1948 Berkshire DrOF EAGAN
Pilot Knob Rosd
SEYVER SE1/!CE PERMIT
PERMIT NO.:
OiA'1'E: e
No, of Units•
Owner: ZachiRan Rrc+c ?
SiM /lddresy; 1248 --
Plumber, 'j „
? Mim bSeen* wiK /M Clhr oi 1,0, CoWrncllan Qwrpe:
OraMS"s. Accamt peposll:
P~ Fw:
8 5u?. --
Y J1Al?c. Q?o?
Dota of Insp.: Totol:
??" DoM Pafd:
.
WATEIt SERVECE pEllMIT
PERMIT NO.:
DATE: '
- Na of Un
_ ,• -
No..
Is aow/* wa Ke C*p of E"..
ITl( OF FAGAN
i3830 Pilot Knob Road
1 P. O. Box 21199
Eagan, MN 55121
Zonirq:
Owner.
Addrow:
Site /lddrem
` Plwnbar. '
MeW Wo.:
, Slu: -6?2 " ?o C-K
Reodar No.: ? d
I esm to *"Vb MNk iw
Connection CFwrya: _ t` 't
Aacount Deposit;
Pennit Fee:
Surchorge:
Mitc. Chorqs:
Totol:
Daite Poid:
a WATHt SERYKE P~
PERMIT NO.:
DATEc
- No. of Untts -
e tmivN LS Bit Lerk.sh3
Charm; ?
r..,.. 1 ? .
By__ L«] `RI
oaft ? i?,sp.:
PERMIT # 8 7 /5?
MECHANICAL PERMIT RECEIPT # -
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE 2•!ay 7$, 1987
? Name _
m Address
c City C'
75.000 M BTU
M BTU
M BTU
M BTU
CFM
xx
25.5r, II
BLDG.TYPE
Res. _
Mult _
Comm.
Other
WORK DESCRIPTION
Name
c Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlats #
Other
FEE
S/C:
TOTAL•
New _
Add-on
Repair.
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 SURCNARGE PER PERMIT - .50
(ADD $.50 S/C IF PEFiMIT PRICE GOES
BEYOND $1,000.00)
i
? ?•? ? i ?
SIGNATURE F P M ? /
FOR: CITY OF EAGAN
RERMIT #' ? CITY OF EAGAN FEE ? •J
PLUMBING PERMIT - ?
RECEIPT # 454-8100 sic
I ? MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL
T?
DATE 5 << MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res k Comm Inst 2. New Add Alter Repair
3. Total Bid Price 4. Job Address
Lot Block ? Sec 5. Owner
6. Contractor
(Name) L 7 (Streey ? (CitY) (ZiP)
7. Contractor Phone #
NO. FIXTURES NO. FIXTURES N0. FIXTURES
? Water Closet - $3.00
?Bath Tubs - $3.00
J-Lavatory - $3.00
-Shower - $3.00
1 Kitchen Sink - $3.00
-Urinal/Bidet - $3.00
I Laundry 7ray - $3.00
TFloor Drains - $1.50
? Water Heater - $1.-50
_Whirlpool - $3.00
?Gas Piping Outlets - $1.50
-Softener - $5.00
_Well - $10.00
Private Disp Syst - $10.00
__LRough Openings w/o
Fixtures - $1.50
COMM.IIND. RATE - 196 OF TOTAL BID PRICE PLU3 $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
,
Approved Inspections: Date Rough Insp. Date Final Insp.
4 '?+a ?+/
r
?
(Itx#i#iratt o# ()rruvttnry
Citp of (Eagan
lPpol"tfiFtit Df loutIhttt J iIt"PttlDtt
This Certi,ficate issued pursuant to ihe requirements of Section 306 ojlhe Uniform Buildrng
Code certffying that at the time of issuance this siructure was in comp/iance with tlre various
ordinances of the City regulating building construction or use. For !he following.•
U. chdr?.tion L:' DE/GAtt elag. aawdt ro. 12247
o-v.ar Type R3 Zoning nwmce Tyvc romc Vn
V?AI f.iT•,;?;: .
? ''i;
.3 S°!' ,
FETTAiA
&akfingAeer= L*Mlm,
Dtle: "8?
Buiidiog 016ciil
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN Remarks
Addition BERKSHIRE PONDS Lot 8 Blk 4 Parcel 10 13750 080 04
Owner st??t 1948 Berkshire Drive stete
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. t] 1982 239.04 23.91 10
STREET RESTOR. 1985 123.80 8.25 15
GRADING
SAN SEW TRUNK 1982 176.04 11.74 15
SEWERLATERAL ?C 1982 57.24 3.82 15
* .8 8 L 28- 3 15
WATERMAIN 10? 19$2 46.09 3.07 15
* WATER LATERAL 1985
WATERAREA Cq? 1982 176.04 11.74 15
STORM SEW TRK 517 1$5 385.03 25.67 1
STORM SEW LAT
CURB & GUTTER
51DEWALK
STREET LIGHT
WATER CONN.
BUILDING PER.
SAC
PARK
BUILDING PERMI
CITY OF EAGAN
3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?-
PHONE: 454-8100
T Receipt #
12247
To be used tar ZIF v%V44/',w'k! Est. Value V oWf V V V Date v VLS av 19 0m
Site Ad ess 1-94s saMMRIRB DR Erect C7 ?lt Occupancy R3
H=X8,HIRZ
Lot i Block Sec/Sub POM8 Remodel ? 2oning N1-PD
.
Parcel No. Repair ? Type of Const Mn-
Addition ? No. Stories
aACA?? ?OTIMM CMBT Move ? Length 36
°C Name
=
0104 Demolish ? Depth
o Address ** Int Impr. ? Sq. F}
Ciry XDYMA Phone e93-0755 mstall ?
IE
o?
Q
?
U¢
W W
?Z
U?
` W
Assessment Permit I-F
Phone Water & Sew. Surcharge
Police Plan Revie
Fire SAC
I hereby acknowledge that I h
information is correct and ac
Minnesota Statutes and City
A Building Permit is issued to: ?
all work shall be done in accordance with all
Building Official
Name siva
Eng. Water Conn. iV V• qu
Pl W
t
M
t
anner
Council er
er
a
e
Road Unit ?4
nd state that the
yticable State ot Bid .Off
g ?? Tr. PI. ?00
APC Parks
Var. Date Copies
42 054.00
?MS ? ,
Total
on me express condition that
tate of Minnesota Statuteg and City of Eagan Ordinances. 3
- ' PormN No. PwmN Noldor Date TNsphone M
Plumbiny
A.C
.
H.V
-
?
,
. D 1
Eloebic 7- .! S r
SO„lW
Inspecdon Dah Insp. ComrtNnts
FooNnps 1
FooGnys II ? C
Foundatbn
FrerMny o/
Roofin9
Rouyh Plby. j Vev
Rou9h Nty. j
Msul.
Fheplaes
Final Hiy. PQ
Flnai Plbq. .
Bldq. Flnal
c.d. occ. A? t G.ft-t /9?,
Dock Fty.
' Oock frmy.
WO11 DoscriM Loeatlon:
Pr. Disp.
. . .. . .
CITY OF EAGAP
? 3830 Pilot Knob Road, P.O. Box 21-19
PHONE: 454-8100
UILDING P??ILACE 4
.._ ..__a i... A1C1iRIPu'! YT Yiwu c... ?i..?..,. '11 s500
Site Addrgss ' '"' ""?"""""" ""
Lot 8 Block Sec/Sub. WRISRIRZ PONDS
Parcel Na
W Name MD it0MtlOVDE
a Address 1948 SS$1CS?iIR6 Dx
City EA"N Phone 6E8'8420
Name -"?--
Address '
City Phone
Name
Address
Citv Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesota Statutes and Git Eaga?Pdinances.?
.r£Cc.C,;/ /?;.l•?'' ?.?'"? `.
Signature of P "
ermitee
A 8uilding Permit is issued to: B? ???OVDE
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official ?• ` ' ,
? ..
., ,,.
:agan, MN 55127
Receipt #
lK1Y 28
OFFICE USE ONLY
Occupancy
Zoning
(AGual) Const
(Allowablel
* of Stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
Ciry Water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variance
Bldg. Permit
Surcharge
Plan Review
SAC. City
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
SJW Surcharge
Treatmenl PI
Road Unit
Park Ded.
Copies
TOTAL
16583 ?
FEES
35.00
4 M
Permit No. Permit Holder Date Telephone #
WATER
SE1hER
PLUM8ING
H.V.A.C,
ELECTRIC ,I *9
kwpaction Date Insp. Co+nments
Footings I
Foundation '
Frarnirg
Hoo(ing
Rough Plbg. ?
Fipgh Htg.
is,l. S--a {+er c?
Fireplace 'z7 9, ??i //•? - --
Final Htg. 100,
Final Pibg.
Const. Meter Plbg. Inspecta - Nolify Plumber
Engr.lPlan
Bldg. Final
Deck Ftg.
Deck Final
weii
Pr. Disp.
CASH RECEIPT '
0 CITY OF EAGAN;. • *
3795 PILOT KNOB ROAD
A 55122
/? .? ?
RECEIVED
onu
DOLLwRS
Thank You ?
B
N_ 64848 .
- -- - - White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN - -
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NO 12247
(
? PHONE: 454-8700 ?C?5?-70
BU1491NG PERMIT Receiptp
To be uaed for SF DWG/GAR Est. value $60,000 Date JIILY 10 1986
SiteAddress 1948 BERKSHIRE DR Erect LN Occupancy R3
Lot 8 Block 4 Sec/Sub. BERKSHIRE PONDS Remodel ? Zoninq Ftl-PD
Parcel No. Repair ? Type of Const. y.n
Addition ? No. Stories
ZACHMAN BROTHERS CONST Move ? Length 36
-------------
W Name 4620 W 77TH ST., #104 oemolish ? Depth d?
o Address Int. Impr ? Sq. Ft
Ciry EDINA phone 893-0755 Install ?
x
o Name-
0
u a Address
a
? City -
? w Name-
_z
Address
i Wz
City -
Iherebyacknowledg?jthetlhav
information is corre
and agre
Minnesota Statutes nd City of
Signature of
Phone
Assessment_
Water & Sew.
- Police
- Fire
- Eng.
Planner_
Council-
a? 81dg.Off-72
APC
Var. Date-
Permit $ 313.00
Surcharge 30.00
Plan Review 156 . 50
SAC 575.00
water Conn. 500.00
Water Meter 63 . 50
RoadUnit 290.00
Tr. PI. 156.00
Copies
7otal $2.084.00
A euilding Permit is issued ot -? ZACHMAN BROTHERS CONST on the express condition Mat
all work shall be done in accordance with all applicable Sta oF Minnesota tatute antl City oi Eagan Ordinances
8uilding
;e`r" ? - 11- ?? ?SS
44 4 2- 3, /SN, uC'-
R? fire No. RouPh-in
Inspeclion
Reqmrad? ?ReadV Nuw
? Will NolAy Insper
8/ 1/86 CI(Yes ?NO X?or When Reatly
[.:Licensed Electrical ConVACtor 1 hereby reqeest maDection of abova
? Owner electrical work installe0 at:
1`gegddger?CSire `?ay _ ???agan
ectmn o.
Lot 8 Town h'p a e or o.
loc?C ?er shire P flan e No.
n?s Co i?
b?a'?ota
?acnman"T§rothers Construction PhY? 1°"0755
Nako$P°a1e`Elect. Assoc. 75Farmington
Ma$' e r ontace C? r 1 c y Nama)
1
,y.ic?nse No.
C%[?ahiqr?LS
U U/
Madmg AtlJress IComractor or Owner Meking InStailaUOn1
12467 Boone AVe. S. Savage, MN 55378
Authonzed Sienamre IContreclor Owner Makfne Ins[allabonl
1 Phone Nwnber
890-3555
MINNESOTA STATE BOARD OF ELECTRICITY THIS IfVSPECTION qEQUEST WILL NOT
Griggs•Midwey BIAg. - Room N•191 gE ACCEPTEO BY THE STATE BOAND
UNLESS PROPEN INSPECTION FEE IS
1821 University Ave., St. Peul, MN 55104
Ph- 16121 297.2111 ENCLOSED.
UEST FOR ELECTRICAL INSPECTION E8-00001A4
? 0474 e instr 4ons 1or com0le[ing fhis torm on back oi allow coOV.
"X" 8elow Work Covered by Thrs Request
Ne4 Aotl Rev. Tvoe ol Bu,itlmn . APOlinncea Wired Eqmument Wired
BI
p Fee ServiceEntrenceSiie tt Fea Fexders/5ub?eetlere M Fee Cvcwts
U to 200 Am s 0 to 30 Am s to 30 Am s
A6ove 200 Amps 31 to 100 qinps 1 to 700 Amps
Swimming Pool Above 100-Am s A6ove 100_P?m s
Transiormer5 Irrigation kborcis Pdriial.'Other Fee
Special inspection g
Hemarks 49.50 ror .!?'
t?ria?heactoq hereby
cervfy thet the above
Final insoection has been
m
p ? 3 416 )t `?=
Fequest Date ?
/?'?t ire No Pou9h-m InsPecuon
Reatly Now illNotih' Inspector
/ ?? Reqwretl' ?
en Reatly,
yr/
I Yes -
-
C No
1'?- licensed contractor owner hereby request inspection oi above electrical work aC
?JOb Atltlress 1 veet 4iQY.Qr Foute No )
> S8' sNk Qty
Sectwn No Rownship Name or No IRanqe No
I
? Gounty
_ _--
-_--- _- _--
0 ' IIPRWT)
raTd Ron huuale. _-
IPhoneNo
-_---?-_-
IPawe; Suppeer Atlaress
?
r __ -
Eiec?ncai Comractor ?GOmpany Nemei Conllacror§ L¢ense N.
OwnEr'
'
-
----- -
--
- ------
--------
Madmy tldress (Gemractor or Owner Makmy InslaliaUOn) --
?v t,
__ ---
------------- ____
Aubo?n/ze$ ignaw,re tC aL
Onlra
/ctJp? wner M//yyhh q In5leuOn,
!Ln// ? --- ---
Phone(?Number ?\
Y
`?OQ - ?/ ZV
MINNESOTA STATE BOARD OF ELECTRICITY
Griggs-MlEway Bltlg - Room 5-173
1821 Umversily Ave, 51 PauL MN 55104
Ghone (612) 6C2-0800
THIS INSPECTION FEQUEST WILCNOT
9E NCCEPTEO BY THE STATEBOARD
UNLESS PROPER INSPECTION F.EE IS
ENCLOSED
1-2 ???? ;ESee QUESoFORoEPE9TRoCAo eNSPECTION
Q 43-416 - X"- fielow Work Covered by This Request
,ee-00001.0e
? -is
`Al,?
',?Frov?'
ew?Aa ? r,ep. TypeolBUilding ApphancesWired EqmpmeniWrted
l Home Range Temporary Service
Duplex Waier Heater Elecinc Heatmg
Apt Bwlding Dryer Other (Specify)
Comm /Industrial Fumace
Farm Air Conditioner
Otber hyecdi Comrachas Remark
?j
Compute Inspection Fee Below.
s` Other Fee # ServiceEniranceSae Fee # CirwtlslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgOS Inspecmr's Use Only TOTAL cW-AP
Imgation Booms ??• ? dC%
Special Inspec0on
Alarm/Communicahon THIS INSTALLATION MAY B ER OhNEC D IF NOT
Other Fee COMPLETED WITHIN 18
1. the Eledrical Inspector, hereby ROO9n-'" Dale ?
cer6ty that the above inspection has
been made. F,nai ?
•
OFFICE IlSE ONLV
Tnis requesl void 18 momhs Irom
, CITY OF EAGAN NO 18583
• ?• 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
,
PHONE: 454-8100
BUILDING PERMIT Receipt #
FIREPLACE &
To be used for g EMEN FI I Est. Value $1, 500
Date NOV
28 1990
Site Address 1948 BERKSHIRE DR OFFICE USE ONLY
Lot 8 Block 4 SBC/Sub. gERKSHTRF. PONDS
P3fC81 r10. Otcupancy - FEES
i
Zpn
ng -
w Name BRAD RONHOVDE (Adual) Const _ Bldg Permit 3 5_ nn
; Address 1948 RF.RKSHiRF. DR (Allowa6le) - e 1_nn
Surchar
? City F.A[:AN Phone 698-849n MolStories _ g
Plan Review
lergth _
o Name SAME Depth _ SAQ City
,
o? Address S.F. Total -
SAC
MCWCC
?<
• C1?y Phone S.F. Footprints - .
S Water Conn
ewage _
On Srte
W w Name On Sde Well - Water Meter
w
z
?
Address MWCC S stam -
Y
0 Acct. Daposit
iW Clty PhOnO CiryWater -
i
R
d S/W Permit
re
_
PRV
equ
I hereby acknowlege that I have read ihis applicalion and state [hat the Booster Pump - SIW Surcharge
information is correct and agree to comply wrth all applicable State ol
MmnesOtO Statu[es and City Eagan Ordces
, i Treatment PI
/
Signature of Permdee _ ?Z,L APPROVALS Road Unil
A Building Permrt is issued to: RRAO 110N}if1Vr1F Planner - park Ded.
on Ihe express condihon ihat all work shall be dona in accordance wrth all Counctl
nesota StaWtes and City of Eagan Ordmances.
applica6le State ot Min
^ eldg. OH. _ Copies
l
`?Nio?? ? ?
BuildingOfficial-i Variance - TOTAI 36.00
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
- i SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS
2 SETS OF PIANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
Mov 2 ,
0 1990
COMMERCIAL
2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS
1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LQTS - CONTRACSOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
,.`,ic'v /?/•au jj,,..,:"A ,:,_3
To Be Used For: Ga?c.t /rc.wc? Vaiuation
Site Address ? 9 y ? ,itt D
Lot ? Block ? ?
Parcel/Sub r"11H.W(ht. ?ItY1rkj
Owner
Address
City/Zip Code -5?1 Z z-
Phone (., o
Contractor
Addxess
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
1,OO Date: 11 ' 2-4- /O
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
A1lowable
# of stories
Length
Depth
S.F. Total
Footprint S.F
On site sewage_
On site well
MWCC System _
City water _
YRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off, li(27
Variance
FEES
Bldg. Permit
Surcharge
P1an Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL
35', oa
??Q
; .
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
rtaTE: PAn*Mr.e aF Oee AT xnM aF ;
APrLscATiorr nm wr aornTcrm
ArPRDvat. oF rMruT. ?
INSPDCTIOIV OF SEVM aND/CHt vilA'ffit ;
II15TAiSdTTpN$ p]jM W'J,` EE SCHED- ?
OI.ID OtTI'IL PERPffT AAS BF.m „
APPR(n]ED. i
. Tt?xw::*,t*?wxx**x?r•xxrr7rx*?re??a-atrtr
P ease Print
: :1) PROPERTY ADDRESS :
LEGAL DESCRIPTION: •-
vision or
IF EXISTING STRCCIURE. DATE OF ORIGINAL H-IILDING PERMIT ISSC'ANCE: - * ' :
PRFSENP 7ANING/PROPOSID LTSE: ? ?
q ca44ERcuL/xErAuL/oFFicE
Q IAIDL'STRIAL
n INSTI7UTIONAL/GpVII2NNg,'NT
? R-1 SINGLE FAMILY
? R-2 DUFLE}i (7.Wo Units)
? R-3 ZOWNEiOUSE (Three + Units) ( C7nits)•' ? R-4 ApARZPHWp/COPIDtW1VICT1 ( Uni{s)
2) ? • .
[?P?E: .ZCc? tM ls ka ??pY?P Q:;
p,DnxESS:_{l?;?D 77 11` Sat 2'e /oy
CITY, STATE. ZIP: LY! 1J ? S`y
PHfkIE: S?q3 " U 75`S ' . .
3) ?
NAM:
' ADDRESS: 6011
crxx, srATE, zIP: 3PltorE: ? ?-3-s-QS tAsTEa rIcEr,SE#: m- .?? 9 y
I
41 ?• ? i?• DTHiVE:
ADDRFSS: •
CITY. STATE, 2IP:
' PHONE:_ -
h
Active •.
Expired
Not recorded
-5) ?? r• ?• : a a• - ?? -
? CONNE(.TION TO CITY SSWII2 QR] CONLVDCTION ZO CITY WATER ? O'I'fIER '. .
6) ?? • • i• ? pM,gE HOLD APPROVID PIItMffT FOR'PICK-UP BY ONE OF ABClVE
PLEASE MAIL APPROVID PERMIT Z+D 1, 2, 3. 4, ABOVE ..
(Circle one)
.' ? ? /
.='?, - -n-'J
a,
P?'? , • ' . ,. . ? d ? ,: .: ?:
FOR -CITY USE ONLY
.
. • .
$y
. .;
.o
PERMIT # ISSUED
Pd w/Bl?dg. Permit FEES:
?
YAr' $ y?
?X?i- s s i5; ?v
??.
-x0. C9-ri $
` .$ $
`
x
?:p- _ '/S? ?(173 $
' ?` ?s :. /? 9y 5c? s
R CEIPT 12ECETPT
?' .
B
i?
?? . .
z
?
?
SEWER PERMIT (INCLUDE SURCHARGE) j
-
-
WATER PERMIT (INCLUDE SLRCHARGE) ?i n
WATER METER/COPPERHORN/OL'TSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP ± . .,
ACCOUNT DEPOSIT - SEWER '
?- ..
ACCOC'NT DEPOSIT - WATER
WAC S ,
y
SAC
TRLNK WATER ASSESSMEN ? T - ? ?
.
TRUNK SEWER ASSESSMENT ?
'
LATERAL BENEFIT/TRLNK?''SEWER
?
LATERAL BENEFIT/TRUNK, WATER
?t
WATER TREATMENT PLANT-SURCHARGE'
OTHER:
TOTAL
-'' DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK'WITHIN PDBLIC
ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION, LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CbNDITIONS: ?
• * ;i . ,
.'
APPROVED BY:
-'•v: -' . t ? . .
TITLE:
`DATE: ? _ ??'- b ?c t a • ?:, _ _
r. ' u
?
- CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
PI.U???1??;-?'??
n. .. . .. .... :.y,ca.:ttw<r.<
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE: /
"gI"PM PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 5
TOWNHOMESJCONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTIDN
N0.
NEW CONST ?m?•
ADD ON
REPAIR
OWNER NAME: /L?? Ov?hv?? _
SITE ADDRESS: ? ?`C ? /'.S?/LP`"J?? /J?? _
LOT: ? BLOCK ? SUBD. &^.'.AVL ? Y?6rC0?7.. _
INSTALLER:
ADDRESS: ,/
CITY: (L-- Ita 5 d1,) ZIP: SSiZ? _
PHONE : ? Ff7f a'S? 2 co -
??
COMPLETE THE FOLIAWING:
FIXTURES EA.
ADD-ON MINIMUM 15.00
SHOWER 3.00
WATER CLOSET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FLOOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
TOTAL
SUBTOTAL S I S
ST. SURCHARGE .50
SIGNATURE OF PERMITTEE
TOTAL: S 15. 5 v
COMMERCIAL,t.iNkIISTHTA?: PLEASE COMPLETE THIS PDRTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
.:. ....: ..- <>.>.<..,......<.:<,.,.
MULTI-FAMILY BUILAINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME; _
SITE ADDRESS:_
LOT: BLACK _ SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SIIRCAIARGE
t
TOTAL:
$
$
(SIGNATORE)
FOR:
CITY OF EAGAN
L
1985 BUILDINC PERHIT APPLICATION - CI1'Y OF EAGAN
NOTE: ALL COHTRACTORS MOST BE LICENSED HITH THE CITY OF EAGAN
COHHERCIAL
I';CLUDE 2 SETS CF ARCHITECTURAL
& SIRUCTURAL PLANS, t SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIQNS
$2,000 LANDSCAPE BOND _
To Ee Used For • _
Site Address
Lot ? Block
Parcel/Sub ?
0•aner -??/d f J?
?
• 5
.?... .,. ??:?.....?._?.?,i..._.
Address
.-I
SINGLE FAMILY DMELLINGS
INCLUDE 2 SETS OF PLPNS
3 CERTIFZCATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Date:
Valuation•6%42nf2f2
Erect ?
Remodel ?
^
- Repair T
' Addition
h;ove ,
?
'a Demolish =
Znt.Impr.
Install ^
City/Zip Code C?'(il(/1a fian -1?5 ,5`/?
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address -
City/Zip Code
Phone #
#
3l3•00 +
30•00 +
156•50 +
575•00 +
500•00 +
63•50 +
290•00 +
156•00 +
2084•00 *
/
Occupancy
Zoning
Type of Const
0 of Stories
Length
Depth
Sq Ft
APPROYALS FEES
Assessments Permit
Water/Sexer ? Surcharge
Police ? Plan Revieu,
Fire SAC '
Engr Water Conn
Planner Water'Meter
Council Road Unit
Bldg Off;= Treatment Pl
APC Parks
Varience Copies
TOTAL r
,.
0
0
Medlund Engineer6ng Services 714 Moroan Arenue SeutA
RIMfieId,Minneseta 63423
Land Surveyors Clvll Enqineers Land Plonnere Phont :B68-2623
JM? Surve?ar`s G'ert?, f '?cate n?
- _ °?i 2 ;,?,_ S
- JOB N0.
SURVEY FOR: I
Zachman Brothers
DESCRIBEO AS: Lot 8, Rlock 4, BI;RKSHIR.P POD;PS, City,of Eagan, Dakota County,
t,linnesota and reserving easements of record. .
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2+ ????5
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ro. •[? y ?
p ? P? \
)30-.0 l/ ?G? ? nJ O o x?
i O x (?
Df{sef S7FOLrPS n ??J ? ?
. _?
TOE) Of FOld1d8t10I1S 932,q \ SS ?v? R S7
Garage filoor ¦ 932.5
Basenent Floor - 929.9
Proposed Elevations O
Existing Elevations --.
Drainage Directiorrs--p?
Denotes Lot Corners O
,
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GERTIFICATE OF SURVEY
I hereby certify fhat on 6I surveyed Me property described aDove ond thot
1he obove plat is o correct representation of sold survey, ;
(2¢..;?) ?/?/?,? ?Nt?, µ,v.c ?t?.? 7 , • ?, f
? . ?Colvin H. Hedlund, Minn. Req. No. 5942
?
. ?
.F:7.'TCRIQR 1::7V1:LOPL' i1V1:1L'iGE "U" C0:94'U7ll'I'f0:1 /3 3977s
ZACHI,AN DOS. CONSTRUCTION C0. 4620 West 79 th St. Edina, tin,
U1:1:7:R -------T---- ------ ------
,]'1'L APDPF_SS
CO'12PACTOR zacHNaN &tOS CONSTRUCTION pnTe rHot.?e 893 - 0855
, Determine working squnre footagc of each.
1. Total cr.Posed r:all arca ....... J77 f, __sq. ft. x__ 11 - 17 S$
z. Total roof/cciling area ...... ?/2-sq. ft. X_026 - I 3,
A. Total wa22 tirando:v arna ............... ........... /6 f. /S
s. Total door a:ca ...................... .......... 37,7
C. 7ota1 slidiag glass door area ........ ...........
D. Total fi_eplace Wall ai-ea ............ ...........
E. Total lqall framiny area (averaue 10%) ........... 135-,0 ?
F. Total Rim Joist arca._..........•-••- ••---•••••- o
G. Total Nct tiall area above Sioor. • - • • • - - • • • - • • • - - 12-1S• 7 9
Total exooseo found ation area - $ a, o
H. Tot-al fcLndation Mi,doa area ......... ........... 4
L Total i:et _°oanr,ation area above grade _.__.___..._? O, o
Determine "U" value of each wall Geg-nent.
a. y; ?,p,. .47
= S/. 3!7
b. 37 7 x"v^ •137 = S, / G
c. 4-0, a X„u.l .55 = Z Z. o 0
? -? x .;U..
e. l 35, o? y. - lpl.
f. ?G D, o g
g. / 2 /S, 77 X •?p•?
.08 = ( a . $a
.0446 = 7. /3C
.0477 = s7- 79
h_ - a .55 =
a
/, o a
17-77- 2/
? .................... ............... Tot,l = /s--- . al<
I( item ti3 i:: t!lc samc as, ur less than iCCm fll, you ?. ?a mrt ihc inicnt ni
SI4C 6006 (c)2•
. ',- -
, Total cxposed roof/ccilin9 arca = 9? Z
j. Total skyliaht arca ...........................•--• D •
---
' X. Total ra,f/ccilir.g frami ng arca (avcr.:ye 10°) ...... _ 9/, 4n
1, Total riet insulatcd roof/cciling arca .............. z o,_K
Aetermiiie "U" valtie for each roof/ceiling segm^_nt.
j, X "u., ,Sp =
,032 2, y Z.
i. 52C. S X.,U., ,025 = Z.?
4..................................... Total = 3 • ? ??
If total of ,4-4 is the same as, or less than V, you have .:,et the intent of
SSC L005(c)i.
Alternate 3eilding Envelope Design
To utilize tne total ei:velopc syste:a method, thc }ialup-s CCtdbS15f1Pd t-, '_t_
suia of itEr.u y3 z^d rY s;.-:li r,oc be greater tha--3 ihe sum ot lt,.:s 71 and q2.
- 1_ + 2. _
3. + 4. _
rE: G.- •ui c•pjyu,? wall arca for
fr.1:1c con:Aruction
?
.
I
iSIC
'HLL
Fic. fil TOPVIi:;a oF
Ffin:fe F;nLL
FIG. $2
I s-;, c=?
Sa.ol
, !P? I ?
I
?szcrt 1
L I
, ? .
.
??.
? ??----?---? ?
. `i
h•__.?U •??.ll.?__'-
s ;e)?'
? o
. u • ?=ar
.r• • F' ?._-• ?
4 ? '!??•'
? ? .
? ' ° • rRnn
`' f'?` y V ?i • -^ ???'??
y.?,.
ns
) .
) ?•
3 . •
. . .
Con?:trucYion fi-Valuc
1. -3 7IL1c,-ior air fi7m_ O.Gf3
r? - --- -1,?
2. z Gyp. Board. -.?
? ,-' ? .38
3, 3z'
q. " Thermax Sheathin .00
5. -77f6"Hardboard Siding .67
6. Extcrior air film : 0.17
Tocal 12.35
. U = .08
1. Tntcrior air film 0.68
2. Z " Gyp. Board .45
3. R- 13 Fiberglass Patts 13.00
9. 3" Thermax Sheat}iinq 6.00
5. 7/ 16" Hardboard Siding_ .67
6. }iaLcrior air filn 0.77
Total 20.97
U = .04y7
1. 7nterior air filn 0.63
Z, R -13 Fiberglass Batts 13.00
3. Rim Jst. Sofftwood 1.88
q_ 31'4" Thermax Sheathing ,00
5, 7 1" Hardboard Siding ,67
o. Er.terior air film 0.37
1. rotal 22.40
u = ,0446
Intcrior air f-1m O.GR
2_ ?3 g- Thermax Sheathing ¢`.00
- 3, * " Conc. -` 1.11
a.
S.
6. Extcr.ior Zir film 0_17
Tcta1
• U 7, 9`6
,
O/2S
-r
SLAB OP G R%iDC
T e . ? . . a.
_ ?r !((/-( ? _ ? , . •. . ?? • , -
• ?1
rii ? • ' , • . . ' ? ,ir, ? .
F'7G. 1,14 ` ?. . • , ' ? ?+?
0
• lrr
? ?.' , ? L •
' ?"1;(Y-)l'/CI:1LL':G
Cnn?;tr.uction (Ucc for Itr_m L) 1:_V_iluc
enced
FIG. ,ur$
lIcaC flow
up
•t:' °:'- °,_•„?r^?.:i? ^ •,,,? ?c-.r _?a-,r__(?
,r=---?-
?
Ju???;'? ??.
---?--.-
1 4-
? ?
1?eat ;lou up . ventr_d
, FIG_ V6
r?O'?
_ ;...}: _- ..... ,...
]. Intcr..ior air film
2, 57$" Gvp, Board
3. Ce?uloscF
4. T:xtcricr aii 1 i lm
0.61
--- b9
fr:t:il1) 0.7i1?
Total 39,01
U = 025
CL,G. FRA7•llt:G ([ise for Item K) '
1. Intcrior 71ir film. 0.61
Z, 5/811 Gyp. Board ,69
3. Incli^s soft t:ood 3 z" 4•38
4. Inches insul above framinv 6 i° 24•98
5. Air Film 0.61
1_ Interior aiz fiL.-,
2. 3.
4. £rterior air fiZm (still
. Total
?J n
1.- In;idc air fil,rt
2.
:i .
n_
T3t.3l
U = .032
.
0.61
0.61
0.G1
5. Outsidc )ir fil:n
0.17
l~-
l.ota: 11^c ;1.1351--.ion.13 shccts ii mnri: -i'•:scc is
---- ?:ci•rl?:t lor BrtniL: .11)d calcu!ationn.
_ ? . ltent
Use BLUE or BLACK Ink
. � r----------------� .
i For Office Use �
I / I
ClUOl �� �11 j Permit#: /��(J�/l�- �
y � � �
� Permit Fee: `�'� a-- �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �.����� �
Phone: (651)675-5675 I I
Fax: (651)675-5694 � Staff: �'�-� I
I I
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
,�� �, �
� ` _ I
� � � Name��t fD L�N ��.� Phone:�( � �� ��Q�Z-
� �Residentl� �
� �Owne�r����-� Address/City/Zip: � j�, ��
� � . , �
����.. �,,;�� ����� Applicant is: Owner Contractor
�, � ���
��
� � �:� � Description of work: �� �(�� ( � EA�' �-�
�T�rpe of�Work�� � �•
y �:rt� ,� ,` ,�� Construction Cost: �� -1�J Multi-Family Building:(Yes /No )
� � � 'g
�` � .� � �;` Company: 1L�'�4 �oVVl�� �.�`�=��-��Contact:�� �X�'1�'v
�: �_ ����
� � � '�� Address��.-�T w��(,� l�.�j _City:���C�i.s
��Cbntractor
���� �� ��
�.�,�� , � �� g� ��
°' � � ���� State: Zip:�_ Phone ' (� EmaiL• , .�
�
��� � �� i € 1���
� �� �.,�� License#: �` �L��d C��r1T�'"ca�te#:
If the project is exempt from lead certification, please explain why: (see F'age 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCI'ING A NEW BUILDING
in the last 12 months, has the City of Eagan issued a permit for a similar plan� based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
'�NOTE Plans�and s'�upport►ng�tla�uments th�t you�submrf�are'�cons�d'er�ed o be � t��� farmafion� �r#ions cr�f�`;,
�� � � �' �� � �� a � � �:� � �
, fhe�nfoiinat�an�n:�y � .lass��ed s no�n p�b�/r��f;�ou prov�de spec �� asons�ha auCd p �=C�ff�r��a��
, -.
, - :z�,
.,_,,. •����, ���� � �..; �..�conc%i�"e.�#ha�fhe ,ar��i�rade e�cr¢t �k, �.�. �����:. :N h�� ��`
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.qoaherstateonecall.or�c
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 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 permit issued in acco�dance with the Minnesota State Buildin ode must be completed within 180
days of permit issuance.
r
X�� �'',�i�-� X � ; �.
A�i icant's Printed Name A,��31t�atst' Sign e
�/ Page 1 of 3
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