~ Council Pian Review 284.75
1 W City Phone 100 OG
Bldg. Off. SAC, City _ •
I.heleby acknowledge that I have [88d thia application and state that the Variance SAC, MWCC 52 S• W
information is correct and agree to comply with all applicable State o1 WaterConn. 525.00
111innesota Statutes and City of EBgah Ordinancres. -
Water Meter 00
SignatL{re of Permittea `~:L:-~, a:~~-• qoad Unit
A Building Permit is issued t8! Treatment Pt
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eegan Ordinances. Parks
TOTAL
BuildingOfficial.__ ___~i.___r'• c. ~~r~~
- - - - - . :
CITY OF EAGAN N 0- 1 4 3 3 4
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ~yp ./ry/
BUILDING PERMIT Receipt# /a `7`0 o
Tobeusedtor SF DWG/GAR Est.Value $122,000 Date OCTOBER 21 1y87
Site Address 4742 WHITE OAK CT OFFICE USE ONLY
3 1 OAK CLIFF 4TH On Site Sewage Occupancy R3
Lot ' Block Sec/Sub. MWCCSystem X Zoning R1
Parcel No. Vn
On Site Wall fACtual) Const
a Name MARK EKLO Ciry Water X (Allowable) Vn
z Address 13117 HIGHPOINT CURVE PRV Required _ dkof Stories
o City B'VILLE Phone 431-6430 BoosterPump _ Length 68
Depth 42
, o Name SAME S.F.Totai
~a Addiess FootprimS.F.
: City phone ApppOVALS FEES
"a En r/Assess. Permit ~ 569.50
ww Name 9 61.00
~ i Planner Surcharge
x- Address
aw City Phone Councd PlanReview 284J5
BIdg.Off. SAC, City 100.00
I hereby acknowledge t d Ih application and state that the Variance SAC. MWCC 52$.00
information is correct d a ree o o ly with all apphcable State of WaterConn. 525.00
Minnesota Statules an City ~ f g nan es. Water Meter ~7_.00
Signature oi Permittee E' Road Unit ~45..0Q
A Builtling Permit is issued t._ KFKLO Treatment Pt 180.OV
on 1 he express condition ihat all work shall be tlone i n accordance with al I
applicable State ot Minnesota Sta es and Cityol Ea~i{ Ortlinances. Parks 2617.25
Budding Official X~ -c C/ TO7AL ~ ~
1987 BQILDING PERMIT 9PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLDDE 2 SEfS OF PLANS, 3 CERTIFICATES OF SQRVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEO'dNER MOST DESIGftATE WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT LS ISSIIED.
M[TLTIPLE DWELLINGS - RFSIDENTIAL RENTAL UPIITS FOR SALE UA?ITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COLMMRCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 I,ANDSCAPE BOND
To Be Used For: fry/c F~_ Valuation: 9.,4t.~ Date: /p 15-7
Site Address OFFICE USE ONLY
~ laaooo-
Lot Block On Site Sewage Occupancy {Z-"'j
n MWCC System ? Zoning R -I
Parcel/Sub ~jQk Cl; ,~cV~
~ On Site Well Type of Const
City Water (Actual) V.M
Owner ar~< (Allowable) V-N
1 # of Stories
Address j-7 y~~v^v-e_ Length (,8City/2ip Code &'Nn,SJr / /T S. FthTotal 42~
Footprint S.F.
Phone 9PPROV6LS FESS
Contractor ~19nr~ E~c3 Assessments Permit
Water/Sewer Surcharge 61,co
Address sAr~,~ Police Plan Review Z8Y.7S
Fire SAC, City ~ no ,oo
City/Zip Code Engr SAC, MWCC S Z.j ,oU
Planner Water Conn zy',oo
Phone Council Water Meter 6f7,00
Bldg Off ia Zp Road Unit oS" 00
Arch./Engr. APC Treatment P1 gp,oo
Variance Parks
Address Copies
City/Zip Code TOTAL /7.
Phone 4k
~
J 'i.~' ~ ~
C~AY2AGC ,
. • .
ZbX
aOxz2 s y~~o
~Sox~Z= z8$o
'BsMr
3vx3C = lo$o
sx II = 55
~24.; - 3Zo
I~}55xiz= 1-7460
~5T FLuorb
3 iti SS
I x~a= I 6
1~{~3 ~Li L1= `t12
?~n Ft-oorl-
!l.x Zy - 3s4
n x»- IBr?
x z3 : z53
Bt~l xYy= 3f V .
Fffedfund Engineering Services 9201Eac1&oominptonFreeWay
Bbominqton,Mlnn~sofa 55420
Civll Enyineers Land Plonners Phone: 688-0299
AWsurve#or`s G'ertlf "~cate
JAVI _ BOOK - PAGE JOB N0. 87R- 545
SURVEY FOR: A1ark Eklo Ilomes
OESCRIBED AS: Lot 3, Slock 1, OAK CLIFF 4TH t1DDITION, City of Lagan, nakota
County, Minnesota and reserving easements of record.
BENCHMHR*' MH @ lnJ. TOP OF FOUNDATION = 985.4
YYhi/e Ook Cour/ d' Moh any W GARAGE FLOOR = 98j•~
Way EC.Top 957 82, Inu. 4873 t~ BASEMENT FLOOR = vi6.0
~ SEWER SERVICE ELEV. = N/p
PROPOSED ELEVATIONS
,
1 EXISTING ELEVATIONS
r DRAINAGE DIRECTIONS
~ 42 31 DENOTES LOT CORNERS : 0
v..o. DGNOTES OFFSET STAliE: a
72.37 20
30
I976.9 N89'36'18 "E I
9i6.6 136.63
i , 957.5
-r _ - - - - - - ~
io~ 16.4 I r
'2 ~ I
o, o I
v r ~l W `v
T5,83
I
I~ 30
Q ~ ~nQ I ~ I ~m
(Zi
qgp ~ ~~R/Y N~ oC zo - Q~ O
I m 2 ~ q~s.9
P' ay ~ I1~ ~
tAi
20.31 m u0~ 10 L
982.4 9 67. 8
I 9a2.i /36.63
~ I N89'36'/B"E
30
CERTIFICATE OF SURVEY
I he?sDy certify that this survey, plao or nporf wos pnpared by me a under my dirtct
supervision ond thot I am o duly Reqistered Lond Surveyor under the IaMS of fh•
Stafe of Minnesoto.
Date: 10 / 14 /8'1 Q a4.,,,,..
J• e . Li qren, License No. 4376
- . . , . . _ . . , Y
' ii ~ - . . . ' . . 'Y
~ 1:~~~ • . ' . . . ' . ' _ '
• ~ 1 S , ~ ' . . . . , .
. EXTERIOR ENVELOPE AVERAGE °U"'COMPUTATION
~h
owMEx ~Vo r~n2zs~ • „
szze annREss L.or 3'L3l k I DA K cuFF 01` A'issbAl . >
CONTRACTOR mpn k ~ /6 DATE
Determine working square footage of each.
J
r ~
1. Total exposed wall area ~ sq; ft. X,1~
,
i
. 2. Total roof/ceiling area '%~fcJS' sa. ft. X,
A. Total wall window area.......................... 339_.S~
8. Total door area.................................. 3-7_Fr ~
C. Total sliding glass door area...... /00 - x
D. Total fireplace wall area
~ E. Total wall framing azea (average 108)........... .3~~„r-{ . k
B. Total Rim joist area .3c6 . y
G. TotaZ Net waZl area above floor.•••
. , ' _ t
TbWl exposed foundation area
; H. 'fotal foundation window area ~`s
• , '
1. Total net foundation area above gzade....... ~ i-7, ~)S_ s,
- - i
Determine "U" value of each wall segment. ~
I - ~ q
a. 339 5" x^u" ,~/O 135, 8o r
;
~
b. 37, ~ x^o., , a 6 = 9, q3 fi
-
~ _R-~'.~'i•.
i'C:- /~f2'a~''._`";g.
i'.« . v_
d. %"u" f 7 - o7,lz t
e. 336, ~r' x "v".
~
f. BIQ R °U° .Oq
. q. 223H x°v^ 104 h. B "U"
c i
.
i. 117. 2s x "U" , /O
s ...................................TOwl = 33s'~69
If item #3 is the same as, or less than item #1, you have met the intent of
SBC 6006(c)2. ~
~r
. . . - .
. - r
~ .
. . . _ ~ ~
Tota'1 exposed roof/ceiling area !`f~J,S - ` ~ ' . .
, • : e
j. Total skylight area
k. Total roof/ceiling framing area (average 108)...... /y9„s-
2. Total net insulated roof/ceilinq area........
- i.td~;.i • -
;
~ Determine "U" value for each roof/ceiling segment. +
dC
. 'S.. " 6 . ' . '
i• ~ x ^v^ - ;
- _ ~
x. x^v^
- - . ~
x ^v^ Zs
4 Zbta1
_ . . . , . 3 . ~ , ~
. . . . . . . . . ~
if total of #4 is the sase as, or less than #2,~you have met the intent of '
SSC 6006(c)1. ' . ' . • .
i . .
Alternate Building Envelope Design
7b utilize the total envelope system method, the values established by the '
sum of items H3 and #4 shall not be greater than Lhe sum of items #1 and #2. ~
1. + 2. . _ z . ~
3. + 4.
- ~ ' - - - RS
~-oi/.~• . r' r _ y r. ..~y's':R :"~9,. , ~ <q':f1 ' '~`n4r. ~~t c~ . _ ' n` ' ,1
' ~S• w g,ye-'}'` !'1.
, y ~i?. +r=+*+S:`+.~'..r,...-:..-. .v.t,~.+,. W.:.:o-.-~~..rfe 'S?'. .in.%a+%~a.nFa..r.t"tkrai~~. Y.~~'1fi4g , 'i<...,i',t,~
~ . . . .
. ~.i
• , u
' _ .
• ~
' s
. ' . . . • . ' . . . . .
„ F
3.
~
. . , f.OtISTRIICTI0t7 R VALUF ~
CEILItIP, SECTIQN (INSULATED): • •
1 I terlor air f11m
. 2 112- L-lLt9tatl- d~
3 1' I~" oL y
3 4 4 Exterior air film stlll n.FI
TOTAL R 4Q~~
U~ 1/R~4QL( .
1 ,L 5 CEILINn FRANING SECTION:
1 Interior alr fllm f1,fi1
Z -Z' 1 &.VG 9ALlL Y
A1R VENTED 3~~/ 410
FLOW Interlor a r fl, m st 0. fiT
S ~s' t~.l_nches so t wooA (e,Q'Q~
TOTAL R
,
CEIUNG SEf.TION (INSULATED):
1' Intertor alr'film n,61
2 .
3
4 F.xterfor a r film (stlll) n.61
TOTAL R
U~ 1/R~
3 4 5 "
j x: . . . . ~ . CEtUNG FRMIINn SECTION.:. ..~,*_:~~~~r;tN.,:~
VENTED 2interlor air fil'm 0':61'~
. 3
• 4 Exterlor air fllm (still) O.fil
:
5 inches so t wooA
TOTAL R
U~ 1/R~ ~
3 4 5
~
'r
. `~;;'.a;s::~. ~
.r: 1 Inslde afr film n,f,l f
OutslAe air ilm n, )
2 . TOTAL R o ~
~ 11 - 1/ft-
.
. • • . ~
• ~ C0115TR11CT1ON R VALUE
1lAlL FRAMING SECTION: k
1 Interlor air film q,bq ~~c
41 0_ i-a
(nches so t wood
Llc;
Ezterlor a r f-ilm n.17
TOTAI R - ~~4 m
n,
U ' 1/R ' n9
NALL SECTION (INSULATED)
1 Interlor air fllm f1,f,A
t 2 _ /''_[ifGKG9{-1[.(. -1•,' ''i
; i~ii~. f
lLf. r~U n~
F.x[erlor alr Ilm
i TOTAL R -
~ U' 1/R-
RIM JOIST SECTI0N: ~
F" ss
~c+
f .1 lnterlor air ftlm f1,Rq ~
Z y" r'iS.:Suf IR C~ ~
I
4
S i f.) ~f t
~ fl
h Exterior a r film p,17 '
a,
TOTAL R -
~•a
' U ~ 1/R -
fOUHDATION SECTION:
leterior aTr fllm
2 - ~n`.6A ~ _
~
•a
-:,A r 3 1'.r. ~ ' f~
4 Exterlor a r i m nyl
aq Q.. 4
A. ' j TQTAL R ~ ~
• U - i/R -
SLAH ON GRADE ~
,
:Q ~ • . ' , •q , a • Gf
4• .1 _ ~;•a,.~
r ~ ~ . ' ~ • ~ . ' ~o
, 'u ° . A , • • • d,
~ • ~
:a • ° ° d' •'q:, ,
u • ' ' ~ . . 4-
. q ~ ' ~•.1
. 46q.
. ' , ~
•yi ~:Q,~ ~
. Q . ~ • C7' . .
. 1•'4~ qi' . Q ~ .
a•,~4.~1~4'~v.4~~: , 'Q'• .'a~,''~~
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -7
851-681-4875 ~O-
New Consfnis:flon Reaulremenh Qgmodei/Reoair Reaulrama n
> 5 reylstered site wrveys showinfl aq. H. of lof, aq. B. of house 2 coples ol plan
and gll rooletl areas (20% mazmum bf coveraae allowedl 1 se10l energy cdculaNOns for heateC addlMOru
> 2 coplee ol plans (show beam d wlndow sizes; poured Ind. design; etc.) 1 site wrvey lor exTeAor additions d decks
> t tet of eneryy calculaNOna
> 3 coples of hee preservatlon pian I! IW plalted afler 7/1/93
DATE: P)" I U` c)(0 CONSTRUCTION COST: U~ 2 SZ
DESCRIPTION OF WORK:
STREEf ADDRESS: 4 742- U 4c{~ (jft ~ C0-u-7-
LOT: 7) BLOCK: I SUBD./P.I.D. M: o~ C~ ~ u
Name: S Phone
PROPERTY Lan Flrst
OWNER !J
Sheet Address:`~
Clty E'~ 7w State: 94 ' Zip: 5-547.
Company: MLSFUYZlJ `-~-6&'z S~UL.'' Phone (a S-L/(- b 3D
(area code)
CONTRACTOR
Streef Address: q 7 o (D ( 2'M 40t~-: ~ ucense a 170I SJSLaG
aty PLstare: 1/44 Zip: SS~~ J
ARCHITECT/
ENGINEER Company: Name:
Telephone f: ( )
Sfreet Address: RegisfraHOn k:
City ' State: Zip:
~
Sewerlwater licensed plumber (it tnsWllira sewer/waterl: Phone
1 hereby acknowledye thaT I have read lhis applkafbn, slafe thaf ihe fnfortnaHon is conect,l nd agree to comply wNh aq oppAcable Stafe
of Minnesota Slafufea and CHy of Eayan Ordinanees.
Signature of ApplicanY.
OFFICE USE ONLY
Certificates of Survey Received _ Yes ` No RECEIVEL
'
AUG 10 2000
Tree Preservatfon Plan Recelved _ Yes _ No _ Not Required
BY:
OFFICE USE ONLY
,
BUILDING PERMIT SUBTYPES ? 01 FoundaUOn ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) O 31 Ext. Alt - Mufti
? 02 SF Dwelling ? OS 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 hxt. Ak - SF
? 03 01 of _ plex ? 09 07-plex ? 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? OS 03-plex ? 17 10-plex Plbg _Yor_N O 25 Miscellaneous
? 06 04-Plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. ? 43 Reroof
p 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
p 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
SAC Code # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building Engineering Variance
Permit Fee ~ Cl Z~ as Valuation: $
Surcharge ~ - ~
Plan Review
License
MC/ES SAC
City SAC Water Conn. Water Meter Acct. Deposit
SIW Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI: D 00---1
SAC Units
% SAC •
APFLICATION FOR PERMIT eNOTE= pAYMiNr OF = AT T2ME OF ;
' . ~ APPLICA1i0N DOES N01' CON• ~
STiN1E APP%7VAL OF PERFIIT. ~
SEWER AND/OR WATER CONNECTION :INSPECTTON OFSEWM AND/OR WATER :
f ~ ZNSPAiT11TS0[14 WIId. NUf HE e!'F7YR.F7] i
. • ~ I!Nl'IL PF72bIIT Wy5 BEFN eIPP(ipVfD. :
t,
city oF eagcan
1) PROPII2TY ADDRESS: ':~~1 ZI~ I
&
LF7GAL DESCRIPTION;
Lot B oc S vision or Tax Parcel ID
IF EXISTING STRL~CTL~RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
Mont Year
_ PRESENT ZONING/PROPOSID USE:
Q COD'A1EE2CIAL/RETAIL/OFFICE ILi-g-lSINGLE FAMILY
Q IAIIJLSTRIAL E-] R-2 DL~PLEX ('Iwo Units)
Q INSTI'ILTIONAL/GOVERPIl"ENT Q R-3 TOWNHOUSE (Three + Uqits) ( Onits)
Q R-4 APARTMENT/COPIDOMINIUM ( . [.'nits)
2) NAME:
ADDRFSS: .
CITY, STATE, ZIP:
PxorE:
For City Use
3) NAME: c.> pl rumT~e s License:
ADDRESS: Active
' E~cpired
CITY, STATE, ZIP: Not recorded
PHONE: ~y- y/519 MASTER LICENSE #.3,32~j'. . St Ia n~
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
EDs~•~ 4•~' • u i~~
'CONNECTION TO CITY SEWECt EE-tv~C:TION TO CITY WATER a OTHEE2
6) **+**~:r~*******~**** *+**+~*~***+***+***+*+********.~**+*******~+***+*~***+*~~***~***+*~*,r***+**%
,*x THE GOID COPY OF THE PERNIIT WILL BE SENl' DIRDCTLY RO PUBI,IC WORKS 'PO FACILITATE MEiER PICK-t~P. *
,*k PLEASE AI,L,OW 1SV0 NARKIb7G DAYS FOR PROCESSING. SOAIDONE FROM TFIE CITY WILL CONi'ALT Y00 IF TfERE *
* ARE ANY PROBLIIMS. ~
~~**r***+~**«,r**,r**+**,r,r,r**~*:*,rr~*~*~+**r*****+,r***~*~*~***+#**,r*~+r*+*+***~~****+~*+*+**~*~~,r***+~;
. FOR -CITY USE ONLY PERMIT # ISSUEQ
yz ~ ~ Pd w/Bldg. Permit FEES: ~
$ $ SEWER PERMIT (INCLODE SURCHARGE)
$ $ WATER PERMIT (INCLDDE SURCHARGE)
$ (O~'~O $ WATER METER/COPPERHORN/OI,'TSIDE READER
$ $ WATER TAP (INCL(iDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOONT DEPOSIT - SEWER
$ $ I,`"]-•G` ~ ACCOUNT DEPOSIT - WATER
s yZs6r-D $ wac
$ 2- S' JD $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRtiNK WATER
$ f~ D•V v $ WATER TREATMENT PLANT SCRCHARGE
$ $ OTHER:
$ y~ ? 7`U U $ TOTAL
V13
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PC}BLIC RIGHT OF WAY?
E-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MLST BE ISSC}ED BY THE ENGINEERING
13 NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
PERMIT tt *I j RECEIPT DATE.
U.SIDENTL4L PLUM$INF PEfiMIT APPLICATION
crrY oF E,as."
3930 PII.OT KNOB itD
EIkflRN, MN 551 Ef
651-681-4675
Please complete for: : single family dwellings
> townhomes and condos when permits are required for each unit
• backflow preventer for irrigation system
SITEADDRESS:
OWNER NAME: : TELEPHONE # 6 IDJ /
(ARE.4 COOE)
INSTALLER NAME: ~rSCi!'/l'l 0119- S TELEPHONE
STREETADDRESS: 11,936 FXl/-z,T (AREACODE)
CITY: ,S-4 Ed"L! L STATR"~ ZIP5~~
Place a check mark next to the ermit work t e
New residential dwelling unit under construction and not owner/occupied $ 90.00
Add-on, modification or aiteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• waterturnaround
Nature of work: v"1-7'_X
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
State Surcharge $ SO
Total $ sd-5-64
Reminder: Be sure to schedule inspections af alterations, i.e. water heaters, water softeners, etc.
I hereby acknowledge that I have read this applica[ion, state that Ihe information is correct, an agree to complywrth all applicable Ciryof Eagan ordinances It
is the applicanPS responsibility to notify [he property owner that the Cdy of Eagan assumes o iability for any damages caused by the Ci[y durinq its normal
operational and main[enance accivroes [o the facilihes constnic[ed under this permii with' y opertyinght-of- yleasement.
1SIGNAT RE OF PERMITTEE
Updated tl01
&6a3 g -30 s--e)
2004 RESIDENTIAL MECHANICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Alease complete for: single family dwelhngs &[ownhomes/condos when permits are required for each umt
Date V"
Site Address ov Ct Unit #
Property Owner e6 Q/ Telephone # ( f_51) Fqr'~.'-
ConUactor STAN6IMD H€IITINf-@~-A'a rnuINr rn.
410 WEST L,4KE STREET
Street Address p~INNEAPOi lq MK55g0g„2998 cicy
612-824-2656
State Zip Telephone # ( )
Bond Ezpires:
The Applicant is Owner ~ Contractor _ O[her
Add-oo or alteration [o existing dwelling unit $ 30.00
~ furnace _Additional ! 'Replacement
air exchanger
airconditioner _New _Replacement
other
State Surcharge ~ $ .50
o
Total SE $ 3z~).
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; [hat [he work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechamcal Codes, that I understand this is not a
permit, but only an application £or a erntit, and work is ot to start withou[ a ~t Ihat the work ~ n accordance wi[h the
approved an m[h~ as ork ~c quires a review nd approval of pl s.
Appli ant's Printed Name Applicant's Si at e
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pfease complete ibr. commerciaVindustrial buildings
muln-family buildings when separate permits are not rcyuired for each dwclling unit
Date
Site S[reet Address Unit k
Tenant Name (itapplicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City . ,
State Zip Telephone # ( )
Bond k: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove "see below
Interior Improvement _ Install Piping _Processed _Gas
Nature of Work:
•`When insfalling/removing underground tank, call for inspection by Fire Marshal and Plumbing lnspector
Fefllli( FeeJ: S70.50 UndergmuuJ inuk installatioiJrtmoval
$50.50 Minimum (includcs Stare Surchargc)
or
Con[ract Value S x 1% _ $ Permit Fee
• If ermrt fee is $1,000 or less, add $ 50 ~ $ S[a[e Surcharge
If pe rmit fee is over $1,000, add $.50 for
every$I,000 ep rmit fee ~ Total Fee
I hereby apply for a Commercial Mechanical Permit and acknowfedge that the information is comple[e and acwrate; [hat [he work
will be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is
not a permit, but onty an application for a permit, and work is not to start without a permit [hat [he work will be in accordance with
the approved plan in the case of work which requires a review and approval of plans.
Applicant's Prinred Name Applicant's Sionamre
Approved By: , Inspector Da[e:
20o6 RESIDENTIAL PLUMBING PERmir aPPLicaTioN
~ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date ~ /
Site Street Address M~"t~ VUYU ll W, Unit #
Property Owner Telephone #(bja)j'f3 -7`I'Ij
ContractarS r(Qs&)_ Telephone# (b FO) SIOA q IDo-
Address .lr~rd rl,v~ CitY ~ MN state~+IN zip ,~S~Sa
The Applicant is: _ 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. !f you are installing onlv a water soffener and/or wafer
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:
Water Softener Water Heater $ 15.00
_ new _ replacement
~ Lawn Irrigation _RPZ J~ PVB _new _repair _rebuild $ 30.00
State Surcharge DR~~~~ v D $ .SD
Total $ ~
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,y~e~'k is not to ~tart without a permit and work will be in
accordance with the approved plan in the event a plan is required 6 tie review d°and approved.
Aplica ApplicanYs Printed Name ..Signature
r
City of Wu
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: 461
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:
Resident
Owner
Type of Work
Site Address:
Name: S6:4 -''‘i CSI (_(6 PPhone: 3�G
Address / City / Zip: -712 £Cr'T C I
Applicant is: Owner
J
Unit #:
Description of work: ,re‹.4- Gf'/v £ 4.061
Construction Cost: ") Multi -Family Building: (Yes / No
Company:,—1.4,,-J CSI , C64-R(i'UL'SeLlYed Contact: 191/1106
Address: l �O � �•�� City: 8C l Z°'J
Stet/W" Zip: Phone - 5 °" Email: A64"eE C& ,vc
Lead Certificate #: 4r^/47l67- /
License #: GS / / S
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes
No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor: Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information.
the information may be classified as non-public if you provide specific reasons that would per "
conclude that they are tradesecrets.
ortions a
to City', to
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.ggopherstateonecall.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
daypf permit issuance.
0-1 R -6.42 -A --l.
pplicant's Printed Name
Building Code must be completed within 180
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