646 Witham Lane
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: ~
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 N ' { ` " APPLICANT•
I c, r : . f4Lu L. 0. : .
i. I II 1 HItM t FlNF ~ ~ ~,~~t. I!, I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
~
~ : ~
Permk No. Permit Holder Date Telsphon* N
ELECTRIC I,
PLUMBING II
I
HVAC
inspscdon Deb Inap. Commuts
FOOTiNGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBIN(i
PLBG
AIR TEST
ROUGH
HEATiNG
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
L_
ORSAT
TEST
II BLDG FINAL •
r- !
~ E'SMT R.I.
~
'3 SMT FINAL DECK FfG
- ~---ft---
I )ECK FINAL -q-~ ~
V/o
I
-
;
INSPECTI4N RECORD ~ ri~°'
' eo
i ClTY OF EAGAN PERMIT TYPE:
3830 Pifot Knob Road Rermit Number: i~~~
Eagan, Minnesoia 55123 Date iss+ued:
~ (612) 681-4875
SITE ADDRESS: LOr t ~ "LOr K, 3 APPIICANT: '
646 IiYTHAK LAME 0A11Lf BRQTHtRa ING
CnVeM!'RY NA95 ZitD (812) 898--6866
PERM~T §w BTYPE: TYPE OF WORK:
F'Ob i Jllr~ ~RAl1IM~
tNo?iit RTIAw ~IMAI
FIRfPIACF
Rf~KAitK~i e pRV 5~ U COMTRACTOR 9TAR PI NA
~
7 ~
' Pwmlt Ib. PrmN lloidar oaM lwpewft•
SIW
t PLUMBING ~.-.?r_.~,.~,~ .
:~srca -s c• ~C.
kvAc l g 9~ ,g -
MEC7=
ELECTRIC
timpeolioe DoM inHOp. comm=b
F°°A`' ' gFl ~g
Fo"'dmW f
FtamYtp
ao* F+a
Rr'°°i°a
FkW W4 ~
orstl'{bo
Flral Pbp. Pb9. In~veGO?-++otlfy Plumbe.
Const LAM+1r
Fstpir.fPlrn
Bkfg' FinW
OsdcFq.
Dsck Finml
.t: .
TT-
.'~VINM .
Pr. Dfep.
Wertilicate nf Cccupancv
WU4 o~
TCOarhucw iq 13mains 3%6-10e~
This Certeficate issued pursuant to the requirements of tiu Uniform Biulding Code
cerrifying that at the time of issuance this structare was in conrplimce witb the mrioWs
oidinareces of the City negulating building corrstructron or use. For the jollowing:
5F DWG 1588
use clusifwatmm: smg. rank rb. Y-N
0-pancrT1a 1 Nc; g Mr
Owner of Building Addresc D
f f
Building Addmm L.ocality
laii Dale: DECEMBER 28, 1992
suilaing oerwW
POST IN A CONSPICUDUS PLACE
1
fiequast Dale ' Frte No Rough-in Inspection-
I ~ Repmretl9 ? Reatly Now YWill Nolily Inspx~or
V Y.~ i Yes ? n'o When Reatly>
I~I licensed contractor ? owner hereby request inspection oi above electrical work at:
Job Atltlress (Sheet Boa ar Fooie No I Qty
~6 am n¢
Seclion No TownsM1ip Name or NO Range No COUn~~ ~
0
OccupantlPRINTI Phone No.
~ ~?-a~le.r5 g~-{o~~o
Power Suppher Atlareu
Eiecmcal Connacror Company Name) Comra s L¢ense yo
S-~-Q.r C~ C C,f~ ~ I~q Z
Mailing ADaress ontractorar aking Installation~ ^ -
12 ~ V11Q S
AWhorrzeo Si namre (COnlraclor/Ow ing Ins~a aDOn~ Phone N er
8 0 -3555
MINNESOT ATE 90ARD OF ELECTFICITY THIS INSPECTION REOUEST WILL NOT
Griggs-MI ay Bltlg - Room Sl]l 6E ACCEPTEO 6V TNE STATE BOARD
1821 Univercity Ave . St Paul MN 55100 UNLESS PPOPER INSPECTION FEE IS
Phone(61y) 6C2-0800 ENClOSEO
~ 2 31 b REOUEST FOR ELECTR1(kAL INSPECTION "m•~' ; ee-ooom-oe
3 c ~ Se msv dions for comple911~g ihis lorm on back ol yellow copy
K 29/~ `5' `fl 11~Befow Wark Cavered by This Request
ew Add Rep Typeof8uilding AppliancesWved EqwpmeniWUetl
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Buildinq Dryer Othec(Specity)
Comm /Industnal Furnace
Farm Air Condtlioner
Olher Isyealy) Conlraclor5 Remarks ,
Compufe lnspedion Fee Below:
8 Other Fee # Service EnlranceSrze Fee # Cvcuits/Feeders Fee
Swimmmg Pool 010200A mps 0 to 100 Amps
Transformers Above200_Amps Above100>_Amps
Signs Inspeclar's Use Only ~y \ TQTAL ~
Irngation Booms ~8S
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISGONNECTED IF NOi
Other Fee COMPLETED WITHIN 18 MONTFI3. r /jp I, the Electrical Inspector, hereby Rough-in P ie
a~.
cerhfy that the above inspection has Fifnai oaie
been made. 7 ~ ~ J
OFFICE OSE ONLY ~
This :equest voitl 18 moNhs iram
Fequ st D e - I Fre No. Roug~lispetlion
Q ^ Req red / eetly Now O WJI NotJy Inspeclar
~ 7~~~ ~ L'Na When Reatly?
I~,licensed contractor ? owner hereby request inspection of above electncal work at:
Job Atltlress IStreet Box or Ro ~e Nfo.l Qty
R& v`' ~
$ecUOn No, Township Name Or No. Ranga No Counry
~
Occupanl(/PqIN I Phone No
77 Power Suppher AEtlress
Eiectncai Comrac r(Compan mef Comractor5 4cense No
o J / 2~~ _
Mailing AtltlrE55yGonlracto
,~r or Ownar Making InstellaI
ANhonzec Signat iCOn orrOwner Makmg Installauon) PM1On
.U / - iSS
MINNESOTA STATE BQAflU QF ELECTAIGTY f~ THIS INSPECiION REOUEST WILL NOT
Griqqs-MlOwey Blag - Room 5-193 BE ACCEPTEO BV THE STATE BOARD
1821 Unlveralty Ave., St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE I$
Phone (612) 642-OB00 ENCLOSED.
e
REQUEST FOR ELECTRICAL INSPECTION aoooo+~oe
~
/ ? Sae instmcuons iorc~ieiing Ihs form on back ol yeliow wpy. ,ia. /7 J
i
{l 0 8 3 5 5 7(" Below Work Covered by This Request ~'!~,.!`~°Cd cd
ew Atl Rep. TypeotBwlding ApptianceSWiretl EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
ApC Buildinq Dryer Other-(Specity)
Comm./Industriat Fur ace
Farm ir Contlltioner
Olher IsUecilyl ConVactor§ Ramerks.
Compute Inspection Fee Below:
x Other Fea # ServiceEntranceSize Fee # Cucwts/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 700 Amps -
TranSfOrmBrS AbOVB 200 _ Amps A6ove 100 _ Amps
Sg05 Inspector5 Usa Only. TOTAL ~
Irrigation Booms . ! uU S
Special Inspecuon J
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspecror, hereby Rougmin ~ oeca
certity that the above inspection has F,oei ace . G~
been made.
OFFICE USE ONLY
Tms raquesi wia 1B monIDS from
Ad'dr6ss: 646 WITHAM LN Lot Z Blk 3 Sec/Sub COVENTRY PASS 2ND
These items were/were not complete at the tima of tha final inspection.
Date: DECEMBER 28 1992 Yas No
Final grade (6" from siding)
Permanent staps - garage
Yermanent steps • main entry ~
Permanent drivaway ?
Permanent gas
Sod/seeded gtass
Trail/curb damage
Porch ~
Basement finish ~
Deck 71
Please verify vlth the builder the ramoval of roof teat caps from the plumbing
system and the ahut-off of vater supply to the outaide lavn faucet before
freeze potantial exists. ~j
c.o~ora
White - CSty copy Yellow - Reaident copy Plnk - Contractor copy
215 2005 RESIDENTIAL BUILDING PERMIT APPLICATION ~ I, I g 2
City OfEagan F
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Ne'w Constmction Reouirements RemodeUReoair Reauiremenis ORCe Use Onlv
3 registered site surveys showing sq. ft. oi bt, sq. fl. of house; and all roofed areas 2 copies of plan CeR nf Survey Recd _ Y_ N
(20% maximum lot coverage allowed) 1 set oi Energy Calculalions for heated additions Tree Pres Plan Recd _Y _ N,
2 copies of plan strowing beam 8 window sizes; poured found design, etc. 1 srte survey for addi6ons & decks Tree Pres Required _Y _ N
1 set of Energy Calculations Adddion - irMicate ilon-sfte sepfic system On-site SepUc System _Y _ N
3 copies of Tree Preservation Plan'rf lot platted after 711/93
Rim Joisl Detail Opfions selecGon sheet (6uildings wdh 3 or less um4s)
Date 'q- / 4( / ~w. j `V,Q VIA Construction Cost /g AS-w'v
Site Address toY(p c~17XlihH L~e_( UnitlSte #
Description of Work &SazF
Multi-Family Bldg _ Y kN Fireplace(s) l"- 0 _ 1 _ 2
PropertyOwner Telephone#((r;'1 ) (isy -4ree
Contractor
Address z,nN4 g~~ Gv~( ~'F Ci?Y
State /~(Lf Zip Telephone #(ly3 )'7SY -Qt t9
COMPLETE THIS AREA ONLY IF C115INSfitUC'1'ift A,~ EW BUILDING
I V~ inneso[a Rules 7672
- Minnesota Rules 7670 Cateeorv lBY_
Energy Code Category
. Residential Ventilation Category 1 Work'she-e New Energy Code Worksheet
(q submission type) Submitled Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber Telephone )
Mechanical Contractor Telephone )
Sewer/Water Contractor Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
!:~i Czwe~ /
Applicant's Printed Name p icant's Signatu
OFFICE USE ONLY
Sub Types
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bidg
? 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
• ~t., , e-, , C
? 31 New ? 35 Int Improvement ? 36 Demotish Interigr O 44 SiQing
i ~Sv?5' ~
? 32 Addition ? 36 Move Building ? 42 Demolish Foundalion ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacemenl 'Demolitlon (Entlre Bldg) - Give PCA handout to appiicarif;G,r'
Valuation Occupancy MCES Systev
Census Code Zoning City Water
SAC Units e" Stories BoosEer*PUmp
# of Units Sq. Ft. PRV . •
# of Bldgs Length ti,,,,i Re Sprinklgred,x., .
TypeofConst Width
REQUIRED INSPECTIONS
Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tests Final
_ Framing ` Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other ,
Total
I CITY. OF EAGAN PERMIT C°" 1155
~
3830 Pilot Knob Road PERMITTYPE: eurLozNs
Eagan, Minnesota 55123 Permit Number: 001588
(612) 681-4675 Date Issued: 10 / 0 7/ 9 2
SITE ADDRESS:
646 WITHAM IANE
LOT: 2 BLOCK: 3
COVENTRY PASS 2ND
DESCRIPTION:
,-Buildin4 Permit Type SF DWG
Building Work Type NEW
UBC Occupanay R-3 M-1
~ Construction T,ype V-N
' Zoning R-1
Building Length ~ 64
Building Width 40
• v , ,
REMARKS:
PftV S& W CONTRACTOR - STAR PLBG
~FEE SUMMARY:
' VALUATION $127,000
Base Fee $734.00 MTSCELLANEOUS $1,610.50
Plan Review $477.10 Total Fee $3,585.10
Surcharge $63.50
SAC $700.00
SAC ~ 100
SAC Units 1
Subtotal $1,974.60
CONTRACTOR: - Applicant - sT. Lz'pyyNER:
DAHLE BROTHERS INC 18886866 000169 DAHLE BROS INC
9304 LYNDALE AVE S 9304 LYNDALE AVE S
BLOOMINGTON MN 55420 BLOOMINGTON MN 55420
(612) 888-6866 (612)888-6866
I hereby acknowledge that I have read this application and state that the
informaCio is correct and agree to comply with all applicable State of Mn.
Statutes n Ci . gaff-e- dinances.
L
APPLICANT/PE MITE IGNATURE SSUED B/: SI NATUR
INSPECTION RECORD C°ntr°' 1155
CITYOFEAGAN PERMITTYPE: auzLozNG
3830 Pilot Knob Road Permit Number: 001588
Eagan, Minnesota 55123 Date Issued: 10 / 0 7/ 9 2
(612) 681-4675
SITE ADDRESS: Lo r: z B L 0 C K: 3 APPLICANT:
646 WITHAM LANE DAHLE BROTHERS INC
COVEN7RY PA55 2ND (612) 888-6866
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION .
FOOTING FRAMING
INSULATION FINAL
FIREPLACE
REMARKS: PRV S& W CONTRACTON - STAR PLBG
L_ - - - J
PERht17, • CITY OF EAGAN , I !1
RE,4cTIVt:TE _ 1992 BUILDING PERMIT APPLICATION
1.5 681-4675 ~p-Q
X7 v : HECD.
SINGLE 8 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs. •
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date ~1,4, Valuation of work fl Y-Do~
Site Address:_ ~(J/ T/-114 /-n L,C/.
STREET $UITE N
Tenant Name: (commercial only)
IAT ~ BIACK 3 SUSD P.I.D.
M
CD~E~rRy 4,9;f,~
Descri tion of work: & or4 2"' 14 0 `O
The applicant is: 0 Owner Contractor ? Other (Descrtbe)
Name !-fLt= R2o;S T",(~r Phone
Aroperty LAST FIpST
Owner Address ~30Y" ~L/A/4q"(,'Z- STREET STE /
City Ntiin/e-T6 nJ State Z i p
> S 7Ze .
Company LE aA...GyS - Z-c(z. Phone F 9 - L'- y
Contractor Address q3(_) I/ LC /VE Sb. License # (bO-16q7Exp.
City C-2n1 State 111A_1 • Zip 557/~-6
•
Company ~/Z(Jt=c= EH2E~ Phone J~~ ~ ~ ~-7 ~L,
Architect/
Engineer Name Registration #
Address 3969 G~'ca%z.~l~A f}lJ~. Ak) .
City ~reyJT/-1G State /litnJ - Zip M '
Sewer 8 Hater licensed plumber S77`IfZ PG01WOiA_lv Processing time far
sewer 6 water permits is two days once area has been approved.
I hereby acknowledge that I have/ read/this application and state that the information is
correct and agree to comply with a~l applicabl tate%# Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
%
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging yO6 Basement Finish
IZ 02 SF Dwg. O 07 4-Plex O 12 Multi. Misc. ? 17 Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
Er31 New O 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System ~
(Allowable) v_ lst Fl. sq. ft. City Nater ~
UBC Occupancy 2nd Fl. sq. ft. PRV Required ~
2oning ~ Sq. Ft. total Booster PumP
S of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code _T0_1
Depth o On-site sewage SAC Code ~
APPROVALS
Planning Building Assessments
Engineering Yariance
REGIUIRED INSPECTIONS
? Site ? Footing ? Framing ? Insulation
? Mallboard ? Final ? Draintile ? Fireplace
Permit fee veiuat;a,: S
Surcharge
Plan Review GaRA&E: 3Z Xz2= 76y
License
MWCC SAC
City SAC ~~„r7'~68v ~C s /oSsa
Mater Conn. ,
Nater Meter . '3ZK Zg = g9 6
Acct. Deposit
S/W Permit Iy X/8 z5L
S/W Surcharge
Treatment Pl . ISr Flp,~ti ~ a l~~s= ! r1, 220
Road Unit
Dark Ded. gSM t; ~gx32- g9~
Trails Ded.
Copies 7 X I'/a.s !O
Other g/,X IY2
Total:
snc % lD I?~ X~3% y8,7o7
o e?ao rz.~oR
y Z Xs3 _ 52~
SAC Units ~
31 ci
k3? =
/,2~,38'3
• CERTIFICATE OF SURVEY _
~ 8710 DUPONT AVENUE SOUTH'
BLOOMIN6
TON, MINN. 58620
eea.2oes
oua
LAND SURVEYORS '
Survey for.: DAHLE BROS.,.INC.
w/ T~fA~YI Li9N~_ B3 3 Cu~6 B3/3 830~ .
/ro
83g1 0 . ~ -
~
a ~
83S_ /ron ~5. 5 ~ - - - -u B z N B3 : /.S, S lr~ ` ~z '
, W I e 3z ` M N
I a~
~ NO
Scale: 1"=30'.-
83S'~ o~h ro ~ ; I q s3M
832`~ i_S.5 3 IS l1%sS eza- DESCRIPTION:
s Lot 2, Block 3, COVENTRY
83;
e sl r I PASS 2ND ADDITION
Proposed Grades: .
Top of Blocks B3S~-T
azz= Garage floor B3S-°
. ~ ~ D. ,ol t/. Easa.nc,~-
Basement floor 9 z7S
8~s . . ~ aze~ ~J= -
NOTE: ~
Circled elevations are proposed, others are exisk~ing
Arrows denote direction of drainage. ~
~G.
~GD E~~~W g~G ERIG DEPT
poG°aWo [H EQM~C
We hereby certify that this is a true and correct representation of a survey of the
boundaries of the land above described and of the location of all buildings, if any,-
thereon and all visible encroachments, if any, from or on said land.
Dated this 16th day of September ,1992
by
• inne a icense o: 0
Z~J-66
% - _ EXTERIOR ENVELOPE AVERaGE "U" COMPUTATION
fire!E't:
$ITE ADDRESS:~ AAA L
CONTRACTOR: ~ ~1L~ ~ IkIC DATE : PHONE
~,~y
DETERMINE LIORKING SO,UARE FOOTAGE OF EACN: •
1. TOTAL EXPOSED LlALL AREA, sq f t x"U" . 11
2. TOTAL ROOF/CEIUNG AREA
I3 ~,b sq ft x"U" .026
1
3• TOTAL EXPOSEO iJALL ARE.4 CALCULATIONS:
Total exposed wall
area above floor-7
~o~ Q sq ft
a) i'otal aal' uirtdow a•ea:
Vlazed...... 270,26 sq f[ x --U- . w
_ 42! I . ZZ~
- qlazed,,,,, sq ft x "U"
e
6) Total door area Z57,-,7e0 sq ft x"U" !j4 W.i3
c) Total sliding glass door area:
9lazed...... 410, OD sq ft x"U" 4C)- Q IV, Ov
qlazed...... sq ft x "U"
d) Total ftreplace wall area sq ft x"U"
e) Total wall framing area
(Averaae TO%).......... Z(p1 sq ft x"U"
.
f) Total net wall area above
floor (Insulated)....... 2349 sq ft x"U"
.
q) Total rim Jofst area...... sq ft x:'U" Q4i ajn,(4
Total foundation
area (Exposed).......... ~ St7 sq ft
h) Total foundatlon window area............. - s4 ft x"U"
t) Total net foundation
area above grade........ _ sq ft x"U"
TOTAL' a) thru t) - 29Z43
If ftem M3 Is the same as, or less than item R1, you have met the intent of
2 MCAR 1.16008 A and 0.
Page 1
! . . n .
l . ' 4. 70TAL EXPfiSED ROOF/CEILIHC CALCULA'TIpHSs: '
Total exposed , .
roof/ceiling area........ {-(Q sq ft
J) Total skyliaht area....... sq ft x"U" `
k) Tatal roof/ce111nq framing r~
area (Averaae In9,) 3~.~pV sq ft x"U" e o Z-7
I) Total net lnsulated
roof/cell'Inq area.......~ If7~t.H4/ sq ft x"U"
y, , TOTAL j) thru 1) Z%,~p I
If to[ai of #4 ts the same as, or less than R2, you have met the intent of
2 MCdIt 1.16008 A and 0.
ALTERl1ATE BUIl41"G ENVEI.OPE DESIGrt
To u[ilize the total envelope system method, the'values established by the sum
of items d9 and #4 shall not be greater Chan the sum of items Nl and 92,
1. 531,41 + 2 . 6.Z
3. 292.93 _ t 4. Z91 61 C E n T I F 1 L A. 0 N
1 here6y certify that 1 have calculated the "U" factors and "R"
values heretn and eha[ the buildinn here describeA eets or exc ds the State
of Mlnnesota Eneray Conservation Act.
fq~ature ~
(',A ; &V A
(Print name
' 2A!Z
(Date) Paga 2
i ' . . • , •
12" sidelite x 6.67 sq ft =
14" sidelite x 7.78 sq ft =
24" x 24" Octagon x 4.00 sq ft =
24" x 36" Elongated Octagon , x 6.00 sq ft =
TOTAL =
DOORS
2-6 x 6-8 Steel Door x 16.67 sq ft =
2-8 x 6-8 Steel Door 1 x 17.78 sq ft = 17,70
3-0 x 6-8 Steel Door ~ x 20.00 sq ft = ZO,00
TOTAL =
PATIO DOORS
5-0 x 6-8 Sliding x 33.34 Sq ft =
16-0 x 6-8 Sliding _I x 40.00 sq ft
8-0 x 6-8 Sliding x 53.34 sq ft =
9-0 x 6-8 Sliding x 60.00 sq ft =
5-0 x 6-8 Atrium x 33.34 sq ft =
3-0 x 6-8 Atrium x 20.00 sq ft =
6-0 x 6-8 Atrium x 40.00 sq ft =
8-0 x 6-8 Atrium x 53.34 sq ft =
TOTAL = 6FV DC~
14 ZD~CZD 9. k1 Z X 8,00= 1~o,0a
~ 46 u I~ D, ~ gx -7, bo - 35,00
~ 3Zx20 'D,~d I x 12.017 = 12.bO
32x Vo V14 4 x io, w
: qa,Dv
~,2~
. . ' . . i
Z-dre~ 2
/L00
Z~O/~
~ PERMIT ~oss7~~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 7 3 3 4
(612) 681-4675 Date Issued: 0 4/ 3 0 J 9 6
SITE ADDRESS: -
646 WITHAM LANE
LOT: 2 BLOCK: 3
COVENTRY PASS 2ND
P.Z.N.: 10-18401-020-03
DESCRIPTION: .
_
Building-"Permit Type DECK
i'Building W'or.k Type • NEW
Census Code 434 ALT. RESIDENTIAL
~ i
i
~
r"
~C~,
~.y ,
d {y
~ r,; : _•(~I-.~' ='i' , ' .
r!/ ~
M. . . . _ . . . _ , _ _
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR: _ aPPiioar,t - sT. Lzc.OWNER:
P.K. CONSTRUCTION 15832702 0000880 GALLO DAN
34445 TEAL AVE 646 WITHAM LANE
TAYLORS FALLS MN 55084 EAGAN MN
(612),583-2702 (612)686-9100
T hereby acknowledge that Z have read this application and state that the
inPormation is correct and agree to comply with all applicable 5tate of Mn.
~ Statutes and City of Eagan Ordinances. J
APPLICANT/PERMITEE SIGNATURE ' ySS~l7E ~`[YBY. 4IGN D R 1-~~
Z33 CITY OF EAGAN 5`SJ` t SJO
3830 PILOT KNOB RD - 55122 c~ eC J! ,I
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~~r'~ '~Q
681-4675
4ew Construelion Reauirements Remodel/Reoair Reauirement=
? 3 regislered sita surveys ? 2 copies ot plan
? 2 wpies of plans (mclude beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior addRions 8 decks)
? 1 energy ealculetions ? 1 energy caleulations lor heated additions
? 3 copies of tree preservation plan H lot platted afler 711l93
required: _ Yes _ No
DATE: ?jWPA*-4 o - CONSTRUCTION COST: ~1 SSOO, o=
DESCRIPTION OF WORK: C-~'°'~"`~.•a'^ `f' " (e -c ( 19~ P. ~ -lJc I
STREET ADDRESS:
LOT _ BLOCK aJ SU,BD. P. D. l hl)2K~ hol, l''flA.~. ~n PROPERTY Name: C~c, Ilo 4 Phone
DOA
OWNER ' `M* I.6i
Street Address, ON<
City: 6-~~2a, State: H, ZiP: SS/~3
CONTRACTOR Company: < Phone
Street Address: Yyyys TPn/ a~P License
City: 16':r Si/ll. State: Zip:
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that i have read this application and state that the information is correct and agree to comply with all
appiicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
~i~~d[~~
OFFICE USE ONLY
A{~R 3 G ~9g6 6
Certificates of Survey Received _ Yes No d
Tree Preservation Plan Received _ Yes _ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
7 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pooi
- 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
~ 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
:i 05 SF Misc. ? 10 = plex ~15 Deck
WORK TYPE
31 New ? 33 Alterations ? 36 Move
-1 32 Addition ? 34 Repair o 37 Demolition
3ENERAL INFORMATION
~ onst. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
JBC Occupancy sq. ft. Fire Sprinklered
?oning sq. ft. PRV
= of Stories sq. ft. Booster Pump
_ength sq. ft. Census Code. /71~7
Depth Footprint sq. ft. SAC Code 119/
Census Bldg i
Census Unit r
APPROVALS
~Ilanning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
VvSi@f COniI.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies ~
Total:
% SAC
SAC Units
(
, 6777 DUPONT AVENUB SOUTH'
BIOOMIN
GTON, MINN, SSd30
, 01~
~ 808•1084
LAND SURVEYORS '
Survey for: DAHl.E BROS., INC.
B3 3 G'urb B3/ 3 B3o=
/ro o /.o
833 ~ o v , 0 30
~ LSew~ca .
A ~ . , .
83s~= I B Q 83/=
d3SS /ran - -r - - ~ - ` 8 ~ N -,/a ~~0. ~ B3a=
3z M ' N
~ JR M
Scale: 111=30'.-
83S1Z ~ N ~ , ~ i I ~ Co ~~q
83z? S5 3 a~/s _ 1/ss Bza,~
DESCRIPTION:
I $ zG 46~ ~ g~8
lot 2, Block 3, COVENTRY
B9z6 sl r~8! I j 1 I PASS 2ND ADDITION
Proposed Grades: Top of Blocks B3S-y.
azz= Garage floor B3~~
. C~ Eas~.n~rrf
o' - Basement floor 29z'7S
g~e . , er°` Bz3- -
9s~a fflEz UD)
NOTE: Circled elevations are proposed, others are existy g
Arrows denote direction of drainage. /G
~ey~ 3if~
~sR¦V. REQ ~J Ip Y'7GL) $?~3~~'1 BNG N~:RIIdG DEP':
We hereby certify that this is a true and correct representation of a survey of the -
boundaries of the land above described and of the location of all buildings, if any,-
thereon and all visible encroachments, if any, from or on said land.
Dated this 16th day of September ,1992 . "by _
• inne a License o: 01
ZB~ - 66
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 646 Witham Lane
Lot: 2 Block: 3 Addition: Coventry Pass 2nd
PID:10- 18401 - 020 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
- Applicant -
Construction Type:
Occupancy:
Permit Type:
Permit Number:
Date Issued:
Permit Category:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Total: $90.00
Owner:
Daniel Gallo
646 Witham Lane
Eagan MN 55123
$88.50 0801.4085
$1.50 9001.2195
Building
EA082912
05/07/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Issued By: Signature
ì
ý
ïúù
þýüýû
ÿþþ ýüû ûúù
øýýþþ í÷
ö
áâ
øý
å
ÿ
ÿþõ
úù
ø÷
öó
é
á
ùø÷
öø÷
öó
é
ô
óéï
÷ý
õù
á
ù
íù÷ýø
Üü
úÞùý
ì
։
Þù
ý
æðý
üóó÷
ü
ûýððýü
þ
÷
æáýððý
÷
ýð
ýýæ
áý
ä
ý
Þù
øýó
ü
ðýø
æ
ý
çååæ åæå
ôø
úù ýü
ý
çæ ãæã
Ûýùýûæ
óò
õñð
÷÷ý
ýöó
ê
ù
øúý
ý
Ýý
â
ôàö ýý
øù òô þýüýòô
ëè
øýó
ü
ý ýâ
ý
ý÷÷ýý
ý
ý
ðý
ýýü
÷øó ýý÷÷ý
úý
ðò
ýúýù
ýáøðþýüýíý
æ
÷÷ýé
úüýù
ù
øúüýù
ï
ÿþ þý
ÿþþ ýüûøüúûû
ùþþø÷øîì
ë
ôä
úþ
åó
ÿþô
üûúù
÷ìë
ô
üûúù
÷
÷ìë
á
ìëø
ùþ
í
ü
ô
üô
óóïüùþú
ò
ñüþ
íù
ä
í
î
îí
ñü
í
þ
íêþ
ììù
ýþ
þí
þ
ù
êôþ
þù
þ
þþê
ôþ
íé
þ
ñü
úþì
þíúîí
ê
þ
ð
çæçååêåêóå
óù
ü
îþ
çêê
èþüþýê
òñ
ôöð
ùùþ
þ÷ìö
ûü
þ
õþ
îä
áÜâóâ÷îþíþ
úíüîãáóóàÿþ þãá
ßàâÞàóó
î
úþì
îþîþä
þîþùùþþþ
îþî
íþ
þþ
íùúìîþþùùþ
þ
ã
þ
þü
þôúÿþ þï
þ
ê
ùùþë
í
þü
ü
ú
þü
ÿúÿ
þý ýü
þýý üÿüúú
ùýý îï
é
óã
ùý
ä
ÿ
þýø
ûúùø
öìë
ó
ûúùø
ö
÷
øý
ø
ó
ûó
ïûøýù
ò
ñûý
úí
î
ý
þ
Þ
û
í
ã
þýäî
ü
êÙ
í üâáåå
ý
ð
çåçêäêäå
öù
û
îý
çêå ê å
èýûýåê
õôû
øóò
øøý
ýá
ý
ôý
ååîã
áÙöîýíý
ùíûîâáååßþý ýâáåå
ÝßÜåå
î
ùýì
îýîýã
ýîýøøýýý
îýî
íý
ýý
íøùìîýýøøý
ý
â
ý
ýû
ýóùþý ýï
ý
ê
øøýë
í
ýû
û
ù
ýû
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142611
Date Issued:05/10/2017
Permit Category:ePermit
Site Address: 646 Witham Lane
Lot:2 Block: 3 Addition: Coventry Pass 2nd
PID:10-18401-03-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel Gallo
646 Witham Lane
Eagan MN 55123
(651) 686-9100
T. Dunham Construction
831 Ventnor Ave
Eagan MN 55123
(612) 189-0480
Applicant/Permitee: Signature Issued By: Signature