650 Waterview CoveCity of Eagan
Eagan,
PERMIT
City of Eaan
Permit Type: Building
Permit Number: EA095790
Date Issued: 09/07/2010
Permit Category: ePermit
Site Address: 650 Waterview Cove
Lot: 014 Block: 001 Addition: Waterview
PID: 10-83500-140-01
Use:
Description:
Sub Type: e-Windows/Doors
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Construction Type:
Occupancy:
Comments:
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary:
Valuation: 5,227.00
BL - Base Fee $3K
$88.50
Surcharge - Based on Valuation $3K $1.50
0801.4085
9001.2195
Total: $90.00
Contractor:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745-1400
- Applicant -
Owner:
Craig R Elsen
650 Waterview Cove
Eagan MN 55123
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.
Applicant/Permitee: Signature
Issued By: Signature
41,11
C!ty oiEart
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
Permit #: U5
5
Permit Fee: - l o ` 0 0
Date Received:
Staff:
J
j / J2010 RESIDENTIALjjBUILDING
PERMIT
��APPLICATION
Date: L ✓ 11- / V Site Address: i e00 W*rviwu Co Y e
Tenant: Suite #:
RESIDENT / OWNER
Name: 641 1" 1-filhi al Phone: [0t frq(Z- MI
Address/City/Zip: (' O Wairfli&liV &VV
Applicant is: Owner Contractor
TYPE OF WORK
/
Description of work: gfraO f f ! 0 w c' r kid l•Gd
Construction Cost: D (iO ( Multi -Family Buil g. (Yes / No
&
)
CONTRACTOR
Name: g-1-1 D Kt Ob 1(Wf S 01iUCicense #/:: 7
Address: 9100 &l/i
�ZDiuA`7
OVA ST lv2 ski City: z1Adyly
State: M/1 Phone: 71./3 412 - lag O
Zip: 0911,,
�V
Contact: (,T di Sit film0 Email: Si71 ff&s17DYDUf7 a $// SJnaW/(i.,
't""l
COMPLETE
In the last 12 months, has
Yes If yes,
THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
the City of Eagan issued a
date and address of master plan:
permit for a similar plan based on a master plan?
_No
Licensed Plumber:
Phone:
Mechanical Contractor:
Sewer & Water C.ontt(ractor:
Phone:
Phone:
NO sand " a:s tl i�1k;x a,t{"l6 4 +.: f ;o J„ .a m+ 4,ei:.75
the informs
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.
Applicant's Printed Name
App cant's Signature
Page 1 of 2
a INSPECTION REC4RD ,
` CtT OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I t' V11 I f t_t ~ ftiIF
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION .
iri
I ~
~ J
~ Permit No. Permit Hotder Date Talephona k
t ELECTRIC ~1
.
' PLUMBING C a7 q~ 07-
lnepwdon - F~g~
HVAC 3 ~ 97 dote Insp. Comments
FOOTINGS
4a+CJ
FOUND
Y•.
FRAMING /43 7
ROOFING
ROUGH
P UMBING _ '+.97 Y((p ~.~PLBG
AIR TEST
ROUGH ~
HEATING ~ ~-91 v
GAS SVC
TEST iJ
INSUL ~ f ocil /ls•rr. k/.4cc !SE f04C[
GYP BOARD
FIREPLACE
fIREPLACE N
AIRTEST -~-9 43*vl 4.*t A4YAAP-CJCCID
FINAL PLBG p + ~~eveonf
~+n- ~ sfPef~.gct
FlNAL HTG if i f
ORSAT
TEST
BLDG FINAL
65MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
. ~
. ~
2 6 4- 5 8 5 [11 This requal.oid 18 months hom wlidotian dah pnnled in ihis box.
y/ J 7 (p .?'7~.'~~i
^ ~ • ~ ~
FLEASE PRINT OR TYPE
Rpuast Dob Ro~h-in inapMian reqoired2 0 Ves ? No Inspeclion Olher Than Raughdn: 0 Ready N. 0 Will Call
-3- (You mvst call the inspaclor when ready) Date Ready:
I, li<ensed contracior ? owner hereby request inspecfion of fhe above elecfrical work at:
Job Pd~lmee (Shen, Bm, or kome Na.)~" Ciry Zip Cade
So C3L~.,C.L/L~-ClC.[.CJ 5sl c~-a--
Secfion No. Township Nomv ar No. RonBe Na. iire No. ounry n~
Oc<epont Phone Na.
PowerS Ilsr lddrcss
Eleanml haWr (Company Name) 7~ ~ j Convador Lianu No. Mosler Uc. Na. (Plant Elee. Only)
~~~'~C/
Mailing Iddm:s (Conha r or Owner Pedormine smllanonj
AulVwnxed , i9n re (Conhocroror Oen r Pedortning Ins 6on) Phane No.
8V
EB.0000IA-10 6/95 STATEBOARDCOPV- EEINSTRVCTIONSONBACKOFYELLOWCOPY
IIII II~I I II I II II REQUEST FOR ELECTRICAL INSPECTION37~
8 St. Paul, MN 55104
121 Unessity AvearRmf S 1 B,c
* ~ E' 6 4 5 1* Pnone (612) eaz-osoo
Home Duplex Apt. Bldg. Ofher: New Addn
1Commercial Indusfrial Farm Remod Re air
Air Cond. H}g. Equip. Water Hir. Load Mgmf. Other:
D er Ran e Elec. Heaf Tem . Service
"X" above the work covered 6y this requesl. Enfer remorks in ihis space and on the 6ack of the white copy only.
Calculate Inspecfion Fee - ihis Inspection Request will not be occepted wiihout the correct fee:
OHier Fea # Service Enhnnce Size Fee # Circv"As/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps C)` 0 to 100 Amps
Sheet Ltg./Traffic Sig, Ahove 200 Amps Above 100 Amps
Tmnslormer/Generator INSPECTOp'SUSEONLY ToT~-O
Sign/Outline Ltg. Xfmr. ~
Alarm/RemoM Control
Swimming Poal
1 hare6 certi that I ine fhe dechiml insMllaNo deaoibed herein on fhe datea sMkd
Irrigation Boom Rough-In oo~e
Special Inspedion
Fin / Dv
Invesfigative Fee
THIS INSTALLATION MAY BE ORDERE ISCONNECTED IF Ng'r COMPLETED WITHIN 8 O HS.
OFFlCE USE ONLY This reqveslwid IB monlhs 6om wlidalion dale prinled in ihis boz.
IIIII IIII II~IIIIIIIIIIIIIIIIIIIIIIIII Il~lllll~i~~/, GfJa~xeu~-~ ?/'7 9 9
* 11 4 5 2 0 6 5 6* PLEASE PRINT OR TYPE
Reqvest Dme Rooghin inspenion requlred4 Yes ? No Insperfon Oiher Than RougMn: ? Reahy N Will Call
(Yo~ must call the inspenor w eady~ DaR Ready:
I, licensed controctor ~ owner hereby request inspectian of ihe above elechical work at:
Job Mdress (SVce1, eox, or Roure No.) Ciy Zip Code
, (050 "
Sedion No. Township Name IJ
or o. Range No. Fire No. Caunty~,~~%E'"'-"V- ^v
Occupant ' Phone No.
Powc+S lier Addrass ~
~
Ekaric hacror (Compony Nom Canh r Licenx No. Mosrer Lic No. (Phn1 Eleu Only)
~
Mailinq ~ddreu (Conhccbr or Owner PerForming Instollotion)
~
Aothai Signnmre (Connocror or Ownn Per(orming Insbllonon) Phone tgo.
E 1 A1 1 8/96 STpTE BOANU COPY - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
3/~1j(~9 . ~~J C REQUEST FOR ELECTRICAL INSPECTION - g
4 5 2-U 0 ~ S121eUniversity ABe , Rm. S-128,ISt. Paul. MN 55104
Phone (612) 642-0800
Home Du lex Apf. Bldg Ofher: Naw Addn
Commerciol Industrial Form Remod Re air
Air Cond. Htg. Equip. Water Htr. load Mgmf. Olher:
D er Ran e Elec. Heat Temp. Service
' above the work covered by fhis request Enter remarks in fh"rs space and on the back of the whire copy only.
1~ (p v
Colculofe Inspection Fee - This Inspection Requesf be accepfed without IFie wrrect Iee:
Olher Fee k Service Entrance Size Fee # Circuits/Feeders Fee
Mobile Home Park 5tall 0 fo 200 Amps 0 0 to 100 Amps '
Sheet Lfg./Traific Sig. Above 200_Am s va _Am s
Tmnsformer/Generalor INSPECTOA'S USE ONLY ~q TOTAL
Sign/Oulline Lfg. xfmr.
Alorm/Remote Conlrol
Swimming Pool
I here cMi that in tha e imMllaiion ttri e
Irrigation Boom Raughln
Speciollnspection
4Finol Drne
Invesfigotive Fee
THIS INSTALU4TION MAY BE ORDERED DIS EC ED IF NO OMPLETED WRHIN 1 MONT S.
Addpsss 650 wnrE[tvrEW OM Zip 5512 3
Lot 14 Blk 1 Sub waxsevgzr
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPEGTION.
Date: Yes No Inspector:
Final gtade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway ~ V_1~
Permanent gas ~
Sod/Seeded grass 41_~
TraiUcurb damage
Porch 1/11'
Basement finish ?
Deck ?
Please verify with the builder the removal of roof test caps from the plumbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ~
White - City Copy Yellow - Resident Copy Pink - Conuacar Copy
Z . I
~ CITY USE ONLY ~ g
L / BL / RECEIPT
SUBD. ~t/GUeiY/JXP.uJJ DATE:
a
1996 MECHANICAL PERMIT (RESIDENTIAL) 3 /19 7
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681 -4675
Please complete for. ? single family dwellings
? townhomes and condoswhen permits are required foreach unit
New construction Add-on fumace
Ada-on air condiiioning Add-on airexcnanger, i.e. vanee sysiem, eic.
: Date: FFFS
? Minimum Fee: Add-on/Remodel (existing residence oniy) $ 20.00
? HVAC: 0-100 M BTU .00 '
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @ $3.00 each) ~0
~ State Surcharge .50
TOTAL
SITE ADDRESS- Fw UL4-
OWNER NAME:~f ~~~r c~. ^^Q s PHONE #:~~0-~1y00
INSTALLER NAME• -1-'"' ts-
STREET ADDRESS' 00-9-Ll~
cinr: STATE: ~(`1 tiU ziP: 55 3~ ~
PHONEM(Lq1-~\)
U
ST
CITY USE ONLY
L ~ BL ~ RECEIFT#. ry
/~t!~
" SUBD. LIJQLVLtH-~~ RECEIPTDATE
1997 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 foreach unif
~ backflow preventerfor underground sprinklersystem
FIXTURES EACH NO. TOTAL
Shower 3.00 x = L ~ 06
Waier Clcset 3.00 x = 9• oc'
Bath Tub 3.00 x.~ _ - o0
Lavatory 3.00 x = ;j~ oa
Kitchen Sink 3:00 x = E• oa
Laundry Tray 3:00 x c3• ~
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x
Floor Drain 3.00 x
Gas Piping Outlet `minimum - t . 3.00 X
Rough Openings 1.50 x
Water Softener "fordwellings underwnstruGion 5.00 x =
Water Softener ' for existing dwelling 20.00 x
U.G. Sprinkler ' for dwelling underoonst. 3.00 °
U.G. Sprinkler ' forexisting dwelling 20.00 =
Alterations ' to existing residence 20.00 =
Water Turn Around 20.00 =
Private Disposal System " Dak Cry'lic. 75.00 =
(new and refurbished systems) . .
Private Disposal 5ystems ' atiandonmenc 20.00 =
5TATE SURCHARGE .50
TOTAL
I hereby acknowledge that f haveread this application,.8tate lhst the informetion is wrrect, and agree to comply:wkh all applicable City . of Eagan ordinances. k is theapplicanPs responsbility to notity the property owner tFat the City ofEagan assumes no habiliry for eny,damagea pused by the City :during its.nortnal operetional and maintenance activitias to thefatllitieswnstrudeduntler this perrnit:within- City propertylright-of-way/easement. _
SITEADDRESS:
OWNER NAME:
INSTALLER NAME:
~ TELEPHONE 5~26
Lef
STREET ADDR S: / ~ / / • /a~ Z'`
CITY: STATE: ZIP;
SIGNATURE OF PER, IyTEE
v
PEIZMIT
~ CITV OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number 029573
(612) 681-4675 Date Issued: 0 3/ 8 6/ 9 7
SITE ADDRESS:
650 WATERVSEW CDVE
LOT: 14 BLOCK: 1
WATERVIEW
p.I.N.a 10-83500-140-01
DESCRIPTION:
Bux1~1ng,~Ps~e.rmit 7ype SF DWG
Aku,V~ls.ng~ W'bx.~k TYpe NEW R-3 ll-1
Co(-IstructiPn TyRe V-N
,
animg . ` R-1
Su I ciing L=Bttgth 58
t ar 42
R l ai u
3~q-`~1 g wr ts~5.~ r a- @ S,:.r~' 2
Ce ug ~eG668"e~ ] 01 1- FAM. DETACH -
R
-
y
~Y
REMARKS:
PRV S& W PLBR - D C MECH -
FEE SUMMARY:
' VALUATION $150,000
Base Fee $1,137.25 MISCELLflNEOUS $1.539.50
Plan Review $739.21 Total Fee $4,440.96
Surcharge $75.00
5AC $950.@@
SRC ~ 100
SAC Units 1
Subtotal $2,901.46
CONTRACTOR: - p,pplicant - ST. LIC OWNER:
KEY LFlND HOMES 14409400 0001553 KEYLflND HOMES
,17021 FISH POIN7 RD SE 17021 FISH POINT RD SE
PRIOR LAKE MN 55372 PRIOR LAKE MN 55372
"(612) 440-9400 (612)440-9400
I he reby ackntlw44d9e,x t~~,~ ~rtd sCaCa 'tMaC Che ,
1n,fcrrm4t3oh, i;s ao~''r~c~ ~hd `,~g~E~D. ~u~F~ly?; with a~~?'j9..ca1~1e. Jtate nf Mrr..
p
~ Sta~wtos and :6k~y o, agil~ ~rd~.r~riaes. - _ a. . ~ . . .
APPLICANT/PEIiMITEE SIGNATURE ISSUE BY: SIG RE
' CITY OF EAGAN D• Q L
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5 f
N W on tustion Rea¢iremenf? RemodeUReoair Reoulrements I 1~ V~~ ~J
? 3 registered sfte eurveys ? 2 copies ot plan
? 2 copies of plans (include beam 8 window slzes; poured fnd. design; ele.) ? 2 site surveys (exterior additions R deeks)
? 1 energy calaletfons ? 1 energy caleulations for heated additions
? 3 copies ot hee preservat[an plan 8 bl platted eRer 711193 .
required: _ Yes No _
DATE: 2"21 `&1 -I CONSTRUCTION COST: Zc ^I ~v---~
DESCRIPTION OF WORK: ~ f~71+~L,,L~ 0,n IU? M ~
STREETADDRESS: -C-C~~IF,w GavE
LOT ~ BLOCK I SUBD.lP.I.D.
PROPERTY Name: Phone
OWNER `"'T
Street Address-
City: State: Zip*
CONTRACTOR Company: S 1E`(Laik) ~Cr-e1Eo,- Phone#:
Street Address: hbZI I-ie,0 PT. RJ:?. 5E. License 11553
City:~iZIDK State: M VA_ Zid GS- 7'17 -
pRCHITECTI Company: Phone
ENGINEER
Name: Registration
Street Address-
Cfty; State: Zip:
Sewer & water licensed piumber: V . Penalry applies when address change and lot
change are requested once permit is issued.
1 hereby acknowledge that I have read this application and state that thainfoatbon is ct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
RECEIVED
OFFICE USE ONLY /
FEB 2 8 1997
Certificates of Survey Received v Yes _ No
Tree Preservatlon Plan Received _ Yes -"_'Nc .t' BY
0
OFFICE USE ONLY
r~"' ~ t r•
n w
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging ? 16 Basement Finish
.d*~ 02 SF Dwelling ? 07 4-plex ? 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _-plex ? 15 Deck .
WORK TYPE 0/31 New o 33 Alterations ? 36 Move
? 32 Addition a 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuao Vm Basement sq. ft. 1"1 MC/WS System ~
(Allowable) \1 N Main level sq. ft. 11S9 City Water ~
UBC Occupancy 4va sq. ft. ii o 3 Fire Sprinklered
Zoning 6awi2 Sq. R. 4R 7 PRV 4c5
# of Stories -z- ~ sq. ft. Booster Pump
Length 7?' sq. ft. Census Code. io
Depth 142' Footprint sq. ft. i US SAC Code ni
Census Bidg 1
Census Unit I
APPROVALS
-
Planning Building j~ Engineering Variance
Permit Fee Valuation: $ 150, ovv.-'
Surcharge Plan Review
License z u y
MCNVS SAC
City SAC Z $ K
.
Water Conn. s+ i ~b s= ~ s, q 15,
Water Meter
Acct. Deposit Saw- AIJS
SMI Permit ~ z , 10.7
5/W Surcharge -7, , sv 1 zs -75'
Treatment PL , i . 1/
Road Unit
~ 7,
Park Ded. I, Sg ~ m-41 5q "3
~
Trails Ded.
Other y uY , y L14y
Copies 1. zsui~_~ i~ J (~q, oZo
.sx4
TotaL• <l 1 avq
% SAC
~d.--
SAC Units 4 5
7. S
~ 8~. S~~ to, i 8 1•
, . ' ~~CWVk'zU
ffi2422,EI1erlr',5e Drtve
ta H) 881-1914 FAX:6$1-8488
F4:naer reg~ ~0 P~NENS• 4NDSCAPE AltCnilECiS 625 Highwoy 10
ane
.x 4 *
Bloine, MN 55434
Certificate of sUrvey for: KEYLAND HOMES
650 WATERVIEW COVE 3662-1V-C
WA7ERVIEW COVE
'Nn 938.6 958.7 938.9 N ~
^ 940.4 S89°58"09"W 91.45 940.4 ~
1 SERVIC E o C°~ 39'z
(~3~b•~f! °INV.=929.0-~ QJ .
BENCH MARK o ~ - ^ - ~ °o sf
TOP OF PIPE o r ~ PROPOSED ~5 0 ~ BENCH MARK
EIEV.=941.SQ~, 5 ~ F ORIVEWAY A r~ TOP OF PiPE
~ ELEV.=941.88
~ 7I6.72 T r__940_9 (cf t6.7~S 942.7
0 3~.67 940A 7.5
942.7 1, i iCcl`fZG) 16 1
N~
941.7 GAAAGE 6 xs
27,33
~
pROPO \5E0 ~ 12.00 940.11 °941-6
n n(~ p
HOUS 13
q I N ~ i
~I S W 938.3 \ ^ i
936.9 116.72 46.00 ---L 16.7~ 936.0
O
Q~ V w i 934.9 (~~.~'pl 935.4 ~ W
QCO ~ 00 I x x ~
~yr Q 1 934.8 14 934.3 I O
U ~ N I I N
~ j
~ DRAINAGE & UTfIITY I5
O ~ SIa'~EASEMENT PER Fl.A7
c" I
_..~~(i3a,4)
m O (y 3ss~ ° 9~2_9
~ 935.2 NS9~'JB'09"E 54.121 - ,
~
0
3Ra284
CAROL STREET ~g ~`3
Bv
GDEPT. L_'oCrll il
~ ~AGAI'd E.~A RIIV
pp HpuCC ELEVATiDk
NOTE PROPOSEO GRADES SMOWN PER GW~DING 7UAN BY: PROBE
NOTE: BUILOMG DIMENSONS SHOWN NZE FOR HORIZONTAI HNO YERTIWI. IOCArON LOWEST FLOOR ELEVATION:
OF 51RUCNRES ONLY. SEE MCYIIYECTUAL PI.ANS FOR BUMiNG AND
fOUNDRTiON UIMENSIONS rOo OF BLOCK ELEVATION: Cl*'~-
N07E: NO SPECiFIC SOILS INVESTIGA110N HA°. BEEN COMPlEhO ON Tw5 l0T 0Y n7f GARAGE SlA6 £LEVATiON: ~4 z 9
PROPOSEO IS NOTUTHAE'R~ESPONSB~ 7Y OFSIHE SURVEYOqPE~~IC HWSE
ryp7E; THtS CER11fICAlE DOES NOT PURPORT 10 SMOW EA5EMEN75 OTiFR 1NPM X 000.00 OEN07E5 EX1571NC £LEYATION
~ 000.00 ) OENOTES PROPOSEO ElEVA710N
7Np5E SHOWN ON TME RECOROfO PIAT. - OENOTES ORAINACE AND U11L1TY EA-'~+EUENt
N07E: CONYRACTOR NU57 VERIfT ORIVEWAY DE51GN• ~T DENOTES ORAM4GE FLOw OIRECIMN
-S OENOTE$ MONUM[NT
T:07E: BEAPMG$ SHOWN ARE BASED ON nN ASSUMED DAN11 pENOTES OFF'+CT MB
WE HEREBY CER7IFY TO KEYLAND HOMES THAT THIS IS A TRUE ANO GORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES Of:
LOT 147 BLOCK 1. WATERVIEW
DAKOTA COUNTY, MINNE50TA
IT DOES NOT PURPORT TO SHOW IMPROVEMEFITS OR ENCHROACHMENTS. EXCEPT AS SHOWN, AS SURVEYED [3Y ME OR
llNDER MY DIREC7 SIJPERV1510N Tri15 29TH DAY OF JAN., 1997• 51 9C. IONEER ENGtN RING, P.A.
SCALE : 1 INCH = 30 FEEI' B~ a
Lorson, L.S. Reg. Na- 19828 11cnTe.d (175.01 $~YK .
' LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
~ PROPERTYLEGAL: 4;':;C/4 azC~l
~ DATE OF SURVEY:
LATEST REVISION:
F
DOCUMENTSTANDARDS
? • Registered Land Surveyor signature and comparry
? • Building PermitAppiicaM
fir~ ? ? • Legai description
ID'? ? • Address
w, ? ? • North arrow and scale
N-~ ? ? • House type (rambler, walkout, split w/o, split entry, lookout, etc.)
4/b ? • Directional drainage arrows with slope/gradient %
3`~^C] ? • Proposedlexisting sewer and water services 8 invert elevation
8''0 . ? • Street name
B~~ ? • Driveway
EIEVATIONS
Eastina
B~o ? • Sewer service (or Proposed)
W'0 ? • Properly comers
C+k"'~o ? • Top of curb at the driveway
• Elevations of any ebsUng adjacent homes
r osed
Q~---o ? • Garage floor
q/o o • First floor
0 0 • Lowest exposed elevation (walkouUwindow)
GY9, ? . Property comers
? ? • Front and rear of home at the foundation
PONDING AREA Qf aoolicablel
? 5V' ? • Easement line
? e o . NyyL
? El' ? • HWL
? ? • Pond # designation
? b ? . Emergency Overflow Elevation
DIMENSIONS
~ ? ~ • Lot IinesBearings & dimensions
Gr'ij ? • Right-of-way and street width (to back of curb)
C9'? ? • Proposed home dimensions including any proposed decks, overhangs greater than 2',
/ porches, etc. (.e. ail shuctures requiring permaneM footings)
Pl O ? • Show all easemenis of record and any Cily utilitles within those easements
~0 ? • Setbacks of proposed structure and sideyard setback of adjacent eAsting structures
? ~ ? • Retaining wall requiremerris ' any
Reviewed: ~
N me / 15ate
January 1996
cru101990ARocvnAOMFn
; . ~ N, .
~
LP~36 PDWfo UA'A
~ I~
NWL =92160
IO
.
9 w1i.~xew rNHJ4,?.OB
F.Eg\ / ~ ~ -'~r r~ ~ ~ ~ ~ i I i i ~ ~ ~ w tu
~
~Nl~ \\e~-o~ ~~~o. 11 ~ ( ~ . . -50 G 50 300 1.>0w I
MMEi ~ ~ 3/4 ~ a.•,,.'0
\
\
~,s , "7
t~~c~,. . \
! I ~ 16
/03. 7
T ~ 'a i q
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5T00 6+00 7+00 8-40 9+00 0+00 ~ 1+00 2+00
0+00 1+00 2+00 3+00 4+00
- - - - -
PR wcc.I r~v
~ i EPAPED FOR
j
SAI~ITARY..tWER, STAF.M SEWER & WATERMAIN cso
E'7GINEfPS ~•oe..~ o..e~- -
~ORE CONSUUtN6
o+..L-i-~~re i
PIGNNLPf nnd IANb SONVfVONS f- e~v~f~ee ?~o .yv w.. 3~~ ~ .'/'~iA+~.S.na~..'•.-' ..t F!
. EXTERIOR E~7VELfPE AVERAGE "U" COMP~ITA'fION
oWNER;_____- nnrr:_
S?TE ADDRESS: ~O ~A IECZ~lE1n.I PFlONE: 44"(::)"cr400 .
CoNTRACTOQ: ViE~LA,~D ~-Ic~v1ES Piarr r `3 (o(oZTLE
Determine working square footage of each
l. Total exposed wal l area..... rL.-I 7J sq. ft, x .11 = 3~I
2. Total roof/ceiling area..... ~DB?~ sq. ft, x.026 = 2 C~ ~ 2-
Total exposed tiaa?1 area abnve_floor=_
a. Total wall window area 'L.?i>D - tc
b. Total door area -4).3
c. Total sliding glass door area '316 - `'1
d. Total fireplace wall area -
e. Total wall framing area (average lOp) 239 ~-7
f. Total rim .]oist area 23(o.Y~
. ~$4t7•1
a. net wall area above floor
h, wall area above rloor
i. , wall area above rloor ~
j. frame wall area ai fou-ndation
Total exposed foundation area= ~n7
k. 7otal foundation window area ~
1. Total net Toundation area above grade 153.- (o
Determine "u" value of each r:all segment ' .
(e.g. window, door, each separate wail section)
a. 'L2,o.to x " u~~
b. `~$~3 x „ull • 31 = l~ ~ `1
c . 3F~ ~°4 x "Ul,
d. X u~~ _ ,
e. ~ 22~11 .dt5 = 22,-I
r. z "u„
9 ~~ho ~ 1 x,lu„
n, x llull _
X "U., _
i.
x l.u ^ If item 723 is the sa
x llull = as, or less than ite
al, you have met the
X"U° intent of SBC 6006 (
3 . .................................Total = --Loo , S
~ TOTAL EXPOSED ROOF/CcILING CALCULATIOtIS:
. 7o;z1 exposed
rocf/ceilir.q area....... IDBQ) sq `t
'jJ Total skyliaht zrea....... sq ft x"U" - °
k) Total roo`/ceilinq framing
zrea (Avera9e 10...... sq ft x"U"
1) Toczl ne[ insulated c{
roof/cei 1 inq zrez....... sq ft x"U"
TOTAL j) thru 1)
If totzl oc =4 is the szne as, or less chan ;~2, you have ret the intent or
? •;C=_t 1.16005 A a::d 0.
• ALTERiIATE BUILDIPIG ENVELOPE DESIGN To utilize the .otal envelope sys[em methcd, the values established by the sun
or i:ens and :-4 shall not he creater [han the sum of items N.l znd :-2.
2. '~Qj.2 = 3zq - 3
2.LGp. s T a. 2-3~ 1 = 2`C~3. co
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Conehuctlon HeauhameMS BemotleVFleoeh Heaulremente
• 3 registered sile surveys showing sq. R of bL sq. ft of house; antl all roofed areas • 2 copies of plen
(20% maximum bt coveraAe albwetl) • 1 set ol Energy Calculatbns lOr heated edditbns
• 2 copies ol plan showing beam & wandow sizes; poured found tlesign, etc.) • 1 stle survey tor e#erbr atldttbns 8 decks ~
• 1 sat of Energy Cakulatans • InOicete if home served by septic sys[em lor addttions
• 3 copies W Tree Preservetbn Plan it bt pletletl a8er 7/1193
• Rim Joist Oetail Optbns Selectbn sheet (bMgs wtlh 3 or less unas)
u~ .
DATE ka i oo l( (i l' VALUATION 31,5
SITE ADDRESS (022 GOV41- MULTI-FAMILY BLDG _ Y ~
NPE OF WORK R~ S- F_ A 5! s- d e- FIREPLACE(S) 0 _ 1_ 2
APPLICANT
STREET ADDRESS ~_2-14~ 1~0Ie f~ ~ • S> anr`D,~S..~~;114 STATENN ZIP S 5~3~
TELEPHONE # 9 5 1--~ o~-(,~ 5`~ CELL PHONE # FAX ~I s~ re)ft__
PROPERN OWNER C Y ;t ~ j ~I S PJt'1 TELEPHONE # (~05 I- LI 13 1,3 ~
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RULES 7670 CA1'EGORY 1 MINN ~ n
(4 submission lype) • Residential VentllaNon Category 1 Worksheet Submltted • Ne rgy Code Wor set~ ed
• Energy Envelope Calculations Submitted JUN 2 1 2002 ~
Plumbing Conhactor: Phone # By c
Plumbing system includes: _ Water Softener _ I.awn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanlcal Conhactor: Phone #
Mechanical system includes: Y Air Conditioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
I hereby acknowledge that I have read this application, state that ihe information is correci, and agree to comply
wiTh all appllcable State of Minnesota StatuTes and City of Eagan Ordinance
Sigrwture of Applicant
......_._Y._..._..._...r.____d_..._..r..._~.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
RESIDENTIAL BUII.DING ot)
(p~3Z1 PermitApplication
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122 ~D
Telephone # 651-675-5675 FAX # 651-675-5694 A ~ I o3
New ConsWd'ron Reaui2men4s RemodeUReoair Reauirements Otfice Use Oniv
3 registe2d sile surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas 2 capies of plan CeA of Survey Recd _ Y_ N
(20°k mazimum bt roverage allowed) 1 set of Energy Calculafions for heated additions 7ree Pres Plan Recd _ Y_ N
2 copies af plan showing beam & window sizes; poured tound design, etc. 7 site survey for additians & decks Tree Pres Reqd Y_ N
1 set of Energy Calculations Add'Nan - indicate Aon-sRe sepfic system Oo-site Septlc Syslem _Y _ N
3 wpias of Tree Preservation Plan if lof plaried afler 711193
Rim Joist Defail Options selectbn sheet (bldgs witli 3 or less unifs Date Construcdon Cost ~2 m-)
Site Address u e-- UnidSte #
Description oC Work eC
Multi-Family Bldg _ YeN Fireplace(s) _ 0 _ 1 _ 2
Property Owner l-e N Telephone ~.r7 )
Contractor C P-ty ,~q ~/ci~o (4
Address ~~1J9 2~V iim r- City ~ ~ -
State Zip Telephone #
COMPLETE TIi1S AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with, similar plan2 _ Y _ N If so, 25% plan review
fee applies. 2
Licensed Plumber Telephone ~
~ SEP ~ 'U
Mechanical Contractor ' A Telephone # ( )
SewedWater Contractor 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.
~ rg~a g~5~~' `
Applic ' Printed Name Applic s Signature
OFFICE USE ONLY
Sub Types "
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex tN 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 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 ) Co x/I0
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 (Bidg)' ? 43, Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation z/ ZP °o Occupancy R' 3 MC/ES System
Census Code q3y Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const UR Width
REQUIRED INSPECTIONS
Footings(new bldg) FinaUC.O.
~C Footings (deck) ~.7 FinaUNo C.O.
_ Foorings(addirion) _ Plumbing
_ Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Franilng _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insularion _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
r._
' , . r. 1 . . .
j 2a22 Entarprlse Drive. '
~ ~c Mendolo Heighls, MN 5512Q . .
(612) 881-1914- FAX:681-948H
* PIONe6R UMO SVfl1fY00.4 • CINt CNGIIEEPS
t * R~ICIBBI' I7g . L~wo aiu+Nens. w+osc.ae ~,acHHIInc~s 625 Highwoy 10 N.E.., .
. Blaine; MN 55434. . . : . .
(812) 783-1880 FAX: 783-1883
.
Cert:ificate of Survey for._.., KEYLAND HOMES
. . . 850 WATERVIEW COVE 36827IV.-C
r" WATERVIEW COVE
. . - - _
- .n : 958.6 A . ~ ' 938J
N ' yc[.
I , ~ . . ~
~ 940.4 4
NP
BENCH MARK o , , o.. ~
TOP OF PIPE o 5 ~ DRI~ / I5 0 . BENCH MRRK
. ELEV.p941 80 n~ 70P OF PIPE
ELEV.=941.88
G .,'.~M 1~f.7~.,r, •~'f. .2.`.~ ~_.76.7~5 942,97
30.6J 940.81 7.5
. . .942J~
947 7;~94 ~
V . GARAGE uo
'7.33
12.00 940.1 ,.941.6 . ~ ~
N + HOUSE,: ~ i
936.9 116.72 46 00 936.0 `
LLf 934_9~$..~- 5.4 ?Cj1~ .~;W .
~
x
OQ ~ 9348~' Q
S,
_ (n TI ; ~ v)
- . . . . - DRAINAGE& UTfUTY 5 EASEFAENTPER PLAT~,,, ~
.
5 L - - - - - :_..i (13 z, -40
.~3ir;s~
932.9
935.2 N89°58' 9"E 54.121,
-
~ • ,
~ ~
~18,
CA~20L S7REE7 ~
~2
~ - - - rt--r-: _
ty
i^ I . . . .
• • 1 1 lIYO
NOTE: PROPOSEU GRAOES SNOWN PER CRADINC PUN BY: PR09~ PRl1POSF(Z HOVSF ELFVAiION .
NOTE: BUILOINC DIMENSIONS SHOwN ARE COR HORI20NTAL I1NDYERiICAI'LOCAtION, . "LOWEST FIOOR ELEVATION: .1.~ s.Z
Of SiRUCTURES ONLY. SEC ARCFIITECTVAI PlANS FOq BVILDINQiANO + . .
f0UN0ATI0N OIMENSION5.
. TOP OF BIOCK ELEVATIONyN01E: NO SPECIiiC SOIlS INVESTICAnON HUS BEEN COMPIfTED ON TNi$,.40T'6Y THE ' 7', , .
SUNVEYOR. iHF SVITABIUTx Of 5045 ia SUPPORT 7HE SPECIFIC.~Mqu5E GARAGE- SlAB; ELEVATIQN: .L~ x. 9
vROPOSEO 15 NoT 7NE RES~'bnSIBILIN OF THE SURVETOR. ' ' " N07E: TNIS CER7IFICAIE DaES NOT PURPORT TO SMOw EASEMEN75 OTMEA MAN-- ._,X 00000 OENOiES C%ISTINC.EIEVATION; TtlOSE SMOWn ON 11+E RECCRDED PIAT. . . ( 000.00 )-0ENOiE5 PROPOSED ELEVADON '
OENOfES ORAINACE ANO UTILITY EASEMENT' '
NOtE: CON(RACTOR MUST VERIFY ORIVEWAr DE4CN. , DENOYES-ORAINAGF FIOw AIREC7IQN.'. ~ .
NO7E: BCARwCS SHOWN ARf BASEO ON AN RSSUMEO DANM ' -f- OENOTES MONUNENT. UENOTES'OCFSET~AUB
WE HEREBV CERTiFY TO KEYLAND HOMES THAT THISIS A TRUE AND CORRECT REPRESbNTATION OF n-
SURVEY OF THE BOUNDARIES OF; . - - . . Ii .
LOT 14, BLOCK 1, WATERVIEW
OAKOTA COUNTY, MINNESOTA
IT OOES N07 PURPORT TO SHOW IFAPROVEMEN'I?$ OR ENCHROACHMEN7S, EXCEP7 AS SHOWN, AS SURVEYED.-BY'MEOR
LUNDER IdY DIRECT SUPERVISION THIS 297H DAY OF JAN., 1997. . .c.: SIG ED: IONEER ENC,INRINC, P.A.
5CA~E : 1 INCH = 30 FEET ~
6Y: r
1505 96075.01 SWK ahn C. Laraon. L.S.
Reg. No. 19b28
rP 2
$i,~ 0/~~~~
4 e KS<<~
~13 s /load'
9?RAP S
, •
City of Eagan
Cash Receipt
Receipt Date 6/6/2008
Receipt Numbex 191297 DAY CARE INSPECTION
650 WATERVIEW COVE
1221.9216 50.00
PERMIT FEE S[IMMARY
Total Receipt Amount 50.00
110249 8:32:16
1
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110724
Date Issued:05/24/2013
Permit Category:ePermit
Site Address: 650 Waterview Cove
Lot:014 Block: 001 Addition: Waterview
PID:10-83500-01-140
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Diane Moyer
Home Energy Center
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
$60.00 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 -
Craig R Elsen
650 Waterview Cove
Eagan MN 55123
(651) 423-3181
Home Energy Center
2415 Annapolis Lane N #170
Plymouth MN 55441
(651) 766-6763
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use 10 ~1 I
I Permit
City of Eajan I
F I Permit Fee: I
3830 Pilot Knob Road I
Eagan MIN 55122 Date Received:
I
Phone: (651) 675-5675 staff:
Fax: (651) 675-5694
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 3 Site Address: 00 ~ iti t e- f ~-,e- C' V
Tenant: Suite
Resident/Owner Name: er Phone:
Address / City / Zip:
Name: 6,,',& License#:
Contractor Address: d 33,7 t-1f. hA~,,,,,,-P City: r lr~< l~~y
I 7
~ State: !"N Zip: Phone: ~ 36 7d 3
~ I u
Contact: Email:
I
Type of Work New -~2Replacement _Repair -Rebuild - Modify Space _ Work in R.O.W.
Description of work: c.- C-/4 7-e /C
RESIDENTIAL
Water Heater
I Water Softener
Lawn Irrigation RPZ PVB)
5 Permit Type
Septic System Add Plumbing Fixtures Main 1 _ Lower Level)
_ New Water Turnaround
Abandonment
RESIGENTIAL FEES:
$60.00 ter Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
. 0 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $
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.ggpherstateonecall.org
1 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.
x ~GY i L~ rl x
Applicant's Printed Name Applicahft Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120048
Date Issued:01/13/2014
Permit Category:ePermit
Site Address: 650 Waterview Cove
Lot:014 Block: 001 Addition: Waterview
PID:10-83500-01-140
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Craig R Elsen
650 Waterview Cove
Eagan MN 55123
(651) 423-4181
Universal Windows Direct Twin Cities
2200 West 66th Street, #119
Richfield MN 55423
(612) 866-2888
Applicant/Permitee: Signature Issued By: Signature
� � ,i�
,�� '� Use BLUE or BLACK Ink
C� /�� ^- --------�
/ l � Fo �ce Use �
�
C�� 0� n� „T �� ,- ` � I Permit#: I
� 1 �lill � �
w �'� �, L1�1`1 � Permit Fee:�� . �� I
3830 Pilot Knob Road ,���k- '�
Eagan MN 55122 I Date Received: � �'�� � i
Phone:(651)675-5675 �'
I
Fax:(651)675-5694 I Staff: � �
� I
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2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: �l `i l�f s Site Address: �O Sd �.0 d}T�-'�'VI ELcJ �a.�L= �d�G1}i�l Unit#:
Name: �tZ.1�-� ��l N O F}- ��--�E��l Phone: �05/- � Z 3-3j�'S"�
R '�1 r 1—
��y� Address/City/Zip: c� � �t!}-Tt-"6�V1�-Lv �b Gu4�--d3'tl SJ� Z 3
Applicant is: Owner � Contractor
Description of work: Kc'1-c tt�u �C�12�0�z �� 1`�� ���To w�ztg c�'"�'' �"`S
`��1�a�'�V�
Construction Cost: � ��� �'� Multi-Family Building: (Yes /No�
Company: / �l �Zc.� S P�L-� Contact: Si'�2.d� �19-�c 2�'�t?-
Y cl
;N ��0�, Address: �IC�S �.QJ. �Lf�j ST: City: �u�rt�UL LLE'
' State: �I� Zip:� Phone�a--�/�"'-53�° Email:=� k�ws,�ece.��.�vr�
License#: !��66 i J�S� Lead Certificate#: ��T- �I S�a�G-/
If the project is exempt from lead certification, please explain why: � �
/
NaT `�u,�, ��--��- 19 ��
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a pertnit 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:
1�Ct3F�:�r��: �uPP+��►►�,� �'►�'r�. �fa"u� are c t� p _ � �'c� ��
:�J►� rpay be� ats i�c Fi n��fr,a��� �r►�����i��
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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.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 I��ZcJ S �-`5 � � !�-o� cQ-L-?e7' x
Applicant's Printed Name Applica ' Signature
Page 1 of 3
' �
DO NOT WRITE BELOW THIS LINE � 3 � q a�
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
Y Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
�� Multi Deck Porch(ScreeNGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES 1 t�L.'L �C�.�;�(,d(�`�yt`�
����
New Interior Improvement Siding _ Demolish Building*
_ Addition � Move Building Reroof Demolish Interior
�Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall "Demolition of entire building-give PCA handout to applicant
DESCRIPTION �r ,,d
Valuation �� Occupancy ��t�. .�_ MCES System
Plan Review Code Edition �,�r�. �j SAC Units
(25%_100%� Zoning i�/fj City Water
Census Code ' Stories T� Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) � Final/No C.O. Required
Foundation HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Finai Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �� , Building Inspector
RESIDENTIAL FEES
Base Fee �i V������
� �
Surcharge ��� �����--
Plan Review �-t`-°
MCES SAC
City SAC �� � ,�� �
� � � �
Utility Connection Charge �
S8�W Permit 8� Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
1
For Office Use
4�* `� � ��° Permit#:
,...,. E AGA N
150723
7
Permit Fee: ( Dv6 'd--
I 'o►
Date Received: 7.010 t/
g
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff:
buildinginspectionsc cityofeagan.com L ey ,
2018 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: C r a\ S e_,N Phone:
Resident/ 0
Owner Address/City/Zip: 65 tickhr Ni t c vJ C b t Q
Applicant is: Owner g Contractor
Type of Work
Description of work: -C,c&r Es4C ae tZv
Construction Cost: 1 3‘ 5OQ Multi Family Building: (Yes /No
Company: fi - ! Its 106:x1, Contact: (IA 2- 1(9- 510 9.to
Address: -140 �L \,�c City: 17t
e"lo`A-Tk-
x Contractor
l,� t� t b
State: I" Zip: 55 Pi fj0 Phone: o ia"7�`s'Email:
License#: b ) 67 2
2Lead Certificate#:
i If the project is exempt from lead certification, please explain why:
I
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: t
I
. Sewer&Water Contractor: Phone:
Fire Suppression 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 the are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeagan.com/subscribe.
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.
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 w' out a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approv-I of plans.
I'
x )11-AC,tt-c h Pi.t.. (..-c___(..-c___►^ x •
Applicant'srinted Name Applicant's S gnature