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680 Summer LaneJan,30. 2011 10:54PM Help U Sell Date: No. 6940 P. 8 Use BLUE or BLACK ink City of Eaall 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 JUN 3 0 2011 Copesil'3,'75 Permit #; @ ! / qo Permit Fee: / /‘ ;b Date Received: staff: 2011 RESIDENTIAL BUILDING PERMIT APPLICATION Site Address; Unit #: RESIDENT I OWNER Name; (I! C T .•_ 6q.. Ai diu"ei Phone: 657 -SY°- / Y Address I City I Zip: _Ago J 14 ar.r? ( eJ _-r , recy It -Fix. -c_, , Applicant is: Owner .g. Contractor TYPE OF WORK Description of work: hint a 7 c,�J c7JDrt.4) ,v_, , ; 1 p7-. Construction Cost: 3 06 6 .Q Multi -Family Building: (Yes _I No — ) CONTRACTOR Company: _ 1 a% 4 c7 c. 4104 .7 , rte — Contact; 126z -4'24 -et, .► --. Address: 13 / a / L7- )j (3 City; 0-..."4." �' State: y'2/1/1.) Zip: 3 O G 0 Phone: 3-6) 7 ` L/J I — lI 1.... License #; ..2 G' 4.3..5r''/ Lead Certificate #: /19c ..-- 4/627 6S / If the project is exempt from lead certification, please 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: d11 ®1 I�C i f } r� � e._.r i{tt t�.Il $r o a ,mar + i X11 t :l _ pp '; . _ �1. Ct(; }�� f4 k _t,:r: iipr� e a •re „psi � r ,, i' �� {t , �� i� "�iu•� .� _. �i/1 { 1 ? u -i: 1(- ....n f d o i• 7 r, A u o eX x b a te. 'I I f 1.. �` T134/1 «� rfJ] f� e jE ,+�("�9 r � Irtl S 1T� � .. l�iPy= f?�t4A .��. a u � S ] )4 7' I�f. l 3� ? n ''ii �C',r}r {{ � . r�� t'i�-. F 1 a;'c = S � +3 '��l �._=.`..:aa` u'_'.-'� ,... .. fk fh.:AAf . ' -.. t... ,l.� . - e/{ W ..r..�aRu§i IN i'. J , r.. aI], r�'ff 1.1 is t'� � 4���t��'��;=t��i . _�.. _. � ..;;.. . p,�q{I� �l �i I F�i�rfi' ik it�FftiP���t'. :o .,t} f 1 L. {t: r� CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 451.0002 for protection against underground utility damage, Call 48 hours before you intend to dig to receive locates of underground utilities. www.000herstateonecall.orq I hereby acknowledge that this Information is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Eagan; That I understand this is not a permit, but only an application for a permit, and work is not to Start without a permit; that the work will be in accordance with the approved plan in the case of work which requires a review and approval of plans, x Ae 4..it .& e Applicant's Printed Name Applicant's Signature Page 1 of 3 Jtin.30. 2011 10:54PM Help U Sell DO NOT WRITE BELOW THIS LINE No.6940 P. 10 qqq4710 SUB TYPES Foundation Single Family Multi 01 of Plex Accessory Building _ Fireplace _ Garage Deck Lower Level Porch (3 -Season) _ Porch (4 -Season) Porch (Screen/Gazebo/Pergola) Pool WORK TYPES New _ Interior Improvement Addition _ Move Building /47 Alteration _ Fire Repair _ Replace _ Repair Retaining Wall DESCRIPTION Valuation Plan Review (25%_ 100%.j Census Code #of Units # of Buildings Type of Construction g©a y3y REQUIRED INSPECTIONS Footings (New Building) Footings (Deck) Footings (Addition) Foundation Drain Tile Roof: Ice & Water Final Framing Fireplace: `Rough In Insulation — Sheathing Sheetrock Reviewed By: Occupancy Code Edition Zoning Stories Square Feet Length Width Air Test _Final Siding Reroof Windows Egress Window Storm Damage Exterior Alteration (Single Family) Exterior Alteration (Multi) Miscellaneous Demolish Building* _ Demolish Interior Demolish Foundation Water Damage *Demolition of entire building — give PCA handout to applicant R -z 29' 2 SB e MCES System SAC Units City Water Booster Pump PRV Fire Sprinklers Meter Size: Final / C.O. Required Final 1 No C.O. Required HVAC _ Gas Service Test Gas Line Air Test Other: Pool: _Footings _Air/Gas Tests _Final Siding: _Stucco Lath Stone Lath _Brick Windows Retaining Wall: _ Footings T Backfill _ Final Radon Control Erosion Control , 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 s5 7r;v' t;" ;t•. . - ~ . . _ . _ . . ' ....p --r ..._~T•!T•r5 'r.~'" 7*'!~^T'~' . . . . , • k - • CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 BUILDING PERMIT Receipt # To be used for 8! D'fiG/GAR Est. Value f108,000 Date BEPT$M11ER 13 19 91 Site Address b" s11MER 1M Lot 12- Block _2 Sec/Sub. s~I p~6 OFFICE USE ONLY Parcel No. 211D oocuvancy R"3± M"'i FEES 2oning PD W Name JO5E~ H~~U ~s= (Actual) Const Bidcj. Permic o Address 1A133 CSDAR AVR 80 (~ulowat~le) Y~ 54600 Ci F~lMMp Phone ~?31-2001 surcnarge ~r # of stories ?34.OQ Length ~ Plan Review o Name SAME oepm bZ_ snc, ciry 100000 ~Q AddreSS S.F.Total _ dSO.00 SAC, MCWCC lx City Phone S.F. Footprints - 6~'00 On Site Sewage Water Conn 95.00 8 W Name on site weu - warer nneier Addr@SS MWCC System 13L- 30.00 < W City Phone C;ry Wat~ x~ Acct. oePosic PqV Required lys- 5NV Permit ~ .oo I hereby acknowlege that I have read this application and state that the Booster Pump - S/ry Surcharge •50 information is correct and agree to comply with all applicable State ot 276,00 MinnesoW Statutes and City ot Eagan Ordinances. Treatment PI Signature of Permitee ' 1 APPROYAIS Road Unit 370*00 A 8uilding Permit is issued to: a~ ~~um wmT Pla^^er - Park Ded. on Ihe express condition that all work shall be done in accordance with all Council applicable Siate of Minnes % Statutes and City o1 Eagan Ordinances. Bldg. Off. _ COP'eS f3'7• 50 Building Official - 1'~ ~~-t. V~~~ - T~TAL ' S ' PermN No. Permit Holder Date Tekphone # WATER SEWER PLUMBING H.V.A.C. 114! 'J~l 1~4O-4Q-21;7- ELECTRIC a ID ~j ~jI ~1O ~ Inapectfon Date Insp. Comments Footings I Foundation . Framing Roofing Rough Pibg. Rough Htg. Isul. Fireplaoe Final Hig. OfStBt TeSt f Final Plbg. plbg. Inspeclor - Notify Plumber Const. Meter EngrJPlan Bldg. Final ~ S Dedc Ftg. Dedc Flnal wea Pr. Disp. . ` - - / 0, a• ip Ttrti#trat.e af COrrupanry titp of (Cagan aPpa'tllPt[f Df Illabbig 3wertiDlt This Certificate issued pursuanr ro the requiremenu of Section 306 of the Uniform Buildrng Code certifying that at the time of issuance this structure usas in compliance with the vartous orrlinances of the City regulalfng building constrerction or use. For dee followrng: . use c6ujr1cauoo SF DWG/C,l1R eur. r"u No. I%80 OC-a-Dr T'ra R3/M1 Zoning Dwict PD Tya Coax Vn Owm of BuddingJO~ M MIIM O T Add.18133 iFDAR AVE S, FARML-ICN BwldiNg680 RMER LW Loa,ity L 12, 82, S[1MFR PI.ACE 2rID l 11/IS/Ql - POST IN A CONSPICUOUS PLACE ~ i SEWER & WATER PERMIT OFFICE USE ONLY CITY QF Ef1GAN METER # dt-llt' .3 PERMIT DATE 3830 Pilot 4ob Rd. cHiP # n a 3~~ PERMIT # 12276 Eagan, MN 55122-1897 M E T E R S I Z E ~ k B. P. RECEJPT # C 15366 i'u z. . 19,1191 ISSUE DATE B.P. RECEIPT DATE 09 13 ~ l , DATE Yy. _ PRV - BOOSTER PUMP SITE ADDRESS it inmQ r Lri PERMIT REQUESTED LOT I BLOCK SECISUB 5umme r_ac e n v SEWER X WATER - TAPS APPLICAN7; Joseplz •t- Mi'.3.e r ('ans t. Ir•^ ADDRESS: 18133 C e d a r Av S p : ~ - COMM/IND ? RESIDENTIAL •armin~t~n CITY, STATF~ _ ZIP NEW - EXlSTING PHONE: Z. Lawn Sprinkler Meters are to be Installed PLUMBER: C~= n~, - i' y a n Ahead of Domestic Meters on Water Line. ADDRESS: I 4 7 4 5 S o. Ro b e r t 7r Credit WILL NOT be given for Deduct Meters. CITY,STAT `o'emount ZIP 5 -5 0 6 L~ PHONE: 4 4 =1. - I AGFM TO COMPLY WITH CITY OF OWNER: 4EAG ORDIN ANCES ADDRESS: CITY, STATE ZIP PHQNE: URE WHEN METER ISSUED ` ~ . / , _ . PL ASE ALLOW TWO WORKIMG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM SEWER PERMITS, CaNTACT ENGINEERING DEPT. r d Pn~ HOUSE HEATING TEST RECORD ADDRESS ~80 :5 (A VVN mJ--J L 6J APT. OOR CITY SUBURB OCCUPANT 2 v ONMER ~ /g NEAT LOSSDAT HTG. INST. SOLD BY r-'~ ?C' ~ 'N INSTALLED BY ~C1-A rc^ '-A 'T Elecf?ieal Work By Gas Line Bp ~QS-, ~ ` TYPE OF MEAT GA FA ~LHM1 STEAM SPACE HTR. UNIT HTR. OTNER ! GAS DESIGN ~ COFIVER51dN MAKE ~ MAKE OF BURNER Model ~ Mod.f - Sorial AAox. BTU RuNnO INPUT AAAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plup _ V•nt Si:• Voiv KIND OF ~~R SIZE - NONE t-c Limit Droh Hood-t pularor Limit SuoMinp Filhrs 5is~ ~ ~ Ny+nb~r Fan Settiny CJh{mney Loeatlon -~Insido ~ Outsid~ Pilot Type Chimney Censfwdion 1`> C ~ Pilot Mak• Pilot Mod•i Smoke Bom~^ Wi?inq Pilot Timin9 Draff Test Tao - L.W. Cut Off ` Dow Pressure L Liyhtiny Insf. ~ Prossun Percent CO2 Dat+ Tesfod 0 Input CFH ~ Perunt 0 ' 2 Companr Tealiny 5tack Teme- 1l ~ Perunf C0 Nanw of Toot.. Form 235 ~ .._J..r_-•....i...,._.w.n.e......_~•a:.r...e:.:.:e~~.:• ___:a:~~..L~s _.:.~t.., Address: 680 5MER IANE Lot 12 Blk 2 Sec/Sub SLH4ER pljyrg 2Np Ttieae items were/were not complate at the time of the final inspection. 11/15/91 Yes No Final grade (6" from siding) Permanent steps - garage ~ Permanent steps - main entry Permanent driveway ~ Permanent gas Sod/seeded grass Trail/curh damage ? Porch Basement finish Deck Please verify with the builder the removal of roof tast caps from the plumbing system and the shut-off o£ water supply to the outside lawn £aucet before freeze potential exists. rQ~ RECAfOMRP White - City copy Yellow - Resident copy Pink. • Contractor copy - ~ , - CITY OF EAGAN Np ~ ~ 9680 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-87 00 BUILDING PERMIT Receipt# C J~5-3(,a L~7 Tobeusedfor SF DWG/GAR Est.Value $108,000 pafe SEPTEMBER 13 7991 Sile Address 680 SUMMER LANE lOf 12 BIOCk 2 SeGSUb. SUMMER PLACE OFFICE USE ONLY Parcel No. 2ND Occupancy R-3, M-1 FEES Zoning PD w Name 10SEPH M MILLER CONST $ 668.OC (Aqual) Const Vn Bldg. Permil o Address 18133 CEDAR AVE SO (pllowa6le) Vn 54.OC Cit FARMINGTON phone 431-2001 Surcharge y F of Stories 434.OC Langth 46 Plan Raview snc, ciry 100.0a o Name SA~ Depth 69 ga Address S.F.7otal _ 650.04 SAC,MCWCC ~ Ciry Phone S.F. Foowrints - 660.00 On Site Sewage _ Waier Conn r W w Name On Site Well - Water Meler 95.00 t~ Address MWCCSystem X7t- mi 30.OC Acct. Deposit 4w City Phone Cirywater g- PRV Required XYF- S('N Pertnil 30.OC I here6y acknowlege that 1 have read this application and state that Ihe Boostar Pump - SnN Surcharge • 50 information is coned and agree to comph~ with all applica6le Stale of 276.013 Minnesola Slatules and 'ty of Eagan Ordi~i es`n Treatment PI SignaWre of Permitee APPHOVALS Road Unit 370.010 . A Building Permil is issued to: TSEPH M MILLER CONST Planirer - Park oad. on Ihe express condition that all work shall be done in accordance wilh all Council applicable State of ~innfls ' Statutes and C' t Eagan Ordinances. gla9, pry Copies v r $3,367.SC Building Ofticial - Variance _ TO7AL S 103,351 p ~52269 = Requesl Oate 9-25- 1 IIre No. Roughin Inspection Requiretl? ? Reetly Now C}WIIhJOtity Inapectar iiiii C No When Reatly? IZ~,ecensed contractor ? owner hereby request inspection of above electrical work at: Jab n$aAsbs«ietANE citv EAGAN SectionNO. TownsmpNameorNO. RangeNO. CounIyDAKOTA °"°P.j`~~~~"1~1ILLER CONSTRUCTION P~o~e9o12-431-2001 POWeiPX°kbTA ELECTRIC, ASSO Address FARMINGTON,MN R I C, I N C. cora"d0416~~e0~ c9'4r~y`[Pwn§'IM~~~T "aWh ST, APPLE VALLEY, MN 557.24 Au:honzetl Si nalure ICOr r,tovOwner Making InstallaLOn) Phone Numtber 612-432-6688 MINNESOTA STATE 45WRD OF ELECTHICITY THI$ INSPECiION REOUEST WILL NOT Griggs-MiEway Bltlg. - Boom 5-173 BE ACCEPSED BV THE STATE BOARD 1621 University Ave_ 51. Paul. MN 551D6 . UNLESS PROPER INSPECTION FEE IS Phone (612) 6424800 ENCLOSED. /O/~/S/ REQUEST FOR ELECTRICAL INSPECTION '~e /~+e5a3~/ P. See -nsifnciions lor_completing tM1ls lorm on beak ol yellow wpy ~ Q5 "X" Selow Work Covered by This Request ew Adtl Rep.'" TypeofBuilding AppliancesWiretl EquipmentWired Home nqe Temporary Service Duplex Water Heater Eleciric Heating Apt 8uilding Dryer Other (Specily) Comm./Industrial rnace Farm ir Conditioner Othee(specity) Conlreotor's Remarks' Compute lnspection Fee Below.# Other Fee # ServiceEnirance Sire Fee # CircuitslFeetlers Fee Swimming Pool I / 0 to 200 Amps / 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps SignS Inspectors Use Only. TOTAL Irrigation BOOms 70 C* 76. s0 Speclal Inspection Alarm/Communicalion THIS INSTALLATION MAY BE OR CONNECTED IF NOT Other Fee COMPLETED WITHIN 18 .-IIMIS• f I, Ihe Electrical Inspector, hereby Rou9nin certify that the above inspection has Fi„ai f oate • been made. OFfICE USE ONLY ~ This request voitl 15 moo[hs irom - ~ O ~ ~ ^ ~n ~ ; For Offca llse i @n,71 T'~1[~ LLE[~ LL11 ~1 ~ i O~ Ln 2008 ~ Permit# ~ SEP 2 5 ' ~ I Permit Fee: I 3830 Viiof Knob Road Eagati MN 55122 I DaleReceNed: ~ i Pnone: (651) 675-5675 gy Fax: (051; 675-5694 L staff 2008 RESIDENTIAL PLUMBlNG PERMIT APPLICATION ' ~ l7 /1p.J ate: ~SiteAddress: VJDU '2./7il'NPr -~"--Suife :nant . . " ~ _._...,f c51DENT / OWNER Name: Phone: ! ~ ' ~ r Address 1 City ! Zip: COM1!TRACTOR Name: _ License ? U~f t v! - F Champion Address: VJA City. ~ 3670 Dodd Rd. #900 gtate: ZiP; aga , i~ ~ { Phone: Contact Person: TYPE OF VJORK New vReplacem t _ Repair -Re6uild _ Modify Space _Work in P.O.W. - - Description of work: PrRMlT TYPE RESfDENTIAL ~ Water Heater _bvater Softener Lawn 1«igalion _ Ndd Plumbing Fixtures -C__ RpZ / _ pUg} Main _ Lower Level) Seotic System _ Water Turnaround New Abandonmenf =SIDENTfAL Fr'ES: ;0.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge) M.SO Lawn ir, iga[ion (inciudes $.50 Stafe Surcharge) ;0,50 Acr Piurnaing Fixtures, Septic System Abandonment, Water Turnaround'- (includes $.50 State Surcharge) ~ "Water Tur13round (add $136.00 if a 518" meter is required) ~ 90.50 Septic System New ($10.00 per as built) (includes County fee anc; $.50 State Surcharge) t0 aQ Firc:, Repair (replace bumed outappfiances, ductwork, etcJ (includes $.50 State Surcha~~TAL FEES _ ~-~reby aci<novAedge that Ihis iniormation is comple[e and accurate; that ihe work will be in contormance wkh the ordinances and codes of the City of r~an; that I urdersw id this is not a permit, buf only an applicafion for a permit, and workis no[ [o staR wilhout a permit; ihat the work will be in : rUar,cuwkh c: a?proved plan in the case of work v+hich requires a review and approval of plans. x__~,~~~~'•.,.---- piicani s Frxrte~ Name Applicant' ~gnaYure. Revieyved By ' pate ii'''' ~JCE''I~,E USC:.. . ; • ,quirer lnspecE~~ns ._~lnder Ground _Rough~ ln Air",Test _~asTest: F , _ 3 F ~ Fa`r;:0_fficelUse I ° City of Ea~~~ j Permit# ~'q i7g I 1 PermitFee: 3830 Pilot Knob Road j i Eagen MN 55122 i Date Received: ~ ~ i Stafl:._.. _ . . _ _ Phone: (651) 675-5675 Fax: (651) 675-5694 i ~ 2008 RESIDENTIAL BUILDING PERMIT APPLICATION . Date: SiteAddress: . . Senant: Suite RESIDENT./ OWNER Name: 4r i(L/J~' {'l/~~gPhone: r Address/City /Zip: SUm/'t-k- Applicant is: _ Owner ^Contractor TYPE OF WORK Description of work: 7~, Construction Cost: ~ 9~V ~ Multi-Family Building: (Yes No ZX_j CONTRACTOR Name: /vd~WG`'T Licenseu: c~°l "LI 73 Address: ~YGGI Z~'Zr 4,0-12 G /o ?'y S[ate: Zip: SS~J( City: Phone: i(I Contact Person: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672 Energy Code • Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet Category sunmixed su6rnined (4 Submission type) • Energy Envelope Calculations5ubmitted _ In thelast 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 Contrector: Phone: Sewer & Water Contractor: Phone: NOTE: Plans and supporting,documents that you. submit are:corisideKed to be publlc inlormat/ona: Portfons ol the information may b,e, cfasslf/ed ag non-pubfic if you provide 'speclfic reasons.that would perinit the Ciry to ` 'concludeY6a! the are frade secreis.,. , - 04 I hereby acknowledge that this information is complete and accurate; that the work will be in contormance with the ordinances and codes of the City of Eagan; lhat I understand Ihis is nol a permit, but only an application for a permit, and work is not lo start without a permit; thal the work will be in accordance with the approved plan in the case of work which requires a review and approval o ns. , x Applicant's Printed Name plicanYs 5ignat Page 1 of 3 a S RESIDENTIAL 3oa BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-687-4675 Naw Conshucibn Reaulremants NemodeVHep91r Beaulremente • 3 reglsteretl site surveys showing sq. lt. of bt, sq. fl. of Muse; arM jI roofe0 areas • 2 copies ol plan (20% pnaxenum bt coverage aliowed) • 1 set ot energy Caiculations tor heated additions . 2 copies of plan stwwNg beam & wlndow saes; poured foun0 design, etc.) . • 1 sBe survey lor exteAOr etltlAbns & decks • 1 set ol Energy Cakulatlons • Intlicate'rf Irome sened by septk system lor atld'NOns • 3 copies of Tree Preservation Plan tl bt plattetl afler 711 re3 • R'rcn Jaist Detail Optbns seleclbn sheet (bldgs wilh 3 or less unh) DATE 340'- VALUATION SITE ADDRESS ~~-0 MULTI-FAMILY BLDG _ Y _ N NPE OF WORK /Z~ S~ D~ FIREPLACE(S) _ 0_ 1_ 2 APPLICANT i CA-'C" STREET ADDRESS '(f,av( E-7` C U CITY ~S 6fiATE A- ZIPs ~7 TELEPHONE #2~Yqt'n' 3 CELL PHONE # Cra -7212 -tY/a FpX # Pra-~~d~-`~OG l PROPERN OWNER ~TELEPHONE # COMPLETE THIS SECTION FOR -NEW- RESIDENTIAL BUILDINGS ONLY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672 (J submission type) • ResideMial Ventilation Catagory t Worksheet Submitted • New Energy Code Worksheat Submitted • Energy Envelope Calculations Su6mitted Plumbing Contractor: Phane # Plumbing system includes: _ Water Softener _ Lawn Sprinkler Fee: $90.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Conhactor. Phone ri Mechanical system includes: _ Air Conditioning Fee: $70.00 _ Heat Recovery System Sewer/Water ConhaCtor: Phone # I hereby acknowledge that I have read this appllcation, state that the information is correct, and agree to comply wlth all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY Certificates of Survey Received _ Tree Preservation Plan Received _ Not Requlred _ Updated 4I02 OFFICE USE ONLY ? 01 Foundation ? 07 05-piex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg ? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) 13 31 Ext. Att - Multi ? 03 01 of _ plex ? 09 07-plex ? 17 Garage O 22 PorchlAddn. (4sea.) ? 33 EM. All - SF O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi ? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage ? 06 04-plex ? 12 12-plex Plbg_Yor_N ? 25 Miscellaneous ? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) 0 44 Siding ? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair ? 33 Afteration ? 37 Demolish (Bldg)• O 43 Reroof ? 46 Windows/Doors ? 34 Replacement 'Demolkion (Entire Bldg only) - Give PCA handout to apptlcarit Valuation Occupancy MC/ES System Census Code Zoning City Water SAC Units Stories Booster Pump Nbr. of Units Sq. Ft. PRV Nbr. of Bldgs Length Fire Sprinklered Type of Const W idth REQUIRED INSPECTIONS _ Footings (new bldg) FinaVC.O. _ Footings (deck) FinaUNo C.O. _ Footings (addition) _ Plumbing _ Foundation HVAC _ Drain Tile Other Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final _ Framing _ Siding Stucco Stone _ Firepiace _ R.I. _ Air Test _ Fina] _ Windows (new/replacemen[) _ Insulation _ Retaining Wall Approved By , Building Inspector Base Fee Surcharge Plan Review MC/ES SAC City SAC Water Supply & Storage S&W Permit & Surcharge Treatment Plant Plumbing Permit Mechanical Permit License Search Copies Other Total ' ~OILDING PERMIT APPLICATION CITY OF EAGAN SEP 5 SINGLE FAMILY DWELLINGS lNLTIPLE DWELLINGS CO?4fERCIAL 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS 1 SET OF ENERGY CALCULATIONS (CHECK WITN BLDG. DEPT.) 1 SET OF SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS OF RENTAL UNITS OF FOR SALE UNITS PENALTY APPLZES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF HONTH IN WHICH REQUEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FC1R CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used For: New Home Valuation:j=pR9g= Date: Au~1991_ Site Address 680 Summer Ln 108 OFFZCE USE ONLY , 000~ Lot lz slock z FEES 0 Occupancy 2-'S M -I Bldg. Permit 6$.0 Zoning Surcharge SN.DO Parcel/SubSummer Place 2nd Actual Const V-'N Plan Review 43 , OQ Allowable \/-N snc, city 1 dD,ou Owner # of stories SAC, MWCC (o5QOO Length N (o~ Water Conn. ,00 Address Depth ~ Water Meter S 00 S.F. Total Acct. Deposit 30lOD City/Zip Code Footprint S.F. S/w Permit 30100 S/W Surcharge ,5 v Phone On site sewage_ Treatment P1. 2r76.0 On site well Road Unit 3 71~,00 Contractor Jospeh M. Mi i ler Cnnct Tn l147CC System ~ Park Ded. City water Trail Ded. Address 18133 Cedar Av So PRV ~ Copies Booster Pump _ City/Zip Code Farminp,s-on 55024 SIIBTOTAL APYROVALS Panalty Phone 431-2001 Planner Lot Change Council TOTAL Arch./Engr. Bldg. Off. %49i ns I Variance Address City/Zip Code Phone # Sewer/Water Licensed ontr. Genz-Ryan ~ agrees that all woTk shall be done in accordance with Signature of Contr tor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. ~000'8 0 ~ u~ b~z'4o/ ~~GL.~i ~'S X99h/ 1~hf-i! c l.~•uc~ ?Jocn j 1SI or =h! X hhh~ ZC, A-21 9s ~bxh ofil ~ crnL 7611 = o~~x9~ '1w~s SL,~~ =sf XSZ~ (fi) -h,cf (16~ ~~IxL ~ ~ Wou_br7bn . . , METRO 1875 PLAZA DR. SURVEYDRS EAGAN, MN. 55122 INC. (6I2~452- 7850 Certificate of Survey for* MILI_.ER CONSTRUCTION. LEGAL DESCRIPTION; LOT1Z.,8LOCK__2..., SUMM~R PLACE 2ND ADD ACCORDINGDAKOTA RECOC THEREOF OUNTY, MINNESOTA ' . k . . ftEV{EwE D N , , ~Y J DM n S 8 9° 5 ' 3 3" E z aA~ 67.00 °j23 o • o !O - T 1- o ~ 2A..o , I (D~, 5 ~ ~ I e _ i3.o _ o. ' M •r- . ~ ~1 r ir N ~_~,1 ~ 11~ 5 p ( 9r4'' ~ i IO~'LT , o ~ o z - - - . cn ORA/NAGE & UTfLlTY EA58'MENT a b~ . ' ~t_ - ~~,~.r•^' i a 28.53 p N 89° 56' 33" W~ - SCALE: I" = 30~ 27, /FiE,. SP~~Y GJA[.eaUr ~oPos ~ 4 LEGEND ~~~OJT Ei,E?Ano~J = 9~s.$- INVERT ELEVATION AT SERVICE EXTENSION- o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION •J23.4 e DENOTES WOOD HUB SET PROPOSED FIRST FLOOR ELEVATION • ql3•1 DENOTES EXISTING SPOT PROPOSEOBASEMEj'IT FLOOR •~i~•`~ ~ , ELEVATION ELEVATION . . d` DENOTES PROPOSED SPOT ELEVATION NOTE ' VERIFY ALL FLOOR MEIGHTS WITH ~ DENOTES DR 1_GE_DIRECTI.QN pINAL HOUSE PLANS , - o URE0 . I Iweby certlfy that tAfs surveY, Pion or reDat was propond py nw or w+der my dinct supavisfon and that I om o duly Bradl~y J enwn, Mn. Req. No. 15235 ~ ReplsNnd Land Surwyo? undr iM . q~s9~ - . Lows of the Stofe ot Minnesofo. Datt • w MINNESOTA STATE ENERGY CODE CALCULATIONS ~Gfl_ ~I BA5ED ON CHAPTER 5 OF THE ~ MODEL ENERGY CODE - 1983 EDITION ' Adoption Effective Owner 1L~~ ~ rJf~Gl~- 1 1~,~-i Phone Date Site Address LOT I2 , 'S LocA~ ? r,l ~,4 ,c4C- Contractorl~~?~I ri Phone euilding Classification: Type A1 (Single Family & Duplex) Type A2 (Residential, 3 stories or less) (over 3 stories) (other) NOTE: Comblete paaes 3 and 4 first. GENERAL INFORMATION A 1. Building Perimeter6t'.!~ VvGV* WT ft. 2. Wall height (ground to eave) ft. + 3. 1. X 2. ( above ) gross wall area 'Z17 sq. ft. • 4. euilding dimensions (L) - R(W) eosq.ft.roof & floor area 5. Sq. foot area of rim joist - F oor joist size'(2 X /U ~d X 21A:~(Perimeter) Ztq.ft. 19,531 0 ~ 12 6. Doors - Area Thickness in U. factor . ~ I~ Type of construction - Perimeter ft. Manufacturer ' 7. Total door's perimeter ft. ~ 8. Windows: Manufacturer ~~~~t-C'~?~~~ - State approved U factor ' TYPE SIZE AREA (Sq.Ft.) Nt7MBER OF TOTAL M EACH UNITS SQ FEET 9. Total sq.ft. Glass 10. Fireplace area: Width X fieight = X = sq.ft. 11. Exposed foundation: Height X Perimeter 'V r X Z-b+ = S0'02s9.ft. COMPLETION OF THIS FORM IS REQUIRED FOR ALL NEW CONSTRUCTION, MAJOR REMODELING AND BUILDINGS REING MOVED WHERE ENERGY, OTHER THAN THE MINIMAL CODE ALLOWANCE, IS IISED. -1- I~ 12. Framing area = lOg of gross wall area. 13. Gross wall area Z.J 5 I'~ sq. ft. Window area A-1,~!0_sq.ft. U windows = 1 3~ UxA = J Z~~ Rim joist area A IPS,q sq.ft. U rim joist= UxA Door area A 'sq. ft. U door area= r I UxA = ~r J W' other doors area A T/"I sq.ft. U other doors= • A-1 UxA Exposed fndn A 1~otv sq.ft. U foundation=-,j~~i-(a UxA ='tI Framing area AIf05Isq.ft. U framing area=-P-L_5 UxA = ZZi 33 ~ UxA Net wall area A 11 1~ sq.ft. U wa11= O~4 G ~ CU (13B) TOTAL . . . . . . . . UxA 14. Gross wall area x 0.11 (A-1 single family & duplex) = allowable UxA/Code (13. above) x 0.23 (A-2 other residential) ' x .23 (Other buildings) x .28 (Over 3 stories) A er than or same 3~~ - -Z!,q BTUH must be larg , `I 1 x U Code v~ '~f~ +°F. as 13B above 15. Ceiling framing area (Af) equals 10$ of ceiling area 15A. Gross ceilinq area =(L) ~ x(W) = v~ sq.ft. 15B. Joist area (Af) = lOg ceiling area =~-sq.ft. 17 15C. Net ceiling area (A.) (15A - 15B).= sq.ft. U ceiling x Ac = rOZ2 X 2 1w f = l7iaj X; U framinq x A 0 15D. TOTAL U x A 16. Ceiling area (15A) x 0.026 (A-1 single family & duplex) = allowable UxA/Code x 0.033 (A-2 obher residential) x 0.06 (other) N~ BTUH must be larger than or same A(15A) I~~Ox U Code ~02~/ _)~~°F• as 15D above NOTE: Use U and A values obtained from pages 1, 3 and 4. rFRTtFTCATION: i hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. Date Siqnature -2- ~.ox( Iz~- = 1 ~G~1~ ~ S.ox( ~ I~~~? ~ Z g ~TL. (p~ ~~"l o ~ = ~Z ~ o• d.~ I JJ~i ~ ; ~ . PERMIT ~r~sssa~ CITY OF EAGAN ` 3830 PilotKnobRoad PERMITTYPE: BuxLDING Eagan, Minnesota 55122-1897 Permit Number: 027323 (612) 681-4675 Date Issued: 0 4/ 19 / 9 6 SITE ADDRESS: 680 SUMMER LANE LOT: 12 BLQGK: 2 SUMMER PLACE 2ND P.I.N.: 10-72961-120-02 DESCRIPTION: • t€~1diYt~`~ Permit Type DECK ~ gf~t~31~i~~r1$~k TYPe NEW C~~Si~# 434 ALT. RESIDENTIAL ir r~~> M W 7c~~. Rt~i~~~f€~~' ' N ~i REMARKS: FEE SUMMARY: Base Fee $45.00 Surcharge $.50 Total Fee $45.50 CONTRACTOR: OWNER: - ppplicant - OBERLEY JEFF 680 SUMMER LN EAGAN MN 55123 (612)452-2092 T her4by.aeknowied~~ read..thls app1lGatz6n anci stats that Che infarm:~t3ort' '.~s,,tar^rv~~~. arr;d agroe; ta =cnmpjy with, all apPlaca.bla S-t6 te-af ~ , , . . ~~~U-tes 1 arrd iC,~ty`, 9 `~EagAi~ Drdiszanaes hv~ PLICA /PERMITEE SIGNAT E ISSUED B~ SIG URE CITY OF EAGAN ~ i[ x~D 10 3830 PILOT KNOB RD - 55122 ~1996 BUILDING PEFtMIT APPLICATION (RESIDENTIAL) 681-4673 New Construdion Reouirements RemodeUReoair Reauirements ? 3 registered aite surveys ? 2 coples of plan ? 2 coplas of plana (indude beam 8 wlndow skes; poured fid. design; etc.) ? 2 ske surveys (exterfor eddkfons & deeks) ? 1 energy calculatlona ? 1 energy wkulaBons lor heated additions ? 3 copies of tree preservatbn pian iF bt platted after 717/93 required: _ Yea _ No DATE: 1- I ~ I f`{' CONSTRUCTION COST. DESCRIPTION OF WORK: OaL-~ay-) STREET ADDRESS: LOT BLOCK SUBD./P.I.D. vZ mrn~ Y~rAC~~ ~01~ PROPERTY Na?11@: Phol12 OWNER Street Address• 00' City: State: MY\ 1 Zip: CONTRACTOR Campany: H DYY', e- Lo Y~ -e 1-- _ Phone Street Address: License City; State: Zip• ARCHI7ECTl Company: 1"I QN"n~-~ ~10 Y1P 1- Phone ENGINEER Name: Registration Street Address• City: State: Zip: Sewer 8 water licensed piumber: . Penalty applies when address change and lot change are requested once permit is fssued. 1 hereby acknowiedge that I have read this application and state that the information is correct and agree to comply with all applicabie State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant: OFFiCE USE ONLY ~ E C7 G' ~ M E DD Certificates of 5urvey Received _ Yes No Yapl; i996 ~ Tree Preservation Plan Received _ Yes _ No ~ OFFICE U5E ONLY ;,,N ~ BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish 0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool ? 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility ? 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous ? 05 SF Misc. 0 10 _ plex ,P~- 15 Deck WORK TYPE ,p"-31 New ? 33 Alterations ? 36 Move 0 32 Addition o 34 Repair ? 37 Demolition GENERAL INFORMATION Const. (Actual) Basement sq. ft. MC/WS System (Aliowable) Main level sq. ft. City Water UBC Occupancy sq. ft. Fire Sprinklered Zoning sq. ft. PRV # of Stories sq. ft. Booster Pump Length sq. ft. Census Code. Y Depth Footprint sq, ft. SAC Code Oi Census Bldg / Census Unit ° APPROVALS Planning Building Engineering Variance Permit Fee Valuation: $ Surcharge Plan Review License MCNVS SAC City 5AC Water Conn. Water Meter Acct. Deposit 5NV Pertnit SNV Surcharge Treatment PI. Road Unit Park Ded. Trails Ded. Other Copies Total: °h SAC SAC UnRs . d S 89° 5' 67.00 ~23 ~ro rop •0 f tf) _ i0.o _ Q o I- -l L,,j1-- I Q . L Y~'N W ~d o 110SF/ ~ 3: - - ` 7" N N L. ~ ~ ; h+ -J2;o . y II~ I D M !A. O REa. T I ' O / ,0 0 a 5 eM,~• o I 0 z N ~ DRAINAGr : & UTfIITY • EASk MENT 0 m 28.53 i ~ N 89° 56' 33" W~ gg l • `S9 e 66 . 2 . ° l~ • I . ~ . y S . ~2~, ( SCALE=, i " =-34' Cc .F,_ Sp~iT ~ . ' ~oPosE~ 4 LEGENU 1.~)/lulouT EGE?/}no'-~ f INVERT ELEVATION AT SERVICE EXTENSION• p a OENOTES IRON MONUMENT PROPOSED GARAdE FLOOR ELEVATION• " L'•' p o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR EtEVATION •`"i ~ DENOTES EXISTING SPOT PROPOSED BASEMEfiT FLOOR •.1)/~.4 ELEVATION ELEVATIOH . . DENOTES PROPOSED SPOT ELEVATION NOTE'• VERIFY ALL FLOOR NEIGHTS WITN DENOTES DRAINAGE DIRECTIQN FINAL HOUSE PLANS { I hreEq urtify that fAis surwy,plan or ~ report wm prepand by rm or unMr my dinct suprvidon and thot 1 am a duty i Brodley J ~nson, Mn. Req. No. I5235 4 Reqistaed Land Surveyar undw tM ~ Lawe of iM Staf• 01 Minnesofa. Date : : L Yj~ 95?~~~ ; , BUMMER PLACE SECOND ADDITION PRE88IIR8 RSDOCING VALVS AGRSSlIENT This Agreement, made and entered into the 1 7i~ day of u L , 1990, by and between the CITY OF EAGAN, a municipality of the State of Minnesota, (hereinafter called the City), and the owner and the Develooer identified herein. The terms "Developer" and "Owner" as used herein refer to: TRI-LAND DEVELOPMENT, INC., whose address is 1875 Plaza Drive, #200, Eagan, Minnesota 55122. wHEREAS, the Developer has applied to the City for approval of the plat or subdivision known as SUMMER PLACE SECOND ADDITION, located within the City; and WHEREAS, the Owner and Developer agree to notify the proposed potential buyers of all lots within SUMMER PLACE SECOND ADDITION that Lots 1-8, Block 1 and Lots 1-13, Block 2, are in a high water pressure zone and a pressure reducing valve shall be installed in each home below the elevation of 966 feet. All costs shall be the responsibiiity of the Owner and Developer and shall be installed to prevent damage due to high water pressure. NOW, THEREFORE, the City, Owner and Developer agree as follows: 1. Recordina. This agreement shall be recorded with the Dakota County Recorder so as to provide notice to the owners of Lots 1-8, Block 1 and Lots 1-13, Block 2. The Owner shall provide and execute any and all documents necessary to implement the recording of this agreement. 2. Notice. The recording of this document shall constitute notice to all owners and future owners of property in the SiJi+MER PLACE SECOND ADDITION subdivision that Lots 1-8, Block 1 and Lots 1-13, Block 2 are in a high water pressure zone and that a pressure reducing valve shall be installed in each home below the elevation of 966 feet. All costs shall be the responsibility of the Owner and Developer and shall be installed to prevent damage due to high water pressure. 3. Validitv. If any portion, section, subsection, sentence, clause, paragraph or phrase of this agreement is for any reason held to be invalid, such decision shall not affect the validity of the remaining portion of this Contract. 4. Bindina Aareement. The parties mutually xecognize and agree that all terms and conditions of this recordable aqreement shall run with the land herein described and shall be binding upon the heirs, successors, administrators and assigns of the owners and developers referenced in this Contract. IN WITNESS WHEREOF, we have hereunto set our hands. CITY OF EAGAN OWNER AND DEVEIAPER: (Date: - 1 - TRI-LAND DEVELOPMENT, INC. / i. Thomas A. Egan ` By: Its: Mayor Its: ^ "AN Atte : E. J. VanOverbece By: Its. Clerk Its: STATE OF MINNESOTA ) ) ss. COUNTY OF DAKOTA ) On this /=r?~-day of , 1990, before me a Notary Public within and for said County, ersonally appeared THOMAS A. EGAN and E. J. VanOVERBEKE to me personally known, who being each by me duly sworn, each did say that they are respectively the Mayor and Clerk of the City of Eagan, the municipality named in the foregoing instrument, ar.d that the seal affixed on behalf of said municipality by authority of its City Council and said Mayor and Clerk acknowledged said instrument to be the free act and deed of said municipality. ~ ; /~,f1'~.,~~ l ' ~~4~-~.~. ' ~ A ~,U ~i v N ary ~ ublic / ...n Ea7 f 7 H. 7:7] }x „ 3 L i •"viStdlf:d]lf.JN••::tf~•!!M.'!MH ~ / . STATE OF MINNESOTA ) ) ss. COUNTY OF on this day of , 1990, before me a Notary Public ~jwit in and for said County, personally appeared l5hr T. S. L.< , h a"d- to me personally' known, who being each by me duly s n, each d'd say that they are respectively the ~rp.~:d e ernd- of the corporation named in the foreqoing instrument, and that the seal affixed to said instrument is the coroorate seal of said corpora*_ion, and that eai3 instrumer.t was signed and sealed on behalf of said corpor 'on by author2i y of its Board of Directors and said 1 4-14 X i.,e 41 ccM1, and acknowledged said inst ment to be the free act and deed of the corporatio . Notary Public • ROX,qryN DUFFY ~ J(j'X~* NOTARY PUBUC-_M INMESOTA DAK07A Cp~NTy ~ r MY Commissiqi 4*a 12-8.95 ~ APPROVED AS TO FORM: Ci ttor ey's cQ ~ed : 4 /11 APPROVED S TO CONTENT: Public Works Department Dated: 7-/L 2 ty 1THIS INSTRUMENT WAS DRAFTED BY: i~ SEVERSON, WILCOX & SHELDON, P.A. 600 Midway National Bank Bldq. ~ 7300 West 147th Street Apple Valley, MN 55124 (612) 432-3136 MGD ~ _ PERMIT City of Eagan Permit Type:Building Permit Number:EA154200 Date Issued:02/28/2019 Permit Category:ePermit Site Address: 680 Summer Lane Lot:12 Block: 2 Addition: Summer Place 2nd PID:10-72961-02-120 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - Residential Additions, Alterations Zoning: Square Feet:0 Occupancy: Construction Type: Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow windows, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Victor A Bangura 680 Summer Lane Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature