1031 Briar Creek Rd?
C` CITiV UF EAGAN
? 3$30 Pilot Knob Road
; P. O. Bax 21999
? Eagan, MN 55721
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Meter No..
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1 oyroe to oanPly wil& ths City of Eagan
? OE+dlnenep,
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Date of Insp.:
WATER SERVtCE PERMIT
PERMIT Np.:
DATE:
. No, of Unitst
Connection Charge:
'?
, •, ?.:
? .,
Accaunt Qeposft:
Perrttit Fee:
,..,.
5urchorge: 3 L,
Mfsc. Charyes:
Iof01: [t-?' C.8?
Date Paid:
I nsp.:
CiTY oF RAGaN SEWER 5ERVICE PERMR
3830 Pilot Knob Road ,_ r. . ;
P. O. Box 21199 PERMIT NO.: , -?? --
Eagan, MN 55121 DATE; --'?? ?
Zo^i^0: No. of Units: ?
OWf1C1: _ :.-? - t-•? 'r'r-:p c, ?
Add1'ESS: T-
SItQ I?df2S5: i. ?? ??`a,L"z;' r` ^r?nw '-
Plumber. --
?
1 ayra to empip witb tiw Ciey of leson
OrdiMnaa.
By
Uate of Insp.:
Connaction Clwrpe: 125 •??' }?=
Accourrt Deposit: '. ?s• C'ftoc3 _
Psrmit Fee: L;}..
Surehorpe: Misc. Charoes:
Totol:
Date Pcid:
v CITY OF EAGAN ? ? ,c? ? a
`- 3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ?
Receipt
Te bo wrd }ar fsF. Value • ,.i?' Dote
?
Site Addresa `?' i ,gRIAR CRggg RD Erect ? Occupaney R3 ?
Lot
29 Block 1 Sec/Sub. LEX sQdA?i ? ?
Remodel Zoning R].,
air ? T
R
P fe'
No ep
ype of C onst. V ?
. Addition ? No. Stories ?
of Nanne COLLTGB CITY COYAST
W ?
Move Length
h ?
D
N
38
i
; Address -P' X 309, H{AlY 3? ema
s
Depth
Int
Im
r
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44
]NORTHFIELD ph
? Cit
507}645'6641 p
.
.
Sq. Ft.
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-
y
one lnsta1
S? Approvals Fees
o Name
A
307
00
i
uu A?res$ ssessment .
Perm
t
? City Phone Watet 3$ew. Surcharge 2 g- 0 0
Police Plan Review
bW Name smso Fira SAC 525.00
_- Addr., 205 SWATER Eng. WaterConn. ?- ()0
H citv NaRTAFIELD Phone 507/645"4461 plpnner WaterMeter 6-4- QO
Council Road Unit 280.00
1 hereby ocknowladge that I hove read this application and statt thnt gldg, Off. -Z?-? Tr. PL 132.00
the informotion is Corrett and agree to camply with oll applitCble APC
Parks
Stah of Minnesotc Stotutes ond City of Eagon Ordinances.
Siynoturo of Permittee . Var. Oate Copies
l $l r9$9.50
T
t
A 9uildin4 Prrmit is issued ro: CClLLBG? C?TY CUNS o
s
? on tha exprcss conditlon Iha+
oll work shail be dorw in otcordance with oll qpplicobl4 5tote of Minneaota-Stotutes end City o3 Eapon Ordinantes.
Buildinq Official _ , '
? Permtt No. Permk Holdar Cata Teiephone
Plumbing C)
H.V.A.C. 30
Elscdlc 45 3 gC5
? ?
1 U
Softener
Inspection Date Inap. Other
Footlngs I Al?
Foottngs 11
Foundatlon
Framing
Roafing
Rough Plbg. ?
Rough Htg.
Insul. q ?
Fireplace
Final Htg.
Final Plbg.
Final
CarVOcc. y',? ? ?
Weter ??i? Locstion:
Well
Sewer
Pr. Disp.
L]
Receipt PLUMBING PERWIIT Permit No.
; •.? CITY OF EAGAN
Fee
- Fill in numbered spaees S/C
Type or Print legib/y Tot.
1. Date • ' r 2. Installatian Gost
3. Jnb Address Lot Blk. Tract ' I
4. Owner
5. Contractor, ' ` Phone 6. Address
7. City State Zip
8. Building Type: Residential 0 Commercial ? Institutional El
9. Work Description: New 0'- Add O Alter O Repair D
10, Describe
11.
No, Fixtures
Water Claset Na. Fixtures
Cesspoal/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower W e I I ?
j Kitchen Sink i
UrinaUBidet Other
Laundry Tray I
Floor Drains I
Drinking Ftn. ?
Slop Sink - I
Gas Piping Outlets i
12. I hereby certify that the above information is true and correct, and l agree to
comply with al1 ordinances and codes governing this type of work.
5igned _
for"
Rough Final
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
?
M?
Reoeipt t?LI MECHANICALPERMIT PermitNo.
CITY OF EAGAN '
Fes
Fill in numbered spaces S/C
?
Type or Prini legibly -? ? Tot. :?- U • ?
1, Date 2. Installation Cost '-
, ;
(?c-,c
3. Job Address 1`? ?? ??`•- ?`? ? Lot Blk. 1 Tract
i
4. Owner -)Q S?
i ;
5. Contractor .I Phone
6. Address
?
7. City e State Zip L?, l'Jh ?
8. BuildingType: Residential Commercial ? Institutional ?
9. Work Description; New 01 ? Add ? Alter ? Repair ?
10. Descri be Fuel Type k1'y f uct C-
11.
No.
' Eqiiimenc 9TU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. t g
....,-
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cand.
Mfg,
Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to ?
comply with all ordinances and codes governing this type of work.
, s : , ? - .
Signed: .-.?N? , ',;,?_y?kt.?.?;?? ,,,•,V for ?. ` ? A\;-
Rough Final ?
Inspections: Date Insp. Date Insp. ?
This is your permit when numbered and approved. ?
Approved CITIf C1F EAGAN 454$100
Cities Digital Qualitv 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.
Receipt PLUM6ING PERMIT Permit No. ?
CITY OF EAGAN
` Fee
Fill in numbered spaces S/C
Type or Prini /egi,bly
Tot.
1. Date 2.
3. Job Address
4. Owner
5. Contractor
6. Address
7. City
8. Building Type: Residential ?
9. Work Description; New ?
` 10. Describe
1 11.
No. Fixtures
Water Closet Np. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
l.avatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above informatian is true and carrect, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough F inal
Inspections: Date Insp. _ Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Installation Cost
Lot " Blk. Tract ?
Phone
State Zip _
Commercial O Institutional ?
Add 11 Alter ? Repair ?
CITY OF EAGAN Remarks
LEXINGTON SQUARE 29 1 ?
Addition Lot Blk Parcel 10 45075 290 OZ
Owner Street 1031 Briar Creek Road 5tate Eagan,MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
i STREETSURF.
STREET RESTOR.
GRADING
I
I SAN SEW TRUNK
1,-3 1
1985
954 53
25/+, 53
C009702
10-12-$4
SEWERLATERAL 173.65 C010046 1-28-8$
WATERMAIN iMZ 1 C)H, 33 C010046 1-2$-85
WATER LATERAL
WATER AREA 286.43 C010046 " 1-28-85
STORM 5EW TRK 2 15 501.29 C010046 1-28-85
STLIRM SEW LAT 1986 1 2 1 513.81 C010046 1-28-$5
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 280.00 54043 7/26/85
WATER CONN,
504.00
BUILDING PER. 10657
sac 525.00
PAR K
? ,,6 ,
tt?'?' CITY OF EAGAN
'
- L 3830 Pil
K
b R
P -
N Q ? 0? 5 7
,
no
o#
oad.
.O. Box 21-199. Eagan, MN
?
*? 55121
'
'
' PHONE: 454870?
?'? ?? ? ???j c,??
BUILDING PERMIT R??e?? # ?
'???'' Te b? w?d le? SF DWG/GAgt ?. Value $ 5 8, 0 0 0 ?te JULY 2 6 ? 9 8 5
' :!` 10 31 erect !?
;? :' Site Addres? -- BR T1?R CRF.F'I{ RD Oc??
Pancy R?
" l.ot 2 g Black ?- SeclSub. LEX SQUARE Remodel ? Zoning R1
Repair ?
I?. _ Parcel No.
'!i??
?
Type of Conat. ?
Addition
' No. Stories
?? u
• Move ?
??•?. W Name COLLEGE CITY CONST D
li
h ? Length ? $
em?
s
BOX 309,
;?t`? ? Address HWY 3 S? Int Impr
? pepth
44
S
Ft
.
`??` City NORTHFIELDphone `?07/645-664$ ?nstau ? q,
.
y' r. ? Nxne SAME ApVroval? Fae?
'??• s? Addreas Asseument
?5j ? Permit . ??
' ? City Phone Water b Sew. Surcharge Z 9. 0 0
Poi??e
?i?,? ?
?
'? Plen Review 153 . 50
W
Nerne SMSO
?W Firo
1
SAC 525 - 00
?? Addreas 2 0 5 S WATER ?,
? Water Conn.
??• 00
?.?; ?W Clty NORTHFIELD phone 507/645-44 1
< ? Plonr,?r Water Meter _?? 0 0
:; ?: CaunNl qoad Unit 2? 0. ? a
1 hereby acknowfedfle that I how reod this opplicetion ond stote that Bldg. Off. 7 2 5 Tc PI. 13 2. 0 ?
;; ;? the intormotion is correct ond ree to ply with all opplitoble
:'
•
f M
S
'°`PC
k
P
P
,
fate o
innesotn Stotutes Gty aF Ordinances. ar
s
?;: Var. Date
"?: Sipnoture of Permitt ,
?? Cop?e3
?,?$?.50
COLLEGE CITY CONST Total
?'? A Buildin9 Pertnit is issued to: on th? ?xpmas Condltfon thor
ll
'%
k
h
tl b
i
d
o
wor
a
s
e
one
n acco?dance with wble Stata of inne _$t?utgs o
. nd City o? Eopon Ordinoncas.
BuildinQ OffiCfal "'?-L ?-
CITY OF EAGAN
3830 Pilot Koob Roac!
P. 0..Box-21-499
Eagan, MN 55121
Zanirp: _ R .2
Owrw
Addr
Site
Plurn.,or. -
MQtCf N0.: -5.3 (o %J / tr?11-s.a.I I I-- I
Stze: " A14? ?W1 mg
Readar tVo.:
I yrss to oomply wifh !!* City of Eagan
Ordinenaa. ?
8y
Date of I nsp.:
WATER SERVlCE PERMIT ?
PERM17 NO.: ' DATE: -=- - -
No. of Units:
Surchar e:.
Misc. Charpes: 77
;C
Total:
pate Poid:
?Fs
?a 9 Q
058 273
Request Date Fre No Ro gh-Inlnsya. on ReqJiretl In ecLOn OtherThan Rough-In
(VOGrhust ca111Apeclor?w-vhe?r eatly) ?Reatly Now 0 WAI Noldy Inspeclor
? Ves u I? Date Read
INlicensed contractor ? owner hereby request inspection of above electrical work at:
Job Atltlress kSiweL 8ox or Route Na) ?
O 3 BiCi h C/[ ?ek /a City
o
Seclmn No Township Name or No Range No Counly Dalata
OccuPant(PRINT) c
lIu- Phone No
j?+?I
KOIaeEWICASSOC.
P d8
nee,ess Ca?'?On
r
Eleclnoal Conirector (COm any Name)
Date F1anKe ?tec?rlc Inc. Conirector's ? n e
2
M??y?tjtJ Sr (Con? cIG? o! ?er akin Insja?le?y MN ?124
LO La ?/
Aulhonz tl Si oW (Coniract wner Me Installali Phone NuvlBY ML?•
YJ 1'VJ{Tf
B 'C'TY T
rUNVersity Alve_ StoGau S MN 5510< UNESS E ROPER INSPEC IONFOEE
1821 S
Phane (612) 692-0800 ENCLOSED
60/k REQUEST FOR ELECTRICAL INSPECTION g°??°°?
?.. ?'? es-///ooooi-orys/
, See mshuclmns for complebng thls lortn on batk of yallow copy
X" Be/ow Work Covered by This Request ???•?°
0 . 05,8 273
Ne Add fiep. Type of Building 'AppliarsCes Wired Equipment Wired
Home Range Temporary Service
plex Water Heater Electric Heating
t. Bwiding Dryer Load Management
4 mmlldusinal Fumace Other (Specify)
Fa
rm Air Conditioner
(speoify) Comracror's Remarks
er
CYCLED A?R
Compute Inspechon Fee Below:
# Other Fee # Sarvice Entrance Size Fee # Circwts/Feeders Fee
Swimmin Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200_Amps Above 00-Am s
SIgOS Inspecmr's Use Only 1 TQTAL q ?
Irngation Booms 4?0 ?
S ecial Inspection
Alarm/Communication THIS INSTALLATION MAY BE OROERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspecror, hereby
certify that the above inspection has
been made. flough-In
Finai
t oate
oa,&
OFFICE USE ONLY
This request voiA 18 months iro.
?his request vOItl5
? /
0'?82"42 3?? (?-/ -~ S '2, ' Wths Request Date Fire Na. Rouph-in Inspecuan
ReQUired, eady Nuw Q W?II NoUfy Inspec-
? - 11Y¢s _?No tor When Reatly
? Licensed Electrical Contriictor I heraby raqueal inspection ot ebove
?Owner electrical work installed at:
5treet Atldress, Box Route No.
? Cit
'
i •? %? d?
o ? '0.F
ection o. Township Namo or No. Range o. Coumy
Occup? t(PRINT)
1 P
E Phon¢ No.
S?Si -
a.ze1
lf
Pow¢r Sup01 er Atldress
Qi4? ? ?LG
Electrical Cmtractor (COmpany Name) Conttactor's License No.
Mailmg Address (COntrnctor or Owner Making Instailation)
Author¢ Si ure (Con ct ayne, MakinB InstallaLOnl Phone Numb¢r
MINNESOTA STATE eOARO ELECTNICITY THIS INSPECTION flEQUEST WILL NOT
Grigge•Mitlway Bldg. - Hoom N-781 BE ACCEPTEO eY THE STATE BOARD
1821 IlniversitYAva., St. Peul, MN 65104 UNLESS P0.0PEH INSPECTION FEE IS
Phone 1612) 297-2111 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
See insirw4ons tor complelirq this form on Eack of vallow eopy.
B rfE 2d2 "X" Be/ow Work Cavered 6y This Request
9 ee-ooooi-na
?:
f.L`{ .?
Ad RBP. Type of Bull0in0 APFikiinC9a WireE EquipTent Wir¢d .
Home Range Temporary Service
Duplex Water Heater Lighhny Fixtures
Apt. Bwldmg Dryer Electric Heavn
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Av Condrtioner Bulk Milk Tank
Farm Oinar vecHy Tlne.lsoe, ivl
t e! uoci Y ther 01her
Compute Inspection Fee 8elow
M Fee Service EntraneaSize. d Fee Fenders/Subfeeders tt Fee Circurts
Oto200qms Oto30Ams Oto 30Ams
Above 200 qmps , 37 to 100 qmps 31 to 100 A mos
Swimmin Pool Above 100_Am s Above 700_Am s
Transiormers rny8tion Booms Partial, Othor Fee
Signs Specialinspection
TOTAL F
?
ertn?k3
flough-in
. 1e
7 1, the Elecuroel
?rsoactor, hereby
certdy thet the abova
imal
r D,flI:Z?$.
- insoactian has been
rtade.
TOia requeaf vold 18 montM trom
?
°oid
m 5q I 3 0
?
-)-3t -?5
/?7 p Pep?etli ??•?tr V Now ? Will NoUfV InsPer
?Yes o Ior When Ready
?a ElepCncal Contractor I hareby requesi insoection ei ebove
? Owner -A ( electncal work mstnilad at:
Sb Atldress, Bon or Poute No. Qty
?? .
eclion o. Township Name or o. Range o. County "
Occup IPR Phone N
o.
/
? y
Power Su h Address ?
Elect i I ontracmr (Company N Co c 's l ceq6¢?Npt
M i tldress (Convactor or Owner Makine In aila[mnl
' d? ? "? GtiJ
G i G .
AuMonzed gnatu rtactor wner ak.ne nstall ' nl Phono er
? ?? .
MIN SOTq ST?gOAPD OF E ?]CITV ?-v THIS ITVSVECTION BEQUES?T WIIL NOT
G gs-Midwe Idg. - Roam N• t BE ACCEPTED BV THE STATE BOARD
1 27 UnivarsitY Ave., St. Peul, MN 65104 UNLESS PflOPEP INSPECTION FEE IS
Phone 16121 297-2111 ENCLOSED.
U ?Z REQUEST FOR ELECTRICAL INSPECTION Es-ouooi.oa
J? Sae instructions for comoleting [his form on back of yellow copv. t
"X" Below Work Cavered by This Request"'?_3? -? 5
Add Nep. Tyoe o/ Bwltlmg ApPliancaa Wired Eqmpmenl Wiretl S
Home Range Temporary Service
Duplex Water Heater LighUn,y Fixtures
Apt. Buildmg Dryer , Electnc Heatin
Commercial Bldy. Furnace Silo Unloader
Industnal Bidg. Av Condrtioner Bulk Milk Tank
FBrm Oiher peG v t e. (Spcuty)
r O[her Other
BBIOW
I M I Fee 1 ServfceEnt2ncaSize I # I iee I Faeders/Subfeaders 1 b I Fee I Circuits I
Jl to luU Artps
Above 100_AmFr
Partial.'Other Fee
TOTAL E ?
?4.?? ?
I, Ma Ele
In%Deetor, heraby
Syrtify that the above
insOection has been
rtade.
ThitreQuealvoiO
This request void 6,7 U ? rom WC? ?-'4 3 7 2,? a?41 ZdL? SeA
3 cf. oU
Request Dat Fre No. Rough-in Ins ion
fleqwre .
es ?No
?PeadV Nuw ? Y ?sPec-
?or When Reatly
icersed'Electpvccal Contractor I hereb y requast inspection oi above
? Ownar eleenical work instellad at
Street Address, Boy,or Re No.
•
K?? ??
a
3 1 Ury
?
?
?
ectmn o. TownsMp Namo or No. , flange No. 'Coun
OccupanLIPRWTI Phone No.
? J
Power Sup0lier Atldres .?
o
Elec rGal C°nv or ICOmoaFnv Name)
T7T
?/`?
- ontrac? ???
.i
?
1
ti,?.?.? _ ec? ? r
Mailq Address (COn(t`racroQr or Owner Ma ne Instailatin)
y
? J
i .r
Authonzed gnatur/COntractor Owner akielgstallaUonl Phone u be.
f ?J
MA STA BOA O?E TC RICITV THIS INSPECTION BEQUEST WILL NOT
?OT
Gr' gs-Midwey dg. - Poom N-181 BE ACCEPTED BY THE STATE BOAXD
1 21 UniversitY Ave.. St. Paul, MN 56104 UNLESS PPOPEP INSPECTION FEE IS
Phone (8121 297.2711 ENCLOSED.
/^5r U? REQUEST FOR ELECTRICAL INSPECTION Ee-ooomp-o/
J ' See instructions for completinp [his form on back ot Yellow co0v.
? "X" Below Work Covered by This Request
New t
AA ep. Tyoe ot Builtling Appliantes WireA Epuipment Wired
Home Range " $Bulk mporary Service+
Duplex Water Heater *Milk es
ApL BuilAing Dry er Commercial Bidg. Fumace Industrial Bldo. Air Conditioner M e r5ervice EntreneaSixe k Fee Feetlers/Su
bteadera N Fee Crtcwta
, EQ U to 200 qm s 0 to 30 Am s D 0 to 30 Am
Above 200 qm ps 37 to 700 Amps 31 to 100 A s
Swimmin Pool Above 100_Am s Above 100_/>m s
Trensformer5 Irngation Booms Partial%Other Fee
Sic,gis -(Special inspecuon ?
aNrrna ks _ - $ TOT
?
(/ C?i W/W 'I'' ? Inspectoq heraby
enHy thet the ebova
Final D' e inaDecnon hes hean
if? n I ? mede.
? 6 q5
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
*is. s o
Ck c. 162a
Date ? l ;;? p, l io
Site Street Address A2 44
3 .i
ty-R C42P-2
4 Unit #
_
?
,
Property Owner. J.o ?If J/L.C /NcS Telephone #
Contractor Telephone #
Address?aan0'ari '4 City? a.e.t?S// IZZP State b7.t> Zipv`r' ,53
The Appiicant is _ Owner ?C Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fudures (excludes water softener and/or water heate r-complete next
section if installing these appliances).
_Septic System Abandonment
_ Water Turnaround (add $125.00 if a 5/8" meter is required)
,9
Other:
? Water Softener _ Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
( '?,Q?//?1PVP?
ApplicanYs Pririfed IQarfie T pli ant's So ature
RESiDENTiAL
BUlLDINC PERMIT APPLICATION
CITY OF EAGAN
5830 PILOT KNOB RD - 55122
851-681-4675 -
NewConsWclion ReaulremeMS Remode?RenairReauirements
. 3 registered site surveys showing sq. ft of bt, Sq. }L M hause; en?ll rppied afea,c • P copies ol plan
(2(1% macimum bl cove2ge aWwed) . 1 set of Energy CakulaWns for heahed additions
• 2 mpies M plan sAOruirg beam & wlndow szes; poured faund design, etc.} • 1 site survey tar exterioraddilions & dedcs
• lsetatEaergyCalaWtim . frdateHhomaservedbysepticsyslemioraddltlons
• 3 mpies of Tree Preservation Plan H Wt plaGed afler 711193 '
. Rim Joist Detad Options seledlon sheet (61Ags with 3 w less unMs)
DATE VALUI[ION Si
JOB SITE ADDRESS Id3I l?Jr?ar' C?'?? /*?O`d
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER /4iKG S
TYPE OF WORK ??n'eOa ?-' FIREPLACE(S) _ 0_ 1_ 2
APPLICANT Ced,q.f- S ! PHONE#
ADDRESS /3 ? je- W-sV -55ZIP CODE
PAGER #
CELL PHONE #
FAX #
NEW RES(DENTIAL BUILD(NG ONLY- flll OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residen8al Ventilation Category 1 Worksheet Submitted
- Energy Envetope Calculations Submitted
MINNFSOTA RULES 7672
- New Energy Code Worksheet 5ubmitted
Plumbing Conhactor. Phone #:
Plum6ing System Includes: _ Water Softener _ Lawn Sprinkler Fee:
_ Water Heater _ No. of R.I. Baths
No. of Baths
Mechanical Contractor. Phone ?
Mechazucal System Includes: _ Air Condiaoning
_ Heat Recovery System
5ewer/Woter Conhactor. Phone N
Fee:
$90.00
$70.00
All above iMormation must be submitted prior to processing of application.
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable 5tate of Minnesota Statutes and City oi Eagan Ordinances.
Slgnalure otAppllcanf ?
`i
Certificates of Survey Received _ Tree Preservation Plan Received _ Nqt Required _
,; uadaced voi
1999 BUILDINC
3 Lri ('4 1
nsiruction ReauiremeM
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN ?
3830 PILOT KNOB RD • 55122
651-681-4675
? 3 regisiered ske surveys showing sq. H. d bf, sq. H. ol house
and QII rooted areaa L20% mmdmum loi coveraae ellowed)
? 2 coples of plans (show beam 6 window sizes; poured fnd. design; efc.)
? 1 set of energy calculafbns
? 3 copies of hee preservWion plan 9 bt plaifed atter 7/1/93
DATE: / - fl2- c? 7 n I
DESCRIPTION OF WORK:
STREEf ADDRESS:
LOT: a 9 BLOCK: ? SUBD./P.I.D. #: ?
$gLnodel/Reoair ReauiremeMs
IS"1•?
2 coptes ol plan
7 seT ot energy caleulatfons for heafed addBlons
1 sBe survey for exTerior addMtons a decks
COST:
?
L
a'b
r
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name:&Wd!`/NS Phone
'last flrst
Street
Ci1y State: Zip:
Company&lv'Se Phone#:
(area code)
Street Address: ,?3 /,f?/'e
Ciy 4J 's-T A ("/ State: 1;77,%?l
Company: Name:
Telephone N: area code (
Sheel
Ci1y
Sewer 8 wafer Ilcensed plumber (reaulred for new conskuction onlv):
State:
Penally applies when address ehange and lot change is requested once permff Is Issued.
IIp: S J ??
Zip:
t hereby acknowledge fhat I hwe read lhis applieatton, state thaf the InformaTion-IscoRect, and?agree to comply wifh all appQeabl
State of Minnesota Statutes and CfFy of Eagan Ordinances.
Signafure of Applicant:
_ OFFICE USE ONLY
Certificates of Survey Receivetl _ Yes _ No JUL
Tree Preservation Plan Received _ Yes _ No _ Not Required ? u=???? j
License # ? C'/J? Exp. UU
RegistraNon #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation p 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling Q 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 &plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex O 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-plex ? 10 8-plex O 15 Lodging ? 20 Pooi ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Oniy ? 43 Siding/5offits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.• ? 41 Wood Stove ? 45 Fire Repair
O 34 Repair ? 38 Demolish (interior) ? 42 Reroof
" Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. SAC Code
UBC Occupancy sq. ft. No. of Units
Zoning sq, ft. No. of Bldgs
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building Engineering Variance
Permit Fee l 53 - a-S
Surcharge 4,C) O
Plan Review
License
MC/ES SAG
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Tota1: I S
Valuation: $
z
f
SAC Units
°k 5AC
,
2/84
A?U CITY OF EAGAN
APPLICATION FOR PE?hMIT
SE[dER AND/OR WATER CONNECTIODT
(PLEASE PRINT)
i? PpoDERTrv- ADnREss _ .B.Pi;.P
?[-?<.y
_
T.Ff;n,L DESCRIT-yr.m aq - /.-?? ?GVl1?
(Lot/Block/Subcuvisicn or 2'ax Parc I.D. Vtumoer)
' i.-^?,,:IE:'=:G STD(;;.'TUTRE, DrIT' 0F Oi2T_Gi^.AL `uiIL7L`:G :.-'_,S:
PR=SL._ ?^`T.F;/P?OFOS-''J L'•S: SL:GLE FPmSLY ` .
n R-z Cu== (7..,0 L,,L\jzTs)
? r2-3 '?7.vti.-r-rCvlcr ('rg?.;? + L^.IITS) ( Wi I•^S)
(] R-4 t?c>RT'??/CC=za-1'fTjn.n'S ? ?iT'=j)
[I CCLMj=CI.%L/E.'.?c?T-?CFFICE
RL:?L
? 7"\Mus-_L--
Q L\TSTI7C,Z`ICNAI./GGVE.^7.?:TM"P
2) AP7Li= (PLEASE PRLv)
Tv n.vs7'
aDnREss: D Z?o Y o %
cITr, s:aTE, zrn:
PFiONE:
3) pu^.=n LPL1E'l SE PRiNT) FOR CITY USE OYIY
PDD3ES5:
CITt, STATE, ZIP:
PAONE•
•
'..3f -PLUMBEA.LFCENSE /f PLUHBERS LIC 5E:
tive
ExPired
Record
, ? _ . t ntcia
41 UC..L:i?'F=1T/G?;.IER D7F1ME: trLcHac rnirvi)
ADDRESS:
CITY, STATE, ZIP:
Pfi(};IE:
5) INpICATE ;v'HICH PEFth1LT ZS BEIhG RFX)UESTID:
CO:VNECrIOV 'ID CITY SETrIER
M-1?6N:VECI'IC:1 'IU CITY LVATEFt
? Cf"Ei 'FR (PL7'1-SE DF_SCRIBE)
bJ C::r.:
? PT.a-?SE F?OID APPR[NEp .pER,tiL2T FOR PIC'i.'-UP BY ONE OF ABOVE
? NIAiL APPROVm Pg.•1ZT 'P'J-l., 2.?MA AFOVE .
, (Circle one) -
7) SIC.:,'ILnE: ?p? / (,r/?/LGM_ DATE:
re w qali?ArJS:f? rr sa ?agara: f'x s? s.?.r+? +q s.FSa:a:? a ac l??caa.ssa a r?s s asapi?
F O R C I T Y U S E O N L Y
PER^7IT " ISSUED
FEZS_ $ r?,?a
- _?
$
$ (c. ?j,oc'
$
S
S I f'?G
$ _ / S^Lu
$
$ S?S:au
S
$
$
$
$
$
$
$ S u
SE.^ILP. D.C..BMT'y^ ? L.•. .. "L?_. c?^r..
(Z_IC SUav.r??..r:.,L)
WATER PER14IT (IriCL'uDE SiiPC°ARGc)
WATER METEP,/COPPERHORN/OliTSID2 REnD:.R
WATER TAP (ZNCLUDE CORPORATION STOP)
SESJE3 TAP
AC^OUNT DEPpSIT - S4ATER
WAC
SPC
TRUVK WATER ASSESS:1E;dT
TRliN:C SES•7ER ASSESS:e°PiT
LATEBA.L BE:iEFIT/T.°.U:IK SE::?S
LATERaL SENEFIT/TRU.:K NATEn
WATER TREATMENT PLANT SURCHARGE ,
OTHER:
TOTAL
PSSOLT:;T FAID/REC£I?T # SJJ-? ?
J
DOES UTILITY CONNECTION REQUIRE EXC?VATION IN PUBLIC RIGiiT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
? NO ENGINEERING DIV:SION. LIST AS A CONDI-
TIO[V.
SUEJECT TO THE FDLLOSJING CONOITSONS:
.01
APPROVED BY:
TI':LE:
DATF :
p
f ?
"Olo
?
1985 BUILDING PERNIT APPLZCATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE 6ICENSED HITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
NG?J °°
SS,cz?o. -
To Be Used For: NOvS(_. Valuation: -9$ Date: 7?3-?'s
Site Address: 1?3I ??r.??, Cns-?{G /Lp. Cs1X.pa
t.t°_+n ?w.T+->
/
OFFICE USE ONLY
Lot: Bloek Sect/Sub <4Lak,.Q Erect
Remodel
Parcel 0 Repair
n Enlarge
Owner WL, Ag,,Ce. Cbng C0..j3-,SxyC 2r4o,,,) Move
Demolish
Address BOx 30c1? 111N4' 3 59%/'ria Grade
City/Zip Code ?jOr&%?,?4Sw0 _ mv SS0S17 ----°---
Phone `ys- (o`47 APPROVALS
Contractor 5(4?a pt Qw,,,,a?
Address
City/Zip Code
Phone
Arch./Engr. S M S y7
Address 20$' S. (nlprfa,a,
City/Zip Code N?1&Ay) ?q„J $SCO`?
Pnone n (So-)) 6yS- yy61
?-
k' Occupancy
2oning
Type of Const
ll of Stories
_ Length
Depth
Sq Ft
Assessments Permit
Water/SeNer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council RSad-Un-it
Bldg Off;
7Zy. arks
'
APC Treatment P
Variance
TOTAL
F- /
R_I
'ST-
38
44
307.
153. so
25'°
Soo, °°
b3. =
2SO. °
13Z. e
l9kI.S'D
1 Co J? 3 C9 = 5`7
22? 2? ? 528 x?4!
2 2-
Zo ? -
20 - qoo x r ( ` 44vo
R
i
t ` • ? ?
.,
5? 4 3 v
.
M?m01hu S)1lpEE
, U?11R?AM 9075 Nphrq hu 66 N E
eS?NO1Nt?1?IN0 y . IIM,n.ooutMinirou6Wl7
('uJ a MwnMl 6rywnuy a SW Tnlu, 0 I? .4?.vrr W0 Vti M++W
11 Bwm?rlN, Mmnwou 66377
Grtiticats ot eurvey tor COcL EGE CiTY CoNSr.
-r Beatings ShoKr? are Assumed. PROP05ED ELEVATIONS
r 0 Denotes Iron Monument. Top of Block
d- o Denotes 10'0 Foundation ??st Floor
6 Denotes Corner Stake. Garage Floor 900 ¢
????Denotes Dtrection Eof rSurface Drainage.
?
/ ''=30
N89° ¢(, ' 3z "W
1
?q9" 85.L8 ?qs3
a
lUi/.ti.eMS UNr \ - - - - ?-
EASEMENT .,c' ODC. N0 ??eAiNA?E !UTi4ry EA6E14E1Y7'
?
WPE,e kEro.ev 10LA7-
500996 .?--
? r
? i
s ? iS
?, ? ?? Jag I
0
'A !
, ?
o ? I ?3s3 ?-a
RoP?C9
ti P?o?SE o V ?^ a o
?^ I o, Gn ? ?? o I h
Q=?°iocb7.3/Z pp { ?`
p CREEK
--?9,f. --- ` 470AP
-_--I--
9B; -- _ _
LdT Z9, BLOGK 1, [E,XIN6Pr0iY SQUARE
oAkorq CD(JNTY, M/Nit/ESOTA
1 AueYr serHlr tMat /AN ba frue WM eornt/ r""uaNll" o1 a wr•q o1 tb MrwHdn o1 Mt aMve
IeuAlsN hmd. OPW dtM Ioae/l" NP) 1?dldlws t ?Nq ?M o11 rldbb "srowdueeMs, 11 anry, lrom r w
NId Mwd. 4s swrvqd ?r we eAbJ1`y( dq d A.C. 11?t
? 4 WR?AN?N?IN ?RI ,?INC.
/ ? rrr?y?r?
FicE issl s3sz9/7
IItIW - AII Rlehh Rrervd
?----? ?
.,
EXTEItIOit ENVELOPB AVERAC6 °U" COMPl1TATI0N
BUILDINCs
S ITE ADDRF.SS i
ANALYSIS BYs
N0. '
Ae reQuired by Code: Code-"U" - Hinimum:
1, Total expoeed wall area ...... (c$ 1?1? Sq.Ft. x Jq ij? BTUH
2. Total rooE/ce.i.ling area ...... 11 O 5q.Ft. a.G4 4f„U 6TVH
8• Total M811 windaw area •..... * .r............• 1 rP o.0 SqrFt•
b. Total door aree ......' ....................?.. q0,0 Sq.Ft.
C. TOCgl 81lIfl8 a00C BLEA •.?. ...... Sq.FC• d. Total well aree ,,,,,,,,,,, ',?,? Sq.Ft. .
e. Total wall a r e a ..144:rf4 :6 vF,V.Tp,{Pe PPA.. 4Le 'b.O Sq.Ft.
f. Total vell area ........... .........+?......••• - Sq.Ft.
g. Total wall erea .....................?....... - Sq.Ft.
h. Total foundation wall window area..........?. 0.0 Sq.Ft.
i. Total net foundation erea above grede ....... $O, a Sq.Ft.
("U" value of each wall eegment celculated on etteched eheete.)
a. 1(v0 4- x"U" BTUH
b. 4,7 x°Il" 0?` OT- 'z BTUH
cb x••U•• 0. 4 S • •L0, a e? BTUH
, •
d• ? S `r?
? d. q?.°? ,o SF x"U" 0.05(01. ' S1. a•S BTUH
• e. Alnl.2.0 S? x•?U" 0. U5lo1 ? 2fn.C•L BTUH
f. - X ••U" BTIIN
BTUH
h. x ••U.. BTUH
i. ?o , Sr x"u" o. 09"1 b aTUN
3. BuildingNells: 7otAl BTUH
If Item 03 ie the eeme es, or leee then Item A1, you heve met the intent
of SBC 6006(c)2. •
? PO/LME(L, IM,JLA70ni 'fO $Q.Ft.
J. Total ekylight erea ......6................ ..
k. Total rooF/ceiling.freming erea (averege lOX). -14- SQ.Ft.
•1. Total net lneulated roof/ceiling erea ........ I{o o Sq.Ft. ,
Determine "U" value for eoch rooE/ceiling eegmene: '
,
j? c}o SF x"0" 0 ,US(02. • 2,24`d aTUH
ko x «u" BTUH
10 _1I00 5F x"U" o, 0-L1'Ib ' '2'?,q44 BTUH
1
4. Building RooE/Ceiling Total f? 2 U,TN1
If totel oE 04 ie the eame ee, or leea'then A2# yon have met the intent of
SBC 6006 (01. i ;
Altetnate Building Envelope Deeign
To utllise the totel envelope eyetem method, the valuea eetabliehed by the
eum of Iteme d'3 and p4 shell not be greater then the eum of Iteme 01 and 02.
COdet 1• ?J10,?j PiTU?I t 2? NS1n G'1J1? w °??i5q 81'UH
Buildingt 3. +' 4. 24,1 YYVy ? '?I?y,T BTUH
DlfEereace: ? 14 1- _ °?'gu ?E'? 5
" TIJAr? REaz D
Page I of ?
• Unit YP? 4 X4-_
. .' N0.
TABLE ).3
U-Yalue Caiculatian
I? il U
EY EVI o(Z STvp V?P-Vt-oo co,??Jo?+r r-?fS ?¢
Constructlan
' Com onents R-Value
01agram
? 0utside Air F11m ?
IV t fNrivL ? ?NGPTI.?I??f
gA?s p
Constructton
4101 rv(r
INeiUV 'S?i}??j'NE?LMA
IS°'a 5fJJ4 ??"s.
Ir.rLvl. I2•11
v,.ti
/nV ?, Q.1?+?
? Inside Air Film
Area • ?
4(&3 SF
PrT'(f, ?C??I?IrJ?S w ?2??
Oiagram . .
,? --._... _.. --
?
??
Gomponen[s
Outside Air Film
I D°/O fp m ING ?i. s'
Ie/tl INS`!l.'Wi $'S1
qo% In+Svt, i-?,
\f?v'aS MEMcYLc p ti-0?04 Gya c?U ?/y?
(nside Atr Film
Area •??
U,S0
(p, o
q3s
o
d. ?8
pTatal
U • ? ? °' ''.
RTotal
n
rr? (M?v?A??vrJ
R-Value
U, (a I
0,?4
.T?---
4
? D, 4S
0.11
RTotal '4t;'614
' .A-ota? .ozi?
u
.. • ---
..
page 2 of 2
Un1t Y? P0 ?
.. . , . . ... . . No. i3S4
. TABIE 3.3
U-Yalue telculntton
WiN?owS ? ?AT?o ??
COnitrut N an R-Value
' CDtagram
• F
(D 0Gb61
-
2,n.
Inside air Film
G-----+ R7ota1
Area '
, u 34ti
u5Er7 'lT= , q? -! R.?tat 45
'va?1 rjO o?,? I o r.l
Construction a_Vaiue
Companents
Oiagram , UI'7
in ? • '!. d
I RTotal 10.
I • Area •? 1
RTotal
I? • ?1?uorL 90o?zS = 7f?+tir?^o •T?? ? ?f ?r 6, ?= IS+
??
6-7-7b'6
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
,'?- /AS a
G ?
Date 07-- I ?
l
? ?
?
Site Street Address eP Unit #
Property Owner k/ ile- G4L/?'??5' _ Telephone # 0-k ?
Contractor elephone#
Address,3 f:??T 4?424eg 4La/_,n. ? ?? City ?a,(-5-- age Statebv-) ZiP -1 v?w
The Applicant is: _ Owner Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heate r-complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
_ new replacement
Lawn Irrigation _RPZ _PVB _new _repafr _rebuild $ 30.00
State Surcharge $ 50
$ ?i ,sa
Total
I hereby apply for a Residential Plumbing 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 plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work wi be in cor a ' the approved plan in
the event a plan is required to be reviewed and approv .
p IicanYs Printed Name ApplicanYs Signature
?
>
?; -7 57i(a
2006 RESIDENTIAL MECHANICAL rExMiT arrLicaTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permi[s are required for each unit
?t 3o . S o
Date
Site Address tQ-N 'F)DQ1' ?}' e?Y? ?• Unit t1
Property Owner fc-A i "k-Ci_, -f?)C, b2,( Telephone # ( (dJ) ) SS Q- yC16oq
Contractor Wolders Southside Htg. & Air, Inc.
6950 W. 14e St., #106
Street Address Apple Valley, MN 55124 City
(952) 431-7099
State Telephone # ( )
Boud #: Expires: 3?
The Applicant is _ Owner X Contrac[or _ Other
Add-on or alteration to existing dwelling unit $ 30.00
?
_ furnace _Additional ?fteplacement _ New
c
1171)
i
i
_ air exchanger
! (j
? ?
[' T
_ air conditioner i??
heat pump L -
)4 other %n`O.l 1 _
State Surcharge $ .50
T
otal
I hereby apply for a Residential Mechanical Permit and acknowledge that the information is complete and accurate; that the work will
be in confor.mance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but unly an application for a permit, and work is not ro 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.
ct-CL& w_-*,Nefs o 4 c. cc
ApplicanYs Printed Name
Applicant's Signature.
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142356
Date Issued:04/27/2017
Permit Category:ePermit
Site Address: 1031 Briar Creek Rd
Lot:29 Block: 1 Addition: Lexington Square
PID:10-45075-01-290
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Mark Barber
1031 Briar Creek Rd
Eagan MN 55123
(651) 226-4141
New Life Contracting Inc.
814 Grand Avenue
St. Paul MN 55105
(651) 336-9966
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149140
Date Issued:05/08/2018
Permit Category:ePermit
Site Address: 1031 Briar Creek Rd
Lot:29 Block: 1 Addition: Lexington Square
PID:10-45075-01-290
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
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 -
Mark Barber
1031 Briar Creek Rd
Eagan MN 55123
All Craftsmen Exteriors Llc
1020 East 146th St
Ste 226
Burnsville MN 55337
(952) 898-4680
Applicant/Permitee: Signature Issued By: Signature