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4399 Woodgate Lane N _ WATER SERVICE PERMIT 38 r pNp4 ,..ao Road pERMIT NO.: 8756 - R0.8ox21199 Eaqan, MN 55121 DATE I2_8-86 Zoning: 93 No. oi Units: I Owner. Co11eQe Citv Const Address: SlteAddess: 4399 iio. tTOOd ate Lane Ll 131 rtallard Pk III Plumber. ~%rr Plumb I Meter o.: o n fo rge: Sfll) _ OJ~ ~ « in c~~ sixe: ~ . tiC. Read rNo.O WF I aree to comPly wlth this ~ 9t,~~~f~herges: 15 G_ ~ 0= d TP O~i"~"c 63 . 5bncl Total. m~ t er BY Date Paid: 1 i).OOpd elt Date of Insp.: Insp.: ~ CITY OF EAGAN WATER SERVICE PERMIT ' 3830 Pllot 4Cnob Road PERMIT NO.: S~ 5 E' P.O. Box 21199 DATE: 12--5-56 _ Eagan, MN 55121 ~ 2oning: Fi No. of Units: - Owner. ~lle e Cit Const. Address: 4399 I,o. Wood ate Lane Ll B1 r`•allard Yk III Site Addess: Plumber. ~n plumbin SOC1.OOpd ' Meter No.: Connect3on Charge: 1S Size: Account Deposit: 10 OOpd Reader No.: Permft Fee: SOpd 1 agree to complY wRh tMs City of Ea9a^ Surcharge: 145. 00 d TP ~ Ordinancos. Misc. Charges: . 50Pd meter Total: , ' Date Paid: 10 • OOpd penalt~ Date ot InsQ.: Insp.: I CITY OF EAGAN SEWER SERVECE PERMIT 3830 Pilot Knob Rcad P. O. Box 21199 PERIVIIT NO.: Eagan, MN 55121 DATE: - Zoninp: No. of Units: 'Ownor. /lddress: 1 _lJ.^nc.it` L1Y SiY! I~d1!!}C PllNTlblC - - x 1euN h~wIly wllb IV Cihr of gawM ConrdcHon Chape: 4 7 OaIMeneM. Aaa+nt D"wta ' Permit FN: Q;, Surclwrge: - By Misc. Chorp.m , t Y Datr of Irap.: Total: ' Insp„ Dab Pald: - _ . - . . , ~ CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 DATE 19 RCC6IV[D , / ' RR06/ ' AMOUNT $ ' ,I a ooLLwws oo ? CASH ? CFj,6GK yf . FOR L~1 /I F, FUND COD[ AMOUNT Thank You BY White-PeYers Capy Yellow-Posting Copy Pink-Fila Copy BLDG.PERMIT ti ~ 7 U C1 01-321OL~ .~..~i~1yj. Germit J 01-3422 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. i7 ~ 01-2155 Surcharge _ 17-3860 Road Unit ~ 20-2275 SAC 1"~~'~ S l 20-3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. i TOTAL 0 CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 . , . , . ~ - DATE 19 RtGLYVW FRqd AMOUNT $ - I a~ oaLLwRs ? CA3H Q CHECK i • f/~/ / ~ ....,'~.-6 . I._~j~~~ i. / o RUHD COO6 AMOUNT -I, . - j 7.. Thank You BY - ~ . . White-PeYers CcPY Yellow-Postinp Copy Pink-File Copy CITY OF EAGAN A1O 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i~« ~~~~0 PHONE: 454-8100 BUILDING PERMIT Receipt li ' To be used tor SP DWG/GAR Est value $84,000 Date OCTOBFR 22 19 8 5 SiteAddresa, ;4399 NO WOODGATE LN Erect IN Occupancy R3 Lot 1 Biock 1 Sec/Sub. KALLAR'J ?K 3RD Remodel ? 2oning R1 Parcel No. Repair ? Type of Const u Addition ? No. Stories = Name COLLFGE CITY CUNSTRUCTION Move ? Length 5a BOX 309, HWY 3 SO Demolish ? Depth t~ o Address Int Impr. ? Sq. Ft Ciry NORTHFW" 507/645-6648 1nste11 O ~ o Name Approvab FNs ~U Address Assessment Permit 3 S. 00 Ciy Phone Water 8 Sew. Surcharge 42.00 Police Plan Review 192.50 ~W NamQ- _ Fire SAC 575.00 ~ Z Address Eng. Water Conn. 500.00, < W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg. Ofi. 10/21j$ Tr. PI. 156 . 00 information is correct and agree to comply with all applicable State of Minnesote Statutes and City of Eagan Ordinances. APC PSrks signature ot Perminee Var. Date Copi Total $2,204.00 A Building Permit is issued to: COLLEGE C ITY CONSTRUCTrO:d on me express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eegan Ordinances. Building O}ficial ~ PunNt Na hr~ll Noldr DiN TNphpN M ft-MV ~ `1 / l • L L _ S ~ f~ i/ /G ~ - N.Y.AJC, Ebelrie • ~S ~ - li if (07• C C) Ea11wMr Iropwifon DaN IMp. ConMwMs F"oihq• I d - ~v Foo1Nq~ M t l FoundeNon Franip Q~ Roollnq R«ugh P*W , R°"o'''"a in.A r Fk.a+-• FiW Nlp. FNial Plbq. S:do. FInM i~ Doelc F19. , ec Doek Frmp. 44-) ' WO11 ~ w. a.P. ~ . , - • E. . t. ~C \ a , t.r PERMIT # MECHANICAL PERMIT RECEIPT M CITY OF EACaAN 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE CONTRACT PRICE PHONE 454-3100 Site Addrsss BLDG. TYPE WORK DESCRIPTION Lot ~ 91ock ~ u Res. New ~ m NBrne Mult Add-On ~ Address N•!! k l. Comm. R ir c City Phone 2 z z7 ~ Name FEES ~ 3 Address RES. HVAC 0-100 M BTU - $24.00 p Ciry Phone ADDITIONAL 50 M BTU - 6.00 ADD-ON AIR COND. 0-24 BTU - 12.00 ADDITIONAL 6 M BTU - 6.00 TYPE OF WORK GAS OUTLETS - 1.50 EA. Forced Air M BTU COMM/IND FEE - 195 OF CONTRACT FEE Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00 Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00 Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50 Vent ~ CFM (ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1,000.00) Gas Plping Outlets M Other FEE: sM SIGNATURE OF PERMITTEE TOTAL• FOR: CITY OF EAGAN :yY~y• ~l-^p~'{+- ~,~,'v ;--~ewi~~s+y ~ _ r. ~~~~"i~~~.r -~~~~c_r ~--~~'1.;,,1~ , t~ :i~ T?k4`~`1.~sy 3T,'.. , / PERMIT # • , , PLUMBING PERMIT RECEIPT # CITY OF EAtiAN 3830 PILOT KNOB ROAD, EA(iAN, MN SStZt DATE: CONTRACT PRICE PHONE 4544100 Site Ad ress BLDG. TYPE WORK DESCRIPTION Lot~-•Blxk J Sec/Sub Res. New m Name Mult Add-on ' Address ' ' - ~ ~ - Comm. Repair " ~ c City Phone - S Other FIXTURES TOTAL Name ~Water Closet - $3.00 $ c Address ' - BBth Tubs - $3.00 p Cfiy . : Phone Lavatory - $3.00 ~Shower - $3.00 FEES • Kitchen Sink - $3.00 COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 MINIMiJM - RESIDENTIAL FEE _$10,00 --L-Laundry Tray -$3.00 MINIMUM - COMM/INO FEE _ 20,00 --L-Floor Drains -$1.50 STATE SURCHARGE PER PERMIT _ ,Sp -1-Water Heater -$1.50 (ADD $.50 S/C IF PERMIT PRICE GOES Whirlpool -$3.00 Gas Piping OuUets - $1.50 BEY~ND $1,000•00) Softener - $5.00 Well - $10.00 Private Disp. - $10.00 ~ - • , . , ,3-Rough Openings - $1.50 I SICiNATURE OF PERMITTEE FEE STATE 3/C: FOR CITY OF EAGAN GRAND TOTAL• PERMIT # PLUMBINti PERMIT RECEIPT # CITY OF EAGAN 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE: CONTRACT PRICE % 0 D C•- PHONE: 454-8100 Site Address - z BLOG. TYPE WORK DESCRIPTION Lot f, Block S%Su Res. New Mult. Add-on ~ Name r Comm_ Repair Address ~ A ' Other c Ciry one ' RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL Name al 4A Water Closet -$3 00 $ ` Bath Tubs - $3.00 ; Address Lavatory - $3.00 p City z• ~ Pho'4 `'USJ .l J 73 Shower -$3.00 Kitchen Sink - $3.00 FEES Urinal/Bidet - $3.00 COMM/IND FEE - 146 OF CONTRACT FEE Laundry Tray -$3.00 APT. BLDGS - COMM RATE APPLIES Floor Drains -$1.50 TOWNHOUSE 8 CONDO - RES. RATE APPLIES Water Heater -$1.50 MINIMUM - RESIDENTIAL FEE - $12.00 Whirlpool - $3.00 MINIMUM - COMM/IND FEE -$20.00 Gas Piping Outlets -$1.50 STATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 PER PERMIn (ADD $.50 S/C IF PERMIT PRICE GOES_., 1 Sottener -$5.00 BEYOND $1,000.00) , Well - $10.00 ~ . Private Disp. - $10.00 - ~ Rough Openings - $1.50 SIGNATURE OF PER ITTEE FEE: ' STATE S/C: FOR CITY OF EAGAN GRAND TOTAL: . _ CITY OF EAGAN Remarks . ' / ' - L ~ ' Addition Lot 1 Blk 1 Parcel Owner g 4399 North Woodgate Lane stete Ea an MV 55122 " r b Improvement Dat Amount Annual Years Payment Receipt Oete STREETSURF. I 1981 ' 26 8 5 539.71 ~C 7cf• q 7i STREET RESTOR. GRAOING " r~ SAN SEW TRUNK 3 ASEWER LATERAL 1981 3412.34 682.47 5 I WATERMAIN IIYATER LATERAL 1981 WATER AREA STORM SEW TRK; 1981 467.74 93.55 5 *6TORM SEW LAT 1981 CURB & GUTTER 51DEWALK STREET LIGHT WATER CONN. 9UILDING PER. SAC PARK L_ • CASH RECEIPT ~ CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNESOTA 55122 ~ • . . • DATE ~ BECErvEO . h A I _ FROM ~ AMOUNT s ~IQ v / OOLLARB ~Oo Cl CASH Ea-CFI'ECK 17 ROR [~V ~ / / Y ~ FIIND COOE pMOVNT Thank You NI-I 68449 Whita-Payers Copy Yellow-Posting Copy Pink-File CoCv 7nis rnauast vane ~ 1/7` 18 rtnnths from ( 55526 Rnpue3[ Date Fire No. Rooph-in InsVe[uon 1( - y86 R~~eS 7 ?No ~Reatlv Nuw~Will NolilV.InVPec- - 1or When Read ~ Ucansed Eletlncal ConcrTCtor I hereby mQUeet insoection ol eEOVe ? Owner electricel work inatelled et. Street Adtlress. Boa or Pouta No. C rty 4F, EAG,dN 7 ec ion o. Townsnip Nam or No. a o. County Qa KoTA Occupnnt IPRINT) 7hone No. co~~g ccr Power $uppliar Atldress QaKoTA ELecT"YtL IL Yhln lonl Elecincal ConUactor (Comoany Name) Contraclor's License No. AiDST,Q 7'5 -oEZ EcTQi O a34 - Mailinp AdJress (ConVacror or Onwner MekinB lns[ailauon) G~ J4~ ~2_. ~r / 5~~~~ Authonzetl Sipnawie 1 tractor Owner akinp Installa[ionl Phone Number THIS INSPECTION NEQUEST WILL NOT MINNESOTA STATE BOAND OF ELECTPIGIT Oripps-MidweY Bldp. - Noom N•197 BE ACCEPTED BY THE STA7E BpA0.D 1831 UnivereitV Ave.. Sl. Peul, MN F 1. UNLESS PNOVE0. INSPECTION FEE IS Ghnne IR191 f.69.(IROO ENCLOSED. REQUEST FOR ELECTNICAL INSPECTION ee-ooooi-os , See inatrections for completirp Ihie lorm on peck of yellow coov. 5 "X" Below Wak Covered by 7his Reques7 d lkr4A(Fdj Hao: • TvPe o1 Buibiny AOUlinncee Wired Equipment Wired Home Range Temporary Service Duplez Water Heater LigMin Fixtutes Apt."BuifB.ng Dryer Electnc Heabn Commercial Bldg. Furnace Silo Unloader Industrial BIAg. Air Condrtioner Bulk Milk Tank Farm ther pea y Ihe, l5i~er,ilyl ueu v t er olner ompute Inspection Fee Below N Pee SarvlcaEMroncaSixe n Fee Fentlers/5ubleeders W Fea Circuits U to 200 qm s 0 to 30 qm s 0 tn 30 Am Above 20 _qm )s 31 to 100 qinps S` 31 [0 100 qm s Swinxnin Pool Above 100_Am s Above 100_Am s Transrormer5 Irrigauon BoomS Partial•"Other Fee Signs Special Inspection Bmwrks 5<7 TOTAL FEE Nouph-in Dnte \ / I, the Elechicel ~~J Insoectoq he~eby eertily thef ehe xCOVe Finel 9i~`~ inapection hes been 9 wv~ / ~ '^°da. Tb raQueal vole te monlha Imm CITY OF EAGAN - 12790 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np BUILDING PERMIT PHONE: 454-8100 Receipt q L(,9'3 7obeusedfor SF DWG/GAR Est.value $$4000 oate OCTOBER 22 ,1986 SiteAddress ' 4399 NO WOODGATE LN Erect IN Occupancy R3 Loc 1 siock 1 Sec/Sub. MALLARD PK 3RD Remodel ? Zoning RI Parcel No. Repa? ? Type of ConsL IT Addition ? No. Stories a Name COLLEGE CITY CONSTRUCTION Move ? Length 50 ; Address BOX 309, HWY 3 SO Demolish ? Deplh 4 4 ° NORTHF 507/645-6648 ~nt ~mpr. ? Sq.Ft Ciry ~1~ Install ? a Approvals Feea o Name GAMF. $Q nddress AssessmeN Permit $ 385.00 " City Phone WaterBSew. Surcharge 42.00 ~Q Police PlanReview 192.50 Fw Name Fire SAC 575.00 = Address 5~~.~0 ~ ~ Eng. Water Conn. <W ciry anone planner waterMeter 63.50 Council Road Unit 290.00 thisa plicationandstatethatthe gldg.Off. 10/21/8 Tr.PI. 156.00 mformatwn is correcmp II apphcable State of Iherebyacknowledg Wto:COLL Minnesota Stawres ad a ces. APC Parks Signature of Permitte Var. Date Copies Total S2.204.00 A Building Permit is issuEGE CITY CONSTRUCTION on the e xpiess condition that all work shall be done in accordance with all applic ble State ol Minnesoc85~t tutes,and Ciry ot Eagan Ordinances. Bwlding Oflicial 'Y RESIDENTIAL ~ r BUILDING PERMIT APPLICATION I^• ~i I 2~ CITY OF EAGAN J" 3830 PILOT KNOB RD, EAGAN MN 55122 f~ 651-681-4675 New Conatructbn Neaulrementa RemoOeVHeoah Heaulrements • 3 registered sRe surveys showing sq. N. of lot, sq. tl. of house; and pll roofed areas • 2 coples of plan (20%maxunumlotcoverageallowed) • lserofEnergyCakulatbnsiorheatetladtlitbns • 2 copies of plan showing Deam & window sizes; poured fountl tlesign, etc.) • 7 s8e suney for ederbr adtlAbns 8 decks • 1 set of Energy Cakulatbns • Intlicate tl home sened Dy septic system lor add'Abns . 3 cOpies of Tree Preservdlbn Plen E lot plattBtl afler 711193 • Rim bist Detall Options seleclbn sheet (hkgs wAh 3 of less unMS) DATE ~l112c) I 04 VALUATION ~doDCIC) SITE ADDRESS 43qq N. WCJODCTiA~TE LN • MULTI-FAMILY BLDG _Y !/N NPE OF WORK RIEW IwOF FIREPLACE(S) ?6 _ 1_ 2 APPLICANT Ila-yLo2 13rnG~c COY'P STREET ADDRESS 3 SD I I,(4V1Gja~ HV2 S CIN M 9PI S STATE mn ZIP SS '(D g TELEPHONE tl CPS~ 222-"~(~b0 CELL PHONE # FAX N F~S/ • YS~/- 52 ) 3 PROPERTYOWNER I it7NN1-e ~ I XSqIJ TELEPHONE# (DSI' 452- `2273 COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY ~5 ~ Energy Code Category _ MINNFSOTA RtiLFS 7670 CA'['EGORY 1 KIVn 7~~2 LS I II I (4 submission type) . Residential Ventilation Category 1 Worksheet Submitted • Ne gy Code Worksheet Submi ed • Energy Envelope Calculations Submitted JUN 2 4 2002 U Plumbing Conhactor: Pliorie # B Plumbing system includes: _ Water Softener _ IaHn Spriiilcler P'ce: $90.00 Water Heater _ No. of R.I. Baths No. of Baths Mechanical Contractor: Phone N Mechanical system includes: Air Conditioiung Fce: $70.00 _ Heat Recovcry System Sewer/Wafer Conhacfor: Phone # I hereby acknowledge ihat I have read this application, state that ihe in mation s correct, an agree to comply with all applicable StaTe of Minnesota Stotutes and City of Eagan Ord' a ces. Signature of Applicard, OFFICE USE ONLY Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _ Updated 4102 OFFICE USE ONLY ? 01 Foundation ? 07 OSplex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi ? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) ? 33 Ext. Alt - SF ? 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? OS 03plex O 11 10-plex ? 19 Lower Level ? 24 Slorm Damage ? 06 04-plex O 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair ? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/DOOrs ? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant Valuation Occupancy MC/ES System Census Code 2oning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) _ FinaUC.O. _ Footings (deck) _ FinaUNo C.O. _ Footings (addition) _ Plumbing Foundation HVAC Drain Tilc Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tcs[s _ Final _ Framing _ Siding Stucco Stone _ Fireplacc _ R.I. _ Air Test _ Final _ Windows (new/rcplacement) _ Insulation _ Retaining Wall Approved By , Building Inspector - Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S8W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search . Copies Other Total / ( , ~ Y / • 7986 BOILDING PERMIT APPLICATION - CITY OF EAG9N NOYE: ALL COATRACfORS MffST BE LICENSID HITH THE CZTY OF EAG9N SINGLE FAMffLY DiiELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS MOLTIPLE DiiE[.LINGS - RESIDENTIAL RENTAL ONITS FOR SALE ONITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SQRVEY - CHECH TtITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COlIl+lERCI9I: INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND i'~C.V) SIN(~[-(=. To Be Used For: F'Am~L,Y ~Vd$i~^o Valuation: Q(~J- Date: ~~}c~~ Site Address 'T • ~~-,U J, d£ t~AJ pFgICE USE ONLY Lot __L Block Erect V/ Oeeupancy (Z•3 Remodel Zoning ~•I Parcel/Sub YIiAI_L. n PAQ 8,.3 w. Repair _ Type of Const Addition lt of Stories Owner CDN q; Move ~ Length ~ + Demolish Depth Address ~x )^l1/Jy 5-0S14 Int.Impr. _ Sq Ft \ City/Zip Code ~XIIF,CLo, Install _ Phone _ 5-07 ` &(,;,4.y, 9PPROVALS FEES Contractor 50'mN, ~7) p{,.ir/ Assessments Permit Water/Sewer Surcharge 4 2. Address Police Plan Review (q Z.So Fire SAC Sl5 City/Zip Code Engr Water Conn ~b. Planner Water Meter 45)3.50 Phone Council Road Unit 290. Bldg Off~o.Z~•&'o Treatment Pl 15(D. Arch./Engr. O..~n+l::i APC Parks Variance Copies Address TOTAL r,10( ~i City/Zip Code Phone # NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOIiEOiiNER MDST DESIGN9TE HHICH ADDRESS ZS D6SIRED. NO CHANGES NILL BE ALLOiiED OPCE BQILDING PERMIT IS ISSIIED. 2~ x 2-4 " 1~j x lo - 130 x S8 ' 75~v 2c) = &co x I'Z `7?cx' 64540 5~~~83 tRI-LAND C0. SURVEYING SITE PLAN FOR: ' SERVICES COLLEG CITY CONST. 4655 NICOLS ROAD EAGAN, MINNESOTA 55122 ' N SCALE:I"=40' rn . N w L: I Z cn ~ N 89°48' 01" E I 0 ~ w 165.55 0 2 ~ 00 GI w3 cn ~p '29 ~ IAO w I~ =g LOT Z b- v - m - z J S ~ \ ~ c~n w V d=O0 198.77 r3. S 89044 41" W ZSOUTH LINE OF SE 4 NE %4,SEC J°Lq~ PROPERTY DESCRIPTION LOT-I-, BLOCKI_, MAL LAR!") PARK 3rd ADDN. oceordinq to ths recaded plat thereof DAKOTA Caunly, Minnesoto LEGEND o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION~= ~DII'' / * DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = ELEVATION ELEVATI ON DENOTES PROPOSED SPOT ELEVATION ~ DENOTES DRAINAGE DIRECTION NOTE ~ VERIFY ALL FLOOR HEIGHTS WITH . FINAL HOUSE PLANS , I hanby certify that tAis survey,plan or report was prepared by me or under my dirsct supervision and ihat I om a duly ' Bradley J. snson, Mn. Rep. No. 13235 ^ Repistsred Land Surveyor under ihs . Laws of ihe State of Minnesota. • Date. 3~ 2Gi/ /G~ ~Y ~5 3~ ~ ~ 1~ P ?y ~s . . • , l , v • ! E%TENIOR ENVELOPE AVERACE "U" COMPUTATION BUiLD1NCt CrTY CoN$TrL X^-r~~rJ " ~P?ti tJe.cT'o*1 I ' SITE ADDRF,SSs 1 i i' - ANALYS IS BY 1 DATE COt41.. N0. ;9iS Ae reQulred by Codes Code-"U" - Minlmum: . 1. Total expoeed well erea foSq.Ft. x_ so /79.E• BTUH 2. Total roof/cetling eree II O Sq.Ft. x'. k~ BTVH H• Total W811 aindow areo •...r......... o..o 6 1 r00•0 .SQ.FC• b. Total door erea......'...:......+..~.......•. q0,0 Sq.F[. c. Tot&1 glaee a00[ BLEH o so $q~F~• d. Total wall area ..,V,Y,G,~~lr,}f,;;ry,,,,,,,,,,, Sq.Ft. e. Total vall erea ,.J.61V:r 9-s.4q vT.V. TRHPl~i„ ¢L- 'b,O Sq.Ft. f. Total well erea - SQ.Ft. ` , g. Total well erea - Sq.Ft. . h. Total foundetion Wall r+indow aree,......,.... o• O Sq.Ft. I. Total net foundetion area above grede $0• o Sp.Ft. . ("U" value oE each rrall eegment calculated on e[teched ehee[e.) I e. I(oD SF x^0" 0,4q BTUH ' b. 4- 7~- x"U" Q. O(P - BTUH c• x••U" O4 S BTUH d• 0 SF x "U" O.OS(vt BTUH • e. 4!~°~.0 5~ x" U" 0. U5e1. 21n.C, t BTUH f. - x "U" ~ - BTUH go x U,.• . - BTUH h. x so - BTUH 1. o. SF- xD. pqlb '1, 4 I . BTUH 3. Building Nalls: Total ~ jq,-j,T,q BiUH If Item 03 ie the eeme ee, or leee than Item A1, you heve met the intent of SBC 6006(c)2. . . . . ~ ' J. Total ekylight erea ...~0.~::~2.~::~;~~'n?nNI~. SQ.Ft. k. Total roof/ceiling.framing erea (averege lOX). Sq.Ft. ' •1. Total net ineulated roof/ceiling area.......~.. It(9 o Sq.Ft. , 1 Determine "U" velue for each rooE/ceiling.eegment: ' J. c}o yF a"u" o~ os~e2 2.24`6 aTUH k* x "U" - ' - BTUN 1. lioo sF ' x"u" of o-.m. - '23,q44 eTUH I 4. BuilBing Roof/Ceiling Total BTNI lf totel oE 94 ie the eame ae,~or leee then A2# you heve met the intent of SBC 6006 (01. I Alterna[e Bullding Envelope Deelgn To utilise the total envelope eyetem method, the veluen eetebliehed by the eum of Items /3 end 04 shell not be greater than the eum oE iteme 01 end N2. Codet 1. '2,,10,72 ?,TULL + Z, 44-,U ?luu . D5519 erUH Buildingt 3. I B'1~ 5 ETJN +40" 26,1 ?tu6+ ~ tl 3,'i BTUH DlfEerencet ' ~4z.'?- °1"ju 1.~`+S • NLA eEaz'o vYt~~ ~ • ) l NDOW ARg.A : TYPjS of, WIN.vaW ; ~/9" rNSOe. G'aQSs '(N! \.V'NDO.U uU11"S /fAvt BSCiJ j=Srl'O I04 tI1tY A!G Aa LiiilO ,naors 9'V0 iM4y OI .1s5iG0149P ~A OCslyN (AArcl VA+..i.A.c oF `fi-s 2.89 A,rt f~LMS ' . ' IucLuo1411; La~ e I/Q91 ~ . _ oet A4 L -4-feorAaA _ rOUNDAT IOfJ wINOVW i'1lLEA : TyPL of Wwoaw t rNC. vv#.+oow ei.J#rsP4rE. Bca,J Tcs*co Foa'R= v..u.e~iHLYaRa As 0•Ica as&va wmn m4y ar A611yNIL0 A dasiy„IC~~~'e,~ yAuAc eos •q*• ~ucwwvlNq AIQ ?IL-M! uqia 1/01~ • FoorAG4 + FOOfA4C ~ ."~LlD1W~y (~LA55 DvOR Al2i.A • TYPL OP DooR: S/g /NSuI'-& t-' yLIDI•rQ qLIJse OOoRS N,%rc eLe..( Tu,ao FoR"R= VAL..Kry 'rH[Y Ait wa ~~a*sv AAOVL A00 MAy Bg ASiryN^-p A PA5S 4A/L~'.fAO't,) VAI.KG OfL'R.•'k* .2-09 rucLrdr. A10 FILMtS Fp"TA4c- DU~K ARA /t : 11'PC 0 F POOR i . 'rN ~rt~.n s. .Tcz.u Doa2 UNIY3 HAYI. DLCU TLsrco ^40 ReuVP ro kAvs AN 'R*-VAUL4A O~ ~7. BI ,,1` 4N4 AI• R14.Mi, ~1 a Z. 9 FODTAfs L 3F ty+ ~ ~/Rd, n m GJPEG/qLS ; rYPL : t-r ~~nvi~q~ ' j~qrE.'. 51C~NLt! Faam I ~ J • RiM Jo,sT ARF.A: "R' - V A L t1 E ' •bl _INfERIOft ,112. /rlL M I usuLAT+oNtR-/9) Z 32 $HEA TiN4UILT • IZI"T~ . t / r .(07 AP ~ ~ ~gg I'h." so~rwoop . EX7f.R 10 R H 11L P11.01 ~ ' 24 3 Tor a • q.-~• V,qr~,e,c 1'OTAL I~o r~~, 6 FOUM O AT ION IAIALL AREN CABovi. CqR/?Ol..-3 „R,, yA L u.E iWTErtIOR AIR Hth CoNCR 1' i'g oLOCK o z+c 4- ts F'iaa~.w ( ) V~I R• / -7 ExrL~,ioR, nirz rIL?n IZ.b3 "rOTAL q„iq '/ALu.V- ",4 mId9-x . ToTAL r,mrtic,F. ~wnt•~ iaivril0 D~1c: 9~6uep_ . ~ ' ARiL q "R"• vALue • ~--'._~`~TvTeR~oR ~t?R F7~~1 l,' r._4S ~ z c,vv.sunr w~ae~o~sa. ~ py~ . . v'=+- J/LSoIrvVewp , ' z.o b Z Z SHa~?N~N~ ~ •¢.~T~, ; „ _ - ~ V A Ft~k 6ARRi" . ~~7 .F.rr«~oR n~a r,~M . 83 orAL., ~ TorAL rmr^uc' INSILI.ATLO Alttq B&TWL%N StuDS . „R.,- VAl.4. L ' . bl iurea,oa AIR fIA-M ' .45 Z! c.vvsu.M WALL.aeneo 19.Q ~usuL so r 10 •4 Z- . 0(o -4 A a- SNOA TN /N4' aUI s1 0 1 u4 I.c~P ~ . ir/,a.Iai"R, AIn. 1nt-04 ZZ. OfAL WuJL VALH1.. ~..w.. ~.?z.96 . ~ ' • rorAL roo?Aca. MR.1 iMVN.fb . uArt, 3-o4uao_. 1 1 • ' ~,TO~ST~ FR~M«~4 ~IRc~ ~R•• vA Lu E . ' .bl 1NTERIOR /1lFt i1LM ' .375 3~z goprwoov .58 5~R, GrPSwM wALzeoAvo vApoR C•?K~icK. 1 NTLrR ioR, AiR iil.M • 5735 roT ^ L "rz;:,, ?,Lu.E TaTAI. FCOrA46 IWSLLLA7~~ ARiA j5[.1-W6LU T?Ii. J015'T'S •R' - • •bl iINreR109 Alit FILM r ~a~ ~NS~L~TION CR•~ ) .S8 778QyvsuM wAUPa?Q.D -,INTERIOR A1R fILM • 4G-3 roTAL vaLU.Fo , : 7brA6 rbor-4ce. ~ ~ ~ ~•/rsn~ R, P~tq sig,wd 1 I *i****i*~f#f********4kii**4**i*t*#*R W °F' ; C ITY O F E A A i~ *~.CnTTa ~Fl„~ ~TIM . APPROVAL OF PERNIIT. ~ APPLICATION FOR PERMIT : . * INSPDLTION OF SEWE2 AAID/OR FIATIIt ; ~ *F mrArum0NS WIIS. NOT BE SCfED- ; SEWER AND/OR WATER CONNECTION 'r tnID UWM PERMIT HAS $EEN * APPROVID. ; * w ~ . *~~**,e++r++*,rrr+ttt,e*k*~t:*:t*~~t*rx P ease Print 1) PROPERTY ADDRESS: Zi/ ~ LEGAI. DESCRIPTION: 3`I Lot Block Subdivision or Tax Parcel ID ) IE' E}ffSTING STRCCI~;RE, DATE OF ORIGINAL BL'ILDING PEI2MIT ISSL'ANCE: . ' ' PRESE[IP ZONING/PROPOSID I!SE: (Mbn Year) 1:1 C02x'1E2CIAL/REi'p,2L/OFFICE R-1 SINGLE FAMILY F7 ZAIDC'STRIAL ~ R-2 DCPLEX (4t,o Onits) n INSTIIS.'TIONAL/GOVp2NMt,'NT ~ R-3 TOWNHOC'SE (Three + Units) ( Dnits) Q R-4 APARTMSTf/COINIDOMINIDM ( Units) 2) ~ NAAEc ~ ADDRESS: CITY. STATE, ZIP: PHONE:_01 3) u For City Ose . Plisnbers License: ADDRESS: G Active ~ ciTr, sra.TE, ziP:_ S7 S-Sloy ~ r~tlr~oraea PHONE: 1yASTER LICIIVSE# G S~OkZ S~ 4) r*~• • I• NAME: Y,~//~ _ AwDxEss: /6lit,~ y • CITY. STATE, ZIP: i.¢lel PHONE: .5) ~ v ~ ~ • : o~ • a~ - a~ ~CONNECTION TU' CITY SES'JFT2 ITA^ CpNNECfION 'Il7 CITY WATER ~ p''Hg~t , ~c.ti~ 6) C] P7,F.ME IIOLD APPROVED PET2MIT EY)R PICK-UP BY ONE OF AHOVE ~'C'.i~-~ U~Q ~ PLF1aSE MAIL APPR PE[tMIT 1U 1. 2,~ 4. AHOVE 7, (Circl'e one) J'1: • V Y:I: M ~ 1~ ~ I" ? i:~' ~ Y71' ]~•I 1 C ~T~ ' • ~ 1 • ~~1:/1>. 1 ~ • i ••I • H}~ 1 1 1 ~ .1 1 11 fOR CITY USE ONLY ' PERMIT # ISS[,'ED .~~.5~ . . Pd w/Bldg. Permit FEES: $ $ /D - S_D SEWER PERMIT (INCLUDE SURCHARGE) $ $ /D- SZ WATER PERMIT (INCLUDE SURCHARGE) $ Gi~J5-6 $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLC'DE CORPORATION STOP) $ $ SEWER TAP ' $ $ ~,j • Q~ ACCOUNT DEPOSIT - StWER $ $ ACCOUNT DEPOSIT - WATER $ `JC~ -U O $ WAC $ cl-;o $ SAC $ $ TRC!NK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ " LATERAL BENEFIT/TRUNK SEWER $ LATERAL BENEFIT/TRUNK WATER $ /S~•G Z~ $ WATER TREATMENT PLANT SURCHARGE $ $ ~-GC) c) OTHER: / v v z 12 ~I'f S-D $ _5j d e) TOTAL 3 4/s~9 RECi.IPT ~4 RcCEIPT S DOES UTILITY CONNECTION REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY? F__j YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLZC Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : LotBlock Subd.'~L r- UNDERGROUND SPRINKI.ER SYSTEM PLUMBING PERMIT Date Receipt # _ Commercial: $25.50 + water tap if required. (City installs all taps up to 1"). If adding new service, a water permit will be required, as well. ~ Existing residential: $15.50 (Plumbing permit not required if bacldlow preventor was previously installed). _ Residential developments: Fee to be determined by building inspections department. May require payment of water permit, plumbing permit, WAC, and water treatment plant fees. y3 S LJ~ oe. (Address to 45e sprinklered) riomec,wiierrr iumoer: Phone Street Address: lL64 City, State, Zip: I Owner Name: Street Address: I . I Phone ~ Irrigation Contractor: I Phone 1 I hereby ckno ]edge that I have read this application and state that the information is corr and a ee to comply with all applicable City of Eagan Ordinances ~ I . cc: En ' eering Department o~ ~SH EE ' WO_RK: ; _ - , ' K ~ ~ ~I:~~• _ ~ PRGg; _~F?F2iD, d"_I - ::f A~Ail i~~,~Lj.~"'T:- _r- ~~,~_D: E;,-~:_P_r t_' T;_ = - - - - • _ _ ' -'r.F ` - - .w ; - i--- ~ . ; -s^ I..._~.. ~_i_l~~i i~~:.Y~~i' ,i 1,. ' • ' 1.- .j t i-~~~' ~ : M ~ y_ _ • ~ • .~-_._..'i~- : , . . . T _-i_ _ I j?,I, ___=I : .1''~ ~ ,a_.-~.k=1~~".~;(_~y • r'` i_ _ _ _ i-G h.~M:i-~-..~":~.~ r-' ' I- ~ i ~ i : r' ( t~' ~l. - - - ,.a_::-~'_.,'~~ J~.,,_ i ~_.`.i~~~ - - ;i'i _"i~ •_~.::t- ~ t.. i ' "i"_:w-' ~t~ i'.:~!- ~ ~ - r-,_ ; 1_".-~--~ _ ~.,,1j~_.' ,:i" _ _ ..f-:-"'~d% -~__.:g~-~-: :iN'.-~';.c-i--~~. ,,~-,t=~ =i•c~-- '-F-" - ^ ~r~~~.,y I_> - ~.K-- ~ ~ -l. ^ - - ' " I`.y I .7 ;i.. ~--f'~'•~ 1~~-.~l':.:' ..I. - -~~.,~-~-i=:y'" j~; _j, i,~•' _I'^:. =j~_-_ i-~~i_1",Vl~' ,rt= - -r - _ I. .t _~w_ I'^: ~T~..~: 'I i.LJ-i I:'~~_~~•,~-», ~I, ~1~._- - 't,--~- - .y~-,-r..~~ '•r--: L-'i "t .I: ~~~~~~~I~:_i',_.,~ _+-.I-:`_fi- y;~:, ` : ^I -i . ~.i :f' r~d ~-~q _ i ` • 8~` I _ _ -l-.1.~ I I~J_::.._1' _ _ -i,•t_ _ ~ ~ i i . •..,i " _ .I. I T. I ~ d. ' , i -i,.. ,.:~i. :i_~7. -~•i--^ ~-i ~ y. ~d ' ' _ ' ~ ' _ '~'F".< ~ _ _ _~_'_~-1_T_' :~:_F i r_ _ ' ~ _ • _ ;.r..L. i :~i'_ '•.I : ~ } _ _ _ ~ _ ' - : _L - ~j-.% -~.•_(~-,l"z...~ ~y;~ ~q i.-~ ' 'i...l .f' .I _ i .i' ~ i ' _'~':-~_"-~t._...~,~_~_ y: _ ' ~:1_ -r- _"u:'I_~~ _ . i.:-t_~~ - :i~ .:i' _~1y+ -~~-iT ~ -~f-_~ - - - • r_~"~..~.:~ - ~ : , • ! _ _ -f % - t _ c T- - - - ~-_l: -r_, ~1 ;.p= _ -;~~,_i_., I''1 •~.I~ ~-..i . ; - ' - - =i. I..~ I ~ I ..I v ~•..t V Fv~ I ~.:'"'.l I~~ . ~ ~ ` _i 'rjp~ _ - r_ ~ i ?1_' _L ;'V~'4_ I. I• i ~i-.. _}c _ _ _ _ ~ _t -i~'_ti..-f:~'~ _~.I _ _ i, . i r _ I%"-(FJ'? ,~',?"l, ~:~I'~'`.~ . _ ~ - ~ ~ - - ,-~7.a~.,.,_~+-~--:~.~-._;T~~q '~"f'_.-~~_.i" ~ :;.i - I-:. i~~.1-' : 'r.. t I. •..I ' : :-L-.I~~.-. ~ _ ' _ -.~'i~ j -~'-r-I-:( I~-'*'.'F= i; H` .,I,.~__' ! I :i I . I%~ ~ ~~'ry~f._j,. -1.~',="'=f{ -I-1~_'~."` i_ __:•i- ~,:?r.= ~ ~~~--`f.' =y- `,~_u~ J,.- i;"~ _ _ V.-~-_7. _ 'j~~ ~~~.-~J'f i i ~~-~~~1 { ~ ~=~.-t~= _t•-~;-;- _ ~.I. ' ;~[-4' _ j.;•d-.-1--'- ' i ! i . , , ~ _ ='.a:--~_ - _ _ ~ •t~- L:'1. - ~ _I~.,M.` i • _ ! TI . ~1_.~'' ~ T~- - -~='^r - - Ly" ~y - - - - r>' - `~-r~-: ' ~ _'L,~"•.:i i-"_}.___~'~~.F'.L~wF~-'--~•p i- I . ~'i_ :~Tf'~I _ _ _",~L. _ i,~ , 1; i...r i:_,~-'"`T7-; - `i Y- ~ ' -I• i:: ' ' : _ ...r = - -_r: - ,-~x;::; -p~ ~ ` ci~- •-,:r~f=?'>•- - c;=T } ~ f` --r - .:~~r"f_i_ .I. ~ . F•"I...I ~ li '•lf ' • - - T~~': - - ~~.1:_i.~_ `~.Ll~_.:~:. ; .r- t.: _ i_ , , ~ -i ~ ~I . ~I" _ i ~_a i, _ ~ .,I''_".L ,1 1-~.~ - - - - - • -r :~.r,;_~ _,r-~ { -~,r~+~:_-~~'- '~..'`~~~?-.__.s_:-'t=~'':;;, --i= ' ~~T - _..l-~~" 't.:L~- ..~;..:L~ {~I~ I lif .'."I~"<. :~i'~..i. -T'1~•. `~.i-,~;.....' ~ I ~i:, ) j 'y`~"", r , . `~..I " ' 1 , ~_e„1•'I ..~r' i ~ I':~~ ' I ~.1~~'I._,:'~ •T~ I. ~ ''r ~ _ f ~ -1~ ~-~r:_ ~~I_t+(~: ~•{-t ~ -=..~'~.,_7---~~-•- tG'~:,~ i..~"a-.__ ;1~ i.! ~-~~:1 ~i~~ j~..l~ i ' 7-~. C'' ~,~.;.~'I ~t_ ~~.T_.., '_s . ' ` _ i Pem,rt n: City of EapIl ; Pemn Ftm: 3830 Pilot Knob Road ~ Eagan MN 55122 iDate Reoe"'ed: j Phone: (651) 6755675 ~ i Fax: (651) 675-5694 j Staff ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION oam: /U'_7'Q` sttenedresa: 143qq l.?UfXX c~a~~ Lcw- ~aoia"' TenaM: Sulte RESIDENTIOWNEH Narne: L/nVi +7+ X45?~ Phone: Address ! City / Zip: Applicant is: _ Owner CoMractor TYPE OF WORK Description of work: wA Construction C~ Multi-Family Building: (Yes No ~ CONTRACTOR Name: r_cv, Lav~ License#: QOS_~l3 67A Address: U S City: ~'cC'vi I mI/, State: Zip: ql~ Phone: qS)- N57 S35 I Contact Person: a ~6vti r COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672 Energy Code . Residentlal VerNlalion Category 1 Worl6heet • New Errergy Code WorkSheet Categary • Submhted Sudnined (J submisslon type) • eneray emeiaae caicuiaurn,s sunmmea In the last 12 montlhs, has the City of Eagan lasued a permfl tor a simllar plan based an a master planT _Yes _No If yes, date and.address oi master plan: Llcensed Plumber: ~ Phone: Mechanlcal Contractor: Phonre: Sewer & Water CoMractor: Phorce: NOTE: Plans and supporting documents that you submlt are constdered to be pub!!c fntormation. Portions of the in/onnation may be classifred as rron-public H you provide specffic reasons thaf would permit the City to condude that the are trade secrets I hereby acknowledge ihat ihis irdormffiion is complete and accu2te; that the work will be in confortnance wtth the ordinances ard codes ol the City of Eagan; that 1 widerstand this is rot a permit, but oMy an applicatlon tw a permi[, antl work is nol to s[art wtthout a permtt; tha[ ttie vmrk wiil be in accordance with the apprwed plan in the case ot xork which requires a reNew ard approval of plans. x--L rr~/ (J-C~Jne-- x AppllcanYe rrted Neme App earrt's SI ture Page t of 3 , CITY OF EAGAN I Page 1 of 4 PERMIT WORK WITHIN CITY ROADWAYS 1. Locationd A99 M , Woopc.ATs I-A - 2. Nature of WorkLA1)r%,r,pr pp"Ay~ 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketeh vr plan shall be provided with permit application. ~ 4. Method af Installation or Construction 5. Work to start on or after 1 Z, and shall be completed by approximateZy Gj3o(q WE— DATE 6. Will detouring of traffic be necessary? M Q If necessary to detour traffic, describe suggested route: DETODRS: The Director of Public Works shall be notified in writin at I least 72 hours in advance of any detour being established, changed or discontinued. NAM OF APPLICANT I]blV ~i I](So/J PHONE 45z ' ADDRESS 4-395 /V . ~ M•E L , a~ 2 ~'11~ ~~I1 NAME OF PARTY OR ORGANI2ATION PERFORMING WOItK J.~"~~p ~ ADDRESS4*q .(J 4jtr, Lf1. _jfaW lJ SS? ZZ. PHONE 4•62 - ;17 3 iir The undersigned herewith accepts the terms and conditions of the regulations by the City of Eagan as herefn contained and agree to fully comply therewith to the satisfaction of the Eagan City Cauncil, For: Title: Signed: Date: IFOR CITY USE ONLY~ AUTHORIZATION OF PERMIT Fee: $ Receipt No. Permit No - In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the aboue application, said work to be done in accordance with special provisions as hereby stated: AP F PUBLIC WORKS BY: ~ DA ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PRO ISIONS" TO BE COMPLIED iiITH! THE DATE WHEN WORK IS COMPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. • rA < n CITY OF EAGAN Page 1 of 4 -PERMIT WORK WITHIN CITY ROADWAYS 1. Locationd ~99 M . Wbodc.14TG. LA • 2. Nature of Work_ [1 I]p&p(+_i?otuYA -~pejjll1.me 3. A construction sketch or plan shall show the location of the proposed work. A copy of the sketch or plan shall be provided with permit application. 4. Method of Installation or Construction 6v,~,~ ~ 5. Work to start on or after~and shall be completed by approximately L 6. Will detouring of traffic be necessary? ~ p If necessary to detour tAraffic, describe suggested route: DETOURS: The Director of Public Works shall be notified in writing at least 72 hours fn advance of any detour being established, changed or diseontinued. NAME OF APPLICANT jXSpa PHONE AnnREss Q. ~ N.~_,, C. A. ~+k A+J rv~ ~ S~~~z NAME OF PARTY OR QRGANIZATION PERFORMING WORK e ADDRE S S~ &G. C A- gIIf, W n'I v S~ lT~ PHONE 431 -,7 7 7 3 The undersigned herewith accepts the terms and conditions of the regulations by the City of Eagan as herein contained and agree to fully comply therewith to the satisfaction of the Eagan City Council. For: Title: Signed: Date: 4/1-~~?'jt IFOR CITY USE ONLY~ AUTHORIZATION OF PERMIT Fee: $ Receipt No. ~ Permit No ~ In consideration of agreement to comply in all respects with the regulations of the City of Eagan covering such operations, and pursuant to authorization duly given by said Eagan City Council; permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special provisions as hereby stated: AP ~~iP F PUBLIC WORKS BY: ALL LEGAL REQUIREMENTS SHOWN ON REVERSE SIDE AND ON "SPECIAL PROVISIONS" TO BE COMPLIED WITH! THE DATE WHEN WORK IS COIrlPLETED MUST BE REPORTED TO THE EAGAN CITY ENGINEER. r ' • i R ~ , 4. ~y: •Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all lfability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility Qn the City's right-of-way. 6. Private Psoperty--The work permit or permit for construction as issued does not in any way imply an easement on private property. 7. Quality of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finished within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits of the roadway or relieve permittee from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors--No pole anchors, anchors, braces or other constructfon to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations--No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or ki.ll trees, brush and other vegetation is prohibited without k prior approval from the City. ~ 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will comply with all the PERTINENT REGULATIONS as stated above. + . . DATE4 / AX SIGNED: I _ Lo+ ! Page 3 of 4 c. Except for the negligent acts of the City, its agents and its employees, the permittee shall assume all liability for, and save the City, its agents and its employees, harmless from any and all claims for damages, actions or causes of action arising out of the work to be done herein and the continuing uses by the permittee, including but not limited to the placing, constructing, and reconstructing, maintaining and using of said utility under this application and permit for construction. 5. Existing Facilities--The utility facility and installations shall not interfere with any existing utility facility on the City's right-of-way. 6. Private Property--The work permit or permit for construction as issued does not in any way imply an easement on private prriperty. 7. Quali[y of Work--Finished surface, base and sub-base of road upon completion of work shall be at least equal to or better than specifications of original road in accordance with City Standard Specifications. Surface shall be finfshed within 48 hours upon completion of backfill. 8. Cutting Trees--The permission herein granted does not confer upon the permittee the right to cut, remove or destroy trees or shrubbery within the legal limits oF the roadway or relieve permiCtee'from obtaining any consent otherwise required from the owner of the property adjacent thereto. 9. Drainage--All waterways and lines of drainage shall remain operative. 10. Pole Anchors---No pole anchors, anchors, braces or other construction to be put on roadway shoulder, except by permit authorization. 11. Driving Limitations-No driving onto highway from ditch or driving on shoulders or over curbs where damage will occur. 12. Lugs on Equipment--No lugs shall be used on equipment traversing road which will damage the road surface. 13. Clean-Up--Street surface and roadside shall be cleaned after construction is completed and left in a neat and presentable condition. 14. Trees and Vegetations--Burning or disking operations and/or the use of chemicals to control or kill trees, brush and other vegetation is prohibited without ~ prior approval from the City. ~ 15. Replacement of Sod--Wherever top-soil and sod are disturbed, they shall be replaced and maintained satisfactorily until the turf is established. The undersigned hereby declares he/she has read and will complq with all the PERTINENT REGULATIONS as stated above. . ^ . ~ . . DATE: fp / AA SIGNED: Use BLUE or BLACK Ink r I For Office Use Permit City of EaEd I Permit Fee: 0 ~l 3830 Pilot Knob Road Eagan MN 55122 Date Received: 51CL~ Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: I I I 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit - € I Name: V 17 ki Phone: Resident/ Owner Address / City I Zip: /U4 GcJ ~CJcJ Cc ( ~G I Applicant is: Owner Contractor Type of Work Descriptiort off work: F4 -e o ~ fc" e e Lv44cc y 1'0 G~c~~ Construction Cost: ~J G Multi-Family Building: (Yes / No . gg Company: _ ~)u 14 ~7wG It"'Ci0 Y4 G Contact: E Address:3o7~ S~ 5 w v City: e6 5 /cil Contractor State: l~s Zip: ~G aT Phone: _615;? A1 ~E ail: License Lead Certificate f If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING 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: - . . j 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. CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.or-q 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. Exterior work authorized by a building permit issued in accordance with the Minnesota `S to Building Code m b mpleted within 180 days permit issu ce. X_ Applicant's Printed Name plicant's natu Page 1 of 3