1042 Briar Creek Rd... . _ ,.._ .... ._
INSPECTION RECORD
i CITY OF EAGAN PERMIT TYPE: I o I+? `i
3830 Pilot Knob Road Permit Number.
-, Eagan, Minnesata 55122-1897 Date Issued: t 0 (612) 681-4675
i SITE ADDRESS:
APPLICANT:
` I `^Xi':ir [ y; i .,.•?.i:?':. }{?'9 ? . . . , ! E ? 1,j1?'j''d'r t ?i?
") 4 - t.
TYPE OF WORK:
W: "4 ' 1i f I 1 d ON
f i<A!.
?I l+tlilfyN I ti . I I I ? I Nez1
?
_ ?
Permlt No. Permit Holder date Teiephone #
ELECTRIC
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFIMG
ROUGH
PLUMBING
PLBG
AIR TES7
ROUGH
HEATING
GAS SVf.
TEST
INSUL
GYP BQARD ?
FIREPLACE
FIREPLACE
AIR TEST
77.- ?? • 97
I1A3
FINAL PLBG
FINAL HTC,
ORSAT
TEST
BLUG FINAL
ESMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
'.'f^ITY OF EAGAN
4830 Pilot Knob Road
zagan, Minnesota 55123
I tU1G? Upl-4V!?
SITE ADDRESS:
? c?=?::• ??? r.r?t< < ht:t r ?rE?
PERMIT SUBTYPE:
:cTION RECorznn
PERMIT TYPE:
Permit Number:
Date Issued:
?;?? t i ?.? ? t-???
?? :.• ? <? ; ? ,?
4r! ?:? ft ?_• 1,... ? r?l.:;'1
APPLIGANT:
( ! ? ; _. i ?t ! . " . „ {
TYPE OF WORK:
?,i} ;i ir { ? t 4 ?i?•:I •,? 1?`.il??
?I T N?_+ tNi ± ii I ?
tY4ilf k?tspk +I.hd1) i
? _.?_..___ - .?. ..-..?-- ?._,._...? _._.. .,? .?....._.. ?."._?. ?.,?. ?,? .s. ........t=-. ..._.:?--. ? _.._
, Permit No. Permit Holder Date Telephane #
ELECTRIC
PLUMBING
HVAC
Inspeetion Date Inap. Gomments
FOOTI MGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GA5 SVC
TEST
INSUL
GYP BdARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL P4BG
FINAL H7G
ORSAT
TEST
BLDG FINAL
B5MT R.I.
BSMT FINAL
QECK FTG 7171y. r
DECK FINAL
1 ?? t?
21
1??
CITY QF EAGAN 1NATER SERYICE PERMIT
3830 Pilol Knob Road
P. 0. 8bx 21199 PERMIT NO.:
Eagan, MN 55121 • ??
DATE: - _.s?.r
Zoniv+p: No, of Units:
Owr+ar:
Addross:
Site Addrcsr. 10' 7 i3riar r ,?a' _ i..?.a:'_?? • +? ;r-
Plumber. -:i? 3-r_?' "t ?, r- ?, i 3 •- - - - - - -
Meter No.. Co.inection(hwrpe:
Size: Acoourit Liaposlt: 15, 0 0r ?
Readar No.: Pennit Fee:
1 yrN te ooMoy wil6 !Iw Ciey of EApr¦ Surchorpe:
OrmoOnqm Misc. (:Ita rqes.
7otal: -
Br Date Pald:
Date of Inap.: leup.:
CITY OF EAGAN
3830 Pilot Knob Road
P„fl. Box 21199
Eagen, MN 55121
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
Zo?+ino: %'d No. of Units: ?
Owner: Ct71legE! Citv (:tjliSz:. ?
Address:
Sfte /,ddress• 104e BYic.?r t:rE@t_ ^,L;1j L4 .'ri`? l.?.''Y.i7t4;L+?5I .?
Plumber. r'r?jrr
1i.?C. .0'.??: i
! pr» to eom* wNh Ke C&y d/ayam Connection Choeye: 41 s i;;;Q?;rs
0"UMIIOM. ACCOUI'N' 0lpDEjt: 1- p - ?,l{,?3fF
PAI'iflit FlE:
SUICIIQI'g0;
gY
Dutc of Insp.:
Misc. G+orqex
7otal:
Dots Pdd:
•? . .. . . ?. .,
,i
3830 Pilot Knob F
BUILDING,P€RMIT
To be used tof SF DWGf GAR Est
Site Address ; "-s'`
Lot 4 Block 2 Sec/Sub.
Parcel No.
s
z
0
CITY OF EAGAN n
ad, P.O. Bax 21-199, Eagan, MN 55121
PHQNE: 454-8100
Receipt #
lue $7$,000 Date API'tIL 21
RD
= F Name S?`I?
? a Address
~ City Phone
8 cc :I
F W Name
Address
a W Ci
ty Phone
I hereby acknowledge that I have read this application and state thatthe
information is correct and agree,to com ply with all applicable State of
Minnesota Statutes and City of,Eagan O
l
rdinances.
Signature of Permitte? y I
I 28?3
19 86
_ Erect u' Occupancy R 3
Remodel ? Zoning R1
Repair ? Type of Const v
: Addition ? No, Stories
Move ? Length 42
' Demolish ? Depth 44
- Int. Impr. ? Sq. Ft
_ Install
• ?
Auurovals Fees
Assessment Permit Y "" . • ""
Water & Sew. Surcharge 39' 0? ;
Police Plan Review 2d3 • 50
Fire SAC 575.00
Eng. Water Conn. 500.00
Planner Water Meter 63.50
Council Road Unit 290.00
Bldg. Off. 4/22/$ Tr. PI. 156.00
APC Parks
Var. Date Copies
, 4. a o ?
t?C.LLi:ti: ?i?? CI`'7i C0i+rr?'?t,[!''??..`l'IOAI
A Building Permit is issued to: on the express condition that
all work shall he done in accordance witfi'all applicable.State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ; ? -,
- , Psrmil No. Permft Hddar Date Tilephone #
Plumbing
H.Y.A.C.. ? -
eiectNc
SoRener
Insp*ctlon Date Inap. Commanb
FooiMgs I
FooHngsli
Foundation
Framing .% /
Rooliny 6
Rough P16g.
?i? ? Y
(r
6 .
Rough Hty.
4-7 L?
Z4
uw?
Fireplace !/
Final Mtg.
Plnal Plbg.
Bldy. Flnd ? •
Cert. Oce. 7
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
4
PERMIT #
RECEIPT #
r
1. 61dg. Type: Res 4","Comm Inst _
' 8. Tatal Bid Price
Lot ? Block ? Sec
6. Contractor ? t
(Name)
7. Contractor Phone #
RESIDENTIAL HEATING -
RESIDENTIAL COOLING -
MODIFICATIQNS/ALTERATIQNS
?
HEATING VENI
IR PIPING
?RES. GAS PIPING OUTLETS -
COMM./IND. RATE - 1%OF TO'
Approved
2. New AtZAdd Alter Repair
G?•? \? ?z c-t ? Lt-?C y
? 5. Owner.
JV 01 V A-?p IL.VV. GGLLII
ninimum fee
or fraction - $6.00
fraction - $6,00
JG HOT WATER STEAM AIR COND.
ESSED PIPING AIR HAND. EQUIP. RGFRIG.
TANKS: L.P. UNDERGROUND dTHER
I? PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
. k; x I -'r-
Inspections: Date_
Rough Insp. Date Final Insp.
?/ ?A71
P?RnnMr #. ?? ? ? • CITY OF EaCAN FEE
PLUMBING PERMIT
RECEIPT # 454-8100 S/e
DATE MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
MINIMUM COMMERCIAL FEE - $20.00 + $.50 ?
/
1. Bldg. Type: Res ?yComm Inst 2. New Z".' Add Alter Repair
3. Total Bid Price,;??? 4. Jab Address
f,
Lot ? Block ? Sec 5. Owner
? 6. Contracto?Z?tA.1 17l? /?S%
i
... . _e
am
eet) (cib)
- ?.r'': - ?' -.._ _ , . ._ __--.• ,.,
7. Contractor Phon_ -e#"-
NO. FIXTURES NO. FIXTURES NO. FIXTURES
? Water Closet - $3.00 ? Laundry Tray - $3.00 Well - $10.60
IEBath Tubs - $3.00 :::Floor Drains - $1.50 Private Disp Syst - $10.00
Lavatory - $3.00 _Water Heater - $1.50 =:Rough Openings w/o
Shower - $3.00 Whirlpoot - $3.00 Fixtures - $1.50
=Kitchen Sink - $3.00 =Gas Piping Outlets - $1.50
-Urinal/Bidet - $3.00 _Softener - $5.00
COMM./1ND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHAR,GE,FOR EpCH $1,000 OF FEE.
Signed: for:Al"':
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks a",-,9V
Addition LEXINGTON SQUARE Lot 4 eik 2 Parcel lb 45075 040 02
pwner street 1042 Briar Creek Road State Eagan, MN 55123
Improvement Date Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
P
SAN 5EW TRUNK 1985 25 1 9 1 254. 53 C009713 10-12-8
q7jSEWER 173.65 Cal00s7 1-28-85
WATERMAIN
7,00
198b
4.56
15
68.33
C010057
1-28-85
WATER LATERAL
WATER AREA 1986 286.43 C010057 1-2$-$5
STORM 5EW TRK 1986 501.29 33 42 15 501.29 C010057 1-28-85
ST4RM SEW LAT & 1986 513.8 1 34. ZS 15 513.81 C010057 1-28-85
CURB & GUTTER ?
SIQEWRLK i
STREET LIGH7
WATER COIVN.
BUILDING PER.
SAC
PARK
CITY OF EAGAN WATER SERVICE PERMR
3830,Pildt Knob Road ,r.?5??
P': O. Box 21199 PERMIT NO.:
Eagan, MN 55721 p^TE: 4-23-•3
Zonin9: No. ofUnits: 1
fJwner: Ci'- Addresa:
Site /Iddreas: i v
Ptumber: 'Fet
NAetar Nu. _.,-7 _L(
51ze: ? '0 0
Rectdar IVo.: Q ? N
1 a9ral ee ee-p}y wilh !ha ° Lt
orainamem ? r RE
a Y zz-, 4) 1'e?? E Dote af Insp.:
Charge:
10. 00
63, snprt Met?:r
Date Poicl:
CITY OF EAGAN N O 11833
BUILDING PERMIT
?
Receipt #
7obeusediLr SF DWG/GAR Estveue $78.000 Date APRIL 21 ?y86
SiteAddress 1042 BRIAR CREEK RD Erect C? Occupancy R3
Lot 4 Block 2 Sec/Sub. LEXINGTON SQ Remodel ? 2oning R
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
- COLLEGE CITY CONST Move 11 Length 42
W me
Na ?
I BOX 309, HWY 3 SO Demolish Depih d
. o Address
&V 507 645-664
NORTHF7
F Int. Impr. ? Sq. FL
Ciri p?
j Install ?
a
o
Name gAp]yr
pPProvau
i
? i Address As3eSSment
?
City Phone
Wetef & Sew.
? Q Police
w w Name
t Fire
'= ? Address
z Eng.
i W Ciry Phone Planner
Council
Iherebyacknowledqethatlhavereadthisappiicationandstatethatthe Bid
on
4/22/8
E
intormation is correct and agre to comply i all applicable State of 9.
.
Minnesota Stetutes and CiWEaaan Orgiri APC
Signature of
A'BUilding Permit is issued to: ?'?
all work ahall be done in accordence
Building Official ?
3830 Pilot Knob Fioad, P.O. Box 21-199, Eagan, MN 55721 '
PHONE: 454-8100
/
Fees
Permit '' "' • . ? ?
Surcharge 39.00
Plan Review 183.50
snC 575.00
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
? Var. Date I Copies??o
Total
C I ?Y CONSTRUCTION _ on ihe express condition that
i? ?of MinnesqYa Statutes and City of Eagan Ordinances.
? 98 /
,130-
ire No. Raul Inspacuan
F Reqmred? O Reedy Now ill Notity Inspector
?,Ves ? No When PBetlY?
I; licensed contractor ?owner hereby requast inspection of above elactiical work at:
Job Atltlressjytreei. Bo r RoNeNo.)
/ p Ciry
g
1.? +[aG
V? 1 I
Sechon No, Township Name or No Range Na. CouMy
Occ MNce . o hC PhonaNO,a- J ^0?
Power Supph r Atl0rea5
0. ? R 1G
Eiecmcai Coniream (Company Namel LonVactorS 4cense No
Meibng AOdress (COnlraclor or Owner Making Inslallation)
Aut?on igneture ICOnleadort eking In I ion? Phona NumbBr
L S?`?a
MINNESOTq STATE BORRO OF ELECTRICITY l/ THIS INSPECTION REpUEST WIIL NOT
Gtlgge-Mldway Bitlg. - qoom 5419 BE ACCEPTED BV THE STATE BOARO
1821 Univenity Ava., St. Paul, MN 55100 UNLESS PROPEfi INSPECTION FEE IS
PRpne (612) 600-0800 ENLLOSEO.
REQUES? FOR ELECTRICAL INSPECTION ?°"?'?q.q e ooooi-0e
? See ins" >r complenng Mia brm on Cack of yellow copy.
L 3 9 826 8elow Work Covered by This Request
e Atld Rep. Type of Building ApPliancesWired qui mantWired
Home Range Temporary Service
Duplex Water Heater Eleciric Neatlng
Apl Bmiding Dryar Othar-(Speciy)
Comm /lndustrial Furnace
Farm Air CondNOner
OMer (specJy) Concreclor5 RemaMs
Compute InspecNon Fee Below:
k Other Fee # SerwceEniranceSize Fee # Cirowis/Feeders Fee
Swimming Pool D to 200 Amps a to 100 Amps
Transbrmers Above 200 _ Amps Above 100 _ Amps
Signs Insnecmrs use omN. ? TpTAI
Irngatwn Booms ?'
Speaal Inspection
Alarm/Communwation THIS INSTALLATION MAY,BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
t, the Electrical Inspector, hereby Ro°9n-'"
certifythattheaboveinspectionhas
been made. F,nai
Y a i?
OFFICE USE ONLV
Tnrs request voi0 1B monins irom
.."requesl void ? -? 3 e?
18 frpn?' from
- E9 3 4 3 L-- H R.3
C? 31(05
Rxqu st Date
Q / Fire No. Roughre-?d n pecbon
Re w
ady Naw Q Will Notrty Insoec-
? J? g0 Yes ?No ?or When ReadY
? Ucensed Elemncal Convactor I hereb
Y re0uest msoaction oi ebove
Owner eleciricel work,nstellad ae: .
Street Address, Boz or Po e No. / A
0 ? / 41 G?rec?C ecY CrtV
AF .Pxj
emion o. Township Name or No. . Benee o. Coun /
O rjp
Occupa (M11NT) Phone No.
Power OP?iy r n
'?
l
?
k Atldr¢?v /
4
/'
a
A
9 C.o
iea M?
l
N Elecinc?+? onvactor ICompany N? me? ractor's license No.
?i etin e n. ,?les f=1?,v e ?d S?J
Madmg Address (Convac r or Owne Makin0lnstailatwnl ,
0Y o A w R b ti
Authonze 5 namr Contrectod wner MT me Instellat,on) Phone Numb
r
=
MINNESOTA SfATE BOAPD OF ELECTPICITY THIS INSPECTION pEQUEST WILL NOT
Gngqa-MidwaY Bldg. - Room N-181 ' BE ACLEPTED BY THE STATE BOAND
1821 UniveraitY Ave., St. Peul, MN 65104 UNLESS PPOPEP INSPECTION FEE IS
oh,.... 1812129)J!1H . ENCLOSED.
a-?'6AD REQUEST FOR ELECTNICAL INSPECTION EB'OWMI'/04
? See instruc4ons for comple[ing this torm on beck ot yeltow co0v. & 3? C
` t 19343 "X" Below Wak Covered by This Request
Add ReD. T ype ol BwitlinB ADOlianees WnW Eqmpmem Wired
Home e Temporary Service
Duplex Water Heater Lightin,y Fixtures
Apt. 8wldmg r i Electnc Heaun
N Commercial Bldg. ace Silo Unloader
Intlustnal Bldg. CorWitioner Bulk Milk Tenk
Farm Other peu v ther lvl
t ar OTher
oMPUt
e nspection fee 8elow
k Fee ServiceEntrenceSize d Fae Feaders/Subtaeders # F.. C.rcuita
0 to 200 Am s 0 to 30 Am s 0 tn 30 Am
Abqmps " 37 to 700 qmps t 31 to 100 Am s
Swimming Pool Above 700_Am A6ove 100_.4mps
TranStormers rngation Booms Partial-'Other Fee
Signs Special Inspecvon ?O
S TOTA
pemerk9 - ?a? L F
{?
BoupA-in qnce?
1(? 1. ?he Elecnicai
InSpeCtoq hereEy
certily that the ebove
Flndl te r16pBCtiOn hd5 090n
` W mede.
TINS reaumt raa 18 moneM Irom
K 2?d?5
-o
lv ro 9? ,Q?
I
a
?/C?
Repueal Date
, Fire No Ao n Inspeclion
pq qd?
?eatlY ?'
0 Will NMify Irepector
? Ye6 L No When ReaEY9
Ixi licensed contractor rJ owner hereby request inspection of above electrical work at:
Joe Hatlress slreeL Bm or Rou ?
? Gry
5
Q
? CA i ,n
Seclron No Township Neme w No Fange No CounryD
Occupam IPHMTI ? I O1-,, Z Plrorie?No. ?? _ ?3` ?
Pawer pier AUtlress
e
Et9cincal Convacmr(Compeny Name)
S Conbector5 Lranse No. r
J
Mailing ACOress (COmreda or Qvner MaNinq Installatron)
Auttronzea Sgnature IC mracto Ow er Max?n Instanauon) Pnwe Nu r
- 4L? -
MINNESOTA STA BOAqD OF ELECiRiCRY M ?J e?"U I C 2. TMIS INSPECTION PEQUEST WILL NOT
Grlgga•Mltlway Bltlg. - Hoom 5.173 BE ACCEPTEU BV THE STATE BOAPD
1821 UnivMity Aw., SL Poul. MN 55104 UNLESS PFOPER INSPELTION FEE I$
Phone (BtY) 642-0800 ENCL0.5ED
K 42525
RE?UEST FOR ELECTRICAL INSPECTION
? See instrucYOns lor compleLng ihis form on beck W yellow copy
J(" Below Work Covered by This Request
ka?.9q?a? EB-00001-08
ew Add Rep! . TypeofBwlding AppllancesWired EquipmentWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt BuAtlmq Dryer O[her-(Specity)
Cqmm.llndusiriel Furnace
Farm Air Conditioner
Olher (syeCrty) Contractor5 Remarks mOUe ? ? A ?P
SerLv ic? ?-o LoC-a,k Lm,..
Compute Inspechon fee Below:
N Other Fee # ServicaEniranceSrze Fee # Cvcuds/Feetlers Fee
Swimming Pool 0 to 200 Amps o to 700 Amps
Transformers Above 200 _ Amps 100 _ Amps
SgnS inspemar5 Use Only: I TOTAL
Irrigation Booms
Special Inspedion
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN 18 MONTHS.
I, the Electrical Inspector, hereby
d Rouyn,,n oare
ceri
y Ihat the above inspection has
been made. F,,,al oey+
OFFICE USE ONLV
Tha requast wid 18 mornhs Imm
? C6TY-..7F EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMITTYPE: Bux?orNs
Permit Number: 031094
Date Issued: 11/10 / 9 7
SITE ADDRESS:
P.I.N.: 10-45075-040-02
DESCRIPTION:
1042 BRIAR CREEK RD
LOT: 4 BLOCK: 2
LEXINGTON SQUARE
,Al '----? (Gas)
Buildinq'd"rmit Type
,buildinc?, lJcapJs Type
??Census. Co[I
? ? . . . ... , '?
';,Aliil
?4 W n1F??
REMARKS:
FIREPLACE
NEW
434 ALT. RESIDENTIAL
?a ci n
" c
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - ppplicent - sT. LIC OWNER:
fIRESIDE CORNER INC 16332561 2009091 DOHERTY TERRY
2700 N FAIRVIEW AVE 1042 BRIAR CREEK RD
ROSEVILLE MN 55113-0847 EAGAN MN 55123
(?612) 633-2561 (612)452-2303
I hg"btaY aaknowledge- that I hame_ r?ad th,it?,rApP13,??iwt i axt anrd.state tha-t ?the?? r
znfarrnation is nprrect ansl,.a?r,ee 1:o.?c_am{x.J.,with- 'Okl. -app4•kaakrJ.e S?tate" 01:._ttox? ? .
statutes--?attd City 4fi Eaga-n O?r?d,?nan?s?
..
?w, ?., .J
APPLICANT/PERMITEE SIGNATURE
f?ujq R? I( }??-
'IS SI A
31
DATE:
DESCRIP7TON OF WORK:
_ INSTALL GAS LINE ONLY
4-? O . ?0
PERMIT FEE: $50•50
Ai,'rF.RATIONS TO EXISTING
OTFIER:
STREET ADDRESS: I O?? - i?, Q IA< C g ?-? K- Ro
LOT ? BLOCK SUBD./P.I.D
APPLICANT: (circle one only) OWNER
I hereby acknowledge that I have read this application and state that the information is correct and agee to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FIREPLACE
INSTALLER
GAS LINE
INSTALLER
Name: ?-F'"cv-,, 12 ? Phone #: 45 Z - 2 3 a 3,
nk,
Signature: _
Street Address:
City: E4 C
A`
Company: T2
Signature:
Street Address:
o 4'Z (S12)A )e •l,fCcv KL-;,-
10 stace: M Al zip: 5?5- /1.3
?t> F`i26 vlbc?' 733777-Z
G S lD6-„aza-ni CSYL- Phone #: 690 '0"7v?8
SsD -W-- y y?-
City?u?LnlS Jl ??--? State: gl d
Compai
Name:
Signatu
Street ?
City:
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1997 FIREPLACE PERMIT APPLICATION
681-4675
License #: 2120 90 9 //
Zip: 7
_ INSTALL GAS INSERT ONLY
5tate: Gip:
PERMIT ?,P,44,?Go
, ?ITY OF EAGAN
? 3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, M innesota 55122-1897 Permit Number: 0 2 5 S 9 0
(612) 681-4675 Date Issued: 0 6 j 2 7/ 9 5
SITE ADDRESS:
1042 BRIAR CREEK RD
LOT: A BLOCK: 2
LEXINGTON SQUARE
P.I.N.: 10-45075-040-02
DESCRIPTION:
Bij ilding'-Permit 7ype DECK
8 uilding Wa_rk% Type NEW
.
?.
?? .
7
? ^t , \
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee $30.50
CONTRACTOR:
OWNER: - Applicant -
DDHERTY TERENCE
1042 BRIAR CREEK RD
EAGAN MN
(612)452-2303
? I . - 4 .
I hereby acknowledge that z h,ave_rQad this ap,pli,cation iand state that the
information is correct and agree to aomp.ly,_wi1t;h all applicable State af Mo.
Statutes and City of Eagan Ordf?nances.
L
APPLICANTlPERMITEE SI ATURE ISSUEL) B: SIG TUR
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: B U I L D I N G
3830 Pilot Knob Road Permit Number: 025890
Eagan, Minnesota 55122-1897 Date Issued: 0 6/ 2 7/ 95
(612) 681-4675
SITEADDRESS: P.z.N.: 1e-45075-04e-e2
LOT: 4 BLOCK:
1042 BRIAR CREEK RD
LEXINGTON 3qUARE
Z APPLICANT:
DOHERTY TERENCE
(612) 452-2303
F-
L
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
? 1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
661-4675
? 3 registered ske survays
? 2 wPiss of plens (includa beam 8 window s¢ss; poured fid. Oeaign; etc.)
? 1 energy celculaGons
? 3 cDpies of hes praenaGon plan N bt platted aRer 7/1/93
tequiied: 7Ye i _ No
i.,
oA?: ? i R 9 5 CONSTRUCTION COST:
DESCRIPTION OF WORK: ?rqcrtjw Wx 1s IJeck Wffb q?
STR?ET ADDRESS: IO ?a 6?)Q ? (; ,p
tE
LOT BLOCK Z SUBD.IP.I.D.
PROPERTY
OWNER
Street
C,ty:
CONTRACTOR Company:
y
Street Address:
City:
ARCHITECT/ Company:
ENGINEER
Name:
Phone #-
Registration #*
Street Address-
Ciry:
Sewer 8 water licensed plumber.
change are requested once pertnit is issued.
tt
oo?
Phone #: qs?-0263
mkl Zip: 651a3
?-
State: _ H Q
State:
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the intormation is correct and agr to mply wRh all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances. .?"'
Signature of Applicant: ?
?
OFFICE USE ONLY ° ° ""'°`"""
Certificates of Survey Received _ Yes _ No J ? N ? g ?995
--.._....,..._^.
Tree PreservaUon Plan Received _ Yes _ No
? 2 copies oi plan
? 2 aRe surveys (exteriw oIdBfons 8 dedcs)
? 1 energy celwlatlona Mr heated additiona
1042 Briar Creek Rd. e?°^'
EagBn, UN 55123-1515
pezk
?
?
1/ouse
jt+ak m°R
0
15 1
.
?
lax 18 Deck
301
a
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P??P??? ???e
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?.
.G'•
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"-a
CITI( OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SF PtlRCH
NEW
R-3
$7,000
SITE ADDRESS:
P.I.N.: 10-45075-040-02
17
9
DESCRIPTION:
cr,
; -? , 3-SEASOM
B,u3ldiriq_Permit Type
Building Wnrk 7ype
'U8C Occupaneyti,
? Building Lengttrti?
/ 8u31ding Width _._.,
i
11 '(
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1042 BRIAR CREEK RO
10T: 4 BLOCK: 2
LEXINGTON SQUARE
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Subtotal
VALUATION
$90.00
$3.50
$93.50
euiL
021027
05i26/93
COPY $•50
Total Fee $99•00
CONTRACTOR:
OWNER: - Applicdnt -
DOHERTY TERENGE
1042 BRZAR CREEK RD
EAGAN MN 55123
(612)452-2303
I I hereby acknowledge that I have read this application and state.that the
information is carrect and agree to comply wi'th all a'pplicable SCate of'Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMI ESIG ATURE 1 D Y:bluNA7 FiE?
INSPECTION RECORD
CITYOFEAGAN PERMITTYPE: BuiLozNG
3830 Pilot Knob Road Percnit Number: 021027
Eagan, Minnesota 55123 Date Issued: 0 5/ 2 6/ 9 3
(612) 681-4675
?I SITE ADDRESS: Lor : a e Lo c K: 2 APPLICANT:
1042 BRIAR CREEK RD DOHERTY TERENCE
LEXINGTON SQUARE (612) 452-2303
PERMIT SUBTYPE: TYPE OF WORK: wEw
SF PORCH
DE3CRIP7ION 3-SEASON
.. . .,
INSPECTION
FOOTING FRAMING
INSULATION FINAL
F-
L
REACTIVA7E ??CE??ED CITY OF EAGAN ?
PERMIT 1993 BUILDING PERMITAPPLICATION
2_ 1 1993_ _ 681-4675
S?NGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, i copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 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 Valuation of work
Q ??I??
lr'Q
?Q
<C
erIA
ti
K
C
,
Site Address:
STREET SUITE N
Tenant Name: (commercial only)
IAT BIACK _?__ SUBD. I 6) P.I.D. N
Descri tion of work: 21
The applicant is: J4 Owner ? Contractor O Other <oe.«tbe>
Name , L. Phone4 U-a3o,?
Property LAST FI RST
12d
Owner ? C?k
Io?a ???
.
Q
Address
STREET $TE #
Lity State Zip
Company iS+pA'Q p . 0R.-B157U e Ph ne 3`"
Contractor
S?C, % L1'cense'#' ExP.
linI.QA
Address
?q
City State (lil ' ZiP .Ji1Lf?i?
?? ? /
Company Phone
Architectl
Englneer Name Registration k
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 app1lcation and state that the information.is
correct and agree to comply with all applicable Stat of innesota Statutes and City of
Eagan Ordinances.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT IYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging • 1qasemznt
F
j,pish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. r
?
''O 17 5w m Pool
O 03 SF Addition O 08 8-Plex O 13 Garage/Accessory 0 18 Comm./Ind.
F?3 04 S' Porch O 09 12-Plex p 14 Fireplace 0 19 Comm./Ind. Misc.
60S. SF Misc. ? 10 Multi. Add'l. ? 15 Deck O 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) Ist F1. sq. ft. City Mater
UBC Occupancy ? 2nd F1. sq. ft. PRY Required
Zoning Sq. ft. total Booster Pump
d of Stories Footprint Sq. ft. Fire Sprinkler
Length Pr7, On-site well Census Code L c
Depth On-site sewage SAC Code
Q
APPROVALS ,
?--
L,14L 0
Planning Building Assessments
Engineering Variance
REOUIRED IN SPECTIONS ? S-ectS c,,i
? Site footing E? Framing Insulation
? Wallboard ?Final ? Draintile O Fireplace
Permit Fee L%.L) ?) waac;a,: S 2DOp
Surcharge q , 5a
Plan Review
License G
?
`
MWCC SAC /S 3 x
/S = C?? S
C1ty SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
SAC 96
SAC Units
- =TRI sLAND'CCi.
?f SURVEYING
SEFtVICES
4655 NICOLS ROAD ,
EAGAN, MINNESOtA 55122
% BRIAR-
P
? ?. ,
' .
? r ,;H:?._
w,
i ? ?.
,_ ..
?+ r ----- --... :? .
I `
t.,?. ?
?rt "CA?bIGE
? r y?•
?
n ?
• '1 ? . Hovsc
o? ? y
N "si
-cj
0
?. C:T
5
LOl' 4
N 8-t° 50' 27"E
/
?
?.
i
?
?
W
_
o°
M
0
6?0
Lt:T
3
S 86°30'00" E
PRO(°ERTY bE$CRIPTION
LOt-4-, BLOCK-Z-,
LEXINGTON SQUARE
aecordnq to tM heorded plal thilrioi
GAKOTd tftMy, Minnesota
?'--
-
SITE PLAN FOR :
COLLEGE CITY
CONSTRUCTION
N
9CALE ? I"= 30'
, S 1 • ; .
0 oENOr€s IaoN -N1oNUMENt aROavSM eMAot ?lOOft tLEVAt10N+ lOasn .
. b DENOrtES WOOb F?1? SEt PROPO?d FIp3T dOR ELEVAt10N a
bENOt?f.. Cf Nl? .s1'OT, PIiOPOSECf.9A$9M?N1` FLOOR
p ' ATION ELEVAt10N
bENtitE? PtOPOtb BhGT
tLEVA?ION
? btNOf?`$, bNAINAIi? GII#ECfION NOtE: WAiFY /lLL PLOdli, NEIGHtS WItN
? PINAL NbUSt PI:ANS
1 We?iy I?biV11y.11N9t thi! 6lirviy4 oli?8 oF,
Fil
dtt ii?i
F
6
d f?.
p
p
Sp
S
Fiy ilir bt uhdilr Iny 1.17eI!
difitt ? iu04"ItIIN`1 ? W NtBf ( tlmil duiy - Oti1111,
? . Neoft1bto8,.l?elui .?rv??1er uria?r tne
? -.1?1? bf.lh6:sWb bt.Mlili?iift
re.A.. :1w1 .?
? ,.r..s. 4,::i_` ? ,•
`
,?? , .li.. ?,?:
?.?
' •.
'?. ? .?i!%T,:?b'sk(I?lf"'?n;if?,?t:_,.?i,..
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K?,?i?f?R
?tlrT •?'f•F?,'.'•?i.l? r.
4c??'??r4?
i,?.
c
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*IOW,: PAYMFNP OF M AT TM pF
aPPLscrMoN noFS Nom oorb-riRM
APPROVAL OF PERI+QT.
INSPnCrioN oF sE, nrro/ox WKM
?STATS.ATroNs wa.t. Nar BE sc,HO>-
UI,ID UMII, PII2MIT HAS BFEN
APPROVID.
P ease Print)
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXI3TIW. SIRLY-MME, DATE OF ORIGINAL H-IILDIIVG PERMZT ISSL'ANCE: '
a - Mon Yearl
I'RF'SEUr 7ANING/PROPOSID C'SE:
? CO.%ME2CIAL/RETAZL/Of'FICE
Q IAII)L'S7RIAL
? INSTIICTIONAL/GOVERI0lEN'p
-1 SINGLE FAMILY
Q R-2 DC'PLEX (4two Units)
? R-3 TOwDIIHOC?SE (Three + Units) ( Units)
? R-4 APARTNENP/CODIDpMINIUM ( Units)
2) ADDRESS:
CITY. STATE, ZIP:
PHONE:_ 7`
3) ? ?: ?•
NAME:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
MASTER LICQVSE#
Stalni`tial
4)
•?• • • ia•
NAbE:
ADORFSS:
CITY, STATE, ZIP:
PHONE:
5) ? r• ? r: • ?• : ? • ? - ?s
El-20NRECPION TO CITSC SE,WII2 NNECTION TO CITY WATFI2 ? OTKMR '
6) ? •'• • i- ? PLFIA.SE HOLD APPRpVID PEE2MIT EC)R PICK-C?P BY ONE OF ABOVE
ea-P4`.ASE MAIL APPROVID PERMIT TO 1, 2 4, ABOVE
?l 11 i • (Circ e one)
?
ACti.Ve
Ebq?ired
Not recorded
7> r ?? u• - *&Z?_ y 16 "
FOR CITY USE ONLY
PERMIT # ISSL'ED
735f z3 ?'
Pd w/Bldg. Permit FEES:
$ $ ?b ? Z) SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLLDE SURCHARGE) ..
$_ ?3' $ WATER METER/COPPERHORN/OL'TSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP "
$ $ l5 CG ACCOUNT DEPOSIT - SEWER
$ $_ / S`, C% ACCOUNT DEPOSIT - WATER
$_ .7,o.O O $ WAC . .
$_ ? 7.S • G U $ sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$- ?•?l 'U ? $ WATER TREATMENT PLANT SDRCHARGE
$ $ OTHER:
S l?2 $ 6 A < G TOTAL
RECEIPT RECEIPT
DOES UTILZTY CONNECTION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
F-1 YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
?.
TITLE:
DATE:
HOTE: ALI.
33
/
1986 BOILDING PERMIT APPLICATION - CITY OF EAG96
MOST BE LICENSSD IIITH THB CIYY OF EAG9N
SIHGLE FAFIILY DiIELLIBGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SIIRVEY, 7 SET OF ENERGY CALCULATIONS
M[ILTIPLS DW6LLINGS - RSSIDENTIAL RfiNTAL iJdITS FOH SALB ilNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRVEY - CHB(K WITH BLDG. DSPT.,
1 SET OE ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCAITECTURAL & STRUCTURAL PLANS,
1 SET OF,SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSC9PE BOND
To Ee Used For: ???? ,Sea Valuation:
Site Address JO/42__ (jcZ)At?,C/L_=c? Qo- { oeFicg o;
Lot '9 Bloek .91
Parcel/3ub (??n??-Tq,?yn
Owner , 1 r=C,..=
Address ?3Ox 30q , ?WY 3 ?o?s?l
City/Zip Code Q??02t"i-?FIL?Lr??Y?1N IW05?
Phone ?7 - (oq S- CLy ?
Contractor Ar,?:
Address
City/Zip Code
Phone
Arch./Engr. SrJVnC'. &? 0"N6Z-?
Address
; . City/Zip Code
Phone #
NOTS: ADDBESSSS F08 CORNER LOTS - C
IS DESIRED. NO CHANGSS iiII.L BE
nate: 4-"S-??
Ereet ? Oecupancy ?3
Remodel Zoning ?
Repair ? Type oF Const ?
Addition # oF Stories
Move Length ?
Demolish Depth
Int.Impr. Sq Ft
Install
APPROVAi.S FESS
Assessments Permit
Water/Sewer Surcharge 311
Police Plan Review /
Fire SAC
Engr Water Conn
Planner Water Meter ?
Council,--,n__ _ Road Unit 2g O ,
Bldg Oi"? bc;?? Treatment P1 ?py
APC Parks
Parianee Copies
3pTAL. ;L- 1 -7
'XI
R/HDMfiOWHEB hI03T.DESIGPATE AHICH ADP'?
ONCE BOILDIHG PBRMIT IS ISSIIED. -
?
Ll C._
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD -
EAGAN, MINNESOTA 55122
SITE PLAN FOR :
COLLEGE CITY
CONSTRUCTION
N BRIAR Ci •K RUA-M-
KIQQGACWg w_n ? ??
towJP
%fll
0
0
O
N
0
U)
L. C-T
a
N 87° 50' 27"E
,
3
N
9CALE I I"= 30'
S 86°30'00" E
PROPERTY DESCRIPTION
LOT-A-, BLOCK-Z, .
LEXINGTON SQUARE
xeord(nq to tha recorded plal tMrsof
DAKOTA cator, Minnesota
LEGEND
:_ S l , ;
o DENOTES IRON MONUhENT PROPOSED (iARAOE FLOOR ELEVATION •/oo.cn
o DENOTES WOOD HUB SET PROPOSED FIRST FLOOR EIEVATION s
DENOTES EXISTIN(i SPOT PROPOSEDBASEMENT FLOOR ° 91.00
ELEVATION ELEVAT) ON
DENOTES PROPOSED SPOT
ELEVATION
OENOTES, DRAINAGE DIRECTION NOTE * VERIFY ALL FLOOR HE{GHTS WITH
?
FINAL HOUSE PLANS
I hersby certify that tAls surwy,plan or
report vros prspared py me or under my
dirscf supervision and Mat I am a duly
Reqistered Land Surveror unda the
Laws of fha State of Mlnnesota.
Bradley e(04nnson, Mn. ROy. Na. 15235
Dafe --
w
o°
0
M
0
?
+ e
?
?
,
, , . ; ? .:.. .. :..:. :.. :. .
? EXTEkIOR-ENVELOPE AYEIIAG6 °u° coMrurnrtu,o=
U4JNER C'044?c? C.IiY COrvS't ?'?q? -
sIre nuulsESS C!Z??I-,L,,._'??
CUN71i11CTUN pa OWNSQ : DA'fE VIIUNE ,5-99-
, Determtne working square footage of cach. ,
1. 7ot,al exposed wall araa'...... sy. ft, x_.?
.2. Tntal ruoP/ceiling area ...... /1`-?? sq. ft. x,,OZ? • 9..[?.?,
.Tntsl exposed wall area above flonr ¦'?9 ? ?? ?
a. Totel wall window aroa ........................... /?0 0 ?
b• 7otel doar area •'..a ...?????????????????????????•
.............?.?•,.
c. Total sliding flless door area
• d. Total f1r•eplnco well erea,....e...... ............
? e. 1ote1 Wnll freminq area (everaya lOx)...:........ ?Z„
t. 7ota1 net wall area above floor .........?.......
p. Totel rim 3oist area ............................ /p-4s, ,
¦ ?? ,? '
•?? Total-ekposed founJaEinn area
h. Total foundutlon window-area.....................
i. 7oa1 net foundation erea abova grada ........:... Q^ .n_
Detennine "U"'value of each wall seyment.
„ , .
??c???? • ,
'A00 X "U" _,,?jr?6 • _...?=?ua- ,
? b, x"u" 17 . s r z
S - -,X "u"--.+5,/-
? a. x MuNsb? • ---
?. I ?n zw X Mu11 y0-/& ? - ILI, qj
1• I7S / w NvM
g. ?? ' x Nu" , a?l• . S I
. II x MVM - - w - -- ?
•
z"u" " o7`7 •_?. 32=- .
3 ? ,WWJ. IJ I
.....................................Totai '
If ltem /3 1s tlte same ase or less than 1lem R1l you have met tlle lntent
of SE4C 6006(c)2. , ,
• , .. , .?, • , r ?•, . , • ,
,,.
J
• . Total..expased roof/ceil ing area ? ?'4 QL?
' 3. Total skylight area...G?6W?n1,(k:.l?2SUhA'??A? -'-10.0
k. 7ota1 roof/cetling framing area (aierage 10%)..,
1. Total net.inswlated roof/celling area..:........ _ /1-"-00.0-'
• Oetermine "U" value for each roof/ceiling segment. ,
,' 1• yQ X"U" Q, dSC
ko . X NuN . ,_ 21 1. ?
. . 1• // 00• A»Vll Q Zli
1
4........' ..........................Total • [?i ' .
If total of 14 ts the sama ds. or less than /2* you have met the tntent of
, SBC,6006(c)l. • •
' Alternate Bullding Envelope Design To utllize the iotal envelope system methods the valucs established by the'
sum of ltems 13 and 04 sha1,1 not be greater than the sum of items /l and 02.
?. t Z. ?
3• • + 4. . e. • ..
??. , ._._..__._._..., . , , . .
__...... , .
' . ? - w..?. .- .. ? .
, .. _. ?_..... , •
r? . ', . . . . , ? ,. . t 1 . . • .
1•
Wl NDoW AIMA : TYPg oF WINDUIN S
46/8" IusvL G'FQSS
Tus wlNOO&u uu'rs 144yt Bt1'4 wra'O re4 "ri'-VAa.aaa, tMIIY Aec Aa 4iHio
AHog [ q?/D /N4y Q! .7.l31{?1??D .?A O?e?4N CSAsL1 VA4N.R. Of ?f;?• G?B`
INCLNDi414 AlR IrILMS, '
La s I/P'i. • I/
FouNnArIW wINDOW AIZEA:
TYPa cf W,NCOw :
TNE- WjNOeW uoonN40L SL" TiSt4D FOR-R' VAU.aLo TN6Y ARt AS trs7LP AaV4- A4D
mey ar As11 tyNLu ^ O&si(jrdCJp'rV ynws e00 •,e"• ?ucwwvfNq
A1R 'I??.?a . .
L{?ta 1/?? • ?? ?r-? FoaM44 i ioefA4t ?
SLIDIFJ4, GLASs QOOR A1ar4: TYPt oP Doort:
S?g INS??rG ?•
?.
5L-ipiaJQ 4 l.qS' 00098 14-441, 6LR14 t1.3tL0 FoR"R=VAL-Maty TN<YAit "?s L''aTiO
ef?1Q.?? Z.B?] ?uc?rnrr.
AbOVl AA10 MAY RlL A3i?yNtip A{j.li#G4QGSAI'8) VAS.141L
419 i14MlS ,
Uy-4 . f/"9, z 1! _? Fo.r)6 4c. - y
DoaR ARF.A :
poor; UNi'tS -HyAYL , bGCni rLsrcv
AlstA b p Of??LGI ..I RNe1
•/Z8
7rPF. oF UOOR ;
-("j+ew.Ao. Ta.tJ
ANa eou.40 ro NAVO AN
Aox
Fmrnrt cXz, yb
?JPEG/ALS ; rYPL :
.---
FaRM L•1 !^AL7Lf? ? ?(L? S1C?NLa __
RiM ? f0,57'' AttE..A;
"R' . VALuE
--L#-4rFRIa? ?tOL fIL M
•6!
9,0 6iusuLArIoN tR-i9 )
2.0 6 Z az SNEAr?uy u1 L-r-.RiTF-
.107 l.?P 5?aif-i 4 _ l2_? -
?, g8 SoFtwoota
-17-fo(TF,R.IO R H fA- r-18-01
24.39 TorA 1iAI-+.Lf
U„?
TaTA? Nxr?4t..^IS?-'?
FOUN O AT ION WNt-t- AREA CAbOvc CaRwalC.)
,. R" yA L u. E.
,to/ INfER1oQ, AfIZ Nr-?1
,i$ 0 G?NtR t' ?'r L7L-oGK.
I C. 7- K 4- 1 S i12t?? ` ?
R.
•?EXTRCIOR, Ala fILM
VoTAL (jwq I/ALLLt
No' 1l9-? v '/ Ia Cjp7=
ro,At "rA44L - -Zf-i-
IbAn 9•1 iahwwi4
potc: 9IwuIa _
/ -
. SruD / FP, AM «,4 AR?.? : . .
.. FJ.,, vALue
? L-SLINieRioR AJR M."
GyO.Sf1M W141.L &DA RO•
/ Jh, 875? sor r wo.o
' Z.Ob
S?aiuc,
VAFbC DAa+cWa.
9r1.AtoR Ai R. IiL.M
0.93 orAL' R...; JA,?.uL. I/'h • 1 i o.e?s .?
,
To rAL PoorAa c'
1N5ILL.ATLo AR9A BGTWLakI 5T6A DS
•'R"- vALu.1.
? . (oitureeioa ^sa fr&.M
' •'?'s L-.GYp3 w^A WAL4deq4O
il
19,a 1115uL AT IQN (R+19 )
Z.ob ?SNRA TN/H4
, b7 sI a i w 4 I.AP
vA vo Ot.
' •i?a.iaM AIN. M6M.
? 'Mjj? p T A 1, Wwu VALLAS-
O.y?•w.. t L22,96 . ?
ToTAL roorAaL ,sq ?
M6i IWW1bIa
uArt: 5-i4vao_. ?.-?--
r
' .. 40iST/ FRA M1I h1.4\'A Rt ik
$R•. vA 4u &
.61 INTERIOR ^IR fILM
.3'T5 3/z sofrwooo -
.S$ _W, GYPSL.I.M WALLboA4D
-- ` vAnvR C+?K?trc?
.17 I N169t IvR. I1IR IiI.M
5135 rvT ^ L " ww, vALu.c
ti,.l z ,/" ¦ I /_5.735 = DIM
7'oYAL FCOA46 -
zwsuiA-rc-o AReA 15crwuN rHL J'WsTs •R• -
, .bl iI?J7mOQ A?K RII.M ¢4-
• • - I#-t?-,00 ?NStI.LA710N C?'?' ?
.S? ?CtYP3LLM WALLD°'q40
V^pR DAsRIRR.
I M n(111 f l(l iNuRIO+t AIR fILM
4.s.3 roTA L vALLL&
I/ 45,310 = o z
'Mr46 roorAor. / 1 7
'.?JM ? ? N/M7b I}i IMTlI SI?Jld??.?-- -
CLAIpf VOUCHER - REFqND REQUEST
? CITY OF EAGAN
CLAIMANT TERENCE DOHERTY
ADDRESS 1042 BRIAR CREEK ROAD
EAGAN, MN 55123
Location 1042 BRIAR CREEK ROAD
L4. B2. LEXINGTON SQUAREI `
Receipt No./Date 84712/6-I5-88 & 84779/6-16-88
Reason for Refund _OWNER CANCELLED CONTRACT FOR POOL
Type of Refund Electrical Permit 01-3211 $ 30.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $ 2.00
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 $
?
Account Deposit 20-2252
, $
Utility Account Over-payment 20-2250 $
Other: gUILDING PERMIT $ 50.00
$
TOTAL $ 82.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
mniF 17 . 1988
Signature Date
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
See instrue4ans br complehm this lorm on back ol vellow copy. 8q?? 9
_?j ?'? 5 "X" Below Work Covered by This Request
AAtl Reu. TVpe oi Bmltlmg APaliancea Wired EqmVment Wved
Home Range Temporary Service
DUplex Water Heater Lightiny FztureS
Ap[ Bwldroq Dryer Electnc Heatui
Commercial Bldy. Fumace Silo Unloader
InAustrial BIAg. Air Conditioner Bulk Milk Tank
Farm Iher DCG y .thpr (Spor,ily)
[ nr SUeufY ther Olh, r
tl Fee ServiceEnlfeneeSiza !1 Pea Feadere/5u paders IX Fae Crtcuits
U to 200 Am s 0 to 30 Am 0 tn 30 Am s
Above 200 Amps 37 to 700 31 to 100 qm s
Swimming Pool A ove 100 s Above 100_Amps
Transtormers Ir aY n ms ParLa6 Other Fee
ai
S 30•5 DITOTALFEE
I ..v..v?-??? II. the Elencl I
Inspector,ctM1eraaby
cerbW tlwt the above
Final Oate insOaction hes bean
I ?aa.
rnia,eaumt wia
^This repuest void
18 months from
E 1'? Q r,jr? r?.o
-? -- -- ?-?-- - ? - - - //- -c '
Rzquest U e \ . F re Rou
ph- n I pectmn
RenmreA?
?Ready Now ?W??? NouFy Inspec-
\
1 ?
Ves No [or When ReadV
O Lroedsed Electnca ConVect? 1 hereby requeat ins0ectfon of a0ove
Ow?er eieclrical work iastalleA at
Svee3 Atldress Boz r Rou o. Crt
ecl? n o. To nship Nam or No. flange No. Co ?ylty ?
? ' l?-l
t IPRINTI Phoi No.
r - 30
r e
Pq`?ryer Suppl?
1 l
L AAtlress
4
trac[or (COmpany Name) '
Electncal Co Gonlra
lor's Lfc?:nse No.
i
N 4 l
N A
Madmg AAJress IConvactor or Owner Making Instailationl
'5 ?41de,
Authorved SiBnature (COnrtactodOwner Makine bistallation) Phnne Number
MINNESOTA STATE BOAflD OF ELECTRICITV TMIS IrvSPEGl10N REnUESf WILL NOT
Griggs•Midway Bldq. - Room N•181 BE ACCEPTEO BY THE STATE BOARD
1921 Univeraitv Ave.. St. Paul. MN 55104 UNLESS PflOVE R INSPECTION FEE IS
ENCLOSED.
vn.,..o 16191 wa9-axoo
:E ?55
REQUEST FOR ELECTRICAL INSPECTION ,
1 See instructions for completing this farm on back of yellow copv.
"X" Below Work Covered by This Request
,r. EB-00001-06
?4177?
New AdrJ RbP. Type o1 Building Appliances Wired Equiumenl Wireti
Home Range Temporary 5ervlce
Dupiex Water Heater Ligfitin,y Fixtures
Apt. Building Dryer Electric Heatin
Commercial Bldg. Furnace 511o UnlaEider
Industrial Bldg. Air Conditioner Bulk MiIk Tenk
Farm oiner pecify C'ther ISuor.ifyl
: ther peti y Othcr p
lt_- Oth?r
[ Cmmoute ln.snectron Fee Re/nw t\
q. Fee ServiceEntranceSize fee feeders/Su ee
des Circuits
U to 204 Am s 0 to 30 qm 6 to 30 Am _?s
Above 200 Amps I 31 to 100 i 31 to 700 Am?.>s
Swimming
Pool
At)ove 100 a
Above100_LmPy
Transformers Ir i,gat on orn Partial, Other Fee
Signs Sp ?cia spec TOTAL FE
Remarks
?j
E
f
Rough-in
Final
-
± `
1?u
ate I, the 619Ctricel
IaSpeCtof, hereby
cerlily lhet the ahave
inspectioo has been
made.
Thia raquest vold 18 montha Irom ) \
1
?Thisre4uestvoid,?,/?6,/gy -- - --•---? ...? ?.,.._-_ - `. d'?(rf?7
18 months irom
E
Requesi g e T re-109'
? RovAh-in l per.tion
Required? ;
DReady Now? Wiil Noiity. Inspec-
h
?Yes: N?? Ior W
en Roady
QLic 'sed.Etectric Contrac or i hereby,.request ineDection of.a6ove ? Ow?r ?` • electricAl vJork idstalled?at:
Siro t Address, Hox r Ro o. Cit
ect on o. 7o n3hiQ Nam or o. Ranga Mo. Co r?iy
?
?
p- t IPRINTJ
Qf- Ph No,
F .
??A e____
e{
4s-z 3o
P r Supplier
' -
13 Address
?
-E
. .
s
.
Electrical Contracior (Gompany Name) Contractor'S'LiGense No:
Mailing Address IContractor or Owner Making InstailationJ'.
Authorized Signature (Contractor/Owner Making Installation) Phone Number
MINNESOTA S7
Griggs-Midway
1821 Universic
Phone (612)6-0
BOAFD Of ELEGTRICITY
. - Ronm N-191
e.. St_ Paui, MN 55104
00
TH15 INSPECTI0IV REQUEST WILL NOT
BE ACCEPTED SY TFIE,STATE BOARD
UNLESS PROPC-R INSh15CTVON FEE IS
ENCLOSED. - -
. . . .. .a : . . .. . ;_
jo CITY O?' EAGAN
Pllot Knob Road, P.O. Box 21-199, Eagan, MN 551
PHON E: 454-8100
BUILDING PERMIT Receipt #
00,
To be used for Est. Value $3*00U Date
Site Address .t. ..
1.042 BT11A^F fifti
Lot Block 2 Sec/Sub.
Parcel No.
ac Name 11Flti?:? ANN
z Address I?` ^' iA'
? City F111(7-v'" Phone
o Name SR??,}E ?
,
? Q Address
I' City Phane
Address
I hereby acknowledge I
information is correct i
M i nnesota Statutes an.
Signature of Permittee
A Buildino Permit is iss
have read thi pplic.
igree to co ly with
all
I
19 1
vrrii.c tia= vFrLr
On Site age Occupancy
MWC ystem Zoning
O ite Well (Actual) Gonst
ity Water (ACiowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit
Planner Surcharga 9 • '?
Gouncil ? Plan Raview
?
Bldg. Off. SAC, Ciry
Variance SAC, MWCC
Water Conn.
ater Metar
Road Unit
Treatment P1
PA46 l oi7i£$
TOTAL ??
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric ` ? ?c_
?
Softener
Inspection Date Insp. COmment8
Footings I
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert. Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD •
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
CnLLEGE CITY
CONSTRUCTION
x BRI R ? I „
? .
.3527 ' 43.57
..
N• ??--
, ..
N
t 7--•----- = I
. ? ... .? ? I
....
., W
0 9CALE ' I"= 30'
?
o ` o "
-^--- ^' ? ?'
I
L.GT LOT 4 ? LOr
? (?--------?? .3
N87°50'27"E S86°30'00"E
PROPERtY DESCRIPTION
, LOTA? BLOCK2L,
LEXINGTON SqUARE
xcordlnp to tM neardsd plal 1Mnet
DAKOTA cwmr MinMsda
± S 1 , ; .
E
? i
o OEMOTES t
0NUMNT
e DENOTES YVOOp INIg SE7 PRpp09Ep WjqAO' OOq ELEVATION• Iomn
PROPOSED FIpST ppR EIEVATION •
DENOTES E%18TIN0 9POT PHOp03EDM8EMENT FLOOq
DENOTES pROppSED SPOT ELEVAtIqI
? OENOTES DRAINp? ?DIREC710N NOTE ? VERIFY ALL fL00p HEIGHTS WIiH
°
i1NA1. HOUSE PU1N8
I MnM eortlff 11qf IDN wnY?Plan or
r6pert re? pripand p?r? er uiMo my
diner i
' `
?
u
pervbieo md Mal 1 am a duly
Re?stwed L'and SurviyoF nndv IM &edlnY iA?eb, Mn. (ti{? Nb. b23s
larrs of thd Sfala bf Mlmioefu ' Deb:,?L?/B6 ,
C ( ? I V
1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, FJ4GAN MN 55122
651•681-4675
NewConsWetion ReaviremeMs
• 3 registered sde surveys shoanng sq. ft. of lot, sq. ft of Muse; and all roofed areas
(20% mazimum lot eoverege allowed)
. 2 mpres of plan showirg beam 8 window s¢es; poured found desgn, etc.)
. 1 sel of Energy Calculatians
• 3 cropies of Tree Praservation Poan'rf lot platted aRer7N/93
• Rim Jaist Dehail OpUans seledion sheet (bldgs wifh 3 ar less unds)
DATE <-74lA/E ?/ d3GYJ?
RemodeVReoair ReauiremeMs
. 2 copies of plan
. 1 set of Energy Calculelions for heated addillons
. 1 site survey for Bxterior add'Nons & dacks
• Indicate if Mme served by septic syslem for additions
VALUATION 'f"
SITE ADDRESS./DS<<ZodQ/AWL'QE_{G".PGl,fD9m r MULTI-FAMILY BLDG _Y ? N
-
TYPE Of WORK ;15? ?4= 41?/? FIREPLACE(S) _ 0_ 1_ 2
APPIICANT Taylor Brock Corporation
STREET ADDRESS 3501 Lyndale Avenue South, Suite 102CITy Mpls STATE MN Zip 55408
TELEPHONE # 852.888.2000
CELL PHONE # 612.221.4000 FAX # 612.822.7000
Mn State License # 20175079
PROPERTY OWNER ?P.61/'a1O /A4/1a1v2E 4111kio/M TELEPHONE # G+S/- 5?52-23a3
COMPLETE THIS SECTION FOR °NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY MINNFSOTA RULES 7670 CATEGORY 1 MIN q?t? ?7?i
• y??ode orksheet
(Jsubmission qpe) . Residential Ventilation Category t Worksheet Su6mitted N
• Energy Emelope Calculations SubmiNed p J U N 0 7 2002
Plumbing Contractor. Phone # IBv c " I
Plumbing system includes: _ Water SoFtener _ I.awn Sprinkler Fee: $90.00
_ Water Heater _ No. oF R.I. Baths
_ No. oF Baths
Meehanical Contractor. Phone #
Mechanical system includes: _ Air Conditioning Pee: $70.00
_ Heat Recovery System
Sewer/Water Conhactor. Phone #
-° -----°----------° -------°---------- °---------- • - °---° ° ----°° °---------^---------... °---°--- -------------° -
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances, ,
5(gnature of Appllcant ???
AVJ 4!F ('-
OP'FICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4I02
6518483867 02:02:18 p.m. 12-12-2014 1 /1
Use BLUE or BLACK Ink
�-----------------�
� For Oiflce Usa �
Cit of�a a� ' P°��`�: `�� '
J � ' � ° � '
3830 Pilot Knob Road � Pertnit Fee: �
Eagan MN 55122 I I
Phone:(651)675-5675 I Date Received: I
Fax:(651)6755694 � �
� Statt: �
------------------
2014 MECHANICAL PERMIT APPLICATION �
❑ Please sub it two(2)sets of plans with all comme�ciai applications.
Date: �� `� I Sits Addreas: �� I-� ����r{'-�-� I��� ��-�'1� �V I/�1 �S�� �
Tenant: U-� -�� Suite N:
R9sld6�t/OWl1e1' Name: � Phone: g S 2�`f�7-7:��
Address/City/Zip: �. � Q/1 � J� 2—Z
Name: License#:
` Contractor . ` Address: cicy:
State: Zip: Phone:
Contact: Email:
New �Replacement Additional Alteration Demolition
'TXps pf Wprk ' Desc�iptlon of woric:
NOT�c Roof mounhd end ground mountsd tnrchanlcAl squlpn►snt Is"
Codf. PI�conteCt N�e Mschanl�cal In� �9ulnd tA b�scn+�ned by.Clty.
;: . p�cbor fot+InfotmaUor�o�'p�rmltEs41'scl'e0ltfn�.msfhods,.
RESIDENTIAL COMMERC/AL
�Fumace _New Construction _Interior Improvement
PA�mit T —Air Condilioner _Install Piping _Processed
� :
_Air Exchanger � E�Rerlor HVAC Unit
_Neat Pump Under/Above ground Tank �Install/_Remove)
Other
RES/DENTIAL FEES
560.00 Mlnlmum Add or alteration to an existing unit(includes$5.00 State Surcharge) j�
s100.00 Residential New(includes$5.00 State Surcharge) _$ V TOTAI.FEE
COMMERCIAL FEES Contract Valus$ x.01
s55.00 Permlt Fsa Mlnlmum
;70.00 Underground tank Installatlon/removal =$ Permit Fee
'If contnct value is LESS than$10,010,Surcharge=$5.00 =$ Surcharge•
"If contract value is GREATER than$10,010,Surcharge=Contract Value x$0.0005
"'If the project valuation is over$1 million,please call for Surcharge =s TOTAL FEE
I hareby acknowledga that thls Informatlon is complete and accurate;that the work will be In conformance with the ordinancas and oodes of the Cky of
Eagan;that I undersfand this Is not a pertnit,but onty an applicaGon for a pem►It,and work Is not to start withoul a pertnit;thal tha w+ork wlll be In accordance
with Ihe approved plan In the case of work whlch requires a revlew and approval of plans.
x �—�""`^ ` ' " x
ApplkanYs P�Intsd N AppllcanCs Slgnatun
FOR OFFICE USE
R�qulrod Inspsctlons: Rwlsrwd By: Dab:
Underground Rough In Afr Test Gae Servk;a Test In-lfoor Heat Flnal HVAC Screeninp
Use BLUE or BLACK Ink
� � � . . � . . . �r----------------"'� ..
I For Office Use �
) // _ I
C' � Permit#: / ���/ 4�' �
�4y Ol L���11 I Permit Fee: J�- � I
3830 Pilot Knob Road � �
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � � Site Address: 1a�a" �f`�`(^���' lr rCQ.��-� �tX Unit#:
���� a��'��
��� �� Name: Phone:
v � �'tl� �
,; \ �� � Address/City/Zip:
� �
� �* h ' � Applicant is: Owner Contractor
,���. s,
�
��� ���"'°��" Description of work: ��Y`6��.
4��fl�'� �
� � �
� =�,� , ,����� Construction Cost: � � Multi-Family Building: (Yes /No }
��� / �
�� �� � � Company: ��E. r C�, 1�CV�:�ontact:
�
���� � � �� '0� 1�+' �.. �iJ Q. \ \`, —
� Address: City: � V'� ���
��tl�i�C�C'�4t"��
s ��� � �� � ���� �� �
�%�� State: v"1 Zip: ����1 Phone: U "a��maiL
�� ��; Q�q
�� License#: � �i�� �0"4� Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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: Phones ;
Sewer�Water Contractor: Phone: I�'
Fire Suppression Contractor: Phone:
����"�`� ��'�����stt���' �+��► t��� � ' ��� ���� ' #� � ��fic�n��
,� ��. � �v a� , _ '' ��`� `C P� � ���'3 � ��,�,���/'a �::'� �& .
7
+�rmi��m � e c7 �s� �� �� ���t���'+� � ��" ` �� ��'���`�
: ��\ ��. � : ' �ys��t'" y, .. .. �r �� �/�� g � �`F�"� .. � ) '� fx.„�t��c.�?
s \� �.. ,�,h��..`' �ri/ll� .��.'. �,�*�.-� ,f��?� �'3?c��. "�`,.,-,z; �y,,+'.�� �: v����\�.�,. �'��° .a� �
,.� �. .,�
CALL BEFORE YOU DIG. Call Gopher State One Call at(657)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.or4
I hereby acknowledge that this information is complete and accurate;that the work will be in confoRnance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permitissued in accordance with the Minnesota tate Building Code must be completed within 180
days of perm' 'ssuance.
,
X ,�.�.�j� ..� ��.'./'l . X 4 . . ""' �./ . .
v+ �
Applicant's Printed Name ApplicanYs Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA176751
Date Issued:05/31/2022
Permit Category:ePermit
Site Address: 1042 Briar Creek Rd
Lot:4 Block: 2 Addition: Lexington Square
PID:10-45075-02-040
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 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 -
Gregory M Owen
1042 Briar Creek Rd
Eagan MN 55123
Standard Heating & Air Conditioning
130 Plymouth Ave. N
Minneapolis MN 55411
(612) 824-2656
Applicant/Permitee: Signature Issued By: Signature