2268 Wall St
WSID ENT~AL (3
• ~ BUILDING PERMIT APPLICATION ~
CITYOFEAGAN 0~,rj`-11`{~ ''[d•~
3830 PILOT KNOB RD, EAGAN MN 55122
651-881•4675 P 0 - I`-I
New Construction Reouirementa RemodellReoair Reauiremenb
• 3 registered site surveys showing sq. fl. o( lot, sq. ft. of house; and all roofed areas • 2 copies of plan ~ 5. ~ucs 71 9
(20% maaimum lot coveraqe allowed) • 1 set af Eneryy CalcWations tor heateA adaitions
. 2 copies of plan showing beam & window sizes; poured found desgn, etc.) ~1\ • 1 site survey for e:lenor addilians & decks
1 set af Eneyy Calculatiore ^~p • Indicate'rf home served by sep6c system for additiore
• 3 copies ol Tree Preservation Plan ii lol Dlatted after 711/93 -ac C
. Rim Joist Detal OpGons selectbn sheel (bidgs wiN 3 or less unils) ~
DATE VALUATION ~.6 /c~
31TE ADDRESS MULTI-FAMILY BLDG _Y
TYPE OF WORK FIREPLACE(S) _ 0_ 1_ 2
/-101 ~ l ( 2~4G.
APPLICANT ~e
STREET ADDRESS / /S/T ATElZIPy6'1~597
TELEPHONE # ' CELL PHONE # FAX #
~
PROPERTYOWNER T/+ TELEPHONE#
COMPLETE fOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ M1N\E;S01':1 RUISS 7670 CA'1'EGORY 1 _ MIVNESOT:1 RULES 7672
_ (J submission type) • Residential Ventllation Category 1 Worksheet Submitted • New Ener9y Code Worksheel Submitted
• Energy Envelope Calwlations Submitted
Plumbing Contraetor: Tervl fPlumbuig system inclWater Softcner ~ Iawn Sprinkler ~ Fee: $90.00
IK Water Heater 1 No. of R.I. Baths ~~~/GL9,0 S?j VW~~~
\3 No. of IIaths
MechanicalContwctor: 47"pt-Dw 1"'CnqA11'~!6Z-- Phone#
Mcchanical svslem includes: tlir Conditioning Fec: $70.00
_k'~Hcat Rccovcry Systcm
Sewer/Water Controctor: ~lc= r/-4~ ~ Phone #
I hereby acknowledge ihat I have read ihis application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan O~/rdinances. /
Signature of Appllcant /
= -P---~---!~__~..7~r!P/---~--_4. •
OFFICE USE ONLY
Certificates of Survey Received V Tree Preservation Plan Received Not Required _
Updated 4102
2P3i ,
OFFICE USE ONLY
O 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool O 30 Accessory Bldg
I~ 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 ExL Alt - Multi
0 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multl
? 05 03-plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 72 12-plex Plbg_Y or _ N ? 25 Miscellaneous
j( 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 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 "DemollUon (Entire Bldg only) - Give PCA handout to applicant
Valuation z9zco Occupancy R -3 MCJES System
Census Code Zoning 12- 1 City Water
SAC Units O/ Stories Booster Pump
Nbr. of Units 71 Sq. Ft. "3) PRV
Nbr. of Bldgs Length ~Z Fire Sprinklered
Type of Const ~ Width ~
REQUIRED INSPECTIONS
X Foorings (new bldg) ~ FinaUC.O.
_ Footings (deck) FinallNo C.O.
Foatings (addition) Plumbing
,X Foundation HVAC
SJ( Drain Tile Other
Roof ~ Ice & Water X Final _ Pool _ Ftgs Air/Gas Tests Final
~ FraminB _ Siding Smcco Stone
Fireplace _ R.I. _ A'u Test Final Windows (new/replacement)
k Insularion ~ Retaining Wall
Approved By ~ Z Building Inspector
Base Fee 13 y.nr 13 79- ~T ~.S 9S
Surcharge r/-I`ti -7 Y IL~L
Plan Review ~.044f,a 17 o ay
MC/ES SAC 2-VIekA -73/ 70
City SAC
~~~ti~y Gy /50~' 3~'
Water Supply & Storage
S&W Permit & Surcharge y3!
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
.
~
NOV 12 2002 11:41RM PLRNCO INC. 6514523659 p.1
Permit Numher
MECcheck Compliance Report cneckea sy/Dace
2000 Minnesota Energy Code
VfLCr.her.k Sofhvaze Version 3.3 Release lc
Data filenazne: I:\Energy Calcsub1EC\Mn\02-499.cck
i Tl"CLE: .#02-499
CUU1vTY: Uakota
S'fATE: Minnesota
l.OVL: 2
CONSTRUC"TION 7YPL: Single FarsilLy
D.4T1:: 1 U12i02
PRO.(GCT IIVFORMATION:~_
YIATTHEw' & RACHELLS.GONANT
COViPANY 1\'FORMA'L'ION:
VFNEHJEM BUII.DING CORP.
r'C2VfpLIANCE: Passes
A4a:umum U.4 = 535
Ynur Home = 474
- + i i. ,4% Better Than Code
Gross Glazing
Area or Cavity Cont. or poor
Perimeter R-Value R-Value U-Factor UA
Ceiling 1: F(at Ceiling or Scissor Truss 1462 ua ~ 0.0 39
'.b"nll I: Wood Framc, 16" o.c. 3892 19.0 2.0 187
\Vindow 1: Above Grade, VJood Framc, Double Pane with Low-E 428 0330 141
Dour L Sulid 18 0230 4
Door Z: Solid 40 0.350 14
Door 3: Glass 60 0.330 20
Hasentc-nt Wall 1:
Solid Conccete or Masonry, 8.8' hd8.2' bg/S.8' insul 930 11.0 0.0 55
Basement Wall2:
Solid Concmte nr Masonry, 3.5' ht/3.0' bg/3.5' insul 179 11.0 09 13
}lonr 2: All-Wood JoisvTruss, Over Outside Air 36 B.0 0.0 1
Flour 3: All-Wood JoisV'1'mss, Ovez Unconditiooed Space 11 38A- 0.0 0
Prnpoeed and Maximum U-Faclor Averages
Proposed Maxirnum
- Avecage U-Factor Allowed U-Factor
Above-Cnade. Windows and Glass Doors 0330 0370
Licludes Poundation Windows > 5.6 ft2
Ploors Over Unconditioned Space 0.026 0.033
NOV 12 2002 11=41RM PLRNCO IHC. 6514523659 p.2
COhfPL1A\'CE STATEbIENT: The proposed huilding design described here is consistent with the building plans,
specificanons, and other calculations suhmitted with thc pennit application. The proposed building has beeo
designed to mect the 2000 Minnesotx Energy Code requirements inMECcheck Version 33 Release ]c and to
comply with the manda/t~ory requ'vements Gstzd in ~ie M~ECckeck Cnspectian Checklist.
Builder/Designer_~/ Date
~
I _
~ TR~EE PRE~~~RVAITIO~~~L~AN«S~.(M wml
k~(SEE ATTACHMENTS) ~
Development `SP r.L2.2 DS 1~ Lot Number < Block Number ~
Address ZZ _b S li ~ l
Builder \1F t~}NF~i4 ~T Erv~ I~t Dkr ('f~~~
&`t u ~ 3c~:'~tr
Tree Protection Requirements:
Tree Fencing
Oak Tree Pruning (Immediately seal wounds during Aprii 1 to July 31)
Therapeutic Pruning
Retaining Wall
Other:
Replacement Trees:
Not Required
as Fonows: R.(OIVI5I00
Attachments:
Yes
No
Additional Notes: ID
H:\ghove12000f1e\treepreslTree Preservation Plan Summary-2000
,e~~,e.ilnTotv ~ Pw
&~~~1r~
P~R.Ty U4~ln~~,; a. n1c
LLf !G, LDq, VENNEH.SEM ALW,[J,,
P~~i ttul, , ~aS~Pff ~LL~
:z,. N~:. 5,--E_- • 8 RD ~.~c~
CERTIFICATE OF SURVEY 7W
For: VENNEJHEM BLDG. CORP. 3WY&~
' Ln~-il- • _
LOT 11
I REES Dt~ Lb+
'
Z
~ J P • = - ~ -
U -i •r •t/` ~
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PLA 1A 0, - ~ 11 I~PL,5~
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1"1,30 Fage z o; 2 James R. Hi11, Inc_
Vovwhjem BLdWV CorPoM' Cll
25M yiest Camty Rcad 42, Sur.~ 9
Bwraft, MN 55337
' 2268 WAIL STREE7 -
CERTIFICATE 4F SURVEY
For: VENNEHJEM BLDG. C4RP.
PROPERTY DESCRIPTION: Lot 10, Block 1, WNiSPERING WOODS
TWELFTH ADDITION, Dakota County, Minnesota.
We hereby certify that this is a true and correct survey of the above
described property and that it was performed by me or under my ,
direct supervision and that I am a duly Licensed Surveyor under the
laws of the State of Minnesota. That this survey does not purport to
show all improvements, easements or encroachments, to the property
except as shown thereon.
Signed this >>th day of November , 2002. James R. Hill, InC.,
I
•
By:
E. S even i ht innesota L.S. No. 41842
Notes:
1. Building dimensions shown are for p Denotes set spike
horizontol & vertical plocement of structure O Denotes set iron monument
anly. See architeCturol plans for buildin • Denotes found iron monument
9 x927.6 Denotes existing elevotion
& foundafion dimensianS. (930.0) Denotes proposed elevation
2. No specific soils investigation has been Denotes proposed drainaqe
completed on this lot by Jomes R. Hill, Inc. TC Denotes top of curb
-SF- Denotes proposed silt fence
The suitability of soils to support the specific gencn Mork: 962.47 _TNtf L 7-8 BLK i
hause proposed is not the responsibility of
James R. Hill, InC. or the Surveyor. proposed Goroge Floor= 964.5
Proposed Garage 7op of Block= 964•9
3. No speci(iC title search for existenCe or non- Proposed House Top of Block= 965.6
existence of recorded or un-recorded easements Proposed Lowest Fioor= 956.8
has been conducted by the surveyor as a part HaRD COVER 5C}UARE FOOTAGE:
of this survey. Only easements per the recorded Lot area = 14,158 5q. Ft. 14,158 S.F.
plot ore Shown. House . = 2469 S.F.
4. Proposed grades shown were taken fram Hard Cover = 17.4 %
khe grading &/or developmenk plon prepared by Bearings are on assumed datum
NYHUS ENGINEERING SCBI@: 1'=30'
v =
11 A y ~ O
D ° ° James R. Hill Inc.
m N f~ N N O 5~ O D ~
J c°n ~ N ~ o~ m'~+ ~ PLANNERS / ENGINEERS / SURVEYORS
0 N p~'" ~ N N W 2500 Ilt CIX R6 42, SU& 1M BtwMalE. 1@I 55337
rv cn < PHOlff: (952)890-6044 FAX: (952)M4244
2268 WALL SiREET
CERTIFICATE 0F SURVEY
For: VENNEHJEM BLDG. CORP.
966.1
961.0
o ? ~ x
~ 963.5 ~ w ZwF-
~ N°° LOT 11
W=° ~ 3: t MaIdrrtwm Stopea
~ 0 to or taining WAl1lMlll
~ Be~equired
~ 966.4 0 966.4 ~
J133.81 89°50,03„W
gc. 66J 1-- ~962.3) 964-9 51.24 968.7 0.
x
W f-- ~-'F--~ -4----- ~m rn 964.°
ef
w mo+ 9b3. 964.7 ~28~~`N-y T~p C~y Mq r+ l~~] rn°' I
~9 SpKk
L~ii
J • W ~10 ~S.p° 39 ml >
V r ~ 8S-T 4j 4~3-. `O.~ ~iZ33 964
^ ~
Y
' -j ti N ~ I LiJ
~o~/ . ~ fY`
? p I Ny~p QO% 3. ~~6 o a~ 3 J
p 9
oo
i ~ ~
SANITARY SEWER ~ • rsir' - ^~^f0 o ~
L0T LINE INVERT ~ ~ 10 1 0 ~
ELEV = 952.04 7.o <o
TOP OF CURB STOP
~ ~ °i I _ D
BOX EIEV = 959.29 p Cy
AS PER CITY OF vj
-,y1 ~59~~ p,
EAGAN AS BUILT ~
PLAN
'`G \ S4 ~Y~ ~.N ,~B`~rC
~ pF
10.0- C Mq \ l o L,J IU~
9 5 n~„ ~~OO a~o~F ~oo I\10
~
]B ~ ~ ORAINAGE AND - ~
TREE CER7tFtCATION WAS ~ ~ ~ UTIUTY
NOT PREPARED FOR THIS c" .SS ~9Sg 92~~ EASEMENT AS K>
L O T. A S O F 10/25/02, 0`~, S J~ gs PER PLAT
ALL SIGNIFICANT TREES i~G y S• S
HAD BEEN REMOVED
RE=953.0 ° tz
(954.0)
A`yt;
NV14.W~-~90.4946 6 ~ ro
_...~..r' /J
4 ^I P Y!4 Q'fl`A'9 'iiS ~hT/~ D1~ Ti ~ µ ul
~S ..~.s.LC v s 1kk11V
Scale: 1"=30' Page 2 of 2 James R. Hill Inc.~
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMR APPLICATION
PROPERTY LEGAL: L ~T J D 2172 !i
DATE OF SURVEY: 4/- n 2
LATEST REVISION:
m
m
c
w
z
V
v
O~ Q DOCUMENTSTANDARDS
QI' • Registered Land Surveyor signature and company
(7 0 ? • Building PertnitApplicant
~ ? ? • Legal description
J ? ? • Address
0 ? • North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
LI ? • Directional drainage arrows with slope/gradient 9'a
r~ • Proposedlexisting sewer and water services & inveR elevation
? ? • Street name
? ? • Driveway
~ ? ? • Lot Square Foofage
? ? • Lot Coverage
ELEVATIONS
/ Existin
fd G? • Sewer service (or Proposed)
p~/ ? ? • Property comers
d/? ? • Top of curb at the driveway and property Iine extensions
I~ • Elevations of any existing adjacent homes
? • Adequate footing depth of structures due to adjacent utility trenches
~ ? ? • Waterways (pond, stream, etc.)
Prooosed
? ? • Garage floor
0 ? • Basement floor
ty ? 0 • Lowest exposed elevation (walkouUwindow)
? ? . Property comers
C~ • Front and rear of home at the foundation
PONf~ING AREA (if applicable)
? 9/0 • Easement line
[y~ ? ? • NWL
? . HWL
? ,I~ ? • Pond # designation
? • Emergency Overflow Elevation
? ~ • PondlWetland buffer delineation
DIMENSIONS
~ ? ? • Lot lines/Bearings & dimensions
q~ • Right-of-way and sVeet width (to back of curb)
? • Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc.
/ (i.e. all structures requiring permanent footings)
q' ? n • Show all easements of record and any City utilities within those easements
C9~/o ? • Setbacks of proposed structure and sideyard setback of adjacent existing sWCtures
G1~ • Retaining wail requirements, 'rf any
Reviewed: ~ e;2,,2' a2
Name W.
G:/FORMS/Building Permit Application
~ .
Site address: LotL Block ~ Subd.
/o? - /L,
On April 15, 2000 the Minnesota Energy Code, Category I Building Requirements for insulation protection, air
tightness, and ventilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy.
~ This structure: is constructed to meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This sWcture: will be constructed to meet more restrictive requirements of Chapters 7672 or 7674
APPLIANCE GAS ELEC MANUFACTURER MODEL BTU'S VENTING TYPE
'NaterHeater -O ~ ~~H C-~ ~~-r ~,~j
Furnace p 3 ~ 5 ~ ~ u ~ ~
Dryer
VENTED
EXHAUST SYSTEM LOCATION TYPE MODEL CFM's YES No
Kitchen kitchen
Bathroom 1 ~
Bathroom 2 V
Bathroom 3 ~ ~ E ~p~ ?
Bathroom 4 ~ ~
Other f~{UIJ ~.-~NNo~ , U~-
VENTING
FIREPLACE S LOCATION GAS WOOD MANUFACTURER MODEL BTU'S DIRECT ATMOS
i ~ r~rl G~~ ~
MAKE-UP AIR MODEL TYPE CFM's
I hereby acknowledge that fhe above information is correct and agree to comply with the Minnesota Energy Code and City of Eagan
requirements.
~
Si ~ / Date
~ ~~i ,n~uM~
Company Name ,~y 4 /y /}/y,?'~ T~/N~ ~
l;l~A~. VO
' This form is the responsibility of the General Contractor. ~,,u Dr ~5~a
~ J
Adilress: 2268 Wall St Zip: 55122
Lot: 10 Block: 1 Subdivision: Whispering Woods
THE FOLLOWING ITEMS WERFJWERE NOT COMPLETE AT FINAL INSPECTION ON G.&. 03
Yes No Comments
Final grade - 6" from siding ?
Permanent ste s- ara e ?
Permanent ste s- main entry
Permanent drivewa
Permanent gas
Sod/Seeded lawn ?
Trail/curb damage ?
Porch
Lower level finish ?
Deck ?
Fire lace
• Verify with your builder tHat roof test caps from the plumbing system have been removed.
• Turn off water supply to the outside lawn fauceu before freeze potential eacists.
• Call the City's Engineering Department at 651-681-4645 prior to working in right-of-way or installing
irrigarion system
BUILDINGINSPECTOR 'r'~~~ ~Enctr
~
cd/b1dginsp/fortns/2002/final inspec[ion checklist
T _
. • - , .
Site address: .~~~'~~°'Lol J0_ Block ~ Suhd.
On April 15, 2000 ihe Minnesota Energy Code, Category I Building Requirements for insulabon protection, air
tighlness, and vantilation, was adopted. As a result, the City of Eagan is requiring that the following information be
submitted prior to issuance of a Certificate of Occupancy,
~ This sfructure: Is constructed W meet minimum requirements of the Mn Energy Code, Chapter 7670
OR
_ This eUuclure: will be canstrucled to meal more restnc6ve reorements of Chapters 7672 ar 7674
qPPLIAHCE GAS ElE MANUFACTUitER MODEL 8TU'S YEKfING TYPE
Water Heater , fl t • N 5 6 N
Fumace
Oryer
VENTED
EXHAtJST SYSTEM LOCATION TYPE MODEL CFM's YEs Ho
Kitchen kitchen
Bathroom 1 r1l Ne, Vfi L 1 4~V f V
Balhroom 2 i 1 'l Ew
BaNroam 3 j ~ 6DP
Bafhraom 4 V~
Other ~u 'C~ ~ (J ,
S YENTING
FIREPLACE LOCATION GAS WOOC MANUFACTIJRER MODEL ; BTU'S DIRECT aiMas
~
MAKE•UP AIR MODEI TYPE CFM's
'
I hereby acknowledge that the a6ova informaUon is carracl and agrae to comply with lbe Minnasota Energy Code and City of Eagan
requirements.
~ 03
" ~ig tu Dste -
~~c;m t ~ EA 05~1 l~f
CompanyName
• TAis farm is the responsihility of the Genaral Contractor.
~
2005 RESIDENTIAL BUII.DING PERMIT APPLICATION 4-~0'00
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consimdion Reouirements RemodeVReoair Reaviremenis OffiCe lke 6nlv
3 regisfered site surveys showing sq. fl, of lot, sq. fl. af house; and all roofed areas 2 copies of plan Cedcd Swvey Recd N
(20% mazimum lot coverage ailowed) 1 set of Energy Calculations fw heated addiGons T3m, PtCS P(srf' Rectl _ Y_ N'.
2 copies of plan showing 6eam & window sizes; poured (ound design, etc. 1 sile survey for addilions & decks Tree Pres FoqUitOd N
isetofEnergyCalculafions Addition - indicafe'rfornsdesepficsystem 9hsiie$eptic~~st2A1 _~Y,_N'
3 copies of Tree Preservation Pian if lot platted afler 71iRJ3
Rim Joist Detail Options selection sheei (buildings wilh 3 or less units) IL
T
Date H_ I~_ Construction Cost )-0 U09" Qa/<' 41 I~~--
SiteAddress 2,2i(.7 COUSY- Unit/Ste #
Description of Work r r„ k "la-~Y fL~rvw~~~°°rlncmw, t...-L.a.GSUV`n~
Multi-Family Bldg _ Y~Q N Fireplace(s) ~ 0 _ 1 _ 2
Property Owner Omm\'n~ Telephone # ) QqU ~i~d~
Contractor C~
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Rules 7672
Energy Code Category , Residential Ventilatlon Calegory 7 Worksheet • New Energy Code Worksheet
(J submission type) Submittetl Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y N If yes, date andddress of master plan:-~, i
- - i~ ~ f~,
~ n
Licensed Plumber Telephone ~
h ' VU" ~ LuuJ I
Mechanical Contractor Telephone )
Sewer/Water Contractor iE'~~- - - = - I Telephone )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
e
Applicant's P nted N~a'me Appl an'
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
O 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
0 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
X 33 Alteration ? 37 Oemolish Building' ? 43 Reroof O 46 Windows/Doors
? 34 Replacement •Demolition (Entire Btdg) - Give PCA handout to applicant
Valuation Occupancy 9-3 MCES System _
Plan Review ~ 1 DO°k or _ 25% _
Census Code ~f 3~( Zoning City Water
SAC Units Stories Booster Pump -
# of Units Sq. Ft. ^ PRV ~
# of 81dgs Length Fire Sprinklered
Type of Const ~ Width ~
REQUIItED INSPECTIONS
_ Footings(new bldg) FinallC.O.
_ Footings(deck) ~ FinallNo C.O.
_ Footings (addilion) Plumbing
_ Foundation ~ HVAC
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retainutg Wall
Approved By: , Building Inspector
- -
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
v5o ~
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN C K~
3830 PILOT KNOB ROAD, EAGAN MN 55122 ~7gs
651-675-5675
Please complete for modifications to existing residential dwellings.
Date C?_
Site Street Address al L g Cs-ca.~ ~ S'~f ee'h Unit #
Property Owner M~~ CoA,n n.`K _ Telephone #((p1a) SqU- 2,14s60
Contractor r 'n v` Telephone# (651) 40--7Ra4
Address 163y CH evxc6e~ City r iv+ State VY~h Zip U?
The Applicant is: _ Owner ~ Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. !f ~ou are installinp onl a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
Water Turnaround (add $125.00 if a 5!8" meter is required)
Y Other. ~e ¢ve QQ.~OrEAK UJWQ:VLAJ0
~
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ 60,SO
I hereby appiy for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an ap\ptication for a
permit, work is not to start without a permit and work will be in accordance with-tti"e approyed plan in
the event a plan is required to be reviewed and approved.
,J )CV,wt'el The~Pv~
ApplicanYs Printed Name ApplicanYs Signature
Aug 07 13 07:56a The Fireplace Guys 612-326-1918 p.1
Use BLUE or BLACK Ink
I For Office Use I
1101, j Permit 11_d aC49 I
I g
City of EaALIr
Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: 5694 75 I
Fax: (651) 1) 6 1175--5694 I Staff: f
I €
12013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /7/23 Site Address: rPP,) i3127 Unit#:
Name: t, .91.5 Phone: 617.,) Qv- _27217-
Resident/
Owner Address i City !Zip: ~Llc`I) (U rrA e sJLZ
Applicant is: Owner Contractor
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Type of Work I Description of work: 'T n~~~i el~.~ lfi C,P e
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Construction Cost: L/ 000 _m Multi-Family Building (Yes / No
r ComPanY TVZ_ f--i N r~ t c ~/S Contact: 147 ~ I
Contractor Address: illaIt A-e _ 40' "4120 City: r r,
State: Pnll, Zi Zs~ p: Phone: J €
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License L
_~~C / l .yys' Lead Certificate IU
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
is
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
6 In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? a
l
_Yes _No If yes, date and address of master plan.
I
Licensed Plumber: Phone:
I
Mechanical Contractor: Phone:
Sewer & Water Contractor. Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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.gopherstaleonecall.ora
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 w.th the approved plan in the case of work which requires a review and approval of plans.
Exleriorwork authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x F~Gt~ U1ti1c,' 14-✓, r,1D r1
Applicant's Printed Name Apphcant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
G 0 l 44C~
City an I Permit#:
X08 I
of Ea a
~ Permit Fee: ~ l
3830 Pilot Knob Road 1 , L
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 1
1
Fax: (651) 675-5694 Staff:
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address:
Tenant: Suite
Residenlt/Owrier~ Name: Phone: f 2{ -~~v~~
r
Address lCity /Zip:
71, Lill, d
Name: License
Address: City:
;'Contractor'
State: Zip: Phone:
Contact: Email:
PLUMBING (Within the building envelope) SEWER & WATER (Outside the building envelope)
..Type of Work Sump Pump Repair Repair
Other: Other:
Description of work: Jy-1P "'I~ ~'tcS G~~ISZ Q
Description
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE $ O
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.citvofea-gan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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.gol)herstateonecall.org
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.
nv / Lao i~
ao oL-1 S x
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Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: ` Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125767
Date Issued:08/01/2014
Permit Category:ePermit
Site Address: 2268 Wall St
Lot:010 Block: 001 Addition: Whispering Woods 12th
PID:10-83961-01-100
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Danielle Merritt
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Mark W Waous
2268 Wall St
Eagan MN 55122
Merritt Restoration
2031 Basswood Ct
Rockford MN 55373
(612) 282-9979
Applicant/Permitee: Signature Issued By: Signature