Loading...
1014 Boston Hill Rd Use BLUE or BLACK Ink C~t i Permit 1 cZ-7 Eajan I - I 3830 Pilot Knob Road Permit Fee: Eagan MN 55122 I Date Received: Phone: (651) 675.5675 Fax: (651) 675-5694 I Staff: t 2010 MECHANICAL PERMIT APPLICATION Date: Site Address: l (l id-N- /n-? le Tenant: \ rY C Suite M RESIDENT / OWNER Name: d . ad Phone ~C? 17 Address / City / Zip: na C Q ('e 3 CONTRACTOR Name: BURNSVILLE HEATING & AJC, INC. License ~ Sf3~~~7~J 3451 W. Burnsville a Address: lit 120 City: nsville, MN 55331 State: ttr Phone: Contact: C (/~ci Email: TYPE OF WORK New Replacement Additional Alteration Demolition Description of work: it'll NOTE: Roof moiunted and ground mcu d mechanical equlp -in t its;requfred to t,e scrAent ei by City Code, pleas contact the Mechanical irlppeotot for Intatriiation , pqrtnitteid sbre®►ti€~ :Yncttigds: PERMIT TYPE RESIDENTIAL COMMERCIAL )<Furnace _ New Construction _ Interior Improvement _ Air Conditioner - Install Piping _ Processed Air Exchanger Gas Exterior HVAC Unit Heat Pump _ Under / Above ground Tank Install / _ Remove) When installing/removing tank(s), call for inspection by Fire Other Marshal and Plumbing Inspector RESIDENTIAL FEES: $50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge) $90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) $ ! CYO - TOTAL FEE COMMERCIAL FEES: $70.50 Underground tank installation/removal OR Contract Value $ x1% $50.50 Minimum (includes State Surcharge) _ $ Permit Fee - If Permit Fee is less than $1,000, surcharge is $.50. - If Permit Fee is > $1,000, surcharge increases by $.50 for each = $ Surcharge $1,000 Permit Fee (i.e. a $1,00142,000 Permit Fee requires a $1.00 surcharge). _ $ TOTAL FEE 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.oopherstateonecalt.oro 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 th pproved plan in the case of work which requires a review and approval of plans. '~r x {`C xur App icant's Printed Name Applicant's Signa e FOR OFFICE USE Reviewed By: Date . Required inspections: Under Ground Rough In, `Air test _Gas Service Test ~In-floQr Heat Flnal Exterior HVAC Screerting Inspection . Parcel Files Cover Sheet Unique ID: 1967 1014 Boston Hill Rd 104507613002 GOLD COPY PERMIT RELEASE FORM PERMIT ADDRESS PICKED UP BY INSPECTION RECORD CITY OF EAGAIV PERMIT TYPE Y Ott It rt;Twci 383 Pilof'Knob Road Permit Number. ? 0 ' Eagan, Minnesota 55123 bate tueC4 (612) 681-4676 SITE ADDRESS: APPLICANT: t t i ~t c; t' t tt e ?No f, PERMIT SUBTYPE: TYPE OF WORK: 0ASEMENT FINISH NEW TR Pi A(. All Imo, POW* Mckler DOD sw PUJMBM QWTWC EUMTW c ! J k Anoft w ft* C*Ilt WSW Fbw Check FRml woo - pf: okp. M i Awl CASH RECEIPT CITY OF EAGAN } 3830 PILOT KNOB ROAD s EAGAN, MINNESOTA 55122 DATE 19 J f. / FROM AMOUNT . I_ & 00t LARS 200 CASH CHECK f r FUND CODE : AMOUNT - Thank ' 6," P Y 73840 White-PayArs Copy YeR6w--Posting Copy PIr1~-E•ite CDK~'Y CASH RECEIPT IrY OF EAGAN ry 3830 PILOT'kNOB ROAD PAGAN, MIN OTA 55122 DATE t ~f ! 'A' RECEIVE FROM ' ,TI AMOUNT DOLLARS Q CASH CHECK `Z F{4+1VD CODE AMOUNT f` V tF f{ I ~ Y Utlfii>..P~~~'s Yo COPY Pink-FPl'.fopy € CITY OF EAGAN Permit No: 8687 Date: 4-30-87 ~t 3830 Pitt KnotRaad Meter No: oZ Size: P.O. Bex'2i ON Reader No: 02? p 9 9 /O Date: A "/fir g7 Eagan, 55121 Owner. Rottlund Company Site Address: 1014 Boston Hill Road L13 B2 Lexington Sq II Plumber. Nickelson Plumb in Conn. Chg: 525.00 k` Z ~.Fl R1 Acct. Dep: 15 . Q d ' !42l ~ts: Permit Fee: o - GAS Surcharge: ~ L I ~ , comply wkh the Cat of Eagan Tr. Plant 1 ORiinances. Meter Misc.: gy WATER SERVICE PER . BLDG ERMIT NO. G" 01-3210 PI g. ermit 01-34 Plan Check 01-3445 Surch./Adm. 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 6 20-2275 SAC ' 20-3865 Water Conn. t> 5 J 20-3868 Water Trmt, 20-3716 Water Meter f ; - 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743 Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL` '11' t s ~~xtifir~tt~e of (~rr~~ttnr~ ~Citp of Masan ~r~r~rbnprc# of ~~tildircg .~tc~:prrtiun This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following.• Use Classification S: M/GAR Bldg. Permit No. 13407 Occupancy Type ' R3 Zoning District R.1 Type Cone. V Owner of Building TFE RGIM 1JE`ll} 00 I19C Address P.O. BM 383, 0SM0 Building Address 1014 BOSM4 KU ROAD , Locality L 13, B2, IMMV" 9VIUA ?SID Date: JULY , 14, 1987 Building Official POST IN A CONSPICUOUS PLACE Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. OF EAGAN f v rr Prot Knob Road P.O. Box 21-199, Eagan, MN 55121 r PHONE: 454-8100 OUILMNG PiRFAIT Receipt # To be used for -F OW/ GAR Est. Value $107,00() Date APRIL 1 19 by f Site Address 1.,,-)14 ROSTON HILL RD ArF1C# USE ,c I i LE,XINGTON SQUARE OnsiteSe ge Occupancy K3 Lot ~loCk See/Sub. MWOG Systern - zorar g Pa(M No. On site won Type of Const ZN13 DD ity Water ~ (Actual) y INC Nw" 1 a io)TT1,i iij CO C (A#owabie) Address-1,':, ti' e ,t. BO X, * 01 st --ories City : _ Phone 571-0304 Depth &F. Total ` o Name A!:: Footprint SY. 0 Address PIROVA1.S EKE- N city , Phone A ents Permit ~ ~7f+* 5fl r Water/Sewer Surcharge w Narne Police Plan Review 267. 5 ' LAddr> Fire SAC: City c3 Fr4gr. SAC, WWCC 575.t l~ w City Phone Manner ~ Water Conn. Council Water Motor 0 I hereby Eresmowledige that I have read this tion and state Bldg. Off. Road Unit that tlieinform ationis6orrect dagreetocomply with allapplicaeble APC Treatment P1 ~O ` State of Minnesota Statutes end City.of Efigan rdirmnces, Variance Pa*s Signature of Permittee ` t ".-.a_a TOTAL A Building Permit is issued to: till ROTTLUN Co INC d ft the ~i<m that all work shall be done in accordance with all applicable State of Minvwwoo; atuMs snd City,o4 aA,0YdU%noes. Building Official ar P*ml No. pon"it H*6dw ~ Tsliphaiat Piy~en#stnfl H.V kc. r EwctAc~ .1'«thw l' f Forms H R t Fo ation top E RoUgh Plbg, h%A f fie Final Htg r Final Plbg Sift Final I Cam oc Tema LP Deck ft .t` Deck Fang Well Pr. Disp. i • pnr PE rT # I + » 'CITY OF EAGAN ~ ` 3830 PILOT *MOO ROAD, EAG,l1•A1,11 5~t DAT~d~ C014111 ' 'ACT :PR I[CE: f INE 464-81013 . Site Addreo BLOC. T~,PlE 1 Ot a Block Sec/Sub 3 Res. t4ow $ M'uit. Ad~1 a i Nan)e 4 ?11. . Comm, t: - ; - Address sty.; • v. ~ Other c City Phone RES, PLBG. ONLY - CCl E NO. FiXT 0 Name -Water Closet - $100 c ~ ter.! Bath Tubs - $3.00 3 Tress Lavatory - $3.00 O coy 4 s- Phone Shower - $3.00 is Krtch&)_-Sank Da= FEES' UrinafBidet $300 COMWIND FEE - 1% OF CONTRACT FEE I Laundry Tray - $3.00 ' APT. BLDGS - COMM RATE APPLIES I Floor Drains - $1.50 TOWNHOUSE CONDO- RES. RATE APPLIES -I Water Heater- $1%59', MINIMUM - RESIDENTIAL FEE -$12.00 Whirlpool "NFMUM - COMM /IND FEE - $20.170 Gas Piping Ot ;ts -x$1,50 §TATE SURCi+AOGE PER PERMIT - 50 (ADD $:50 S/C IF PERMIT PRICE GOES Softerw - $5.00 . laEYOW41,000.00) Welt - $103130 Privw6isp. $1010 RoOgh Openings - $1.50 SIGN>ATURS OF Pi tTTEE Fits FopF (,)Ty € r FAGA . MEGHANIcA . PeRIVIIT RECEIPT # M CITY OF EAGAN y ~JS 3830 PILOT KNOB ROAD, EAGAN, VN 55123 DATE: CONTRACT PRICE- ~ PHONE: 484-8100 r e 46U13 fii tt S„ .TY ~ Site Address _ t 1 of 3 Block _ Sec/Sub 01- Re&µ ,,,AA d Mutt i Nar +e a t Gomm. papaw Address Other City Phone FEES Name RES. HVAC 0-100 M BTU " ADDITIONAL 50 MI BTU c Address AL NFsN.. GAS OUTLETS (M#lallNbl m - 1 PER PE1w" - 1.60 EA. COMM/IND FEE - 1% OF CONTRACT FIB TYPE OF WORK APT. BLDGS. - COM'MI. RATE APPI Forced Air m BTU TOWNHOUSE & CONDOS - RES. RATE Boiler M BTU F MINIMUM RESIDENTGAI_ FEE - ALL ADF- ` - 1 Unit Heater M BTU $ MINIMUM COMMERCIAL FEE W Air Cond. M BTU $ STATE SURCHAI E PER P'EOMYT 8@d " Vent. CFM $ (ADD $.50 S/CIF PEW*T PNCE S Gas Piping Outlets # ~ $ BEYOND $1,000) Other - $ FEE: ` "f\ it l 1 R SJG: SIGNATURE OF W11-ME TOTAL ~p FOR: CITY OF EA6AN CITY Of EAGAN SEWER SERVICE PERMIT 3830 Pilot KnoiRoad 9$37 P.O. Box 21;199 PERMIT NO:' Eagan, 'UK 55121 _ DATE: 4-30-81 Zoning: R1 No. of Units: 1 Owner: Rottludd Com an Address ~a Site Address: 1014 Bos Po d . B2 texin ton S 11 Nicte1M8 i~ Plumber. 4 _ 1 'T~ ~QEPq'1 Elf- 100. 00pd t agree to comply witkt~e,~ity~f11g) BTnLAAff harge: 525.00pd Ordinances. ~~~~ljj~t CC Account Deposit: t5.OQpd Permit Fee: 10 00:Dd Surcharge: OT d By Misc. Charges Date of Insp.: Total: Insp.: Date Paid: K 5 53~9~ l ~i~x ~0 Request Date 3 Fire No. Rough= Inspection j Req ' ~ ❑ Ready Now II Notify Inspector i Yes ❑ No When Ready? I ~ licensed contractor ~E4wner hereby request inspection of above electrical work at: J (St ' at. Ra's vr~ city 77Section No. Township Name or No. Range No. County Occyy~~nt (PRINT) ) Phone No. MPower Supplier Address EleWtrial ontr actor (Company Name) Contractor's License No. r,)E7 ow--) c1" Mailing Ad ress (Contractor or Owner Making Installation) 60L) E Authorize nature (C tract 10 r Making Installation) Phone Number or r G MINNESOTA TE B RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT - Griggs-Midw Idg..- Room 5-173 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Paul. MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION Ee-00001-08 ► See instructions for completing this form on back of yellow copy. T K 45053 - "X" Below Work Covered by This Request New Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Other {Specify) Comm./Industrial Furnace Farm Air Conditioner Other (specify) Contractor's Remarks: Compute Inspection Fee Below: # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 100 Amps Signs Inspector's Use Only: ' TOJAL ~S Irrigation Booms f` c~Ji Cyr/V~ Special Inspection t . ' Alarm/Communication THIS INSTALLATION MAY BE ORDERED-DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTAS, I, the Electrical Inspector, hereby Rough-in Date v certify that the above inspection has Final Date been made. d ! OFFICE USE ONLY This request void 18 months from This request void months from 99283 12 Request Date Fire No. uInspection Ready Now Will Notify Inspec- _ I 3 '1 QNo for When Ready ❑ Licensed Electrical Contractor I 'hereby request inspection of above Owner electrical workinstalled at: Street Addre T Box Route No City 101 _C, ~Lm N- J, & I /I section No. Township Name or No. Range No. Cou ty Oc ~t(PRI T) Phone a. Supplier. Address El rical Contractor'(Compan c Name) II~~~1 J Contractor's Licens o. Mailing Address ( ontrac ( or Own a g Installation) O Au or zed Signature ( oniractor/Owner Making Installation) Phone Number MINNESOTA-STA BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway B g: -Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Aeu1, MN 55104 UNLESS PROPER INSPECTION FEE IS Phone (612) 642-0800 ENCLOSED. 7 REQUEST FOR ELECTRICAL INSPECTION Il, See instructions for completing this form on back of yellow copy. O,EB-00001-05 1C'__ q A.14 "X Below Work Cohered by This Request ~eiqo Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex - Water Heater Lighting Fixtures Apt.`Building Dryer Electric Heating Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm !Other (Specify) 5 they (Sner:~fy! t er Spocify Other Other Compute Inspection Fee Below ff' Fee - Service EntranceSize # Fee Feeders/Subfeeders # Fee Circuits 0to200Amps 0to30Amps 0to30Amps Above 20Q-Amps 31 to 100 Amps 31 to 100 Amps Swimming `Pool Above 100 -Any s Above 100____Amps Transformers Irrigation Booms Partial Other Signs Special Inspection 9 TOTAL FEE 4~ ' Date r l,the Electrical i^~111~ Jnspector, hereby fFnal • 4 certify that the above inspection has been -r Kt 3 made.-- h id 18 months from This reafuest void - / 18 months from/ D 572 L Is - ; Request Date Fire No. Rough-in I dpection i e uired? ❑Ready Now U Notify. Inspec- Yes ❑ No or When Ready ❑ Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Aiddre s, B or Route No. City 1 545ct7ion No. Township Name or No. Range No. Cou tt 01, Occ nt WPI NT ) Phone No. Pow r Supplier Address Ele icaI Contractor (Compan afne) Contractor s License No. J Mailing Address (Contractor or wner king Instailattio,n) Aut ori4ed Signature (C t ctor/Owner Making Installation) Ph a Numb r MINNESOTA SAT; BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room LE BE ACCEPTED BY THE STATE BOARD UNLESS PROPER INSPECTION FEE IS 1821 University Ave.. St. Paul, MN 55104 Phone (612) 642-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-00001-06 _ Ili, See instructions for completing this form on back of yellow copy. 572 "X" Below Work Covered by This Request evw Add Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building Dryer Electric Heatin Commercial Bldg. Furnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other (Specify) Other (Sper.ify) t er Specify Other Other Compute Inspection Fee Below # F Service Entrance Size # Fee Feeders/Subfeeders # F Circuits LZ/ 0 to 200 Amps 0 to 30 Amps 0 to 30 Amps Above 200 Amps 31 to 100 Amps -607 31 to 100 Amps Swimming Pool Above 100 Amps Above 100_Amps Transformers Irrigation Booms Partial,"Other Fee Signs Special Inspection $~TOTAL E Remarks Q Rough-in D` a Elec pn actor, hereby Lify that the above Final/J% ~c n~pection has been _ f,✓{;C,~^ t ( made. This request void 18 months from CITY OF EAGAN ° - 130 38340 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 5512 N- 4 7 BUILDING PERMIT Receipt # PHONE: 454-8100 To be used for SF DWG/GAR Est. Value $107,000 Date APRIL 1 1987 Site Address 1014 BOSTON HILL RD OFFICE USE ONLY Lot 13 Block 2 Sec/Sub. LEXINGTON SQUARE On Site Sewage Occupancy R3 2ND ADD MWCC System X Zoning R 1 Parcel NO. On Site Well _ Type of Const City Water X_ (Actual) V cc Name THE ROTTLUND CO ` INC (Allowable) y w * of Stories z Address P.O. BOX 383 Length City OSSEO Phone 571-0304 Depth 48 S.F. Total p Name SAME Footprint S.F. 0a Address APPROVALS FEES City Phone Assessments Permit $ 524.50 U a Water/Sewer Surcharge 0 W W Name Police Plan Review 262.25 - 1 z Fire SAC, City 100, 0 Address 3 Engr. SAC, MWCC 525, n0 am City Phone Planner Water Conn. 00 Council Water Meter 6-7--00 1 hereby acknowledge that l have read this application and state Bldg. Off. Road Unit 305.00 that the information is correct nd agree to comply with all applicable APC Treatment P1 MCI- 0 State of Minnesota Statutes d City of agan r 'Hance . Variance Parks Copies Signature of Permittee TOTAL 5 A Building Permit is issued to: THE ROTTLUND CO INC on the express condition that all work shall be done in accordance with all appli State of in ota Statutes and City of Eagan Ordinances Building Official - .rr- Gpa P~ 97i ~ti 9e~ ~'l~P~ ~i ~,C'~C ~~3 ~z ~u~~7L ~-ia-~ ~9a:.-. -yam ~.z . . . CITY OF EAGAN Permit No: 8687 Date: 4-30-87 3830 Pile Anob Road Meter No: Size: P.O.'Q; 21199 Reader No: Date: Eagan, MN 55121 Owner. Rottlund Company Site Address:_ 1014 Boston Hill Road L13 B2 Lexitigton Sq II Plumber. Nickelson Plumbing Conn. Chg: 525 a0gpd Zoning: :tl Acct Dep: MOOpd No. of Units: l Permit Fee: t 10.00pd Surcharge: - • 54pd I agree to comply with the City of Eagan Tr. Plant 1 £ 0 ° 00Pd Ordinances. Meter: 67 d Misc.: By WATER SERVICE PERMIT CITY OF EpGAN SEWER SERVICE PERMIT 3830 PildWnob Road $3 P.O. !sx 21199 PERMIT NO.: E8 n, MN 55121 BATE: Zoning: F.1 No. of Units: 1 Owner: Pottludd Company Address: Site Address: 1014 Boston ?-dill Road L13 B2 Lexington Sq Ti Plumber: Nickelson Plumbing 4-T-t~7 72115 100.04gd agree to comply with the City of Eagan Connection Charge: 525 • QQpd Ordinances. Account Deposit: Permit fee:: _ 10 a 00pd Surcharge: . 50gd_- By Misc. Charges: Date of Insp.: Total: Insp.: Date Paid: 2004 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 / Telephone # 651-675-5675 FAX # 651-675-5694 New Construction Requirements Remodel/Repair Requirements Office Use Only 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd Y N (20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd Y N 2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions & decks Tree Pres Required _ Y" _ N 1 set of Energy Calculations Addition - indicate if on-site septic system On-site Septic System - Y _ N 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bldgs with 3 or less units Date Construction Cost 25 Site Address ( (D I $115-7170 Q I L..t- R=L Unit/Ste # y 5~~ Description of Work dax-14 4- DC--r Multi-Family Bldg - Y Fireplace(s) DC 0 _ 1 - 2 Property Owner P rJA L-D 9L 'SA K) D2_A r-+10+J5C J Telephone # (Cog() ~v g I 17`T Contractor W Address 5-Ayn E City FA (,AtJ State yVl \NA Zip 5~✓ ! 0L3 Telephone # (66) ) 6 S 8"Z9 -7 COMPLETE ARE NLY IF CONSTRUCTING A NEW BUILDING M § sota Rules 7670 Cate o 1 _ Minnesota Rules 7672 Energy Code Category . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet (q submission type) Submitted Submitted • Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Telephone # ( ) 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 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. ) M_ Applicant's Printed Name Applicant's Signature OFFICE USE ONLY Sub Types ❑ 01 Foundation ❑ 07 05-plex ❑ 13 16-plex ❑ 20 Pool ❑ 30 AccessoryBldg ❑ 02 SF Dwelling ❑ 08 06-plex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt Multi ❑ 03 01 of _ plex ❑ 09 07-plex ❑ 17 Garage X 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Alt - SF ❑ 04 02-plex ❑ 10 08-plex ❑ 18 peck ❑ 23 Porch (screen/gazebo) ❑ 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 Demolish Interior ❑ 44 Siding 32 Addition ❑ 36 Move Building ❑ 42 Demolish Foundation ❑ 45 Fire Repair ❑ 33 Alteration ❑ 37 Demolish Building* ❑ 43 Reroof ❑ 46 Windows/Doors ❑ 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant Valuation Q Gto _ Occupancy R-3 - MCES System - Census Code 3 Zoning City Water SAC Units Stories Booster Pump # of Units Sq. Ft. PRV _ # of Bldgs _ Length / y Fire Sprinklered Type of Const Width REQUIRED INSPECTIONS Footings (new bldg) _ Final/C.O. Footings (deck) Final/No C.O. Footings (addition) _ Plumbing Foundation HVAC Drain Tile Other Roof _ Ice & Water Final _ Pool _ Ftgs _ Air/Gas Tests Final Framing _ Siding _ Stucco - Stone _ Brick Fireplace _ R.I. Air Test _ Final _ Windows Insulation _ Retaining Wall Approved By: A9 t-1 - , Building Inspector Base Fee 31) L& JAG e Surcharge ,Z ~~L A tb 9G Plan Review MC/ES SAC City sac /9~5G Utility Connection Charge S&W Permit & Surcharge Treatment Plant License Search Copies Other Total FROM :-LEBAHN&ASSOCIATES,LTD. PHONE NO. 6514232951 Nov. 10 2004 08:30AM P2 MNcheck COMPLIANCE REPOR'T' I Minnesota Energy Code I Permit # I MNcheck Software Version 3.0 I I I Checked by/Date 1 I COUNTY: Dakota STATE: Minnesota ZONE: 2 CONSTRUCTION TYPE: Single Family DATE: 11-10-2004. COMPLIANCE: PASSES Required. UA = 462 Your Home = 357 22.7% Better Than code 00-0"~ Area or cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA WALLS: Wood Frame, 161"O.C. 2962 19.0 2.0 166 BSMT: Conc. 8.0' ht/8.0' bg/8.0' insul 865 11.0 0.0 48 BSMT: wood 3.5' ht/3.5' bg/3.5' insul 154 21. 0.0 7 GLAZING: Windows or Doors, Above Grade 369 0.320 118 DOORS 40 0.320 13 DOORS 39 0.130 5 HVAC EQUIPMENT: Furnace, 82.0 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, s 'fications, and other calculations submitted with the permit applicat' n. he proposed building has been designed to meet the equi:t~ements f M' nesota Energy Code. ? Builder/Designer Date 111 ~'~~6a dun OOice 6065 rtlQtAN 671 6575 ~phway No 65 N E tl~~NdINflftftlNd I Mmn".a.lis, M nnrt0u 66432 INC. southollics aw"10 ('nod M NururipN 6wrwrrinr 0 Soil Trssuy • Lund Sururyusr a Lund P4wnMr ling SwnWAN, Mmn.nta 55337 Certificate of Survey for R0ft!U71J---C0TMA-7W NORTH Hill! X9- 89'4303W --?S;OQ- - o p s S Quo y`tG d rn o~ o e Q i oft I ~ H ~t~ 'CFO G 4.0 to kv If 47 CA V t I N Q104°~o~ e 35.0 _21.0 I _ q 140 Drainacje 4"d L/ti~~c+ O S' Lr.Z5erMltrts< J S N k N890 43'03"'YY 7, .00 Denofec Draino je ¢ Ufti~l~ Easement Bearings Shown are Assumed, PROPOSED ELEVATIONS o Denotes Iron Monument, o Denotes 10'© Foundation Top of Block ~,o i. i Corner Stake. Lowest Floor 9 goo-oDenotes Existing Elevation. Garage Floor 90%~ ,&-Denotes Direction of Surface Drainage. LOT13 9LOC-X Z .LEXINGTON SQuARE 2ND ADDITION Sub.ed fo drainage ~ ofilift easements DAKOTA COuwyl m1Nk. 1 hereby certify that this is a true and correct representation ei a burvey of tho boundaries of tho • 19tis described land, and of the location of all buildiney thereon, and all vi&ibis ew~roacbnwewls, if any, /rown or do Said land. As swrvoyed by Two tbls 2Y day is, Wg6 "_A.0. lie f(/SURSAN INa1NNIMINO, INC. 1rlC _ ee lw~a f are _6c a leo. 1 3D by /V.- ly9 ~s Jot Published: All Rights Reserved . 581153 <j,p 16 Z9 w q MAR 1 9 9987 1987 BUILDING PERMIT APPLICAT N - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS, $2,000 LANDSCAPE BOND f07,cx0 To Be Used For: Valuations Dates Site Address l~ OFFICE USE ONLY Lot i3 Block On Site Sewage Occupancy 3 - MWCC System ✓ Zoning RI nc) Parcel/Sub may, On Site Well Type of Const City Water ✓ (Actual) z Owner V4 QAuaj W . (Allowable) # of Address fn. &91V Z-B5 Lengthtories y+~~~Depth 48 City/Zip Code C~C~'.~W 6636q S.F. Total Footprint S.F. Phone APPROVALS FEES Contractor Assessments Permit r - 50 ~Z4 . - Water/Sewer Surcharge 53.9D Address Police Plan Review Z(o Z.ZS Fire SAC, City Ion. City/Zip Code Engr SAC, MWCC z5• Planner Water Conn SZ Phone Council Water Meter t°~(• Bldg Off Road Unit 305. Arch./Engr. APC Treatment Pl lgD: Variance Parks Address Copies TOTAL S City/Zip Code Phone # . r ZC~ J 8 ~c 5v = S-7 ZC~ 2~ 6 x 4 5 4--7 2 ' USUNNAN + Maw office 6716066 16876 pots, M No 66 N.E. mqhiisv + MNOINfanotaftO Mmnwawlu wwa/oU 66c37 INL. SOU1A ('INKr fW6610 C u,l i r/suueyel C,ywrrwo a Sad Toatu&t Lowd Sur-.vuy . Lwwd pWiuwr SurnerJM. Muvnnb 56337 Cortificato of Survoy► for ~30trlund Corn WORTH -2-3oston tZ R Oad s T-~, 3s '43f03"YV -7 00 q y o c M n p 40~+,` „ 1. CIO JQ o 22.1; r tic s•Mi f 109 GeA 4 In IG7 rid i 1~ N IGT Q a' ` In 38A ~Itt_o I , w Dra►nz9C oral{ ~i~~~ 0 s Easernea>< s u ~ N8'r 4.3'0 3)Y 7,a00 Denol•ec Draina je Uklil Easemen} Bearings Shown are Assumed. PROPOSED ELEVATIONS o Denotes Iron Monument. o Denotes 10'© Foundation Top of Block 9 o z. i Corner Stake. Lowest Floor 9oo.oDenotes Existing Elevation. Garage Floor 90147 Denotes Di raction of Surface Drainage. . LoTi3 Rock LEXINGTON uA RE 2ND AD-D-1 TION 5ubjecf fo drain e 4 u1ilif easements DAKOTA COVN7y, MANN, 1 hereby certify that this Is a tr loo and correct representation of a survey b•,awdaries •f the I~w described load, and of the location •f all baildl y tltoreo4, and ell visible _01-11-h: hatonts, it any, from or tra sold lend. As surveyed by we 116161gZaoy of A.O. 10 SUBURBAN eNGINeiRINO, INC. tam. •a b . Na, ryj S NotPubiished: All Rights Reserved S871S3 s. C), ~6Z9 PC EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION OWNER O TT LV D L O. SITE ADDRESS 01 ~ ~ y CONTRACTOR DATE PHONE 5-11 -0 Determine working square footage of each. 1. Total exposed wall area 2 °f 7 sq. ft. x -27 -7,17 2. Total roof/ceiling area U 3Z. sq. ft. x' #0z(o _ ;2 61$ 3 Total exposed wall area above floor -16 ` a. Total wall window area l b. Total door area S C. Total sliding glass door area d. Total fireplace wall area e. Total wall framing area (average 10%). f. Total net wall area above floor 17/S g. Total rim joist area 2 'F5 Y Total exposed foundation area 2-- h. Total foundation window area ..............•..••,••t• C/ i. Total net foundation area above grade .,.....,•r..••,• 5' 3 ' Determine "U" value of each wall segment. a. 1 O2.O G b. S X llUll D _ 3 -of 2 c. X IIUII o . d. X IIUIt _ e. '1191 X llull , pSs 7 _ I ~o, 6 Z f. 1715 X IlUlt bo 512- ---7,)&03 g. ' 7 X Ilull ♦V TV a /~I J h. c/ X "Ull L/ i. t X IlUll. 3 ...........Total ~•~IcF:`u~ If item # 3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = / U 3 Z Total gross roof/ceiling area = /G 3 Z j. Total skylight area 6 k. Total roof/ceiling framing area 6 Z 1. Total net insulated roof/ceiling area 96 q Determine "U11 value for each roof/ceiling segment. j . ~o X fluff = 2,6 / V .s. k. X fluff 6627 = /,67 1. 516 `t X Ilu , oZj- _ .2 4 Total = 2 g,~! If total of #4 is the same as, or less than 412, you have met the intent of SBC.6006(c)1. To utilize the total envelope system method, the values established by the sum of items 413 and #4 shall not be greater than the sum of items 411 and 412. 1. 2 7 7017 + 2. 2 6. 3 = 3 O q.eyd 3. 2/4{,`8v + 4. 2 0•`(/ 2413,2/ a WALL, 1'u9c; J Of! 4 U' se 10% of opaque wall area for frame construction I , I Construction J n R-Value 1. Interior airr film 0.68 .2. L~~~ Y P, 6 R b 3 3 1 x ,5-rc P f> ~ O EASIC 4. 25-/32 SHTG.- WALL 5. /v~.~~ vc✓ciz ,cECr J b 2 6: Exterior air film 0.17 Total - FIG. #1 TOPVIEW OF v:r o0~~ FR7UID WALL 1. Interior air film 0.68 " 3. ~l/L L yG!/r7 c 4 /ti5l~,G / % UU. 1 • FIG. 42 r~-----^--•-- 4 . 2 S ~3L ' Sh`TLa- I 2 • _I I 5. b/~fiG. O V ELT- ) e Z -,-for 6. Exterior air film 0.17 Total 2 3, 6 Z . . U 1. Interior air film. 0. U ~5 'L 1 1 S, I,1 3 2 . I ~nn.•r I I Cl• 4 • '2 (T~3- ~ ( A'2 11, Y';~~~ • ' 6. Exterior air film I , 0.17 1T f0 Total 2 O - 3 LT, c% r • 1. Inter for ait film 0.68 3. 2x 1 FU/Z R I N C~ 4. )2co.wc /3Coc /sL FS 5. . 6. Exterior air film 0.17 Total /3.1 • l/ e4'7~ 113 i , • FIG - /Q`- _ .ROOF/CEILING Construction 12~V~71ue 1. Interior air film 0.61. LII~~'` 3. ac-o,v ~~vsv~ 38,00 4. Exterior air film (still 0.61 Total V = ev~S 1 L~D Vented Heat flow' UP FIG. #5 i 1. Interior air film 0.61 3. ovc-2 r/eus_s 34+ •1 4.,. Exterior air film sti 1 • Total 3 1-7 • , LG Heat floe up i` -Vented I • ; FIG. #6.,..1., i FT v 1. "Inside air film O.GI 2. •L~.;~: 'I' { S. Outside air film 0.17 Total {.y / • NON- NOi:e : Use addi' tiona1 sheets -if more --,pace is :seeded for details and calculations. • Heat flow up • RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 U 3 651.681.4675 ` - New Construction Requirements Remodsill1mir Raauirements • 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and al roofed areas • ,2 copies of plan (20% maximum lot coverage allowed) . t set of Energy Calculations for heated additions • 2 copies of plan showing beam & window saes; poured found design, etc.) • -1 site survey for exterior additions & decks 1 set of Energy Calculations • Indicate if home served by septic system for additions • 3 copies of Tree Preservation Plan if lot platted after 7/1/93 Rim Joist Oetad Optkm selection sheet (bidgs with 3 or less units) DATE M G C~ VALUATION SITE ADDRESS blL-I g KtC` MULTI-FAMILY BLDG Y _ N TYPE OF WORK 02- a~ FIREPLACE(S) _ 0 1 _ 2 APPLICANT \ STREET ADDRESS 1.C)~~6 ydko eoG Qnt CITY, STATE 01 ZIPW_j6t?__ TELEPHONE # 30- 0930 CELL PHONE # 252-C, c _3444 FAX # 162 - *C6 PROPERTY OWNER - _ ` TELEPHONE It 657 8 ...................................................._.....r.................................... COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY 1 MINNFSOTA RILES 7672 (4 submission type) • Residential ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted • Energy Envelope Calculations Submitted Plumbing Contractor._ Phone # Plumbing system includes: Water Softener ` Lawn Sprinkler Fee: ,$90.00 Water Heater _ No. of R.I. Baths _ No. of Baths i Mechanical Contractor. Phone # Mechanical system includes: Air Conditioning _$70.00 Heat Recovery System Q Sewer/Water Contractor: Phan II11 0 I hereby acknowledge that I have read this application, state tha the' form io comply with all applicable State of Minnesota Statutes and City of Eagan Or anc Signature of Applicant OFFICE USE ONLY Certificates of Survey Received Tree Preservation Plan Received Not Required updated 4f02 OFFICE USE ONLY ❑ 01 Foundation C3 07 05-plex ❑ 13 16-plex ❑ 20 Pool 0 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 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 08-plex 18 Deck' ❑ 23 Porch (screened) ❑ 36 Multi ❑ 05 03-plex ❑ 11 10-plex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-plex Q 12 12-plea Plbg,__Y or N ❑ 25 Miscellaneous ❑ 31 New ❑ 35 Int Improvement ❑ 38 Demolish (Interior) ❑ 44 Siding ❑ 32 Addition 0 . 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration 37 Demolish (Bidgr ❑ 43 Reroof ❑ 46 Windows/floors O 34` Replacement *Demolition (Entire Bldg only) Give PCA handout to applicant 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 Width REQUIRED INSPECTIONS, Footings (new bldg) _ Final/C.C. Footings (deck) Final/No C.O. Footings (addition) Plumbing ~ Foundation HVAC Drain Tile Other Roof Ice & Water Final Pool Ftgs Air/Gas Tests -Final Framing Siding ~ - Stucco Stone Fireplace' R.I. -Air Test Final _ Windows (new/replacement) Insulation Retaining Wall Approved By Building Inspector Base Fee i 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 PERMITS - CITY OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: _I I. 0 111 Eagan, Minnesota 55123 Permit Number: 0 ' 0 (612) 681-4675 Date Issued: r zl r, SITE ADDRESS: 10" "0 DESCRIPTION: ' 7 'w ; . 114 i;.j REMARKS: I FEE SUMMARY CONTRACTOR: OWNER: tvi IN t J 66 7 A ~ APPLICANT/PERMI E IGNATURE ISSUED SIGNATURE 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, 1 SET OF SPECIFICATIONS AND 1 SET' OF ENERGY CALCULATIONS To Be Used For: Valuation: Date: `f - - ~ Site Address OFFICE USE ONLY Lot 13 Block On site sewage Occupancy MWCC system Zoning Parcel/Sub?.f On site well Actual Const City water Allowable Owner GLC-; EAC-iz!~; 0 -D PRV required # of stories Booster Pump Length Address 1011 Bof;-tc w AIL C- -Pb Depth S.F. Total City/Zip Code EM(, A) SSl 3 Footprint S.F. Phone 95 z q,7 APPROVALS FEES Contractor S~f-F Engr/Assess Permit N Planner Surcharge Address Council Plan Review Bldg. Off. SAC, City City/Zip Code Variance SAC, MWCC Water Conn Phone Water Meter Road Unit Arch./Engr. Treatment P1 Parks Address Copies TOTAL City/Zip Code Phone # REACTIVifE CITY OF EAGAN PERMIT # 1993 BUILDING PERMIT APPLICATION -t-34. 06 ;L0.1 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy calcs. COMMERCIAL 2 sets of architectural & structural plans, 1 set of specifications, 1 copy of energy calcs. Penalty applies: 1) when permit is typed, but not picked up by last working day of month in which request is made, 2) address is changed or 3) lot change is requested once permit is issued. Date ;LQ fem. Valuation of work ' /04d . Site Address: /0/-4/ r7n> 4n STREET SUITE # Tenant Name: (commercial only) LOT ~ BLOCK SUBD. P . I . D . it Description of work; in The applicant is: E9 Owner ❑ Contractor ❑ Other (Describe) Name &Q= j) 6p/yo i Phone ySZ-Z~g9 Property LAST FIRST Owner Address tQlt/ 5,; -al, STREET STE City 61%eN State /yIN Zip Company Phone Contractor Address License # Exp. City State Zip Company Phone Architect/ Engineer Name Registration # Address city State Zip Sewer & water licensed plumber Processing time for sewer & water permits is two days once area has been approved. 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. Signature of Applicant: { OFFICE USE ONLY 01* BUILDING PERMIT TYPE ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging.- ~f6r~°ase7ifent Finish 02 SF Dwg. ❑ 07 4-Plea E3 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Plex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. 04 SF Porch ❑ 09 12-Plea ❑ 14 Fireplace ❑ 19_Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Addl. Q 15 Deck E3 20 Public Facility 21 Miscellaneous WORK TYPE J 31 New ❑ 33 Alterations ❑ 35 Tenant finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMATION Const, (Actual) Basement` sq. ft. 14WCC System (Allowable) 1st Fl. sq. ft, City Water USC Occupancy2nd F1. sq. ft. PRY Required Zoning Sq. Ft. total Booster Pump # of Stories Footprint Sq. ft. Fire Sprinkler Length On-site well Census Code Depth On-site sewage SAC Code APPROVALS ~.r Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS 13 Site 0 Footing Framing ❑ Insulation 13 Wallboard Final ❑ Drantile ❑ Fireplace Permit Fee 3 S ov " vatuscar,: ~ Surcharge 50 Plan Review License MWCC SAC City SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment Pl Road Unit Park Ded. Trails Ded. Copies Other Total: SAC % SAC Units , CITY O F E A G A i~ PAYMENT' of FEE AT TIME OF * APPLICATION DOES NOT CONSTITUTE x* APPROVAL OF PERMIT.* APPLICATION FOR PERMIT INSPECTION OF SEfi+M AW/OR WATER x* Tnsm r.n` iow WILL NOT BE ' SCfED- SEWER AND/OR WATER CONNECTION mm vNTIL PERMIT HAS BEEN APPROVED. * * (Please ' Print) 1) PROPERTY ADDRESS: /~l C TO / l~iL G LEGAL, DESCRIPTION: Lot Block Subdi.visi.on or Tax Parcel ID IF EXISTING STRUICIURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: - n. ear PRESENT ZONING/PROPOSED USE: (Mo - COMN MCIALAMAIL/OFFICE IP/R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERNME-NT R-3 TQWNHOUSE (Three + Units) { Units) R-4 APARTMENT/CONDOMINIUM ( Units) 2) E"7~tw'1T~i NAME: 1'~cy X" P ADDRESS :8/ /v r -25 CITY, STATE, ZIP:,/-.'nr d ~ +e # rh N ; .tea Tom' PHONE: FSS /S✓ S 3) For City Use NAME. _ Plumbers License: ADDRESS: Active CITY, STATE, ZIP: Expired Not recorded PHONE: MASTER LICENSE# Staff Initial NAME: ~n j! Gomel ( 1z„ t G - ADDRESS:, C3 , fi (~Ce CITY, STATE, ZIP: ; Sad /'ice .~~3G S PHONE:_&0 CONNECTION TO CITY SEWER boo'CONNECTION TO CITY WATER a OTHER ' 6) • ~D - - PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 3(~D ABOVE (Circle one) . • i W01 4 as - LT LN ..'FOR -CITY USE ONLY PERMIT # ISSUED s7 Pd w/Bldg. Permit FEES: $ $ T SEWER PERMIT (INCLUDE SURCHARGE) $ $ ` WATER PERMIT (INCLUDE SURCHARGE) $ WATER METER/COPPERHORN/OUTSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP _ $ ACCOUNT DEPOSIT SEWER $ ACCOUNT DEPOSIT - WATER WAC SAC ' $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ OTHER: TOTAL ~-~7 3 RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SUBJECT TO THE FOLLOWING CbNDITIONS: APPROVED BY: TITLE: DATE: / C d 7 coos i. y~j PERMIT City of Eagan Permit Type:Building Permit Number:EA143940 Date Issued:07/05/2017 Permit Category:ePermit Site Address: 1014 Boston Hill Rd Lot:13 Block: 2 Addition: Lexington Square 2nd PID:10-45076-02-130 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors Census Code:434 - 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: 4,000.00 Fee Summary:BL - Base Fee $4K $103.25 0801.4085 Surcharge - Based on Valuation $4K $2.00 9001.2195 $105.25 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 - Ronald J Hanson 1014 Boston Hill Rd St Paul MN 55123 (651) 681-8797 Window Concepts MN 291 Eva St St Paul MN 55107 (651) 905-0105 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA169098 Date Issued:05/14/2021 Permit Category:ePermit Site Address: 1014 Boston Hill Rd Lot:13 Block: 2 Addition: Lexington Square 2nd PID:10-45076-02-130 Use: Description: Sub Type:Fireplace Work Type:Gas Fireplace (new) Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State 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 - Ronald J & Sandra M Hansen 1014 Boston Hill Rd Saint Paul MN 55123--254 (952) 270-9506 Twin City Fireplace & Stone Company 6521 Cecilia Cir Minneapolis MN 55439 (952) 529-5797 Applicant/Permitee: Signature Issued By: Signature