1050 Savannah RdCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675-5675
www.ci.eagan.mn.us
PERMIT
City of En
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Building
EA086434
09/26/2008
ePermit
Site Address: 1050 Savannah Rd
Lot: 3 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-030-01
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
e-Windows/Doors
Windows/Doors-New/Replacement
House
434 -
Construction Type:
Occupancy:
Comments:
A framing inspection is required when installing a Bay or Bow window or if the opening is altered. Smoke detectors are
required in all sleeping rooms prior to final
inspection. When wall studs or ceiling joists are exposed, hard -wired detectors are required. Battery operated types are
acceptable if the wall/ceiling finish (i.e. sheetrock) has to be removed to install a smoke detector.
Fee Summary:
Valuation: 3,000.00
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
$88.50 0801.4085
$1.50 9001.2195
Total: $90.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
- Applicant -
Owner:
Daniel L Keeley
1050 Savannah Rd
Eagan MN 55123
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply with all applicable State
Applicant/Permitee: Signature
Issued By: Signature
Gily of Eaaii
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE 6r BLACK Mk
For Office Use /(1 //
Permit it f3(
Permit Fee:
Date Received: -7-11'/
Z
Staff.
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
gate: l T,.. t' 0-47id AEltlliss: l b So 4.,av A,J )4 A t -t Ru .
Umf#:
RESENT1
OVVNER
Nadi*: 3.)!Ft+J? t EL KE.E.71 Phone: 4".,1- 3 3c.> - b '771
Address / City / Zip: 1 C r o '�Av AY.) N (3 t-4 fkiJ ,
Applicant is: Owner _Y._ Contractor
TYPE OF WORK
Description of work: i7:4_11-..
Construction Cost: 'ii % 'ID t' Multi -Family Building: (Yes / No )1 )
CONTRACTOR
Company: >1Ec S i3,.! -IDE Contact: j.lt Kv LA Lis' c "L(
Address: t ILLS (1 E J t=.cla A ✓+L . lj • City: bA KD AL-/;.
State: 1`-1-,4' Zip: g.,5 t S Phone: (atJt `'141- 3`-19.3
License #: E. 3 0' L Lead Certificate #:
If the project is exempt
from lead certification, please explain why: (see Page 3 for additional information)
In the last 12 months,
No If
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
yes, date and address of master plan:
_Yes
Licensed Plumber:
NleohanieetContractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may classified as non-public if you pmvide specific reasons that would permit the City to
conclude that they NW bade secrets.
CALL BEFORE YOU DIG. Cali Gopher state Cine Call at (651) 4.540602 for protection against underground utility damage. CaIi 48 hours
before you intend to dig to receive locates of underground utilities. www aopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
EXterlQi work autl!orii ed Py a Witting permit leawag in acc9rstanca with the Mini19091A Sita Pailslina Cid mutt Pc gamaletni within 109
days of permit issuance.n
x Vo) LIN
Applicant's Printed Name
A lican s
pp ignature
Page 1 of 3
1171 1
SUB TYPES
Foundation
Single Family
Multi
01 of Plex
Accessory Building
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%
Census Code
# of Units
# of Buildings
Type of Construction
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
1 Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
i'39
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: _Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
Windows
Egress Window
/0
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
Occupancy I& -�
Code Edition Ace?
Zoning
Stories `
Square Feet /3
Length /Li
Width oZb
Final
RESIDENTIAL FEES
Bas: Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copes
TOTAL
Meter Size:
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Sprinklers
Final / C.O. Required
?e Final / No C.O. Required
HVAC
Other:
Pool: Footings Air/Gas Tests
Gas Service Test Gas Line Air Test
Siding:
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
l \ ,
, Building Inspector attex J,101„--0�
.��. 3/
i3 00' D hG
Final
Stucco Lath Stone Lath Brick
cJ
ET.zIr71R= Companies 6875 1llghwoy 65 N.E.
SUBURBAN ENGINEERING. `INC. 12203 Nlcollet Ave. So.
Clvrl, F{unrcrpol & Enur.unmenfol Engineering
PO. Box 32308 Minneapolis, MN 55432 (612) 571-6066
8urnsvllle, MN 55337 (612) 8906510
• Lond nnvcying • Lond Mooning • Sod Testing
Certificate of ®urvep for ///t"Ylfl eoye 1!? er6
0
a
x
Bearings Shown Are Assumed
Denotes Iron Monument
Denotes Foundation Corner Offset Stake.
Denotes Existing Elevation
Denotes Proposed Elevation
Denotes Direction of Surface Drainage
Denotes Drainage and Utility Easement
f ONS DIVISION
PROPOSED ELEVATIONS
Top of Block 894,9
Lowest Floor
Garage Floor ails
V
c.avan nal eco
75.00
pgco S$ c7
it
tt; 41N
x.00
8 95, 0 ,9
7S40p�,�
,' 7 S
m
Scale: 1 Inch = 30 feet
Lot 3 ,Block 1
LEXINGTON SQUARE ' 3rd ADDITION
Subject to easements of record
Dakota County, Minnesota
I hereby certify that this survey, pion or report was prepared by me or under my direct
supervision and that I am a duly licensed band Surveyor under the laws of the State of
Minnesota.
Signed this ,Sday of A.D., 19717.
o>inor Carnparrles
Not published: All rights,reserved
Copyright 1987 SE Compnnies, Suburban Engineering, Inc.
SUBURB N ENGINEERING. INC.
Robert' E. S/ra.risy , Minn.. License No. /y%yf
CITY OF EAGAN Permit No 3692 Date 5-1-37
3830 Pilo Mob Road Meter No Size
P.0.86 Reader No: Date
Eagan, MN 55121
Owner :larvin Ceor DlOrs,
Site Address: 1050 Savatina roae. I' '1 I extu,, tn:i Sq T.T,74..
Plumber. Valley P1u--
..-.0
Conn. Chg: 525 COT Zoning:
Acct Dep: 13 .. r;; ,- , ,,-1 No of Units: I
Permit Fee: 13 - 10 n- 1
Surcharge: , I agree to comply with the City of Eagan
Tr. Plant 1 ,‘'.' - '' ' 1 Ordin ces.
By
Misc..
WATER SERVICE P MIT
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot liolob Road
P.0.43dx11199 PERMIT NO .
Eagan, MN 55121 DATE:
1.
Zoning: No. of U
nits:
":':._ 'I '
Owner:
Address:
in ,----,,-- -,,,,, -,- . • 1 ,-, T 1 . -4 1,--..-0
Site Address: ---''.- r':- --"'-' -
Vail:— '211,_ .
Plumber:
I agree to comply with the City of Eagan Connection Charge:
1 --.. --, --...., 1
Ordinances. Account Deposit: " , -
Permit Fee: lc
Surcharge:
By Misc; Ctiaigps,:„. ,
Date of Insp.: Total
Insp.: Date Paid:
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA107478
Date Issued:10/15/2012
Permit Category:ePermit
Site Address: 1050 Savannah Rd
Lot:3 Block: 1 Addition: Lexington Square 3rd
PID:10-45077-01-030
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Daniel L Keeley
1050 Savannah Rd
Eagan MN 55123
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use-_----_-
-
uZ
EaEd
~ i Permit
C11!tt b of
Pe
rmit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (661)676-5675 I I
Fax: (661) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLI ATION ysr
Date: S !!~I U~tn/rJ 14P L`~4 ~
Site Address. I Unit
Name:
Resident/ [ 04,06, AC.C%C Phone:
Owner Address / City / Zip: 4* ~,r 0- 7
Applicant is: Owner \4ontractor
Type of Work Description of work: 636' d-
i Construction Cost: IS" G/ Multi-Family Building: (Yes No X)
Companyli,ly eoeo Cp~+7~ T°`~ 5 Contact: ~k4J
sJ
Contractor Address: / 410 WEB Srjc~ City: 9
Stater- `<J Zip: Phone:
License Lead Certificate
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 Contra Phone:
Sewer & Water Contractor:_ Phone:
NQTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information' may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
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. warw.gooherstateonecall.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 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 th mne State Building Code must be completed within 180
days of permit issuance.
X
Applicant's Printed Name Applicant's Signature
Page 1 of 3