Loading...
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