1458 Wellington Way
INSULATION INSPECTION CHECKLIST FOR RESIDENTIAL
BUILDING PERMITS PROPERTYLEGAL:
PROPERTY ADDRESS: 401 ~ JR) WA\: neS'fi'~n
INSPECTOR: t\A G~ 4 an
INSPECTION DATE: IO~ZO
n~i o a
Z Z SITE GRADING
0/? D Ali slopes 3:1 or flatter?
??gl Slopes sfeeper than 3:1 require retaining wall. Are retaining walls present?
9/0 ? Does grading conform to As-Built Grading Pian (+i- 7 foot approximately)?
,w/o o Does perimeter grading tie in well with adjacent properties/undisturbed land?
~0 ? Is there proper grading and/or drainage around Lookout or Egress Windows?
EROSION CONTROL
??9" Is Silt Fence (or approved equal) installed and in good working order?
??'1/ Is Sod/Fiber Blanket installed behind curb7
??g/ ls the Rock Construction Entrance/Driveway installed and in good working order (proper
type/size of aggregate, clean-not covered with soil, etc.)?
??Is temporary vegetative cover w/ mulch present7
??Is permanent vegetative cover w/ or w/o mulch present?
(circle one)
/ CITY EASEMENTS AND UTILITIES
Ef Are all easements clear-no part of any building/deck/porch/retaining wall/etc.
encroaching in easement?
O/? ? Are catch basins present within the property or in the sireet in front of the property, if so
/ are they clean, do they have the proper erosion control in and/or around them?
??Does the property have an Emergency Over Flow (EOF)? This can be found on the
Certificate of Survey. If so, is it present and has it been graded properiy?
MISCELLANEOUS ITEMS
?9/? Is there tracking present on Public Right-of-Way/Street from construction site?
? Is the driveway at the proper width at ROW line? (22 ft. max.)(Curb stop is at ROW line)
FI Is the site clean, no trash and/or construction debris lying around?
d? ? Was the proper type of building constructed according to the approved grading plans?
- (LO, WO, FB, R, etc.)
~ . ~ BL 7 7157 9405,51
2007 RESIDENTIAL BUILDING PERMIT APPLICATION~~~,A CqO. 6O
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 85~^(~•~'
New Constructlon Reauiremenis RemotleVReoair Reouiremenfs Office Use Onh
3 regisierad sile survays slwwing sq. ft of lot, sq. R. of house; and all roofed areas 2 tapies of plan showing footings, beams, jasis Cert-of Survey Recd . ?Y _ N
(20%madmumlotcoveregeallowed) isetMEner9yCalcuWtlonsforheatedaddi6ons Sal~Repat Y _N
1 Shcs RepoN N proposed building a to be placed on distuNed soB 1 sde wrvey fa additions 8 Oecks Tree;Pres Pleri Retd. Y Y~
2 copies of plan showing beam & window skes; poured tuund design, etc. Add6'on - indicate ilarsde septic sysfem Tree Pre5 R&qwred YIs?IT
15etotEnergyCalalations On;Sde,Sep60System _Y„_N
3 apies of Tree PreservaUon Plan'rf lot platted after 7l1193
Rim Joist Detail Optlais selectim sheet (buadings vrith 3 m less units)
Mmne9asco mechanical ventilation fortn ~
Date 3 / 0ti- Construction Cost &W~ obo
SiteAddress i,t7N UniUSte # 3ic I ter 8
Description of Work f~~ +JSr+u~aTr°''~
Multi-Family Bldg Y 70 N Fireplace(s) _ 0 IO 1 _ 2
PropertyOwner 'rau '3~~.r.: TpY- Telephone#(G1r1 ) 345-0601
Contractor T ac
Address ~~G ~reED • ' QAY _ City EA4i.A
State ht?J Zip S*VA'd, Telephooe i! (Gri
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code Calegory . ResidenGal Ventilation Calegory 1 Worksheet • New Energy Code Worksheet
(d suhmission rype) Submitted Su6mltted
. Energy Envelope Calculalions Submitted
In ihe lasT 12 months, has ihe City of Eagan issued a permit for a similar plan based on a master plan?
_ Y A N If yes, date and address of masier plan:
LicensedPlumber eiq . 'VIl.,-W1Y1fgA Telephone#(J(pq 4q(0'lal7~
Mechanical ConTractor Rke ~ 1c~rtx J Telephone #(`12.) 9'.2r. 49G x
Sewer/WaterContractor b5/-i Telephone#(GSt ) yB'o-i3SS'
I 6ereby 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 Ciry 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.
WN ~OSEDk OfJR'l~Jd~C- • /
Applicant's Printed Name Applicant' t Signature
,
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
? 01 Foundation . ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
A 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. All - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 08-plex O 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work es
31TNew O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36. Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building` ? 43 Reroaf ? 46 Windows/Doors
? 34 ReplaCement •DemoliUon (Entire Bldg) • Give PCA handout to applicant -
D@SCrIptl011: WaterDamage_Yes
Valuation 37G Occupancy 3 MCES System -
Plan Review 1~'100% or _ 25%
Census Code 4~7/ Zoning City Water
SAC Units O/ Stories Booster Pump
# of Units 1~1/ Sq. Ft. o`~ ~~'I7 PRV
# of Bidgs Length 54- Fire Sprinklered
Type of Const ~ Width
REQUII2ED INSPECTIONS
~ Footings (new bldg) Sheetrock
_ Footings (deck) ~ FinallC.O.
Footings (addition) _ Final/No C.O.
~ Foundation _ HVAC
Drain Tile Other
Roof 4 Ice & Water ~ Final Pool Ftgs AidGas Tests Final
~ Framing = Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace ~ R.I. tAirTest ,X Final Windows
~ Insulation _ Retaining Wall
Approved By: , Building Inspector
-
Base Fee
Surcharge
Plan Review
J~,3
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Tota I
~R . .
REScheck Software Version 4.0.1
Compliance Certificate
Project Title: Minnetonka Model
Report Date: 02/19/07
Data filename: K:\_ENGINEERING SERVICES\_HVAC DEPII_Energy Calculations\MN\Steeplechase of Eagan - Signatures\Min n eton ka\Min neton ka-Federel-W. Case-S ESG. rck
Energy Code: 2003 IECC
Location: Minneapolis, Minnesota
Construction Type: Single Family
Glazing Area Percentage: 1$%
Heating Degrea Days: 7981
Construction Site: Owner/Agent: DesignedContractor:
Steeplechase at Eagan - Signature - SESG Toll 8rothers Inc. Toll Brothers Inc.
4889 Pilot Knob Road 250 Gibraltar Road
Eagan, MN 55122 Horsham, PA 19044
Permit # Worst Case
Permit Date: 07J1912007
_ _ ~ . . ,
¦ . .
Flat Ceiling: Flat Ceiling or Scissor Truss: 2405 44.0 0.0 65
Sloped Celing: Cathedral Ceiling (no attic): 708 44.0 0.0 16
Skylight 5: Vinyl Frame:Double Pane with Low-E: 38 0.400 15
Wall Ceiling: Flat Ceiling or Scissor Truss: 88 44.0 0.0 2
Misc Ceiling: Flat Ceiling or Scissor Truss: 14 44.0 0.0 0
Garege wall: Wood Frame, 16" o.c.: 440 13.0 0.0 35
Door 5: Solid: 77 0.200 3
Knee Wall: Wood Frame, 16" o.c.: 331 13.0 0.0 27
Band Joist: Wood Frame, 16" o.c.: 581 19.0 0.0 35
Exterior Wall 6": Exterior Wall 6": 4272 79.0 0.0 192
Window 2: Vinyl Frame:Double Pane with Low-E: 902 0.350 316
Door 7: 5olid: 60 0200 12
Door 8: Glass: 60 0.340 20
Basement Wall 1: Solid Concrete or Masonry: 1884 0.0 11.0 96
Wall height: 9.0'
Depth below grade: 8.5'
Insulation deplh: 85
Window 3: Vinyl Frame:Double Pane wifh Low-E: 42 0.350 15
Door 9: Glass: 40 0.340 14
Floor Over Garage: All-Wood JoisUTruss:Over Unconditioned 431 30.0 0.0 14
Space:
Floor Over Open: All-Wood JoisUTruss:Over Outside Air: 14 30.0 0.0 0
Fumace L Forced Ho[ Air: 92 AFUE Air Conditioner 1: Electric Central Air: 13 SEER I hereby ccrtify that tliis plazt, SpCC1^
fication~o~r~ `reoart was nrepared bv t
Compliance Statement: The proposed building de~n4le~ctm217~c~i~ESns~~~^i~F(~e building plans, specifications, and other
calculations submitted wi[h the permit application. fK~ PoT).d,~Wbeild4FU418Wdesigned to meet the 2003 IECC requirements in
REScheck Version 4.0.1 and to comply with the mR~diW4rBtorEitpntMetltikMOREScheck Inspection Checklist.
n7 18W50f~t}::SGlifOft OtB. ~j/„ 0 7
. _ ~r~
Name - Titlep~j~(Name; Si K SC) Date
Project Notes: Signature:
Minnetonka Model nate - Page 1 0( 6
_ b9l.i: Prse 4 45520
&cIZ(~ Irtz,c
~ ~'"oll Architecture ~
Mazch 6, 2007
Chad Carroll
Steeplechase of Eagan Signatures
4876 Steeplechase Way
Eagan, MN 55122
RE: Minnetonka - TBI Lot #030
Dear Chad,
For TBI Lot #030, I have reviewed the construction documents for structural integrity.
I find no exceptions to the roof framing, floor framing, and foundations including "tall
wall" assemblies and garage portal stability. Note that the stud framing shown on the
construction documents have a maximum deflection criteria of span/180 for all "tall
walls" under wind loading per ASCE 7-98.
If you have any questions ar concerns, please do not hesitate to call.
Sincerely,
Toll Brothers, Inc.
1hercby r,crtify ;liat this plan, ypecl_
ficarion, or report was prepared by
me or under my direct sup~,yy~i~
end that I am a duly Licensed
Professior.al Eng~~r under th8
laws of'the State oftdinnasota,
r4ll ~ol Print ifOiv L AA. GROSSE
Sign~'1
Date 7 Li tl44835
L isa Grosse, P.E.
Assistant Director of Engineering
MN License #44835
CC: Jerry Lamina
LMG/11
SESG_Itr0023
Task #44314 A09558
EASTERN UIV[S[ON
250 Gibrnltar Road 0 Horsham, PA 19044 s (215) 293-5300 o FAX: (215) 293-5313
PF{ILADELPHIA 0 ORLANDO o SCOTTSDALLi o DALLAS n D£NVER n LOS ANGELES
A `Toll `Bmthers CDAfPA.NY
LOT SURVEY CHECKLIST FOR RESIDENTIAL
BUILDING PERMIT APPLICATION
PROPERN LEGAL: safia.v~
DATE OF SURVEY: 3
LATEST REVISION:
d
a
c
R
U
~
O z ¢ DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
? ? • Building Permit Applicant
? ? • Legal description
~ ? ? • Address
? 0 • North arcow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
fd • Directional drainage arrows with slope/gradient %
. Proposed/exisling sewer and water services & invert elevation
? ? • Sheet name
~VJ • Driveway (grade & width • in RNV and back of curb, 22' max.)
-9 ? ? • Lot Square Footage
0 ? • Lot Coverage
ELEVATIONS
Existina
'~l ? ? . Propertycomers
,S • Top of curb at the driveway and property line eMensions
?9 0 • Elevations of any existing adjacent homes
D g? • Adequate footing depth of structures due to adjacent utility trenches
pJ ? ? • Waterways (pond, stream, etc.)
Prooosed
~ ? ? • Garage floor
,0 ? ? • 8asement floor
~ ? ? . Lowest exposed elevation (walkouUwindow)
~ ? ? • Property corners ~
~ X1 ?0 • Front and rear of home at the foundation -
PONDING AREA (if appiicable)
? ,6 ? • Easement line ' ? 'z ? • NWL
0 '2 ? • HWL
? .0 ? . Pond # designation
? '0. ? • Emergency Overflow Elevation
? f~ ? . PondlWetland buffer delineation
Y ~ • Shoreland Zoning Overlay Distrid
Y • Conservation Easements
DIMENSIONS
? ? • Lot Iines/Bearings & dim
. Right-of-way and street width (to back of curb)
• P osed hom imensio ng n ro osed decks, overhangs greater than 2', porches, etc.
(i.e. all structures requi[ina pertnanent footings -G.inCHS,~an f~bIfi S{~D.
. Show all easemenfs of record and any i utilities within those easements
)e 00 • Setbacks of proposed structure and side ard setback of adjaceni existing strudures
p( ? ? • Retaining wall requirements:
Reviewed By: Date-5/Zeyo 7
G:JFORMSBuilding Permit Appliwfion Rev. 11-26-04
Certificate of Survey 9:1 M~,+s"
F~
or Fletaintng wau WIg
OF Be Requlred
PROVIDE AND MAIR1TAltd -J
1458 WELLINGTON WAY IIyLET PROTECTIOIV IdTIL
kol ~ FIAIAL TURF 1S ESTA
- r
~
TOLL BROTHERS toINGTON--WAT
1400 Corporate Center Curve ~ R.E.e r9=S8O•15~25„
Eagan, MN Zip 55121 ~1245,12„ E ,
~
sez. _ .Op
~a~~a~ ~c°3ogao 9 0 A 8¢ 8
%'1., NXE I Q 10 , 9 aa. 983. _
x984.51 ~984J 1 ~ p TB
~ TVB
AODro6imala lowtion o ~ kT
28 L a eorytary ontl water atuDe
~ A ~Ol ~ ~ I N
~ N peI RLK Inc. plon. }j y: y0
4 a ~ 1r
S B "9 'oc `e
J
z'o.oo' ~ °S/
-.Y ioo osia 38.67 ' 9 u
O Elev 964.51 til 984.3 ~ n1~~ w
~ x 99~ 2 84.0 . N 1 c'
~P .
. F / a I ? t saa., p~ e a L'
. a2.a p~0 Um~ay, F I .
~D ~ I I
N s/
y ~ 83.7 hoyy ~ 983.8 0 I a.
8' 984. ~ ~ ~
rI
. c 0.2 pq+nd ~'all Z~ 1 I I ^
o, relk ~
SCALE IN FEET \'~I ~a~ .p° / 980 p°' t 9e3.4x ~ 1 I ^
976.9 1
4 g1
20. El 12.58 yW 77.0a 11.40 9788 1 IH
~ I.
op of OSIP 976.7 ~ 977.3 V
x9~.3 1Elave977.15 x977.1 I~; ~
`
7
C 978 ~n
9 ~ ~ I I t-gw
~ x 975.4 I
WO Oraino x976.1 976.9
HOUS@ ¢ Utili~y Eo8
Garoge left 74
Minimum lowest floor S~
1 976 ~ I
elevotion = 977.3 , Nj . s
7,.7 37)A
_ 0 974
~ -
_y 972
971 9 e721
x 969.6
BENCHMARK LEGEND
Top Nut Hydront southwest corner of EAGAM
Wellington Woy ond Steeplechose Court ~EVgEWED Iron monument found
Elevotion = 983.66 feet (NAVD 1988) ~ a = Offset iron
Droinoge & Utility Eosement
_2h -0 -7 .eoo.o = Existing Elevation
BUILDIRIG INSPECT'IOWS l~OF90.~58ON ~ a orodevelopment iPIQ^rom grade
PROPOSED AREAS =M = Proposed Elevation
Area of Lot 8, Block 1= 17,001 sq. ft. r= Droinoge Direction
-840- = Proposed 10' contaurs from groding plon
Proposed House = 2,926 sp. ft. -842,- = Proposed 2' contours irom groding plan
Percent of Lot Coveroge= 17•2X ° Ezisting sonitory sewer
U = Existing storm sewer
Son. Sewer Stub Elev,= 972.7 ~y I Existing woter
~a~ Sanitory monhole
~.ryp~ ea a Cate volve
FBDf@71f0lw a!G G DS~~e
Bearings shown ore assumed
Lot 8, Block 1
STE E E PROPOSED ELEVATIONS
Goroge floor e1ev. = 985.2
O F EAGAN Top of block elev. = 965.9
Walkout elev. = 977.3
DAKOTA COUNTY, MINNESOTA Drown: T CM1ecked: MEC
Drowing File: 700\L8.81
Subject to easements of record, if Ofty. DWG
Project No. 06-408-L
I hereby certify thot this survey, plan or report wos prepared by
me or under my direct supervision and thot I om a duly Licensed ^ DulutFi, MN.
land Surveyor under the lows of the Stote of Minnesoto. Hibbing, MN.
MN.
~ H MinamnetonkaLake, , MN.
,
March 14, 2007
Micho- eronnon, MN License No. 40035 Dote Kuusmw° X.TD Phone: (952) 933-0972
Fax: (952) 933-1'I 53
Rev: 4-3-07 City Comments www.rik-kuuslsto.com
6110 Blue Circle Dr. • Suife #100 •Minnetonka. MN. 55343
ADr 04, 2007 12:11pm
LLY man lumber Company
thC prOfeSSi01181.bUIIdBr'S rm Liester .
Sllpply CBIIt81' 9rench Manager
18900 WEST78TH STREET, P.O. BOX 130 • CHANHASSEN, MN 55317-0130 • PH. (952) 470-4800 • FAX (952) 470-4810• www.LymanLumbeccom
TOll BrOthers
1458 Wellington Way
Eagan; MN
Lot: 30
To Whom It May Concern:
An issue has surfaced regazding the open holes in the W14x30 steel beam in the gazage.
These were drilled by the manufacturer according fo the plan for 1458 Wellington Way.
On site, the connecting beam had.to be moved over 14" in order for the beam to line up
correctly. Now, six'/+" holes have been left 36 Y2" from the steel post that support this
beam.
I have consulted our steel supplier, and they believe these holes are acceptable:
For further information call:
Steel specialist
John- (952) 492-7747.
@ .
JL White Steel Company
16641 Crreystone Ln
Jordan, MN 55352 .
Cordially,
Bret Schuler
Lyman Lumber
10/36/2667 11:45 6128252303 RAY N WELTER HEATING PAGE 02/02
prti,~,T.~ 7~~~7
Date: 10130l07 Revisian Oate: 10/30/07 New Canstrucdon ~j
Ske Informalion
Address 1: 1458 Wellingtvn Way Project Steepelchase of Eagan
Address 2: Lot: 0030 91ock* #1
City: Eagan Counry: Subdivision:
Aonlication lnformation
Business Name: Ray N Weiter HVAC MN Contractor License
Contad Person: JOE
Office Ph: 612-8256867 Fax: Cell Ph:
Address 1: 4637 Chicago Ave. $o.
Ciry: MPLS. State: MN_ 2ip Code: 55407
House Details
Square Feet: 5596 sq. ft. Avg. Ceiling Ht: 12.25 Number of Bedrooms: 4
ft.
Ventilation : 9alanced
Total VentilaUon Capacity : 300 cfm.
Minimum Corrtinuous Ventilation :75cfm.
Intermittent Ventilation: 225 cfm.
Combustion A liance
Water Heater: Power Vent lnput HTUS: 80,060 Independently Veryted
Furnaceleoifer: Direct VenUSealed Combustinn Input BTUs: 120,000 Independently Vented
Other Combustion Aonliances
Gas Fired Direct Vent Fireplace(s): Yes Gas Fired Power Vent Fireplace(s): No
Gas Fired Natural Draft Fireplace(s): No Solid Fue1 Appliance(s): No
Exhaust Eaulpment
Continuous Exhaust Ventiiation Capacity (cfm): NA Clothes Dryer (cfm): 135
Exhaust Fan Rating (cim): 400
Make-Uo Air
No Make-Up Air Required by Code
Combustion Air
Minimum Combustion Air Requirements Met.
,
Applicant Name (print):, lZ,c< ~G~ Signature/Date:
Code Official (print): 5ignaWre/Date:
QJ 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. page I
/
y 1D i ~ r
2007 RESIDENTIAL MECHANTCAL rERMiT arrLicaTIoN
City Of Eagan
3830 Pilot Kaob Road, Eagan MN 55122 v
Telephone # 651-675-5675
Please complete for: single family dweliings & lownhomes/condos when pemiils are required for eacli miit
Fddress Unit 1i
ty pwner Telephone # (
Contractor
~
Street Address G.4 "o~j
CiTy /
State 1 Zi C~ /
J P ~ Telephonefl ( A ~
Bond •ry ~i7 L Expires:
:r, . ~ y.
The Applicantis. _ . ' Owner?C~an~ac~r' Oiher . . . -
, .
Fire repair eplace burned ouf appliances, ductwork, etc:)- tabu:ild~irg. This fee applies when exiensive mechanical repairs are made $ 90.00
.Add-on or alterafion to existing dwelling unit $ 50.00
_ furnace ?Additional _Replacement New
_ air exchanger
air conditioner
_ heat pump
oiher
Stafe $urchargc $ .50
Total
- $
I2;
1`hereby apply for a Residential Mechanical Pemiit and aclntawledge tlhat the information is complete and accurate; that the work wiU
be i~ confonnanpewith the ordinances and code `~f Rs An an ' the Mechanical Codes; Uhat I understand.this is not a-
perniit, but only an application for a pemiit, and s t i permih, [Gat the work will be in accordane wit6 die approved plan in th case of work w6ich requires p
NOV 0 7 2007
App]icanYs Printed Name A canYs Signa ure
By
Address: 1458 Wellington Way Zip: 55122 ermit: 77457
~a 0 o
THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FIPAL [NSPECTION ON :
Yes o Comments
Final grade - 6" from siding
Permanent ste s - garage
Permanent ste s- main enhy ?
Permanent driveway
Permanent gas
Retainin Wall or 3:1 Max Slo e
Sod/Seeded lawn
TraiUcurb damage
Porch
Lower level finish vo~
Deck
Fire lace y1v L°VG
. Verify with your builder that roof test caps from the plumbing system have been removed.
• Turn off water supply to the,outside lawn faucets before freeze potential exists.
• Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing
irrigation system.
~ BIDLDING 1NSPECTO A-N&AOiA~
GBldg Insp/Fortns/2007lChecklists
- - - - -
~ ForOffice_Use ~
Cit # ~ao ;
y of EaiaIl ~ Pa~,,,t
I
3830 Pilot Knob Road ~ Percnit Fee:
Eagan MN 55122 L 6 T g ' N~, v j Date Receivedt Phone:(651)675-5675 c I Staff: ~f i
Fax: (651) 675-5694 ~ I
2008 RESIDENTIAL BUtLDING PERMIT APPLICATION CAI~C~G y~~~
Date: 7"1U- 0$ SiteAddress:_ IYSS lveltinGj-k,„ W0.7 ~a qa~, r+,N , ss~2z
Tenant: Suite
RESIDENTIOWNER Name: Zh«i. I Tajcn FJo6, :r Phone:
Address/City/Zip: lYsS t.va,~ F`syy., , rnv SSi22
Applicant is: _ Owner _ Contractor
TYPE OF WORK Description of work: Mw IJ ef{C
Construction Cost: Multi-Family Building: (Yes No ~
CONTRACTOR Name: CXA-2rlav CX~YU'P.fS10nS SNC. Licenses: ZObo~~' J~6
Ly"G -tt' Address: l335 ?G~Ykvi2w or.
20 (o213-'~6 ciry: C6Skti state: ht M ziP: 55319
Phone: %a"'3& 31a6 Contac[Person: :Yd^~, ~.'C'..4~A5Uh
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventllation Categwy 7 Worksheet • New Energy Cade Worksheet
Category su6rnined Submitted
(4 submiS3iOn typ9) • Energy Envelope Calculations Submitled
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 Plum6er: Phone:
Mechanical Contractar: Phone:
Sewer & Water Coniractor: Phone:
NOTE: Plans and supportfng documents fhat you submit are consideied to be public intormation. Poifions of
the in/ormation may be classitled as non-public if you provide specific reasons that wouM permit the City to
conclude ihat fhe are Made secrets.
I hereby ackrwwledge that this information is complete and accurate; that Ihe work will be in confortnance with the ordinance: and codes of the CiTy of
Eagan; that I understand Mis is not a permit, but only an apQficafion for a permit, and work is not to start wilhou[ a permit Ihaf the work will be in
accordarnce with the approved plan in the case of work which requires a review and apprrnal ot plans.
x ~6 n' ~l~`^N~f G `l X nl,
Applicant's PriMed Name App6 ' Signature Page 1 of 3
. . r .
, DO NOT WRITE BELOW THIS LINE
sue rvPEs
? Foundation ? 05-plex ? 16plex ? Accessory Building ? Pool
? Sirgle Family ? 06-plex 0 Freplace ? Porch (3-season) ? Ext. Alt. - Mutti
? 01•af ' Plex ? 07-plex ? Garage ? Porch(4-season) ? Ext.Alt. - SF
? 02-Plex ? 08-plex X_ Deck ? Pwch (screenfgaze6o/pergola) Muhi Misc.
? 03-Plex ? 10-plex ? Lower Levei ? Storm Damage
? 04-Plex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? InTerior Improvement ? Siding ? Demolish Building`
Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fre Repair ? Windrnvs ? Demolish FouMSation
? Replacement ? Egress Window ? Water Dama9e
' oenoliti0n (entire building) - give PCA hazidout to applicant
DESCRIPTION: ~g7
Valuation ~rl~ _U~ Occupancy MCESSystem
Plan Review Code Edition ~ SAC Uni[s
(25%_ 7009'0~&_j Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Wid[h
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrcek
~ Footings (deck) FinaUC.O.
_ Footings (addition) y Final/No C.O.
Foundaiion ~ ~ HVAC
Drain Tile O[her:
~ Roof: _Ice & Water _Final Pool: _Footings -AidGas Tests Final
Framing Siding: _Stucco Lath _Stone Lath _Bridc
^ Fireplace:_R.I. _AirTest _Final Windows
Insulation Retaining Wall
Reviewed By: T~ . Building Inspector
- - - - -
RESIDENTIAL FEES:
Base Fee ~
Surcharge
Plan Review
MC/ES 5AC
City SAC
Utility Conrrectfon Charge
S&W PeRnit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
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BUfLDiN(3 INSPECTIONS Divism w doetapmanE ptai
P.aposea- Elerotioa
e OralnOgO OirKtip1
m O! Lot B. wadt 1a 17.OD1 aa. ft. ~p_ . PropOled 10' CanCOwe 6om 9rae"
h~n ~P~4
apo9ed Hause ~ . 2.926 99. (t. "EVVED ~~2~~~~anilary contrin
~awt+'
.1t Of fAt ~WJ9a 17.~ o E~8t111lj 91OM0 SCWff
.,
�, Use BLUE or BLACK Ink
r________________�
I For Office Use �
� � Permit#: �� ���/ �
Clty of �a�a� ; . ,+ � ;
3830 Pilot Knob Road
RECEIVED I Permit Fee: /� ° �
Eagan MN 55122 �A� 2 � Date Received: /� I �
Phone: (651)675-5675 7 ���� I I
Fax: (651)675-5694 I Staff: �
I I
------ ----------N
2014 RESIDENTIAL BUILDING PERMIT APPLICATION ��
�;��
Date: Site Address: Unit#:
Name: c�c�Se-•� -� Yr^(5lir. -�p�S Phone:
Resident/
Owner ' address i aty i z�p:__/�sg c.utlf`►��,� W�.
., �
Applicant is: �_Owner � Cont�actor �
Type Of Work : Description of work: 0 c/`(�vo r� .��v�� �f�cc.�
Construction Cost: I�Z � Ooa Multi-Family Building:(Yes /No )
Company: I 5�-- �l�t S�� Contact: ��-
Contractor Address: '�`s`"�G ����'��S ��' � ciry: �aP�� �t�uG
State: �'1�IN Zip: SS31 C Phone: (O(Z �b"3 `�'S"`f 6Email: ?d�- f"-C i G�la�������to,ti.
License#: B L r,�/��� Lead Certificate#:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) �
4�� �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEV1l`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:
NOTE:Plans and supporting documents thaf you submit are considered to be public information. Portions of
the information may be c/assi�ed as non-public if you provide speci�c reasons that would permit#he City to
concluale thaf the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection�gainst underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.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 wiil 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. ,q`
x �Q ��L�C- � �v`'`� _��_ _._�.—i�_
X ..�.a
Applicant's Printed Name Applicant's Signature
Page 1 of 3
�
/�5� G✓�/��Z`��r ��/� /��-��°•7. . .�
DO NOT WRITE BELOW�HiS LI�IE �/
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Exterior Alteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola Miscellaneous
01 of_Plex Lower�evel Pool Accessory Building
WORK TYPES
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
Valuation �� Occupancy �/�,G — �!' MCES System
Plan Review Code Edition Z�7 SAC Units "'—
(25%_100%� Zoning /�,►� City Water
Census Code �t'$�J Stories �-- Booster Pump —
#of Units / Square Feet I�y PRV -�'
#of Buildings / Length `f Fire Sprinklers —"
Type of Construction _��_ Width /1
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
� Footings (Addition) Final/ No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
Framing Drain Tile
� Fireplace: �Rough In/1� ir Test �Final Siding: _Stucco Lath _Stone Lath _Brick
Insulation � Windows
Sheathing Retaining Wall: _Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls - Other:
Reviewed By: , Building Inspector �_
RESIDENTIAL FEES
Base Fee ?„3 /
Surcharge
Plan Review �7 7 i
MCES SAC
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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Ce rtifi cate of S u rvey �:, �m s� �
or Fie�ining Wai�w�
OF 8e Requlr�d �
PR��IIDE A1�iD MA�AiTAIN
1458 wELLINGTON WAY 1�LET PROTECTIOAI NTII.
��c' FI�AL TURF 1S ESTA �
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T4LL BRUTHERS �� r ` � Q
140(? Corporate Center Curve � R.�.a 9 S8p 15•�5„ o N
Eagon, MN Zip 5512i !.��2 y¢5.��„ E' `° '�'
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�,� y�� � x 984.6�984.7 `' � � � �
� TVB
�i � Apprfximate�locotion o ���7" '� �
��/ �$Q L o� so y'�ary ond woter stubts ^ dl� 1 ,I
� ;,� per R4K Inc. plon. }( a d' � 1 r O Q
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n E ev 984SSP Nl 38'.67 984'.3 � 9 - 1 . %\ r°t;��
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'y~ '� J`a / N s� k 983.7 983.8 0 � a.
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SCALE IN FEf T ` '� ,�a• p° / 98O oFw �� 483,ax j f � �
L °j � 976.9 � � g� I �
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�. V /� �`, Op of OSIP 976.7 97 x3 7.1 1 � ��
`` x9�.3 `�.\ Eteva977.15 ���`""`��` ,�'�� Q��
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'`J�'��_���`Oroina�X976.1 �`"_�-�.- 97fi.9 �f/Z�-/'�iG���T
WO House ��� � �
Garage ieft ' - ;�� -, : � � Urn,�
�.' x 974. 74 '� ,_ y Eog� t
Minimum lowest flvor •`� 1 �7s �� ��`"--'�
elevotion = 977.3 O �
7 3.s "� �„ �S
N� 6
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_ k s n i ��"�,�/-a.,��972 d 974—
_''�- 971 g s�z�
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BENCHMARK LEGENQ
Top Nut Hydront southwes; corner of ��� '
Wellington Woy ond Steeplachose Court �������D � n Iron monument found
Elevction = 983.65 feet (NAVQ f989) � � = Offsek iron
��' �� �� = Orainoqe dc Utility Eosement
� ■soo.o = Ex+sting Elevation
���t�: �-�2� �� .
BUlL�ING tNSPECTI(��� (�0�90��� �� or�de�opment'pl�n om grode
PROPOSED AREAS �] a P�oposee E�e�ot�on
Area of Lo# 8, Block 1� 17,001 sg ft. �+-- = Orainoge Direction
2,926 sq. ft. ""�'w""'" = P�oPosed i0' contours hom groding plon
Proposed Hause = � � —8g2,— = Proposed 2' contours from groding plan
Percent of i.ot Coveroge= 17.2X �// ��� � —<— e Existing scnitory sewer
v --«-- = Existing storm sewer
Son. Sewer Stub Elev.= 972.7 �y I — m Exisking water
¢/¢ L� Q � Sanitory mdnhole
��� ��Q oe = Gcte vfllve
�Qi/�1 �{� �8���.
88arings shOwn ore asSumed
. Lot 8 , B I ock '1 �����,�
������'�� ��D PROPOSED ELEVATIONS
ST E E P L E C H AS E ��: s floo� e,eV. a �$5.2
�-- Top ot black elev. - 985.9
�F EAGAN ����:_,_ �.��� WQ�ka�� ��e�. a �,�.�
, � ,_`;�'. P�., _
-F�: ::'� �: -��� C3i1t'l��:yC�f�a
D A K 0 TA C�U N T Y, M I N N E S 0 T A Orawn: ..�... ch8�k�d: MEC
Sub ject to easements of record, if any. Drowing File: �oo��a.e� .pwc
Praject No. 06-4Q8�L
I hereby certify thot this survey� plan or report was prepared by
me or under my direct supervis�on and that I om a duly Licensed Duluthi, MN.
l.and Surveyor under the laws of the State of Minnesoto. Hibbing� MN.
� Ham Lake� MN.
� Minnetonka, MN.
.. ��.� �''��Q7 March i 4, 2Q07 •
�'Q � Phone: (952} 933-0972
� Michael E. Connon, MN �icense Na. 40035 Dote � Fax: (952) 933-1 �153
Rev: 4-3--07 City Comments ' www.rEk-kuuslsto.corri
61'I O Blue Circle Or.•Suite#100•Minnetonka. MN. 55343 �
Ao� 04, 2007 12:S1pm
, Use BLUE or BLACK Ink
. � r-----------------'�
� I For Office Use �
- i �J �
C• � Permit#: �
y°� 0 "`�"`� I permit Fee: ��'1 ' �
3830 Pilot Knob Road � I
Eagan MN 55122 R���'��� � Date Received: �
Phone: (651)675-5675 MpY Z � 2fla4 I I
Fax: (651)675-5694 � Staff: I
I I �\---------------- �
�
2014 RESIDENTIAL BUILDING PERMIT APPLICATION C��' �1�
'1,i�
Date. Site Address: Unit#: �
-� �
Name: `—'�j��'`� ���J��7 Phone:
-Resident! ��� � "� � v� � � ���
�W�e�.�. �. : Address/City/Zip: ����� Vv ��,��
Applicant is: Owner Contractor
Description of work: �G�S`��� T�`����
Type of Work
' Construction Cost: <�� � Multi-Family Building: (Yes /No�
Company: �-���-'�j�'"t��'� �w�`'�.�J'�►���"`]" Contact:��� ���
Address: � ��(�J(� 1r�2�GzZ �-G��_ City: �C�''��-\ ���-1,-.'Q'
Contracto� � � ,�r,,j,�
State:(1!��Zip: C���'�` Phone: ��--�7�`J S�mail: ��W�� �°LT�s`1��'�'�
License#: Lead Certificate#:
If the project is exempt from lead certification, ptease explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents that you submit are consltlered 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
concludQ that the are fratle secr�ts.
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. wuvw.4oqherstateonecall.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 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�������- X ___
ApplicanYs Printed Name App icanYs Signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE � �'�,
SUB TYPES � � � (JJe 1��h��v:� L<,�c�
_ Foundation _ Fireplace _ Porch (3-Season) � Exterior Aiteration (Single Family)
_ Single Family _ Garage _ Porch (4-Season) Exterior Alteration (Multi)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Miscellaneous
_ 01 of_Plex �e,,� Lower Level _ Pool _ Accessory Building
�C�
WORK TYPES
_ 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 buildin rve PCA handout to applicant
9-9�
DESCRIPTION
Valuation = '� �"x`
� Occupancy "��� MCES System
Plan Review Code Edition ���� SAC Units
(25%_ 100%�) Zoning ;�;1 City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
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 _Final Pool: Footings _Air/Gas Tests Final
�, Framing Drain Tile
�G Fireplace: �Rough In �Air Test JG Final Siding: _Stucco Lath Stone Lath Brick
� Insulation 7 Windows
Sheathing Retaining Wall:_Footings_ Backfill Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: __ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant / �� �]� �� ..-�„ �
Copies
� � � °°' �
TOTAL �
Page 2 of 3
�- � �� � �-��sz
Re�e�Pr�ssossa 3016$21
ABSTRACT FEE $46.00
Recorded on 6/23/2014 09:00:01AM
B : DMB, Deputy
Return to:
JASON S TRICIA DOBIS
145 WELLINGTON WAY
EAGAN,MN 55122-2967 Joel T. Beckma County Recorder ��
Dakota Countv,MN
CERTIFICATION OF PURPOSE OF SECONDARY
KITCHEN FACILITIES WITHIN SINGLE FAMILY DWELLING
I, ��1�� �pl� ���C duly sworn and under oath, �ertify ii�at I ar►ti�� Otivnzr of the one-family
detached dwelling as defined in Section 11.30 of the Eagan City Code focated at 145$Weliington Way legaliy
described as Lot 08, Block 01,Steeplechase of Eagan, 10-72540-010-80.
A building permit application has been submitted on my behalf to the City to enlarge, alter, improve, remodel,
and/or finish the above-referenced dwelling, or a portion thereof, to include the installation of facilities for a
secondary kitchen within the dwelling.
The secondary kitchen facilities to be installed under the building permit are for the sole purpose of providing
cooking and food service facilities for private entertainment of guests by the property owner at the dwelling.
I acknowledge that the Eagan Zoning Code prohibits the existence of a second kitchen facility within a dwelling unit
to serve a complete, independent and secondary living or housekeeping use within the dwelling. I certify that the
installation of the secondary kitchen facilities under the building permit is not for the purpose of providing a second
complete, independent and separate living and/or housekeeping unit within the dwellin
Dated: June ;2014 Z��
� •���
� Owner's Signature
i
Subscribed and sworn to before me this��day of , 2014.
,.�.,�,;���.,�.�. �
T *�. JULIE ANIT� ST��D
Notary Public-Minnesota
N Public �'co'""'�m°"�'°°'�e"a�'�mg
I hereby verify that the above said Certification of Purpose of Secondary Kitchen Facilities within Single Family
Dwelling was recorded at the County Recorder's Office on , 2014.
By:
Its:
THIS INSTRUMENT WAS DRAFTED BY:
City of Eagan �
Community Development Department
3830 Pilot Knob Road ;9 � �j�
Eagan, MN 55122 �'' �
Sep 02 14 12:31 p Legend Services Inc 763-479-6003 p.2
Use BLUE ar BLACK Ink
� --------------,
���c.L 2 ; Fo►o�ce use i
� � �a� �-�� �
�6O1 iJ��J�ll C'/�'T' �f�- i Pertnit#: I
Y b ��� ���� !i � � Permic Fee: C��/• (JU I
3B30 Pilot Knob Road i o�j—/�.i
Eagan MN 55122 S��Z 2014 i Date Received: "' �
Phone: (651)675-5675 � ��: �
Fax: (651)675�694 ,� !----------------�
BY:_
2014 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: �� � ��Site Address: ���� l.v�J(�!U�� G,(/�
Tenant: Suite#:
� ; \ (,� '
4 ResidQntlOwner � Name: V!J U�� Phone: �
� R Address!City!Zip- /r9"fZ� �Y� ��v� §
�: � -�°.�.�
i s Name: � �l; . �ill C�f S' .�.'� L,icense#: r�-�D 7���
� /� 7
� � Address: �Q IJO1� J�� City: �re�
Contractor ; c _��� �
� �1 Zi �S J�J� Phone: �7�v3 ' �7/
' Stale___,� p:
" � �yO' �sf t'�i ��l:�C�% ' c �
� contact: ���il'�e Email: �1'-O �'�� �`''�� ��"� s
° ' New Reptacement Repair _Rebuild �odify SRace _Work in R.O.W. �
� Type of Work ? — — — �
E � Description oi v+roric: �
i j RESIDENTIAL � ��e/�rzuT �I�
� ' � Y
: Water Heater � � �
� � � Water Softene�
� Lawn Irriga�on�RPZ/_PVB) !� �
� Permit Type � ;! Add Plumbing Fixtures(_Main/�Lower Level)
� ; Septic System ; �
� i �� Water Turnaround '
N y _Abandonment � ?
� RES{DENTIAL FEES: �
� $60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge) �
� $60.00 Lawn Ir�igation(indudes$5.00 minimum State SurchaTge) �
y $60.00 Add Plumbing Fi�ctures, Seotic �stem Abandonment,Water Tumaround'(ir�dudes$5.00 State Surcharge) p
i "Water Tumaround(add$200.OQ it a 5/8"mete�is required} ;
� $115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �
� TOTAL FEES S �� �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651�454-0902 for protection against underground utiliry damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goaherstateonecail.orQ I
I hereby acknowiedge lhat this informatio�is complete and accurate;that the work r�n'll be in coMortnance with the ord"mances and oodes of the City of i
Eagan; that I understand lhis is not a pertnil, but o�y an application tor a pertnit, and woric is nol to stan without a peRttit; Ih2t the warlc will be in '
ac�ordance with the approved plan in the case of work which requires a review and a�proval ot plans.
J //�,��
X �1C���1��� t�4�-'� X d �1CNG`7
ApplicanCs Pr�nted Name Applica�C gnat�fr�e
FOR OFFiCE USE Reviewed By: D�:
Required Inspections; Under Ground Rough-fn Air Test Gas Test Final �
Meter Related Items: Meter Size Radio Read Staff:
�,:� �s!-U75- sCq'f
� � Use BLUE or BLACK Ink
r------------�
� For Offi�g USB I
'�.' . I � /����'"7 �G..���
- rermn�: �
��� �� ��' ( Permit Fee: • %� � , „J!✓t"`
3830 Pilot Knob Road � /� I��
Eagan MN 55122 I Date Received: `IZ� � I
Phone:(651)675-5675 � Staff: I
Fax:(651)675-5694 � � I
-------------�
se2 �e+-rni�- � 124a5a
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
1_ . � "
Name: ���1,..�1� . �aSO�C'1 ''►' �1ri Gt�. Phone: 10��'3��p' S�P��
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C)��i�C � Address/City/Zip: ��S$ �,��1t�1n'�'Cr'� �}y�V �f.G�L�A1 hIl�V CJ��
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�-� �. � �': Applicant is: �Owner Contractor
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' Descriptionofwork: 0b� �(9( � CGifD�'t' 1C1AY10��1�� Tl��il�P,T , '�����C.
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� Construction Cost: �,C�2 ���1ah ��0�d�• Multi-Family Building:(Yes /No�)
Company: '�t OY�e d��C'f Contact:
.�����,��,���' Address: S e� GL.�p�J Q City: �
� •a '���.� State: Zip: � Phone: Email:
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��F "� '� ' License#: Lead Certificate#:
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If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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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:
Nf,)TE.�l�r�s and�erppor�it�d�t+��r���t�s�t��f�ve�,s�r�`"r�if�re���s�€�rred,t�'�e p�rbfi����t��rrtatrc�r�; �'�ttr��vf;;.
�Yhe i�fcs��natiorr m�' be�1����e�#a���rrc��r� ' #fi�if� q�r�arvw�+�e:� e����"rea��r�s, �`�`'��rli{ �"
� Y �'_ ;�° � �.. p�r�,�t��y�#Y#c���'` ; ;
! �c�ncic�de-ti���#�� �re ir��te;��crets. ""
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Cal�48 hours
before you intend to dig to receive locates of underground utilities. �m�ca�.qo�herstateonecall.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 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 7$0 '
days of permit issuance. �
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Page 1 of 4
�� DO NOT W(RIT��LOW THIS LINE �L ��--?��� /
�
S'i16 TYPES
_ Foundation _ Fireplace _ Porch(3Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) Exterior Alteration(Multi)
_ Multi Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex � Lower Level _ Pool _ Accessory Building
WORK TYPES
_ New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
� Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation -��� Occupancy .a=j�G`- 1 MCES System
Plan Review Code Edition m � 2��S' SAC Units
(25%_100%_) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Y 8 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) }4 Final I No C.O. Required �; n q �
Foundation �( HVAC�as-Sewie�-Test c�ac i ina Air T�t
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
� Fireplace:_Rough In _Air Test �C Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Other:
Reviewed By: �� � �'/r �y/�" , Building Inspector
RESIDENTIAL FEES �''��� ! �,,SP e�-r•�,,'� S F�'1�--
Base Fee
Surcharge ���-M•"� l Z y 9 .S�Z
Plan Review
MCESSAC �Iu�nn ��n,� +���'� fi �� b��
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
�
C�ae.w.c2-t,t�.oL�s : �L �` �2(0��$ gL'�` ►2��'S2
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February 24, 2015
City of Eagan
3830 Pilot Knob Road
Eagan, MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Ta Whom It May Concern:
My name is Tricia Rea-Dobis. 1 live at 1458 Wellington Way, Eagan, MN 55122.
in August of 2014, my husband and I applied, with our general cantractor Dan Baker of
L.ifestyle Basements, for building permits.
We made the request as we are finishing our basement.
We hired Dan Baker to facilitate the process. Our project was set to be complete
October 29, 2014. It is February 24, 2015 and our project is halted. We have fired Dan
Baker. Baker has taken our money and did not finish our job. In addi#ion, we are aware
of various trades that have not been paid.
We will apply for building and plumbing permits to finish the job Baker never completed.
To finish our basement, we need to install wood floor, brick walls and back splash,
carpet; finish painting, hang light fixtures, complete trim work.
We are now acting as our own general contractor.
Warmest Regards,
L.��• s �'(�'' ' �,1" C�_��`�
Mr. and Mrs. Tricia Dobis
1458 Wellington Way
Eagan, MN 55122
(651) 528-7005
,�.�-. ��,,---
/ �` I .� � �
Scope of Work for 1458 Wellington Way Eagan, MN 55122 to finish
basement remodei:
* Building final to include heating final, fireplace final and building permit
final. Building permit #124952 has had fireplace rough-in, heating rough-in
with one correction, which is done. In addition, the framing and insulation
inspections have also been complete . , r�oaJ� �Q jz,e�n���� %'� �?��N.
��a�,.,. Cr���� ,� fi��l�
* Plumbing final to include the installation of all fixtures. Plumbing rough-in
has been completed on a separate permit#126588.
* Electrical permit to be pulled by Jason Dobis, homeowner. Electrical
rough-in has been done.
SMOKE DETECTORS ARE REQUIRED �,.� �;� ?.";;��"�;�.;�;;s`Ii i�J��J�°t ��
ON EVERY LEVEL OF TI�HOUSE AI+1D IN E t'�� ' � � �
EVERY SLEEPING ROOM AN IN EVERY �i���`���-�� ti"�f`L���VU S��iGL� ��°,�Rfl1LY
HALLWAY LEADING TO A SLEEPING ROOibi AND NiULTI FRMILY DWELLING UNITS.
REVI WED
. .
,
- . _ _ __�� L��1L� �( �_ _. _ _ _
. : - .-� _ _ __ _ _ __
Date.
Eagan Butlding Inspectlons Divislon
I
i
Use BLUE or BLACK Ink
�-------------
I Fnr Affir�B US@ � ����
�� � � � i ,�o,�,,,��:_ ��`�����_ i2-��1�
� � Permit Fee: �d . �O �
3830 Pilot Knob Road �
Eagan MN 55122 i Date Received:�Z Z�O �
Phone: (651)675-5675 � Staff: � �
Fax: (651)675-5694 �——=°'T———————�
� �erw►��- � �2b5S3a
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address: ,�5�5 V�e���n b�� �N A�t �� SSl 22
Tenant: Suite#:
,���g�p� ; >�ii� Name:�1(.l ��(l �Y1C� ^�1GtC�. �j�S Phone: `p,�• JO� 'S{o��D
Re��t��l�fi��lV��Br=.
� �'.� ��� �4�s8 ttiell� 6 kkt
�' � '�' .'r=r Address/City/Zip: h ��� N � S
�`
Name:_�OMQ d�'��� � License#:
1N �
�1��c�ntr�c�br ,: = Ad�aress: SCnM.Q C�S G41vb��2 city:
� �� State: Zip: Phone:
r= ��. ��
� �a
''i `�_
i- °,�' „��„I �,,- ���, Contact: Email:
� ,u �ia�
� w � '����t �a
y ��
� ��' ' ' °�� ������ _New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
�'�'�e�f'��r`� �� —
� �p��� ��,�_ �r��i �
�= '��� � �''��p � �� Description of work: ���CN��� �•�� � � � ���`Q'—'��Z�
� �
i� ` � ,�;�° �$y,',r RESIDENTIAL
i
,�'�"� �,.:�
Water Heater
� �`�� a� ������� Water Softener
� Lawn Irrigation�RPZ/_PVB)
P@`r'�'1'1[tT�/�ie� � �
9 �Add Plumbing Fixtures�Main/_Lower Level)
Septic System
°' � ' ��� =�� New Water Turnaround
� �; - —
,
��! Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater,Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge) I
$60.00 Add Plumbing Fixtures, Se tr�ic System Abandonment, Water Turnaround"(includes$5.00 State Surcharge) �
�
`Water Turnaround(add$200.00 if a 5/8"meter is required) I
$115.00 Septic System New($10.00 per as built)(includes County fee and$5.00 State Surcharge) 'i
TOTAL FEES$ I
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.,�opherstateoneca�l.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 with the approved plan in the case of work which requires a review and approval of plans.
x 1�1 C� G � ' ��'. _a,�b1n►�s X vl �,
ApplicanYs Printed Name Applic Ys Signature
I�i �a . i�" I� ' .. � ��` �s�' .�. ql�
F�}����G'����`'� "� � �l � �� � � ��A�i@#���1.� � ���� ��� d �'� ��+��
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�� u�re€�1� �r r�s ��� �llnci�r�r�sund'',: � � � ' � �'
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s.� � � ��-
l�l�t�r� ���ed�!�` rr�s� �M''�t�r S�����- �"��� . :t�������t��'�, � t��:���m�ter =���A�� `'�r���'�' � �� ,�G�
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165025
Date Issued:10/14/2020
Permit Category:ePermit
Site Address: 1458 Wellington Way
Lot:8 Block: 1 Addition: Steeplechase Of Eagan
PID:10-72540-01-080
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Jason A Dobis
1458 Wellington Way
Eagan MN 55122
Gold Star Contracting
3025 4th Ave E
Shakopee MN 55379
(612) 221-4553
Applicant/Permitee: Signature Issued By: Signature