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1019 Boston Hill Rd r Use BLUE or BLACK Ink For Office Use 1 City of Ea an i Permit ~ l I I I Permit Fee: ~ 3830 Pilot Knob Road Eagan MN 55122 j Date Received: /'9 j Phone: (651) 675-5675 I 1 Fax: (651) 675-5694 Staff: L~--_- J 2010 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 610-42 Site Address: ,Q~~ Tenant: Suite : RESIDENT / OWNER Name: ells F°9 e- Phone: &S i-`li' -3= Address / City / ip: -OI ! &D-1- E? lli ff P Applicant is: Owner _,10 Contractor TYPE OF WORK Description of work: G o Construction Cost: Multi-Family Building: (Yes / No CONTRACTOR Name: e U)` License M Address: ~9o1c.1 at~/~ City: u State: Zip: 5,j 4_ Phone: Contact: Email 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: 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. Cali 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.gopherstateonecall.org 1 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 accordan with the approved plan in the case of work which requires a review and approval of ns. G x 6 x Appli is Tinted Name Appli Signature Page 1 of 2 Parcel Files Cover Sheet Unique ID: 1970 1019 Boston Hill Rd 104507614001 CITY OF EAGAN WATER SERVICE PERM 3839 Pilot Knob Road 8002 P. d. 21199 PERMIT NQ : Win, MN 55121 DATE: 10-9-86 Zoningc. __R1 No. of Urdts:. 1 Owner: R'E i 1 i e Const Address Site Addrew: 1019 Boston Hill Road L14 31 Lexington S II Plumber: Bruckmueller Plgasaiown-amosoo. Meter No.: 00p d Size: E14:5.00pd Reader Nor © 70 g'3 V.,,fast . OOpd i egree to Gem* with the City of . 50 d ofdhwsoa. ; 156.00pd TP rQ of _t _ 63.50t►d meter ByDote Paid: Date of Insp.: insp.: CASH RECEIPT CITY OF EAGAN 3830 PILOT KNOB ROAD EAGAN, MINNES,gYA 55122 DATE 19 RUCEUVED j i AMOUNT Q % yr ~y ~ i e t & DOLLARS GASH ❑ CHECK FUND.. CODE AMOUNT Thank You BY 66682 White-Payers Copy Yellow-Posting Copy Pink-File Copy BLDG. PERMIT NO. 01-32 0 f$Permit 01-3422 Plan Check 01-3445 Surch./Adm.'- 01-3446 SAC/Adm. 01-2155 Surcharge 17-3860 Road Unit 20-2275 SAC 20--3865 Water Conn. 20-3868 Water Trmt. 20-3716 Water Meter . 20-2252 Acct. Dep. 20-3713 Water Permit 20-3743` Sewer Permit 79-3866 Sewer Conn. 11-3855 Park Ded. TOTAL/ f' f = CITY OF EAGAN 3830 PM Knob Road, P.O. Box 21-199, Eagan, MN 55121 12651 PHONE: 454-8100 BUILDING PERMIT Receipt # M 22 To be used for SP DWG/GAR Est. Value $83,000, Date SEPT ER '19 86 Site Address 1019 BOSTON HILL RD Erect LX Occupancy R3 14 I Sec/Sub. SQUARRemodel ❑ zoning pri Lot Block 2ND ADD Repair ❑ Type of Const. Parcel No. Addition ❑ No. Stories Name BLILIB CONSTRUCTION Move ❑ Length 5 z 644 SUPERIOR, Demolish ❑ Depth 49 3 Address I Int. lmpr. ❑ Sq. Ft c City EAGAN Phone 454-1438 install ❑ o Name SAME Approvals Fees Z $ 382.00 0 4 Address Assessment Permit City Phone Water & Sew. Surcharge 41 * 50 Police Plan Review 191.04 575 • 00' LU W Name Fire SAC _ a Address Eng. Water Conn. 500.00 U a W City Phone Planner Water Meter 63.50 Council 1 Road Unit 290.00; I hereby acknowledge that I have read this application and state that the Bldg. Off. g/ ~ Tr. Pi. 156 • 00 information is correct and agree to comply with all applicable State of Minnesota Statutes and City Eagan Ordinances. APC Parks r Var. Date Copies it. r 1 i e 19917 Signature of Permittee TOtal M ` Q f A Building Permit is issued to. BLILIE CONSTRUCTION , on the express condition that. all work shall be done in accordance with all applicableplate of Minnesota tut_es and City of Eagan Ordinances. Building Official - x Permit No. Permit Holder Data Telephone # PluHloing NX.A.C. Y Electric t i 1! 7 1 0Q Q/ f <JS C C~ Softener E Inspection Date Insp. Comments f Footings I q W Footings II Foundation D ~2 r Framing , Roofing Rough Pibg. i Rough Htg. insui. 3 Fireplace f Final Htg. f Final Pibg. Sidg. Final Cert. Occ. Deck Fig. Deck Frmg. Weil Pr. Disp. 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. p ns CrtY OF Pf~~!.FAN77t 1 Ri IT JBLDQ. T"v Site Ad&q Lot ' Mwk Sec/SWb ».4 i5c A ~Y Res. ' LTL - h y~y Colman. c Cddy,i',. Otter T', N5 Name' o " I wax Gl t - $0A4ddy S ` r f x r i t 1 E ft Tt t p city i c ! rl~ P WI sh -KI EN gCOMM AND FEE - t% OFF CONTRACT FEE 7`Lawsdwy T - l NHNIMUM RESO s1TIAL FEE -$10.00 f Floss` Draim - $144 MR41M M - C M/IUD FEE - OAO 3 r Water E~l - VIM STATE ~fAR£'E PER PERMIT - .50 ~ r r; (ADD $,550 SAC IF PER W PRCCE GOES = POAR BEYOND $1 JM.00) Sole - t -WON - $ IQ' r Prime $10 MNATUPE OF PE€ TTEE ' FOR: CITE' OF tAGAN rtF s INSPECTION RECORD I CITY OF EAGAN PERMIT TYPE: it1} t ~ ~ ~ 3830 Pilot Knob Road Permit Number: 0.11 30 a 4 Eagan, Minnesota 55123. @ats Issued: (612) 681-4675 SITE ADDRESS: APPLICANT. i I 8tf.i1"0 N IIt►,t. 1;l FlE11,6ACE# t'~lt#.1 i t (No I (IN <-.Q1.i ITV 2N[! { ~.1..-') yak yg1Itti+~ j PERMIT SUBTYPE: TYPE OF WORK: s~, , r t o- t t t t Al fFFaz rON TYPE E Frutjoft IN 1"I 'tics If .1 NA[ 14 . N M4 `•~,ro ; '-;f V A I'4 A F F P U P I 1 `:e AP P F Rf' U t RED fop p? 4y t, l l.t IN ('C F E A1.. T R 1 ! A t. W 014 k i t~Mr 8+vut ALU44B#4G- H'VAC ELE-CTP4C Foo6va E FotrKkftn FmukV Sao Pg. t ate. aratT Farad Pft c«*. mew EEngrJPfan Dock Ftg. Deck Fa,ad wee Pr. Datp. RESIDENTIAL BUILDING PERMIT APPLICATION C-~-- CITY OF EAGAN ~J q 3830 PILOT KNOB RD - 55122 J J 651-681-4675 New Constnrcfion Reauiremerts RenvAllalso* Reau{ • 3 registered site surveys showing sq. R of lot, sq. ft of house, and ffiI roofed areas • 2 copies of plain (20% maximum lot coverage allowed) . 1 set of Energy Calculations for heated adMons • 2 copies of plan showing beam & window sizes, poured found design, ft.) . 1 site survey for exterior additions & decks • 1 set of Energy Calc;,;ations • 3 copies of Tree Preservation Plan if lot platted after 711193 Rim Joist Detail Options selection sheet (bkigs with 3 or less units) 1 _ ~f DATE VALUATION (ExCtu ING LAND) 7 .iJB SITE ADDRESS ~jQ / oSTG'r-~ ~1 ~C IF MULTI-FAMILY BUILD G, HOW MANY-UNITS? PROPERTY OWNER- f NIZ-M' TYPE OF WORK FIREPLACE(S) _0 T _-.2,_3 APPLICANT PHONE # Q . 1/ S 19 ADDRESS 7 19-7 4 55-/x-- ZIP CODE PAGER # CELL PHONE # P .3W- FAX # NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I (check one) - Residential Ventilation Category 1 Worksheet Submitted Energy Envelope Calculations Submitted MINNESOTA RULES 7672 - New Energy Code Worksheet Submitted Plumbing Contractor: Phone Plumbing System Includes: _ Water Softener Lawn Sprinkler Fee: $30.00 Water Heater No. of R.I. Baths No. of Baths Mechanical Contractor: Phone # Mechanical System Includes: - Air Conditioning Fee: $70,00 Heat Recovery System Sewer/Water Contractor: Phone # All above information must be submitted prior to processing of application. D ( n F: l~ Ll h I hereby acknowledge that I have read this application, state that the information is cofre n~cl,agree tIt all ap plicable State of Minnesota Statutes and City of Eagan Ordinances: 8y Signature of App9cant Certificates of Survey Received _ Tree Preservation Plan Veceived Not Required updated 1ro1 OFFICE USE ONLY ❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-piex ❑ 20 Pool ❑ 30 Accessory Bldg ❑ 02 SF Dwelling ❑ 08 06-piex ❑ 16 Fireplace ❑ 21 Porch (3-sea.) ❑ 31 Ext. Alt Multi ❑ 03 01 of_ piex ❑ 09 07-piex ❑ 17 Garage fl 22 Porch/Addn. (4-sea.) ❑ 33 Ext. AN - SF ❑ 04 02-piex ❑ 10 08-plex ❑ 18 Deck ❑ 23 Porch (screened) b 36 Multi ❑ 05 03-piex ❑ 11 10-piex ❑ 19 Lower Level ❑ 24 Storm Damage ❑ 06 04-piex ❑ 12 12-piex Plbg_ Y or _ N ❑ 25 Miscellaneous 31 New ❑ 35 Int improvement ❑ 38 Demolish (interior) ❑ 44 Siding ❑ 32 Addition ❑ 36 Move Bldg. ❑ 42 Demolish (Foundation) ❑ 45 Fire Repair ❑ 33 Alteration 0 37 Demolish (Bldg)" 0 43 Reroof ❑ 46 Windows/Doors 0 34 Replacement *Demotition (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.O. _ Footings (deck) Final/No C,O: _ Footings (addition) Plumbing Foundation _ HVAC Drain Tile Roof Ice & Water Final _ Other Framing - Pool Ftgs _ Air/Gas Tests -Final Fireplace _ R.I. -Air Test Final _ Siding Stucco _ Stone Insulation Windows (new/replacement) I 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 CITY OF EAGAN WATU SEMME.'PHAW 334} Pilot Knob Road P. O. Box 2110 PERMIT NO.:t?2 Eagan, MN 55121 DATE Zones" z R No. of Units: .Address: " Site Address- 1015 Heston x"3.1,1 rzad L14 31 I.exIngton Sq II Phamtier: nTUe~'ea~IyFr F1tzbira^ Meter No.: Connection Charge. 500. Size: Account Deposit..; 15.00pd ~ Reader No.: I0 wppd Permit Fee: , I agme to empty wah the city of Eagan Surcharge: ~ • 50vd rdiwgeq»4 Misc. Charges: 15~toopd T? Total: 63. 50pd mete By Date Paid: Date of Insp.:. Insp.. CIV O EA AN 3840 Not Knob Road ` 5 ~ SERVfW, E P P. Q. Box 21199 PERMIT NO.: 9 'I54 Eagan; W 45121 DATE: 10-9-86 . Owrrer:~ B 1.I Core st . No. of Units: - L Address; -T Site address:` 1019 Boston I11.3 Road L14 81 Iex_isxgt-qu -Sq -ii i l~fiwrnber; Br~~F.i~eZ1.e~' ~$u1~a~i Q-1S-S~i GF6r~? I4C.C1~~d _ I yes to vft the cky of lawm Connection charge. -475,0914 diu+~rc.a. Account Deposit: 15.001A Permit fee: Ij~ . Q~~sl Surcharge: .5014 BY Misc. Charges: Date of. Insp.: Total: Inv.: Data Paid: This request void '714,2 o 18:months 'from 47480 c~ sr J~_~s~o Request Date Fire No. Rough-in Insp~(-I / R q iredI ❑Ready Now Wiil Notify- Inspec- 'F'LU - 6, ,Yes ❑No ,,,r When Ready ❑ Licensed Electrical Contractor I hereby request inspection of above ❑ Owner electrical work installed at: Street Address, x or'Route No. City 0 ect orf o. Township Name or No. Range No. County Oc a t PR1NT1/1~ ~ Phones No. ~ P - upg ier ~T Address ical tractor (Company,~Jame) C t rtor s License No.- \ f 7 Mailing Address (Contra r or Owner Making Instail ion) 3 Authori Signa ure ( tractor Ow r Ving stallation) PhNumbeM{NNESOTA SSTATE BOARp OF ELECTRLCITTHIS INSPECTION REQUEST WILL NOT N-191 BE ACCEPTED BY THE STATE BOARD Griggs-Midway Bldg. - Room UNLESS PROPER INSPECTION FEE IS 1821 University Ave., St. Paul, MN 55104 Phone (612) 297-2111 NCLOSED. REQUEST FOR ELECTRICAL INSPECTION E13-oti<ro1 oa Ill, TC~/ zl l See instructions for completing this form on back of yellow copy. C, 77 4-~ 480 "X` Below Work Covered by This Request Acid Rep. Type of Building Appliances Wired Equipment Wired Home Range Temporary Service 601ox- - Water Heater Lighting Fixtures Apt. `Building ' Dryer Electric Heatnt Commercial Bldg.e -Furnace Silo Unloader Industrial Bldg. Air Conditioner Bt.Ok Milk Tdnk Farm Other (Spec; y Of (:r (spe, :fv) Other Specify Other Other ompute Inspection Fee Below _ 11 Fee Service Entrance Size. ft Fee feeders/Subfeeders Fee Circuits 0 to 200 Amps 0 to 30 Am s _ 0 to 30 Am s Above 200 Amps 31 to 100 Amps 31 to 100 A;-I) s Swimming Pool Above 100 _.:Am s Above 100_Arnps i Transformers Irrigation Boorrts Partial Other Fee emarks Signs Special Inspection S s5~ TOTAL FE`l t l Rough-in dQ to 1, the Electrical- Inspector, hereby certify that the above G inspection has been Final D jte 9 (id J made. This request void 18 months from This request void CJ 1 18 months from ! Y~~ T 47477 Regl ate - Fire No. Rough-in Inspect n Required? [Ready Now Notify Insoec- llyes ❑No When Ready Licensed Electrical Contractor I hereby request inspection of above Owner electrical work installed at: Street Address, Box or R ute No Cit 1 ectron-.o. TownsMp.NaineotNo... Range No. Cour y Occu nt PR T) 1 Phone No. ~P:oM~Su Her r' Addre V~ EI t C ntraetor. pany Name) Con r ,tor's License No. 1 c~ D 3 7 Mailing Address'( tra=Owner in starlatronl/ Author i Signat re (contractor~0 er Ma mg s 11ati n Ph ne Number MINNESOTA STATE BOARD OF ELECTRICITY / THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. Room N.191 t BE ACCEPTED BY THE STATE BOARD UNLESS PROPER' INSPECTION FEE IS 1821 University Ave., St, Paul, MN 55104 Phone (612) 297_2111 ENCLOSED. ~'(a REQUEST FOR ELECTRICAL INSPECTION ,r• Ea-00001as See instructions for completing this form on back of yellow copy. 4 7 4_7 7X Below Work Covered by 7h1s Request C6 Y 1 Add Rep. Type of Building Appliances Wired Equipment Wirers 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 T ,Farm`.. other ispeci y Other lsi)", fy) t ar Specifyi Other Other Compute Inspection Fee Below p Fee Service Entrance Size n Fee Feeders/Subfeeders # Fee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Arr. ps Above 200_Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100-Amps Above 100`Amps Transformers' lrrigatibn.l3oonts _ Partial Other Fee Signs .tal Inspection $ TAL Remarks 05~ Rough-in - ;rte I, the Electrical Inspector. hereby ortify that the above Final - - L) inspection has been made. This request void is months from III N 6~3 6 1 °1~ LN. Request Date Fire No. ugh- Inppection Required Inspection Other Than ough-In (You st call inspector when ready) Ready Now Will Notify Inspector Yes ❑ No Date Ready Ilicensed contractor D owner hereby request inspection of above electrical work at: Job Address (Street. Box or Route No.) City Section No. Township Name or No. Range No. County e%\ ►"~/~jC'' f L Occupant (PRINT) Phone No. Power upplier Address Electrical Contractor (Company Name) Contractor's License No. E44 7' C C/4 Mailing Address (Contractor or Owner Making Installation) - 7 C -I,- . r Authonz Signature IContragtodOwner Making I t dn) ` Phone Number MINNV SOTA STATE BO A D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT. Griggs-Midway Bldg. - 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 EB-00001r-08 ► See instructions for completing this form on back of yellow copy. -f`~'_. N 6,22 7 6 ` "X" Below Work Covered by This Request ew Add Rep. TypeofBuilding Appliances Wired Equipment Wired Home Range Temporary Service Duplex Water Heater Electric Heating Apt. Building Dryer Load Management Comm./Industrial Furnace Other (Specify) Farm Air Conditioner Other (specify) Contractor's Remarks: w~ rL `e-- Compute Inspection Fee Below: 'Zr"r~. y~• l 6,/Z i L~~,- 5 i TCr # Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee Swimming Pool 0 to 200 Amps 0 to 100 Amps Transformers Above 200 Amps Above 10 Amps Signs Inspector's Use Only: - TOTAL Irrigation Booms Special Inspection Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT Other Fee COMPLETED WITHIN 18 MONTHS. I, the Electrical Inspector, hereby Rough-in O certify that the above inspection has Final been made. oat"-7- OFFICE USE ONLY This request void 18 months from CITY OF EAGAN fl 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 1 6 5 f BUILDING HERMIT PHONE: 454-8100 Receipt s« lr~ To be used for SF DWG/GAR Est. Value $83,000 Date SEPTEMBER 22 19 86 Site Address 1019 BOSTON HILL RD Erect f Occupancy R3 Lot 14 Block 1 Sec/Sub. LEXINGTON SQUARNemodel ❑ zoning PD Parcel No. 2ND ADD Repair ❑ Type of Const. VR Addition ❑ No. Stories W Name BLILIE CONSTRUCTION Move ❑ length 45 644 SUPERIOR CT Demolish ❑ Depth 49 o Address Int Impr. ❑ Sq. Ft City EAGAN phone 454-1438 Install ❑ o Name SAME Approvals Fees U-C Address Assessment Permit $ 382.00 ~ City Phone Water & Sew. Surcharge 41.50 Police Plan Review 191.00 F W Name Fire SAC 575.00 _ 0 Address Eng. Water Conn. 500.00 U R W City Phone Planner Water Meter 63.50 Council Road Unit 290.00 1 hereby acknowledge that I have read this application and state that the Bldg. Off. 9/17/8 6 Tr. pl. 156.00 information is correct and agree to comply with all applicable State of Minnesota Statutes and f Eagan Ordina ces. APC Parks Signature of Permittee Var. Date Copies . 00 Total A Building Permit is issued to: BL IL IE CONSTRUCTION on the express condition that all work shall be done in accordance with all applicable ate of Minnesota tutes and City of Eagan Ordinances. Building Official PERMIT ® CH'OF EAGAN 3830 Pilot Knob Road PERMIT TYPE: BUILDING Eagan, Minnesota 55123 Permit Number: 0 2 3 8 8 4 (612) 681-4675 Date Issued: 06/17/94 SITE ADDRESS: 1019 BOSTON WILL RD LOT: 14 BLOCK: 1 LEXINGTON SQUARE 2ND P.I.N.: 10-45076-140--01 DESCRIPTION: Building Permit Type BASEMENT FINISH Building Worlt Type ALTERATION REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK FEE SUMMARY: Base Fee $35.00 Surcharge .50 Total Fee $35.50 CONTRACTOR: OWNER: - Applicant BULGACH PHILIP 1019 BOSTON HILL RD EAGAN MN 55123 (612)452-0854 I hereby acknowledge that I have read this application and state that the in'f'ormation is correct and agree -to comply with all applicable State of Mn. Statut,c and City of Eagan OI finances o _ e~ P APPLI AN /PE ITEE NATU E I SU : SI N RF- INSPECTION RECORD CITY OF EAGAN PERMIT TYPE: BUILDING 3830 Pilot Knob Road Permit Number: 9 2 3 8 8 4 Eagan, Minnesota 55123 Date Issued: 06/17/94 (612) 681-4675 SITE ADDRESS: APPLICANT: LOT: 14 BLOCK: 1 1919 BOSTON HILL RD BULGACH PHILIP LEXINGTON SQUARE 2ND (612) 452-9854 PERMIT SUBTYPE: TYPE OF WORK: BASEMENT FINISH ALTERATION INSPECTION TYPE DATE INSPTR. INSPECTION TYPE DATE INSPTR. FRAMING INSULATION ROUGH IN PLBG FINAL REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK L CITY OF EAGAN 1994 BUILDING PERMIT APPLICATION 681-4675 SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, copy of energy talcs. COMMERCIAL 2 sets of architectural & structural plans, L specifications, 1 copy of energy talcs. 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 Valuation of work oZ000'00 Site Ad ress:_ /Jofh 0 z C_a 01670 /Y~ 5P,2-3 STREET SUITE # Tenant Name: (commercial only) LOT BLOCK SUBD. P . I . D . # Description of work: AL" , I^o. c 6c ~ v l.1 The applicant is: 21- owner ❑ Contractor ❑ Other (Describe) Name ~3 6c/,I aGG7 %,h•//- Phone yra? -G P 02 Property LAST FIRST Owner Address .,:,~2 16,JeM / Zd STREET STE # l City 4 dl-~ State 11~'711 Zip J~J7•~3 Company Phone Contractor Address License # Exp. City State Zip Architect/ Company Phone 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. r Signature of Applicant: OFFICE USE ONLY BUILDING PERMIT TYPE . ❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./lodging ❑-16 Basement Finish ❑ 02 SF Dwg. ❑ 07 4-Plex ❑ 12 Multi. Misc. ❑ 17 Swim Pool ❑ 03 SF Addition ❑ 08 8-Flex ❑ 13 Garage/Accessory ❑ 18 Comm./Ind. ❑ 04 SF Porch ❑ 09 12-Plex ❑ 14 Fireplace ❑ 19 Comm./Ind. Misc. ❑ 05 SF Misc. ❑ 10 Multi. Add11. ❑ 15 Deck ❑ 20 Public Facility 21 Miscellaneous WORK TYPE ❑ 31 New 13 33 Alterations ❑ 35 Tenant Finish ❑ 37 Demolish ❑ 32 Addition ❑ 34 Repair ❑ 36 Move GENERAL INFORMA'T'ION Const. (Actual) Basement sq. ft. MWCC System (Allowable) 1st F1. sq. ft. City Water UBC Occupancy 2nd F1. sq. ft. PRV 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 Census Bldg APPROVALS Census Unit o Planning Building Assessments Engineering Variance REQUIRED INSPECTIONS ❑ Site ❑ Footing ,0 Framing a Insulation ❑ Wallboard Final ❑ Draintile ❑ Fireplace Permit Fee veiuation: $ Surcharge 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 OF E A G A i~ PAYMMr- OF FEE AT TIME OF * APPLICATION DOES NOT 00~1b'TIT[TIE ~ APPROVAL- OF PERMIT. APPLICATION FOR PERMIT INSPECTION OF SEWII2 AND/OR WATER Ilb'TAICI,ATIONS WILL NOT BE scHm- SEWER * » AND/OR WATER CONNECTION Ulm * ~ UNTIL PERMIT BAs HEM * k*' APPROVED. * * * ~tir~rit9Fir•ik~r~ritylr*~rit*~t9nlldtitdr*yrkirit•iF~r***~t* ` (Please Print) 1) PROPERTY ADDRESS: 441191 P7 ~ ~ .169 LEGAL DESCRIPTION: C /a✓ h h c'~ Lot Block Subdivi.s .on r Tax rcel ID ) IF EXISTING STRU'CZL'RE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE: PRESENT ZONING/PROPOSED USE: {Mon. ear COMMERCIAL/RETAIL/OFFICE [g R-1 SINGLE FAMILY Q INDUSTRIAL R-2 DUPLEX (Two Units) Q INSTITUTIONAL/GOVERriMENT R-3 "TOWNHOUSE (Three + Units) ( Units) R-4 APARTMENT/CONDOMINIUM f Units) NAME: All ADDRESS : 6 C/G~ P Aw v `~L/r T- CITY, STATE, ZIP: PHONE: 3) y NAME: For City Use .~Y lam. Plunbers License: ADDRESS: Active CITY, STATE, ZIP : Expired Not recorded PHONE: 4 ~ 7 /S!*? MASTER LICENSE# Staff In tial NAME: i ADDRESS: CITY, STATE, ZIP: PHONE: CONNECTION TO CITY SEWER t'~t CONNECTION TO CITY WATER OTHER 6) 1 • r ❑ PLEASE HOLD APPROVED PERMIT FOR PICK-LIP BY ONE OF ABOVE PLEASE MAIL APPROVED PERMIT TO 1, 2, 4, ABOVE (Circle one) '1: • li' i•1: al ~ • • w• I:r. 1 1 ; :f a:P tia/. 1 41 . ~I' • a vl•. 1 FOR CITY USE ONLY PERMIT # ISSUED 2 Pd w/Bldg. Permit FEES: $ $ /b S~ SEWER PERMIT (INCLUDE SURCHARGE) $ $ 161 D WATER PERMIT (INCLUDE SURCHARGE) $ $ WATER METER/COPPERHORN/OU'TSIDE READER $ $ WATER TAP (INCLUDE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT SEWER $ ACCOUNT DEPOSIT - WATER $ p $ WAC $ SAC $ $ TRUNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ~ - $ TOTAL Z 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 CONDITIONS: APPROVED BY: TITLE: DATE : 1986 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN SINGLE FAMILY DWELLINGS INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS 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, $29000 LANDSCAPE BOND To Be Used Fors Sj r14C_-Valuation: : Date Site Address /T~co~ OFFICE USE ONLY Lot Block, Erect Occupancy Remodel Zoning Parcel/Sub/ Repair Type of Const Addition # of Stories Owner Move Length 1 Demolish Depth Address Int.Impr. Sq Ft Install City/Zip Code Phone APPROVALS FEES Contractor` -~~~f r -Assessments Permit 362, Water/Sewer Surcharge 211, 570) Address LA r Cl Police Plan Review Fire SAC 57S- City/Zip Code Engr Water Conn :son Planner Water Meter 6.5, ~56 Phone 5~ r Council Road Unit 2570 Bldg Offcfj. k Treatment P1 7 727, Arch./Engr. APC Parks Variance Copies Address TOTAL City/Zip Code Phone NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. S S'6 /I EL2 lam. 5 62 Z3 55 E~o 2Z jq T-1 a AD per a r PLOT PLAN Scale t inch 20 feet 160. 5 vli_ jl~E HEt TEE 97 1_ ...tir.. - 96 IM {r•_L y:-Ly ~ti-F-y. * it Lt_:t7'_ ,.L 1a jAy~a +J-L y. -H-Li .-.t r-1 .-1 7r r~ 14- trH 1 4- 4447.1 7-1 H! 11 Z+1 tilt Fill 4 L+ 1 4- =r i LJ JAL: f.:% µ =Tim 44- _4_4 L .444- !tH 01 tf!t 4- LL-. r 11 all. 1: Y tttt -M Must show location of streets, lot and proposed buildings, give lot dimensions. (Lot corners and building site are to be staked before appraisal is requested.) a z'ov .r esq. .r .pt..k = Y.. Its 4 . r ~ ` M . • _ ° _ ~ f y. ~ • . , . , ' w EXTE#I..OI-fINELOPt AVERAGE "U COMPUTATION y OWNER4 SITE ADDRESS CONTRACTOR UE" DATE ~ P}IONS ~ 4p, Detemi'le working. square footage of each. = 1. Total expos d V,aIT arga .2257.33 s ft. x •.*it - 2. Total roof/cei}ing area sq. ft. x .Ad• - , 4` • i - ter. - TQtai exposed tall arRa above floor yy y. a. Total wall wipdvw area.. . ~~f• b. Total door area _771 7- c. Total sliding glass. door 4rea d. Total fireplace Wall area....... -,~c7 t: e. Total wall f ramirr area; {average 10") 303,,E r f, Total net; wall area above floor ~ - g. Total- rice jcf st area 3 Total axposed- foundation area = 6,33 h. Total foundation window area.. - i. Toa1 net foundation area above.grade.•. Determine "U" value of each wall segment. ✓ e' - t 3, ?6 b.77 X ,lU '123 C., y~ x flu„ ye = j ,v~ d. x fluff e.- x Pulp f. /~aS.03 X "U III h. X „Ulu 3. ...........Total - 3 If item ►3 is the same as, or less than item fil you have met the intent of SBC 6006(c)2. t 1► , x Total exposed roof/ceiling area j. Total skylight area.. k. Total roof/ceiling framing area (average 10 / p, y 1, Total net insulated roof/ceiling area.............. 173,4 Determine "U" value for each roof/ceiling segment. J. r X "U" a k. ~3a,sy x "u" , 02G = 39 X 14 U 11 r 4......... .......................Total = If total of n4 is the same as, or less than "Z, you have met the intent of SEC 6006(c)l. Alternate Building Envelope Design TO Utilize the total envelope system method, the values=established by the surn of i tEms -;3 and -;`4 shall not be greater than the sum of items 171 and #2. + 2. . n 50 w ' I YMZ4 U" is% of CvM"C wall Or", frame e014struct4on , Construct;gin 7-va19c • ------~2~ 3 , i --„~s s f t _ fit'. =4L oG 4. BASIC 6. Extcr' •r air fiIn _ 0.17 WALL T1 fo 9~ FIG. #1 TOPL•IF.w Or YPAHE WALL 1. Interior air filer: 0.68 4 . 2 1cf GG ~Z 6. Exterrior it 6111 0.1.7 FIG. M2 Total 23 03 t' 1. interior air film 0•6$ 2 3. W12 r 4. 3 SI t C ~SFA L 1( , _ .r 5 , 7, e G iteri?heral 6, lhcterinr air film 0.17 •QC*t_r.?,_`C; Total ~yv 1. Interior air film 0.68 2, iy s~rP~r _ S ?G ~rG~?.;JATZC~I c't 3. 9 4. 12, 6. Exterior air film 0.17 Total 7 39 SLAB ON GFVtDE • 44 RA s r FIC. #4 d r>EC. 03 : o . SA, NOTE. Indicate type, value, depth and:., • placement of insulation. ~ d RWr/CEILING Construction Intcri r fir film 0.61 Exterior air film (r.tili) 0.61 /iJa~~ ~TTor-al e .T 7 vr.-r Vented Heat flow z up r y i 5 # FIG. IFS t 1. In ai film 0.61 • H~II.lN~'~.1.t 1'~il. ~i~~l.'~-_.r l`'~.~C.Ir4 ~S 7S (,.1 2. _ r_.~__.__.=1~ 4. Exterior air lm sti 14 Total j peat f lose up ;vented FIG. #6' 3 / 0.61 t~ 1. Inside air film , 2. NS, ~CLI 3., er•=-,Y _y?►~'i 4. Ouisid . ir film 0.17 Totes I . ti0:t-9"ENI~'U Mote: ' Use additional sheets if more space is AGOded for details and calculations . flow up 07 PERMIT City of Eagan Permit Type: Mechanical Eagan. Permit Number: EA095316 Date Issued: 08/06/2010 OR Permit Category: ePermit 40~ it~ of E3 E Site Address: 1019 Boston Hill Rd Lot: 14 Block: I Addition: Lexington Square 2nd PID:10-45076-140-01 Use: Description: Sub Type: e - Furnace & Air Conditioner Work Type: New Description: Furnace & Air Conditioner Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952) 445-2840 Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088 Surcharge-Fixed $5.00 9001.2195 Total: $55.00 Contractor: - Applicant - Owner: Controlled Air Penny R Farmer 21210 Eaton Ave 1019 Boston Hill Rd Farmington NIN 55024 Eagan MN 55123 (651) 460-6022 X23 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 Cite of Eagan Ordinances. ApplicantiPermitee: Signature Issued Bv: Signature