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1059 Briar Creek Rd' CITY OF EAGAN --'--'3830 Pilot Knob Road Eagan, Minnesota 55122-1897 (612) 681-4675 SITE ADDRESS: ? .. I Wi . IIPJ "L11!Af?t: PERMIT SUBTYPE: PERMIT TYPE: Permit Number: Date Issued: ?w ` "- ` ` ,? p, I APPLICANT: z< 1.0 c F,: ? f:i M. ?:! 1 ..' ?, -• li 'r,r ,..' t3 TYPE OF WORK: t;l, r 1.01 ral; 0 :t:>:>1-? :i o r., ,''I.l, / C'?}I r{i. I"i tiA 1 it)N }t; ', 11"a! . .... ,,, . , ,. , ?' ? Permit Holder Date Talephone # PLUMBING HVAC Inspection Date Insp. Comments FOOTINGS FOUND FRAMING ROOFING ROUGH PLUMBING PLBG AIR TEST ROUGH HEATING GAS SVC TEST INSUL GYP 80ARD FIREPLACE ' FIREPLACE AIR TEST FINAL PLBG FINAL HTG ORSAT TEST BLDG FINAL DaMESTIC METER IRRIGATION METER FLUSH MAINS CONDUCTIVITY TEST HYDROSTATIC TES7 E3SMT R.I. BSMT FINAL DECfC FTG DECK FINAL L-- CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eagan, MN 55127 DATE: Zoninp• No. of Units: Ownar: CO.: '1L.-'c';?a f"_ : j?' { ;til'i:i? . Addross: J Drii:ir Creeti SifQ Add1'CSS: '10?t? . ii; . f ?.?... - i.'`:?:. e PlLN11blr: ----- IWQtlr P10.. Conncction Charge: -. ? . r' ?, ? 5ize: AGCOUnt Depostt: Reader No.: Permit Fee: 1 yrw te eanply wYM 14 City of Eaqow Surchorga: . OrdIMnea. Mist. Charyes: Total: ` ?' ); ?` ` '?:3?`'• ?' Bv Dote Poid: Dote of Insp.: Insp.; CITY OF EAGQN SEWER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: -- Esgan, MN 551211 pATE; Za^in0: No. of Units: ' 4wner: t=y Address: Slte Addi Plumber: 1 pr" to oompy wtlh Me Ciyr ef Eeye• Ordlneecp. By - - QOnB Of Iflip.: Connaction C:horpe: 425• `': O::a:= Atcount DEpOSit: Parmit Fea: Surcharpe: `? ??ir x? MiSC. Ch01'QQS: TOtOi: ___. Dote Paid: ClTY OF EAGAN 10 7 5 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 Receipt # 0 To be wW fw Est. Volue r:?r)u Date 19 `Site Addresa 19 5 r' SkUr"Ji. C:7EM. RKy Erect Q? Qccupancv 21 1, ?.i?.? j^'+C'j,`(ai? ?' {? Remodel ? Zoning F21 Lot Block Sec/5ub. Repair ? Type of Const. Parcel No. Addition ? No. 5tories ? . a , , Move ? L@ngth Name t:'C1LL1??C,?;? t.?.`TX i..tib?u?1 ? Demolish ? Oepth 2 Addreas _.. ? ?/??+yy{P?, 0 . t?!=}:?4 0 9 . .. r, 1 y /.r? fl q f.i, y!t Int Impr. ? 5q. Ft. !bl l ll ! 1't f;y?+ i1.'?. IT. i?-. r fi l i ! -0 ^'+ A ?l ,d ? N Approvals hes ame Addresa Assessment Permit ` L `' • l? ?? C(ty Phone Woter $ $ew. SurCharge x??• • r'' i} ? PoUce Plan Review ' ? ?, W„ Name Firo SAC '. 5. G 0 A• ; ?? Address Enq. Water Conn. c ?` 0 ?• ? ? ? ? W Cfty Phone Planner Water Meter 63.00 Cauntil Road Unit 230 00 I hereby ocknowfedgs that I hove rend this application ond state thot Bldg. Off. 'j/x-?? "-5 Tr. PI. 1• =' ° •`?'? the Informotion Is CorceCL and ogree to comply with all applicable Stote of Minnesoto Stotutes ond City of Eogan Ordinonces. AP? Parks Var. Oate Gopies - 5ipnaturo of Perrnittee ? ,[3?; ?"`5.'"-G s:`.I"3si)ly'.?'7L+?'? TOtal h Buildiny Parmit fs issued fo: on fhe exprass tonditlon thot ? oll work shatl be dona in ecaordonce with alt appliooble State of Minnesoto Statutes and Ciry of Eapan OrdinoncAs. Buildinp Official ', . . Psrmit No. Psrmit Holdar peto Tslephone ? Plumhin9 H.V.A.C. Electric' ??4fZ3- Sottemr ? .x Impection Date Insp. Other t Footinys 1 ? . Footings tl Foundation J? Framing y Roofing Rough Plbg. Rough Htg. Insul. Fireplace Finai Htg. Final Plbg. Flnal corvocc. o Water Dswri6e Loeation: Wsll Sewar Pr. Disp. R?ipt MECHANICAL PERMIT Permit No. -d I CITY OF EAGAN Fee Fill in numbered spaces S/C j. TYPe or Print legib/Y TOL _ . ; 1. Date i_ I?i? Z. Installation Cost 3. Job Address Lot cBlk. Tract - , ? 4. Owner : \ -s' , ? 5. Contractor L I L. ? v Phone ? a 6. Address 7. City State Zip . - - ? 8. Buiiding Type: Residential E-l- ? Commercial ? institutlonal O ? : 9. Work Description: New 0? Add ? Alter ? Repair ? 10. Desaibe Fuel Type 11. No. Eauiument 8TU - M. Ea. Foroed Air Xv ?- No. Epuipment CFM Air Handling: Mfg. Boilers h M E Mfg. x aust ech. Unit Heater Mfg. Other Air Cand. Mfg. i Gas, P'iping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to comply with all ordinances and cades governing this type of work. Signed.; for , Rouph Final A . Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved cinr oF Ee?Gnw 454-8100 Receipt 1. Date 3. 4. Owner CITY Fill in nc Type or =RMIT. • Permit No. GAN Fee 'd spaCes S/C legibly ' Tot. 4Jo5t 5. ContraCtor/'! r:cf7fT Phone `r , , 1` 4J , • , ? 6. AddresSt?? .? ? 7. Clty ?`',? t,•'' r State + '? `??'°_1 ZIP.,? , f 8. Building Type: Residential rCI- ? Commercial ? Ins titutional ? ' 9. Work Description: New ?Add ? Alter ? Repair ? I 10. Describe I 11. No, ` Fixtures Water Closet No. Fixtures Cesspaol/Drainfield Bath tubs Septic Tank Lavatory Softner T_ Shower yyell Kitchen Sink Urinal/Bidet Other - Laundry Tray;?iw€.r• Floor Drains Drinking Ftn. Slop Sink Gas Piping Qutlets 12. I hereby certify that the above information is true and correct, and I agree to camply wit4 all ordinanc,ds and codes governing this type of worly.F _ Signed :?.'-r.-?:?. for! Rough F inal Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CtTY OF EAGAN 454,8100 Receipt PLUMBING PERMIT Permit No. • CITY OF EAGAN Fee Fill in numbered spaees S/C Type or Prinr legi6ly Tot. 1. Date 2. Installation Cost j' = f 3. Job Address Lot Blk. ? Tract-' `r 4. Qwner 5. Contractor I ? ! Jo ?=3 ' /f ` Phone 6. Address 7. City State ZiR 8. Buildfng Type: Residential O Commercial 1:1 Institutionai ? 9: Work Qescription: New O Add ? Alter Q" Repair ? 10. Describe u 11. p 1: No. Fixtures Water Closet No. Fixtures CesspoollDrainfield Bath tubs Septic Tank Lavatory `x 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 information is true and correct, 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 r, = J ?_x/? ?'C1 ? . ? ?1 P r, . 3; : ... '?' ERMIT# v, MECHAIyIQ?i PERMIT) , ?.,? ? ' _ (, /SS I J CITY O ? ? RECEIPT# FAGbN ?•. u:. ? . ' ? ? 1? f 1/S 3830 PILOT KNOB R ? , OAp, EAGAN, MN 55122 DATE: (v CONTRACT PRICE: PHONE: 454-8100 1 5ite Address L 4. 1 ?0,10LDG. TYPE WaRK DESCRIPTION ot Block ? Sec/Sub es. ? New L .. Name ult Add-on i ? Address ? , 'P'Omm. Repair C ~A r- ' bther City •. ",1 i i 'NPhone \: ? _ FEES Name ' )RES HVAC 0-100 M BTU $24 00 . - . ? Address ;;ADDITIONAL 50 M B7U - 6.00 p City +c Phone ?(RES. HVAC INCLUDES A/C ON NEW CONSTRUCTION) i'G $S UUTLETS MINIMUM 1 PER PERMIT 1 50 E A , ( - ) - . . TYPE OF WORK COMM/IND FEE - 1% OF CONTRACT FEE ! Forced Air M BTU APT. BLDGS. - CoMM. RATE APPLIES ` Boiler M BTU TOWNHOUSE & CONDOS - RES. RATE APPUES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & f Unit Heater M BTU REMODELS - 12.00 I ' Air Cond. M BTU $ N1INIMUM COMMERCIAL FEE - 20.00 Vent CFM STATE SURCHARGE PER PERMIT - .50 ! Ga Pi i O tl t # .(ADD $.50 S/C IF PERMIT PRICE GOES BEYOND $1 000 ng s p u e s ? , , ) Other $ FEE: , -? , 4rr:• ,s: . ,,?' ti +,.?i?< <T ;?% ? SIC: i S ?E Mf E C ? ' TOTAL: FOR CITY OF EAGAN ? . _ . . _ _° . ._. ::. . .-•.._,: , .. __, ?.??__:_. CITY OF EAGAN Remarks J'?'-?' ? ' ^ '• ' Addition LEXINGTQN SQUARE Lot 22 Bik 1 Parcel 10 45075 220 01 Owner Street 1059 Briar Creek Road State Eagan, MN 55123 Improvement date Amount Annual Years Payment Receipt Date STREET SURF. STREET RESTOR. GRADING SAfV SEW TRUNK 931 1985 254.53 1 254.53 C009695 10-12-84 SEWERLATERAL 173.65 C010039 1-28'-$5 WA7ERMAIN 1986 68 6$.33 C010039 1-2$-$5 1h(A7ER LATERAL WATER AREA 00 1986 286-4 P 19.10 19 286.43 C010039 1-28-85 STdRMSEW TRK 1986 501.29 33.42 IS 501.29 C010039 1-28-SS STORMSEWLAT 198b 13.81 34.25 35 513.81 C010039 1-28--85 CURB& GUTTER SIDEWALK STR?ET LIGHT - Raad Uti. 2$0.00 54553 871 5 47 11J/XTER CONfV. ?00.00 11 6UILOlPlG PER. ri SAC n r? PA Fi K CITY OF EAGAN 1NATER SERVICE PER1VtiT 3$30 Pilot Kno6 Rosd L"• 573 PF O. Box 21799 PERMIT NO.: Eagan, MN 55121 DATE: - ZoninD. - ?l No. of llnits: ? Owner. CO 1F'ge? City. ?21 llddress: ? Site /?ddrcss: 1059 ?,r:t?' - _Vliz r 1.1tr?iN?:^? ?.. PlU1riblC - 1?i ''J- - _ r;,r-., r, ?? a c'• ?; ?. _ M«ter No.: ?? • . .O??x3 - 50O Size: ?f(?" ?ee,d.. ? ._- s ? ??`accun?t -D?po?t? -15.0 Recder No.: 03 Permit Fee• i"71) Ci Iagree to oowiply w1No fie CMp of Eaqaa 5urcharge: .? rr x?l OrdiMncn. M1ac. Charyes: 132.00?:a ? Tatol: 63. 0?t?C?' ireter BY Dote Puid: Dote of Insp.: Insp.: 9 ? ?5 CITY OF EAGAN No 10 7 9 5 3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 BUILDING PERMIT PHONE: 454-8100 R«eipt # ' To ys uBW fw SF DWG/GAR Ft. Volue +584 ,000 pafe A[]GUST 14 _ 19 85 SiteAddrest 1059 BRIAR CREEK RD Lo< ZZ Bicek 1 Sec/Sub. LEXINGTON SQ Pprcel No, Nerne COLLEGE CITY CONST Address P• O. BOX 309 c;ty NORTHFIELDPnone 507/645-6648 o Name Sp'ME zr Address City Phone Name _ Address City _ e.ect C$ occvpenev R3 Remodel ? Zoning RI Repeir ? Type of Const. V AddRion ? No.Stories Move ? Length 42 Demolish ? Depth 42 Int Impr. ? Sq, Ft. Inetall ? Aoorovob Fees Phone Assessment Woter 8 Sew. Police Fire E^G• Plamwr Council Permit 5 36 5-VU SurCharge 4 2- 0 0 Plan Review 19 Z. r3 0 SAC 525.00 Water Conn. 500.00 WaterMeter 6 00 Road Unit 280, 00 I hercby ackrowledga thot 1 have read lhiz applicotion ond state that Bldg. Off. 8 13 $ S Tr. PI. 1 3 2_ 00 eM inlormofion is correct ond o ee ro cp?p 1? with all apvlicable APC Parks Smta oS Minnesotc Statutes a Ciry o n Ordinonces. Var. Date Copiea Sipnmurc of Pem+ittea r"`a Total $2,119.50 A euildirq Permit is lssued ro: LLEGE CITY CONSTRU C TION m the e%?? ?????? thai oll work shall be dona in acaordance with all applioobls State of Miqfi'" Stotutes and City ot Eapan Ordironeas. Buildinp Officiol Thisrequestvoie 18 months trom ? V O 0 09 91,7 4_ L a a. 5 u 5. Re,rluest Date Fne No. p?o09b ,P ci? oReatly Now m-AN+tF? insaec- AZ5? ,f_ ??s No tor When Reatly en d Electn I Contraclor I hereby raquest inspec[ion of above ? Owner • electrical work msralled at: Sveet Addry ?s?s?.+8''a'n or RvyutJg No. „ City VV hj action o. Township ame or No. nge No. County Of-.,Rpant fPqINTI Phone No. Povuer Sup er y/- • Address Elec ncal tractor ICOmPeny Namel • ? Con ac o' License No. r Matli g ddress (Contractor or Owner aking Ins llfitwn) ^r r, ,?v'.?A • Author ed Sign re (Co a or/Owner Ma ng Inst t' n) P on¢ Number ?r yfL, ??/ MINNE16(STATE AflD OF E 'ICITY THIS IIGSPECTION HEQl1E5T WILL NOT Gri99s itlwey BIv. - poom N- 7 BE ACCEPTEU BV THE STqTE BOARo 1827 UniversrtY Ave., St. Paul, MN 55104 LINLESS PflOPEN INSPECTION FEE IS ENCLOSED. Pnone (6721297-2111 REQUEST FOR ELECTRICAL INSPECTION ea-oocwi_oa , See instructions lor completirg this form on beck of yellow copy. / c 059174 X" Below Work Covered by This Request V Ady NeO. TvPe of Bmltline APCliencea Wiretl Eqmpment Wired N ee ServiceEntraneeSize p Fee feeders/5ubleedars H Fea Cvcaita ' .G 0 to200qms 0 10 30Ams Oto30Am Above 200 qm zs 37 to 700 Amps 31 to 100 A Swimmin Pooi Above 100-Amps Above 100_ m s Trensrormers Irngation Boorcis /J PartiaL'Oi r Fe Signs ? Speciallnspection S ?. ? ?? emvrks J TOTALF E('? ' X Insoec+or, nereby Cartify that [he abpva inspection has been rtade. Thiarepueatrold This request voiC 18 months irom O O E 3 7 9 2 5 Lo; v Repuest Daie ? ? Fim 14 o. FlouOh-m?In ecuon Requued ReaOy Now Q WlII Noufy InsPec- lor When Head ?? ?Yes No y ?l?censed ElecVical Convactor I hereby request inspection of above Owner elecbicel work ?ns'allad aC T1115 INSPEGTION HEQUEST WILL NOT MINNESOTA STATE BOAPD OF ELECTRICITY Gri{pa-Midwey Bldg. - Noom N•197 BE ACCEPTEO 9V THE STATE BOANO 7821 UniverailvAva.. SL PeW. MN 65104 IINLESS PPOPER INSPECTION FEE IS Pnone 16121 642-0800 ENCLOSEO. $??$/?' ? NEQUEST FOR ELECTRICAL INSPECTION es-ooooi-os ?? See inshucbons for complebn9 this larm on back o1 yellow capV. '. `' c??P?4? E 3 7 9 2 5 "X" Belaw Work Covered by Ihfs Request 4mV HAd NeO. Type oi BmlEinq AOCliancna Wrtetl Eqmpment Wvetl Home Range Temporary Service Duplex Wa[er Heater Li,yhtuiy Fixtures Apt. BwlAing Dryer Electnc Heatin Commereial Bidy. Fumace Silo Unluader Industrial BIAg. Air Condrtioner Bulk Milk Tenk Farm tnrr cecI v Isuec,lvl t .r SuculY Ner Oihe, Comoutefnsnecuon Fee Befow N Fae Service EnlrancaSize H Fee Faxders/SUbfeeders p Fne Gmurts 0 to 200 Am s 0 ro 30 qm s 0 to 30 Am Atwve 200 Amps 31 To 100 Amps 31 to 1U0 Amt Swimmmg Pool Above 100-Amps A6ove 100_Amps TransPormers Irngation Booms Pdrtial-'Oth Signs Speciallnspection $ TOTA E Memerks v Rou9h-in Dnte I. the ncal ?ns0ectar, hereby certi?y Iha? the above Final _ specpon has baen ? maee. tnle reaueat voltl 18 monthn Imm PERMIT # `? L o t I RECEIPT DATE: 2002 fiESID£N'f1t4L PLUMBINfi PE#iMIT AFPLICATION Cl1'Y OF fa4fii4N S$SO PILOT KNOB RD 8146AN, b1N 55122 651-6$1-4675 Please complete for: single family dwellings, townhomes and condos when pettnits are required'for each unit, 6ackflow preventer for irrigation system SITEADDRESS: tOS-1 BrICtN b4'?-'k_ OWNER NAME: :Du I l I Y1G , Tc-Y Y ?-1 TELEPHONE #: IA I- C? I q n • (AREA CODE) • INSTALLER NAME: N • ? . 6a1/V0v ? TELEPHONE #: A i =.?.?s? STREET ADDRESS: 3?-I0 DO Db (AREA CoDE) CITY: CA GCAM STATE: M I? ZIP:'SS ? Z _ SEPTIC SYSTEM, new/refufiished (requires two sets of plans and MPC license) $ 100.00 includes $40.00 County fee Note* Additional consultant fees may apply • MODIFICATION/ALTERATION TO EXISTING DWELLING•UNIT, INCLUDING: _ Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00 _ Abandonment of septic system. _ Water tumaround - existing dwelling unit (+ 5/8" meter if needed -$118) Other: _ RPZ: new installatioNrepaidrebuild I? CCT „ 002 ' ? ? $ 30.00 - _ lawn irrigation system U ?E?-- - ? ReplacemenUadditional: _ water softener ? water heater $ 15.00 ? State Surcharge $ .50 $ Is •SZ) rotal I hereby acknowledge that I have read this application, statethatthe information is correct, and agree to complywith all applipble CityofEagan ordinances It is the applicanfs responsibility lo notify the property owner that the City of Eagan assumes no bility for any d ages ceused by the City,during its normal operational and maintenance activfties to the 5ciiities construded under this permit vithin Ciiropertylright-7-ay/?)??Tent. nn. 1 . OF PERMITTEE 1 /02 K `I CITY. QF EAGAN FERMIT 3830"Pilot Knob Road PERAAIT TYPE: B U I L D I N G Eagan, Minnesota 55122-1897 PermitNumber: 032263 (612) 681-4675 Date Issued: 0 6(16 / 9 B SITE ADDRESS: P.I.N.: 10-45075-220-01 1059 BRIAR CREEK RD LOT: 22 BLpCK: 1 LEXING70N SQUARE DESCRIPTION: RESIDE Permit Type Ik?rk Type Aq K t Z - =? " PC Y v? ..? . ?? Ftaw VALUATION gb W? s w?%4 ?v?t S8&?mS11 i'jvj2 ii8 ?C ?tG' '?? BA a? ?ktrs?# a n ,i?> REMARKS: FEE SUMMARY: Base Fee $149.75 Surcharge $4.50 Tota1 Fee $154.25 SF (MTSC.) ALTERA7ION 434 ALT. RESIpEN7SAL $9,000 CONTRACTOR: - ApPlzcant - s-r. LIc OWNER: PONELCRAF7 tlF MN INC 17216628 0002179 BOLLIN6 TERRY 3118 SNELLING flVE S 1069 BRIAR CREEK RD MINNEAPOLIS MN 55406 EAGAN MN 55123 (612) 721-6628 (612)459-1929 4.-tli t. a 4 l 3+. SE ., 1'£ T 6ii.. _ ?rf .2ti? d,L'4CF1{MWlk2ift?`?3 L? ??an?or?a?'??a? i? v?r;+#??,? an? ?gr&e ?? :;? 7iy .n,it.i3ltT 'r?P??"?a?f°?' ?"?-??e a ,?u „? ?.??r ? < < E ?"d.$1?t" f j - s if. t. .?,. ?F t u . ... -_ . .?ie a P ..s...n.? n .t.. ..F _?i .'.',.?,....m APPLICANT/PERMITEE SIGNA7URE ISSUED BY: SI URE wav. _ ? 322.63998 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PII.OT KNOB RD - 55122 681-4675 New Construdion Reauirements ? RemodeUReoair Reauirements ? S registered site surveys ? 2 copiea ot plan ? 2 copiea of plens (inGUda beem 8 window saes; poured fi0. desipn; etc.) • 2 site surveys (exterior additions & dedcs) ? 1 energy plwlations ? 1 energy celeulations far heated addidons. - ? 3 capies of tree proservation plan ff lot platted after 7/1/93 ' required: _Yes _ No DATE: cU-B-g(? CONSTRUCTION COST; ?? I J?• ? DESCRIPTION OF WORK: STREET ADDRESS: LOT: Z 2 PROPERTY OWNER I05 GI /?° YiC.Lt? CYe eK BLOCK: SUBD./P.I.D. #: ???1 o?b?'1 __????__,?,?,?_? Name: AQ//lM TPrr? Phone#: q597 /'90 % Last Eiret Smet ? cr?e d ' .' City E a, Q o-,P-? State: YY? ? » Zip: Company: PJ9-rF- I V at` 7 OF /"i n Phone k: -Z?I-6,626, CONTRACTOR / Street Address: ?1/R nc ?/? License # CR/ 7/9 Ciry m P '-S State: Mn Zip: ARCHITECT/ ENGINEER Name: Street City Sewer & water licensed plumber (new construction ony): and lot change is requested once permit is issued. State: Penatty appliestvutien address chang I hereby acknowledge that I have read this appiication and state that the infurtnation is correct-and agree to co"mpty"with all applicabl State of Minnesota Statutes and City of Eagan Ordinances. Signature of Applicant OFFICE USE ONLY jD6# Dq " / Phone #: Rnaei4T78!IQ`_f #' _ Zip: Certficates of Survey Received _ Yes _ No Tree Preservation Plan Received _ Yes _ No _ Not Required OFFICE USE ONLY BUILDING PERMIT TYPE - ? 01 Foundation, .0.. 06.. Duplex ... ? 02 SF Dwelling ? 07 4-plex 13 03 SF Addition ? 08 8-plex ? 04 SF Porch ? 09 12-plex ? 05 SF Misc. ? 10 = plex WORK TYPE ? 31 New ? "i AIierF4ions ? 32 Addition 34 Repair GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length Depth APPROVALS Planning ?T'Ab 2 R ? ? ,O 11 Apt./Lodgin,g,.; ....:. ....:..: .. ..: ?'16 Basement Finish ? 12 Multi Repair/Rem. 17 ' Swim Pool ? 13 Garage/Accessory ? 20 Public Faciliry ? 14 Fireplace ? 21 Miscellaneous ? 15 Deck ? 38 Niove 0 37 Demolition Basement sq. ft. Main level sq. ft. Sq; ff: sq._ft. - sq. ft. ? - sq.ft. Footprint sq. ft. Building MC/WS System City Water Fire Sprinklered PRV BoosfeFPump Census Code. SAC Code Census Bldg Census Unit Engineering Variance Permit Fee Surcharge Plan Review License ' MCNVS SAC CRy SAC Water Conn. Water Meter Acct. Deposit S/W Permit S/W Surcharge Treatment PI. . Park Ded. Trails Ded. Other Copies Total: 15y, as Valuation: $ &?? % s,ac SAC Units , 2/84 CITY Or EAGAN APPLICATIOiI FOR PER'4IT SEWER A,ID/OR WATER CONNECTION (PLEASE PRIHT) 1) PROPERTY ApDRESS: ? T.Ff;aT• DF...CRLP'PT_CN: o7J (Int/Block/Sl:;civisicn o TaY Par el I.D. Niur,02r) i IF STRt:?':vri DAi : Oc CRIC,M'.??-?L rAiILDINC, =_-II: !$S:.;%i:C:: PDESLT Z.,,•IT?F:/P?OPOS'?J ' ? L'S'-': IE-1?-1 SZENGL: FPMSLY - ? R-2 DUP= (Zh'p (]bIITS) ? R-3 1CI.t-1=Jcg ('?Z-L°= + L":ITS) ( rN2?'S) ? R-4 t,NzTs) p CCMME?C12,L,/R2:AII,/0'r':'IC:; ? ?,'CL'Si:tT.7?L Q L1iSTITU`TIO:IAL/GGVal^7,M„'C7 2) AaPISC= ? ? (PLEayE Patnr) - ' ' E c T ,T ? ACDRESS: P O C CTT`_', STaT.?.', ZIP: ` ` cle PfiONE: f? 7- 3) Pu,:.1pE.v NAME. IPLEASE PR1NT) FOfl CITY USE ONLY PDDRESS: ? PLJ!!BE ICEYSE: ?+0 15144ST W Active CITY, S'IATE, ZIP; I4PPL.EYAI.L.EY,MN 58124 Q Exp' ed PHCNE: ??` / H3iLr ?? ,,5 PLUMBER LILENSE N?'jQ-3s 26? t af Retord ' arr nicia 41 =PANT/Cf.y'?IER NAME lrLcNae rniriij : ADDRE,S'S: CITY, STATE, ZIP: PFiU`IE: 5) INDIGATE ;J[-IICH PERidIT IS BEI\C REC)UESTID: gCl?.ti.C'I'IOSI 'IC? CITY SE,yIER C/ONDIf?tIC.I 'iO CITY WATER ? 071ER (PLS'<ASE DFSCRIBE) ol 12:UiGiiL G.:t;: ? PL°.NSE !?OID rIPPP,OVFD PER.*tIT FOR PSCIi-GP BY QNE OF A6C,"VE AU^TI.E=+SE b^r1IL APPRWm PER.tiLLT T'J 1, 2,(D 4 A&OVE A -1 / (Circle one) 7) SI??'IL'RE: ?C7`ylM?L_ / ,?L-'7?i?C1? DP.TE• ;? " ? ?! R Q?_i??A'J? i q!l.a?l1?! ?/!?? s-r? i f? YFiii:a ?! f!l?a yi fq 1A Is! i?eii? e F 0 R C I T Y U S E O N L Y ' • PE°`1IT '-` ISSLTED E:::= $ 42.? (1 $ S $ $ $ $ ?C7 el ?tia ) $ $ $ $ $ S S r .. 'L ^D .... WATER PE?_U1I7 (INCiUDE JURCHARGL) WA2'Ei2 ASETER/COPPERI-IORN/OUTSiD : REc`,DER WATER TAP (INCLCDE CORPORATiON STOP) SZ.-vr.F : A? AC.^_Oli?IT DEPOSIT - WATER W?,C SP.C TRliNK iIZAT°R ASSESS:?E:;T TR;;?1K SE:iER aSSESS:L:iT L'nT ;?=,L BE:iEFIT/TRU:IK LaTERAL BENEFIT/TRUNK WAT_°:3 WATER TREAT.*ENT PLANT SURCHARGE OTHER: TOTAL 11+ti'../`iU`:T' `PAID/RECEI?T DOES UTILITY CONNECTION REQUIRE EXC:,VATION IN PUBLIC RIGHT OF WAy? L YES IF YES, THEN n"PERMIT FOR 'r70RK WZTHIN PUBLIC ROADWAY"- MUST BE ISSUED BY THE ['? NO ENGINEERITIG DIV.SION. LIST AS A CDNDI- TION. SliBJEC: TO THE FOLLOWING CONDITIONS: APPROVED BY; TI':Lc: DAT°: CASH RECEIPT CITY OF EAGAN , P. 0. BOX 21-199 EAGAN, MINNESQrA/ 55121 DATE necerveo AMOUNT I$ 17j ? ?J 19 DOLLARS ? ?so ? CASH ? CHECK / FYND COOE ANOONT W / Thank You i?? ?? • BY N_ 54832 White-PaYen CoPY Vellow-POSting CopY Pink-File CoPY 1 U 1985 BUZLDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CON?RACTORS NUSi BE LICENSED HIiH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: -84000 a, ive L) CoaIe4,Valuation: ? Date: g- 6 -ST Site Address: C're ok- e9/ OFFICE llSE ONLY Lot: U Bloc k ? Sect/Sub Erect ? Occupancy 9-'j Remodel Zoning (Z-I Parcel # L Q ,- "?„ 0 Y ) n4) ,S L , Repair Type of Const $r q - + f/ ? Enlarge _ 0 of Stories Owner Tp lr u / ?d Alr nn - Move Length g2 1// Add / ' /' n fi Demolish Depth ? ress Q? 7 r i a- l. r p,aG? Grade _ Sq Ft City/Zip Code $? J- • ---------- ----------- ----°-------- Phone APPROVALS Contractor C2f?u Address PQ . /?,.?y??D c? City/Zip Code /1fgyf1,4ewT/?,v SSaYl Phone ??,l,yP Arch./Enor- Address City/Zip Assessments Permit 385. °° Water/Sewer Surcharge 4Z-. = Police Plan Review 6? ?. ? Fire SAC 525, = Engr Water Conn 5bo. Planner Water Meter 103. °- Council Road Unit 2F3o. =' Bldg Off 5?-- Parks APC Treatment Pl Variance TOTAL CJ Phone 9 2`7xZ1 - ScP-7,-- 54- - 3oCo(P? 12 x((? ? I?(2 x 4? ° 1 S?i2 - 4?D 5 Z 8 CD 2¢n2a - zi6 x 4( - a tz x?Z' Y04 x 4( - 20cocc, c, ?Sx ?= 2L(O X 4-l T ?(?? i t S 3 I'3 v : I M.mOifrw S7Ib096 6815 Npmv?y No B6 N E M?mrpol?? Ninn?nU 561Y1 SoumOniw Bi6lO10 [1uW ? Ywn?W S V?V ? SaY Tn?w ? IaM Sun+rw ? GN PI?+?w 8wn?nl?. N?rurou 66377 c.rti:iaate o: eur...y ror COLC EGE C/TY CONST. BeaMngs 5ham are Assumed. o Denotes Iron Monument. ? Denotes 10'SFoundation . o Corner Stake. d'v> Denotes DlrectionEof Surface Drainage. ? ZG S ? ? .\ ? ? IZZ) 5;Z? N O ? N ? o \ ? 30 ' ? ? 89Lb RROPMD ELEVATIONS Top of floor C'ox;est floor Garage floor ss .1 25 03 N 89 ° 06' 3? "av 0 r------? ---- -, I ORA/.t/AGE ,,?UT/VTy ESiUT ? IJ/2E,C' RrCO.P?J ACAT ? i ? v I o--:? Z7a --F---O- I I o?° p?oP, E ?z o \\ /'i - ---? ? I ?? ? GAQ, M ? ? ? ? , ? I ? ig-o ? /LO` I L7--?---- ---{,--q- r. y, e ? i ?, `°--------------! 0 25.00 900 ? V 0 0 0 N 0 ? f-1) N N b \ . ? ? x 853 ?- ?/ 88 ° ?D' DO"E N ,8Q /AR C REEK ROAD ---?LS - - -- -- LOTZZ, BLDCK 1 LEXIii/GTON SQUAQ? DAKOTA C DUiI/TY /I/1 ! lV/1IC$0 TA 1 MM?y andly Mot tAIe 1s a erM aIN tM/ett /w?N?N1IM N• swvor Hfb MwNrbs Ntb MNF11N MwJ, ad d t?. Ikctolcw 014 ?YIIdI l`a??y u?d a11 vb1YN eneroa<Aw?ewn, if wwr, Ir?,w r w MId I?wd. 11o wrv?d hr wn rA1s1?y ? _A.O. N? T l f,(!WleAN 1NOIN1?RINO INC. ,/ / ??rNyet• f/CE /SS/ 5853L3 .I?i All RioAn Aerrd EXTEBIOR ENVELOPE AVERAGE "U" C014PUTATION 11) 4 y f•n „A ? f e e o? ownEn L?arja riarm ' SITE ADDRESS ,,, Lot 22 Block_l-iaxington Square1459 Briar creek.Rd,-%Mn LONTIUICTOR LE56E GTt-aEs?, DA7E ___,______ PNONE \ . petermine working square footage of each. ' . 1. 7ota1 exposed, wall area'...... z581•7-5 sq. ft: x,_;.17 • 5 n • T. Total roof/ceiling area ...... 1173.0o sqo ft. x,,q?. ¦ b q L. ? Tpta) exposed wall area abave floor ¦ -' ? a. Total wall aindow area ........................... Ik,5 QIZ ' b. Total door area ..............:.................. ?, 3 7•7$, . c. Total allding glass door area ................... • d. Total flreplace wall area........................ -- • e, Total wall framing area (average 10%)...:......:. f. Total net wall area above floor .....:.........'.. iq oz.Aiz ' p. Tatal ria jo1st area ............................ [I,-r.a U • •,? Total'ekposed foundatian area .:......... h. Total foundation window area .......... 1. Toa] net foundatlon drea above grade ........:... ?g.8.,.$Fdr- ? Determina'"0"'value of each wall segment. .. , , • , _ • ? . . ' IbS.o17. X gu" ...3.?U,,,.....51.094 b . 7 x M11M , ?? . • ? D?? ? . , 37. 8 ?_.?._ _--r-- ' ' c; 40.oo 'X "U" .34 b ¦ • ?, ? X NUN??_ s ? • 21.9b3 . e. 238.7Z5 X MUp .097, f. 1902-81z• X MVM •???j • g1 .4azo • X"u" . n -- z MU. - . - , . ? .-.?---- _ 00C, x MUM ?O( 0 7a , TOtal ° I 2?1 3 ..................................... lf item 13 1s the same as, or less than item O1o you have met the lntent of SBC 6006(c)2. , .' . , . •. . . • ., .A . . , . ' .., • . Totil..exposed roof/ceiling area = • J. 7ota1 skylight area ............. .:...... .. ... k. 7ote1 roof/ceiling framing area(averagelOX)... ?17.3 0 1. Totel net insulated roof/ceiling area........ .... to GS.7o Qetermine "U" value far each roof/ceiliag segment. . ? x run a •.?.?.?,?, k. 117.3o X'"u„ , i?b- . Zo.4io ' I; IOS5.7o X•U" . oZZ '. Z3?ZS .TOtal 4 ................................. If total of 04 is the same as, or less than :2, you have met the intent of , SBC .6006(cjl. ' Alternate Building Envelope Design To utilize the total envelope system mzthod, the values established by the ' Sum of items 03 and f4 shal.l not be greater than the sum of items O1 and €2. ? . +2 ° . . • _.T-- 3. + 4 e. . • .? . ._._..__._?. . . ' •------•-?•-•-? • l. a _ WlNDOW ARE.A : TyPii of 1nl)N.vow: i6/j3" lNSuc. 6055 '(N! \.viNDOK! UU/rS 9" gsitJ TfsreP f04 "f2'LVAL-µj&,o tNAY ARC Aa 41040 ABoJ C 9yD ow4y Ot fssiyVfo A 04rs i4N CSArt) vwA..V&t oF "/i'+ ., , (4c?MD?N1"j A1R fILMS,,.. (,I?? all?tr • JI . ?-t?`'=?' ooTnG1-?,,,?., ±fOSTwu¦ = - FOl.f NfaAT ION W I NPO W IA REA % TYPE OP I hilND01? ; TAr- vv,HOOW LI?+rs /a4 If E BLa.N TLSrGD Fop.'R; v..u.c, THLY ARt Ai Li•iRO nmva wun MOY AI AbII?NLO A p?'J14?V?'??'+? VAWt• bG '$"r luG1-MO?I?ry AI$ RILMS . l.afe ??S & • ?? s?? FoorA44 ? FODTAqC ? ?SLlblM?'y (?LASS QooR I?RfA: TYAL oF DooiZ: y??0??IG QL?l99 OOOR? N?rc ?Lr.?{ tts+RO FoR"R=yAL-hty TNCY'? sho Li=rso AD0v4 ANO MA'} 06 N3i,,4Ntip A D1S GI/'1G ? VA 1.14 o1L •R" 0 /J10 ilLrlS Ft?T^ 4?- "= Uyy . v % DooR /gRe A : 7YpE oF DOOR : Tr+ev-rAA Tccu poocZ UNtYS NqVf. GGCN resrcc wt+a RoLAqa ro NAvc aM 'R7_VAnL4A Or T. BI i tMfj AIn P16"3, ?.Z 9 FoDrAfi L 3F. 4k,, : ??Rd, _ ?. •?? ? - 5PecIqLs : . rypE - FaRM c•o ' LArv- Sx,rtcc -- , ?. R? M J'o 1s-r- Avrcrg. A: "R' - VA LuE •?O? _I NTERIO/t ^12 l?L M 9,0 61 usuLAr)oN CR•i9 ) ? ob 2 3z SNEA T+N4 v'LT-.2i'TF- .?7 JAP sioi?•?4 _ lZ;? - 1, g g I1h'- soF rwooo . 17_EXTf A.1o R q l+t. P16-01 , 24.39 ToT A L' q.4' VA(-tL.L w,3 TOTA6 NxrA4t FouN D AT IoN WALL. AREA CA?VL PRAoS-D „R„ yA L u. E. • ??? ?WTErtioR aIR H+-AwN . S yS ? dCNCR!' I'i ,dL-OLK zx 4- 15 Fig-= . 0 'Ig I G (R- ) . f7 ExrLK.1oR, A,rz riLM 12.b3 1-0Tni F?„q dALuO- "y48- 1/4-4, • ? ? I 2le 3 cL ?c 79? T"pTAI Ff»iAC?C FbKn s-i i"yrift D^tc: 91GUito cJ' T"u D / F'OK AM 116J 4 .? .._ _ , R••. v^t- ue _?$-TareKloR arR Fmh `45 1 Z- GY/'•Sf1M WA"G0"0 I 6• 975? Sor T ?vo.o 1.0 6 Z Z sHaki"suc,, ?b? I?AP 5101uc, yx " VAPoC bAaRi" ?EofERIOk AfR. f?trM 0.83 ornL-? R..,; J.,L. uw- %i=1^ a 1 i o.eA.-r TorAL roorA4c ?NSt1.LATt-? ?RlA BtTwtaw StuDS ,.yt.._ vALu.L uree?oa ^?R r???ti Z 4Ypsu..H WA4L0011QO if ",?_ 1 115 t4 l? T 10 N (R??`? ) ? SH6& TM /N4 SVtL'r(LII"S",F- g 101 u 4 ? ? vAVO*. ?ta•aR.?ant ,1 Ila. ML.M, ZZ. OfAL PJ..Pi. VA%.uS- ???'??? l ?2+..i...6? 1 ToT AU roorAc L M W.-4 tM?N• Rs L)AP[: St;uao_. . : „ ?. tTOisT/ FRAMIN1G ARtx. •R•- vA Lu. e •61 1NTERIOR AIR fILM 375 3%z soarwoav .S$ 5/f GYPS?M wA«"AiD vA'vcR 0,41t'FiLPQ _17_ I NtBR ioa, A?R P??+? 5-135 TOT A L" Rw, ?ALU.! 7'eTAL FmyA6i .s. - z/J511L?17L.7 AR(A 15LtWL6M 7NE J'01STS W• - VAw.e. " ILL II?JTfR10Q Ai4 PrILM -kk.oo ?NSU.LAT1oN C?l•?- ) .S8 ?q1/VSUM WAUpuA40 VAf*,CR 0ARR11.R. .INfERIOK AIK f1L M 45,3?roTAL%R.,:' vaLLL9. v`h, . Ixy = = OZ-Z 'TOTAI, worAa.. ? a-# t•/n/7to 00 WArp si¢rrb 5? 75-4ao-c) i oF 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN, MINNESOTA 55121 PHONE(612) 454-8100 September 21, 1987 BFA BLOM9UISf M? 7HOMAS EGPN ,1AMES A. SMI1H VIC ELLISON iHEODORE WACHTER C?tl MemUers 1HOMAS HEDGES Gly PdminbM1alor MR TERRY BOLLING EUGENE VAN OVERBEKE 1059 BRIAR CREEK RD city p? EAGAN MN 55122 Re: Project 0467, l,ot 23,-_BYock 1,-Legiagton-Squa-re-`Isr--AUdn.7 -- -- --? ?' _ Special Assessment Objection ---- - " - ? Dear Mr. Bolling: At the formal public hearing before the City Council, you submitted a written objection to the proposed final assessments against your property for the improvements associated with that project. Subsequently, the Council deleted your property from the final assessment roll that was formally adopted and certified to the County for certification onto the tax rolls. Your objection was then referred to the Special Assessment Committee for an in-depth review of the improvements, the related benefit to your property and the proposed assessments. This Special Assessment Committee is comprised of two Council members, two Planning Commission members and three residents of the community. After their review, they will forward a recommendation to the City Council for formal consideration of final adoption of the proposed assessments. The Council's consideration of the Special Assessment Committee's recommendations will be held at a future formal public hearing and mailed notification similar to the public hearing process you recently completed. While there is no definitive schedule for the Special Assessment Committee meetings, it is not anticipated that this item will come before that Committee'any sooner than November/December, 1987. When the Special Assessment Committee meeting has been scheduled, you will be so notified in writing with a request to provide any additional information or appraisals you may have compiled in the interim. Once all this information has been gathered , a staff report will be prepared for the Committee meeting with a copy forwarded to your attention prior to that meeting. THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIIY September 21, 1987 Page 2 In the interim, this special assessment will continue to be listed as a"pending" assessment but there will be no interest accrued beyond the amounts proposed at the time of the recent final assessment hearing. If you have any other questions regarding this procedure or your assessment, please feel free to contact me at your convenience. Since ely, "tZt Thomas A. Colbert, P.E. Director of Public Works TAC/jj cc: Paul Hauge, City Attorney Deanna Kivi, Special Assessment Clerk . . ::. . . ... , ,. . , , , ... . . . . , . .. ._ _ : ? ?,. , v, ? ? _ . . ,.. ,. . _ . ti, . _._ . .. C? . . .. ? .... . ....... .' : r-?? .. ? . 'mII4n.c ... ? ? ? ._? :. a { , f.{? ...?R ?°?.?? \ `?? \? /? /+? ,. . .. ,.?:.: . :,. . ----- _ _ - ----- - -- .,?a-..:?a C.. - .. . .- - ?--- _ _,..., ? ?._._..;. , _ _ - _... , :; .. . - - --- .. .-- - :.- -. .: , ??.., .. . ,.. va? - -- - - -??- - ? 67 - ?- --_ -- ----- - -- ----- - - ___..._____ ... ,_ ..,. ., -,.:...,;i.. : r - -kl,?J'f/f . ------ ".- , ------- - ,? - - - - ?.. . .:.,. - = -- - - - - - - -- -- --- - ------- _ ..:.;: _...;° . . ." ,..,. ::.:: ? ?.. - -- _ - - - - -- --- ---- - -?????? ' --- --- - - -- - - - __- - ---- -- ..:.. .. .. .? : _ ,.:? . -- - --- - - --- ------- ----- - ----- - - - ---------- -----. . ? -. . .; - --- _ - ------ --- -----_ ----- - ._,.; :.. .. _. ? ... . ?? .: .? . ?? . . = -- - - -- ------- -- - - a-SS`?c ? ---------- .; . ?=. _ ------- ?.. ?...? r. _ . ; , ?, - - ------- --- - - ---- - --- - -----.- - -- ? 00 - ------ -- - ---- ::. ?. . 0. ? ------ - --------------------- - -- -- - - : .. ??- -- -----?------------- ------- ± _ -___ _'__-" :F•"' -_ """__ __'__'_'____'"___ _____' . \r 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-6755675 FAX # 651-675-5694 -Je7U 2 New Constmction Reauiremenfs 3 registered site surveys shaxing sq ft of bl, sq fl of house: and all roofed areas RemodeVReoair Reaviremenis 2 copies of plan CeribP5W4eyReCd ' ' ' Y. -N Y (20% mauimum lot coverage allowecQ 1 set of Eriergy Calculalions for heated additwm k : : - #tCe°P[Eg Plen Ctecd 'Requi Tie Aie ed `: _N __ N .Y 2 copies of plan showing beam 8 window sizes; poured found design, etc. s 1 sile survey for additions B dec Adddion-indicateifon-sitesepticsystem e q { . . . Oit3ileSep?Sys?eiitfi': . -, _.,,, '.:Y:i :IN iselofEnergyCalculations 3 copies of Tree Preservation Plan if lol platled afler 711193 Rim Joist Detail Optiom selecGon sheel (buddmgs wdh 3 or less umis) Date / ( Site Address / { / ? y ? q ?I ?la. J / j" ?/?o??G ll ?? Canstruction Cost lrf - _ UniUSte # Description of Work 411`64- " 4«`-/ 04 y ACw 5` `r"Iis Multi-Family Bidg _ YX-N Fireplace(s) 5?- 0 _ 1 _ 2 Property Owner .---- &U; n I ytah 1"e 6 Telephone #((p /a ) o?-76479o;t Contractor ?4P r// vt t Address 1^ " State /1i11J 3 C ? ??? A P- City Zip Telephone #((p/3-) d75 `'R? a7' COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING Minnesota Rules 7670 Ca[egorv 1 Minnesota Rules'7672 Enefgy Code Category , Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted . Energy Envelope Calculations Su6mitted In the last 12 months, has the Ciiy 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 Mechanical Contractor 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. ApplicanYs Printed Name Applica vt's Signature ? 4 `10 °o 2005 RESIDENTIAL BUILDING PERMIT APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Nex ConswIXion Reauiremenls RemodeUReoair Reaui2menk OfFice Use Onlv 3 regislered site surveys shaxing sq. R of bL sq. ft of house; and II roufed areas 2 oopies of plan Cert of Survey Recd _Y _ N (20% mazimum btcoverege allowed) 1 set of Eneqy Calculatbns for heated additions Tree Pres Plan Recd _V _N_ 2 copies of plan showing 6eam & window saes; poured found desgn, etc. 1 sile survey for additions & dedcs Tree Pres Required _Y _ N 1 set of Energy Calculations AddlOon • indicate Ifonsde seph'c system On-srte Septic System _Y _ N 3 copies of Tree Preservation Plan rf bt platted afler 1/1193 Rim Joist Detail Optlons selection sheet (buildings wilh 3 ar less units) Date _L,I- / c?- Site Address 1 ! 0S 057 ?? Construction Cost '?'c' v C re e? ?pc«l UnidSte # Description of Work let?i< <i i, 5 /? %? a?P??S? ? T!'D h 1? ?.s/'??e Multi-Family Bldg _ Yk-N Fireplace(s) ? 0 _ 1 _ 2 Property Owner 4 11 r. hiia Kl[ y Telephone #((p/? ) a75 ` g?? ? Contractor - Address State i CitY Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rules 7670 Cateeorv 1 Miunesota Rules 7672 Energy Code Category . Residential VenGlation Category 1 Worksheet • New Energy Code Worksheet (J submission type) Submitted Submitted • Energy Envelope CalculaGons Submitted In the last 12 monihs, 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 Mechanical Contractor Sewer/Water Contractor Telephone #( Telephone # ( Telephone #( I hereby apply for a Residential Building Pemut and acknowledge that the information is complete and accurate; that the wark 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. <-- % Applic t's Printed Name Applic 's Signature ?\-I -i5 2005 RESIDENT7AL BUII.DING PERMTC APPLICATION City Of Eagan 3830 Pilot Knob Road, Eagan MN 55122 Telephone # 651-675-5675 FAX # 651-675-5694 Telephone # ( New ConstNCtion Reauirements RemodeUfieoair Reauirements OfAce Use OnN 3 registered sHe surveys showing sq. ft. of lol, sq. ft. of house; and all roofed areas 2 copies of plan CeA of Survey Recd _ Y_ N (20%maximumlOtcoveragealbwed) lsetofEnergyCalculalionsforheatedadditions TreePresPlanRecd _Y _N, 2 wpies ot plan showirg beam 8 window s¢es; poured found desgn, etc. 7 site survey tor additbns & dedcs Trae Pres Required _ Y_ N 1 set of Enertgy Calculatbns AddBion • irMkate Hon-sNe septic system On-site Septic Syslem _ K_ N 3 copies of 7ree Preserval'wn Plan If lot plafled aRer 711193 Rim Joist Detall Options selection sheet (buddings wNh 3 or less untls) Date 65' ConstrucHon Cost SiteAddress ZQY? -4_61i a //-/ Unit/Ste # Description of Work &laq Multi-Family Bldg _ Y_ N Fireplace(s) _ 0_?7 1 _ 2 Property Owner 6 Telephane # ( ) Contractor Address CitY State 9Rt?'?j Zip Telephone # ( ) COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING - Minnesota Rufes 7670 Cateeorv 1 Minnesota Rules 7672 Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet (Jsubmissionfype) Submitled Submitted . Energy Envelope Calculations Submitted Have you previously constructed a building in Eagan with a similar plon? _ Y _ N If so, 25% plan review fee applies. Licensed Plumber Mechanical Conhactor Sewer/Water Contractor Telephone # ( 4-to °° 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. ? u r-? l pplicanYs Printed Name p licant's Signature Use BLUE or BLACK Ink r - - - - - - - - - - - - - - - - I For Office Use I C ' Permit 0 n7E a~ I 4T" I City of Eap 1 c_ I I Permit Fee: 3830 Pilot Knob Road j 1 Eagan MN 55122 I Date Received: " t 1 I Phone: (651) 675-5675 I I Staff: 1 Fax: (651) 675-5694 L -----------1 2013 RESIDENTIAL PLUMBING PERMIT APPLICATION Date: Site Address: r f'CL r-,r- r-ee~ Tenant: / ~6C5_2::) Suite M Resident/Owner Name: Phone: Address / City / Zip: Name: License QG `7 S~a `7 Address: dN i~J 43 3 ~©qi City: 7- Contractor State: M/` Zip: Ssr.3 ` Phone: kJ27 ~ 3 9-'l0~ 9 Contact: r' GLI~I Email 18 q l~Z b h Type of Work - New Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W. Description of work: RESIDENTIAL Water Heater Water Softener Lawn Irrigation C_ RPZ PVB) Permit Type Add Plumbing Fixtures Main Lower Level) Septic System New Water Turnaround _ Abandonment RESIDENTIAL FEES: $60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge) $60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge) $60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge) *Water Turnaround (add $200.00 if a 5/8" meter is required) $105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge) TOTAL FEES $ CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to art without a permit; that the work will be in accordance with the approved plan in they case of work which requires a review and approval plans. xe.'eLA_z A ✓ x A plicant's Printed Name Applicant's ignature FOR OFFICE USE Reviewed By: Date: Required Inspections: Under Ground Rough-In Air Test Gas Test Final PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA119833 Date Issued:12/20/2013 Permit Category:ePermit Site Address: 1059 Briar Creek Rd Lot:22 Block: 1 Addition: Lexington Square PID:10-45075-01-220 Use: Description: Sub Type:Residential Work Type:Replace Description:Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Melodee Murphy 2411 7th St Nw Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088 Surcharge-Fixed $5.00 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 - Federal National Mortgage Association 14221 Dallas Pkway Ste 1000 Dallas TX 75254 (952) 563-1950 Tonna Mechanical 2411 7th St. NW Rochester MN 55901 (507) 288-1908 Applicant/Permitee: Signature Issued By: Signature