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3561 Lemieux Cir LOT SURVEY CHECKLIST FOR RESIDENTIAL ;_ .. BUILDING PERMIT APPLICATION , PROPERTY LEGAL: ?O4 S & ? ? .? ? I ?J??'I fln^I' Yt?i6??S DATE OF SURVEY: /?ZId-7 LATEST REVISION: m rn c ? r U ? Q O z ? Q DOCUMENT STANDARDS rY ? ? • Registered Land Surveyor signature and company ? 0 ? • Building Permit Applicant p ? . Legal description 0 0 • Address ? ? ? • North arrow and scale z ? p • House type (rambler, walkout, split wlo, split entry, lookout, etc.) ' 10 ? 0 • Directional drainage arrows with slope/gradient % ,9' D ? • Proposed/existing sewer and water services & invert elevation 'R 0 0 • Street name ,g ? ? • Driveway (grade & w(idth - in R/W and back of curb, 22' max.) ? ? ? • Lot Square Footage ? ? ? • Lot Coverage ELEVATIONS Existin ? ? 0 • Property comers ? ? • Top of curb at the driveway and property line extensions ?13 ? ?. • Elevations of any existing adjacent homes ?X ? ? • Adequate footing depth of structures due fo adjacent utility trenches ? ? • Waterways (pond, stream, etc.) Proaosed ,Pl ? ? • Garage floor 'z ? ? • Basement floor .0 ? ? • Lowest exposed elevation (walkouUwindow) g ? ? • Property corners ' '0 ? ? . Front and rear of home at the foundation PONDING AREA (if applicable) ? jg ? • Easement line ? ?1 ? • NWL ? ? ? • HWL ? J0 ? • Pond # designation ? f ? • Emergency Overflow Elevation ? f,Z q • Pond/V1letland buffer delineation Y . Shoreland Zoning OVerVay District . Y U • Conservation Easements DIMENSIONS ,g ? ? • Lot lines(Bearings & dimensions 'g ? ? • Right-of-way and street width (to back of curb) ?e ? ? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) '0 ? ? • Show all easements of record and any City utilities within those easements ? ? ? • Setbacks of proposed structure and sid d setback of adjacent existing structures ? ? ? • Retaining wall requirements: Reviewed By: ? .? Date G:/FORMS/Bui lding Permit Application Rev. 71-26-04 gL 76:?5q 0?. ?? el , 2007 RESIDENTTAL BL)ILDING PERMIT APPLICATION I?l City Of Eagan 9 /N ? 76 O l 46,60 3830 Pilot Knob Road, Eagan MN 55122 PL qD - S0 ? Telephone # 651-675-5675 FAX # 651-675-5694 C4 (Iif-d J--5D -07 JewConstrud'anR uiem?ls 3 regislered sde siuveys showing sq. ft. ol IaY, sq. B. of house; and aU roofed areas (2096 macunum lot coverage alla?wed) 1 Sals Report rf propased build'mg is to be placed an disturb? soil capies ot plan showing beam & vandow sizas: Pnwed fourM design, dc- ' 1 set of Energy Cakulations 3 copies ot Trce Preaervation Plan d kt platted efter 7/1193 ,VRtn Joisl Detail Options seleclion sheet (buildings with 3 or I?s units) Minnepascomechanical veMiMatiai fam RemodeVRwaQ Reauirements 2 copies of plan shawirg faotings, 6eams, joists 1 set of Energy Cakulatioas for healed additio? t sife survey for addifions & dscks AddiWn - indica? if on-site sepOc sys[em ? E ?E ?Olfice Use Onlv Ced oi Survey Recd Soils Rqpat Tree Pres Plen Recd Tree Pres Requued On-sde Sepdic System s C.4-- co -?6 S? ? (01537 -7e f L/Y _N _Y ?? Y VN Y _Y N Date 6/ I 0S/ Site Address 35l, / lO D-]' Ge--M ) Constraction Cost leU )? unit/Ste # eZZd n P e:, IL45 Descriptlon of Work )? IELAJ !JC-? ?? ?! l?Ul? hl,r- Multi-Family Bldg ? YL--N Fireplace(s) _ 0 L--11' _ 2 Property Owner gT5. ?.L. C Telephone #(W2 ) 4?q7 • 3 <k:?-p Contrector !`'"N C.. LAgKK- (.;Q/U'S ?2C1GZlC3?l( ? ???5 CC? nl Address '7 5cxt- 3tate M.N W . 7b °TN ?5T . City F--DtPIP. Zip 554-39 Telephune #(9852-) 9'?-? •?O COMPLETE THIS AREA QNLY IF CONSTRUCTIN6 A NEW BUILDING Energy Code Category kl?'Mlnneqota Rules 7670 Cate¢orv 1 Minnesota Rules 7672 • Residential Verftilation Cabagory 1 Worksheet • New Energy Code Worksheet (-V submission type) Submitted SubmHted • Energy Ernebpe Cakulations Submitted In the last 12 monttu, has the City of Eogan issued a permit for a similar plan based on a master plan? _ Y ? N If yes, date and address of master plan: Licensed Plumber ELt*+J.fJEA= o`'??-f? Telephone #(`?Z) 44f5 "tCo92- Mechanical Contractor L?L.4nt DF, ??+ Telephone #(95a) ?fefS '4?9z Sewer/Water Contractor 64vCf-r C_ JPPl? Telephone # (752) 472 • ? ? /4= _ 412 2#1n• lp22o 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 NIN Statutes; I understand this is not a permit, but only an application for a pemut, 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. 11,401 n T s/ g, 1111421?? /Zz"- n Applicant's Printed Name ? plicant s S gnature JAN U 9 'lOu/ ?-- Ce, ?, . ? DO NOT WRITE BELOW THIS LINE . -. ? ? Sub Tvaes O 01 Foundation ? 02 SF Dw elling y 03 A 01 of l.plex ? 04 02•plex ? 05 03-plex ? 06 04-plex Wortc T s 31 New ? 32 Addition ? 33 AReration ? 34 Replaoement ? 13 16-plex ? 76 Fireplace ? 17 6arage C3 18 Dedc ? 19 Lower Leeel ? 20 Pooi ? 30 Accessory B?dg ? 21 Porch (3-sea.) ? 31 Ext Aft - MuKi ? 22 Porch/Addn. (4sea.) ? 33 Ext. Alt - SF ? 23 Porch (saeen/gazebo/pengola) ? 36 Mutti Misc. ? 24 Storm Damage ? 25 Miscellaneous ? 35 Int Improvement ? 38 Demolish laterior ? 44 Siding ? 36 Move Building ? 42 Demolish Foundation 0 45 Fire Repair ? 37 pemolish Building" ? 43 Reroof 0 46 Windows/Doors 'Qemolition (Entlre BId9) - Give PCA handout to applN:anR DescriKion: water oamage _ ves Valuation Plan Review 4C 100% or i 25% Census Code ! 0? SAC Units (7,1_ # of Units l # of Bldgs Type of Const Occupancy 3 '"U MCES 5ystem Zoning City Water Stories Booster Pump Sq. Ft. I Z PRV Length Fire 5prinklered 4Ydth 1y( Footings (new bldg) _ Footings (deck) Footings(addition) ? Foundation Drain Tile Roof Ice & Water Final ? Framing Fireplace _I R.I. ?4 Air Test-? Final ?c Insulation REQUIRED INSPECTIONS ? Sheetrock FinallC.O. Z< Final/LVo C.O. HVAC Other Pool Ftgs A(r/Gas Tests Final _ Siding _ Stucco Lath ? Stone Lath _Brick Windows Retaining W all Approved By: Building Inspector Base F'ee Surcharge Plan Review MC/ES 3AG cicy s,ac Utility Connection Charge S&W Permit & Surcharge Treatmerrt PIaM License Search Copies Total Y 0 07 05-plex ? 08 06-plex ? 09 07-plex 0 10 08-plex ? 11 10-plex 0 12 12-pleX V7 3 x 79 , TV, L(y0 X ?3,? l y? 71 I 0 ?L L, ? - Ow? LO.T-SURVEY CHECKLIST FOR RESIDENTIAL • BUILDING PERMIT APPLICATION PROPERTY LEGAL' {.z4 S?? b? ?ge k??J'rrl t?-? fJf.?ll'I 7S DATE OF SURVEY: -7 LATEST REVISION m ? c ea t U ? O z ¢ DOCUMENT STANDARDS ? ? • Registered Land Surveyor signature and company ? ? • Building PermitApplicant ? ? . Legal description ?r ' ? ? • Address ? ? ? . North arrow and scale ? ? • House type (rambler, walkout, spiit w/o, split entry, lookouf, etc.) 'H ? ? • Directional drainage arrows with slope/gradient % )? ? ? • Proposed/existing sewer and water services & invert elevation '.2 c ? • Street name ,z ? ? • Driveway (grade 8 width - in RNV and back of curb, 22' max.) '0 ? O • Lot Square Footage X ? 0 • Lot Coverage ELEVATIONS Existinp "H ? ? • Property comers X ? o • Top of curb at the driveway and property line extensions ,13 ? D • Elevations of any existing adjacent homes ? ? • Adequate footing depth of structures due to adjacent utility trenches ?X ? ? • Watenvays (pond, stream, etc.) Proposed ,P1 ? ? • Garage floor 'z ? ? • Basement floor ,2( ? ? • Lowest exposed elevation (walkouUwindow) ? ? ? • Property corners ? ? ? • Front and rear of home at the foundation PONDING AREA (if applicable) 0 ?d ? • Easement line ? ? ? • NWL O ? ? • HWL ? '0 ? • Pond # designation ? ,6 ? • Emergency OverFlow Elevation ? ? • Pond/Wetland buffer delineation Y ? • Shoreland Zoning Overlay District Y • Conservation Easements DIMENSIONS 'z ? ? • Lot lines/Bearings & dimensions '? ? ? . Right-of-way and street width (to back of curb) r? ? ? . Proposed home dimensions including any proposed decks, overhangs greater than 2', porches, etc. (i.e. all structures requiring permanent footings) )@' ? ? • Show all easements of record and any City utilities within those easements fC ? ? • Setbacks of proposed structure and sid d setback of adjacent existing structures j? ? ? . Retaining wali requirements: Reviewed By: G:/FO RMS/Bui lding Permit Application Rev. 11-26-04 Address: 3561 Lemieux Cir Zip: 5512 THE FOLLOWING ITEMS WERE/WERE NOT COMPLETE AT FINAL INSPECTION ON : / Permit: 76559 13/11 • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. BUILDING INSPECTOR: rtz G/Bldg Insp/Forms/2007/Checklists Yes No Comments Final grade - 6" from siding Permanent steps - garage Permanent steps - main entry >C Permanent driveway Permanent gas X Retaining Wall or 3:1 Max Slope jC Sod/Seeded lawn Trail/curb damage Porch Lower level finish �( Deck )C Fireplace • Verify with your builder that roof test caps from the plumbing system have been removed. • Turn off water supply to the outside lawn faucets before freeze potential exists. • Call the City's Engineering Department at 651-675-5646 prior to working in right-of-way or installing irrigation system. BUILDING INSPECTOR: rtz G/Bldg Insp/Forms/2007/Checklists Use BLUE or BLACK Ink F-For--Office--- Use f I l ti3°i5 C14 of Eap j Pem~it#: I 1 I I Permit Fee. 05. 1 3830 Pilot Knob Road p~ Eagan MN 55122 1 Date Received: i j Phone: (651) 675-5675 i Staff Fax: (651) 675-5694 1 1 t_.---------------- J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION g ~t c ~ Unit Date: ~ ~ 1 J Site Address: Name: ?e N~csvt'y t c> Zc~;ti or.. ow~n.zs 1~k~1° Phone: c(S---947 Resident/ , Owner Address / City / Zip. Applicant is: Owner Contractor Type of Work 'Description of work: oa Construction Cost 3 3 Multi-Family Building: (Yes ! No Company: c Contact 11a~. CC 4-,hi r-c,~•- Address: /Z Ll fi%r >rftef•- r b Ay J Al . City: La-k c Contractor _ StaterZip: J fib`` Phone: [a S) ' 7 ? ° I License *.QC Lead Certificate It 6 3 36-1 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: s Licensed Plumber. Phone: Mechanical Contractor: Phone: k Sewer & Water Contractor: Phone: NOTE: 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 Cali at (651) 454-0002 for protection against underground utility damage. Cali 48 hours before you intend to dig to receive locates of underground utilities. www.got)herstateonecall.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 authortzed by a building permit issued in accordance with the Minnesota State Building Code must be completed within *180 days of permit issuance. x `bRyp S-k'rb k: rat-_ x _ . Applicants Printed Name Applicants Signature Page 1 of 3 Use BLUE or BLACK Ink F----------------- I For office Use I 1 i My I Permit J - 1 1 a Eap 105. a~ { Permit Fee: I 3830 Pilot Knob Road Eagan MN 55122 t Date Received: Phone: (651) 675-5675 I Fax: (651) 675-5694 1 Staff 1 qlf~' l J 2013 RESIDENTIAL BUILDING PERMIT APPLICATION 13 ~r f v^1 s x t^c ecll Date: n o Site Address: ro Unit k. Name: rC - M~w•~• i t taic~.'~ r.a ow. s t~3S° Phone: 9S -941 ' 3OtS Resident/ Owner Address / City 1 Zip: ~v.,.v _ Applicantis: Owner Contractor Type of Work Description of work: A^t t► Construction Cost -A 3 J .YQ Multi-Family Building: (Yes Jr No n Company: a19, 7J4©FT A) G -T-0 C Contact Contractor Address: t S Ttr l~ii.-te b /rr a City: U~i 1 Y~ ` -7 7 1 LA State: Zip: J Jam` Phone: tD S-) ? ° 3 License I IS~~ t Lmd Certrticate - (U -1 ' 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 rued a permit for a similar plan based on a master plan? Yes No If yes, date and address of master plan: Ucensed Plumber. Phone: Mechanical Contractor: Phone: Sewer & Water Contractor: Phone: NOTE: 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 the 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. www.gooherstateonecall_org I hereby acknowledge that this information is complete and accurate; that the work wlll 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 the Minnesota State Building Code must be completed within 180 days of permit issuance. x x _ Applicanrs Printed Name Applicant's Signature Page 1 of 3