1050 Briar Creek RdINSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
i a .'I:K. Itit
PERMIT SUBTYPE:
PERMIT TYPE: ? ? ?+ r
Permit Number:
Date Issued: 11 `I } ey r
APPLICANT:
TYPE OF WORK:
1)14`7: R1)1; 1 1 0t4
I 1 1. 1? F'1 t t)II
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
r;? 4`1"*AVA1'1:' F'P:H'h1t'?`j AVE W-01IIUEI) r oft PIBl'i t1.11:TP( Al 1-ir:l?t!•
--- - - - - - - - - - - - -
Permit No. - Permit Holder Date Telephone #
ELECTRIC $ / ' 9 f > ,1
h U ??,?, 3 / ? vr5 °°
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL yl rG?
GG /
r"'?".l
DECK FTG
DECK FINAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilotnob Road r ;;.
P. O. Box 1199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: n No. of Units:
Owner: •`.'-1 ;. `': .u :.d CuL'1y]Fst3Y
Address:
Site Address r'te' 1ri T {'.ZFS-a?:
Plumber: -c} ,-' "'?ttr!`?r? a
Meter No.: Connection Charge: 500.00 d
Size: Account Deposit: 15.0t0Rcd
Reader No.: Permit Fee: ?.?: • ,Opd
I some to own* with the City of Eagan Surcharge: 51)pd
OrdMenne. Misc. Charges: 1 Sn • {??-t"? 'I"t'
Total: { 'r: r a?nr
By Dote Paid:
Date of Insp.: Insp.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pil Knob Road
P. 0. Box'21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: - F -j Na of Units:
.:> i f a tr
Owner:
Address:
Site Address: 10511 € r r Creel" [waist ;.t Th ===x a ? ra,? ?. _
Plumber: _ Nl,clkeiE?on ri.a. :bin
100 cone
pree to Ooaply With the City of llogo. Connection Charge: 4"',
OndIII.neee. Account Deposit: "j i 43
Permit Fee:
Surcharge:
By Misc. Charges:
Date of insp.: Total:
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PHONE: 454-8100
BUILDING PERNrtT
To be used for SF DWG/GAR Fat Value $107,000
Site Address -
Lot b Block
Parcel No.
THE
Address }' • _ • BUX
City OSSEO Phone _
MN 55121 i 2 . 12370
pt #
JULY 29 19 86
.,xe;Jan nu Erect tJ Occupancy
LEXINGTON SQUAR model ? Zoning
Repair ? Type of Const Vrl
Addition ? No. Stories
D CO Move ? Length 48
3 Demolish ? Depth 4-S
71-0304 Int. Impr. ?
t
I
ll ? Sq. Ft.
ns
a
Name SAME Approvals
Address
City Phone Assessment
Water & Sew.
Police
Name Fi
re
Address E
City Phone ng.
Planner
Council
?by acknowledge that I have read this application and state that the
ration is correct and agree to comply with all applicable State of
esota Statutes and City of Eagan Orslicances. Bldg. Off.
APC
'T Var. Date
E.a..1 /
Signature of Permittee
r- I
A Building Permit is issued to: THE
- all work shall be done in accordance with all
Permit P `SJV. JV
Surcharge 5 .'50
Plan Review. 25.2 5
SAC 575.00
Water Conn. 500.00
Water Meter 6350
Road Unit 290.00
Tr. PI. 156.00
Parks
Copies
$2 , 313 .75
on the express condition that
City of Eagan Ordinances.
I
Permit No. Permit Holder Date Telephone #
Plumbing 7 5 ] f _ b? ? T
NNA.C. 171-j 3 ?I l?J. tr ` y
Je?
Electric I
.C. C5
i.l r (e `
/C ! rJ
162
7 C L
Softener
Inspection Date Insp. Comments
Footings I / . 2 3 t r 2
Footings 11
Foundation ?- ,
Framing it A(
Roofing
Rough Plbg.
Rough Htg. D,(••
Insul.
Fireplace
Final Htg. In
Final Plbg. ?" -_ G+ }
Bldg. Final `L c pl.
CerL Oct.
Deck Fig.
Deck Frmg.
Well Describe Location:
Pr. Disp.
PERMIT # 7 5
7 S^
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
Site Address L'
Lot to Block
Name Vs<_C 4'E ` L
c City e:r t ri Phone
Name
Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
11 BEYOND $1,000.00)
FIXTURES
r Closet - $3.00
Tubs - $3.00
Tory - $3.00
Jer - $3.00
en Sink - $3.00
WORK DESCRIPTION
New
Add-on
Repair
-$1-50
Fl
BLDG. TYPE
Res. x
Mult
Comm.
TOTAL
G'
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
3 Rough Openings - $1.50 L-
FEE:
STATE S/C: ' S v
GRAND TOTAL: J C?
IT7
PERMIT # 3
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CO NTRkT PRICE: PHONE: 454-8100 /
Ste Address 10'76 C! C BLDG. TYPE WORK DESCRIPTION
Lot Block l-, Sec/Sub
. Res. New
Name IOU' a l 4 • is
?+ Mult
Add-on
Address Lr
Comm.
Repair
2 City ;: 1 I Phone Other
":zip= 7
Name f t. ?i d i+ <<
c Address = -%
p City Phone
TYPE OF WORK'
Forced Air M BTU $
Boiler M BTU
Unit Heater - - M BTU
Air Cond. M BTU
Vent. CFM $
Gas Piping Outlets #
Other
FEE `
S/C:
TOTAL-
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN
'3830 Pilot-Knob Road, P.O. Box 21-199, Eagan, MN 55121
Y .. PHONE: 454-8100
BUILDING PERMIT Receipt#
" $1, goo i-iARCII 25
To be used for Est. Value Date ,t9
m Nan
Add
City
Block Sec/Sub •i'.
'l-UN On Site Sewage _ Occupancy
-
. _____
,k ..
MWCC System -
Zoning
On Site Well - Type of Const
City Water (Actuan
9 CA1 '! 71JLKE
- (Allowable)
i _
, # of Stories
S
58$ Len
th
r g
Phone Depth
F
Total
S
PS IN , .
.
Footprint S
F.
e
.
ess
# tR , APPROVALS FEES
Aj tt'ctne
Assessments
Permit
Water/Sewer _ Surcharge
e Police Plan Review
ess Fire _ SAC, City
Engr. SAC, MWCC
Phone Planner _ Water Conn.
Council Water Meter
acknowledge that I have read this application and state Bldg. Off. _ Road Unit
iformation is correct and agree t o comply with all applicable APC - Treatment P1
Minnesota Statutes and City of Eagan Ordinances. Variance _ Parks
Copies
e of Permittee 1 TOTAL
A Building Permit is issued to: on the E
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of
Permit No. Permit Holder Data Telephone #
Plumbing
H.V.A.C.
v
Electric
Softener
Inspection Date Insp. Comments
Footings l
33
?
Footings II
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Pfbg.
Bldg. Final
Cert. Occ.
Temp. LP
Deck Ftg.
Deck Frmg.
Well
Pr. Disp.
c7-7?-52 PERMIT #
MECHANICAL PERMIT RECEIPT # CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: f - 3
CONTRACT PRICE: PHONE: 454-8100
Site Addr I r1ar -r. r BLDQs TYPE " WORK DESCRIPTION
Lot Block Sec/Sub f-, •?_ ;?. _.,
Res. V New
Name nnooa sco
m Mult Add-on
Address i N, - R, cf Y x
Comm. Repair
c City - I s ., ' 5 4c7 3 Phone 3 A^ -5 334
Other
Name _
3 Address
O City -
Phone
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other r v <> r-
FEE:
S/C:
TOTAL.
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
1.
W t f .Lr b M' aX, ?n1?
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
.3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
:ONTRACT PRICE: PHONE 454-8100
iite Address n '
t
i f±i LDG. TYPE
i_?;_ WORK DESCRIPTION
Block
.o Sec/Su b? _..
X
R N
X
Name R721 ZW nr' q;" !5': C" es.
l
M ew
Add
7
' u
t -on
jKPW
Address 700
? m
h
v ¢ •
C
R
i
.' 40 •
- 1
?
" omm. epa
r
c city
, • Phone Oth
er
CC
0
Name -
Address
City -
Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other n s t. =1t1
FEE:
S/C:
TOTAL
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
3830 PILOT KNOB RC
CONTRACT PRICE : C C ( , -- PHONE:
Site Address
Lot Block Sec/Sub
Name ;, ..
Address
City) Phone - "
J . r
Name L!
Address Y'
p City ^ ~? Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
BLDG.
Res.
Mult
Comm.
Other
PERMIT # '
RECEIPT #
DATE:
WORK DESCRIPTION
New -
Add-on
Repair
NO. FIXTURES
Water Closet - $3.00
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
--L -Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
TOTAL
$
CITY OF EAGAN GRAND TOTAL,
CITY OF EAGAN Remarks
LEXINGTON SQUARE 6
Addition Lot Blk 2 Parcel 10 45075 0{0 0?
Owner Street 1050 Briar Creek Road State Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK 8-5 254.53 16.97 15 254.53 C009715 10-12-84
SEWER LATERAL ben trk 1986 173.65 11 -58 173.65 C010059 1-28-85
WATERMAIN 90 1986 68.33 C010059 1-28-85
WATER LATERAL
WATER AREA ?86- 10
9L 1
5 286.43 C010059 1-28-85
. -
--
K
STORM SEW TRK 7q 1986 501.29 33.42 501.29 C010059 1-28-85
STORM SEW LAT 1986 513.81 34.25 v; 513.81 C010059 1-28-85
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN,
BUILDING PER.
SAC
PARK
CITY 0GEAGAN WATER SERVICE PERMIT
38FHot Knob Road 771
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: - 21 No. of Units: 1
Owner: Rottlund Company
Address:
Site Address: 1.0-50 Briar Creek Road Z~ B2 Lexington Square.
Plumber: A14 c7colson Plumb x .
Meter No.: SZ 1an 500.00nd
Size:" c 15.0 Q d
10.00pd
Reader No.: BO)", EPfF
I ear.e to ..aply WA tM City J¦ Su r • S J
QU I F
0L Total: 63 . 50n i m r ete
By Dote Paid:
Dote of Insp.: Insp.:
/o - / - 7(
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N2 12370
BUILDING P PHONE: 454-8100 Receipt s 6?7/
FrRMIT o,5
Tobeusedfor "SF DWG/GAR EstValue $107,000 Date JULY 29 19 86
Site Address 1050 BRIAR CREEK RD Erect rI Occupancy R3
LothBlock 2 Sec/Sub. LEXINGTON SQUARSmodei ? Zoning R1
Parcel No. Repair ? Type of Const. Vn
Addition ? No. Stories
I THE ROTTLUND CO
Name
c Address P.O. BOX 383
city OSSEO Phone 571-0304
o Name SAME
0 a Address
City Phone
a
w W Name
3
u Address
Z
Phone
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 of Eagan
Signature of Perm...---
A Building Permit is issued to. THE ROTTLUND CO
all work shall be done in accordance with all applicable Sjpte of Min so
Move ? Length 48
Demolish ? Depth 45
Int Impr. ? Sq. Ft
Install ?
Assessment
Water & Sew.
Police _
Fire -
Eng.-
Planner
Council
Bldg. Off. 7/24/86
APC
Var. Date
Permit $ 450.50
Surcharge 53.50
Plan Review 225.25
WaterConn. Duu.uu
Water Meter 63.50
Road Unit 290.00
Tr. Pl. 156.00
Parks
Copies
Total $2,313.75
on the express condition that
and City of Eagan Ordinances.
Building
CITY OFEAGAN N_ 13378
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
` PHONE: 454.8100 7 AI4
BUILDING PERMIT Receipt To be used for DECK Est. Value $1,900 Date MARCH 25 g 87
Site Address
1050 BRIAR CREEK RD
Lot 6 Block 2 Sec/Sub. LEXINGTON
Parcel No. SQUARE
Name GARY ZILKE
3 Address SAME
G City Phone 681-9100
o Name MARK STRELNIEKS
of Address 8878 PINE BLUFF CT
u, City EDEN PRAIRIine 937-2892
City
I hereby acknowiec
thatthe Information
State of Minnesota
Signature of Permittee
A Building Permit is issue
all work shall be done in a
Building Official
Phone
A(hav a ppl i ion an state
?ta pl thalla licable
B
K STRELNIEKS
a:
ordance with all applicfle State of
OFFICE USE ONLY
On site Sewage - Occupancy
MWCC System Zoning
On Site Weil - Type of const
City Water (Actual)
(Allowable)
* of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Assessments
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
FEES
Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
_> Road Unit
Treatment P1
Parks
Copies
TOTAL
$35.80
1 On
50
$-37- JT
on the express condition that
Statutes and City of Eagan Ordinances.
OFFICE USE ONLY This request void 18 months from validation date printed in is box.
dV
111111 IIli1111111ll ll (III l II 1111111 I11?IIko/sa- - $(
C?
s 0 4 4 6 2 5 8 6 PLEASE PRINT OR TYPE e! e?
779/ Rough-in in spection required? Yes ? No Inspection Other Than Rough-n: ? Ready N. 0 W II Call
1 You must coil the inspector whe Cab Read
I. Jicens contractor ? owner hereby request inspection of the above electrical work at:
Job Address (Street, Box, or Route No.(
s 0 RoRv+- L../c
- City Zip Cde
Section No Township Name or No. Range No Fire No
Orsapont f
.../AAIE
/E .. Ph.m, No
683-
30°
9
P rSupplies
h1c?-rr? - Address
?o aae s . ,..xvcia ..1
Electrical Contractor (Company Name(
-
4?
: Contractor license Na
'0
r
c
- Master tic. No. (Plant Elea. Only)
r,Q r -
sr ?
Jc. t
,?
.
Mail 3? roc or Owner Performing bstallanonl 1
t,I(Jt 6 r fC P *o /3 /kEA/,no - l'{4s ?W
Author' re (Conk, Qvnes Performing Inslallalion( No
EB00001 A l 1 8/96 STATE BOARD CO" - SEE INSTRUCTIONS ON BACK OF YELLOW COPY
/? 9/9 7
z
446-258
S.
IS REQUEST FOR ELECTRICAL INSPECTION
Minnesota State Board of Electricity
1821 University Ave., Rm. 5-128, St. Paul, MN 55104
Phone (612) 542-0800
-me Duplex u A t. Bld Other: New Addn
Commercial Industrial Farm od Re it
Air Cond. Htg. Equip. Water Htr. Load Mgmt. Other:
D r Range Elec. Heat Temp Service
"X" above the work covered by this request. Enter remarks in this space and on the back of the white copy only.
Calculate inspection Fee - This Inspection Request will not be accepted without the correct fee:
Other Fee Service Entrance Size Circuits/Feedem Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 100 Amps
Street Ltg./Traffic Sig. Above 200 Amps
ve Amps
Transformer/Generator INSPECTOR'S USE ONLY TAL
Sign/Outline Ltg. Xfmr.
s
Alarm/Remote Control
Swimming Pool I hereby ceeR that I in ted the elechkol costa aril on de:ar m the dares "tared
Irrigation Boom Rov9h n Date
ecial Ins
ection
S
N p
p
lyvestigative Fee
THIS INSTALLATION
S-,
AV RE O
D
Final _
I
RDFRFO DISCONN _TFD OT COMPLETED WITHIN 19 MONTHRAIIIIIII
This request void ?0?6 o2/p
18 months from
[51056L(,o
.
?0 9,V
Q. ?. 7'7. do
r........o.__.._..
y q n0tl> ?Reatly Now ill Notify InSPec-
I6 -? ? o ,Yes ?No for When Ready
? Licensed Electrical Contractor I hereby request inspection of above
? Owner electrical work installed et:
Street Address, Box r Route No.
S i but
lG City
action NO, Township ame or No. Range No. Co
Occ t 1PRIN ) Phone No.
Pow Supplier Address
Elec I Contractor (Company Name) . Coniracto s Lice'n"se
Mailing dr s (Coot=acts r Owne aki Instai au on)
?1
/
Autho ' on)
d Signature (Contract caner Making Installati Phone Number _
MINNESOTA STATE BO RD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Gri9BS•Midway Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
MN 55104 UNLESS PROPER INSPECTION FEE IS
1827 2) Ave., St. Paul.
Phone (61 (612) 64 842-06000 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION gft ES-00001-05
6°nlkL , See instructions for completing this form on back of yellow copy.
r r,1 (1 a "X" 8elow Work Covered by This Request 99
F"AQyl Hap.l. Type of Building I Appliances Wired I Equipment Wired I
Mi
g Fee Service Entrance Size ft Fee Feeders/Subteeders p Fee Circuits
0 to 200 AMPS 0 to 30 AMPS to 30 Am s
Above 200 Am 31 to 100 Amps 31 to 100 Amps
Swimmin Pool Above 100 _Am s Above 100_Am s
Transformers Irn tion Booms Partial/Other Fee
TOTAL
1. the Electra
Inspector, hereby
certify that the above
inspection has been
made.
This request void
S7 1 L RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 1 L a's
651.681-4675
New Construction Requirements RemodelMReoair Reauirements
• 3 registered site surveys showing sq. If. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) • 1 site survey for exterior additions & decks
• 1 set of Energy Calculations • Indicate d home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1/93
• Rim Joist Detail OOptions selection sheet (bldgs with 3 or less units)
DATE -zZ- -JZ?
SITE ADDRESS
TYPE OF WOR
APPLICANT ?i? /SSP I G ??wduti S
STREET ADDRESS
TELEPHONE #? CELL PHONE #
PROPERTY
VALUATION COv rv
y elk;e_
,ULTI-FAMILY BLDG Y _
FIREPLACE(S) - 0 - 1 - 2
FAX #
TELEPHONE #
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY i MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category I Worksheet Submitted J • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ___
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
Air Conditioning
Heat Recovery System
I hereby acknowledge that I have read this application, state the
with all applicable State of Minnesota Statutes and City of Eae
Signature of Applicant
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
Phone If
Lawn Sprinkler
No. of R.I. Baths
Fee: $90.00
Phone #
rn?,7NCv ?' i l L
Phone # 2 2 2C22
is correct .ion ree to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required -
Updated 4/02
?(q I CITY USE ONLY
PERMIT #: " / r 75( RECEIPT DATE:
2002 RESIDENTIAL MECHANICAL PEWIT APPLICATION
CffY OF EAGAN
3$30 PILOT KNOB RD
EAGAN MN 55122
651-6$1-4675
Please complete for: > single family dwellings
townhomes and condos when permits are required for each unit
Date:
APR 2 5 2002
gy
SITE ADDRESS: /n:5'0 Srfa /^ Ci cev
9/60
OWNER NAME: (_/_/eel, TELEPHONE #: -
INSTALLER NAME: TELEPHONE #:
STREET ADDRESS: 165E cnt cr 6;41e Z
CITY: L Q Ct,,v STATE: /-70u , ZIP: ??Uo5 r
Place a check mark next to the permit work type
Add-on, modification or alteration to existing dwelling unit $ 30.00
• furnace replacement
• air exchanger
• air conditioner
• other
G
Nature of work:
State Surcharge $ .50
Total $_
SIGNATURE OF PERMITTEE
1/02
PERMIT
CITI! OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
BUILDING
029599
03/19/97
SITE ADDRESS:
1050 BRIAR CREEK RD
LOT: 6 BLOCK: 2
LEXINGTON SQUARE
P.I.N.: 10-45075-060-02
DESCRIPTION:
5uilding}-..Permit Type
Building Work Type
f?Censue Ctode:
BASEMENT FINISH
ALTERATION
434 ALT. RESIDENTIAL
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR PLBG & ELECTRICAL WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.50
CONTRACTOR: - Applicant - ST. LIC OWNER:
PAUL LEMKE CONSTRUCTION 16865186 0003550 ZIELKE GARY
1924 COVENTRY CT 1050 BRIAR CREEK RD
MENDOTA HEIGHTS MN 55118 EAGAN MN 55123
(612) 686-5186 (612)681-9100
b
3r..
I hereby` acknowledge that f 4a've read this,4pplicationand state that the
information iss correct and `agree' to" c'omply'-uith.alf` applicable 'Sta'te of Mn.
Statutes, and City of Eagan trdtnarices".
,l p(Qrb-?
LICANT/PERMITEE SIGNATURE ISSUED BY. SI NATUR
1997 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN/i,?
3830 PILOT KNOB RD 65122
681-4675
New Construction Reouirements Rernodel'Reoalr Recuirements
• 3 registered site surveys • 2 copies of plan
• 2 copies of plans (include beam & window sizes; poured Ind. design; etc.) • 2 site surveys (exterior additions & decks)
• I energy calculations • 1 energy calculations for heated additions
• 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: ?E7 CONSTRUCTION COST: /(• 5•
DESCRIPTION OF WORK: SM!JT 1 N t S N
STREET ADDRESS: AA ('.R.
LOT td BLOCK o` SUBD./P.I.D. #:
PROPERTY
OWNER
Name: 6A rz.4 1TMJE Z, E uL Phone #: L(Q I - 9/00
„a.
.Y6t
Street Address: /O sr? i3 K A t (> pEE/-- 9n .
City: C/F6,4 u State: /4M Zip: 5-S-/ 7- 3
//?? Tin
CONTRACTOR Company: ?bui_ 1 FM /cc 1'onis-rlac Phone #: / 86-S-496
lye,(- Covr?yGT
Street Address: ' ' ' -- - license #: -3City: NENho,771 #6i r, H--1 s State: MN Zip: 5ssi'R
ARCHITECT/ Co Phone
ENGINEER
Name: -Registration #:
Street Address:
City: State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address change
and lot change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: _3t
OFFICE USE ONLY RECEIVED
Certificates of Survey Received _ Yes _ No MAR 11 1997
Tree Preservation Plan Received _ Yes _ No _ Not Required BY:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging p'? 16 Basement Finish
? 02 SF Dwelling ? 07 4-plex ? 12 Mufti Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 _ plex ? 15 Deck
WORK TYPE
? 31 New ,V33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MCIWS System i
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
* of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 4 3y
Depth Footprint sq. ft. SAC Code 01
Census Bldg
Census Unit D
APPROVALS
Planning Building 0& Engineering Variance
Permit Fee Valuation: $
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
NOTF•: PAYMENT OF FEE AT TIME OF
APPLICATION DOES NOT CONSTITUTE
APPROVAL OF PERMIT.
INSPECTION OF SEWER AND/OR ?TER
INSTALLATIONS WILL NOT BE SCHED-
ULED UNTIL PERMIT HAS BEEN
APPROVED.
Gamin P aaec Print-
PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE: (Month/Year)
? CQt RCIAL/RETAIL/OFFICE R-1 SINGLE FAMILY
Q INDUSTRIAL ? R-2 DUPLEX (Two Units)
[i INSTITUTIONAL/GOVERN NT ? R-3 TOWNHOUSE (Three + Units) ( Units)
? R-4 APARTMENT/CONDOMINIUM ( Units)
2)
NAME: 1N (' ck-eL 6a W P 4-
ADDRESS: by, CITY, STATE, ZIP: SC Z c 5-07 '3
PHONE: 41 J a - ?/ 7 l
3)
4NAME:
ADDRESS: S R /h I Active
an, STATE, ZIP: Not recorded
PHONE:
MASTER LICENSE#
t-taifr -Initial
4) t?sscQIa:
?EJe D! A
NAME: nia C CL3`1? p)yNP
ADDRESS: P- p. Q 0 X R 3
CITY, STATE, ZIP: 1°) .S _S P CZ M w ! A 3I G
PHONE: _5 7/- 3 o 4 / - .
-5) r- a •: :: •o• moll
CONNECTION TO CITY SEWER CONNrION TO CITY WATER[] OTHER
6) " - • '` ? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE - -
? PLEASE MAIL APPROVED PERMIT TO 102 3, 4, ABOVE
(Circle one)
7) r r. u.. MIL ??w e . o- - // -
FOR CITY USE ONLY
PERMIT # ISSUED
1 -7 772
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ 16 WATER PERMIT (INCLUDE SURCHARGE)
$ 3 5-6
$
WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ /c a a ACCOUNT DEPOSIT - SEWER
$ $ / S D D ACCOUNT DEPOSIT - WATER
$ J a D - d- o $ WAC
$ CI 7.S ' o -6 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ / 5Z U Z1 $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /?2 9 cZ 6t $_ d? ?. Qn TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
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: ,?yy
d,?3 ??
/337
1987 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3
OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR /HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: 1C.k Valuation: 1%0_.ev- Date: 3 2y $1
Site Address b5-o- f2cYc.r Creek &/.
Lot b Block °?
Parcel/Sub C
Owner ?rc? Z I
Address jO5b $ric,r Cccci ed.
City/Zip Code
Phone (Q$( ,- Cl 9j00
Contractor Hark S-cAhl?„?_C
Address 587B ?Ine w a
City/Zip Code Z4efa ?(t1 rie i t-Wi. S53`14
Phone `131- 2851,
On Site Sewage Occupancy
MWCC System Zoning
-
On Site Well Type of Const
_
City Water (Actual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Assessments
Permit 80
3S. -
Water/Sewer Surcharge
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Council Water Meter
Bldg Off Road Unit
APC Treatment Pl
Variance Parks
Copies
TOTAL JiTI a, L
Arch./Engr.
Address
City/Zip Code
Phone #
4?'^3 26
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,
$2,000 LANDSCAPE BOND
/07c&D.
To Be Used For: '%C 1nm /y D 4 tale Lion: Date:
Site Address
Lot ( Block
Parcel/Sub L(:L#JG7an1 Sct)A-kz 1
Owner -ffiE P-brn U.un )? C
Address P,a . ?X 3 F3
City/Zip Code ss"3-,rO2
Phone C/
Contractor !5:/yE
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
Erect Occupancy ICE
Remodel Zoning A
Repair Type of Const
Addition # of Stories
_
Move Length
Demolish _ Depth 4
Int.Impr. Sq Ft
Install
APPROVALS FEES
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Mete r . j C)
Council Road Unit zn/y
Bldg Off . Treatment P1
APC Parks
Variance Copies
TOTAL 3.1
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
Cus smN
I No/N_tNINY
¦._._ IMC--"
11-i . Ywrl..l ..awn,.' • - Tn'.. . L..a l"" FWMy
Certificate
Soulhollw NO YIO
e W03 MMEA . .o„ 16 ,11 E SO
of Survey for 11POT JZV ,,O CO.
4
WORTH
25 00 895,
894 3 n.
0
r
d A
/ ZO `
i4sr - -
12$3
?
I N V N ? ? lIJ
K) zj (,7 ID '3
o
16
Sed
N pro
NO?Se
C?'
380
/o.Stl •..
/
I5
/ 1
?. - \\\rV'
75.0/
N 87°SO'.' o.
Denofec Drainaoe
Bearings Shown are Assumed.
o Denotes Iron Pbntment.
a Denotes T Foundation
Corner Stake.
,goa.oDenotes Existing Elevation.
Uf11iy Eacemen}
PROPOSED ELEVATIONS
Top of Block 892 d
Lowest Floor 890„
Garage Floor 99%•^
,-- Denotes Direction of Surface Drainage.
LOT & , BLOCK Z
LEXINGTON SQUARE) DAKOTA COUMrr,MiWN•
Sub eel fo drainci e 4 ufilify easements
I boreal ..roily that 61.1. 1.. rose mod a.rr.at r.aper...wr.rl.w of . ..rr.y .i the ?w1M.r1s. of M. .Nw
4... rallied lead. and of rM 1.a.Hw N .1) blldiwe fA. .ly .w/ it .1.1?M .wu.wshw.wr., It .q, b.w .r .w
mid Sad. A. wrr.r.A by w. H4 .r .1 .O.
?/? r, su unew e?dl ee, t
ca/e: ij?cb _JV Led 1 sower
Mnn oil. SII 1011
1175 Nypww.. No 55 N E
M.nn.y,o'n M,nI.. S5ab
N. 88`Q0'co"E.
8R/A P CREEK N PPOAP
Ma, POph.h.d Ail Rghrs Rwrr.d , .9 /SS' 98G135
Rew .t &Ljfru
EXTERIOR :ENVELOPE AVERAGE "U" COMPUTATION
OWNER ?dtYLV ti/D CO
SITE ADDRESS
CONTRACTOR S N\ DATE PHONE S 7J'a??
Determine working square footage of each.
1. Total exposed wall area ...... 2'-1"7'7 sq. ft. x
2. Total roof/ceiling area ..... / U 3 2 sq. ft. x'.102& ____
Total exposed wall area above floor = 12 I S /
a. Total wall window area \t
b. Total door area ...................................
c. Total sliding glass door area ............ "-
d. Total fireplace wall area .......................... --
e. Total wall framing area (average 10%) ................ \CI
f. Total net wall area above floor .................... 1-715--
g. Total rim joist area ................................ 2 $ y
Total exposed foundation area = 46 2-
h. Total foundation window area ............... !'..q ..• 9
i. Total net foundation area above grade ..............• 5.3 .
Determine "U" value of each wall segment.
a. I coo X "U" s5 yc 102.0(0
b. 5 X 'lull ,07 3.G Z
C. X llUlt ?- _ ...--.
d. X "Dll
e. X IlUtl .0'67 a 1 6 t 2-
f. /7/5 X ltjll .0412 = 7)003
l g. 28r X ItUll . f O _ 1,-,.3 6v
h. X "U" ° SY I____
i. ' 3 X % Pt
,o7e
= v, ?3
3 ......................................Total ' =
If item f 3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
Total exposed roof/ceiling area = / U 3 Z
Total gross roof/ceiling area = /G 3 Z
J. Total skylight area 6
k. Total roof/ceiling framing area ............ 6 ?-
1. Total net insulated roof/ceiling area ...... 96'y
Determine "U" value for each roof/ceiling segment.
f . (o x "ti" s ?/'/ 2e 6 `f
k. F, 2 X "o" 6 4 27 = 1,67
1. c/6 `' X null s02 = :2ge.l
4 ..................................... Total fyv
If total of #4 is the same as, or less than #2, you have met the intent of
SBC_6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 1/3,and A4 shall not be greater than the sum of items 111 and 112.
1. 277(7
3. 2 /Ll.BSs
+ 2. 26.-K 3
+ 4. 7 6-'-( I
_ ,av
= 2?
t;lU7'r: se 10% of oopaque wall area for
frame construction
L IScn L.
'?he-al
L7.
r. I ,
FRAHE PALL
ruyc J of 4
Construction R-Value
1. Interior air(film 0.68
2. p f3Rb oc<5
3. 1X(, S-rcP5 ?o offs ..
4. 12S/32 S/-/T-e, 20oe
5. S/ai?[, Uvcfc FELT l b 2
6: Exterior air film 0.17 •
Total //, S'.
t -00V7
1. Interior air film 0.68
2. l " G.r.' /p 2 2' b o S! -
3. VLL (e/L1??' //f/SGG /(/.dU
4. 2 S 3L Sh'Tfr 2 ,OG
5. /tv-c'a. oVEt F. ELr / o2 ('
6. Exterior air film 0.17
Total 2 3,6 Z
(/ ooh2
FIG. 114
Interior air film
--
---- 0. GB
2.
/wsvz_ ------
/900.
3 . -2 X __ 12'f r' /( t p
/6 b D.
4. 2 5-/1 'Z 'S H
6. Exterior air film 0.17
Total 2 $.O S
0 v- 0
1. Interior air film 0.68
2.
_/1-//./ySVC
//UU
3. 2x 1 FU221NC., .
4. /2f?CD..?C, ,9toci? /aZ$
5.
6. Exterior air film 0.17
Total /3.13
rrr-
/(
(ri
6 .
„
r
• rL ,
a .
I
C
if
11l
113
• : ROOF/CEILING
3
VfIT /ISII?'!IL `tf%j\)lll ll?I?f;L
X
Vented Hear flow
up
I .,
FIG. fl5
Neat flow up -vented
•.
• FIG. #6'..1 :' .'.
•u
I' .
Heat
flow up
I
Construction It-Value
1. Interior air film 0.61.
2. S/P" &' rP 13 fzO o5-2
3. BLOU/.V i,vs v a 3£'x.00
4. Exterior air film (still 0.61
Total 3'o go,
, V =.vzS
1. Interior air film 0.61
2. c?. & Y1e (z,?D 58
3. 1,415C/L oVE2 r/ZUSS 3`(I
4., Exterior air film sti
Total. 36i-7y
1. Inside air film O.GI
2.
3. • .
4.
5. Outside air film - 0.7.7
Total
Note; Use additional sheets-if more space is
needed for details and calculations.
r7U3pa-
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Requirements
3 registered site surveys showing sq. R of lot, sq. R of house; and pit roofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window sizes, poured found design, etc
I set of Energy calculations
3 copies of Tree Preservation plan if lot platted alter 711193
Rim Joist Detail Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
70,00
Remodel/Repair Requirements
-1""N
`
2 copies of plan showing footings, beams, !oists Cartof Sp?1Reccd°
,
1 set of Energy Caloulations for heated additions Tr-PresfP.lanRecd Yr"LN.
1 site survey for additions & decks Tree Pres Required t T Y = N
Addition-indicafe ifon-08 septic system Qhbite '$ystem" , N _N
Date_ / / -
Site Address 16 S 107 . q Construction Cost -7000
D f c-C&r Cc -eo \ A Unit/Ste #
Description of Work M14 S
Rcpt-sc Suu NVe'JS -t_+'-RLur* uN ITS IMTO EXiSAtc O
Multi-Family Bldg .
- Y ? N Fireplace(s) _ 0 - 1 - 2
Property Owner - `^ n e 7 I -e l ?G a Telephone # (65( (091-1100
Contractor \ cm.C Y?l?ct4 ?t .
Address \?
State A?? `
Z * Cr I KP5 k-In4 Qk- City ?eth T Vv. c,<S
\ Zip 5S U Telephone # (6S) 6 15 a -9'00
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category I Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Y _ N If yes, date and address of master plan:
?' '
Licensed Plumber W '
Mechanical Contractor JAN 0 4 2007
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
tyM Applicant's Printed Name Applicat} s Signature
?,,, .?? ._UVJ ice. VJ ?i-.VI 4 6-? IV .I,.V? ? ?VV JVJl VVL JV lt_ I 4U. JtJ'-/ IJ LJl
-----------
• ?
7
0 ( Permit 1r:
41 -qV'0D 11
Permit Fee: _
3830 Pilot Knob Road
Date Received:
Eagan MN 55122
Phone: (651) 676-5675 stogy:
Fax: (651) 675-5694 1 -----------_----
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ---? Fu-F- Site Address:
Suite f0:
Tenant:
c c?r? Phone: S(-
RESIDENT/ OWNER Name:
Address / City / Zip:
Applicant is., owner Z16"O'ntrsctor
TYPE OF WORK Description of work: W I No ou!
Construction Cost: Multi-Family Building: (Yes I No
CONTRACTOR Name: Ucense #: S,
Address:
City: State: MK zip:
Phone: ? Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Category Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • Now Energy Code Worksheel
Category Submitted Submitted
(4 submisston type) • Energy Envelope Calculations Submitted
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:
Sower & 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.
I hereby acknowledge that this Information is complete and accurate: that the work will be In confomtance with the ordinances and codas of the City of
Eagan; that 1 understand this is not a permit, but only an applicotion for a permit, and work Is not to start without a permit; that the work will be in
accordance with the approves plan in the case of work which requires a review and approval of plans.
V_0_n?? -X-7t??-r Jr
Applicant's Printed Name App icanfe Signal ie
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA108474
Date Issued:12/10/2012
Permit Category:ePermit
Site Address: 1050 Briar Creek Rd
Lot:6 Block: 2 Addition: Lexington Square
PID:10-45075-02-060
Use:
Description:
Sub Type:e-Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Lynn M Madden Tste
1050 Briar Creek Rd
Eagan MN 55123--151
Hearth and Home Technologies
2700 N. Fairview Ave
Roseville MN 55113
(651) 638-3309
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132725
Date Issued:09/01/2015
Permit Category:ePermit
Site Address: 1050 Briar Creek Rd
Lot:6 Block: 2 Addition: Lexington Square
PID:10-45075-02-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
Lynn M Madden
1050 Briar Creek Rd
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA148326
Date Issued:03/20/2018
Permit Category:ePermit
Site Address: 1050 Briar Creek Rd
Lot:6 Block: 2 Addition: Lexington Square
PID:10-45075-02-060
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
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 -
Lynn M Madden
1050 Briar Creek Rd
Eagan MN 55123
(651) 681-1387
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163683
Date Issued:09/10/2020
Permit Category:ePermit
Site Address: 1050 Briar Creek Rd
Lot:6 Block: 2 Addition: Lexington Square
PID:10-45075-02-060
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Lynn M Madden
1050 Briar Creek Rd
Eagan MN 55123
(651) 681-1387
Keystone Builders Inc
11670 Fountains Dr, Suite 200
Maple Grove MN 55369
(763) 280-0568
Applicant/Permitee: Signature Issued By: Signature