939 Wild Rose Ct
-0
RESIDEN'TIAL ~70
4-7 'J d ~ BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 651-681-4675
New Construction Reauirements RemodellRepairRequirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; anc~ll roofed areas • 2 copies of plan
(20% maximum lot coverage albwed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 711l93
• Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE Io« `c o . VALUA[ION
JOB SITE ADDRESS 9.3c( G?E& l_~„Fce ~J%1?
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER /00VAJ r Tolte 44fin
TYPE OF WORK ~•~I' FIREPLACE(S) _ 02
APPLICANT el PHONE# -qJ"Y-02Y ~
ADDRESS lYq GL,)91G0 ZIP CODE rdl0
PAGER # CELL PHONE # LL7 1- 5_<'139 FAX #
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1`^~ a t` ~ F
(check one) - Residential Ventilation Category 1 Worksheet Sub iWed ~
- Energy Envelope Calculations Submitted Cr o I~jp(
MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: Phone
Plumbin; System Includes: Water Softener ~ Lawn Sprinl:ler I'ee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
vlechanical System Includes: Air Conditioning I'ee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
All above information must be submitted prior to processing of application.
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 Ordi a ce .
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
Ll 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 Ext. Alt - SF
? 04 02-piex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ~19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New f~ 35 Int Improvement ? 38 Demolish (?nterior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
y- 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation , a0Occupancy 123-MC/ES System
Census Code Zoning City Water
SAC Units I9T Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const ~ Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) Plumbing
_ Foundarion ~ HVAC
Drain Tile
Roof Ice & Water Final Other
~l Framing _ Pool _ Ftgs _ Air/Gas Tests _ Final
Fireplace )r R.I. ~ Air Test * Final Siding Stucco Stone
~ Insulation Windows (new/replacement)
-
Approved By Building Inspector
Base Fee ~
~
Surcharge 7' .
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Address 9 3q w i 1 d R o s e C t Zip 5512 3
Lot I Blk 2 Sub Ro y a 1 0 a k s
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding) ~
Permanent steps (garage)
Permanent steps (main entry) ~
Permanent driveway v-
Permanent gas
~
Sod/Seeded grass
TraiUcurb damage ?
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
a~
RESIDENTIAL ~Z)
S~ ~7 Z- BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122 ' !a s / a4Fc~ 0003 30 651-681-4675
0 3
New Construction Requirements RemodellRepair Reauirements -ee J/
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations . Indicate if home seived by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7l1/93
. Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE s(~ ~ v VALUATION
SITE ADDRESS /S>1 C'T" MULTI-FAMILY BLDG _Y -"N
TYPE OF WORK 'D6-:t-'e FIREPLACE(S) _ 0_ 1_ 2
Sc ~ ~ e.t1'y
APPLICANT C~-'s•
STREET ADDRESS 1lO A~ o~ -T-Fr `AOS CITY lM'f-s- STATE M-4 ZIP V*S_4 CI
TELEPHONE # CELL PHONE #~~2' FAX # C'oi'L-61? 9 6c3
PROPERTY OWNER 0&«~A~ • TELEPHONE # ~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 DE §"EWJ'k LES 7672
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitte • New Energy Worksheet Submitted
. Energy Envelope Calculations Submitted MAY 2 4 2002
Plumbing Contractor:
P
Plumbing system includes: Water Softener Lawn Sprinkler Fee: $90.00
Water Heater No. of R.I. Baths
No. of Baths
Mechanicai Contractor: Phone #
Mechanical system includes: Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Phone #
I hereby acknowiedge that I have read this application, state t for is correct, and agree to comply
with all applicable State of Minnesota Statutes and City f an Ordind~ c. _
Signature of ppli
OFFICE SE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 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 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ~,x 18 Deck ? 23 Porch (screened) O 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
,X 32 Addition 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement ~dr- *Demolition (Entire Bldg only) - Give PCA handout to applicant
~
Valuation ~ Occupancy R'3 MC/ES System
Census Code y3 ~ Zoning ~R - l City Water
SAC Units - Stories Booster Pump. .
. ;
Nbr. of Units ' Sq. Ft. PRV
Nbr. of Bldgs Length g • Fire Sprinklered
~
Type of Const Lee1/ W idth 16
4 REQUIRED INSPECTIONS
Foorings (new bldg) FinaUC.O.
~ Footings (deck) ~ FinaUNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
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 .a~
Other
Total
F!N CERTIFICATE OF SURVEY
For: W. F. Bauer Homes
LOT AREA 17400.4 SQUARE FEET
HOUSE & ROOFED AREAS 2911.5 SQUARE FEET
d~
u VTL_vT 7
6 0 ~
~
906.1 - 118.95 S89°46'31 "E o 0)
(906.1~ U' 891.9 cn885.4 ' co
co
5 \ = > ~ cr
DRAINAGE & UTILITY
L_~J I L 890.3 EASEMENT PER ti1
, 25
~ OT 1 `
I =EF4 E-r iq.5
0
W o 01 m
d T
z ° 4-SEASON ~
p (889.8) PORCH 0.0 - 30.089 5 ~
~91. ~ 44.0 O
894. 10.0 0 ° 26.0 -0 N ~
O ~ PROPOSED N oD o ^
ENISTING f •~0 HOUSE \ o~ U, mo ~ t!
\ (LOOKOUT)\ ~ o > m (j1 Q
05.0:P- 2. 0 0 -<o Cp ~
~ \12.0 14.0 ~.0 ~
GAR. I 016.0
894.5 93.2 892.9 ° 23.0
(895.2) 8s2. 0.00 ~ o ~
BENCH MARK GI o;~~ i BENCH MARK ~
c~ T P O F 5 P I K E W~
TOP OF SPIKE o
~ I •
ELEV.=893.35 ~ °o o ~ ELEV.=891.97 ' ~0 G 25
p SERV. I
~ v ~ 891.9
(891.5)TELE o
891. ' 120.01 N89°46'31 "W
891.2Y
_w w 891.9
-o o C.B. ~tt
O
n
q WILD ROSE COURT
SANITARY SEWER SERVICE
INVERT ELEV = 882.0 feet
. _ t . . . . ~
Scale: 1"=30' Page 2 of 2 James R. Hill, IriC.
2000 BUILDIN~PERMIT APPLICATION (RESIDENTIAL)
5~
cirir oF EacaN
3 3830 PILOT KNOB RD - 55122
0 651-681-4875
New Conatrucflon Reauirements ~~~q% Remodel/ReoairReauirements VQ~I~ b? 3 registered site wrveys showiny sq. H. of bf, sq. ft. o( house G `--~?3 oG 2 copies of plan
and pfi roofed areas l20% maximum lof coveraoe allowed) 1 set of energy calculations tor heated addiflons ~
> 2 copies of plans (ahow beam & window sizes; poured fnd. destgn; etc.) 1 site wrvey tor extedor addittons & decks
> 1 set of energy calculations
> 3 coples of hee preservatlon plan It lot platted affer 7/1/93 01C_
DATE: ~~l z a o` dD CONSTRUCTION COST: 7
DESCRIPTION OF WORK:
STREET ADDRESS: 2 -3 7 W 1 ~d ~o--~
LOT: BLOCK: ~ SUBD./P.I.D.
Name: Ae-.~f L- 04-KS Phone 3, PROPERTY St FI
OWNER Sheet Address: q f r b `iejcr'v, ' " &
City '9h&'-pa t e P,4 ..J, State: /"l J Zip:
. Company: Azie, 2. A4o rn es _ Phone
(area code) CONTRACTOR
Sheet Address: 5-4-/'16 L41-te- &-4- Llcense #1V Exp.3~~ ~
Ctty '517M-e') re."..> State: Zip:
ARCHITECT/ ~
ENGINEER Company: ~ Tv'zd Name: J 114
' Telephone ( 6(-?,- Sb
Sheet Address: Pg/h AQo J'e&P ~ R. Regishaflon
Clty AZ9&Zd 1~ State: A/il/ Ztp:
Sewedwater licensed plumber (if installina sewerlwaterPhone
I hereby acknowiedge that I have read this applicoNon, state that 1he infomnation is correct, and a9rse to comply wNh a0 ap (icable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appticant:
OFFICE USE ONLY
Certificates of Survey Received Yes
Tree Preservation Plan Received Yes No Not Required!:i
~L - - 4
OFFICE USE ONLY
~ , s 1
~
BUILDING PERMIT SUBTYPES
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 21 Porch (3-sea.) ? 31 Ext. Att - Mufti
/K 02 SF Dweliing O OS 06-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? $3 Ext. Aft - SF
? 03 01 of _ plex 0 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 Multi
? 04 02-plex ? 10 08-piex ? 19 Lower Level ? 24 Storm Damage ,
0 05 03-plex ? 11 10-plex Pibg Y or_ N? 25 Misceilaneous
O 06 04-plex ? 12 12-plex O 20 Pool 0 30 Accessory Bldg.
~ORK TYPE
31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition 13 37 Demolish (Bld9)* ? 44 Siding
? 33 Alteration ? 38 Demolish (Interior) [3 45 Fire Repair II
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
* Give PCA handout to applicant for demolition permit GENERAL INFORMATION ~
SAC Code ~L # of Stories L~ sq. ft.
No. of Units Length sq. ft. ii
No. of Buildings Width "~v r Footprint sq. ft.
Const. (Actual) Basement sq. ft. G4<~ Census Code
(Allowable) Main level sq. ft. r- 4MClES System
UBC Occupancy sq. ft. 5-, City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered '
MISCELLANEOUS INSPECTIONS ii
? Stucco/Stone APPROVALS
`
Planning Building Engineering Variance
~ .
Permit Fee Valuation: $ Cgo 3
,
Surcharge
~ ~ 9 ~ ~ ` L?~-,
Plan Review 3 7
License .
MC/ES SAC ~~.G~,v I G ~ 4 S ~
City sAC
Water Conn. '
Water Meter (9 ' Acct. Deposit 0~ 7 S cZ `
S/W Permit ~r s~ ~ y ~
S/W Surcharge 7
Treatment PI. o~, ~ j~ ~ ~
l~ .
Park Ded. Trails Ded.
Other u
-
Copies
Total: ~
SAC Units
% SAC ,
PR.... D~y
,
ATTACHMENTS)
Development Ck. Q
Lot Number I Block Number Z
Address RnyG
Builder ~J e ?
i ,
' V 1 U6
~ r
Tree Protection Requirements•
Tree Fencing
Oak Tree Pruning (Seai wounds during April 15 to July 1)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
As Follows:
Attachments:
Yes
No
Additional Notes:
~ . ,
t
.
•
W.~.$ ant mmun-xmm
MAILINC ADDRESS NEW OFFICE ADDRESS
Attn: Steve Zawadski 4614 Churchill Street
5476 Lake Avenue Shoreview, MN 55126
Shoreview, MN 55126
Phone: 651-433-0518
Fax: 651-483-9057
Steve's pager: 651-610-2305
MNB1derLic.# 8369 Jay's digital: 651-387-9055
Dan's digital: 651-387-9054
GifF's pager: 651-610-2304
FAX COVER LETTER
To:
Fax
From:
Date•
# of uages sent•
' f oY--\ o~~ a
J .
Co.~ 0.Y--\ ~~~?~-Y~ .
~
ocj-~--
~
MAILING ADDRESS: 5476 LAKE AVENUF_ • SHORCVIEW, MINNE50TA 55 1 26
651-483-0518 • r-nx 651-483-9057
MINNESOTA I3UILDER LICFNSE #8869
~ •
i p
MNcheck COMPLIANCE REPORT
Minnesota Energy Code Permit #
NNcheck Software Version 2.0
Minnesota Department of Public Service
1-612-296-5175 1-800-657-3710 Checked by/Date
COUNTY: Hennepin
STATE: Minnesota
ZONE: 2
CONSTRUCTION TYPE: Single Family
DATE: 1-4-1980
DATE OF PLANS: 6/1/2000
TITLE:
PROJECT INFORMATION:
PATTON RESIDENCE
COMPANY INFORMATION:
WF BAUER CONSTRUCTION
COMPLIANCE: PASSES
Required UA = 574
Your Home = 433
Area or Insul Sheath Glazing/Door
Perimeter R-Value R-Value U-Value UA
CEILINGS 1732 38.0 0.0 52
WALLS: Wood Frame, 16" O.C. 4284 19.0 2.0 221
GLAZING: Windows or poors 378 0.350 132
DOORS 63 0.350 22
FLOORS: Over Unconditioned Space 220 38.0 6
COMPLIANCE STATEMENT: The proposed building design represented in these
documents is consistent with the building plans, specifications, and other
calculations submitte with the permit application. The proposed building
has been desi d to eet the re ents of the Minnesota Energy Co e.
Builder/Designer ' Date
765
, , .
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
MINIMUM REQUIREMENTS OPTIONAL
(CATEGORY 2) (CATEGORY 1)
FOUNDATION:
[ ] Exterior foundation wall
insulation installed:
R-
[ ] Slab-on-grade insulation
installed: R-
Ducts in slabs have R-5
insulation bottom and sides
PENETRATIONS:
Windaw and door frames sealed Foundation rim joist sealed
airtight
Framed wall openings into attic Upper story band joists
sealed sealed airtight
Other joints in wall sealed
Dropped ceiling air-blocked [ J Ceiling poly sealed to top
of interior partition walls
[ ] Plumbing penetrations sealed
[ ] Exterior walls behind tub
and shower sealed
[ ] Plumbing vent stack sealed
Chimney flues sealed at ceiling
Perimeters of all grills and
registers sealed to vapor
barrier
[ ] Electrical service sealed
[ ] Recessed light fixtures sealed
Wire penetrations into attic Electrical boxes sealed to
sealed vapor barrier
[ ] Telephone, cable TV
penetrations sealed
Fans sealed where vapor barrier Fan housings air sealed
penetrated
, v •
i
NEW HOME FIELD INSPECTION
ENERGY CHECKLIST
PAGE 2
MINIMUM REQUIREMENTS OPTIONAL
(CATEGORY 2) (CP,TEGORY 1)
INSULATION:
[ ] Vapor barrier installed
[ ] Interior foundation wall:
( ) Vapor barrier installed
( ) Insulation installed: R-
( } Moisture barrier installed
[ } Attic insulation installed:
R-
Attic card posted with proof of
bags installed
[ ] Floor insulation installed:
R-
[ ] Wall insulation installed:
( ) R-19 ( ) R-21 ( } R-
WIND WASH BARRIERS:
Wind wash barrier installed at All exterior joints in
attic edge building envelope sealed
[ ] Overhangs (cantilevered floors
and bay windows)have wind wash
barriers
MECHANICAL:
Ducts running outside conditioned Residential mechanical
space sealed and insulated ventilation system
with minimum of R-8 installed (Mandatory if one
Returns in same space as furnace or more item in this column
sealed is checked)
[ ] Ducts in unheated spaces
Water heater has pipe insulation
or heat traps installed
[ ] Furnace AFUE:
[ ] Central Air SEER:
----NOTES TO FIELD (Building Department Use Only)
CERTIFICATE OF SURVEY
For: W. F. Bauer Homes
PROPERTY DESCRIPTION: Lot 1, Block 2, ROYAL OAKS,
Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above
described property and that it was performed by me or under my
direct supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements, easements or encroachments, to the property
except as shown thereon.
Signed this 14th day of June a,20. mes R. Hill, Inc.,
~
By:
Harold C. Peterson, Minnesota L.S. No. 12294
Notes: 1. Building dimensions shown are for
horizontal & vertical placement of structure A Denotes set spike
only. See architectural plans for building o Denotes set iron monument
• Denotes found iron monument
& foundation dimensions, x927.6 Denotes existing elevation
2. No specific soils investigation has been (930.0) Denotes proposed elevation
completed on this lot by James R. Hill, Inc. - Denotes proposed drainage
The suitability of soils to support the specific
house proposed is not the responsibility of
James R. Hill, Inc. or the surveyor. Bench Mark: 893.93 -TNH- LOT 3, BLOCK 1
3. No specific title search for existence or non- Proposed Garage Floor= 894.1
existence of recorded or un-recorded easements Proposed Garage Top of Block= $94.5
has been conducted by the surveyor as a part Proposed House Top of Block= 895•9
of this survey. Only easements per the recorded Proposed Lowest Floor= $$7•1
plat are shown.
4. Proposed grades shown were taken from gearings are on assumed datum
the grading &/or development plan prepared by
Scale: T=30'
JAMES R. H1LL, INC.
z
~ ~ ~ ~ ~ ~
N D , James R. Hill, Inc.
~ 0 m"'~ ° v~i ~ D
W~ a~ o~; o z PLANNERS / ENGINEERS / SURVEYORS
o a° z o m N p ~ 2500 W. Cnr. RD. 42. Sum 120, BwsvuE. MN 55337
o
iv ~ 00 PHONE (952)890-6044 FAX: (952)890-6244
N CERTIFICATE OF SURVEY
For: W. F. Bauer Homes
LOT AREA 17400.4 SQUARE FEET
HOUSE & ROOFED AREAS 2911.5 SQUARE FEET
d~
I I T I T 1~ \ JiC1
L, R~ ~ o ~
~
sos., - 118.95 S89°46'31 "E o ~
(906.1) 891.9 cn88 .4 ~ ~
5 \ ~ ~ \ cn
~ ^T 0 DRAINAGE & UTILITY ~ = - - J
890.3 EASEMENT PER PLAT
25
10.5 C
' LOT 1
W I
01
o J ~
U, o rn
cn ~
z ~ ° 4-SEASON ~
p~' (889.8) PORCH 890.0 ~ 309.5 ~
91. ~ 44.0 ~ 90.2 ~ O I
894. 26.0
EXISTING PROPOSED N m~
HOUSE \ cn p
HOUSE O (LOOKOUT)\ D oo D m C.J7 O
\ v Oo ~ o\ 2.0 ~ ~o Cp C
~ (D \12.0 14.0 0 C~.0
GAR. L*j 1 93.2 016.00 00
894.5 Q O~ C _ 8 9 2. 0 2q.0 (895.2) 892. K 0.00 ~ ~ o ~
B E N C H M A R K GI ~o ~ B E N C H M A R W
TOP OF SPIKE w TOP OF SPIKE .
ELEV.=893.35 01 5 0 o SRV.LEV.=891.97 10 ~ 25
I ~
1 oT.v. ~ o (891.9
(891.5~ ~ TELE.o 891,
891. ' 120.01 N89046'31 "W 'g1~ I
00 f 891.2Y ~
w 891.9
-o ° C.B. x
O
. ~
n
- - - - -
Z
WILD ROSE COURT
SANITARY SEWER SERVICE
0
INVERT ELEV = 882.0 feet ~
Scale: 1"=30' Page 2 of 2 James R. Hill, IriC.
. , • .
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
~ PROPERTY LEGAL: 'NLWZ y,¢L O,4KS
DATE OF SURVEY: ~ -~y~Od
N
LATEST REVISION:
~
p DOCUMENT STANDAROS
o os': Q
~ ~a ? • Registered Land Surveyor signature and company
~~a ? • Building Permit Applicant
ta%o • Legal description
o Address
ili ? • North arrow and scale
• House type (rambler, walkout, spl'd w/o, split entry, lookout, etc.)
~a ? • Directional drainage arrows with slope/gradient %
:;-"Po ? • Proposed/existing sewer and water senrices & invert elevation
~ • Street name
?
? • Driveway
~ ? • Lot Square Footage
? ? • Lot Coverage
ELEVATIONS
Exisdnq
tir~a ? • Sewer service (or Proposed)
? • Property corners
y ? • Top of curb at the driveway
p • Elevations of any ebsting adjacent homes
? m/ ? Adequate footing depth of structures due to adjacent utility trenches
/ Proaosed
O? ? • Garage floor
a • Firstfloor
~ ? ? • Lowest exposed elevation (walkout/window)
~ ? ? • Property corners
rA/ • Front and rear of home at the foundation
PONDING AREA (if aavlicable)
? a/ o • Easement line
? ~ ? • NWL
? ~ ? • HWL
? E' ? • Pond # designation
? r2/? • Emergency Overflow Elevation
DIMENSIONS
~Y ? • Lot IinesJBearings & dimensions
~
? o • Right-of-way and street width (to back of curb)
ff", ? ? • Proposed home dimensions including any proposed decks, ovefiangs greater than 2', porches, etc.
(i.e. all structures requiring permanent footings)
/
Show alt easements of record and any City utilities within those easements
0 0 • Setbacks of proposed structure and sideyard setback of adjacent existing structures
?2/o • Retaining wall requirements, if any
Reviewed:
me / Date
March 1969
CRAIC3/3IDGPRMT.FM
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 699
DATE: 08/25/00 TIME: 09:14:16
ID:
NAME: DJ'S"HEATING & AIR COND
3213 9001 939 WILD RS CT 42.00
2155 9001 939 WILD RS CT 0.50
Total Receipt Amount: 42.50
CR136487
USER ID: JAN
- . - ` CITY USE ONLY
LOT BL PERMIT
SUBD. RECEIPT
u
RECEIPT DATE:
2000 blECHANICAL PERMTT (RESIDENTIAL)
CITY Of' £Afi,+tN
3$30 PILOT KNO$ itD
EAfiAN MN 55182
e912S~~o 651-681-4675
Date:
Complete this section onl if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U l lS"dao $ 30.00
ADDITIONAL 50 M BTU 6.00
~ GQ
• Gas outlets (minimum of one required @$3.00 ea.) ,a .
State Surcharge .50
Total $ k/J 0~
Complete this section only if you are remodeling, arfdin to, or replacan existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or replacement.
New _ Replacement _ Other
Furnace Air conditioning
Air exchanger Other Fee $ 30.00
State Surcharge .50 -
Total $ 30.50
Reminder: Call for final inspection.
SITE ADDRESS,; 5~ c"/ ~
OWNER NAME~ L,/ .f~ c7CJ fS PHONE -
/ (nttEa coDE)
INSTALLER NAME: 'S i.? lG PHONE 3~20 - c!7' E,2~
(AREA CODE)
STREET ADDRESS: d
CITY: STATE: ~ ZIP:
SIGNA OF PERMITTEE
CITY USE ONLY
L BL PERMIT#:
SUBD. RECEIPT#:
APPROVED BY: , INSPECTOR RECEIPT DATE:
2000 MECiiA1VICAL PEiMIT (COMMERCIAL)
CITY OF EAeLAN
3$30 PILOT KNO$ ftD
EAfiAN, MN 55122
651-681-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
WORK T'YPE: New construcrion InstaIl U.G. Tank
Interior Improvement Remove U.G. Tank
Processed Piping
Wl:en installing/removing underground tank, call 651-681-4675 for inspection by fire n:arshal and
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 minimum fee, whichever is greater.
Underground tank removaUinstallation = minimum fee
Contract price: $ x 1% (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SITE ADDRESS:
OWNER NAME: PHONE -
(AREA CODE)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME: a
INSTALLER:
- ~
ADDRESS: PHONE -
(AREA CODE)
CITY: STAT'E: ZIP:
SIGNATURE OF PERMITTEE
L BL CITY USE ONLY
RECEIPT
SUBD. I kS RECEIPT DATE:
PERMIT # ~1~ 31
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT EINOB RD
EAGAN, 1rIld 55122
651-681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTIIRES EACH # TOTAL
Alterations to existing dwelling - minimum fee $ 30.00
Describe:
Bath tub $ 3.00 x $ (DO
Floor drain 3.00 x = $
Gas piping outlet * minimum -1 3.00 x $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $ -3. ~
Laundry tray 3.00 x = $
Lavatory 3.00 x $
Septic System new/refurbished * requires MPC lic. 75.00 X = $
S2ptiC SySt2R1 abandonment 30.00 x = $
RpZ new installation/repaidrebuild 30.00 X = $
Rough opening 1.50 x = $ ~
Shower .3.00 x = $ -5
Underground sprinkler if dwelling is under construction 3.00 x = $ 3
Underground sprinkler if existing dwelling 30.00 x = $
Water closet 3.00 x = $ < U
Water heater 3.00 x = $ 3OD
Water softener if dwelling under construction 5.00 x = $
Water softener if existing dwelling 30.00 x = $
Water turnaround 30.00 x _ $
State Surcharge .50 $ .50
Total $ O l.~D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
.1 hereby 2~knowledge that I have read this application, state that the information is coned, and agree to comply with all applicable City of Eagan ordinances.
It is the aAplicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
A'?,0
SITE ADDRESS:
OWNER NAME: TELEPHONE ~
( ~ oDE
INSTALLER NAME: TELEPHONE 5= 7
~ (AREA CODE)
`
STREET ADDRESS: lneiv
CITY: STATE: ZIP:
RECEIvED ~
SIGNATU F ERMITTEE
RY~ _
Site address: 95~ L%1 C ov~.-~- Lot ~ Block Z Subd. 20\1 11L ~ pkS
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
~ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This structure: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
Water Heater Z
Furnace AW O~~ fZ. C Yo ~ S oo I~ ~
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen R GC c,or~ V`E ~A aov ~
Bathroom 1 Ni ~G ~..r,~ ~&&a M_~~~~ L %S gc7
Bathroom 2 •Z ~4> V L \3 AT V L:s ~,,t,-r-oN e L S o g~
Bathroom 3 f-L gpTN FAl~ ~%;rcru l-S C) ~
Bathroom 4 z~,
Other
• VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS
MAKE-UP AIR MODEL TYPE CFM's
1 E 2, C~ Ewm p2
I hereby acknowledge that the above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
1 Zoo
Signature Date
w. r• ~ A v Eti lAo n
Company Name
* This form is the responsibility of the General Contractor.
PERMIT # ~ yKh_ RECEIPT DATE:
~ ESIDENTIAL PLiJ1VIBIN6 P£RMIT APPLICATION
CTfY OF Emi4N
, 3$30 PILOT KNOB EiD
EAeM, huv 55122
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
Ess:
SITE ADDR /
TELE°HOIvE
OWNER IVAME: : (AREACODE)
INSTALLER NAME: ~ ^ .(~TELEPHONE lO
~ (AREA CODE)
-2d STREETADD SS:,77-~
CITY: STATE: ZIP: SS
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 alteration to existin dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
lawn irrigation sys~'em-
• water turnaroun
Nature of work:
;
i Septic SyStem, nevr/refurbished - $ 225.00
i . includes Counry & Consulting Inspector fees
. requires MPC license
State Surcharge $ .50
Total
Reminder. Be sure to schedule inspections of alterations, i.e. water heaters, water softeners, etc.
1 hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Ciry of Eagan ordin8nces. It
is the applicant's responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit wit in ity propertylright-of-way/easement.
SIGNATURE OF PERMITTEE
Updated 1/01
PERMIT # ~7110 RECEIPT DATE: 10-3 OI
MIDENTIAL PLU1VI$INC PERMIT APPLICATION
CITY OF EAfim
s$so Pu.oT KNos gn
EksAv, Mx 551 2E
651-6$1-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for irrigation system
SITEADDRESS: ~.3,4 161Gl 23~Ec C1.
.
~
OWNER NAME: : TELEPHONE ~ "ro
(AREA CODE)
INSTALLER NAME: ~~UU.C~CJL°_~~ 1, I•,OP1 TELEPHONE S I;47T(0
STREET ADDRESS: 2 PeDS) QJ s m `Ljp~ ~ti ~..t ~ (AREA CODE)
CITY: ~2, iz erl STATE: ZIP:
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 alteration to existinq dwelling unit, including: $ 50.00
• abandonment of septic system
• new installation/repair/rebuild of RPZ
• lawn irrigation system
• water turnaround
Nature of work: 'V-:k0%S11 19"eritet'4 twttn A~`~Ol
Septic System, new/refurbished - $ 225.00
• includes County & Consulting Inspector fees
• requires MPC license
$ .so
State Surcharge
Tota I
B
Reminder: Be sure to schedule inspections of alterations, i.e:-water heaters, water softeners, etc.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply with all applicable Cityof Eagan ordinances. It
is the applicanYs responsibility to notify the property owner that the City of Eagan assumes no liability for any damages caused by the City during its normal
operational and maintenance activities to the facilities constructed under this permit within City property/right-of-way/easement.
SIGNATURE OF PERMITTEE
Updated 1/01
N
Use BLUE or BLACK Ink
For Office Use
RECEIVED I 2) 1 '
City 07 1; Permit APR 0 7 2014
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 1 Date Received: 1
I 1
Phone: (651) 675-5675 1 Staff: I
Fax: (651).675-5694
1
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 1 r + Sit Address: I ~ JUQ
L_
Tenant: . Suite
Resident/Owner Name: Phone:
Address + City I Zip: K J
Milbert Company Inc dba Cullign Water
Name: ~~cense A. WC643176
address.. 180150th Street East city: Inver Grove Hgts.
Contractor
State: M N zip: 55077 Phone: 651-451-2.241
Contact: Willia"fYl (1.Milbert Email:
Type of Work - New f~eplacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work:
RESIDENTIAL
Water Heater
Lawn Irrigation RPZ PVB) Water Softener
Permit Type Septic System Add Plumbing Fixtures (-Main Lower Level)
New Water Turnaround
Abandonment
RESIDENTIAL. FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn` Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing` Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
"Water Turnaround (add $200.00 if a 5/8" meter is required)
$115.00. Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
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.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 approvvX ed plan , in the case of work which requires a review and approval of plans.
x r/ll rr G x
Applicants Panted Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas lest Final
Meter Related Items: Meter Size Radio Read Staff: