3291 Valley Ridge DrCityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 la I 3 q q 7
-� c
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
��- 3 30(
Date: 4' ?o • a0 // Site Address:
CALL BEFO YO 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.gopnerstateonecalLorq
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 t 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 app . v : a
t �
x ��oPi f P,1P.l_SvYi
Applicant's Printed Name
A . 7 cant's Signature
Use BLUE or BLACK Ink
ForAi
Permit #: 9^ V f c
Permit Fee: 9S O()
Date Received: i 2/ 4 /
Staff:
Page 1 of 3
vnrt if;
RESIDENT !
OWNER
Name: (ryle n 1"le,ria je , o,41 „ - 1 A c. Phone: 763 - yy9 -Woe)
(/ ,J
Address / City / Zip: . . Aft d 1.. . 4 Al . ' / r
!
Applicant is: Owner )( Contractor
TYPE OF WORK
Description of work: (j , -- roa -P
Construction Cost 23 (p/ Multi-Family Building: / y g: (Ye�s ?C / No )
CONTRACTOR
Company:,, S(,t n (',,5� PGn.yv� v t 5 A r✓ Contact 9 n eJ J"e�fi
Address: 5976 Hobe, 1,Can r_ City: 3-1-. PPx ;4
State: M N Zip: 55//0 Phone: 66/ - 76) -- 9o? 4 5
License #: j (1575/g Lead Certificate #: NA I " ,2Q9 33 —o
if the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
Yes No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
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.
CityofEaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675 -5675
Fax: (651) 675 -5694 la I 3 q q 7
-� c
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
��- 3 30(
Date: 4' ?o • a0 // Site Address:
CALL BEFO YO 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.gopnerstateonecalLorq
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 t 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 app . v : a
t �
x ��oPi f P,1P.l_SvYi
Applicant's Printed Name
A . 7 cant's Signature
Use BLUE or BLACK Ink
ForAi
Permit #: 9^ V f c
Permit Fee: 9S O()
Date Received: i 2/ 4 /
Staff:
Page 1 of 3
4. . ' . R G .
PERMIT M
O/~O MECHANICAL PERMIT RECEIPT #
x04 CITY OF EA(3AN
DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
CONTRACT PRICE PHONE: 454-e100 For Office Use Only:
Site Address gLp(`,,, npE WORK DE8CAIPTION
Lot Block tec/Sub Res. New
m Name Mult Add-on
I ` Address Comm. Repalr
f c Ciry Phone aher
~
' FEES
(I ~ Name RES. HVAC 0-100 M BTU -$24.00
~ c Address ADDITIONAL 50 M BTU - 6.00
# (RES. HVAC INCLUDES A/C ON NEW
p Clty Phone CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMin - 1.50 EA.
TYPE OF WORK COMM/INO FEE - 1°r6 OF CONTRACT FEE
ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
BOiI@r M BTU MINIMUM RESIDENTIAL FEE - ALL AQD-ON 3
Unit Heater M BTU REMODELS 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
.
FEE
S~~ ATU E OF PERMI F~
S/C: '
; ~!d TOTAL: FOR: CITY OF qpw EAGAN
cirY oF EAc,AN
=795 Pllot Knob Rwd
Eayew, MinwssoN 55122
Plane: 454-8100
Water So° .~>r - PERMIT No. 28`)
Date: 9/10/70 Receipt No.:
Sinyle
Site Address• ,^o ^'J alle',, r' i d~•c- Residential
I '
Lot Block Sub/Sec. Multi Res., Comm./lnd. I
Nome rv, trt3.
Naw/Alter./Repafr
.
~ Address 293 Va11ey
Cost of Instollation
City ra.` a''I Phone: Psrmit Fes
Name 'ilbe.rt r'c,. (CSW) Surchorpe .5~
~ ^dd?ess uarie Ave.
~ Gty Phone: Totul - '
This Permit is issued on the exprcss condition thet oll work shall be done in xoordance wfth ait opplicable Stata of
Minnesota Stotutes ond City of Eagan Ordinnnces.
Buildlnp Officiol
. . , • . . . t.. . . - ~
w
HOUSE HEATING TEST RECORD
?DORESS 9 W( ' pr~~e_ br' ~ APT. F OOR CITY ~l--~--5UBUR8
OCCUPANT Sr ra _ .~~,,.u5 OWNER~S " G .i-,c ~
HEAT LOSS DATE MTG. INST. ~
fOLD BY INSTALLED BY
Eiecfrial Work By Gos Line By
TYPE aF I1EAT GA FA _X_HW STEAAI SPACE HTR. UN17 HTR. OTMER
GAS DESIGN CONVERSION
MAK9 AAAKE QF BURNER
AAoA1 lAod.l
Swio) 092:k eO Z.74 Mox. BTU Ratiny
INPUT 'MAKE OF FURNACE
. ~
. Mod.l '
CONTROLS T!'lERMOSTAT Hoat Plup Y~nt Si:• ~
Yolro KIND OF I.INER (11~-- SIZEg5__NONE
Lliaif Dtaft Hood _ Reyulotor
Lliait So11iny Fi ltws 5is* Numb*r
Fon Settino Chlmner Loeotion Imide Outside
Pilot Trp. Chimney Construction
Pilot AAab
Pilot Mbdel Smoke Bomb WirinQ
Pilot Timinp Droft T•at Tay
L.W. Cut Ofl „&JC Door Pressuro Liyhtiny Inst.
PrOlsswe S Percent CO2 Dot* Tested -~U-o7
Inpuf CFH o Piereont OZ Compony Testiny
Staok T4~p. 3 y 3 Perunt CO Nonw of Tosfer
Fer. 236
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~
EAGAN T.O-WNSHIP ~
N° 2916
BUILDING PERMIT
Owner ....IL - ' . . . Eagan Towaahip
Address (present) -7 ~`r/
. ~ Towa Hell
Huilder
Dale ~7- 7Z-
Addrese
DESCRIPTION
SSaries To Be Used For Front Depth Heigh! Esf. Cos! Permii Fee Aemarlu
.',I/ O~l3 0~O e e. c..J O ~6"-•-.~-C'
10 - G,w+^~w ~ -7L
LOCAYION d7•
Slreef. Road or other DescripiSon oi Localion I Lo! Sloek Addifioa or Traei
/n vi±~ee
This permit doas not auihozise the usa oi atreels, roads, elleys or sidewelb aor doee it give the owner ox Lb egsn!
the righ! !o ereale sap ailuafion whieh is a auiaaaee os whieh presenis a hazerd !o the healfh, safefy, conveaienee and
general wallare fo anyone in the eommuniiy.
THIS PERMIT MUST BE #EPT ON TH PAEMISE WHILE THE WORK IS IN PAOGRESS. .
This L!o eerlifp, fhe!..... ~w es permission !o ereet a.l.&9..4 c..T~
!he above deeeribed psemise subjeef !o the proviaioni o! the Building Ordinence for Eagan Townehip adopted April 11,
1955.'~~~~ n-
""""-'/Y...X.~......._~:....04-...." ~""-'-Per .............__'./1.-5........U-._......_..........~.._.....~"--'......""'...
43 hnirertas~t~-Beasd Butldin Ins ecior
' MASTER CAftD
LOCATION ~~~~P ~ JR9/ 9z 9c q~ 99~.t2/
OWNER
STRUCTURE AND
LAND USED A$
Issued To
Permit No Issued Contractor Owner
BUILDING
PLUMBING ? 9 0
CESSPOOL - SEPTIC TANK
V'?ELL
ELECTRIGAL
HEATING (~b
GAS INSTALLING
SANITARY SEWER
OTHER
OTHER
Approved
- Items (Initial) Dafe Remarks Distance From Well
FOOTWG -~;z a SEPTIC
FOUNDATION CESSPOOL
FRAMING 9- -7 j TILE FIELD FT.
FINAL
ELECTRICAL
DEPTH
HEATING -q J1_ OF WELL
GAS INSTALLATION
SEPTIC TANK
CESSPOOL
DRAINFIELD
R? "
PLUMBING -_q ? I `7 S
wEu
SANI7ARY SEWER
Violations Noted
on Back
COMMENTS:
~
COMPLIANCE INSPECTTON ftEPORTS
TO BE USED ONIY IN EVENT OF OBSERVED VIOLATIONS
PERMIT NO. DATE OF INSPECTION
CONDITIONS OF CONSTRUCTION AT THIS INSPECTION
? NO EVIDENCE OF NON-COMPLIANCE ? NON{OMPLIANCE. BUILDER DOES NOT
OBSERVED. INTEND TO COMPLY.
E] ACCEPTABLE SUBSTITUTIONS OR
DEVIATIONS. ~ COMPIETION OF CERTAIN IMPROVEMENTS
Wllt BE DELAYED BY CONDITIONS BEYOND
CONTROL.
? NON-COMPIIANCE. BWLDER WILL COMPLY
WITHOUT DELAY.
ITEMIZED AND DESCRIBED AS FOLlOWS:
? REInSPECTION REQUIRED DATE OF REINSPECTION
REINSPECTION REVEALED
CERTIFICATION -1 cenify that I have carefully inspected the a6ove in which I have no interest present or prospective, and that I hava reponed herein
all significant conditions obzerved co be at variance with ordinances of the Town of Eagan, approved plans and specifications, and any specific require-
menu far off-site imprwements relating to the property inspected.
? ALL IMPROVEMENTS ACCEPTABLY COMPLETED
BIIILDING INSPECTOR , DATE
COMMENTS:
, 23
eactirr T014tvsxzr
3795 Pilot Knob Road
St. Paul, Minnesota 55111
Telephone 454-5242
PERMIT FOR SE47ER SERVICE CONNECTION
DATE:12/29/72 (4/25/73) NUMgER 1326
OWNER: Rivergate 4illa -Bldg. 12 Addre%s 3291-93-95-97-99-3301 palleyridee Drive
PLUMBER Berghorst Plumbing Co. TytpE OF PIPL+ heavy cast iron
DESCRIPTION OF BUITA ING
Industrial Commercfal Residential Multiple Dwelling No, of units
aoc 6 - townhouses
Lacation of Connectione: Connection Charge 1170.00 billed 4/25/73
G~1p~~3
Permit Fee 10.00 d 12/26/72
.50 pd 12 2 72
Street Repairs
Total
Iaspected by:
Date
Remarks•
By.
Ch1ef Inspector
Ia consideration of the issue amd delivery to me of the above peimit, I
hereby agree to do tfie proposed work in accordance with the rules and
regulations of Eagan Toc•mship, Dakota County, Minnesota
By
Berghorst Plumbing Co.
Please notify when ready for inspec[ion and connection and before any portion
of the work is cwered.
, i
Zd
EAGPN TOWNSHIP
3795 Pilot Knob Rosd
St. Paul, Minnesota 55111
Telephone 454-5242
PERPaT FOR WATER SCAVICE CONNECTION
Date: 4/25/73 (12/29/72) Number: 1182
Billing Name:Rivergate Oilla -Bldg. 12 Site Addrese:3291-93-95-97-99-3301 palleyridge Dr
Owner: Billing Addreas
Plumber: Berghorst Plumbing Co.
Location of Connection Meter Size Coanectioa Chg. • 1 led 4/25/73
Meter No~,?iqGe~~3 Permit Fee 10.00 pd 12/26/72
.50 p 6/72 s/c
Meter Reading Meter Dep.
Meter Sealed: Yea Add' 1 Chgv7 o°~.
NO Total Chg. /
Inspected by
Date
Building is a; Remarka:
Residence
t2ultiple x ro. Onits 6 townhouses
Commercial
Industtial Hy:
Other Chief Inspector
In conaideration of the iaeue and delivery to me of the above permit, I
hereby agree to do the proposed work in accordance with the rules and
regulatioas of Eagan Tocroship, Dakota County, Minnesota.
s,,: Z 1,43~l
Berghorst Plumbin)3 Co.
Please notify the above office when ready for inspection and connection.
~
`-7 -76 e) . Sa
2007 RESIDENTIAL MECHAMCAL rERNtiT arrLicATIorr Gc~
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
' Pleasc completc for: single family dwcllings & towmhomes/condos when pcrmits are requved for each unit
Date j_ 07
Site Address y ~1 Q L' A 6f we Unit #
C[ ' ~
Properh~ Owner Jl C',~-Z w vLTelephone #(6 Cj `7 gcZ,3 ~n
Confracfor '44 eu
Street Address 9>0 qD City nlo , S'f' • ~ae..~ 1
State Zip D Telephone # ( 6 S ( ) ,38 7 5-3 6 ~
Bond#:I~~-k 5 y(~~7 la Expires: f~ 1 3-0'-Z
The Applican[ is _ Owner ~ Contractor _ Other
Fire repair (replace burned out appliances, duchvork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to esisting drvelling unit S 50.00
~ furnace _Additional _Replacement _ New
_ air exchanger ae/ r-
l4~
air conditioner
heat pump
other
State Surcharge $ 50
To[al $
I hereby apply for a Residential Mechanical Permit and acknowledge [ha[ the infortnation is complete and accurate; [hat the work wil]
be in conformance with [he ordinances and codes of the City of Eagan and with [he Mechanica Codes; t I unders[and this is not a
permit, bu[ only an applicatwn for a permit, and work is not to start without a permit; [hat e w rk w 11 e in accordance with the
approved plan in the case of work which requires a review and approval of plans. i
XQ.UI rr I oau /
Applicant's Printed Name icanYs Signature
2007 COMMERCIAL MECHANICAL rER-NIiT .arPLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: commercial/industrial buildings
multi-famil buddin¢s when se arate ertnits are not re uired Por each dwellin unit
Date-S--/ Z)b /07
Site Stree[ Address 3-~- Q1 ~)4 I lPc. ut2 Unit #
Tenan[ Name (if applicable) ^,pbcQ 1"G GtQa9 5&k1 Previous Tenant Name
~
Property Owner Telephone a)~/$7
Contractor ~(l AfPC
Street Address a-04T) Cit},
State ~ u, 'Lip SSID 05 Telephone #(6S( ) 3g7 S 3 b`a
Qond#: k~ISgF, !g 7to Expires: 00e)
The Applican[ is` _ Owner ~ Contractor _ Other
Work Type
New Cons[ruc[ion _ Interior Improvement _ Install Piping _ Processed S~ Gas
Under/Above ground Tank Install Remove
N'hen installing/removing tank(s), call for inspection by Fire Marshal and Plumbing Inspector
Nature of Work:
Pefmi[ F0f5 $70.50 Undcrground mnk insmllation/removal
550.50 ,t/rnimum (includes Sute Sureharge)
or
Connact Value S x 1% = S Permit Fee
$ Stare Surcharge
To calcula[esurcharge
If Permit Fee is less than SI,OOQ surcharge is 50 ccnts.
If Pemiit Fee is> 51,000, surcharge inereases by 5.50
for each S I,000 Permit Fee (i.e. a S I.OOI -52,000 Pemiit
Fee requires a SI.00 surcharge).
$ Total Fee
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance wnh the ordinances and
codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a pernut, but only an application for a permit,
and work is not to start without a permit that the work will be in accordance Nvith the approved plan in the case of work which
requires a review and approval of plans. Applicant's Printed Name ApplicanPs Signamre
-
Approved IIy: , Inspector Date:
Required Iiispections: - U.G. _ R.I. - Air Test - Gas Service Test - Infloor Heat _ Final
1703<~ /ssc7
2006 RESIDENTIAL PLUMBING PeRMiT APPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings. -
Date v / l~l 0 I Site Street Address Unit #
PropeRy Owner kGY IeJ ,Ql La,/'nar Telephone #vXI') 06-6a3
Contractor l'p 1 !~p1,U0f k.S relephone # (051) 3(-5-134 Q
Address -~b U _ _ Q6 - City A-N Stat ~ Zip '3511--S
The Applicant is: _ Owner OContractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existfng dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. It you are insfalling onlv a water softener and/or water
heafer, do not complete this section; move to the next secfion and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $130.00 if a 5/8" meter is required)
Other:
_ Water Softener ~ter Heater $ 15.00
_ new ~Oeplacent
Lawn Irrigation _RPZ _PVB _new _repair _rebuiid $ 30.00
State Surcharge $ 50
Total $ r5.5d
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to reviewed and approved.
~r~(~ieh r c
Appli Ys Printed Name Appli nYs Signature
V1
77n;4 1 . ~5u
vst,~
2007 RESIDENTIAL PLUMBING PeRnniT aPPUCarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please com lete for modifications to existin residential dwellin s.
Date I I I,
Site Street Address 'r V` ~c~ Vi'i /f 2~~ Unit #
Y
Property Owner ~ f-rJV~` IS 4. Ak-u a,r Telephone `PS 2- 34e3
Contractor s4-L'ANfdh SCk , 0.< Zel Telephone#8-8`f,a~ a3
Address V:!A rn b~~~ At^ S/ City 4?14A*1,4'57~%h State,4//J Zip SSy3/
The Applicant is: _ Owner 8 Occupant 4- Licensed Plumhing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10 00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive fumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
~ Add plumbing fixtures to main level X lower level. This fee includes
installation of a water softener and/or water heater at the same time. lf you are
installing onlv a water softener and/or water heater, do not complete this section;
move to the neM section and place a checkmark neM to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15 00
_ new _ replacement
Lawn Irrigation _RP2 _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
woric will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to staR without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewe nd approved.
/~r1a ~w a afc~r
ApplicanYs Printed Name Applicant's Signature
,
M2422 endota tHeights,DMN 55120
* PIONEER IAND SUPVEYP¢5 • CNR ENGWEERS (851) 681-1914 FAX:881-9488
* eng nearing UNO PI~NNERS• "NDSCAPE 'PppLEC15 201 85th Avenue N.W.
* Coon Ropids, MN 55433
* * (763) 783-1880 FAX:783-1883
,
~ Certificate of Survey for: THORSON HOMES. INC.
1420 VINCE TRAIL EAGAN, MINNESOTA
S89055'38"E 90.00 ////~_{891.5 ^ TRg12~3 900.6 901.8 f 903~Z1~\J
Tp 1Z50 8940 {~S FENCE----- assTR1.sN TR 1203 x x "
TR ip18 TR 1207
x 895. x 1 TR 1 1.1 x
TR 1206 902.3
895.5 TR I249 TR 7.4 1244 ~ /9.5
LOT AREA = 13,807 sq. ft. e95.1 i s00.7 901,9
HOUSE AREA 7,367 sq. ft, iR tY47 "
TILITY 1~3 1R tlo2
DRAINAGE & U ~
GARAGE AREA 657 sq. ft. x x
PORCH/ PATIO = 140 sq. ft. ggg,z • EASEMENT PER PIDRIVEWAY AREA = 715 sq. ft. TR 1Z46 1 i 1204
BUILDING COVERAGE =15.77 ~ i IMPERVIOUS COVERAGE =20.9' 8 a 586•74'qg^E ; 0
N 80.17 ^
' SANITARY SEWER 1 - - -
SERVICE INV = 889.0 ~ °D
i (PLAN PER CITY OF EAGAN)'
LO ap ~ LO
~ HOUSE TYPE = k90K6Mi r 8410 ~ I I ~
I x 898.5 ~ I
U I 7REE LINEx1896.9 898.6
~s ARK T.N.HBLOT 2MBLOCK 2 Z 3~~pv.,".~~'S O~ . ~jq~~~ 9oo.a
ELEV.=904.90 ~W e97.3 - 26_7~3 _
LLJ ~ a 89 . 20.00 0 29.00 ^ 889.3 % ~ oo.z z t0
LLi
F~
I ° /o / ° pl~
I
M ~ ~0 ~ "~os•i) x=-
5
~N N r, ~/PROPOSED I3.13 901 n eoJ.i W N
L ° ~
0~ I HOUSE/ ~ 17.00/ J
I ~ /O/O'
/
~ GARAGE~o I oa.s 0
Z O ~ .14.57i8.57'c2.33 ///°0,10 0 Z Z
901.9
~q //a02O~sm.i 7~2A 20.33 ~ 903.2
BENCH MARK ~ 47.67 eo~.e z3 ~00
Ro4.o
TOP OF SPIKE I ~ ~031 ~ OPN OF SP KE
ELEV.=901.05 PROPOSED I M ELEV.m903.18
o O-- DRIVEWAY 1
1 ,
0
6iJ ° OFQ(~l,T affl,Crv
~
1 10.0<901. 02.2
B I 10.0
1 ~
e " N 1 0 V]
• • • ~ ~ (V
v< ~ 3o mo N89633'21"W 90 00
~ -~~-mo
N~ VINCE TRAI ~NSTAU, EROSION
c~ SOD
~ ~
m o
NOTE: PROPOSED GRADES $HOWN PER GRADING PLPN BY: GUST LOWEST FLOOR ELEVATION:
NOTE: BUILDING DIMENSIONS SHOWN ARE FOR HORRONTAI, AND VERTICAL LOCATION 7OP OF BLOCK ELEVATION:
OF STRUCIURES ONLY. SEE ARGHIT[CTURAL PLANS FOR BWIDING AND
FOUNDATION DIMENSIONS,
GARAGE SLAB ELEVATION:
NOtE: NO SPECIFIC SOILS INVESTIGATON HAS BEEN COMPLETED ON THIS LOT Br THE [~'C/ QO~Z `
SURVEVOR. THE SUITABIUTY OF SOILS 70 SUPGORt 7NE SPECIiIC HOUSE TOB 0 LOOKOUT El EVATION:
PROPOSED IS NOi 7XE RESPONSIBIIITY OF THE $URV[YOR. '
NOTE: iH15 CERTIFICATE DOES NOi PURPOFT i0 SHOW EASEMENTS OTHER iHAN % 000.00 DENOTES EXISTiNG EIEVATION
TXOSE 5110NN ON THE RECORDEO PLAT. ( 000.00 ) DENOTES PROPOSED ElEVA710N
NOTE: CONTftACTOft MUST V[RIFY DRIV[WqY DESIGN. UEN07E5 DRAINAGE AND UiIUTY EASENEN7
DENOTES ORAINAGE FLOW DIftECTON
NOTE: BEARINGS $HOWN qqE BASED ON AN ASSUMED UATUM DENOTES SPIKE
$ DENOTES OFFSET HUB
WE HEREBY CERTIFY TO THORSON HOMES, INC. THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES OF: LOT 6, BLOCK 1, KENNERICK SECOND ADDITION
DAKOTA COUNTY, MINNESOTA
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN, AS SURVEYED BY ME OR
. UNDER MY DIRECT SUPERVISION THIS 7TH DAY OF OCTOBER, 2004.
0140 A`-SGNED: PIONEER EN A.
I I SCALE : 1 INCH = 30 FEET ~
~ B :
REVISED 10-12-04 STAKI~ HO
T4 US& n Don R. Wester9ren Re4No. 1979
9 aa ~ns~.~snne N. n ni ~ 2 _
/e '7s
2007COM1YlERCIAL BUILDING PEUmlT arrLicaTion
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
. . • . . ~ . .
• Structural Plans (2) sets • Architectural Plans • (2) sets • Architectural Plans (2) sels
• Qvil Plans ' (2) . Strucfural Plans (2) • Code Analysis (1) "
• Certificate of Survey (1) . Qwl Plans (2) • Project Specs (1)
• Code Analysis (1) " . Landscaping Plans (2) • Key Plan ("I)
• ProjectSpecs (1) • CodeAnalysis (1) " • Master Exit Plan (1)
• Spec. Insp. & Testing Schedule ^ • Certificate of Survey (1) • Energy Calculations (1) not always^
• Soils Report (1) . Spec. Insp. 8 Tesiing Schedule (1) " • Elec. Power & Lighting Form (1) nol always"
. Meter size must be esta6lished • Meter size must be esta6lished • Meter size must be established-if applicable
l . ProjectSpecs (1)
l • EnergyCalculztions (1)
L • Electric Power & Lighting Form (1)
1 • Master Exit Plan (1) !
1 • Emergency Response Site Plan (1)
1 . Soils Report (1) 1 ,
• SAC determination - call 651-002-1000 . SAC determinahon - call 651-602-1000 • SAC determination - call 651-602-1000
. Fire Stopping Submittals
• Fire Su ression/Alarm Form
Call MN Dept of Health at 651-201-4500 for details regarding food & beverage or lodging facilitiec
" Contact Building Inspections for sample and if reyuired
Pcrmit for new bwiding or addition u•ill not be processed without Emergency Response Site Plan.
Date o-7 Construction Cost ~(yc:)
Site Address V/-1 LGa OL,`cLq ` /D2;l U --iL UniUSte #
Tenan[ Name Former Tenan[ Name
~ 3 ~a9S 3~~ -3
Description of Work r`epGA Gz,,i +^-Y W,~N///,-4((U 00 Clr-
Nroperty Owner 'Pelephone # ( )
G./1 P /-(/-I lC TKF_
Applicant is: _ Owner ~Con[ractor I Contact ( ~ /2 ) 9 / 9 - 7 8 0
Contractor ~~„lz S j iti7 /'7d o/'J ce) -
Address ~/7 cti Cit}' / 71 G S
scate ziP s SqU,6 Telephone 6(--1) 7a (-S 3 33
Arch/F,ngr Regisfration #
Address City
State Zip Telephone # ( )
Licensed plumber installing new sewerlwater service: Phone
I hereby apply for a Commercial Building Pem'ut and acknowledge that [he informadon is complete and accurate; that [he work will be in
conformance with the ordinances and codes of the City of Eagan and the State of MN Statutes; I understand this is not a pemut, but only an
application for a peanit, and work is not to start without a pertnit; that the work will be in accordance with the approved plan in the case of
work which requires a review and approval of plans.
AnnlicanYs Printed Name Annlic s Si ture
Aug 181511:OOa Sunrise Remodelers 651-762-9395 p.12
�
Us�BL�E ar BLACK i�k
�------
-----------�
i For Offlce t35e (
. � Permit�: /�c�- `�� 7 I
��t �f ���a� �
� ' � � -sn ;
1 Pe�rnit Fee: o
3830 Pilot Knob Road � �
E2gan MT!55122 � Date Received• ;
Phone:(659)875-5675 - � ���, I
F�x:(651)fi75-5694 � �
�-etr►flr�.E` I ', (�, -���=.�G�'' c-,�-/ c �-e"�c.n c��.,� -----------------�
2015 �ESIDEh�'�'O14� ��!lLDIi1IG PERI'1AlT APPLi�I�TION
C-z dv r' ��u � Tc�U� !-►��� S-c s
Date: �1'���'I � Stte Address: � '1� "r��l 3 Unit#.�..-�.F..�.��w_�__
;.x ..�__ .--.,���.vrF.r__.__i.:rvi����c�i:zs-:�"`j.��� �3 , 3�G�, �3�-q��Y3�-`�Gl, 330 I
� Pfame: Phane:
f Residen�}
��� �. Address/City l Zip:
� � Applicant is; Owner �Coniractor .... . -- - t,�y,�.Y_r��.,T
; _�r�.a.....�.��-.�.�.......�...._,._....�.—_--�-,�-
:..,._.. __.....::._..,_:_,,._�,:_e„r..N�.,�.,.�.,,,�.�_-.__m_�..k.,��.�t�_.,w.�...,�.�....�.T_� ...��
i_ _.....
: Descdp6on ofiworic ��� � ��
; Type of�1York .
� � ConsVucF�on Cost• � ��- ���•cJ Mulu-Family Builciing:(Yes��!No____) ._.:...-
4:,...�,m. ..:.-.__.....�.._....� Company;�L'�Yt +�; S-e ��vY1 �c�^l-� �''S 6 Contact:���: '�� ��-�:�' �c�'�
; Address: 'r'„� -i��G' '1""1t:t�''�_ �--.c� t,�-� City: �fi � �-R•�a � .
��3C84��t9� r,
' State: 1�11U`Zip: � �I !U Phone: Ernail: i Y1•�'t: S...t ti��:����'��v+�cr-z�;�5,.
:
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:
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. .
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' " �!�-—!-� -
: License�:���,_�'�.,��� ad Cert�cate#: ---- :
.._........_......._..._..._z,..._.._�,».,.,.___._.._._.�..__,._�_.__.._m. _-� .�... -.�.�__.,�i_....._..��4_._-� ---..
:' tf the project is exempt from Bead certiiication, please exptain why:
.
,
...._.�.._�..T.,..r.>,...�...,.y,..q..�.�.,�.�_.s -----�._�,:..�..,.�.._�,.�-�.��..-r�.«..�..�,-.Lr�---m...�,..�- .
' COIIAPLE'�E THIS e�R�A�NLY IF CONS�'RliC'1'�NG J�NEV9! BIJILDING
� tn#he last'[2 mon�s,has the City flf Eagan issaed a pertnit for a sim�lar plan based on a masfer plan?
t
Yes iV a if yes,daie and address of master�fan:
�� E.ic�nsed Plurnber. Phone-
' �lechanicai Cor�tractor: ____ Phone: -
' Setve��t�k►ater Contractor: Phane: '
� FiEe Suppression Contractor. .� _ ._ P�O��;, ,rr _. __ - _
; ��fidf�TE:Plar�s anaf supporfietg docuinents thaf you�suhmif are cc�siderecd�o tre pub%ic information.�r�ions of
f)
�e i�f�arrrnation may be c/assi�re�a�nan pr�blic if y�ra provide sp�ci�c reasons that wo�rlt�permit fhe C�to _
t �oncluc/e tha�they are iraaie secrets. .
_._......:::�..::.........�..,_..-,_�..N_�_.=-._..:�........:..s.-��,r.._.._._.._,.,._.......:�,.......,
�C�4��BEEORE YOU Dlt's. Cali Gopher State One Call at�551)454-0002 ior protection against underground utii'sty damage. CaN 48 howrs
bef�ore you icrtend to�9 fo r€ce�ve lo�aies oi underground utifilies. wvuw aooherstaleonecall.ora
1 hereby acknowiedge that this iniutmaaon is complele and accurate:that ihe work wiU be in cflnformance w�hh ihe ordinances and oades ofthe City of
Eagan;tfi�ai E understand this is noE a permil, but only an application for a p�em�flt, and work is nW to start without a permit;ihat ihe woEk►vill be in
accordance with ihe approved plan m the aase of wor�:Which req�ares a review and approval of plar.s.
Exterier work authorizer!6y a bullding peRnit Issoed in accordance w�th Yhe Niinnesofe State Bullding Code rnust be comp[efed rv�thin 980
days of pertnit isavanee. --"
� L > .,�?—�-1���^� C%r^) � ' �."�
� �,. ,
Ap�iic2ini's Printed Name A 's ignature .
Page 1 oi 3
Use BLUE or BLACK Ink
r----------------"'�
I For Office Use �
. � � // � �
Clt� of �a�a� � Permit#: �
, t-� �
iPermit Fee: �C1 �•� c�� i
3830 Pilot Knob Road
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651)675-5694 I Staff: I
I �
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
�j � (
Date: Site Address• v��G� c�C� �c�c ��lU��# ���
' Name: Phone:
R�S!{��1� -'��C - � 6+q�i,, N. .�$ �
(�y���;�� Address/City/Zip:�' /�L��H �D Er�
' Applicant is: Owner Contractor
Description of work: � P A a� ���
�'ype Of 11���k �
w
Construction Cost: '� 3 Multi-Family Building: (Yes,�/No�
Company:���/��,.,, �rfl-R,A-t� �_ LLG Contact: S'�6b� Jt�/�+1�N
C�►n�ra�kor aaaress: ���8o qo�` ,� c�ty: �.,r�� �-u.s
state: 1�u z�p:yi Sv,� Phone: �S/-aNs-o3�� Email: $JoN�vS�e c�iv�.�-�-i�ku.w,G�u,�A�.
' License#: �1� (� Lead Certificate#: N��
If the project is exempt from lead certification, please explain why:
N� �s� ���►�;�.-r
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:
Fire Suppression Contractor: Phone:
: N�T�:P�ar�s anal��r�ao�g tl�curr�ents�h�t you su�b��a�e ccr�r�idered�o b�pitbl�c i�a�or���t��.-Ftr�tierr�4�f=:`
t��e inf�rmaa�i�r�tr���e cla���fie�f��rr�n��ti�i�if,�ac�prorr��;��eci�ic rea�9�;tt��#�+cr�#a�perr�i�t�r�Ciijr t+�
c�nc�utle ti�at t�e are t�ad�secret�»
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.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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance. ^
x S'7'�'1!� �a HNSa� x
Applicant's Printed Name Applic Ys Signature
Page 1 of 3