4366 Woodgate Lane NCity of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: -/ O ('%
Permit Fee: / ?1.7.5
Date Received:
Staff:
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .1 " 7 ' I 0 Site Address: 3 6 1.1. o o 4�7 �� L ,A
Tenant:
Suite #:
RESIDENT / OWNER
Name: 0\ay.\vt\ 0'-'' -_ O s Phone: (q-(2 36 5 - a %73
Address / City / Zip: `4 36(o )4. ()-). c act A- L/•.t - C R S 6-4,. 5-C / a >-
j
Applicant is: Owner Contractor
TYPE OF WORK
Description of work: �ZE. R -c c F dr S D i v\.
Construction Cost: (Q a -a t =- c_'S-p Multi -Family Building: (Yes / No % )
CONTRACTOR
Name: License #:
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE
In the last 12 months, has
Yes No If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a permit for a similar plan based on a master plan?
date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor:
Phone:
NOTE: Plans and supporting 4,pcumpp# Oat you submit are•considered to be public information. Portions of
the information maybe classified 4-10';''''on public if you; provide specific reasons that would permit the City to
conclude that they are trade'secrets. .
CALL BEFORE YOU DIG. CaII Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
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.
/1
x . % k .11ib_1 rillil_
Appli
x (Y1 c,.r 0-e r 01.- los
Applicant's Printed Name
Page 1 of 2
CITY OF EAGAN Remarks
Addition Mallard Park Third Addition Lot 26 eik 2 Parcel #10 47252 260 02
owne? screet 4366 North Woodgate Lane StaLe Eagan, MAJ 55122
, •j r , ~
/
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Alj).
STREET RESTOR.
GRADING
SAN SEW TRUNK 477
* SEWER LATERAL
/ !,Yt~ ? :
1981 3412.34 682.47
WATERMAIN
* WATER LATERAL 1981
WATER AREA '
STORM 5EW TRK 19$1 467.74 93.55 7.
* STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
9UILDING PEF.
SAC
PARK
INSPECTION RECORD ~
-CITY' OF EAGAN PERMIT TYPE:
3830 Pi:ot Knob Road Permit Number: .
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:' APPUCANT:
. ,
i.•~ , , .
PERMIT SUBTYPE: TYPE OF WORK: •
INSPECTION .
{ .
i 11) 11 I 1~~?d 1 I 1 1' I i5~ 1
l1 f~ t:li I~
i
pwmk No. P*rmk Holder Dab Telephonm
ESLECTRIC 9 5 ,
PWMBI ' /4 95 a3~y?0
HVAC ' y s a~-
Insp~cyon Dats Imp, Comments
FOOTINGS 41 f
/
FOUND ~
FRAMING ~ O -1i 3 ` s
ROOFlNCi /
ROUGH
PLUMBING
AIRBGTEST
ROUGH
HEATING
GAS SVC
TEST ZbILL"00
INSUL Y 31 Iq6
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLB(3
FINAL HTG
ORSAT
TEST
BLDG FlwnL 93. BSMT R.I.
BSMT FINAL
DECK FTG
~
DECK FlNAL
r.. ~rsrP.,~e~a,tii~,P"~=~a"~-:s..'r,;•:,
~ . - ~ .
q ~ v s _
,~;~t~~cate of ~,ccu~anc~
~ This Certifrcate isswed pursWant to the rrquinments of tht Uniform Building Code
certifying that at the tinw of issumk.c this stncmir wu ia compliance with the various
, orrtirtances of tlit City regulaliag buildmg canst?yctiaR or irse. For the following:
~ ~ ~ ft rim 25657
u.e c. .oe:
o«-war Type 70°'6 °'w'ct Vm
-~55iT~A , FCSDCW
o~ ~ s~ 4366 ,~aa= a,ilding Aaa~ WDODGAIE LW N L-aky L26, A2, MALiARD PAItC 3ED
Doom
• eMI&M offacial
~ POST IN A OONSPICL10l1S PU1CE
. r +~C~
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
~ , . 140Ma?'iA1? AwI H t N" I~:-
~~~ri I I141:lf I Ill. Y I!t ( i, I.' ) 4 0 F'• 1022
PERMIT SUBTYPE: TYPE OF WORK: ~
, ; r+i ~.t
INSPECTION .
I
I
i
~ ~
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Insp. CommeMs
FOOTiNGS
FOUND
FRAMING
ROOFIMG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PtBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
~ BSMT R.I.
3SMT FINAL
DECK FfG I Jl~, !q~ .
- - - -
~ DECK FINAI
I
-
0 J7 9
Reque le Fire N. Rou h-in Ins n8edmred Inspeclion Olher Thav ougRln .
(VO~ t cell inspeclor when reatly) ~ Raotly Now Will ~Inspector
Yes ? No Dale Re.itl
. "„Clr , r
I licensed contracmr ?owner hereby reque~stirispection -above electnc
c '
Jo A r s. (Sireel, Boa or Roule No ~ Qty
lY
Seclion Na. Townihi Name or No, Range No Counl
Oca t(P NTJ Phan a
Power u r Atltlress
EI Ir ,el Conuacto (COmpapy Na ) m+ C rac~ 's li N
-
Ma re n clor er Mabng Inslall&
Auth ize Si W e(ConV ct rlOwner Making Ins~plla on)lc~ Pho N ber - ~
5 L
MINNES TA STATE OAflO OF ELECTHICRY TMI$ INSPECTION REOUEST WILL NOT
(612W 64 BOB00 poom 5-128 1111111111 I I I I I II II I I I I II BE ACCEPTED BY THE STATE BOFPD
1821 Unive~slty Ave., SI. Paul, MN 5510C UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
l REOUEST FOR ELECTRICAL INSPECTION B_
a d• ooo!oi-os
0. See insimcbons tor cvmpleling rors form on back of yellow mpy 19,
l~
8-~/ S S "X" Below Wurk _red by This Request ^~j ;
Ne Atld Rep. Type of Building ~P liances Wired Equipment Wired
Home Range Temporary Service
Duplax Water Heater Electric Heating
Apt. Building ry er Load Management
Comm /Industrial Furnace Other (Specity)
Farm Air Conditioner Other (speciiy) Convacmr's Femarks '
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 _Amps
SignS inspectar's use Oniy: TOTAL
Irrigahon Booms
Special Inspection
AlarmlCommunication THIS INSTALLATION MAY BE ORDEREO DISCO NN ECTED IF OT
Other Fee COMPLETED WITHIN 18 MOD! S ~
I, ihe Electrical Inspector, hereby Rouyn-in o ~.1
certify that ihe above mspechon has ~
F~~a~ /-7-`l1
been made
OFFICE USE ONLV
TM1is request voia 18 months irom
Address 4366 woonGA1E [1M N Zip 5512 2
LoC . • 28 Blk 2 Sub MALT..ARD PAHIC 3RD
THESE ITEMS WERE / WERE NOT COMPLGTE AT THE TIME OF THE FINAL INSPECTION.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Vz-
Basement finish Lour4~j' le~ ~s
Deck
Plcase verify wi[h [he builder [he removal of roof test caps from Ihe plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Residenl Copy Pink - Contracmr Copy ~
t PERMIT cP`4z2j~
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: Z'2,1/Qff
PermitNumber: BUILDING
Eagan, Minnesota 55122-1897 0 2 5 6 5 7
(612) 681-4675 Date Issued: 0 5/ 2 4/ 9 5
SITE ADDRESS:
4366 WOODGATE LANE N
LOT: 26 BLOCK: 2
MALLARD PARK 3RD
P.I.N.: 10-47252-260-02
DESCRIPTION:
Building Permit Type SF DWG
6uilding Work Type NEW
UBC Occupancy R-3 U-1
Construction Type V-N
, Zoning R-1
Building Length 47
Building Width 49
euilding stories 4
Square Feet 1,983
- ,
REMARKS:
PRV S& W PLBR - S7AR PLBG
FEE SUMMARY:
VALUATION $117,000
[iase Fee $699.00 MISCELLANEOUS $1.892.50
Plan Review $459.35 Total Fee $3,954.35
Surcharge $58.50
SAC $850.00
3AC % 100
SAC Units 1
Subtotal $2,061.85
CONTRACTOR: - qpplicant - S7. LIC. OWNER:
C L T CARPENTRY 13221621 0005850 C L T CARPENTRY
15517 COLUMBIA CT 15517 COLUMBIA CT
ROSEMOUNT MN 55068 ROSEMOUNT MN 55068
(612) 322-1621 (612)322-1621
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable Statie ofi Mn.
L Statutes and City of Eagan Ordinances. J
_flru~~~--
APPLICAN i EISSUE SIG URE
' r CITY OP EAGAN
3830 PILOT KNOB RD - 55122 ~`3j `!~J `i"•~.t'J
f,995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
b Construction Reauiremenis RemodeVReoair Reouirements
? 3 registered sHa ourveya ? 2 eopies of plan
? 2 copias of Dlans (Include beam 8 window sizes; poured fid. desipn; etc.) ? 2 aRe surveys (exterior aCditions & decks)
? 7 energy celculaNons ? 7 enargy calalations far heatad addrtiona
? 3 coDies W troo preeervation lan H lot platled after 7l1193
required: _ Yea ~j, No
DATE: 9!~-- CONSTRUCTION COST:
DES~RIPTION OF WORK: ~1.540'A C~ 'D-N ~rl~l~I P 7~? ~ ll~
. v
REET ADDRESS: Lqh'e- -oflv~ M N
LOT {X b BLOCK 2 SUBD.IP.I.D. Ma ~ I a vj Pa wK .?4 f4A -
PROPER7Y Name: ~lAa''nJ.,IStY~ ~i.XPhone 32a-J 6,A1
OWNER * `"`T
StreetAddress-C01Ll-+'V~LN1A1 CDkVI~
City: l~t~sew~ou,w~ state: dQ6~ zip:
CoNTRacTOR Company: C LT 0-a4eeA4*-,.i , Phone aya _0I b
Street Address: /S3-7'7 Col~.,tillkvk Couw"~?' License S~~
City: YCos 2w~o~ State: ~1.v 1E_ zip: ~~`~69
ARCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address-
Ciry: State: Zip:
Sewer & water licensed plumber: Slctr P`u"-l`,
4~'F '];KC Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this application and state that the info ation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ~
Certificates of Survey Received Yes _ No MAV 1 7 tg95
Tree Preservation Plan Received Yes V No
1
OFFlCE USE ONLY
$i
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
&0, 02 SF Dwelling o 07 4-plex ? 12 Mutti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
ca/-31 New o 33 Alterations o 36 Move
0 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) 0'-14 Basement sq. ft. 4`09 MCMIS System ~
(Allowable) 8-4 Main level sq. ft. vssY City Water ~
UBC Occupancy sq. ft. Fire Sprinklered
Zoning Q- / sq. ft. PRV
# of Stnries ysa.. sq. ft. Booster Pump
Length yG.t sq.ft. Census Code. y3 y
Depth vs•s Footprint sq. ft. ~ 9n3 SAC Code O/
Census Bidg /
Census Unit D
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $ ~/71 o00 '
Surcharge
Plan Review
License
MC/WS SAC
City SAC y(-3
Water Conn. ~z 1 3 ~s zr~.s = 39z
WaterMeter ~ys ys ~ 653
Acct. Deposit s=~s[ ~z-,r F zj.s ~ 30,
SNU Permit ~z " y~• ~O~zt :
SNV Surcharge S 6 x z~• 33 ' yZ ~ 7, 3vo
Treatment PI.
Road Unit SF s = iY ~wy= c~~~~
Par1c Ded.
TrailsDed. y~V xt'! = Is.vrx ~~.s = ZZ7
Other 22, 2s x z~.s- ` v78
Copies yz
3 x iv
Total:
°k SAC zap 2 3.r 5-17 2oS-
SAC Units iz. 7r > 6P
sz3Y~~`
Certi•ficate of House Location For:
CLT Carpentry , Curtis L. Thompson 123/50
DELMAR H. SCHWANZ
UND SVRVEVORS INC
PegiabreE Undb 1_8~ al The Sble ol Mmneeou
14750 SOUTH ROBERT TRAIL ROSEMOUNT. MINNESOTA 55068 612/423-1769
w
O
. SURVEYOR'S CERTIFICATE
North ~
T E L-~ Lot Addre3s = 4366 Woodgate Lane
R-~ Fl ,
/Vv ljs~ ~~5' p Scale:•,1 inch = 30 feet
Y
O= Iron pipe monument
~3L 9°s~-a Set rrood hub
~
0.`I Existing spot elevation
~Qrry9t~.? aw-~.~ G .
s.•.« i - Q= Proposed elevation
939 Propoaed qaraqe floor elev_ ~3~.0 _
k Proposed top of block elev. 977• 33
° 1
?E 1 93~~ ~ ¢ ln Proposed loweFt level elev.
. ~ ~
NJ~ 9' 3 21 ~ U4 -a. O
SM: Top rim of sanitary manhole at the
, w N O end o£ Wood Ihick Circle = 931.97 vith
~ Q y~ ~ O U a 10.6 foot invert
W y~ J W
n~~y tn
~ ` C9
45 9gR.8 l2.~ b ~
93
'yJr
E A G A N
7 c3 ~go~ ~.~a $~i U<-eew REViEWED
v
ro `
k 3Y
~ 1h ~ U~J\o ~;g 1 ~ATE s yZ 9r
d
,
LoT z Z//
By
AEAG~X"AMNENG D
DaRIlUCx DM
~
Description:
Lot 26, Block 2, MALLARD PARR THIRD ADDITION,
according to the recorded plat thereo£, Dakota
County, Minnesota.
S
~ Also showing the location of a proposed house
9Sr staked thereon.
C~
~
LI !1I~'~i
OO LLO 1J0 ll LLu~ ~\-J'`l
Revised 05-18-95
Added proposed lot corner elev.
nnuwmurnp
naaea Existing house to the sk'.ES
~~up~
1 hereDY certily that Ihis aurvey. plan, or report was;`~\\\\Q~`~!..........
preparetl Dy me or untler my Cirect supervision enA,
tnat I am a tluly Registered LanO Surveyor undera DELMAR H.
Ihe lew9 0l the Slale ol Minoesote
S C H A N Z I~ ~ r ~ F l/ V r% I/ j l/
r `
} -8625- Oelmer H Schwenz
Detetl 05-16-95 A
X0N :Q ~ Minnesota Registration No 8625
`suR. 4a
, , ~MNIIIIIIR1111fn"' ' ,
' LOT BSJRVEY CHECRLIBT FOR RE6IDENTIAL
~ BIIILDING ?ERMIT ]1PPLICATION
PROPERTY LEDAL•t J -or-~
Dat• o! surveys
DOCIIMENT BTANr+Aana
D~J] 0 • Reqistered Lnnd Surveyor aiqnature and company
l9~,0 13 • Suildinq permit Applicant
B~ ? 0 • Legal description
rk~-~ D • J?ddress
D~D 0 • North arrow and bar scale
&~n D • House type (ramblar, walkout, cplit v/o, split entry,
lookout, etc.)
~ 0 • Directional drainaqe arrows with alope/gredient t.
0 0 D Proposed/exicting sewer and vater aervices
0~0 D • Street name
L~D 0 • Driveway
LLEVATIONB
Lxietinv
~ D • sewer cervice
0 • Lot corners
0 D • Top of curb at the driveway
Q~n ? • Elevations of any existing adjacent homes
PronoseE
? • Garage floor
0 • First lloor
v ? • Lowest exposad elevation (walkout/window)
D • Property corners
@~II 0 • Front and rear of home at the foundation
P4NDING I?REAB lif aflDlicablsf
0 D~0 • Easement line
13 0~0 • IawL
D 0' ? • HwL
? • Pond # desiqnation
D 9~ O • ~.lmerqency overflow Elevation
DIlSEIPBIOIQB
Q~0 0 • I,et lines
&'~0 0 • Riqht-of-way and street width (to back of curb)
6`10 D • Proposed Aome dimensions includiaq any proposed decks,
overhangs greatoz than 20, porches, etc. (i.e. all
stzuctures zequiring permanent footings)
~ D 0 • Show all easements of record and any City utilitias within
those easements
D 13 • Setbacks of proposed stracture and setback of adjacent
existinq homes
~0 • Retaining w re ts, if any
Rsviewed:
Name / D te
OCtobar 1992
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EX'TER10R ENVELOPE AVERAGE'U' COMPUTATION
(HASED ON 1994 STA7E ENERGY CODE)
owriER:
srre ADoREss: 4~366 W oc~ra4~ ~ahe ~ Kean n'l/1 S.5-) ;Z3
coNTPncroR: C LT CaN,ne 1w oaTE: g~PHONE a
D~t~ ine tiorlcing3a~~'re footaqe and ovarafi'U'value of eaeh y/
1. Total exposed walUToundaUon area ibove gnde c.sq• R x.11 =
2 Total sxposed rooffceiifng area . . . . : . . . . . IJ ~ - S .q. n x .oz6 = J 9- 63
3. Total esnosed tioorlcanttleyered xrna . . . . . . . R x .o4 _ / ° 7y
pgt ' sauare footaee of each expgzgtd vraiVfoundatlon area'seament":
a. Total wall window area o~ W./3
b. Total door area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410
a Total sliding glass area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4/0.j-
d. Total fireplace wall area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . U
• e. Total wall framing (avera5° 10%) - See Fg. 1 . . . . . . . . . . . . . . . . . . . 02 LI3 - I
L Total na3 wall area above floor (rim joist) - See Fg. 2 . . . . . . . . . . . . .
g. Totalrimjoistarea -SeeFg.3....-••.•---•••-••••--••••••• 910
Total exposed wali area above foundation = . . . . . . . . . . . . . . . . ~ 9S~ - ~'2 7
h. Total foundation window area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
L Total pgt foundation area ahove grade - See Fg. 4 . . . . . . . . . . . . . . . c~ /I y- 7!r
. Total exposed foundation area = . . . . . . . . . . . . . . . . . . . . . . . . . . .
Det rmin 'U' value of eac walifioundation area "seam enr:
a. a oo_ 13 ~ X-u• -5- .
b. ~Y/o X'U' : /0~O7
C. X'U' e0`a
e. a43- ~ xv' o D`I
''1./ = ?o• 07
1. / ~6-~- X'u' , 03
g. (ja 70 X'U• rD7 = 3- b ~
n. 12 x v _ 3/ = 5/ 6P
L ~y 7S' X'u' .12 _ 0
4. 19ta1 actual 'U' vaiue for exposed walUfoundaUon area = cPa~ -
(tt kem #d is the same as, or Iess than ttem #1, you have met the Intent ot the State Energy Code.)
~a~a yB ~ a0?•411
.
p9iermI11Q au re toctAae of eacfi exnoaed roof/ceiifn area'aeamenC: 7 •
Z. J. Total skyiight area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 /
k TaW roa6ceTng framing area (average 10%) - See Fig. 5/8 . ~J y
. ; L Total IICf insulated roaffceffing area - See Fig. 5!6 . . . . . . . . . /3s9- 33 - .
Tatal ncposod rootlurt(ny area /saY>S
Qetertnlne yvalue c` n ' ,
~ _ s 36
kx u n o~ = 3- b
L /3.r1-33 X U o oaz = acP
b. Total actual 'U' value tor rooffceiling area = 3?^ 93
(H it5 fa the same as, or less than tY2, you hava met the Intent of the State Energy Code.)
31?.a3 Z, 3~. (~3
n tertnin auare footaqe of eac~ floar/cantilevered area "seamen
m. Total floorlcantilevered framing area (average 10%) - See Fg. 6. 7• 3~
n. Tatal n.I insulated ftoorlceiling area - See Fig. 6 . . . . . . . . . . .
Total exposed ftoor/cantiievered area . . . . . . . . . . . . . . . . . . . . . 7 3 J~
D tertnin ' vatue of ea p floorfeantiievered area "seamenY:
X'U' e W ,6 = 6)a
M. 1-1,3j-
n. W- 15~ x'u' >'DO-6 = fo D/
6. 7otal actual 'U' vaiue for ftoorleantilevered area (H Is the same as, or less than #3, yau have met the Intent ot the State Energy Code.) .
/ o ^ / y .
Aitemate Buliding Envelope Design -
To u4l'¢e the total enveiope system method, the vaiues established by the sum af Item #4, #5, and shall not be
greater than the sum ot Item #1, #2, and i13.
+G. 391 V/ t3. ! = V OV . -7V
4. aa ~ - a +s. 39~ a3 +s /'../Z = TZ/. 6-3
a6i. 43 - 3og.-7 oo
1 hereby certify that I have plaiated the 'U' fadors and 'R' values herein and that the bulding herein described
meets, or exceeds, the 1994 State of Minnesota Energy Code.
5'i( 9nat
ate
, PERMIT
CITY OF EAGAN
3830 PilotKnobRoad PERMITTYPE: eusLozNe
Eagan, Minnesota 55122-1897 , Permit Number: 027451
(612) 681-4675 Date Issued: 0 5/ 0 3/ 9 6
E ADDRESS:
4366 WOODGATE LRNE N
LOT: 26 BLDCK: 2
MALLARD PARK 3RD
I P.I.N.: 10-47252-260-02 •
DESCRIPTION:
Building,,Permit Type DECK
jBuilding W'ork 7ype NEW
~ Census Code 434 ALT. RESIDENTIAL
l
r
i
~r ~'C
u
~
REMARKS:
FEE SUMMARY: Base Fee $45.00
Surcharge $.50 P
Total Fee $45.50
CONTRACTOR: OWNER: - Applicant -
CORDLE DENNIS
4366 WOODGATE LN N
EAGAN MN 55122
(612)405-1022
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
~ Statutes and City of Eaqan Ordinances. ~
~nt~
APPLICANT/PERMITEE SIGNATUFiE ED N 51 NAT RE
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 `r
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL) S1Z
681-4675
New Construction Reauimmenls RemodeUReoair Reauirements
? 3 registered eita eurveye ? 2 cropies ol plan
? 2 coples ot plane (fndude beam 8 window sizes; poured fid. design; etc.) ? 2 site surveys (exterlor aOditions d decks)
? 1 energy wlculatlons ? 1 energy wlwlations tor heated eddilions
? 3 eopba of tree proxrvation ptan N lot plalled after 7/11193
required: _ Yes _ No
DATE: ( I _ E ~c7~Ct1 CONSTRUCTION COST~~ ~ s -7 ~ ~2--
DESCRIPTION OF WORK: ~,!C 2Q ~ S~'~
STREET ADDRESS: ~~(9(o U-) lb loAtC Lu *.,P_ /l/ofiM 5~3 ~1 N/~'1 f?1 2-2_
LOT ~L BIOCK ~ SUBD./P.I.D. ~.l111lJ_LA!'af 4. 4Z f 4A.1
PROPERTY Name: //J .2Y1Y1(.$ 11~14r Phone y~1 S" ~C L Z
OWNER r.a,
Street Address-
City: Z-QAI\f State: Ih Al_ Zip: SS / Z Z
coNrw?cTOR Company: a u S G~ ' Phone
Street Address: License
City: State: Zip:
ARCHITECTI Company: ~MC nl2 fie ~LY~r'2 .SFa i~ cc f S Phone
ENGINEER
Name: Registration #Street Address•
City: State: A/ Zip:
Sewer & water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowiedge that I have read this appliqfion and state that the information is correct and ree to comply with all
applicable State of Minnesota Statutes and City oi Eagan Ordinances.
Signature of Applica .
I '`s ~
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No _OR 2 p3SS
Tree Preservation Plan Received Yes No -
OFFICE USE ONLY '°t
y ~
1r - ,-i se
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition o 08 8-plex ? 13 GaragelAccessory ? 20 Public Facility
0 04 SF Porch o 09 12-piex ? 14 Fireplace ? 21 Miscelianeous
? 05 SF Misc. 0 10 = plex ~5 Deck
WORK TYPE
,,A~l New ? 33 Alterations o 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 3.~
_
Depth Footprint sq. ft. SAC Code 61
Census Bldg
Census Unit O
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
. • ~i'al~ti
DELMAR H. SCHWANZ
LANU SUflVEYOR3. INC
ReqnlmE UnON laH ol TM 51.1a al MmnOOIm
14150 SOUTH HOBEFT TRAIL ROSEMOUNT. MINNESOTA 55068 612/423-1769
va
O
' SURVEYOR'S CERTIFICATE
North
T ~
Lot Addreas = 4366 Noodgate Lane
vJ10 ~ Scale: -1 inch = 30 feet
O= Iron pipe monument
5_:.::.::~~.=_
V...x:_..:.._.. N-74 q-g ~0 q3r--~' o= set wod hun
l3 5~ W`'~%(~~ ~(Q3~ = Existing spot elevation
~ Q = Proposed elevation
~y
o
w
~ 738.)(0 Proposed garage floor elev. o
~i:
4 Proposed top of block elev. 33
0 1 v 1 ln proposed loweat 1¢vel elev. 93Y.~
A-93r, C)
9593 `k o~ ° BN: Top rim of sanitary manhole at the
1 ~ N O end of Wood Ihick Circle = 931.97 with
~ 0 ~ • a 10.6 foot invert
Lr~
~ ~ .
45
V
Nd Lq38.8 IZ.O N''bc,y3
3 ' EAGAN
yo R E V I E W E D
. p~~ 0 'v38 • ~ d
o Z ~1.T
Y
- ' U )ATe S 2
o
Lo T z
P-M p
` / ~ Q Date
EAGAN ENG G DEPT.
4
Description: Lot 26, Block 2, NALLARD PAR1C THIRD ADDITION,
according to the recorded plat thereof, Dakota
County, Minnesota.
S
~ Also shovinq the location of a proposed house
9Sr etaked thereon.
76J i
(111 Pi R¦V. ri < l f{..
~ ~ I~~~tl ~ [~J
Reviaed 05-18-95 Added proposed lot corner elev. ndded Existlpg house to the,E'Sp~T,;(, ,A
I hereby cartify thel lhiy survey. plen. or report waa t: `'."•.,-q
preparetl by me or under my tlirect aupervision anc~` 3s / li~
Ihet I am a Culy RagrstereE lBnA Surveyor underg DELMAFi H.
Ihe lews ol the Stete of Minnesole. 3 ! SCHWANZ j „i r~•~ ~7~'~~(~.t/'jll
3 t
05-16-95 -8625 _ 1 Delmer H. Schwanz ~
DetaA Minneeota Regletration No. 8625
~`k
CITY USE ONLY
L BL L RECEIPT ag ~827
Y~iDQa.~.Q ~ -
sur J onre:7 9
'
1995 MECNANICAL 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
New construction Add-on fumace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: 1.~2 jo - ~ S
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) , 0)
? State Surcharge .50
TOTAL
SITE ADDRESS:
. ~
OWNER NAME: PHONE
INSTALLER NAME:
STREET ADDRESS:-
IP: ~T) Lo k
CITY: ~Rro,r"-cv,)O1,t r'l L STATE: Y n
~
PHONE#: yli s -
CITY USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? ail commercial/industrial buildings.
• multi-family buildings when separate permits are IlQt required
for each dwelling unit.
DATE: -41 CONI"RACT F'RICt. ~
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: - $25.00 minimum fee g[ 1% of contract price, whichever is greater.
. Processed piping - $25.00
1 State surcharge of $.50 per $1,000 of pgmj~ fee due on all permits.
CONTRACT PRICE x 1% .
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADQRESS:.-._~
OWNER NAME: TELEPHONE
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE
SIGNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CITY USE ONLY
L ~ BL ~ ~ RECEIPT °5~Q/
SUB . uxX uX~} " J r~ DATE:_2,lezzlys
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for: ? single family dwel{ings
? townhomes and condos when permits are required for each unit
F{XTURES EACH NO. TOTAL
Shower 3.00 x Z = lQ •00
Water Closet 3.00 x 3 = Ou
Bath Tub 3.00 x
Lavatory 3.00 x 3 = q. 0~7
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot TublSpa 3.00 x 1 = 3. ~J
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet ' minimum - 1 3.00 x = 3• c7U
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal ' oakota cry. iicense 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations ` to existin9 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ~FJ-~JO
SITE ADDRESS: ~3Liu ~bY thW~ C~'~,1~"U L-n
OWNER NAME: UtY hS IhomPS61'} }}bmuS -
INSTALLER NAME: o"~OyvV\i ~a'n1e~ Ine-
STREET ADDRESS: ICJ,?bC7 CQ,Y r04e,l WN
CITY: %YYv STATE: W ZIP:
PHONE (UIZ ) +2- 3730
~
OFFICE USE ONLY
L BL RECEIPT
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -d675
Please complete for: ~ all commerciaVindustrial buildings.
~ multi-family buildings when separate permits are = required for each dweiling
unit.
DATE: - CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETERS TO BE INSTALLED7 YES NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULT IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM7 _ YES _ NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINKLER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTA!
SITE ADDRESS:
TENANT NAME: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CITY: STATE: ZIP:
PHONE SIGNATURE:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR: