1968 Timber Wolf Tr N
CITY OF EAGAN
3795 Pilof Knob Rood Eagon, MN 55122 N2 6 137
PHONE: 454-8100
BUILDING PERAAIT ReceiPt # _
To be wsd for Est. Value Date , 19
Site Address ' Erect p. Octupancy
Lot - Block Sec/Sub. Alter ? Zoning
Parcel # Repair ? Fire Zone
Enlarge ? Type of Const.
W Nome Move ? # Stories
3 Address Demolish ? Front ft.
0 Ci Phone Grode p Depth ft.
~
Name Approva Is Fees
a
Address Assessment Permit
Ci Phone Water & Sew. Surcharge
Police Plan check
Nn?ne Fire SAC Address Eng. Woter Conn.
tW Ci phone Plonner Water Meter
Council RooLdy ni,t
I hereby ocknowledpe that I have read this application and state that Bldg. Off. ~,R •~s.~ -~4i• Otl Pd .
the information is eorrecT and agree to comply with oll opplicoble
State of Minnesoto Stotutes und City of Eagan Ordinances. APC Total
Signature of Permittee ~
A Buiiding Permit is issued to: on the express condition that
oll work stwll be done in eccordance with cll applicable State of Minnesoto Statutes ond City of Eagan Ordinances.
Building Official
I Y
Pwratt # Dah (Mwd Pwa1ft" Plumbing
Mechanical
,-Z 7,1f/
INSPECTIONS DATE INSP.
Rouqh-I n Firal
Footings -ae/ Dote Irap. Date Insp.
Foundation Plumbing IRA,
Frome/ins. 0-2,7- /D 30 -bd MechaniCOl
Finol
Remarks: ~D - 3 0 - ~0 ~ • i?,~jlrf/~~N~(
.
. - ~ cirr oF EAc,aN
. . 3795 Pilot Knob Roed
Eayae, Mlnnesote 55122 INSPECTOR NQTIFICATION
NO• - Phone: 454-0100
REQUIRED BY LAW
PERMIT FOR ALL INSPECTIONS
Dote: 7. Receipf No.: - r . . , , . Singie I
Site Address: - ' ~ - - ~ ' Residential
Lot , Block ` Sub/Sec. e3dowlrr Multi Res., Comm./Md. I
Nome ~ New//?Iter./Repoir. 3 Address Cost of Instollation
V4~~
City ~ . - • Phone: ~ Permit Fee
Nome i1Cfl tj Iit' ( c, . Surcharge
.
~ -
~ Address ' CIry , . Phone: Total
This Permit is issued on the expreu condition that oll work shall be done in accordonce with oll applicable Stote of
Minnesoto Stotutes and City of Eogon Ordinonces.
Buildirg Official
' • ~ cirY oF EAGAN
. 3795 Wlof Knob Road
Ea9en, Minnosoto 55122 INSPECTOR NOTIFICATION
No. Phone: 454.8100 R EQU I R E D BY LAW
- FOR ALL INSPECTIONS
PERMIT
-
.?15Z ?
pate: l~ - Receipt No.:
Single I
5ite Address: ~ Residential '
' I
Lot Block Sub/Sec. meadawlsnds Multi Res., Comm./Ind.
L~~r i_,~ . }r~ic. •:;o.
Name New/Itilter. /Repoir
th `s
~ Address Cost of Installation
~ . , 435-,`:;~? . ~
City Phane: Permit fee
Name ~ Surtharge
~
~ Address City . - - ' Phone: ^f ' Totol
This Permit is issued on the express condition thot oil work shall be done in occordance with all opplicable State of
Minnesota Statutes and City of Eagan 4rdinonces.
Buildinp Official
CITY OF EAGAN Remarks
Addition Neadnwland lat Additinn Lot 11 sik Z Parcel 10 4R050 110 02
Owner Street 1968 N. T1111be1' WOlf Tl'a11 State Eagan, 1KN 55122
Improvement Date Rmount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR./~/ mp • • 1,58. 99 1431.00 A009865 1 26 81
GRADING
SAN SEW TRUIVK ~ 2 25 19 7 0 77.95 * SEWER LATERAL 2840.93 A009865 1 26 81
WATERMAIN
* WATER LATERAL
WATER AREA i
STORM SEW TRK 1971 2 14.15 20
* STORM SEW LAT
*
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
sAC 9 2 80
PAR K
CITV aF EAGAN SEVIfER SERVICE PERMIT
3795 Pilot Kneb Rood PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address: C ' rN i ~ -
Plumber:
I eyres to eomply wifh fhe Citp of Fagon Connection Charge: -
Ordinanees. Account Deposit:
Permit Fee:
Surcharge:
8y Misc. Chorges:
Date of Insp.: Totol:
I nsp.: Dote Paid:
CITY OF EA6AN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Z~ing: No. of Units:
,r. .
Owner. '
Address:
Site Address: - " -
Pl umber.
Meter No,: Connectlon Churge:
Size: Account Deposit:
Reoder No.: Permit Fee: I ugree to eomply with the Ciryr of Eoyan Surcfiorge: ,
~~~nces. Misc. Charges:
Totol:
By Date Paid:
pate of Insp.: I ^sp.:
lJ 017 CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATIOf] 1 set of energy calculations.
To Be Used For ksw- Valuation Date
site Address: oFFICE uSE oNLY
Lot Block a Sec./Sub.'hq~J Erect IX Occupancy
Parcel Alter . Zoning
Regair Fire Zone ?
Enlarge _ 'Iype of Const.
Owner: . ~ Viove # Stories
Pddress: /017- Denolish Front ~'Fl ft.
City/Zip Code: 55337 Grade Depth 39 ft.
PhOne y 3>'- G 53 Sr APPROUALS FEES
Contractor: Assessments Fermit /38 -Q:~l
Water/Sewer Surcharge ;ky
Address: Police Plan Check /„9
City/Zip Cocle: Fire SAC SaS-~1
Phone Water Conn. 0~3 S
Planner WaterMeter ~
Arch. /Eng. fl.~1, Council Road Unit =
Bldg. Off. 10 °/C
Pddress: ~ 3~ 'W t4t p,pC
City/Zip Code: ~ vu~y
Phone 4y 32- u 57-7 S TOTAL
This request void Ip0
18 moath4rom ~
Date of is Request g r9nireNo. S 96931
I, as Licensed Electrical ontractor DO er, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. 06YA1, City
Section Township Range CountyDP~.ke'fr.,
WMch is occupied by Eu. ?i 3l'1 i?t E('- O y1,y~'~ m h
(Name at Otwpant)~
Is a roughin inspection required on this job? No ? Yes ? Ready Now ? Will Call ~
PowerSupplier p /',~T~A o. ElP , ?i c- Address Frtiy-M Z _hc!!a' y
/ p~~,~
Contractor's License Ndf~q
Electrical Contractor rn~l^1) c-k flr 1, c. /
(COmpany Namep)
Mailing Address 0 L yr .2 /2
~lj (Electdca ractor er k 9 This Installatl
Authorized Signature _ Phone No. L}3Z vr0cg 6
1~1 I ricI~a o tractor or Owner Making ThIS stallation)
~p ~0 rU` . D Q~PV This impection request will not he aecepted by the
o-v
u tr~i State Board nless proper inspection fee is endosed.
Minnesota State Boartl of Electricity
Griggs Midway Bldg. - Room N191 ~ EB-00001-02
1821 University Ave., St. Paul, Minn. 55104 - Phone 297•2111
F.EQUEST FOR ELECTRICAL INSPECTION ~ $ g6931
CHECK BELOW WORiC COVERED BY THIS REQUEST
T;oe.of Build'vw New Add. Rep. Check Appliances Wued For Check Fquipment Wired F r
Home ? ? Range ? Temporary Wiring
Duplex ? ? ? Water Heater ? Lighting Fixtutes ?
ApL Bldg. ? Dryei ? Electiic Heating ?
Commeccial B(dg. Pumace ? Silo Unloader ?
Industrial Bldg. ? Au Conditionei ? Bulk Milk Tank ?
Fartri pList )y pList
Othec
? ? ? fleieisf Heieis~
COMPUTE INSPECTION FEE BELOW
Srnice EnVance Size: u Fee Fcede bf dAF: A F41
# Fa
0 ta 100 Am s. D 0[o A)rjpeQ\~ 0 to 30 Am eres
101 to 200 Amps. 31 to 1m" ° [Above 1 ro 100 Am res
Above 200 Amps. Above mps 100 Amps.
Transformeis RemoteControlC'uc. Partialorotherfee
S" ns Special lns ction Minimum fee $5.00
Remazks
;(//V TOTAL FE 4
I, the Electrical spector, hereby cerGfy a[ the above inspection has been mad
(Rough-in) Date
(Final) ~Bate
This request void -7
18 months from
~oia ~Yy, s~
Tll
1s1 s om
Date ~of ~t is Request ' Fire No. A. 2781
I, as Q"Licenud Electrical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at: r
Street Address or Route No. 'L2,1~ City4 edzt,
Section Township Range County='U?&q~
Which is occupied by
INaMe a} Occupant)
Is a roughia inspection require on this job? No ? Yes ? Ready Now ? Will Call D
Power Supplier'op"_
Electricat ContractorE S,~ ~P~i~InCK LANE Co~iotor s icense No. _
~°MN 501~
Mailing Address _ A, PI,E
tf~jo A~B'Rrla~cingThl5lnstallation)
Authorized Signatur~ARY ~ Phone No.
(Electrical Contractar or Owner Making Thls Installatlon)
SUATE f(i7 ~1~ f.`~'~~ ~~~y~ This impectian request will not be accepted 6y the
td" State Board unless proper inspectian fee is endosed.
ciTr oF EnGaN
3795 Piiot Knob Raad Eagan, MN 53121 N2 6137
~ PHONE: 450.8100
BUILDING PERMIT APPLICATION RQcQiPt # ~
To be uteG for SF DWG. Est. Value 48,000 pate 9-2- , 19 SD
Site Address 1968 N. Timberwolf Tr. . Erea OC Occupancy R3
Lot 11 glock 2 se,is.n. Meadowlands Alter 0 Zoning Rl
Porcel # Repalr ? Fire Zone 3
Enlarge ? Type of Const. V
w Nome Simehine ('nnetrnr+inn ('n Move ? # Sfories
z Address 1017 E. 157th St. Demolish ? Front 58 ft.
~ ci Burnsville Phom 435-6535 Grade ? Depth 39 rt.
~ Name Approvols Faea
0
Address Assess eiit Permit l3R nn
~ Ci Phone Water & Sew. $urchorge
Poiice Plan check 6 .00
FW Name Fire SAC 525.00
Address Eng. Water Conn. 305.00
<W Ci Phone Planmr Woter Meter 60.00
Council Rg,pd ynit 185.00
I hereby ocknowledge that I have read this application and stote that Bldg. Off. (J/* 41-. " l,~Od o e~(
the informotion is correct and agr~ to conaDlY with all opplicable 1J306.50
StaM of Minnesota S~gtui~5_,and Ci F E gan Ordinances. APC Total-
`
Signature of Permittee
A Building Permit is issued to: nnc+.r>>n+;.,~6~ on the express condition that
all work shall 6e done in accordance wP' II li I tat Minnesota Stotutes and Ciry of Eogan Ordinances.
Building Officfal ~
\
mmnesota sta~ uo9ra ot niectnaty
~ Griggs Midwa Bld floom N797 I . EB-00001-02
iversity Ave., St. Paul, Minn. 55104 - Phone 297•2711 ^ I~~
EST
CH K BELOW WORKOCO ER DTBY'TH S EQUEST'ON T 27 81
Type oi Bui'ding New Add. Rep. Check Appliances W¢ed For Check Equipment Wired Fm
Home ? ? Range ? 'Cemporary Wiring ?
Duplex Water Heater ? Lighting Fixtures
Apt. Bldg. ? Dryei ? Electric Heating ?
Commercial Bldg. ? Furnace Ujlo~ Silo Unloadex ?
Industria] Bidg. ? ? ? Air Conditio - . . ? Bulk Milk'Iank ?
Eacm ~ E] ~ pLtherf s~ ~ hecs~
Othet ? ? ? Here re )
COMPUTE INSPECTION FEE BELOW i
Service Entrance Size: # Fce Faders&Subfeede`a: # Fee Crtcuits: it Fee
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres
101 to 200 Amps. 31 to 100 Am exes 31 to 100 Am ies
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformets 11 Remote Control Circ. Paztialorotherfee
Signs Special Ins ection Minimum fee S5.00
Remarks "
TOTAL FEE - Z~
I, the Electrical Inspector, hereby certify t a e ab i peCtion has bee made.
(Rough-in) te
(Final) D~te 3
Tfus request void ~"~'~~J
18 months from
i
.~rr#ifirtt#r nf (t9rru~ttnc~
,
~a Citp of eagan '
, t; ~rpFtrtmeni nf +~uilDing ~ns}~rdicm
Tbis Cati ficatc irtued purltutnt to the reqHiremrnu of Settiors 306 0( the Uni form Building ;
Y Cork mti)yrng that at tix time of irtuarut tbir it+utture wat in rorrspliantt turtb the variour
f adinarsces o f the City ngulating building ronn+rution ar uir. For the f ollouvng:
: il . . . . ,
C~ SF DWG, • 6137
IheCLWBaem &ae.PemmNo.
O.P.YTYR R3 'hPC-trvctim v Ponl ~3 ZaNN~iudct Rl
Sunshine Construct,m,,,,1017 E. 157th St,Burnsville M1 ~
1968 N.Timberwolf ~T,M,Y L11,B2, Meadowlands ~
~
12-17- 0
; . . .
, . . . ~ ^ _ ~
. . . M . . \
~ /
. ';F` ~•---c~^,...a..+~~ a~i>'-Ti~-'+~ . •i-a_ `r,'
: o . ~ ,n ? V ..5t.
RESIDENTIAL BiJIELDING
Permit Application i~( ZT ,Z~;_
City Of Eagan
• 3$30 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauirements RemodeVReoair Reauirements ORce Use Onlv
3 registered site surveys showing sq. ft. of lot, sq. ft. ot hause; and all roo(ed areas 2 copies of plan Cert of Survey Recd
(20°k maximum lot coverage allowed) 1 sel of Energy Cakulations for heated additions Tree Pres PWn Recd
2oopies of plan showing 6eam & windovr sizes; poured found design, eta 1 site survey for additions & decks Tree Pres Not Reqd
lsetofEnergyCalculations Adddion - indiceteifoo-sifesepGbsys(em _On-siteSepticSystem
3 wpies of Tres Preservation Plan if lol plaHed after 711/93
Rim JoistOetail OpUons seleclion shcet (bldgs with 3 or le5s units
Date 5/ D ~O~) Construction,~ CJ ost aO~/ ' 00
Site Address (1/ d n r1 M(~ ~~L ~ ~i L l V Unit/Ste #
DescripHon oF Work I('iT 1 FQ F-F- /7 Vb P~G-gtJIJ* r 1v U-,-)E / J r vL 6TSO6C
Multi-Faroily Bldg _ Y~ N Fireplace(s) _ 0_ 1 _ 2
Property Owner V~y {'N M 'j Telephone # (w) tsa
Contractor NE NS1 ~IV ~ 0D rv /
Addressq, City PDL
~ IV V
40 State Zip Telephone # (aAq9
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Enefgy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(~J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber Telephone # ( )
Mechanical Contractor Telephone )
~
SeweryWaterContractor ~ Telephone ~
l
I herehy 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 pernut, but only an application for a permit, and work is not to start without a
permit; that the work will b in accardance with the approved plan in the case of work which requires a review and
~pprov plans.
~j//
pplicanYs Printed Name Appl canYs gnature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt -
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazeho) ? 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
? 31 New ? 35 Int Improvement ? 38 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code _ Zoning City Water f
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS ~
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) Final/No C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Sid'mg Stucco Stone
_ Fireplace _ R.I. Air Test _ Final _ Windows (newheplacement)
_ 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
X CERT'I FICATE OF SURVEY ~
TIMBER WOLF
O h 1
~O
TRAIL
N 86°28'44" W
'h 0. 0' `V
A` -o e
p ott 5'
~VE HAN~
O ~
N y 1 g~ W
W I M o o i GA R. {'n I _
I
- M ' 32'
26M
R1 p I 9 N
I O
O N 9 i
Q ~
p ~ I
' PRO ED Z
~
C ION i ~
~ I II O
I DRAINA6E
5 ~ UTILITY EASE.~5
r~~ - - ~ 0
80-00'
N 85 °28'44"W
, °iavat;ons shc:r21 are exlrtSr-
G7'tiCiCs 371d
PTl: g^SUL:rr^*'." .
I here6y cori:ify thrxt thia is a corrcct rnprosentation of a aurvey of:
Lot 11, Hlock 2, L;ecdoer].and F'irst Additior.. Daknta Cnunty, Yinnesetn,
according to the p7,at theraof on f:le and of recorA.
And that I nm a duly registerod land surveyor under the laws of tF.a State oF ;'Irner;t•~,
~...C~i.Z_'l~_~ _
Gene L. Ja^obson, ~'.m.. ke.-. ii,o 77:'~^
Dated thie 26th dny of 3uru-t, 113"
DR. BY BL SCALE - 1" =40' o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM
Preparod for:
JACOBSON SURVEYORS
5unahinc ^cmgtru^.tior. LQKEVILLE, MINN 55044
1017 1'•74.h °tr~:r'
Ei.rn~~11I , •'ir.~ _ ::-~'u! PHONE 469 -4328
; i~st~v s~reRS~--__~~~/• `'F'l:. Paaa sntal
M ~ ~ DAlE y~"~f~~/ . PACE ~ OF ~
.
7'h
~ •
.k ~.f
tnNno::s A:D rooRS``~ r.oox wt,ccocas ,ivn ooor., s_~?.nvr! a~
. ~
Si7.E C!L•\Ci ( ~.Z.~ I F7.i~t~~
• 8'b SI2E C?.J.CK I:._^v:~ ~?L(:Wit ' N0.
SIZE
T, ~
. ' . `:CL. A
. F:G ETJ Y7 "C 37
. ~ naFiL ~ S 7 nt
14 GR.. N.tLL C~. ti'AI.L
• CI.ASS G'..ASS ,
• ~ ' NE7 NdLL Vr t?A.i. d ~ ~ ~ •
~ ~ .
~ i
CEILIi:C• CEILI2iG
. £LOOR ~ • FI.OOR • I~~Gj ~ /7
Fi£AT LOSS +.LI, TI'.,'il ' qrAi LOSS I LE I
HIN'D0::5 :.::D ~00?5 t1I::+'~w5 A:D DpOrS
. ;:0. 5I2= I C?4C•:i
. . ~a~CO.'.
' }i0. SIZ- IC r ~ : ~ - ~
i I:0 !s:zE 6 I ~srz=
~ ' 1'.VU• ~
~ INFIL I::FIL
GR. '{:.lLt J V ~ r. Y
CLASS
NET'NdI.L I C I~ .=T '.LL 4~D I I /
CEILI::C ML
• I I i- -r- ~ 5 .
, }'LOOR
fiEAT LQSS I LI. _ H=.iT LOSS ~ L•
_L'7 f+t, . sS! ~F~~.
' {7ISiA.S ~CJS I~" 'dI'ICJ:lS '_`Q^•'S i=-0 0 51
• 1t0. SL7,3 I C='.C:: I = A IeLC~.', ~ 110. ~ SiZ' ~ C2:.C.1' I.:?_.~ !~=C~~~~~~ F
I 17 I . - . S:Z:
I ~ I`:vE.. :GL.
`C 3TU
ItIFIt ~ ~ 1 ~ I?:FIL
CR. GA4L GF..
GUS$ CL.:SS I ~
HEi L.V.L '~ET L ~JCJ~..I I I n~a?.
. 1 ' _ . , y - (3lJlJ ~ ~
CEILLt:C ?t?iE 1 c~ I"
fl.oaR I• 0 ~ V%~-'~~ F- f;"r.tcoR 7 I.,-I
il=dT LOSS I LT.
I
~ 1'.EnT i^SS I L:
'
. , :
• , . ,
' . • .
CERT'I FICATE OF SURVEY
TIMBER WOLF
o y 1
4o - ~ - - 90----
TRAIL
N 85°28'44°W
0.00'
R~ o 0 q -
y -
5~ M ;-OVERHAN6 -5
OI ~ I g
A~' ~ 8~ e e A
~,Tj W I ~ I
GA R. M ~ W
'(D IL
26' 9 I N o .
M a ~ ry 32
o N IA o~ i p
PROPOSED I Z ~
LOCATION I ~
I I I O
SI DkaiP1AGE 8
~ UTILITY EASE. 15
-
;ii J e
a -
80.00'
~ N as 02e'44"w
Elevrstior.s sP.awr, are ezistir.r
Eradee and aro asauncc datur.
I harehy ccr'.ify tha'_ tn'_a as u corrcct roprESentation ol u survey of:
Cct lt, 91^•^k 2, .",eo,9oalanc? Ftrst Addi'.ier., OakotS County, lJ.innesotu,
eccvrding tn the plat theroaf on ffle ecnc; of record.
And that I a;. e. 9uly !'egl5trred :ar.d survoyo: ur.der the laws of tho itate of S'iruu.¢ota.
e~~'~•'~---~--~ ' 6~'~~ ((!.0/11~
Ceno I., Jacobson, k~i. Rev. 210. 9734
^uatod thie 25th day of Augu::t, 1380
DR. BY BL SCALE - C= 40' o DENOTES IRON MON. BEARINGS ARE ASSUMED DATUM
~i-,•osr•.d Po,a
JACOBSON SURVEYORS
~ur;shi:~e C~nstr~~otinn LAKEVILLE, MINN. 55044
1:.7th
~ r-%ill . >'ir.t . : h Q44 PHONE 469 -4328
tF
. I~'~ .6 . q
, .r~.
A Dunn & Curry Communiry
, iu
;
R, , , •I,i , " . ; -
DEVELOPER'S C&RTIFICATION
Lot:
' Block:2
Subdivision:
.
This is to certify that _6(ft%i~, 4CNSP4Xj"~r-14 a
has complied with the Seller's requirements necessary to obtain
Se12er's approval for a building permit.
~
This A
pproval is by Seller only. Builder must comply with all
eity requirements and must secure his own building permit.
;Fs~ Y
Approved by Seller, Dunn f, Curry Real Estate Management, Inc.: }~f
>i
B~'~ ~ '
Auth~ize gent ~--~~-e
:
f4;•;
. Accepted by Buyer:
}
By
a te
i y
~ ~K*
~s E
lW
Y
4940 Vking Drive
Pentagan Offic•e Park
Minreeapolis
MN 55435 ' . +
(612) 835-1808
2006 RESIDENTIAL BUILDING PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New Consfruction Requirements RemodellReoair Reauirements ca pn
3 registered sAe surveys showing sq. of lot, sq. ft of house; and ail roofed a2as 2 copies of plan showing foofings, 6eams, joists ~.q uN6
(20°k maximum lot oaverage albwed) 1 set of Energy Calculations forheated additrons ~6lls ~e 1 Soils Report if proposed building is to be placed on disWrbed soil 1 site survey for additlons 8 decks Ti~P~ R~'~ J
g
2copiesofplanshowingbeam8windowsizes;pou2dfounddesgn,etc. Addifion -indiwteifon-sdesepiicsystem T~@P ~;;,?``~y ` A!
1 setof Energy Calculalions ~~~r`r,t,~.,~-,~-Y aFl
3 copies o( Tree Preserva5on Plan if lot plaried after 711193 Rim Joisf Detail Options selection sheet (buildingswith 3 or less uniGs)
Minnegasco mechanical ventilation form Date 1V l13l 06 Construc[ion Cost p V~
5ite Address Z ~2 6j W WQ9 UniUSte #
InAl
Description of Work
Multi-Famity Bldg _ Y ?N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Go, Telephone # (
Contractor
,
Address lI Il I',F7 F, i~ City
i I,~ ` u L,
i ~ i
State i ii Zip Telephone )
13 2oos
t3y--~
COMPLETE THIS RA Eq ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilatlon Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, daTe and address af master plan:
Licensed Plumber Telephone J
Mechanical Contractor Telephone )
Sewer/Water 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 wiYhout 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.
P7A d ~/A ~ G
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screenlgaze6o/perola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Impravement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement `Demolitian (Entire Bldg) • Give PCA handout to applfeant
DeSCriptiOn: Water Damage _ Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) FinaUC.O. '
_ Footings (addition) FinaUNo C.O.
Foundation HVAC Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
_ Fueplace _ R.I. _ Air Test _ Final Windows .
_ Insulation _ 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
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
onre 19
RlCfil V HD
FRpM
AMOUNT $ I
4 DOLLARS
too
? GASH ? CHECK
FOR
FUND CODH AMOUNT
Thank You
~°z~ B" ~
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy