4057 Johnny Cake Ridge Ct -original building permitRESIDENTIAL
BUILDING PERMIT APPLICATION
CITYOFEAGAN m? ?--?q'?'Dp?j '?lU .SU
3830 PILOT KNOB RD - 55122 l\
651-681-4675 fp Q
NewConstruction Reouirements RemodeUReoairReauiremenls
• 3 regislered site surveys showing sq. H. W lot, sq. ft. of house; an?ll roofed a2as • 2 copies a( plan
?
(20%maximum lol coverage albwed) . 1 set of Energy Calculations for heated addilions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey kr extenor addilions & decks
• isetofEnergyCalculations . Indipte'rfhomeservedbysep6csystemforadditlons
• 3 copies of Tree Preservation Plan i( lot platted after 717/93
. Rim Joist Detail Opfions selection sheet (bldgs wiN 3 or less units)
DATE VALUA'ION ?I D4 000
JOB SITE ADDRESS 4057 `j'ok nw (a1rr = V_',Asv ('aurl'
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
`I
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TYPE OF WORK t?eJw1 C.pr\cd?['uc&, CL.2S«t,-liwl FIREPLACE(S) _ 0K1 _ 2
APPLICANT TiJ I?-- \ko6nF? PHONE# U' I
ADDRESS ?oCTIt,v t5,} P4rkwL4 ?U.Aa 1`fa zIPCODE *"
PAGER # _kD\)' _ 3tO9-,"o67 CELL PHONE #
FAX # ??? -'?? °I-(v 82'7
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COM 7ft!d Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 4 2002
(check one) Residential Ventilation Category 1 Worksheet S Energy Envelope Calculations Submitted MINNESOTA RULES 7672 New Energy Code Worksheet Submitted
Plumbing Contractor. V?Uyv,_6i ns.. Phone #: q5a-'19 Z' a ?a 1
Plumbing Sys[em Include? Water oftener Lawn Sprinkler Fee: $90.00
_ Water Heater No. of R.I. Baths
_ No. of Baths
Mechanical Contractor: uJlev6d•11C Phone # 95a-v9?- D[X?S
Mechanical System Includes: _ Air Condilioning Fee: $70.00
_ Heat Recovery System
Sewer/Water Contractor: ?? C, nf'xQ-fl? L Phone # 7(e3 ? qa)R ~ r;-1,38
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
SignaFure of Applicant .` °4/
Certificates of Survey Received _?D Tree Preservation Plan Received _' Not Required `?I'_/
Updaled 2002
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
?<02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. AIt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Nt - SF
? 04 02-plex ? 10 OS-plex O 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_Y or_ N ? 25 Miscellaneous
$I31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
?O 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolitian (Entire Bldg only) - Give PCA handout to applicant
Valuation ?0, m?7 Occupancy MC/ES System
Census Code 2/ Zoning ?o City Water ?
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. 49 191? PRV ?
Nbr. of Bidgs ? Length ??? ? Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
-?7 Footings (new bldg) IC FinaUC.O.
? Footings (deck) FinaUNo C.O.
Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile _ Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
K Framing Siding Stucco Stone
? Fireplace _)C R.I. _S(Air Test ?'Final _ Windows (new/replacement)
? Insulation
T ' - Retaiuing Wall
Approved By ? ?, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES $AC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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