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650 Witham Lane . . . , . . . . ; - . . , . , . r ~y . . ; • . . . • . ~ . ~ . . . . . ~ ~ .:4p ~ ~ . . WAtftWCatt of C"anc4 Ighv of cFasom ~ suffifte 38"tdhu This Certificate issued pursWant to the require,nenrs of rhe Uniforin Building Code ri certifying thai at the time af issuance this stnrctun was in compliance with the various ordinances of tlie City regulating building constntction or use. For the following: ~ SF MG 'q4I 1 Use Qassifitatiaa: BWE. Rtmit No. OoniPaacY 1y'Pe Zookg D'ooict '1ype Const• ' o~ ot swxun 9304 LYIDAI~ AVE, BMIN S 650- 4~TII~iM T~W ~Y L 1, B3, ODVFNLRY PASS 2ID ~ 7-1 Addresc n 9/?5/92 - e~ P06T IN A C:oNSPICllOUS PLACE \ , . r ~ _T Contrd T ~ INSPECTI4N RECaRD . CITY OF EAGAN...,..L PERMIT TYPE: 3834 Piiot Knob RoBd • Permit Number. Eagan, Minnesota 55123 pate Issued: ~ (612) 681-4675 { ' S1TE ADDRESS: t or ,I v LI?' ;:3 APPLlCANT: ~ ~ ~ 660 NITiIAM LAME OA#Itf •RO'IMER! IM6 cpYeNtRY PASS 2100 ! i ! PERAf~ %YRTYPE; TYPE OF WORK: , HEw ' t-u+~{ ~Ms+ FItAM~MlB I tNSUtAT[UM pINl~t ~ FXItEPt Ar.E ! ~ Rr"A611(S: PRV S~ U COIITRACTOR - STAR PLOiI ~ PreeNt Mo. , NoWkldp DM~ labpbOrr • •aw . _ 4 . tPLUM8ING HVAC ELEC'F'RIG ~ , 'c, ?~`Y" -k a~'^ ~i. ~ i'~ f c;. . '.~ld'J . . F4GMN ; FW* ~nnia ~r3-t~. 2 ych FW oA.s s" it ww pt4 ~ Pbp. w,rp.aa - NoNy Mu"b.r , CorAt.IMw - Okig. FInM ~ ~ ~Do* raW i ~ ~6 ~ ' ~ . , Wo i Pt'• Dilp• KS 2 7 4~133 ReQOeSt OAIe Fre Rougmin Inspection _n e wretl~ ? Raetly Now xWill Nouly Inspector '1 ~ i yes G No When Reatly'+ IY licensed cornractor E) owner hereby request inspection of above electrical work at Jo0 AOtlress ISVcel Ba or Rome No ) Gty (,050 t-flrkaM Latr12 ~ Seceon No Townsnio Name or No Range No Coumy Occopam IP 1 Phone No ~,Q. Power AOtlress I - NL1 YL `I~ 17 Eiecmcai actor I('qnpany Namel Conl S Lcansa No S~2r C~ Qf}- 45 j jq;2 Maeing Atldre ICo9[ractor or Owner Makin Inslallalion~ ~ `M-LQ S - Ammor¢etl S naWre ~Comracmr,Owner Fmg inswilauonl Phone Numbei MINNESOTA TAT BOARD OF ELECTRICITV TIiI51N5PECTION qE0UE5T'NILL NOT GnggeMitl ay Eg - Room St?3 BE ACCEPTED BY THE STATE 60AR0 1811 Unlvers y Ave. St. Peul. MN 55106 UNIE$S PROPER INSPECTION FEE IS Vhone(612) 642-0800 ENCLOSED C'~S REOUEST FOR ELECTRICAL INSPECTION -°=~kt~ eeooamue K 0 7 2 7 4 ? See in Vuctians fpr coPy°Jing fiis form on back ol yellow copY 8 7/~"J~Below Work Covered by This Request y~~`~.°•ti~ ew Add i4p. 7ypeofBuiltling AppliancesWiretl EquipmeniWired IHome Range TEI poraryService Duplea Water Heater ciric Apt Building Dryer er (Speciy) Comm/Industrial Furnace ~ Farm Au Conditioner Other (sVecAy) Comraclor5 Remarks' Compufe Inspection Fee Below: # Other Fee d ServiceEntranceSae Fee # Circuns/Feeders Fee ISwimming Pool 0 to 200 Amps lail"a t0 700 Amps TranSformer5 Above 200 _ Amps 0o Amps 9gn5 Inspecmr's Usa Onry. TOTAL ~ Irrigation Booms ~(p Special Inspechon niarmiCommunication I THIS INSTALLATION MAY BE ORDE DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MS. I, the Eleclrical InSpector, hereby Rouqn-m ta ~ certify that ihe above inspection has Fi„oi been made. OFFICE USE ONLV Tnis repuen wItl 18 montbs Irom Address: 6 0 iF3eN1IANE Lot I Blk 3 Sec/Sub rpVENTRy pASg M ~These items wera/were not complete at the time of the final inspection. Date: 9 25 92 Yes No Tnspprror- Final grade (6" from siding) V Permanent steps - garage ~ Permanent steps - main entry Permanent driveway Permanent gas Sod/seeded gtass Trail/curb damage Porch Basement finish ? Deck vo, Please verify vith the builder the removal of roof test caps from the plumbing system and the shut-off of vater supply to the outside lavn faucet before freeze potential exists. ~ White - City copy Yellow - Resident copy Plnk - Contractor copy K I z G 2005 RESIDENTIAL BUILDING PERMIT APPLICATION QO 8~ Z D City Of Eagan • ~ 3830 Pilot Knob Road, Eagan MN 55122 Telep6one # 651-675-5675 FAX # 651-675-5694 New Construdian Reuuirements RemodeVReoair Reouirements Office Use Onlv 3 registered site surveys showing sq. ft. of lot, sq. fi. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N (20°k maximum lot coverage allowed) 1 set of Energy Calculations for heated addAions Tree Pres Plan Recd Y_ N, 2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey for additions 6 decks Tree Pres Required _Y _ N 1 sel of Energy Calculations AddRion - irMicefe if orFSde septic sysfem On-sile Septlc System _ Y_ N 3 copies of Tree Preservation Plan N lot platted atter 711193 Rim Joist Detail Options selecUon sheet (buildings with 3 or less unils) Date S-_/ << / G~ Construction Cost l2 ~ 39Y Site Address (p~j 0 G4.,01 7srAw A-04 Unit/Ste # Description of Wark &rr.yF ~ i 4ifs[iPPMulti-Family Bldg _ Y N Fireplace(s) t- 0 _ 1 _ 2 Property Owner Telephone # ( oif ) A/'rL -4'4eiz Contractor isi~ /66-- = 40+eawi~4nita Address ~p(;S_8ZCV- LAX KO City !BLr}-tR[P State }~1~( Zip Telephone#(7r,3) 70y -Y74-7 n COMPLETE THIS AREA ONLY IF CONSTRl1CTINGWN6 BUILDING uu ` ' iJ - Minnesota Rules 7670 Cateeorv 1 ,/J,~f _ Minne ota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Work R eY- •-Nevl Energy Code Worksheet (4 submission type) Submitted Submitted • Energy Envelope Calculalions Submitted Have you previously constructed a building in Eagan with a similar pian? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) Mechanical Contractor Telephone J 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. l~61r_ Applicant's Printed Name p icant's Signa e OFFICE USE ONLY Sub Types ? 01 Foundation ? 07 05-plex ? 13 16-plex ? 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 O 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 EM. Alt - SF ? 04 02-plex ? 10 08-plex O 18 Deck O 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 O 25 Miscellaneous Work Types . ~ . ? 31 New ? 35 Int Improvement O 38 Dertlolish Interi,~,t; v 0 44 . Siding ? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repalr ~ ? 33 Alteration ? 37 Demolish Building• O 43 Reroof ? 46 Windows/Doors O 34 Replacement 'Demolition (Entlre Bldg'f -qGkaPCQ Aandout lo+epplicent".~ i3 Y Valuation Occupancy' MCES System" Census Code Zoning City Water SACUnits'~-'v Stories 63d3feiPump ''~n~••• # of Units Sq. Ft. PRV # of Bldgs Length ,;,3.,;F,ire,SRrinklerp4,`.,_, : Type of Const ~ ,,1 ; Width • ~ . : - ..~.V'. • ~i:.' f. ' ' . 5*e' 'jt~~.~ REQUIRED INSPECTIONS _ Footings (new bldg) _ Final/C.O. _ Footings (deck) _ Final/No C.O. _ Footings (addition) _ Plumbing Foundation H V AC Drain Tile O[her Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AidGas Tesu Final _ Framing _ Siding _ Smcco _ Stone _ Brick _ Fireplace _ R.I. _ AirTest _ Final _ Windows _ Insulation _ Retaining Wall Appraved 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 ~ n•.. ' w. + . . 'i~;:e ; :;r. , PERMIT C°nt 0758 CITY OF EAGAN 3830 Pilot Knob Road PERMITTYPE: euiLoiNG Eagan, Minnesota 55123 Permit Number: 000941 (612) 681-4675 Date Issued: 0 7/ 0 6/ 9 2 SITE ADDRESS: 650 WITHAM LANE LOT: 1 BLOCK: 3 . COVENTRY PASS 2ND DESCRIPTION: Building Permit Type SF DWG Building~Work Type NEW UBC Occupancy R-3 M-1 Construction'Type V-N i 2oning R-1 Building Length 57 Building Width 46 i ? , ' / r i . REMARKS: Q I C~ ~ q q PRV S& W CONTRACTOR - STAR PLBG FEE SUMMARY: VALUATION $114,000 Base Fee =688.50 MISCELLANEOUS E1.610.50 Plan Review $447.53 Total Fee $3,503.53 Surcharge ;57.00 SAC $700.00 3AC 8 100 SAC Units 1 Subtotal $1,893.03 CONTRACTOR: - APPlicant - ST. I.ICpWNER: DAHLE BROTHERS INC 18886866 0001697 DAHLE BROS 9304 LYNDALE AVE S 9304 LYNDALE FVE BLOOMINGTON MN 55420 BLOOMINGTON MN 55420 (612) 888-6866 (612)888-6866 I hereby acknowledge that I have read this appl3cation and state that the information is correct and agree to comply with all applicable 3tate of Mn. Stat aand City of Ea an O_dinances. 11,~,n fi~~ 7n~1 APPLICANT/PE ITEE SIGNATURE ISSUED B: SIGNA UR~ INSPECTION RECORD I C°n' 0758 CITY OF EAGAN PERMITTYPE: BuZLoinG 3830 Pilot Knob Road Permit Number: 000941 Eagan, Minnesota 55123 Date Issued: 07 /06 /92 (612) 681-4675 SITEADDRESS: Lor: i BLOCK: 3 APPLICANT: 650 WITHAM LANE DAHLE BROTHERS INC COVENTRY PASS 2N0 (612) 886-6866 PERMIT SUBTYPE: TYPE OF WORK: SF DWG NEW INSPECTION . FOOTING FRAMING INSULATION FINAL FIREPLACE REMARKS: PRV S& W CONTRACTOR - STAR PLBG L _ _ J PFRMIT N CITY OF EAGAN _k3l~03' 143 REACTIYATt 1992 BUILDING PERMIT APPLICATION 4 681-4675 ~0U h' 2 U RECo 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 J - n L / -_f2- yaluation of work e16-~-y.~-6,_ - Site Address: ~ 50 Lt~ ; 16~4 ,z, e__ . STREET SUfTE X Tenant Name: (commercial only) IAT BIACR 3 SUBD. P.I.D. N COUPq~~• 55S ' Descri tion of work: N w ~ (-1417r„C- ;or` The applicant is: )Z Owner OContractor ? Other (oe8«tee) Name Z) Phone Property L.ST FIRST Owner Address STREE7 STE R City State Zip Company Phone Ff-F 6,f'64 COntf8Ct0r Address _~_3` vha4lc A-[ License N40s16 Exp.~ City o„ fU State 2ip Archttect/ Company Phone Engineer Name Registration N Address City State Zip ` Sewer 6 water licensed plumber Processing time for sewer E water permits 1s two days once area has be approved. ' I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with ali_a icable Stat of Minnesota Statutes and City of Eagan Ordinances. , Signature of Applican . N OFFICE USE ONLY ~ - r r • , BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish 0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 Swim Pool ? 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 0 31 New O 33 Alterations ? 35 Tenant Finish ? 37 Demolish ? 32 Addition ? 34 Repair O 36 Move GENERAL INFORMATION Const. (Actual) I/N Basement sq. ft. MWCC System ~ (Allowable) vN/ lst Fl. sq. ft. City Water -r UBC Occupancy W-3 f?~-/ 2nd F1. sq. ft. PRV Required Zoning R-I Sq. Ft. total Booster Pump ~t of Stories i-~ Footprint Sq. ft. Fire Sprinkler length SG,S On-site well Census Cade /e~ / Depth yi.33 On-site sewage SAL Code o/ APPROVALS Planning Building Assessments Engineering Yariance REQUIRED INSPECTIONS ID Site ? Footing 13 Framing LkT' Insulation ? Wallboard 0 Final O Draintile ? Fireplace Permit Fee veimtco,: g QO6 Surcharge 4 Plan Review License S6o d~ MWCC SAC gYG,S 77-1 City SAC 0 Yater Conn. Z s~z 7 Mater Meter do Acct. Deposit /y.Jps S/M Vermit x/S_ 270 9.5 k/~ t/08$o S/W Surcharge Treatment P1. Road Park Dedt Trails Ded. Copies zZa-z6 : s9z Other = Total: SAC % ~S13,S,~S3 - ~OziS.s SAC Units ' CERTIFICATE OF SURVEY . .c'" ~eu~oet. Pua. 1 8713 DUPONT AVENUE SOUTH ~ ~ BLOOMINOTON, MINN. 88420 r BBB-Y084 LANOSURVEYORS - Survey for: ~ DAHLE BROS., INC. Ei AGA N .9 EWE D Wi 7W.9l!I . Z 83 ~ Cuy6 8333 9 : `•'Z /Z 33z DESCRIPTION: nl Lot 1, Block 3, COVENTRY PASS 2ND ADDITION /ror! - - I Z'tl ~ //oN Scale: 83z'F z3,~~ ~ 6dS- N S t/S, o d35~- 1:=30' 83S 836 r ~ M ~ i ~I "S _ N I m l~y Proposed Grades: Top of Blocks 8363 V- ~ tl• p . Garage floor 83fe ~ ?3_73 S ~e ~ zyo ~ ~ Basement floor 6z8 1 a33- 83i.. y NOTE: S Circled elevations are proposed, • SI ~7 / \ others are existing. ~n~ows f dt~ l~t+// ~f~ I / 8r;,a~ ~ V $y /ror/ ~t 1n B3o` 95-a~ - - B~f A)mo%AGAN ]ENGIIVEERIIVG DEPT 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, fr or on said land. Dated th i s 22nd day of June ,19 92 . Z . * by innes a icense o., 0 8 Z8o- 37 CTl'I' OF EAGAN ~-7 L_Z_ B-A d MECHANICAL PIIiMIT RECEIPT # C0 ?W ~~YC SUBD. (612) 6814675 DATEB .1~ z- / RESIDENTIAL PLEASE COMPLEI'E UpPER PORTION ONLY FOR SINGLE FAhfII.Y DR'ELLINGS. ALSO, COMPLETE FOR TOWNHOMES/CONDOS WHEN SEPARATE PIItMITS ARE REQUIRED FOR EACH DR'ELLING UNIT. OR'NER: FEES STI'E ADDRFSS: . ADD ON/REMODEL (EXISTING $ 15.00 Cp ' Q--> ~'k"~ CONSTRUCTION ONM INSTALLER: HVAC: 0-100 M BTU 24.00 PHONE #t: s~c{-~ ~.\-S p ADDTI'IONAL 50 M BTU 6.00 nnnxFSS: cns ouTt.M - HnxnKUM i@ $s En. 3. 3-,Z~j crrY: zir:suxcanxcE s .so SIGNA TOTAL: $---rk ,T'j-0 COMMERCIAI. PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAIJINDUSTRIAL BUILDINGS. ALSO COMPLEI'E FOR APARTMENT BUILDINGS OR OTHER MULTI-FAMILY BUILDINGS R'HEN SEPARATE PERMITS ARE NOT REQUIRED FOR FACH DWELLING UNIT. R'ORK DFSCRIPTION: CONTRAGT PRICE: FEES 1% OF CONTRACT FEE STATE SURCIIARGE IS $.50 FOR EACH $1,000 OF PERMIT FEE $ PROCFSSED PIPING - $25.00 S MINIMUM FEE • S25.00 OWNER: TOTAL: $ SI7'E ADDRESS: 7'ENANT: Si1ITE , . . INSTALLER: ADDRESS: CI7'P: ZIP: PHONE CiTY SIGNATURE SIGNATURE. l ~ sL CITY OF EAGAN CITY USE ONLY 04 PLUMBING PERMIT SUBD. (612) 681-4675 RECEIPT $ DATE a a-~ RESZDSNTZAL PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT. WORK DESCRIPTION COMPLETE THE FOLIAWING: N0. FIXTURES EA. TOTAL NEW CONST 4L~ REPAIR/ADD ON 15.00 ADD ON SHOWER 3.00 , e o REPAIR _ -a, WATER CIASET 3.00 &J.L 49 ~ BATH TUB 3.00 'LoB J Q ~ IAVATORY 3.00 I,O U OWNER NAME: 1J/'ta`) ~ KITCHEN SINK 3.00 04, / ~ ~~DRY TRAY 3.00 4, SITE ADDRESS: fGlCt?'H~ L~//9 r~ HOT TUB/SPA 3.00 7 WATER HEATER 3.00 'j; OU ~ FLOOR DRAIN 3.00 3, d%/ GAS PIPING OUT. INSTAI.LER: Z4iLi//e~~~ C (MINIMUM - 1) 3.00 ~ n ~ ROUGH OPENINGS 1.50 ~ b ADDRESS ; 3 75~ / I G! G~ _ OTHER WATER SOFfENER 5.00 CITY: ZS2~7Pvl ZIP: PRIVATE DISP. 15.00 3.00 PHONE W.GTURNAROlTNLDR 15.00 c/ Y. ~ C7 STATE SURCHARGE .50 SIGNATURE OF PERMITTEE TOTAL: s LIqc oO COMMERCIAL PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIALjINDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT. , WORK DESCRIPTION: OWNER NAME: CONTRACT PRICE: SITE ADDRESS: 1% OF CONTRACT FEE. . STATE SURCHARGE - $.50 FOR TENANT NAME: EACR $1,000 OF YERMIT FEE. SUITE $25.00 MINIMUM FEE. INSTALLER: CONTRACT PRICE x 1% $ ADDRESS: STATE SURCHARGE $ CITY: ZIP: TOTAL; $ PHONE FOR: (SIGNATORE) CITY OF EAGAN PERMIT N CITY OF EAGe4N REACTI'rA7F,_ 1992 BUILDING PERMIT APPLICATION C4,(;~,~1 681-4675 ~ fi11G' ~ c, RECD SINGLE & MULTI-FAMILV 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 af month in which re uest is made or lot chan e is re uested once ermit is issued. Date 8` //99Z Valuation of work Site Address:4~SV ~ir.~.gnr Ly,vE ~,g_,¢r/ /I~fN• SSiz-3 , STREET SUI7E N Tenant Name: (commercial only) LOT _L I BIACK SUBD. CoVENTRY pASS F.I.D. if • 2rJa f1il.~~rian/ Descri tion of work: 8N14.-D 17ECK . . The applicant is: (II Owner ? Contractor ? Other (Descrfbe) Name CpDK,4-Y~i~~/~ ~ P~O @Pt i Phone So7-L'63-1r~ iq P Y iAsr FIRST t~ic6/2- -063-s'z39 Owner qddress G?iTflF}M Z-AAv STREET STE N City ge_~:WEfFN . State _/1Ii? Zip Si2-3 Company Phone Contractor Address License # Exp. City State Zip ArchitecU Company Phone Englneer Name Registration # Address City 5tate Z;p Sewer 3 water licensed plumber Processing time for sewer 8 water permits is two days ance area as been approved. I hereby acknowledge that I have read this application and state that the information is correct and agree ta comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Appl icant: . OFFICE USE ONLY BUILDING PERMIT TYPE y ~ ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish O 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 11 Swim Pool ? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory ? 18 Comm./Ind. 0 04 SF Porch O 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc. ? 05 SF Misc. O 10 Multi. Add'1. fd 15 Deck ? 20 Public Facility ? 21 Miscellaneous WORK TYPE ~ 31 New ? 33 Alterations ? 35 Tenant Finish O 37 Demolish 32 Addition ? 34 Repair ? 36 Move GENERAL INFORMATION Const. (Actual) N Basement sq. ft. MWCC System (Allowable) lst F1. sq. ft. City Mater UBC Occupancy e-3 2nd F1. sq. ft. PRV Required Zoning Sq. Ft. total Booster Pump b' of Stories Footprint Sq. ft. Fire 5prinkler Length On-site well Census Code ~ Depth On-site sewage SAC Cade APPROVALS Planning Building Assessments Engineering Yariance REGIUIRED INSPECTIONS . ? Site %Footing ? Framing ? Insulation ? Mallboard ~ Final ? Draintile ? fireplace Permit fee $ Surcharge Plan Review License MWCC SAC Lity SAC Mater Cann. Nater Meter ~ Acct. Deposit S/W Permit 5/W Surcharge Treatment P1. Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units RTIFICATE OF SURVEY 8713 OUPONT AVENUE SOUTH . BLOOMINOTON, MINN. 65420 888.7064 LAND SURVEYORS ' Survey for: DAHLE BROS., INC. m /AY ~/~~r eooK ~ ~SO I~Vi rh'AM ~~NE ~ . ~s 83 = Cuy~i H333 ' S89 °38' i'E ~~oH 95.5 ` iyo ' g3? DESCRIPTION: N~ lat 1, Black 3, COVENTRY f M r ly ~ I ~ ~ PASS 2ND ADDITION ~3 6 I 83z`F Z3.9¢ -j diSZ~ N s~/S,o 83'fz ~ca30~ . 8i5' s35 r ~ ~ M i I "'S \ N ~y Proposed Grades: Top of Blocks 8363 d• op ~ ~od ~ Y I Garage floor 83_-e 0 z5o _ Iro ~4 Basement floor gz82. ~~6 I y7 6 ~ ~o•£ ~3/6 - -I Bz99 NOTE : 5 Circled elevations are proposed, • 5) /7 others are existing. I L~ y Ki Arrows denote direction of ~,o, I drainage. /roh - g3a" 6'2~0~ N89 °3a 3i "~s' 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, fr or on said land. Dated this 22nd day of June ,19 92 . by nnes a icense o.• 0 8 Z8o- 37 J15223 I 15 ~o 2006 RESIDENTIAL PLUMBING PeRnnir aPPLicaTioN CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN MN 55122 651-675-5675 Please complete for modifications to existing residential dwellings. Date Ct 1 ~5 I ~ Site Street Address 1n50 1,i t_ky'\qrn l-Gv,\.G Unit # PropertyOwner _ Sv.`~Cvx bbQ~fn 7elephone# (I451) !}52-yldp2 Contrector RLN-~f,s -IROt„lov% &e~:rl~arol,,~t'SaNicel~Telephane # (l~ Address. [aYIG{~llO~l A 1-f City.__.._~P - State rY'If~ Zip 55V13~...._. 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. If you are insfalling onlv a wafer softener and/or water 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 _pVB _new _repair _rebuild $ 30.00 State Surcharge v[E D $ 50 SEP 2 rotai $ ~,Sa I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the work wili 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, work is not to startwithout a permit and work will be in accordance with the approved plan in the event a plan is required to be reviewed and approved. t CtQ_ C oW nrA ~r~ 66t.- ApplicanPs Printed Name ApplicanYs Signature JaLQW& WITH AM LANE 835 • 832 , —830_ DIKE AT ELEV./837.0 ••••••••r 8" PVC 828 826 8234 CB 118 �a2 SEX 15g, -i..R o 40 41 RECEIVED AUG 1 71990 " ALTERNATE 'I " (9 5 O VV i +V1,cm Loupe 0 20 40 80 SCALE IN FEET PROGRESS ENGINEERING, INC CONSULTING ENGINEERS 14300 NICOLLET COURT SUITE 235 BURNSVILLE, MN 55337 8" (PVC -N WITHAM LANE 4 \L r--- 835 - 834 - -� �' ---�• 832 -830- 4.011. OI KE AT EL -837.O CB 118 G 40 .RECEIVED 4uG 1 7 i99 "ALTERNATE *2 (050 i'ifih&m Lace:.; 3 I 11 _...RCP- ..� 0\14 V v 0 41 0 20 40 80 SCALE IN FEET PROGRESS ENGINEERING, INC CONSULTING ENGINEERS 14300 NICOLLET COURT SUITE 235 BURNSVILLE , MN 55337 441) City of Egli 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 s r Permit #: Permit Fee: .Date Received: Staff: Cfr *12\ 2008 RESIDENTIAL PLUMLIBIND PERMIT APPCATION 0 Site Address: (-06°w ACtri -LAMA Tenant: VVI, lltLQculn Date: Suite #: RESIDENT / OWNER Name: \ \rnU ► hl ��Q,k Phone: Address / City / Zip: j 10() f t k'1V 13Y . t, +& CONTRACTOR Name: Appliance C=Anne t'^„ In License #: Ni \ Address: 1313 Danita Cr Shakopee, MN 55379 City: tate: Zip 952-445-4803 Phone: — _ • Contact Person: TYPE OF WORK _ New Replacement Repair� Rebuild Modify Space Work in R O.W I f _ Description ofr work: 1 Cpl, " von "("t,f-- PERMIT TYPE RESIDENTIAL Water Heater Water Softener y 1 Lawn Irrigation Add Plumbing Fixtures ( , RPZ / _ PVB) ( Main Lower Level) — Septic System Water Turnaround New Abandonment RESIDENTIAL FEES: $50,50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) $30.50 Lawn Irrigation $50.50 Add Plumbing Fixtures, 'Water Turnaround $100.50 Septic System $90.50 Fire Repair (replace (includes $.50 State Surcharge) Septic System Abandonment, Water Turnaround' (includes $.50 State Surcharge) (add $136.00 if a 5/8" meter is required) New ($10.00 per as built) (includes County fee and $.50 State Surcharge) burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) •. ' 'TOTAL FEES $ -5°'() I hereby knowled a that th' f g is In ormahon Is complete and accurate; that the v.4ork wlll be in conformance with the ordinances and codes of the Cily 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. x 1t �-,`pe.1'• X .‘ ��;�,V/{��e VeP&_/Applica s Printed Name • 'Applicant's gnature FOR OFFICE USE Reviewed By: "' Date: Required Inspections: _Under ground _Rough -In Air Test _Gas Test Final PERMIT City of Eagan Permit Type:Building Permit Number:EA165981 Date Issued:12/03/2020 Permit Category:ePermit Site Address: 650 Witham Lane Lot:1 Block: 3 Addition: Coventry Pass 2nd PID:10-18401-03-010 Use: Description: Sub Type:Reroof Work Type:Replace Description:Does not include skylight(s) Census Code:434 - Residential Additions, Alterations 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: 5,000.00 Fee Summary:BL - Base Fee $5K $118.00 0801.4085 Surcharge - Based on Valuation $5K $2.50 9001.2195 $120.50 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 - Brian Howard & Lisa Marie Pederson 650 Witham Ln Eagan MN 55123 (952) 457-8364 Schmidt Roofing Inc 3509 West Highway 13 Burnsville MN 55337 (952) 888-4889 Applicant/Permitee: Signature Issued By: Signature