2211 White Water Way
. ;
SITE ADDRESS • - WAL ~~L Unit # Permit #
i
L B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
r~ ~ 7
G
~
f
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SITE ADDRESS ~ Z~J w. I Q Iv l~~I_ Unit # Permit # V D
L B Sect./Sub.
INSPECTION IMSPECTOR DATE COMMENTS
9~s
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.
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F,-•~,/ µr~ 3 - lv-4~
SfTE ADDRESS 13-_ o, Unit # Permit #
L B SectJSub.
INSPECiION INSPECTOR DATE COMMENTS
~
tq%.. !gr-
,p -p7
i -5~
~
44
i
SITE ADDRESS Unit # Pertnit # J'
L B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
G o-
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• ~ ~ - ~-6
Svl~ ~i ~
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3 _6 . .
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INSPECTIOM IM3PECTOR DATE COMMENTS
.
SITE ADDRESS Unit # Pertrtit #
l B Sect./Sub.
IMSPECTION INSPECTOR DATE COMMENTS
~S
l+ b C
• ~ -
?~,~vl u~r~., fl ~
~
~
SfTE ADDRESS ~L wa~w n~~ Unit #E permit #
L B Sect./Sub.
INSPECTION INSPECTOR DATE COMMENTS
il/ o~` =
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~ • ' '
, • ~
. ~ 3 3 ~
a INSPECTIQN REC4RD ~
CIT~' OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: -
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPUCANT:
PERMIT SUBTYPE: TYPE OF WORK:
.
• . . ; f•,. ; ~ilfNl+r'• ~ .
I} f I 1 f;~ :
~ r~c,C Z 2 !3,
~
OCC L~It.~ ~ ~K. ?~~.~P.~ .8411 A-04,oWm jI-i OlAk.
~ ~
Permit No. Permft Holder Dato Telephona 0
ELECTRIC
~ PLUMBING g 7 9a
I
HVAC ~ rJ g 5_(o~
Inspwtlon betV Insp. Commenb
FOOTINGS
i
FOUND
FAAMIN(3
ROOFING
ROUGH
• PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
r
BSMT R.I. I
J
BSMT FINAL I
i
DEC1f FTG
DECK FlNAL
r
WFertificate of Ccc"ano
Witi) nf ~agatt
eat ~ai(bing
This Certificate issued pursuant to the requertmaets of the Unrforrrr Building Code
certifying that at the tinee ojissuance this structure was in compliance wrth the variorct
o.dinnnces of the Ciry rcgulating building construction or use. For rhe following:
use classirewAm 6-PLEX No. 30583
O-F-r TYv- R- U- Zoaft Dim= PD rype cm:t. Vn
owoff or Bwkbng TONN & COUNTRY HOMQ. 11471 VALLEY VlEii RD., EDEN PRAIRIE
Bw~~~ 2211 i1H1TE WATER WA~~, L15, Bl, E GAN H'fS T.H. 2ND
.
Duc
emim~ atr"
• POST IN A CONSPICUOUS PLACE
1
~ . . PERMIT ~ CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 030583
(612) 681-4675 Date Issued: @ 8/ 12 / 9 7
SITE ADDRESS:
2211 WHITE WATER WAY
LOT: 15 BLOCK: 1
EAGAN HEIGNTS TOWNHOMES 2ND
P.I.N.: 10-22426-150-01
DESCRIPTION:
(6-PLEX) BuildingPermit Type MULTI. (ADD'L.)
,Building Wor* Type NEW
(UBC Occupancy\"~'. R-3 U-1
ConsCruction Type V-N
~ Zoning PD
' euilding Length ~ 115
Building Width f 50
~
, Building storiss 2
Census Code 105 5 OR MORE FAMIIY
"~i~
,
REMARKS: w311ljr,1Iq, IIq .I)I wv-~( Il.) A, Wq
S& W PLBR - VALLEY PLBG .
G0 l) cc r,x;L( mnl .lY lt,t P;I W- -AhlG weN ~;u ,.Om;(mUt. g- la,d-11L
FEE SUMMARY:
VALUATION $452,000
Base Fee $2,647.25 CYTY SAC $600.00
plan Review $1,720.71 WAC $4,680.00
5urcharge $226.00 S & W PERMIT $100.00
5NC $5,790.00 S & W SURCHARGE $.50
SAC % 100 TREATMENT PLANT $2s520.00
SAC Units 6 Total Fee $18,194.46
5ubtotal $10,293.96
CONTRACTOR: - Applicant - ST. Lzc OWNER:
70WN & COUNTRV FIOMES 19443455 0069137 TOWN & COUNTRY HOMES
-11971 VALLEY VIEW RD 11471 VAL4EY VIEW RD
%EDEN PRAIRIE MN 55344 EDEN PRAIRIE MN 55344
(612) 944-3455 (612)944-3455
I hereby acknowledqe that T have read this application and stete that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City af Eagan Ordinances.
- ~
~ro~,
A ANT/PERMIT E V: NAT RE
1997 BUILDING PERMITAPPLICATION (RESIDENTIAL)
CITY OF EAGAN ~
3830 PILOT KNQB RD - 55122
687-4675
Cons i i RemoAeVReoair Reauimmenri .
? 3 registered ska surveys ? 2 eopies of plan
? 2 copies of plans (Indude beam 8 window afzes; poured fid. dosign; etc.) ? 2 ske surveys (exterior eddRiona 8 tlacks)
? 1 energy calculations ? 1 energy ealwlations for heated etldkions
• 3 copies of tree preservation plan N lot platted eRer 717/93
requiretl: _Yes _ No DATE: 7/16/97 CONSTRUCTIONCOST: $313,440.00
OESCRIPTION OF WORK: Complete Construction of Townhome Living Units
STREET ADDRESS: 2211-2221 White Water Way
LOT 15 BLOCK 1 SUBD./P.I.D. Eagan Heights Townhomes 2nd Addition
PROPERTY Name: Town & Country Homes PhOnB 944-3455
OWNER
StreetAddress: 11471 Valley View Road
CIty: Eden Prairie State: mN Zjp; 55344
CONTRACTOR Company: Town & Country Homes PhOf18 944-3455
StreetAddress: 11471 Valley View Road LICEnSE#: 9137
City; Eden Prairie State: MN Zjp; 55344
ARCHITECT/ Company: Lxs Engineers & Architects PhOne 338-2029
ENGINEER
Namg: Jerrv Putnam Re91Stret10?1 19343
Street Address: zso Third Avenue N, 11450
CI{y: Minneapolis State: MN Zip; 55401
Sewer & water licer.sed plumber (new construction oniy): valley Plumbing , Penalty applies when address change
and lot change are,equested once permit is issued.
I hereby acknowiedge that I have read this application and state that the infortnation is correct and e to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appiicant:
OFFICE USE ONLY ~ gECEIVED
Certificates of Survey Received _ Yes _ No JUL 3 0 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required
BY:-----
OFFICE USE ONLY ~ .
BUILDING PERMlT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex n 13 Garage/Accessory ? 20 Fublic Faciliry
? 04 SF Porch ? 09 12-plex ? 14 Firepiace o 21 Miscellaneous
? 05 SF Misc. ~ 10 lv-plex o 15 Deck
WORK TYPE
0 31 New o 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION S~P
Const. (Actual) ~ Basement sq. ft. MC/WS System
(Allowable) q•~! Main level sq. ft. ?6 x 5' City Water
UBC Occupancy • u/ Z rg sq. ft. YoB Fire Sprinklered
Zoning p•b sq. ft. PRV
# of Stories Z sq. ft. Booster Pump
Length //s Lx2 ti. sq. ft. z oz.e Census Code.
Depth JD Footprint sq. ft. SAC Code 83
Census Bidg l
Census Unit ~
APPROVALS
Planning Building Engineering Variance ,
Permit Fee Valuation: $ oop d
Surcharge
Plan Review
License ~
MCNVS SAC 36BY <S''/ = lflf, q3(o
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit y~ y x SY ` Z 2O~ SS~
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
7rails Ded. 2 a2x x~~D
Other
Copies
Total:
% s,ac
SAC Units (v
2422 Enterprise Drlve
Mendoto Helgnts, AIN 55120
(612) 881-191A FAX:681-9468
* p10niGep l WD Si1FKYMS' • CIY4 FNWNfEnS
ue+o xArNms• uNOSCME MC+iI~[eR 625 Hlghwoy 10 N.E.
~ enp nenr ng Blaine, NN 55434
~ * (612) 7a3-I$so FAx:7as-t8as
Certificate of survey for: TOWN & COUNTRY H4MES
SCALE : 1 INCH = 30 FEET gENCti MARK
BENCN MARK TOP OF PIPE
TOP C7F P1Y£ •--~jpp ~"~~--J34.33 ~--0 ---34.33 i 2J.00 i
i i i ELEV.=B78.57
ELEV.=8B0.16 'a' 1~1l J I~ ~g~~/•U~ol a ~ i
iry iN iN Oi oj I
~ --1--- ' .
BUILDING 6F WITH IBAY WINpOW QPTION
~ l ON UNITS A AND D ~ ~
PROPOSED SERYICE I
PROPOSED SERLICE A g D 868.0
I e'44 ~n
1.70 I-7
El..= 865.4 x S ' 1 ~O •r0 0°' x I
By I 1.70 ~ 1.7 I b I
I g'~ `yJ ~°n I n ; j
~ m I 1J9 j 1J ~ ~ 1 ,
~ ' m I
21.00 27.00 ,
i
I
~ 23.67
0 1
BENCH MARK I c°vj j j~°v 1 BENCH MARK ~
TOP OF PIPE ~ '13.00 34.33 1 34.33 1 23 00 TOP OF PIPE
ELEV.=880.23 ELEV.=878.56
E ru /
(SIdE UNOER CONSTRUGTION)
PRCiPOa_n_HOUSF EtEVelloN Eos uHij5 .9 & e tilb
LUWEST FIOUR ELEVATION: a6~
~o`~• , N89°5127E ~
TOP OF BLOCK £LEVAl10N: 125.67
8 2.cs `
GARAGE SLAB EIEVArION: N(Hl'0a'33"W
/ 5.50-'e~ 817 * e o---'~~ 10.48
_HnPOSPi) HOUSF EIEV6l1QN FOR UNITS C& Q 3 879,$ 878.] W
LOWEST FLOOR ELEVATION: M~ A i B 1'5 C i D M r~o-
fOP OF BLOGK ELEVATION: ~~?Clj m ip
GtiRnGE SLAEi ELEVATiON: !p Spp~e6;3 Z^ ~ BBOJI 0~8. ~7y 2 O ^
f z 000,00 OFNOTES E1JSPNG ELEVAnON 50`N~; e i yo
( 000W j DEN07ES PROPOSED CIkVA710N
~ DENOIES DRAIHAGC AND UTILITY EASEIIENT 1 I Z I g 3 I I
DFN07E5 DRAWrCE FLOW DIRECPON ~•,~y / ~S
DEN07ES NONUMENT 16+~ PROPOSED~,.(~~~
---8- DENOTES DFFSET 1{UB D' 21 9fi
1 ~ PROPOS J
cuas gas°5t'z7"w
NUIE: CaNTRACTOR NUST VFAIFV DftIVEWAI' DESiC,N.
tiGTE: BEARINGS SHOWN ARE BASEO OIJ AN ASSUMED DAIUN IlE WATER WAY
qwg: PROPOSEO CRADES Sh10NN PER CRAOING PLeN BY: PIONEER ENGNEERwc AND NOTtt OBUILDING F SiPUCTURES IMENSIONLY.ONS AP11EC~7U~I P yNrsL FOR ~ LDINGLAND Ai1~1N
FOJNOATION DwENSIONS.
'
NOTE: NO SPECIFlG SOILS IN~STIGAiION HAS BEEN GOMPlEIED ON 1}11S lAT BY 7NE . 1
Sl4ivfVOR. ME Sul7ABIUTY OF SOILS TO SUPPO(iT THE Sf~EpFIC HWSE I~`
PNOPOSEO IS N0T 1NE RESPONSIBIl1iY Df TifE SuRVEYOR ~
NOTE: Tt{IS CEft71FICA7F DOES NOT PURPOfli TO SHOW EASEIAEN7S OTHFA TMAN BY
111osE SiiO~+ w+ NF RECa+oEo Pi As. ~~RESF.N7aTi0N OF A
Wp. l1ERE8Y CFR7IFY TO TOWta & COUN7RY HoMES Stia.T Tti15 IS gUILDING INSPECTION~ ~FPT.
SIIRVEY OF 711E BOUNDARIES Of=
LOT 15, BL.OCK 1, EAGAN HEIGHTS TOWNHOMES 2ND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES f70T PURPORT TO StiOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT nS SI10WN. AS SURVEYEO 8Y ME OR
UrJDER NY DIRECT $UPERNSION 11115 eTH PAY OF JULY, 1997•
SIG ED: PfONEER =ENG&K~RIN SCAI.E : 1 INCH = 60 FEET ' John C. Larson, LS. Reg. t{o. 19$28
1448 97231.04 PJH
• LOT SURVEY CHECKLIST FOR RESIDENTIAL
' ° • BUILDWG PERMIT APPLICATION
~ PROPERTYLEGAL:
DATE OF URVEY:
~ u ~ LATEST REVISION:
DOCUMENT STANDARDS
a z
Q~'o ? • Registered Land Surveyor signature and company
2-,o ? • Building Permit Applicant
2--'o ? • Legaldescription
? 2" ? • Address
[?--'13 0 • North arrow and scale
2-' ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
CK ? ? • Directional drainage arraws with slope/gradient %
ca-'O ? • Proposed/ebsting sewer and water services & invert elevation ,
C3~/a ? • Street name
[3" ~ ? . Driveway
ELEVATIONS
En'stina
[3-'0 ? • Sewer service (or Proposed)
4ll-? ? • Property comers
21' ? o • Top of curb at the driveway
m-'? ? • Elevations of any existing adjacent homes
Prooosed
P-' ? ? • Garage Floor
[!r,? ? • First floor
? o • Lowest exposed elevation (walkouUwindow)
Cr ? ? • Property corners
~o ? • Front and rear of home at the foundation
PONDING AREA fif aoplicable)
? 01" ? • Easement line
? 0~' ? • NWL
? [3~'/ ? • HWL
? ? ? • Pond # designation
? • Emergency Overflow Elevation
DIMENSIONS
0-~ ? ? • Lot IinesBearings & dimensions
-rr' ? ? • Right-of-way and street width (to back of curb)
p~-o ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. all structures requiring permanent footings)
Lal, ? ? • Show all easements of record and any City utilities within those easements
e' ? ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
? [y • Retaining wall requirements, i any
Reviewed: ~
ame ! ate
January 1996
CRAIGIBB&BLDGPRMTFM
o7n srs7
ENCLAVE AT RIVER RIDGE TOWNHOMES AREA CALCULATIONS
4-PLEX BUILDINGS (without basements - 4A and with basements - 4B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt 1st 2nd Garage
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 4 2742 2742 2894 1492
5-PLEX BUILDINGS (without basements - 5A and with basements - 5B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1st 2nd Garage X# of Units Bsmt lst 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 1 635 635 730 291
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 5 3278 3213 3489 1760
6-PLEX BUILDINGS (without basements - 6A and with basements - 6B 6uildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt 1st 2nd Garage
2 635 635 730 291 4 2540 2540 2920 1164
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 6 4012 4012 4354 2074
6-PLEX BUILDINGS (without basements - 6C buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 6 3913 3848 4219 2051 10C)c
6-PLEX BUIEACH UN~7thout basements - 6 yo ) ~o-- i
Unit Bsmt 1st 2nd Garage X#ofUnits 1d arage
1 1171 1106 - 283 2 2 2 2566 S 3b 736 736 717 455 2 1 2 14 910 4 - - 1325 276 2 0 552 d N p Q 1
TOTALS 6 814 368 f0.p 408 2028 J
7-PLEX BUILDINGS (without basements - 7A and with basements - 7B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X it of Units Bsmt lst 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 635 635 730 291 3 1905 1905 2190 873
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 1 0 0 1325 276
TOTALS 7 4548 4483 4949 2342
8-PLEX BUILDINGS (without basements - SA and with basements - 8B buildings)
EACH UNIT SUBTOTALS
Unit Bsmt 1 st 2nd Garage X# of Units Bsmt 1 st 2nd Garage
2 635 635 730 291 6 3810 3810 4380 1746
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS S 5282 5282 5814 2656
8-PLEX BUILDINGS (without basements - 8C and with basements - SD 8 SE buildings)
EACH UNIT SUBTOTALS
Unit Bsmt lst 2nd Garage X#ofUnits Bsmt lst 2nd Garage
1 1171 1106 - 283 2 2342 2212 0 566
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
4 - - 1325 276 2 D 0 2650 552
TOTALS 8 5084 4954 5544 2610
?
CITY USE ONLY
L1J` BL ~ RECEIPT#: gI 90 I
SUBD. RECEIPTDATE: le9/'7/'1~~7
L'i
1997 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
D mutti-family buildings when separate permits are not required for each dwelling
unit.
DATE: IQ~~"~7 CONTRACT PRICE:
WORK NPE: ~EW CONSTRUCTION INTERIOR IMPR72e;k/ MENT
DESCRIPTION OF WORK: ~YLI•r 1~ ' ' ( ~ fild ~
FEES: ?$25.00 minimum fee or 1% of contract price, whichever is greater.
? Processed piping - $25.00
? State surcharge of $.50 per $1,000 of eo rmit fee due on all permits.
CONTRACT PRICE x 1% 0 4QD. 3
PROCESSED PIPING
STATE SURCHARGE / 5a
~
TOTAL
SITE ADDRESS: Or l 7- aa l x aaAl 'r
OWNERNAME: YI. uLEPHONE#: VS-A~99
TENANT NAME: (iMaROVennerirS oNLv)
INSTALLER:
ADDRESS:
CITY: 04 S. STATE: ' ZIP: ~
PHONE
SIGNATURL~-'%`~~~i~Li/
SIGNA URE OF PER TTEE CITY INSPECTOR
CITY USE ONLY
LOT BL RECEIPT
SUBD. RECEIPT DATE:
1997 MECHANICAL PERMIT (RESIDENTIAL>
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAIV MN 55122
(612) 681-4675
Date:
Complete this section oniv if vou are installine HVAC in sinEle family, townhome, or condos that are
under construction and are not owoer /occupied.
• HVAC: 0-100 M B T U $ 24.00
,"DB:T3^N,:L 510 M °:'U 6.1110
• Gas outlets ( minimum of one required @$3.00 ea.)
• State Surchazge: .50
• TOTAL:
Complete this section onlv if vou are remodeline, adding to, or repairine eaistine single family
dwellinas, townhomes, or condos.
_ Add-on fumace _ Add on air conditioning
_ Add-on air exchanger, i.e. Vanee system, etc. _ Other
Minimum iee applies to all remodel or add-ons of existing residences $ 20.00
Statc Surcharge .50
Total: $ 20.50
SITE ADDRESS:
OWNER NAME: PHONE
INSTALLER NAME: PHONE
STREET ADDRESS:
CITY: STATE: ZIP:
SIGNATl1RE OF PERMITTEE
/ OFFICE USE ONLY
SUBD.~ RECEIPTN.
- RECEIPT DATE: 9 4
1997 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 6814675
Pbaee compkle for: . all commeroiaVindustrial buildings.
. mufti-family builtlings when separate permds are pQj required for each dwelling unit
- bedc,w preventer to be installed in eommarcial areas or rosidentiel boulevards
DATE: WORK TYPE~ New Const _ Add-On _ Repair
DESCRIPTION OF WORK:
fS WATER METER REpUIRED? _ Yes _ No ARE FLUSMOMETERS TO BE INSTALLED? _ Yes _ No
UNDERGROUND SPRINKLER SYSTEM
INSTALLING METER7 _ Yes _ No. NEW SERVICE7 _ Yes _ No WATER FLOW. GPM.
Prossure Reducing Valve may be repuiretl H installing naw sarvice - contact City's Enginearing Department at 6814646.
FAILURE TO PROVIDE THE ABOVE INFORMATION WILL RESULT IN A DELAY OP METER ISSUANCE
FEES
Minimum fee of $25.00 or 1°h oi contract price, whichever is greater Mlnimum Stale Surcharge of $.50 due on all pertnits.
CONTRACT PRICE: $ 1 cJ ~ il v - x 1% = $
_ . 1 S~•
COMPLETE THIS AREA ONLY IF INSTALLING UNDERGROUND SPRINKLER SYSTEM
BACKFLOW PREVENTER FEE E 25.00 = S
WATER PERMIT (new service only) 50.00 = S
WAC (new service only - per connection) 78000 = $
WATER TREATMENT (new service only - per conneetion) 420.00 = E
CITYINSTALLED TAP 300.00 ~ $
METER: 15185.00 , 2" TURBO = $846.00 = $
PERMIT FEE E--I S!l -o o
FI6URE SURCMARGE AT 50 CENTS FOR EVERY $1,000 OF PERMIT iEE DUE STATE SURCHARGE E '
TOTAL $
_ I ~u. C •
I hereby adcnowbdge that 1 Aave road Ihis apPlicetion, state that the inTOrmaUon is coneq, and agme to compy with all appliceble Cily of Eagan ordinances
k is tAe apPhcanYs rasponaibility to not'Ay the property owner that the Ciry of Eagan assumes no liabiliry for any damages cauaed by Ma Ciry dunng its nortnal
operational and maintenance aGivKies to the facilities construcled untler this pertnIil within City propertylrighl-of-way/easement.
SITE ADDRESS: '~a a d~' l r~ W~ l,?~ .i
TENANT NAME: STE. N :
ONMERNAME: U~,?.~ ~ Cu_ kr
INSTALLER NAMEI~ ~ I- . TELEpHONE 71: 17'9a
?y ~ M
STREET ADDRESS: T~ L U C- I'
CITY: STATE: ZIP. 5Sj S ~
APPLI ~{1AT'SS IGNATURE
OFFICE USE ONLY • REVEIiSE 81DE
OFFICE USE ONLY
PLUMBING PERMIT (COMMERCIAL)
METER SIZE p$y _ Yes ' No
Domestic
(rrigation
UTILITY CONNEGTION fAPPLIES TO NEW SERVICE ONLYI
$
SEVIEWED BY
/M 9-• S -;-7
Building Inspector Date
I9 determine meter size
• See if it is indicated on back of Building Inspections card
• Enter address in PIMS Screen 301 to obtain S&W permit #
• Check PIMS Screens 170 (Remarks)
• If gallons per minute are less than 25, a 1" meter will be required. If gallons per minute are more than 25, a 2" turbo with
strainer will be required. This information is to be supplied by the designer of the system. Consult with Plumbing
Inspector if Lieensed Plumber does not know GPMs.
@efore sellinu meter
Check PIMS Screen 320 for ap°roval of inspection results. No meter wili be sold before all sewer and water inspections are
complete on a new service. If new service lines are not required, one check may be written for meter and permit costs. Write
meter type and size on receipt, wde to 3776-9220 (meter portion only), and forward copy to Utility Billing Clerk.
Enter meter size, type, receipt date 8 amount paid on PIMS Screen 110. Copy of receipt should be given to Utility Billing
Clerk.
Miseellaneous Infortnation
The installer is to contact Building Inspections at 681-4675 for inspection of the inside water line and backflow preventer. The
Public Works Department may be reached at 681-4300 for water tum-on.
H meter is over 5/8, call Public Works and let them know so they can tell you if they have one in stock before plumber goes
overthere.
2006RESIDENTIAL BUILDINC PEKMIT APYLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmclion Rcauirements RemodellReoair Reamrements OfGce Use OnN
3 registeretl sne surveys showing sq. ft of l06 sq. ft. of house; antl all roofed areas 2 copies of plan showing fooGngs, beams, joisls Cert of Survey Recd Y N
(PO'Y. macimumlolcoverageallowed) 15NNEnergyCalcula6onslorhealetlatltlNUns TreePtesPlanRecd _Y _N
2 cnpies o(plan shoxnng beam 8 window sizes, pouredlound design. Nc. 1 stlewrvey foraadihons 8 decks Tree Pres Required _Y _N
lsetofEnergyCalculalions AdtliLOn - mtlMaleifon-sitesepficsysrem Do-siteSepbcSystem _ Y _N
3 mpies of Trce f rescrvatlon Plan if lot platletl atter 711193
Rim Joisl Detyl Options seleclion sheet (OUtlUings with 3 of less units)
Miuucgascu mcchauical vcnlilauon fonn
w
Dxlc Cunstruction Cos[ ~ C3l~D
tiiteAddress 22~3 a~:C)g (.JNi 7-E L.~'9 -r E2 Lj IY UniUS[e #
E'.:sC~.;~?£. <Jy 12,~ cR+Ql6G:E,
Ucscriplionol'Wurlc Q£.-.o?£ j Qriocpile-t, 6c[~2,,OE ; Rw-Ls r7u`f.<.S~;.JG ~.QYV.-.,.-i~ Re~-,w
Mulli-family Iildg X Y _ N Fireplace(s) _ U _ 1 _ 2
Property Owncr c/c ~0 art~.1O ~Ro(~£2Tl£S Telephone#((aSr/) ~/SCJ";(3vu
Cnntractor 7-i..iri.,ICC,
Address elv..~ C..) !o ic, Crty /II1 PG 5
ytatc /'y/ ,J Zip Telephone # (leiX ) 2f6-/- Z 3
COMPLETE TNIS AREA ONLY IF CONSTRUGTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesotn Rules 7672
Cnergy Code CategOry , Residenhal Venlilation Calegary 1 Worksheel ~ . New Energy Cotle Worksheel
(4 su6missiontype) Suhmilled Submitted
• Energy Envelope Calculauons Submittetl
ln the last 12 manths, has the City of Eagan issued a permil for o similar plon bosed on a masier plan?
_ Y _ N If yes, date and atltlress of mosier plan:
Licensed Plumber Telephone J
Mechanical Coniractor Telephone # I )
Sewer/Water Confractor Telephone # ( J
I hcrcby apply lor a 2esidential Building Permit and acknowledge that the information is complete and accurate;
that the woiic will be in conformance wi[h the ordinances and codes of the City of Lagan and the State of MN
StatuCs; I understand this is not a permit, but only an application for a permit, and work is not to spWrt without a
permit that lhc work will be in accordance with the approved lan in the ase of work which requires a review and
approval of'plans.
N UI+Jj i,J, 2lZiS
ApplicanCs Printed Name Applicant's Signature
DO NOT WRTI'E BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling ? OB 06-plex ? 16 Fi2place ? 21 porch (3-sea.) ? 31 Ext Alf - MuHi
? 03 01 of _ plex ? 09 07-plex O 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. All - SF
? 04 02-plex ? 10 08-plex ? 18 Dedc ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Oamage
? Ofi 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move BuOding ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 WindowslDoors
, ? 34 Replacement •Oemolilion (Endm BIOg) - Ghe PCA handout to appllcant
DCSCt9DIion: WaterDamago_Yes
Valuation Occupancy MCES System
Plan Review _ 100% or _ 25%
Census Code Zoning City Water
SAC Units Stones Booster Pump
# of Units Sq. Ft. PRV
tf of Bldgs Length Fire Sprinklered
Type of Const VA dth
REQUIRED INSPECTIOIYS
_ Poatings (ncw bldg) Shee[rock
_ 1'ootings (deck) ~ Final/C.O.
_ Pootings(addition) FinalMoC.O.
_ FoUndatipn HVAC
_ Drain Tile Other
Roof _ IccRc Water _ final Pool F[gs AirlGasTesls final
_ Framing _ Siding _ SWcco Lath Stone Lath Rrick
_ fireplacc _ R.I. _ AirTest _ Final Windows
_ Insulation ~ Retaining Wall
Approved By: , Building Inspedor
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W permit R Surcharge
Treatment Plant
License Search
Copies
Other
Total
10/03/2008 11:26 6126616267 SEI EXTERIOR MAINT PAGE 08
! $Q i zv7
----------------i
i cyI
City of ~a~aIl ; Pe~mitx O lG~ ~ ;
i Pertnl[ Fee:
3830 Pllot Knob Road ~
~ Oate Received:
Eagan MJN 55722 i ~
Phone: (651) 675-5675 i Staff: ~C~ t
Fax: (651) 675-5694 i ~
2008 RESIDENTIAL BUILDING PERMIT APPIICATION
Dabe: jOI3I08 SlteAddress: di" °~um.- i,~ay!
~:l/L •.~~~vU~ a~7/3 o7o"~I5" aa~7 .9a-~9 q` 222! suite
RESIDENT f OWNER Name:70DUB,9N0 S~S54GHTES Phone: 6?`~~' 23Dp
Address / City ! Zip: Z27L-m ^^W AVE' A/ 50- 57 Pf}l/L_1!2/l/ .4~5-
Applfcant is: _ Owner ^ Contractar
7YPE Of WORK Descrtpnon oiwork: )eEA7aYF "4" leen,46r /ZOUf
Construction Cost: ~ z~~ ~~eg, Multi-Famity Building: (Yes 1 No ~
CONTRACTOR Name: DV EXTE7Z10R A.JAf/lT, COeP license M: ZOUL 13 3 2 V31 69
Addres,s~`: '7~ w 60
Ciry: /VlIdINEfLoL.1S State: /Wl/ Zip:,%57V/9
Phone: dz- ,&Gontact PerSOn: .S1x7/F A1 •
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 _ Minnesota Rules 7672
Energy Code . ResideMial Ventilation Category 1 WorksheM • New Energy Code Worksheet
Category Submiroed Suhmlttad
(J sunmission type) • Energy Envebpe Calculatlom Submltled
In the iast 72 months, has the City of Eagan Issued a permlt Tor a simllar plan besed on a master plan7
_Yes _NO It yes, date and address of master plan:
Lleensed Plumber: Phone: Mechaniwl Conhactor: Phone:
Sevrer & Water Contractor. ~ Phone:
NOTE: Plahs,°and;sti"li' do~ametitsthbt ' otlsllbHt?far+~:t~6ti~iil~~io'6g fibifeTnform&tfon.'. Poraoris'of.'
' the lMOimatfon;may tpie'tir;ctria~ss'rl'ied~as'noh,=puhlic~ff j?~tl'p'roVid~ sp.e~`ifiC ia~son0,011C
tfiat:wuuld perhtit the CHy to
"Or °'ate,tre'I~A:iACre~''-~
I hSfAby aCknowlbdpe Ihet Ihiv inTOnma/lon Ie eemplptp entl aCturate: ihat ihe work wlll be In confortnence wlth the ortllaencee and eotle5 of the Gty of
Eagan; that I undersland thls Is not a parmR, Eut onry an applicatfon for a permR, anA wptk is not fo slaR without e permR; that the work will he in
accorclance with the approved plan In the Cg9e of work which raquhas a rtwiEw and 0pproval o( plan5.
X C~/fQJS NNQc'YSaA/ _ ~~~sGy
ApplicanYs PAnted Name AaplicaM's Signature
Page 1 of 3
I Sot Zo7 '0 iy
l
, ' I Foi Offce Use
Clty of Eapn ; Permit#
I Permit Fee:. 10, a 5 ~
3830 Pilot Knob Road i ~
Eagan MN 55122 ~ Date Received: ~
Phone: (651) 675-5675 i i
Fax: (651) 675-5694 i Stan: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: aal1 aa I~3 aa 15r ?a 1'7 07~19 ,?a 2/ GvN-/TE GrIRTEL lrllfy
~-7
Tenant: Suite
RESIDENT I OWNER Name:/o Dt+FAmo :-/~ssnc1ArE3 Phone: 6 5/- 2 300
Address / City / Zip: Z2 Z G2AND AVE VJ So. S-- M N
Applicant is: _ Owner X Contrador
TYPE OF WORK Description ofwork: 1?FMOVE ANO /2EPL42~F S/UiNcr
. Construction Cost: 44 0 U U Multi-Family Building: (Yes X / No ~
CONTRACTOR Name: GEI E_XTERi02 MA1/U7-CCSRp License#: 202411131
Address:~~S~ Wc7(Jty S~E~~ ciry: M1 rvn/FAPoL- 15 State: NAl ziP:
Phone: 612- 86 l' 6243 Contact Person: SlEVE /'1)Ad1 t.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventiiation Category 1 Worksheet . New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone: ' NOTE: Plans and"suppoiYing documents"that you sutimit are'considered to 6e public information: Portions of
the information. may be classified.as non-public if you provide speciTic reason's that wou/d permit the City to,
conclude fhaf tBe -are frade"secrets. ,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and cotles of the City of
Eagan; that I understand this is not a pertnit, but only an appliration for a permit, and work is not to start without a permil; that the work vdll be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X c,+2is A.?oFx.s~,,/ ~ t~
ApplicanYs Printed Name pplicanYs Signature
Page 1 of 3
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Use BLUE or BLACK Ink
aalot~ 222 UJh~~2~ I
I For Office Use 1
1
I Permit ✓ Sn~~ 1
ity of Eap
1
I Permit Fee:-5,9 . 0 0 1 /
3830 Pilot Knob Road I .V/
I
Eagan MN 55122 I
I Date Received: I
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 j Staff: 2 I
i-----------------1
013 BUILDING COMMERCIAL PERMIT APPLICATION
Date: "qVj Site Address: a!L 2 t i1 t
Tenant Name: (Tenant is: New / Existing) Suite
Former Tenant:
Name: Phone:
Property Owner Address /City /Zip:
Applicant is: Owner Contractor
y'i' v-f or Description of work: tom. L '
Construction Cost: :,7 ~ e
1 f
License
Name: .t
Contractor Address: - City:
f
State: Zip: Phone: _y a
Contact: - Email:
Blame: Registration
Arch itecdEngineer Address: City:
State: Zip: Phone:
Contact Person: Email:
Licensed plumber installing new sewer/water service: Phone
DOTE: 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 -eview and approval of plans.
fx ~ F
F B'
Applicant's Printed Name Ap'P ant's Sicanature
Page 1 of 3