4353 Woodgate Lane N
~ - INSPECTIDN RECORD
~ CIT1T OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
r 11n1i~l~~:i 1 t I ftNf N i I r~ f h! I nry'.I , ~Vt NI1
t AFtr1 PAf't 4 t{I ( r. 1.' ? t~ii 1`. I~~ A
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
1 ; P.M i riti
? .11) t~ I~~~tl I~~ 7 1 1 n~ f
ilA l { It,}r t lrl
.
MnPr Pfcv . . i~ i i w k, N.• ,rYaa 1-1 1:'
~ ~
Pormfl No. Hold~r Dets TNsphons #
ELECTRIC j(~ 3 L o2.3 7~~Q~pD
~ PLUMBING
HVAC
lnspsrtlon DsaV Insp. Commwft
FOD7INGS
fo
FOUND
/
FRAMINC3
(
ROOFING ~ 7 ROUGH
PLUMBING - - ~c~--j-
PLBG
AiFI TEST
ROUGH
HEA7ING a (iff~
GAS SVC TEST
INSUL
GYP BOARD
FlREPLACE
FlREPLACE
AIR TEST '
FINAL PLBG
FINAL HTG f
ORSAT Z'77r 7 rn m iv.-,
TEST ('r / < c:lJ C f%
BLDG FINAL ~ ~
BSMT R.I.
BSIIAT FlW/1L
DECK FfG
DECK FINAL
~
%niffiCQfe 0f cCC"QIiC~
Cfitij of Cfagan
Voart,aext of exftiiug 3moation
Tkis Certifecalc isstKd pursuanr to tkt rrquiremerets af the Uniform Building Code
certifyirtg that at the time of issua»ct t6is structurc was in compliance wirh rhe varioecs
ordirtances of the Ciry riegulating building construction or use. For the following:
use CassirecVAM SF DW' ew6. eerniit r+o. 29212
O-„P-" T,,w R3/U 1 z"un Damn R I Tm c.w. VN
own. ot swiang S PEiFR.43d JQ+b'T IIC nam,= 10214 PAEC Vffid m- Fu1rm
4353 WOODGAlE LANE NOM ,,.,,;h IbO, B I. MALiARD PARK 4Ili
; Datc.
' eW$ding oR,c;.i
PpST IN A CONSPlCUOUS PLACE
Address 4353 wootx,nre LADE taoxIH Zip 5512 2
Lot ' 60 Blk I Sub Mar.taRn pARK 41H
THESE I'fEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector: k
Final grade (6" from siding)
Permanent steps (garage) ?
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas v
Sod/Seeded grass v
TraiUcurb damage
Porch o/
Basement finish v
Deck
Please verify with the builder the removal of roof test caps fmm the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze porential 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 ~
213 - 0 4 3 BI OFFIC ~ USE ON Y Thie reqoes, void 18 monihs fmm volidalion dole pnmed in ihis
Q~c}~~.r.~
PLEASE PRINT OR TYPE eo
R,ueat Wk Rough in Impernm reqoircdi es ? Na Inspanian Othar Than Rovghla Q Reody No.~ill Call
(Yau must call Ihe inspetlor whrn mady) Dale Ready ~
I, licensed conNacior ? owner hereby requesf inspection of the above eledrical work at:
lob Mdress (Stnet, Boz, or Rovle No I Gry Zip Cade
E4 41~
Counp ~
$ecM1On No Township Name ar No. Range No. Fire N.
~
Ompa Phone No
-9 7
r el? Gans~ 88 S/~
Pawer Sopplier PAdress
f
~ ~/e L r ~c eVo FQ r ~c
Elendcal Commcta (Campany Neme) Comm ar Limnse No Maner Lic No. JPlanl Eletl Only)
L- C
Mailing Mdrev (Commdo, or Owner Pedaiminp Inslollanon
b l D i 7`an
Auihonz Signamm (Cant nor or er Ped ing Imi oeonl PMm No.
C;p 0/
EB-00001h10 6/95 STATEBOAROCOG`/ -SEEINSTXUCTIONSONBACKOFYELLOWCOPV
REQUEST FOR ELECTRICAL INSPECTION
III III I I I I II I~I ~ I II II II Minnes8ta
8 S . Paul, MN 55104 ~
2B,
Unrv sity Ae ar Rmt S 0c
* 0 2 L 3 0 4 3, 3 * Phone (612) 642-0800 (P a 3~`J OL Home Duplez Apf Bldg Ofher New Addn
Commercial Indusirial Farm Remod Re air
v Cond. Htg. Equip. Woter Hh. Load Mgmt. Other.
D er an e Elec. Heaf Tem $ervice
"X" above the work mvered by fhis requesG-Enter remarks in this space and on the back of fhe white ropy only.
~o~lef'e. r~oks~~i
Calculafe Inspection Fee - This Inspecfion Request will not be accepfed without ihe correct fee:
Olhcr Fee # Service Fntronce Size Fee # Circuifs/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps ' UO /bi 0 to 100 Amps SfQ
Street Ltg./TrafBc Sig. Above 200 Amps Above 100 Amps ,OD
Tmnsformer/6enerator INSPECTOH'SUSEONLV TOTAL
$ign/Outline lig Xfmr. I O7i~J '
Alarm/Remote Control
$wimming Pool ~ hercb cem that I ms «ted ~he alecmml inaalla~ion docribed herein an ihe dabe am~ed ~
Irrigation 8oom Rough.ln Dv/e
Special Inspection
Fi A Dala a (
Invesfigafive Fee (ftJ'l_
THIS INSTALLATION MAY BE ORDERED IfiSCONNECTED IF NOT COMPLETED WITHIN 18 MONTHS.
i M,aY. 1. 2001 9:49AM SNAIY LUMbER 6123?81484 N0. 963-P. 2
27190 ~353 [~icoo r;, ~,v
lv_ ~ r
$FAM DAMAG~ CR~T~ESDIUfSION
~
. : <srow. rnnsr. w9uscHai.w.
e su«2w
R7''~ surte isL P O RT ~ EDIN0. MN S,.c.AS CoLUMB05, OH a~29
bY WsyerFm.vsar (~ooMssuz~ (emµsse~n
F~:(~696111T FIS(974)431:7J7
pROJECTIkFORMATION: /A( iL ~`iLt•e
~ F1ELDiNFORd1A7fONPRAYIDEDBy:
DATE: 4130107
' NAME: RANTJONES
JOB NAME: EASTIAENS RESIDENCE COMPANYlLOC,; SHAW/STEWA}ZT LUMBER CO
JOB ADDRESS; 4353 N, WOpDGATE 4NE PHONE: f692137--7520
JOB GiY, STATE: EAGAN. MN FAX:(6'12) 37L1484
EMAIL: g'ones(a)shaws}ewartlumberco om
EEAMTYPE: 1.9E MICROILAMS LVL ApPLlCATION: R F
PLY WIDTH: -3/4' LNE LOqp (PSF); 35
# OF PLIES: 2 DEAD LOAD PS 77
BEAM DEP7H: 9-1 ~
wDICATf.VLBFldaSPM1SANDBEMA'C7YVESM1OU'IIONlaCA7WW50NORAW¢1G~ ! LDG ~OAAENSIONnl1eFAMNwnGE RFn5EIM01G7Ela+E
AND FOM LOWS ON DAnWING IXS WttI1pET1BEnM OR TJ.%PQM f1=uTpryg
EXISTING CONDITION
Z" 718"0 HOLE
i '
7/8"0 HOLE
iLEVEL RESPONSE BELOW
REQUtRED REPAIR
NO REPAIR REQUIRED
- 13E4M RETAINS SUFFICIENT CAPAClN TO SUPPORT LOADS SHOWN
i
COMPI.E7ED BY: Kq7IEENFIELD, iLEVEL GREnTiAKESDN.
fii TN6 A/JAlY55 5 BASEO iIPoN 7NE PHONE: 80Q638.14Z7
~'R'EGU7RERE•E1/q~yATION.'fl$PRO,I' RpLµgNq~~q~NM~ D~ ATIXYFqpH$7HISINFOFJ~y~7pN TMWRJ, PRQILCf; R07-078131 T~y,
GTDN. CN1981a5
~D65M.NIA4D~.nNODIMEN570NSARECOW+ECf. ANAIlT/tORJIYFAMIL.WRWRHT3i~fERMWEIF~FODU.TIWAII i
~ VALIDITYOFTiIELOADSANDDIbtE~IONSSHOWN. ~^'~+~~T~~E onre vvm~ PAGE: oF
•'c~Y'k;' ';1~~k~k~kY,:~~C~CY~~eXcX;;XXc~kmxe ;c~Xca:il~Y(JFM~WJ~ i ~i~x~~~Ii~(i~~
r.:crv 01:7 F_AraN
CASH'ricii: :i TIEF;MTNAI.. Ki7: j.c?
..nrQ° :i./t°r/°E', "fiN'_: 004020
?[i.
Mqn;E. S f-'I?:TLI:SFN ('ONST'RUCT SOPt TNC
%'?`:f-, :700i 4353 kI00DL;FlT'E L 42012.3$
44PAh
4
7nt?' P:c•ric+'k Ai'r.o"n+r 4.02 :Rtl
LF (1 6',")fi
UqE'c r['i e nv,rlr•!
/ ~CI 7'Y OF EAGAN PERMIT
PERMIT TYPE:
3830 Pilot Knob Road B U I~ D I N G
Eagan, Minnesota 55122-1897 Permit Number: 029 12
(612) 681-4675 Date Issued: 11 / 13 / 9 6
SITE ADDRESS:
4353 WOOOGATE LANE N
LOT: 60 BLOCK: 1
MALLARD PARK 4TH
P.I.N.: 10-47253-600-01
DESCRIPTION:
Building,,Permit Type SF DWG
r
Building Wb,rk Type NEW
('UBC Occupancy~, R-3 U-1
Construction Type V-N
Zoning ~ R-1
Building Length 56
Building Width 61
Building stories 2
' S,quare Feet - 2,087
i,-
Cens4s LC,od-e-' 101 1- FAM. DETACH
,
,
REMARKS:
PRV S& W PLBR - GEN2 RYAN PLBG
FEE SUMMARY:
VALUATION $176,000
Base Fee $1,267.25 MISCELLANEOUS $1,923.50
Plan Review $633.63 Total Fee $4,812.38
Surcharge $88.00
SAC $900.00
SAC % 100
SAC Units 1
Subtotal $2,888.88
CONTRACTOR: - Applicant - sT. Lzc OWNER:
P,ETERSEN CONST, SVEND 18845144 0001769 S PETERSEN CONST INC
10214 PARK VIEW CIR 10214 PARK VIEW CIR ,
MINNEAPOLIS MN 55431 BLOOMIN6TON MN 55431
1612) 884-5144 (612)884-5144
I hereby acknowledge that I have read this application and state that the
information ' correct and agree to comply with all applicable State ofi Mn.
Statutes City of Eagan Ordinances.
- ~ J
APPUCANT/PERMI7EE SIGNATUR (ISSUED B: SI ATU E
, ~ CITY OF EAGAN ~ ~ ~ I ~ .3 :Lq l~ t1996 3830 PILOT KP;OB RD - 55122 i D
BUILDING PERMIT APPLICATION (RESIDENTIAL)
ca~er~ ~I -13
6814676
New Cemlrue.ibn Reo uhements RemodeLReoair ReauireTents
? 7 mpisterod ake sunsys ? 2 ropks ot plan
• S copies of planf (Induds Wun 6 window sixes; pound tnd. Aaipn; eta) ? Z ske suneys (e)rtMor aOddiona d Oedcs)
6 1 enerqy wlculations ? 1 energy plwlationa tor heated addHions .
? J oopief ot tree preaentlbn pNn N lot plaCed aRar 7/1193
nqufred: _ Yas _ No
DATE: f~ 2(; CONSTRUCTION COST:
DESCRIPTION OF WORK: "(22w ~~o ~y
STREET ADDRESS: Al. Zzlcfo D 6 r9 Tc
,
LOT BLOCK _L SUBD./P.I.D. P"L16AW2 7flI2K
PROPERTY NamezC2 2222-20 S '~Ef ( p,USe „'Ie'. phone
OYYNER w, M•,
Street Address-10~/
City: State: IW Zip• ~--1-7~3 /
CONTRACTOR Company: U,~~-~ e~S~ ~p,~.5~ ;ti c phone V
Street Address: License
City: State: Zip•
ARCHITECT/ Company: Phone #ENGINEER
Name: Registration
Street Address-
CitY: State: Zip:
Sewer 8 water licensed piumber: ~r~~ Penalty appiies when address change and lot
ehanpe aro roquested ona pertnit ia issued. I hereby acknowledge that I have read this applidHon and etate that fhe Informetion is aect end a e to eomply with all
appiicebie State ot Minnesota Sfatutes and City of Eagan Ordinences. ~
Signature of Appiicant
OFFICE USE ONLY
Certificates of Survey ReceNed _ Yes _ No RECEIVED
Tree PreservaGon Plan Received ? Yes _ No PlOV 0 6 1996
i3Y~
OFFICE USE ONLY - 1
. . .F. F . .
~ BUILDING PERMIT TYPE 0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
la'102 SF Dwelling o 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition ? OB S-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
or"~31 New ? 33 Alterations ? 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) 'I +j Basement sq. ft. I33z MC/WS System ~
(Allowable) y4L Main level sq. ft. i 33z City Water ~
UBC Occupancy u r 2^0 sq. ft. 1,253 s Fire Sprinklered
Zoning R- 1 ~ sq. ft. -7 sS PRV
# of Stories Z sq. ft. Booster Pump
Length s-C , sq. ft. Census Code. i o i
Depth 60'(.,' Footprint sq. ft. 2-0f7 SAC Code nr
Census Bidg I
Census Unit i
APPROVALS
Planning Building +^8 Engineering Variance
Permit Fee Valuation: $ 17 voo, -
Surcharge xm-_J- .
Plan Review y L Y Z~ s 1 Z11
License G y ~
MCNVS SAC u
3y,~~.S SI
. Ciry SAC 2,,,4t Zg
Water Conn. Z.• 12, s z s
Water Meter 'y.a8o
Acct. Oeposit
S/W Pertnit
S/W Surcharge ~ 3~- b ffi sy ti z 8
Treatment PI.
Road Unit
Park Ded. ~a•,.-~ 3 3 z m b S~l = 71,5 z8
Traiis Ded.
Qtf12f yw..ay~
Copies
3d.3jK7- 2 -7 sS~tdrG': iz ogp
Total:
% SAC
SAC Units
Certificate of House Location For:
' ,$vend•Petersen Construction Inc. 179/70
' 1{96178
~ DELMAR H. SCHWANZ
Uuo SVnvEVOnS. Mc
Pepnle,eC UnUa L.rf OI Th, 51.b OI M.nn!)OI• _ I,
74750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 612/427-1769
SURVEYOR'S CER7IFICATE
Address: 4353 North Woodgate Lane
Proposed garage floor elev. 94j ¢
Proposed top of block elev. ~/46.?j
Proposed lowest level elev.
047 22
~ 6'6,a3
Scale: 1 inch = 30 feet
r-- -31' ZU h 0= Iron pipe monument
f Drainage & Utility u O= Set wood hub
I y` /Easements --Z ii'%~ = Existing spot elev.
O= Proposed elevation
1 ~cA BM = TNH infront of Lot 61
Block 1, MALLARD PARK
4TH ADD. = 938.52
~
i ~ ( \
1 ~ / y 1 3
25_21- 'Zp
cf11•°
m
EAGAN
63EVEEWED o ll 3~ j 1
_ 1 1
CL l
< t M ° , i ~
iF _ II•~-9'l~ ~ 1 `~Q~~TW~~/qAX`~ ~ 1
12 - q62•b 1 ~
LJ o LI LL o V e ~~~~~~{~n n r
~J ~ ll UII~~ J ~1/ V~ 1 20 ~
Description: O * ~ 1
Lot 60, Block 1, MALLARD PARK 4TH o'1 21-D9K. ~ A-1
~ ADDITION, according to the recorded
plat thereof, Dakota County, hlinn. +016
Also showing the location.of .a L„ ~c=~~ ~ q36. 11
proposed house staked thereon. ~ I ~
q y$ n-l°Zb '
~~y~r qB
zll
1
~y ~ 1 ~ D. ~V lC ~J 1 E
EArAN ENGiivi:.~;.~v
I herebY cer41y Ihet Ihis eurvey. Olan. or report wae 4% IEIS `OT
OreOareA by me or unCer my tlirect supervision enC ~"~~'i
thet I am a Auly RegotereA Lentl SurveyOr unCar Ue iewe oi tne Siete oi Minneeota. UELMAR H.
= SCHWANZ = Deimer H. Schwen:
Deted 11-05-96 - II625 - Minnesote Registration No. 8625 U
~ l r'~ ~
Revised 11-08-96 ' -7'• ~0
~ •
~~~l~l/lllllt I111111~tt~~~
, LOT SURVEY CHECKLIST FOR RESIDENTIAL
• BUILDING PERMIT APPLICATION
PROPERTY LEGAL: 0~
DATE OF SURVEY:
LATEST REVISION: ~
S y ~ DOCUMENTSTANDARDS i
< z ~
2-`0 ? • Registered Land Surveyor signature and company I
? ? • Building Pertnit Applicant '
mr' cl ? • Legal description
2-'? ? • Address e~ o ? • North arrow and scale
0' 0 ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.) ,
R." o o • Directional drainage arrows with slope/gradient 96 ~
cii," ? ? • Proposed/exassting sewer and water services & invert elevation '
~p ? • Streetname i
m~ ? ? • Driveway
ELEVATIONS
Existina
? O ? • Sewer service (or Proposed)
4~ ? • Property comers
~
? • Top of curb at the driveway
0 31'~O • Elevations of any wassting adjacent homes Proposed
I
aK'0 ? • Garegefloar ~
@-, cl ? • First flOOf
gr, o ? • Lowest exposed elevation (walkouVwindow) I
UK, 11 o • Property comers
'
? • Front and rear of home at the foundation '
PONDING AREA (iaoolicable) ~
cl Q~' ? • Easement line
? [r' ? . WyyL
? 2-'0 • HWL
13 2'~o • Pond#designation ~
13 [R'-'C3 • Emergency Overtiow Elevation I
DIMENSIONS '
o% ? • Lot IinesBearings & dimensions ~
0~-' ? ? • Right-of-way and street width (to back of curb) '
er' ? :Z6 ~ Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (.e. ali structures requiring pertnanent footings) ~
o ~ Show all easemenLs of record and any City utilitles within those easemenb
2"0 ? • Setbacks of proposed structure and sideyard setback of adjacent existing structures
13 ~d • Retaining wall requirements, if any ~
I
Reviewed: i
Name / Date
January 1996 ~
CRAIGI YY99lDGPRMT.FM
I
(aa ` ' ~ ~
~
Y
~
• ~1 ~Cl~ ; i'"_~ i ,A>>7"=:: A
11:r,PrY Cf U t I!_I i~ LGCr~I i0?~;
: r•
TF~i ,,.j > • `=(1R
~ ~
f.:"'" • ".i(0`':',. - ~ ` I:, ~
Ai'.P
PU~y?O~c.3 ~LOT 58
I ,-,.'.,=Y `i~iE
T .ci~IQ'JLJ
SITt. '•r'`'
Itl!.F 0 3:1i;TI0;U OM THE
~ 107 59
J tn° f[tEE ~ t,~
LO T 60 a rnt E;
OT fil 5~I EE
12"
TREE ~ P'Ef
COPPER WATER SERVICE(TYP.) .~,r.r.E
4" SANITARY SEWER SERVICE(TYP.) f~'1 0_ e Tr>rFS. -
11 ~-tRE-
~ • ~ / _X:~}'f[f t .
I
r. - i .
- -
~~~~.r•,', ~
- ~ - - ' _ _ 1
-k
~ PFZUP
~ORTM, - - _ _ , ~ . r sEVVEi
y_,~„ INSTACL ONCRETE
VALLEY TTER
- ~ _ . - Ex ;nN.~du
:;7.s' 1134 .3I
"
[q 4346
. ii.F ..i1~1fi 111
~
+
~
60
' - - - -
E.~ . , rj - ~
V ~ 42
~ ~ SflWCUT. REMOV; 8 59 I
~ RcPLRCE P?VEM
~,i ~ ~ • [N T
_ G. ~ - 'i : ~ . l " ~ y OF U7t1_I'i Y
!J^71 i'i
_ l A 1. D
O, _ ; I
. .n.7i"il~+!i~~~ .-~~r
..J r - ! !IIC
WOODGRTE LRNE ~
MH1p- ,
MH. ~
I I
;
~ V,~-------{p(~i~~;•~~i~ +sErl~~' i
,
i-
~
~
I ~
' f.... 374 ;-f - g,' P4 SDR 25 @ 1.10i ~ 12
,
.
~
~ ~yz. . . ~ ~ " ' . . ~ . . . . ~ _ ~ ~
'?WG UNDERGROUN[1 I!TIL?iIES AR~ SHOHN j~~ qN qPPROX.jMPTE IJFI' pNi N0 I
~HRLL D:iERMINE iH: EXqCT LOCRi70N Oi R; ' ~ TH`
. .
~t~5 70 BE fLli ~ o , ~ t'~ISTIN~ UiLILiIES A~fOR_ HAi~RMF;I; 7H~~_
LY P,~S, ONSIB_E FOn RN`.' aNr p! ~ llo~nrrr- ~
, 681 4694
11i08/96 12:08 ERGRN ENG+COM DEV > 612 681 4300 NO.0BO P002/002
Certificate o£ Houae Locaeion For:
Svend Peteraen Conaeruction Znc. a 179/70
H96178
DELMAR H. SCHWANZ J ~'~-113
IAMD tUAY` 10.2. ING ~
1~NnMr~~ Vn~N lw~ fl~ pl~y M V~nnwp~
14100 dOVTN PIOBEAT TRAII R06lMOVNT. MINNNBOTA 55068 6121423-1769
SURVEYOR'S CERTIFICATE
Addreae: 4353 Noreh lJoodQata Lana ,
ProDOaed QeraIIe Ploor elav. 90$.4-
Propoaed toD oE block elav. QOG.JI
Proooaed lovest 1eve1 elev. 93P.1
Scale: 1 inch ~ 30 feat
n
"\~~2a O - Iron yipe monument
Drainn8 ~ e& Utilit D ~ - Set wood hub
( y1 /Eaaem~nta ~ Y%S
\ a E:isting sDOt elev.
v ~ a ProDOSed elevation
~M HM ~ TNH infront of Lot 61
~(~~I ~~iESTl3~f i~8lf@~0O~1 1 1\ ~ 4THcADD. ~938R52PAAK
REF98E _D
qo `
2q~ ~ U
DAY~6 t~ ` _~1.~~~--~: ~ -r- 1 \t~ •n . . Ni4[ w ` ~n ~ ~
m
~ c
t~-
o 34
j,~~{
' L r
'Y
e8 r~
, QU' U 1
1 , zZ? I
?i ' 4dlib ~Ub~-Q
0
AA-1- 1 ~.ao ~ a In
De~Criyt o~ Q , 1 ~ +
Lot 60, 83ock 1, MALLpRD PARK 4TH O 28~d97C 1-\ ~
ADDITION, nccording to ihe reeorded
plae thereof, Dakota County, Minn., q961~ 6
Also ahowinp the locet3on of a
propoeed house staked thereon. o G=23•
n36.4 A: l °26
3
~~6643 3Op` 9i4.6;
'0'ea ~J J'~.WjE
1 M1e.apY ea.tllv InN Iti, Surv9, Plan. er MportW.• '''...C .'Ga..
preD~/~O by 1n~ O~ enON my AU~C1 WMrvqion ~nd •;.:.:.:.....S,a, J..'. ~
Inal I Sm 0 yWr w09410netl Land Survayor untlar ''.7 ~ ~
mO bwi o11ha SIne ol Mlaniggeu. ''..,li'I.!:4AR
~ t SC• .~;bVAN2 F~ 00Im01 M. Bch+4.2 D~IM 11-O5-96 MlnnmotaI~plnnllen No. e~i
Rsviaed 11-08-96 ~``~ti•. -8~o"S
~ a°•.. y6
, /•y~..,, ,
"M'~~~~INIIlIllill~~~W _
Contractor S. Petersen Const. Inc.
Job 4353 N. Woodstate lane Enerav calculaHon
71/S/96
1 Total exeposod well area 8964 011 496.04
2 Total rootlCeiling area 1286 0.026 93.44
T o! a I 469.48
A Total window area 472 0.32 151.04
8 Total Door erea 58 0.128 7.17
C Total sliding Calass area 40 0.92 12.80
D Total tireplace arse 20 0.128 2.56
0.7 Total iram)ng area (av.10°,6) 398.4 0.179 47.17
F Tot. net wall aroa above tioor 2620.6 0.045 713.49
G Total rim joiat area 234 0.047 11.00
H Total foundation Window araa 0 0.32 0.00
I Tot. nat foundation above grade 226 0.14 31.50
Total 01 378.86
J Total skyllght area 0 0.32 0.00
1#### Tot. rooNcailing iramleg (10%) 128.6 0.049 6.30
L Total nat insulated rooflceiling area 1157.4 0.0193 22.34
Total 02 28.84
Total of land 2 408.30
RESIDENTIAL BUILDING
Permit Application
` City Of Eagan ~ I L5'
3830 Pilot Knob Road, Eagan Mn 55122
S( CP SJ Telephone # 651-675-5675 FAX # 651-675-5694
New ConstrucLon Reouirements RemodeVFteoair Rmuirements O(fice Use OnH
3 registe2d site surveys snowing sq. R. o( loi, sq. tt. of house; and all roofed areas 2 copies of Dlan Cert of Survey Recd
(20% maximum lot coverage allowed) 1 set of Energy Calculations tor heated additions Tree Pres Plan Recd
2 co0ies of plan showing beam 8 window sizes; poureC (ound desgn, etc. 1 sile survey for additions 8 decks Tree Pres Not Reqd
lsetofEnergyCalculatwns Addifion-indicatei/on-srtesepficsystem _Oo-siteSepticSystem
3 copies of Tree P2serva6on Plan if lot platted after 711193
Rim Joist Detail OpGons selectlon sheet (bldgs wiN 3 or less units
Date _(o / 5 / 2_003 Construction Cost D. O 0
Site Address q,3 Jr 3 WOOD(~-/}TE V`FAI E ~D2T Unit/Ste #
6m M N SS1Z z
Description of Work 7-EA([.-014 4 R2-foot Y4USE cf U-A246-E
Multi-Family Bldg _ Y VN Fireplace(s) _ 0 _ 1 _ 2
Property Owner /-rAI/J 8Asri,4 EN s Telephone k((~S"1 o g
Contractor OE57w`A-+-i EK TEYLi o12 S
Address o2a7t{ C/~P(~ JV~ • City ~ L
State /'1 ij Zip 5~~/ 1 Telephone#(6S/ )-Z5l ^a 9 I b
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateForv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventllation Category t Worksheet • New Energy Code worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone )
Mechanical Contractor Telephong--#,[ 1
I~ ; I I I
Sewer/WaterContractor Telephonll#~ ~)I!~
i , ~ ~
J
Ly
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 NN
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.
w- P 1411s e,~,+d
Applicant's Printed Name Applicant's Signahire
' OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex O 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace O 21 Porch (3-sea.) O 31 Ext. AIt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 70 OS-plex ? 18 Deck ' ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y ar_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) 45 Fire Repair
? 33 Alteratlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 R2p18C0mCnt 'Demolition (Entira Bldg) - Giva PCA handout to applicant
Valuation Occupancy MCIES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQU[RED INSPECTIONS
_ Footings (new bldg) _ FinaVC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addidon) _ Plumbing
Foundation H VAC
Drain Tile Other
Roof _ Ice g Water _ Final _ Pool _ Ftgs _ AidGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee / 53, I S
Surcharge 7 • 00
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total /5 7• 2S
Y CITY USE ONLY RECEIPT /~P 7OpI6
6 ~ BL ~
SU~.r~' DATE:
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH N-Ql TML
Shower 3.00 x =
Water Closet 3.00 x
Bath Tub 3.00 ;c -
Lavatory 3.00 x
Kitchen Sink 3.00 ;c =
Laundry Tray 3.00 :c
Hot Tub/Spa 3.00 :c =
Water Heater 3.00
Floor Drain 3.00 7
Gas Piping Outlet ' minimum - 1 3.00 :t
Rough Openings 1.50 ;c
Water Softener 5.00 x
Private Disposal ' Dekota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler ' home under eonst. 3.00 =
Alterations • to exisung 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
7OifaL
SITE ADDRESS: / ^
OWNER NAME: .
INSTALLER NAME: "
STREET ADDRESS:
CIn': ~7~~ STATE: I? ZIP: 3
PHONE (~p/,~) ~~7 Ul
OFFICE USE ONLY
i ~
L BL RECEIPT
SUBD. DATE:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ~ all commercial/industrial buildings.
~ multi-family buildings when separate pertnits are pp.( required for each dweiling
unit.
DATE: CONTRACT PRICE:_
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED7 _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED? YES NO.
FAILURE TO PROVIDE THIS INFORMATION WIIL RESULI' IN A DELAY OF METER ISSUANCE.
VNLL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? YES NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum (ee or 7% of contract price, whichever is greater. State surcharge of $.50 per
E1,000 oi permit (ee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURF.:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
, CITY USE ONLY
L ~ ~ BL I RECEIPT
DATE:
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dweilings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
~ Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
~ HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL
i i
SITE ADDRESS: 4, 3~3
OWNER NAME:SfT"~~ PHONE
INSTALLER NAME: "
STREET ADDRESS:
ciTV: ,CCf{nG~an t STATE:~ ZIP:. . ~~J=~
PHONE
.
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ~ required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: $25.00 minimum fee gl 1% of contract price, whichever is greater.
Processed piping - $25.00
State surcharge of $.50 per $1,000 oi permit fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS: .
CITy; STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
'7l 39
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conswcuon Reomrements RemodeVReoart Reouirements OKce Use Onlv
3 reqistered ate surveys showing sq. tl of lot, sq. tt. o( house; and all mofed areas 2 copies of plan showing lootings, beams, joists Cert of Survey Rectl _ Y_ N
(20%muimum lot coverage allowed) 1 set of Energy Calcuia6ons fa heated addrtions Sals Report Y_ N
i SoHs Report rf propased huildmg is to he placed on disturhed soil 1 site survey for aGditions & decks Tree Pres Plan Recd Y_ N.
2 copies of plan showing beam 8 window saes, poured found design, etc AtlUN'on -indicale donsife sep6c system Tree Pres Required Y N
lsetofEnergyCaiculahons On-siteSep6cSystem _Y_N
3 rApies of Tree Preservation Plan R lot platted afler 7/1193
Rim Joist DetaA Ophons selection sheet (buiidings with 3 or less units)
Minnegasco mechamcal venhlabon form
Plans are considered ublic information unless ou state the are trade secret and th~ son.
Construcfion Cost
Date J / ol 9' l 67
SiteAddress 1.Gr2~ . Unit/Ste #
~ ~ ~ .
Description of Work [Sy ,(/Q~,? S[~p,P./~ ~Gf G~ D ~ (Y~~1<' ''v'G / f~L f ari
~
. ~ I .
iYlulti-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner d t r~Xn h &.Sl,t n i. Telephone #((~s ySa s'~"' /
Contractor Q 6 ~ S
Address D~ E, ~ City pzf! cM
Sta[e d Zip ,S Telephone#(~~)
~
aojw
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet •New Energy Code Worksheet
(d submission type) Submitted Submittetl
• Energy Envelope Calculations Submittetl
In ihe last 12 monihs, has ihe City of Eagan issued a permii for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan: ~ _
Licensed Plumber Telephone )
. .
Mechanical Confractor Telephone )
Sewer/WaterContractor 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; 1 understand this is not a permit, but only an application for a permit, and work is not to start without a
pennit; that the work will e in accordance with the approved plan in the case of work which requires a review and
approval pl ns.
Applica Print ame Applicant's Signature
DO NOT WRITE BELOW 'I'HIS LINE ~
Sub Tvpes
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 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 OB-plex ? 18 Deck Er 23 Porch (screenl9azebo/pergola) ? 36 Multi Misc.
? OS 03-plex ? 11 10.plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 72-plex ? 25 Miscellaneous
Work TVpes
j5 37 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demoiish Foundation ? 45 Fire Repair
O 33 Alteration ? 37 Demolish Building' ? 43 Reroof O 46 Windows/Doors
? 34 REplaCemeni 'Demolition (Entire Bldg) - Give PCA handout to applicant
DBSCfiptiOfl: WaterDamage_Ves
Valuation ~s-~Occupancy ~-3 MCESSystem
Plan Review. 100% or 25%
Census Code y 3 y Zoning City Water
SAC Units Stories / Booster Pump
# of Units Sq. Ft. z z`f PRV
# of Bldgs Length Fire Sprinklered
Type of Const u F' Width ~'2~
REQUIRED INSPECTIONS
_ Footings (new bld-) _ Sheetrock
Footings (deck) FinaUC.O.
Zo Footings (addition) Lo Final/No C.O.
Foundation _ HVAC
Drain Tile Other
Roof _22 Ice & N'ater eO Final _ Pool Ftgs AidGas Tests Final
W Framing _ Siding _ Smcco Lath _ Stone Lath _Brick
_ Fireplace R.I. AirTest Final Windows
Insulation _ Retaining Wall
Approved B ~ Building Inspector
Base Fee
Surcharge Z z~ 7C Lf S. DO
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
;
~A
N ..,x ,
~t o p-'^`'~ e of Ifouse Location For:
(n o~ ~ :Petersen Construction Inc.
N ~ ~ . 179/70
r H96178
~ DELMAR H. SCMWANZ
iArvo sunverons.iNC , n.aaie.ee una<, l.«, W inn si.i. oi M,onmoi.
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 6121423-1769
SURVEYOq'S CERTIFICA7E
Address: 4353 North Woodgate Lane
Proposed garage floor elev. Q9 5e~
Proposed top of Ulock elev. <<J(,,~j
Proposed lowest level elev. 93
n/(Y/ 047
- ~ -
Scale: 1 inch = 30 fe
~ Z~ ~ 0= Iron pipe monument
O
Drainage & Utility
~i ~ ,I ,Easements V Set wood hub
Q V / ?+'16~ = Existing spot el,
(j~ w
> o O = Proposed elevati,
YI ~ ~ BM = TNH infront of Loi
u, Block 1, MALLARD ]
` 4TH ADD. = 938,52
e s'' \
117~3„ LL_(I-.1)`
,r9a _
v`~4~° ~1 ~ m 1 o a
e•~''t 'G, m~ G"11
y3 '
Ll
° 1^°t~jif, 8~
TZ3/o~;s~~
, ~2 - q4l•~ 1 ~
, r`=•~ . ~ . v rn.? ~ <
ti o~Xn L:.,'y:: 20
`l: ly
~ `7.00 ~
Description: +
Lot 60, Block 1, MALLARD PARK 4TH O 2g-09K
ADllITION, according to the recorded ol 1 ~ 1 I I
plat thereof, Dakota County, Minn.
Also showing the location. of .a I 3
proposed house staked tliereon. I
23•~C)
26 ~
~~i i, • ,C
CI L _ . . M 939.,F4
.
I nereby ccrlily Ihal this surve
y. plan. or rePOrl we!
prepered by me or un0er my tlirect supervi9ion entl
Ihel I em a duly Regisleretl Lend SVrveypr untler ~ /
Ihe lews ol the Stele ol Minnesola. ~
~!.1'•i ,•ll~ ~
fj ;'-7;~./;~;, r
Dnied _ 11-35-96 Delme. H. Scnwanz
~ - i;,:,;j ! Minnesole Regislrelipn No 6625
(
Revised 11-08-96 r~
~ ~ • ~
~ For Office Us~ ~ ~ I ~
I ~ I
~
City of Eap I Permit# j Il,
I ~I
4eg
3830 Pilot Knob Road I Pertnit Fee: e0
Eagan MN 55122 j Date ReceivAlUN S 6 200 ;
Phone: (651) 675-5675 Fax: (651) 675-5694 ~ Stan: i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION CztdeoL
Date: 2 OGI SiteAddress: ~~73 NOFZTI~ \iJr,0'Z1E}k1fT=
Tenant: Suite
RESIDENT / OWNER Name: A.IN ~J"PcSfl PE^is Phone: 4,1/1 -`SZJc-c !
Address / City / Zip: 4/-7 / ROPT4 ~4cr,~- LAnic-- eP,EPO4 951Z-
Applicant is _ Owner ~ Contractor
TYPE OF WORK Description of work: V/~;1.(.~L ' Alr~j«vC~ W/_l.~ I I.kNP~A~I nT~
Construction Cost: ~7i~{'~ L~Y~ • Multi-Family Bwlding: (Yes No ~
CONTRACTOR Name: License#:
Address:E
Ciry State: T'1tJ Zip:
Phone: _LX~L 769/ ' l l 1 i Contact Person.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Wwksheet • New Energy Code Worksheel
CetBgOry Submitted Suhmitted
(4 SubmisSion type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contrector: Phone:
Sewer & Water ConVactor: Phone:
NOTE: 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 fhaf would permit the City to
conclude that the are trade secrets.
I hereby acknowletlge lhat this information is complele and accuiate, that the vrork vrill be in conforman with the ortlinances antl cotles of the City of
Eagan, thaf I understantl this is not a permit, but only an application for a pertnit, and work is not start v.vt out a it; that the work vnll be in
accorAance with the approvetl plan in the case of work which requires a review antl approval of pl
X e'Ctty 1'~ X
ApplicanYS Printed ame ' pplic nt's gnatuia/
Page 1 of 3
f& U)oads~~ ~A fi- •
!
DO NOT WRITE BELOW THIS LINE qQQ -7
SUB TYPES
Foundation Fireplace Porch (3•Season) Storm Damage
~ Single Family _ Garage _ Porch (4Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ ExteriorAlteretion (MUlti)
Ot of Plex ' LowerLevel Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress wndow _ Water Damage
Retaining Wall 'Demolition of entire building - give PCA handout to applicant
7-~
DESCRIPTION
Valuation Occupancy MCESSystem
Plan Review Code Edition jd4,N2_2jjA,1-) SAC Units
(25%_ 100%_)() Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) _ Sheetrock
Footings (Deck) _ Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: _Ice 8 Water _Final _ Pool: _Footings _Air/Gas Tests _Final
Framing Siding: _Stucco Lath _Stone Lath _Brick
_ Fireplace: _Rough In _Air Test Final Window9 /Z~,
_ Insulation ~C Retainin Wall ~
Meter Size: Erosion Control
Reviewed By: 72- , Building Inspector
RESIDENTIAL FEES
Base Fee 0 U u
Surcharge
Plan Review
MCES SAC ~6-/7)1"
City SAC
Utility Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
, LOT SURVEY CHECKLIST FOR RETAINING WALL qo U 74
BUILDING PERMIT APPLICATION
Address. 4~•$ ~ Av
Applicant Name: 4nn "D%tB-n s
DATE OF SURVEY: 6ZZ!~A9
LATEST REVISION: ~
m
lm
c
~ "Permits required for Retaining Walls 4 feet high or greater.
Ya ~
0 Z a DOCUMENTSTANDARDS
'4 • Registered Engineer signature and company
? ? • Building Permit Applicant
~y ? ? • Address
~ ? ? • Legal description J` NO 5+ '
n,F
? • Lot Iines/Bearings & dimensions f ~'-i.ff fiy~,f
• NoRh arrow and scale
~ ? ? • Street name
X1 0? • Show all easements of record and any City utilities within those easements 4t-re^ evrf Q/eK,
• Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
? ,8 ? . Property corners
? g? • Top of curb at the driveway and property line eMensions (only if wall is within 30 ft. of curb)
??,E( • Elevations of any existing adjacent homes
.Cf . Adequate footing depth of structures due to adjacent utility trenches
? 2 ? • Waterways (pond, stream, etc.)
? 8d ? • At the foundation of the building and/or nearest structure
PONDING AREA (if applicable)
? f6 ? • Easement line
? ~ ? • NWL
p ~H ? • HWL
? iCl ? • Pond # designation
? ,0 ? • Emergency Overflow Elevalion
? '0 ? . PondNVetland buffer delineation
Y . Shoreland Zoning Overlay District
Y 9 • Conservation Easements
RETAINING WALL INFORMATION
,9 • Location of Retaining Wall on property
.9 • Top 8 bottom elevation at each end of wall and any change in elevation in between
,B' • Type of material (i.e. modular block, boulder )
?,0 ? • Directional drainage arrows with slope/ dient o
Reviewed By Date 4
G FORMS/Bmltling Permit Apphwhon-Retaimn8 Walls Rev. 54-09
~G
. y s S s uccd c ~ ~ L(; - 10,
7q
~
City of Ean(IR
_ _
Use of City Ri ght of Way
The following activities are not allowed on Eagan city streets*
. + ¦ These ohjects create saFety hazards in the public
right-of-way
•';m. . • -
i ~~~o~ ¦ These objects have the potential to damage the street
and cause unnecessary wear
• Items such as dirt, sand, etc. stored in the street can
y~ be washed into the storm sewer system, reducing the
capacity of the system and polluting wetlands
~
• Dumping or storing rock, dirt, sand, wood What if I choose not to comply?
chips, sod, brush, block, etc.
As stated in City Code, the above items are considered
misdemeanors. Each day that the violation continues is
considered a separate offense and is punishable as such.
<
f Iw This is not a citation!
This notice is for informational
purposes only.
e.
- - Please work with us to keep our
streets safe and clean!
¦ Unloading, parking or storing dumpsters
¦ Parking or storing trailers
• : If you have any questions, please feel Free to contact the
• Engineering Department at the City of Eagan
` 651-675-5646.
'Summarized from the City of fiagan City Code. Srction'.05. The Cit} Codc
may bc vfewcd onlinc at: www.cit-yoleagan.com
¦ Tracking dirt, clay, soil, etc. onto City
streets, if this is done it must be swept up
immediately
~ Foi Of fic`e_USe ~
~
City of Ea~aIl Perrnit#_ I
i PertnitFee:
3830 P i l o t K n o b R o a d
Eagan MN 55122 JUL 1 U u 0 2009 I (_`~I
Date Recemed:
Phone:(657)675-5675
Fax: (651) 675-5694 i Staft: i
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address:
Tenant: Suite
RESIDENT I OWNER Name ~ Phone:
Address / Ciry / Zip: lV
Applicant is. _ Owner ConUactor
TYPE OF WORK Description of work o G ~
Construction Cost Multi-Family Building (Yes No
CONTRACTOR Name: ' License # JCZ 97
Address:
city: Q', state:X, -zipS3 L
0
Phone41,7
- S ContactPerson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventdation Category 1 worksheet • New Energy Cotle worksheet
Category SubmineU submined
(4 submission type) • Energy Envelope Calculations Submitled
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 supporting documents that you submit are considered to be public information. PoRions of
the information may be cfassified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowtedge that ihis information is complete antl accurate; that the work will be in confortnance with the ortlinances and codes of ihe City of
Eagan; that I understarM this is nol a pertnit, bN only an app6cahon for a pertnit, and work is not to start without a pertn0; that the work will be in
accordance with the approved plan in the case of work vfiich requires a review and approval of plans.
x R n'G r ~ x
Applican~f s Printed Na ' j~ Appl' t's i ature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE ar CJ~/- •I
SUB TYPES
c- v Foundation Fireplace Porch (3Season) Storm Damage
p Single Family _ Garage _ Porch (4-Season) _ Euterior Alteration (Single Family)
_ Multi _ Deck _ Porch (ScreeNGazebolPergola) _ Exterior Alteration (MUlti)
01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building'
-)Q Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
_ Replace _ Repair _ Egress W'tndow _ Water Damage
_ Retaining Wall 'Demolition of entire building -give PCA handout to applicant
DESCRIPTION
Valuation 1/4 Olb. Occupancy L(LC- I MCES System
Plan Review Code Edition M,f 7~6-j SAC Units
(25%_ 100%_) Zoning 2- 1 City Water
Census Code y3 y Stories J Booster Pump
# of Units Square Feet ~ Z$ PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
b Footings (Addition) to Final / No C.O. Required
Foundation ~ HVAC
Drein Tile Other:
~ Roof: 4Ice E Water A Final _ Pool: _Footings _Air/Gas Tests _Final
~ Framing Siding: _Stucco Lath _Stone Lath _Brick
Fireplace: _Rough In _Air Test _Final Windows
)0 Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: 1mg~~/(~W"Y'7 . Building Inspector
RESIDENTIALFEES ~ 2$ Sg. f7 X$S y?
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
'7- 1 3
--F--ff-ce-------------
i orO Use I
j Permit#: '-?D/ 70 j
City of EapIl ,
I Pertnit Fee: • 5rs ~
3830 Pilot Knob Road
Eagan MN 55722 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 i Staff: ~
2009 RESIDENTIAL BUILDING PERMIT APPWCe T~N
1 ~ .
r~ ~~--~-~--SiteAddres :
Date:
Tenant: ~ S 0 Q- Suite
RESIDENTlOWNER Name ~nV\~10~&~SPhone:
Address / City / Zip. c-, Q-
Applicant is: _ Owner Contractor
TYPE OF WORK Description of work
Construction CosY Multi-Family Building(Yes No ~
CONTRACTOR Name: S License
Address: 7"lal O 0
City: State:14'-\u Zip:
qs;;>'~3~ ContactPerson. \ ~ ' I
Phone
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential ventilation Category t worksheet • New Energy Cotle Worksheet
Category suomined Submitted
(4 submission type) • Energy Envelope Calculations Submittetl
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 8 Water Contrector: Phone:
NOTE: P/ans and supporting documents that you submit are considered to be public information. Portions of
the information may be classi/ied as non-public if you provide specific reasons that would permit the Cify to
conclude that the are trade secrets.
I hereby acknovAedge that this information is complete and aaurate; that the work will be in confortnance with the ordmances and codes of the City of
Eagan; ihat I understand this is not a permit, but only an application for a pertnit, and vrork is not to start withou[ a permit, that the work will be in
acc~ordance with the approved plan in the case of work vfiich requires a review a ovai of plans,
x \ l `l o~ v\ `n L.c ~ ~ xcz.. C\\. \ . -
Applicant's Printed Name A Ys gnature
Page 1 of 3
~
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3Season) _ Stortn Damage
_ Single Family _ Garage _ Porch (4-Season) _ ExteriorAlteretion (Single Family)
_ Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of _ P,I.ex _ Lower Level ~ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement Siding Demolish Building•
~ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteretion _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall •Demolitlon of entlre building - give PCA hantlout to applicant
DESCRIPTION
Valuation l O C9 1) Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%~ Zoning City Water
Census Code T Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
_ Footings (Deck) _ Final / C.O. Required
Footings (Addition) _ Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
_ Roof: Ice & Water Final ~ Pool: ~Footings ~Air/Gas Tests Final
_ Framing _ Siding: _Stucco Lath _Stone Lath _Brick
_ Fireplace: _Rough In _Air Test _Final Windows
_ Insulation Retaining Wall
Meter SiZe: Erosion Control
Reviewed By: . Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge C_/n ~
Plan Review
MCES SAC U
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
qo~ ~d
, POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: E I~A
Applicant Name: Kc~a c i-1 N da"~-rs A~.~.IS
v
m
~
~ GENERAL INFORMATION
Y ¢ ~
o z a
? Applicant name and cbntact information
[~d ? ? Property owner name
~ ? ? Address of property,.
? North arrow, scale (1" ° 30' or 40')
LN' Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
LZr? ? Location and name of all streets adjacent to property
l~l ? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
~ Existin
Gd/ ? ? House comers
? ? Property comers
?Y ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
O ? Finished pool deck corners
?/[J" ? Top of proposed retaining walls (if any) and at each different elevation (if it changes)
C~ Pool bottom (or max. depth)
DIMENSIONS
~ Existin
p/ ? ? All property/lot lines
? ? All Easements on the property
/ Proposed
fi'J ? ? Pool
~ ? ? Pool plus integrated deck/patio
? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed: 1- IU-p`t
Name Date
G:FORMS/Pool Permrt Checklist/02-13-07
Z' qC170
V- e of House Location Fo: :
-:Petersen Construction Inc. j, 179/70
H96178
-
DELMAR H. SCHWANZ •
UNO SUHVEYORS. INC
RepnlenE UnCei 111wf el TM 51.1. ol Minnesm•
.
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55060 617/423-1769
SURVEYOR'S CERTIFICATE
A4dress: 4353 North Woodgate _Lane )~tqt-/L°.` /pu/J
Proposed garage floor elev. 0AJ
Proposed top of Ulock elev.
Proposed lowest level elev.
Z ~ei A~3
_ o
V5 Scale: 1 inch > 30
>
o = Iron pipe monument
Z~ Z J i 1 Drainage. & Utility3g~ ~ O= Set wood hub
O , /Easements ; ~
~w 1~ i ? +'/6S = Existing spot I
a "k) o O° Proposed eleva'
h,\' BM = TNH infront of 1
W B l o c k 1, M A L L A R]
~ vt^' 1 ' . ~ 4TH ADD. = 938.'
j
m: ~ 1 ~ / - ~u
> >a, ji3 ~ 4C fi~ 1 25_71y ro~. .
-7~~i~,1 g ro
~ t
n,l i1 ry • "1 1 O ~
. ~ s v
rc. A GAN Lil~
-<...:n......>ar ~ W _
~ • ~ 'I 1
~ ~i4~'2 s~ a~ o
ry,+~ 1
'
. / ~ :,`1~i 1 1 ~ Q~ t9 TW l;/,1 ?,Y~i ~ , 1 r~
-;~-_-ZL75
,oil! /~o ki li ~ - ~ . . - y ~
~ ~
o W U i-.,'..;,._.: 20 ;.r
r~
7.0 0 , o= m c
~ h
Description: o` ~
Lot 60, Block 1, MALLARD PARK 4TH o 22•09K
ADDITION, eccording to the recorded a{ ~ry/Ct~ ~y ~ I
plat thereof, Dalcota County, Minn. , ~ C~36• „ 6
4.93 Also showing the locatiop. of .a ,Q=92
proposed house staked tliereon. L=Z3,4e)
~
436g . 1°26 ~
7o~4B 43 ~ I ~Ii9,53
W ~•l~_-. . m 434,,P4
l1Ci(: i~ s.:. 7:
. ar'
' n• b....~fjrib.
I hereCy cerlify Ihel lhis auney, plen. or report wes ,''''1'' LL~•"., ,
pte0ered by me or under my tllrect supervision enU j• ~
. /
Ihel I emn duly Registeratl Land Surveyor unAer -
Ihe lewe'ol the SIa1e ol Mlnnesote. `
--~,r:;:.r~i; _ ~~_~Ir;'i;";'?' ~j ;'-7~~/.~/~;~: ~
Dnled 11-05-96 oelmar H. Schwenz
~ y.~. Mlnnesote Reglslrellon No. 8625
Revised 11-08-96
For Office Us--_~~--J-----
City of Eapn Permit#:
SKI I Permit Fee: r. ~rtr ! ,
3830 Pilot Knob Road
iQu9s 200
Eagan MN 55122 I Date Recei
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION d L ? 7)
Date: 0(01 Z ( & O Site Address: 4 l~ 1 3 a4~ ~ol~r
Tenant: Suite
RESIDENT I OWNER Name: y Ti tisS Phone: t ~-'~-O7
Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: A-4, Multi-Family Building: (Yes / No
CONTRACTOR Name: Tst 4'4 License
Address: ~tTRC`"r
City: , State: M~j Zip: '_-7
Phone: Contact Person: -Ti &A ,cli; *-I `
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conforman 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 start wit out a it; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pl
x x
Applicant's Printed 'Name pplic nt's S gnatu
Page 1 of 3
an
DO NOT WRITE BELOW THIS LINE lo(
SUB TYPES
Foundation Fireplace _ Porch (3-Season) Storm Damage
Single Family Garage _ Porch (4-Season) Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
_ 01 of Plex Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%f) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: r`-- , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
LOT SURVEY CHECKLIST FOR RETAINING WALL qc G' 14
BUILDING PERMIT APPLICATION
Address: 4'I ~ 4'c ~ i a+
Applicant Name: '40 ~ E f
DATE OF SURVEY: /C} q
LATEST REVISION:
0
0
c
**Permits required for Retaining Walls 4 feet high or greater.
Y Q ~
O Z < DOCUMENT STANDARDS
? ? • Registered Engineer signature and company
,0'' ? ? • Building Permit Applicant
,L;- ? ? • Address
? ? • Legal description
~f, ? ? • Lot lines/Bearings & dimensions
? ? • North arrow and scale S~rc, 6E, A f~ F
? ? • Street name
.~f ? ? • Show all easements of record and any City utilities within those easementse^^lfe
"C.7 ? ? • Setbacks of proposed structure and side yard setback of adjacent existing structures
ELEVATIONS
? B ? • Property corners
? S ? • Top of curb at the driveway and property line extensions (only if wall is within 30 ft. of curb)
? ? • Elevations of any existing adjacent homes
.-?I ? ? • Adequate footing depth of structures due to adjacent utility trenches
? . ? • Waterways (pond, stream, etc.)
? ? • At the foundation of the building and/or nearest structure
PONDING AREA (if applicable)
? , ? • Easement line
? ,fe7 ? • NWL
? ,0 ? • HWL
? A ? • Pond # designation
? ,0 ? • Emergency Overflow Elevation
? .2 ? • Pond/Wetland buffer delineation
Y • Shoreland Zoning Overlay District
Y • Conservation Easements
RETAINING WALL INFORMATION
Jd ? ? • Location of Retaining Wall on property
40 ? ? • Top & bottom elevation at each end of wall and any change in elevation in between
'0' ? ? • Type of material (i.e. modular block, boulder
? ? • Directional drainage arrows with slope/ dient/ o
Date M
Reviewed By'
G:FORMS/Building Permit Application-Retaining Walls Rev. 5-4-09
Lo - /T 9CT 7q
CA of Ea non
Y Use of City Right-of-Way
The following activities are not allowed on Eagan city streets*
• These objects create safety hazards in the public
=t- right-of-way
a • These objects have the potential to damage the street
and cause unnecessary wear
=a~"` • Items such as dirt, sand, etc. stored in the street can
be washed into the storm sewer system, reducing the
.L~"l. 'V4. "R4 'tlcRr~, ir{I?I~IC x`AM F,+.,4.
X.. capacity of the system and polluting wetlands
¦ Dumping or storing rock, dirt, sand, wood What if I choose not to comply?
chips, sod, brush, block, etc.
As stated in City Code, the above items are considered
misdemeanors. Each day that the violation continues is
considered a separate offense and is punishable as such.
This is not a citation!
This notice is for informational
purposes only.
Please work with us to keep our
Unloading, streets safe and clean!
¦ g, parking or storing dumpsters
¦ Parking or storing trailers
If you have any questions, please feel free to contact the
Engineering Department at the City of Eagan
651-675-5646.
',Summarized from the City of Eagan City Code, Section 7.05. The City Code
r may be viewed online at: www.cityofeagan.com
¦ Tracking dirt, clay, soil, etc. onto City
streets, if this is done it must be swept up
immediately
r7 I
----------3---
t' For Office Use
'7O
Cityof Ealln Permit
Permit Fee:
3830 Pilot Knob Road
i
Eagan MN 55122 Date Received: Jul- #a 2009
Phone: (651) 675-5675 i
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APP rN 2e
Date: Site Addres
Tenant: Suite
RESIDENT / OWNER Name: \C~C,t SPhone: CO 51 ` e
Address/ City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: ,C7 , C C Multi-Family Building: (Yes / No
CONTRACTOR Name: License
GC
Address: 67 'e Eq-~('
City: State: Q Zip:
Phone. _q 5-` Contact Person: I ` I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) . Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review an oval of plans.
\ Jl }
X t. ~V1 C3..c X
Applicant's Printed Name is is gnature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace Porch (3-Season) Storm Damage
Single Family Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex Lower Level Pool _ Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair _ Windows Demolish Foundation
Replace _ Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 62 C' I Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%K) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: Ice & Water _Final Pool: 3Footings Air/Gas Tests Final
Framing Siding: -Stucco Lath Stone Lath -Brick
Fireplace: _Rough In Air Test Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address: i 115I N
Applicant Name:
C
GENERAL INFORMATION
o z
? ? Applicant name and contact information
? ? Property owner name
? ? Address of property
FY ? ? North arrow, scale~(1" = 30'"or 40')
0 ? ? Site Plan, drawn to-scale showing location of house, pool, and other existing or proposed
structures, including retaining walls.
? ? Location and name of all streets adjacent to property
? ? Directional drainage arrows (existing and proposed)
ELEVATIONS
Existing
f ? ? House corners
? ? Property corners
? Y ? If applicable, ground elevation at each end of retaining walls and at wall's greatest height
1 Proposed
? ? Finished pool deck corners
Gi' ? Top of proposed retaining walls (if any) and at each different elevation (if it changes)
? ? Pool bottom (or max. depth)
DIMENSIONS
Existing
S) ? ? All property/lot lines
Esd ? ? All Easements on the property
Proposed
? ? Pool
? ? Pool plus integrated deck/patio
? ? Shortest distance from outside edge of pool deck to lot lines and house
Reviewed : C 7 IO-®ct
Name Date
G:FORMS/Pool Permit Checklist/02-13-07
••A lltrrr lit
°.'1=`'' e of House Location Fo-_ :
APetersen Construction Inc.
179/70
Ln~ Y H96178
DELMAR H. SCHWANZ
LAND SURVEYORS. INC
Registered Under Laws of The State of Mtnnesata
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 612/423-1769
SURVEYOR'S CERTIFICATE
a ?,.mss ~74 ;
Address: 4353 North Woodgate.Lane
Proposed garage floor elev. 9Q5
e e""
Proposed top of block elev. C/~C,7j
Proposed lowest level elev. 13~
Scale: 1 inch = 30
0 = Iron pipe monument
Z Drainage.& Utility 0 = Set wood hub
Z O I r~ .Easements
~1GS =Existing spot .
<W
w
O = Proposed eleva'
N iN BM TNH infront of I
A-W_ Block 1, MALLAR]
4TH ADD. = 938.'
600 V)
D La
. II`I' s N7 t,•`` _ 13 A
/4 L3
qty
27- qd
7.00
Description: a ap
Lot 60, Block 1, MALLARD PARK 4TH o1 23'09K
ADDITION, according to the recorded oar,y/C~`~ ' I
plat thereof, Dakota ' County, Minn. + X36'
8,4.93 IG.6
Also showing the locatioci. of a ,
LI
proposed house staked thereon. I
° C=Z3.40
/ 26
_ 0 931,69`
I hereby certify that this survey, plan. or report was
prepared by me or under my direct supervision and , ` f r
that I am a duly Registered Land Surveyor under
the laws of the State of Minnesota.
Delmar H. Schwanz
11-05-96
Dated Minnesota Registration No. 8625
Revised 11-08-96
4
rr
Fo- - - - - - - - - - - - - - - - -
r office Use I
City V P
of Ea all o
(L/ °
383
0 Pilot Knob Road JUL 10 2QQg Date Received: Eagan MN 55122
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION A. 11
Date: Site Address: 1 ~I r Cri
Tenant: Suite
RESIDENT / OWNER Name: A 4 ~L 5--ti)1~f f~A Phone:
Address / City / Zip: ` }J 4
Applicant is: Owner Contractor
TYPE OF WORK Description of work: o G 6L 7 709-
Multi-Family Building: (Yes / No____)
Construction Cost:
CONTRACTOR Name: f 13t de r-$ License #:1 CZ
Address: J L' 7S -51.
City: Q?1 State: Zip:
Phone: Contact Person: _ l2-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation 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 permit 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 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.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x / x
Applican s Printed Na Appl" is i ature
Page 1 of 3
- Ln., D oycj,/i DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) Storm Damage
Vb Single Family _ Garage Porch (4-Season) Exterior Alteration (Single Family)
Multi _ Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex Lower Level _ Pool Miscellaneous
_ Accessory Building
WORK TYPES
New _ Interior Improvement - Siding _ Demolish Building*
Addition Move Building Reroof Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace Repair Egress Window Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation DLL. Occupancy LRC I MCES System
Plan Review Code Edition Mil Tcc6-7 SAC Units
(25%-100%-) Zoning -Z- City Water
Census Code 1(3./ Stories / Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
)0 Footings (Addition) Final / No C.O. Required
Foundation J HVAC
Drain Tile Other:
Roof: Ice & Water )d Final Pool: -Footings -Air/Gas Tests -Final 44 Framing Siding: _Stucco Lath -Stone Lath -Brick
Fireplace: _Rough In Air Test -Final Windows
0 Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES X
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
08/19/2005 04:26 PM I7.VOt*/m1yt To ,P&*m r79' 70/f0 Tlbblte EnbIn••rIng, P.A 320U45872 2/3
Tib sits Engineering, P.A.
Structural Engineers
1110 3Feeley Ave. Glencoe, MN 55336
Phone: 320) 864-5642 FAX: (320) 864-5672
www.tibbitsengineering.com
August 19, 2009
Plekkenpol Builders, Inc
Attn: Mr_ Jamie Olinger
401 E 78'" St
Bloomington, MN 5542
RE: Floor Joist Analyc. is and Wall Sheathing Review for Residence Located at
4353 Woodgate Lane N
Eagan, MN
Dear Mr. Olinger:
In response to your req est, we have carried out the structural engineering that you
directed: we have deterttn ned the required bearing for the new floor joists and review the
exterior sheathing requi cuts for the new addition at the residence identified above.
We have based our desi upon the (4) page fax, showing excerpts from the building
plans, which you provide to us, as well as information that you gave us over the phone.
Our design follows thie equirements of the Minnesota State Building Code and the
International Residential rode, 2006 edition. This includes a floor live load of 40 psf, a
floor dead load of 15 psf, a wind load of 90 mph exposure B.
The new joists arc 2x12 at 16" o.c. with a maximum span of 6'-0"t. The minimum
bear/ r uired on each end is 1.0" using the calculated reaction for each joist and the
required bearing area ec`u tion in 2005 NDS.
For the brace wall requi ents, the office walls is 9'-9 V2- long and has sheathing of 16"
at each comer. It is my opinion that sheathing this wall with Y4 APA rated exterior
sheathin meets the inten of the brace wall section of the wilding code. The 5'-0" long
portion of the office *all and the dinette wall can be sheathed with Built Rite
sheathing. All sheathing ahall be fastened according to Table R602.3(l) in the lRC 2006.
ZO 39dd 10dN371713-1d 89L9888Z56 Et' :80 6002 /OZ /80
09/19/2009 04:28 PM Tibbits En4ineerina, P A. 3208945672 2/
Our involvement in the design of this structure is limited to the individual members
addressed and specif3 in this report. All other engineering and design remains the
responsibility of others.
If you require any forth r information please contact me.
Sincerely,
TIBBITS ENGINES G, F.A. I hereby certify that this plan. specification, or
report was prepared by me or under my direct
supervision and tlwt l am a duly Licensed
Professional Engineer under the laws of the State
of Dlinnesota.
Joseph M. Paumen, P.E. M. Pa
Project Engineer IVI&t
Dace f license No. 42342
2
60 39Vd -1OdN3?1713-1d 89L9888Z56 Eb :80 600Z/0Z/80
Fiji 0ii e. Use
City of Eaaali
0, 6n Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: / - I
Phone: (651) 675-5675 Fax: (651) 675-5694 1 Staff: L..
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:?s3 iV l~b~j~F' Lf<iJt~
Tenant: Suite
RESIDENT /OWNER Name: ! i&V 194S % f4~IJS Phone: fv~frZ ~ 5 ~'C~/U
Address / City / Zip: 51332V G, .X(/ 6,W /7A/
CONTRACTOR Name: '77 5 -T ,61- )zif- License O ./9 • g -f
Address: r /lJ S~ l~'1 Sl
City: Z-E State: Zip: 5T 7
Phone:( 5o7' 3S"7- Z29 Contact Person: _
TYPE OF WORK VNew _ Replacement Repair _Rebuild _ Modify Space __Work in R.O.W.
Description of work: f./N 1&4- r r.fi CAvr" t 7-H Zl ~ c rNNtGVT _i~?/L.
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
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 (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x
Applicant's Printed Name Applicant's Signatu
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
John Gorder
From: Dave Westermayer
Sent: Friday, September 23, 2011 9:39 AM
To: 'k.bastiaens@comcast.net'
Cc: John Gorder
Subject: 4353 Woodgate Ln.
Mr. Bastiaens,
My apologies for not getting back to you sooner. After further discussions with the City Attorney, he has advised us that
since the surface drainage situation you are dealing with is not affecting City infrastructure underground, and really
poses no issues for it, this is not a City matter to resolve. As discussed in earlier conversations, we now have verification
that this is indeed a matter to be addressed between you and your neighbor. I know this is not the news you had hoped
for, but I hope you can reach an amicable resolution with your neighbor.
Best Regards,
Dave Westermayer
City of Eagan
Engineering Technician
651-675-5641
dwestermayer(«@citvofeagan.com
`„ Please consider the environment before printing this email.
1
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132094
Date Issued:07/24/2015
Permit Category:ePermit
Site Address: 4353 Woodgate Lane N
Lot:60 Block: 1 Addition: Mallard Park 4th
PID:10-47253-01-600
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
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 -
Koen Bastiaens
4353 Woodgate Lane N
Eagan MN 55122
(651) 452-5209
Walker Roofing Company
2270 Capp Rd
St Paul MN 55114
(651) 251-0910
Applicant/Permitee: Signature Issued By: Signature
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