2182 Water Lilly Lane
. . INSPECTION ?~EC4RD 0 '
,r' OF EAGAN PERMIT TYPE:
Pilot Knob Road Permit Number: '114t40' .
' Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
;
~ ~ I V I`nriF
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION DA •
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ELECTRIC ~
" PLUMBING
HVAC / S(o 8.`T$-6AG7
Inapectlon D Insp. Comments
FOOTINGS `
FOUND
G G !0
FRAMING
ROOFING
ROUGH
PLUMBING
PIBG
Alfl TEST ~
ROUGH
HEATING ~
GAS SVC , TEST
INSUL '
GYP BOARD
~
FiREPLACE
FIREPLACE
AIR TE5T
FINAL PLBG
FItVAI HTG •
ORSAT
TEST .
BLDG FINAL
BSMT R_I.
BSMT FINAL
- -
DECK FTG ~ .
DECK FlNAL
p.
Y
. '
•SITE AbDRESS 4n- Unit # Permit #
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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SITE AbDRESS lrl, Unit # Permit # -Wv
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE CQMMENTS
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INSPECTION INSPECTOR OATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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~-1 nw ~ NA$ S- 4 -lb
INSPECTION INSPECTQR DATE COMMENTS
SITE AbDRESS ' Unit # Permit #
L ~ B Sect./Sub. -
33 8!00 ./Z 9 S!o ~ °1
INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTOR DATE CUMMENTS
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INSPECTION INSPECTOR DATE COMMENTS
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INSPECTION INSPECTQR DATE COMMENTS
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INSPECTION INSPECTOR DATE COMMEMTS
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INSPECTION INSPECTOR DATE COMMENTS
j
. PERMIT
CITY QR EAGAN
3830 Pilot Knob Road ' PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 4 0 0
(612) 681-4675 Date Issued: 0 8/ 0 7/ 9 6
SITE ADDRESS:
2182 WATER LILLY LANE
LOT: 8 BLOCK: 1
EAGAN HEIGHTS TOWNHOMES 15T
P.I.N.: 10-22425-080-01
DESCRIPTION:
Building-.,.PermiC Type 8-PLEX
1,Bu,ilding 41br~k Type NEW
~ UBC:flccupanc,~~ R-1
Corrstruction `1`yp,e v-N
~ Zoning PD
Bua,lding-,:Length 149
Bui,2ding Widt'h 64
C,en'sus C¢de 105 5 OR MORE FAMILY
lir t ip
U ~
\ ""a~'3 ll •
i
REMARKS:
INCLUDES 2184 2186 2188 2190 2192 2194 2196 WATER LILLY LN
9& bd iPk °~V-1~L 6€a' oI o r
FEE SUMMARY:
VALUATIDN $697,000
• Base Fee $9,724.50 CITY SAC $800.00
~ Plan Review $1.862.25 WAC $6,080.00
Surcharge $346.50 S & W PERMIT $100.00
SAC $7,200.00 S & W SURCHARGE $.50
SAC ~ 100 7REATMENT PLANT $3,168.00
SAC Units 8 ROAD UNI7 $3,440.00
Subtotal $13,135.25 Total Fee $26,723.75
CONTRACTOR: - Applicant - sT. Lzc.OWNER:
70WN & COUNTRY HOMES 19253899 0009137 TOWN & COUNTRY HOMES
6600 FRANCE AVE S 6800 FRANCE AVE 5 170
EDINA MN 55435 EDINA MN 55435
(612) 925-3899 (612)925-3899
I hereby acknowledge that I have read this application and state tl4at the
infarm t"on s cqrrect and agree to comply with ail applicable State ofi Mn.
L Stdt' e a d"City of Ea,gan ar-dinances,, ~
APPLICAN ERMITEESIGNATURE ISS~E GN~~~ 1
. cinr,oF 'raN
3830 PILOT I~Nb RD - 5~ifZ2
~ 1996 BUILDING PERMIT APPLICATJ~~. (RESIDENTIAL) ~j~•{ (,_~i~
• 681-4675 4•
1. ' ~ '
New ConsWCion Reaufrements RemodeVRepeir ReauiremeMs
? 3 mpieMrod slte surveys copies of plan
? 2 aopiea of plens (indude beam & window sizea; pouratl fid. design; efc.) :,2 sfte surveys (exterior aAdkions 6 decks)
? 1 energy calwletione 1 errergy qlwlatiom for heated edd@ions
? 3 copiea ot tree pieservation plan iF bt platted eRer 7N/93
requlred: _ Yes _ No
DATE: 4/17/96 CONSTRUCTION COST: t4??,AAn
DESCRIPTION OF WORK: Comnlete Construction of Townhome Livine Units
STREETADDRESS: 2182-21e6 water T.i,iy r.ane
LOT 8 BLOCK 1 SUBD./P.I.D.#: in ??igs nRn ni
~AGAAt 17614NTS Ti~wGVen...cs
PROPERTY Name: Town & Countrv Homes Phone Qgs-aRQQ
OWNER '
Stf@@t AddfeSS' 6800 France Ave. s. _ 11170
CIty: Edina 5tate: rrrr ZIp: 55495
CONTRACTOR Company: 'rown & Countrv Homes Phone Qus-lRQQ
Street Address: 6800 France Ave. S. .#170 License cy3 A;
Clty: Edina State: rIN ZIP' 55435
ARCHITECT/ COmPBny: LHB En2ineers & Architects Phone
ENGINEER
N81T12: Jerrv Putnam RB91Stf8tlOf1 19343
Street Address• Zso Third Ave. N. 11450
Cjty; Minneapolis State: MN Zip: ssaoi
Sewer & water licensed plumber. vaile Plumbine PenaHy applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to com ly,~yvith ail
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY ~
Certificates of Survey Received _ Yes _ No 8 1996
Tree Preservatian Plan Received _ Yes _ No
~
OFFICE USE ONLY °
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling ? 07 4-plex o 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition~08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex o 15 Deck
WORK TYPE
X31 New o 33 Akerations o 36 Move
0 32 Addition o 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) ,0- Al Basement sq. ft. 5af'y MC/WS System ~
(Allowable) ir-ti Main level sq. ft. c~ City Water
UBC Occupancy 2-1 Z sq. ft. /y Fire Sprinklered
Zoning ~ sq. ft. PRV
# of Stories z_ sq. ft. Booster Pump
Length /yy sq. ft. Census Code. /O S
Depth 51 Footprint sq. ft. SAC Code o/
. Census Bldg /
Census Unit AV_
APPROVALS
Planning Building Engineering Variance
Permit Fee Valuatiort: $~o t7 7 000 Surcharge
Plan Review
License
c y~sAC AC y s ryx sy ~7 ~ x vs- = 29 Z7s
Water Conn.
Water Meter Z 67, SY6 ~_t, = 3 S/ 3 x i.f = Si i 9.5-
Acct. Deposit
SNV Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded. S~ Syl/zs"/ - 2-,0/0 x~lo =
Trails Ded.
Other 3 76 7~0
Copies ~
Total:
°h SAC
SAC Units
a`.
~
5 V W InCid WdG 1: ::I FL - ZT-l.U
2422 Enterpriae Orlve
Mendoto Hoights, MN 55120
* PIDNeiR (842) 681-1914 FAXs881--9488
uwu suRVErau . avl R+dPmis
uw vuwxens• vvnroscrrE nnanlcc~s 625 Highwoy 10 N.E.
* QM'1 naar n~ Blaine, MN 55434
-k* * * (612) 783-7880 FA*783-1883
Certificate of Survey for: TOWN &COUN Y TOWNHOMES
y/~ ~-rSCALE : 1 INCH = 30 FEE7 --'r j
~ ~W~G ~T -T -T -T ~•-T r---• BEKCH MARK I
i/ ,
6ENCH MARK i3.00 ~ 34.33 i 17.17 i 1717 i 34.33 b 1 23.0
TOP OF PIPE I o I c~ ~o i lo I o $1 ~ TOP OF PIPE ~
o I I o I o ~~a~ ~ p` ~ c ELEV.=883.99
o
ELEV.=986.66 ~ f i o ~ 4 1 i ~ d csi o~ s
i N ~ I N N 1 1 I N N~ N' ~
I
i ~
W q j s j C l D'I E I F W ~
~ ~ (BUILDING ;SD WINO t~PTIONS) i ~ o t,
PROPO5ED SERNCE 8'86I i j 1.67 x 0.~
EL.=876.6 x 1.67 5.50
1.79 1.79
I N ~ 5'
E~ V A p! 1`~ ~ i n I ul i ~i ~ m ! N ~
*0tl l E Yd E D i~ 21.00 21.00 W 2166 qi ~ 2 i 23.66 to
0
7e)
o
i 23.00 N ~ ~34.33 ~ 17.17 L~1717 ~ 34.35 ° 2aao I gENqi NARK
N C H A I A R K ~-------a------------1----__~_--, L- ~-------is
70P OF PIPE
TOP PIPE ELEV.-885.74
i ~
887.7
401•p~ ~ ~6o
~
]EAGART ER,IlVQx DEPT. <0
N
PROPOSEO HOUSE ELEVAiIOCJ_ A 7. -A,
. ~
LNI75 A_e~e. 7 aa~,,y e; 5,~: 5e7.2 LowES~o°~,~vnnoN; rx,r g ~ ~
roP oF/ ocK ELEvnnoN:
GPRAGE 31A6 ELEVA7IUN •C ~
AT DOOR
~
i y ym
SJNtTS C. D. E Ae F ~3 E "
~
LOWEST FI R EL~VAl10N: v/~ ap- ~Z~
{i~P6d+d T/G / ~ ~I I~ V 'i;
T O P O F~ L O G K E L E V A T I D N: F 5 5 8.
GARAGE SLAB ELEVA71bN ~ic~ 88~''r0
AT p00R , r~8P- / 886
NOIE PROPOSEO GRAOES SNOHN PEft GRAPINC PLAN 6M PIONEER ENaNFFRMC ~ NDIE: BUILpNC QIMENSIONS 910WN ARE FOR NGFNZONTAL Mri1 4ERTGL Ld%ATIUN
OF S7AUCNRES ONLY. SEE AftCHITECILAL PLhNS FOR BUIl01NC ANO
FOUHbA" DIMENSIONS. ~ .
NOIE: NO 3EGPIC SdL3 INVESTIOAl19N HA8 6EEN COMP4EICD Ory 1"5 LOT 8Y 7HE
SURVEYqI. 1F1E SUITFBftli1' W SOILS TO 5UPPORY Mf SPFdF1C HWSE
PROPOS£D IS NOi 7HE RESPIXVSI&l1N OF TNE S11R\Ey0ry.
NOTE, THIS CQ2T11CAlE 006 NOT RIRPORi TO SFI6W EASEMfN7S G7HCR 7MAN % Op0.00 OR10TE3 EXI97MiC EIEVATQN
. YNOSS SHOYlN ON THE RECONMO PIAT. ( ppp,pp ) QE.ryo7E3 PROP09E0 EIEVATOH
NOl[: OONIRACNII MUST KI11F'Y DRIVEWAY OESIGpI. -DENO,lE3 ORMHACE AND V11LIlY EASEIAINT
OENOTES DMINAG£ FlAY! qREC710N
NOh: SEUiwcs SNOM nAE BASt» ON AN ASSUMED DANM -0- oaoh3 MmnndENi
---0- oaotes oFSSCt inm
riE HEREeY CERTIFY TO TOriN & CDUNTRY TpWryHOMES THAT THIS IS A TRUE AND CORRECT REPRE5ENTATtON OF A
SURvEY OF 11iE BOUnDnRIES OF:
o~o n8cour~ONK~ 1 EACAN HEIGNTS T0IMVHOMES 15T ADDI110N
IT DDES NO7 PURPORT TO SHOW IMPROVEMENTS OR ENCHRQACNMENTS. EXCEPi AS SHONN, AS SURVEYEO BY ME OR
UNDFJ3 MY DIRECT SUPERVISION THIS 16iH DAY OF APRIL 1998. RE~i5E0 5-i7-9e BUndNO S NE~ PIpNE£R E INE ING, P.A.
SCALE : 1 INCH - 60 FEET eF+nsco 7-12-aa eunnwa
1336 95343.03 PJH John C. Larson. LS. Reg. No. 19828
I0'd
LOT SURVEY CHECKLIST FOR RESIDENTIAL
' ILDING PERMI APPLtCATtON
~ PROPERTY LEGAL:
~ DATE O SURVEY: .S-
~ ~ f.ATEST REVISION:
DOCUMENTSTANDARDS
e" ? ? • Registered Land Surveyor signature and company
~9~ ? • Building Permit Applicant
~ ? • Legal descriptlon
~ • Address
e~ ? ? • North arrow and scale
~/o ? • House type (rambter, walkout, split w/o, split entry, Iuokout, efc)
C~ ~ ? • Directianal drainage arrows with slope/gradient %
o ? ? • Proposed/exdsting sewer and water services 8 invert elevation
?
~~o • Street name
[Y ? ? • Driveway
ELEVATIONS
. Existina
? ? ? • Sewar service (or Proposed)
s!o ? • Property comers
[+J' ? ? • Top of cufi at the driveway
O 20"'10 • Elevations of any eristing adjacent homes
Prooosed
a, L3 13 • Garage floor
~ o ? • First floor
4i'o ? • Lowest exposed elevation (walkouUwindow)
qr ? ? • Property corners
Cl-~13 ? • Front and rear of home at the foundation
PONDING AREA (if aoolicable)
? • Easement line
? 2r, ? • NWL
? ? • HWL
? Ca'/o • Pond # designation
? 0~ ? • Emergency Overflow Elevation
DIMENSIONS
0-~] ? • Lot IinesBearings & dimensions
? • Right-of-way and street width (to back of curb)
~f ? ? • Proposed home dimensions including any proposed decks, overhangs greater than 7,
porches, etc. (i.e. all struciures requiring pertnaneM footings)
? • Show all easements of record and any City utilities within those easemenTs
C;~- ? g, • Setbacks of proposed strudure and sideyard setback of adjacent ebsting structures
11 • Retaining wall requirements, if any
Reviewed:
Nam~ ~ e
Jenuary 1996 ( 0~
CRAM.1 a&dOLOOPRMI'. FM
9253799
JU~-?0-96 W D 06:02 PM TOWN & COUNTRY FAX N0. 9253799 P.02/02
07110196
4-PLEX BUILDINGS (o`i~thout basements - 4A and rMh basements - 4B buiYdings)
~ EACH UNIT SUBTOTALS
Unft Bsmt 1st 2nd Gersge X#of Vnits Bsmt 1st 2nd Garage
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472,-_1472_1434 _9'10
TOYAS ^ ~4 2742 2742 284 ~142
5-PLEX BUILDINGS wdhout basements - 5A and wdh basements - 58 buildings)
UNIT SUBTOTALS
EACH
Unit Bsmt 1st 2nd Garage X#ofUnits 85mt lst 2nd Garage
1 1171 1106 - 283 1 1171 1106 0 283
2 835 635 730 291 1 635 635 730 291
3b 736 736 717 455 2 1472 1472 1434 910
4 _ - 1325-- 278---- 1 0_ 0 1325 276
TOTAS 3278 3213 3488 1760
- 68 builtlings)
&PLEX-BUILDINGS without basements ~ 6A and with basements
-
~ EAGH UNIT SUBTOTALS
Unft Bsmt lst 2nd Garage UnitS 2540 2540 2920 Garage
2 635 635 730 291
3b 736 736 717 455 2 1472 1472 1434 910
TOTALS 4012 R012 4354 2074
6-PLEXBUILDfNGSLthoutbasements-6G.buildin s) SuBTOTALS
EACH UNIT
Unii Bsmt lst 2nd Garage Xilof Units Bsmt lst 2nd Garage
1 1171 1106 . 283 1 1171 1106 0 283
2 635 635 730 291 2 1270 1270 1460 582
3b 736 736 717 455 2 1472 1472 1434 910
q _ - 1325 276 1.__ _ 0 _0 1325 _ 276
TOTALS 3913 3848 4219 2051
6-PLEX BUILDINGS without basements - 6D and with basements - 6E bufidings)
EACH UNIT SUBTOTALS
Unit 6smt lst 2nd Garage X# of Units Bsmt lst 2nd Garage
1 1171 7706 - 283 2 2342 2212 0 566
3b 736 736 717 455 2 4472 1472 1434 910
q _ 1325 276 2- 0 0 2650 _ 552
TOTAL5 ~ 6 3814 3684 4084" 2028
7-PLEX BUILDINGS wtthout basements 7A and with basements - 79 buildings)
- ~
EACH UNIT SUBT07AL.5
~
Unit Bsmt lst 2nd Garage XitofUnits Bsmt lst 2nd Garage
1 1171 1406 - 283 1'1171 1106 0 283 Y~' ,
2 635 635 730 291 3 1905 1905 2190 873
3b 736 736 7'17 455 2'1472 1472 1434 9'ID rr
4 - - '1325 276 1 0 0 1325 276
_
TOTALS 7 4548 4483 4949 2342 f
8-PLEX HUILDINGS without basements_ BA and with basements - BB buildings)
- EA.CH UNIT SUB70TAL5 q-
tJnit Bsmt tst 2nd Garage X#ofUnits Bsmt lst 2nd Garage 1\ i Q y~.2
2 635 635 730 281 6 3810 3810 4360 1746 e/
3b 736 736 717 455 2_1472 1472 1434 910
TOTALS S 5282 5262 5814 2656 1 `
QING~S~ ~d8G and w ith basements - 8D 8 8E buildings),
~T2635 . _ . . ~
ACH UNIT"SUBTOTAL5
1st 2nd Garagt Xof UMts 6smt 4st 2nd C~6
1106 283 2 2342 2212 0
635 730 291 2 ~472 11270 q27 72 1~4 980
736 717 455 ~
132527B 20 0 2650 552
T07ALS " 8 5004 _ 4954 5544 26'10 1
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) ~bO•~J~
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-881-4875
New CorohucHon Reaulremenb 4~ )qxo aU Remodel/Reoalr Reaulremenh
a J reyialeretl slfe wrveri showlny sq. ft of bf. s4. n. ol house 2 coples ot plan
and go roofed areaa 17D76 maxlmum bf covemae allowecD W J 1 set of energy cdculaNOns for healad atltlitlons
> 2 coplea d plane (show beam & wlntbw sizes; poured Ind. dealgn; efc.) 1 site aurvey br extedor addiflons 3 decks
> 1 aet oi energy calculaHOns
> 3 coWes W hee preaervaflan plan H lof platPed aRer 7/1 /93
DATE: 6s~" CONSTRUCTION COST:
DESCRIPTION OF WORK: [OWtl'~-pveI Ef1'II Ck ~,J ~Q
STREET ADDRESS: Z Z- ~LO Lr~ ~ ~c ~ ' ~ nt S
~f~-Eii)
/O y'ZS J:01/ 02 /'~R-( v 1/~
LOT: 804 BLOCK: 02- SUBD./P.I.D. Y: ZZ
U„'~ £aaah He,iakZs ~nwnhow?es C5~-
Name: F- L~ /`S 0~/'oG~-! Phone g: fv 5V -70 7 46 '
PROPERiY last Flrat
OWNER SheetAddress: 211~0 eo'-/c.- L~``Z L"-C
ciy ~a9 e n Siate: /01/0 Lp: SS~Z L
Company. Phone
(area code)
CONTRACTOR '
Sheet Address: Licenae # ExP•
C11y State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone M: ( )
Sheet Address: Regishailon
CNy State: ZiP:
Sewer/water licensed piumber (if installina sawar/waterl: Phone
I hereby acknowledge that I have read ihis applicatfon, afate fhat the (nformation is cortect, and agree to eomPlY wilh aA applicable Stale
of Minnesota Staiutes and Ciy of Eagan Ordinanees.
Signafure ot ApplicanY.X
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No 26
Tree Preservat(on Plan Received _ Yes _ No _ Not Required ~
~
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
? 01 FoundaUon ? 07 OS-plex ? 13 16-plex ? 21 Poroh (3-sea.) ? 31 Ect. Alt - MuRi
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Ak - SF
? 03 01 of _ plex O 09 07-plex O 18 Deck ? 23 Porch (screened) ? 36 MuRi
? 04 02-plex ? 10 08-plex ~ 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-plex Plbg _Yor_N ? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
? 31 New ? 36 Move Bldg. O 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
~ 33 Alteration ? 38 Demolish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATlOfI
SAC Code (9/ # of Stories sq. ft.
No. of Units Length sq. ft.
No. of Buildings Width Footprint sq. ft. ~
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy V113 i4l, sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
1-~sfL
APPROVALS ~
Planning Building T4tit +'k Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review /
License l L r= JI"'Y~/.~ J d'J' t~( o~ 570
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S1W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
SAC Units
% SAC
L i BL CITY USE ONLY RECEIPT#: 6q(07/h
~
SUBD. ~(C(.O[Yn.~- DATE: ~L~
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
/ ? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioninp Add-on air exchanger, i.e. Vanee system, etc.
Date:
FEES
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU g x, 24.00
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each) J(,~g Ys
? State Surcharge .50
TOTAL 49
?~Sa6, g l~
SITE ADDRESSI I U-Vy- No' M 940 ' 99'7y ~L W4112k-
OWNER NAME: O 4- I PHONE #:9aL S(`/7
INSTALLER NAME:
STREETADDRESS:
CITY: ///l'-9Cj STATEIWd _ ZIP: ~07
PHONE ( ) f~ f
/
~ CITY IJSE ONLY
L ~ BL '4f!~ RECEIPT#:
VVILKAtrp~ vJ'""w"""" I1* DATE: 41°2G plO
SUBD.
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
¦ townhomes and condos when permits are required for each unit
FIXTURES EACH NJQL TOTAL
Shower 3.00 x =
Water Closet 3.00 x
R3th T;,,h 3,00 x I tp _ ~v-
Lavatory 3.00 x i I,
Kitchen Sink 3.00 x
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x C4 = a y-
Floor Drain 3.00 x 44 _ -a y
Gas Piping Outlet * minimum - t 3.00 x
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * oakota Cry. iicense 50.00 =
(new and refurbished systems)
U.G. Sprinkler * home under const. 3.00 =
ARerations " to existing 20.00
=
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL r) y U
SITEADDRESS: [..1a~~n
OWNER NAME: r~T
INSTALLER NAME:~P 14 , C v y.
STREET ADDRESS: V t~ r~)a
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Permit # .~?YS,1o
10 Address: ~2rRa Waniz. uc~y ~-.r ~
1 AGREE TO COMPLY WITH C(TY OF EAGAN
ORDINANCES
Signature:
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2000 FIREPLACE PERMIT APPLICATION /
CITY OF EAGAN ~
'
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ~ l v LJ t' ~Q 61~ r"'`A /
~ ~ ~Si.~~r
Description of W k: L/ Construct new firep{ace `'--!~'as _Masonry Alierations to existing
Install zas insen onlv Install L-as line onlv
Other /
Job sddress:
Lot: UO Block: Subdivisi /P.I.D. ~16 /"/Oh'IES
Applicant (circle one only): Owner ontractor Permit Fee: $60.50
Name: L ~ S Phone
PROPER7'Y Last First
OWNER
Sheet Address:
City ~C~IV 11 ` State: rn f~J Zip:
Company: ' Phone
(area code)
FIREPLACE
[NSTALLER StreetAddress:
Ci!v Stat • Zip:
Naaallat,MN 6~13t
Compan . Phone
(area code)
GAS LINE
INSTALLER Str t Address: G, 1"
ity State: Zip:
I hereby acknow dge that I have read this applica ' n and sta e: that the information i correct and agree to
comply with all pplicable State of Minnesota tes and Ci of E dinances.
~
/
S gna re
~
~L~3al ~
2006 RESIDENTIAL BUILDING rExnaIT nrrLicnTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion RepUirements RemotleVReoair Reuulrements ORice Use Onlv
3 registered site wrveys showing sq. ft. of lot sq. ft. ol house; and all roofW areas 2 copies of plan shaxing foolings, 6earre, josls CeA otSUrvey Recd _ Y_ N
(20%mavimum lo[ cweage allowed) 7 sel of Energy CalculaOMS for healetl atldNans Tree Pres Plan ReM . _Y _N
2 capies d plxn showing beam 8 vrindax sizes; poured fantl Cesgn, etc. 1 site survey lor add'Nons d decks Tree.Pres Required _ Y_ N
1 se[otEnergyCalcula6ons AddiAon-iMicafeifon-sitesepNCSysfem OmsiteSepticSystem_Y_N
3 copies ol Tree Preservafion Plan if lol platted afler 711193
Rim Jdst OeYail Op6ons seleclian shcel (huilaings with 3 or less urvts)
Minnegascn mcchanicnl ventilation Comi
Dalc Construction Cost 000
~
SitcAddress ,'CI g;i,-a~y (.Jtg -7"£2 41tCY LA) UnidSte#
G~,:yCiva V~ cRi2ib lc E...
UcscriptionofWork R£:-.cvt a RLPcpeL~c[~t,~~ : RaI LS AtL`E.~.ST~.JG F-,4.ar.^~G ~c Rr,tia~
Multi-Famiiy lildg X Y_ N Firepiace(s) _ 0 _ 1 _ 2
Pmpcr[y Owner c/o h J R W H1 D {'Ro n£ R'T ir S Telephone #((;S~/ ) VS0`2 3 06
SoN..-t URS~.~O
Contractor
Address z/o.J' City /y/ NL 5
Statc /)I A) Zip SS Telephane # (G /x ) 9'6 ~ - 62 y 3
COMPLETE TFIIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7690 Categorv 1 Minnesota Rules 7672
Energy Code Cat@gofy , Residential Vemilation Calegory 1 Worksheel • New Energy Code Worksheet
(4 submission type) Submitted SubmiHed
. Energy Envelope Calwlations Submitted
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan bosed on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone )
Mechanical Coniractor Telephone ~
SewedWater Coniractor Telephone ~
1 hcreby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
thal the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 1 understand this is not a pertnit, 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 lan in the ase of work which requires a review and
approval oPplans.
~lui1J 'd~ 2iziS
Applicant's Printed Name Applicant's Signature
10/03/2008 11:26 6128616267 BEI EXTERIOR MAINT PAGE 26
I
I
Cit'{r~ of Ba aIl ; Pgm~~
J 1 Pertnk Fee:
3830 pilot Knob Road
Eagan MN 55122 ~ Dete Receivedt ~ j
Phone: (651) 675-5675
Fax: (651) 675-5694 i staff.
2008 RESIf)ENTIAL BUILDING PERMIT APPLICATION
Date: iD_I_3I D$ _ SlteAddr€ss: 6c)429_ /It_t-Y La9.l16 .
Toro":~A/J1,~jt_d'r: '18~/ .?186, m?183~, 2/9b. I/9z 2/94/ _?194' suita#:
REStbENTlqWNER Name:70 1JU2f}Nb SASSex4FdTL`s Phone: 46?`'~~-0;D- ZsOp
Addrass ! City / Zip: 717 ,g_)'.VQ AVr W .5o .$$r pAllL /!'J/(/
Applicant is' -Owner Conbactor TrPe aF woRK oescription otwork: AE/l?dtrE ,¢ir/O RWZAer 99Qf
~
Construcfian Cost: 24-161) ~ MuHi-Family Building: (Yes No ~
CDNTRACTOR Name: eEr EXTEk Itl2 ~ cbd License#: 20D4 1334 3/3o 105
Address: 405 j.~tE (D SYIZ~
ciry: IUlUAIE7a'PUZ-I S state: AfIv Zrp: ,53~'~l/9
Phone= In12 ~gGI jg~243 CoMaG Pefspn: //E /h-
COMPL.ETE THIS AREA ONLY IF CONStRUCTING A NEW BUILDING
Minnesota Rules 7670 Catenarv 1 Minnesota Rules 7872
Enef9Y Code . ResiderHial VentilaCwn Catagory 1 Workshaet • New EneFgy Code Work9heet
Cat@gOry Sudmitted . Submltted
(J submission fype) • Eneigy Envebpe Caiculatforw Submitted
In the last 12 monttis, has the City of Eagan issued a permtt tor s simFlar plart based on a master plan?
_Yes ^NO Ii yes, date and address of master plan:
Licensed Fiumbsr. phone:
Mechanical Cantractor. ' Phone:
Sewer 8 Water Contractor: Phone;
NOTE: Plans and slep~rtiir~ dd&tlifteni§ itAaf you srrdiftft'ate 06Hsrdb'lad,#B be Pr,blrc;:informatfon, 1'ortians af
tha inftlYrt'iaffon rr~ay ba ctds§F~~Yla~ ~roit' pubtf~~Aybt~ jpnovfda sp0xifi~' r4alsoh5 that wuufd p~rht~f;h0 Gify ro'
I here6y acitnovRedge th¢t this informatlon Is complete and accurate; that tne work wlll 6a In wnfortriwce wlth the ordinences and wdCS of the Clly IN
Eagan; that I underatand this fs not a permit, but onty an applieatien fw a pertnit, end woik fs not ta start without a permik Shat tha wor1c xrill be In
accordanee with ttie approved plan in fhe case of work which requires a review 6nd appraval 04 plans.
x
Appiicant's Printed Mame AliplicanVs Signature Page 1 of 3
f goiz o/
~
Pe
Clty 0f E8~~Il ; rtnit#:
I ~/Q I
I Pertnit Fee: f"~' U
3830 Pilot Knob Road
Eagan MN 55122 ~ Date Received: ~ I
- Phone:(651)675-5675
Fax: (651) 675-5694 I starf: i
1
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: 217 218y a/$4F2/~~g, 07/24 2~* ~/9~', al/9G ~~G~'•s'T~ ~~y' ~yL``
Tenant: Suite
RESIDENTlOWNER Name:yn U4«kniO ~ XssouArES Phone:
Address / City / Zip: ~W ~12l1iUD .45r GIf v~o , ST. /h'/!e: /J'/N s5D7S
Applicant is: _ Owner X Contrador
TYPE OF WORK Description ofwork: AcA'/d@'E q`' )691~,4fE -WL7iild;-
Construction Cost: ~30. UOO e~ Multi-Family Building: (Yes No ~
CONTRACTOR Name: ~XTE7LlU.2 /~//~//V/T Z44eP License o?D~' S~//.3/
Address~: 17~S
city_ /U//il/iYEwol"l state: 11 ' zip: SS~j/r`'
Phone: 12/1) Contact Person: (YTFt%~ Z /"ALlL
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category . Submitted Submitted
(l~ submission type) • Energy Envelope Calculations Submitted
In the last.12 months, has the City of Eagan issued a permit for a similar plan based on a master plan7
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone: >NOTE:. Plans and supportingsalocumentsuthaf yotti submrt at`e cnnsidere~(to~bepublrc infnrm4i~on°' Portions of~'~ the informafron may be classrfied as non pu6ii,c~7i you prq_v~de'spec~c reasoiis that would permlt the Cify
C(NICIUf/C:t/f8f LIl@ '8fO tYd4I@.SCC7Cf5.~ ft_'"--' I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the orUinances antl cotles 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 permik that the work will be in
accordance with the approved plan in the case of work which requires a review and approva s.
x GPX /s ivDeZ%sU PA UIFZ7
ApplicanYs Printed Name ApplicanYs SignaWre
s' a- Page 1 of 3