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680 Brockton CurCITY OF EAGAN '•, Permit No: Date: 3830 Pilof KnobWoad Meter"No- . Size: P.O. Box 21199 t Reader No: Date: Eagan, MN455121 -Owner. - • Site AddrBSS: fiF3f.l 3Ei,C1?+? ;?1; +.. °:.' .';•'; I.13 , Iti*`h i ii(EL Conn. Chg: Acct Dep:_ Permit Fee: Surcharge: Tr. Plant_ Meter. _ Zoning: n ? No_ of Units: ? ???30/88 1 agree to comply with the City oi Eagan Ordinances. WATER SERVICE PERMIT CITY OF EAGAI, Permit Na `t A6 3830 Pilot Knab Road B/ P No:, P.O. Box 21199 ? i Eagan, MW 55121 Owner. Site Addr Plumber: MWCC: Zoning• City Chg: No. of Units: Dep; Acct 15 '00 pa . I agree to comply with the City of Eagan Permit Fee: 1 0.00 ,?? .50 *.i.. . Ordinances. Surcharge M isc.: E* Date: 12/30188 Date: 11128189 _ OF By SEWER SERVICE PERMIT :f 4-1-a Ter#xftirate uf Ortupaury titp ot (Eagan Depttrtmpnt of Iguiidirtg 3n?pPrttnn Thrs Cerlificate issued pursuant to the requirements af Section 306 of the Uniform Buiiding Cad'e certifying that at the lime of issuance this structure was in compdiarrce with the various ordinances of the City regulating building constructian ar use. Far the following: Use Clesaificadon •'?-' EWG/ M _ Bldg. Pebtmit No. ??IC) 10 Occupancy Type R3IM1 7aning District M? Type Const VN Owner of Building ?al ErIES Address 5? ?? IBM M. IW? IAM suaa?? nad? 6WASOMM C[IRVE iwA,i,y L 13 %Bb, fnL? OF nate: PMUM 2. 1989 ? ewlatng o W J POST IN A COMSPICUOUS PLACE CITY QF EAGAN .'` 3830Pilot Knob Road> P.O. Box 21-199> Ea9an, MN 55121 ?? n,? ?... ?? -. . • ' PHONE:454-8100 . BUI-LQING PERMIT Receipt # To he usedfor Est. Value `+ei. }t?eo Date ,19 SiteAddress 6s'? ???cr-W. C.;UF`tY? OFFICE USE ONLY Lot 1-3 81ock 6 On Site Sewage Occupancy MWCC System Zoning PD f;-I ParCel NO. S W ll A t M V° On ite e ( ctuap Cons . a Name rSx Ciry Water R (Allowable) V° ?q 3 Address 151f' 1.8ViA ST r PRV Required # of Stories ? 0 City ?+??KEPhane ??11?(?--?i 9. Booster Pump Lenglh ? ? ? ` oeptn 37 ¢ 0 Name S.F. Total ? a Address Footprint S.F. . ? City Phone APPROVALS FEES 49P'00 ?-? W W Name Engr./ASSess. Permit 4.?ti ?p ? Z Planner _ Surcharge , _- Address 24e? oo Council Plan Review . Q W City PhOne Bldg. Off. SAC, City idU«00 I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC ?'?? ?? " , ! ?5 1 C) L' information is correct and agree to comply with all applicable State of Water Conn. % . • Minnesota Statutes and City of Eagan Ordinances. Water Meter ?ty? ?? Signature of Permittee ?.__-__ ---- -- Road Unit y?a ?.Clfl k?x•; c.J!?i?:ti 20 6 001 A Building Permit is issued to:- .-_?; ?.?-_-- Treatment P1 . on t he express condition that al I work shall be done in accordance with all parks applicabte State of Minnesota Statutes and City of Eagan Ordinances. ;?.?1. ? TOTAL Building Official_ _. -. - I` 3830 P 6 Sec/Sub. _ ROSEN +?OCKTON CU 0 Phone_ r W W Name U ; Address a W Clty I hereby acknowlege that I have re Signature of Perm s? 111 A Building Permit is issued ta; !F . : '.'.i'V•'jy1?R•'?SW?""Y?? ' u . . .. . . . r r v . .. 1 . . .. .. .._. . , . 'F . CITY OF EAGAN b Road, P.O. Box 21-199, Eagan, M N 55121 PHONE: 454-8100 ,' ? t •,. -. ? Receipt # ?? Value U,lwL? Date Jt[N 11 q 4 ? ? IUS QF OFFICE USE ONLY A Occupancy _ FEES ? Zaning (Acatual) Const ?y Bldg. permit +????sKS?+ ;i ? (Allowable) - gurcharge .50 # Qf Siories Length 01 Plan Review ; Depth ? SAC, City .? S.F. Tota1 - gAG, MCWCC 990?6?$7 S.F. Footprints - On Site Sewage T Water Conn 5 On Site Well - Watar Meter ''• MWCC System - City Water Acct. Deposit ? PRV Required _ 5/W Permit on and state that the Booster Pump - S!W Surcharge tWiicable Siate af r Treatmern PI Y APPROVALS Road Unit ,R Planner - Park Ded. s; m acCOrdance with all Council _ agan Ordinances, gidg. Oti. ! Copies V i 25.30 ' ar ance - TOTAI ?? Permit No. Permit Holder date Telephone # WATEF SEWER ,. PLUM6ING OL H.V.A.G. ElEC7RIC inspection Date Insp. Comments Footings I Foundatian Framing Roofing Aough Plbg. Rough Htg. Isul. Fireplace Final Htg. Orstat Test Final Pi6g. PI6g. Inspector - Notify Plumber Cons1. Meter Engr./Plan Bldg. Fina1 Decfc Ftg. w8 Deck Final L-f Well Pr. Di5p, s To be used for Dism4m gZit Site Address bBQ ?CK1?I Lot 13 Block _6 Sec, Parcel No. W Name N?T '??- RD! 3 Address 690 BRAC o _.. ?...--- Name SAME Address City Phone Name e a a _.,,... 3830 Pilot Knob I Phone I have read this application and state that the agrea ta comply with all applicable State of tv of Eaaan Ordinances. A 8uilding Permit is issued to; GzM??? ?wabil on the express condition that all work shall be done in accordance with all applicable State o( Minnesota 5tatutes and City of Eagan Ordinances. Building Official ??+?'=' • , .? k 121 rt . ; ?• r>j . oate StiP 11 , lg"- OFFICE USE ONLY Occupancy - FEES Zoning - (Actuel) Const - Bldg. Permit (Allowable) - Surcharge -50 # ot SlOries - Length ! Plan Review aepth - SAC, City S.F. Total - SAC, MCWCC S.F. Footprints - On Site Sewage _ Watar Conn On S+te Weil - Water Meter nnwcc sysiem City Wa1er - _ pcct- Deposit • PRV Required _ S/W Permit 8aoster Pump - S!W Surcharge Treatment PI APPROVALS Road Unit Planner - park Ded. Council BIdg.Off. _ Copies 1•? Variance - TOTAL 36,50 PerrnR No. Permit Holder Date Telephone # WATER SEWER PLUIGlBING C H.V.AC. ELECTRIC Inspection Date Insp. Comments Footings I Foundation Framing Roofing Rough Plbg. a? 46 Rough Htg. Isul. Fireplaoe ? Final Htg. Orstat Test Fnal Plbg. Plbg. Inspector -Notify Ptumber Const_ Meter Engr./Plan sldg. Final Dedc Ftg. Decfc Final weu Pr. Disp. CITY OF EAGAN , . . . ,, . : r -'? 3830 Pilot Knob Raad, P.O. Box 21-199, Eagan, MN 55121 >. PH O N E: 454-8100 j BUILDINa PERMIT Receipt I To be used for •• •,xs??"'AAT Est. Value ?61'r'??? Date "+o1j` xt! ,19 I Site Address ??? ?'•• ~"°?'~ ?f'?' { Lot 1-3 Block ? Sec/Sub Parcel Na. e Name z Address 5516 lWt'?r t'"T' E 0 City UXE Phone 4-4G-0c;`s Name ?- Address ?W W Name W r _ az Address 0 mW City Phone I have read this application and state that the agree lo comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signatureof Permittee A Building Permit is issued to:_ _- on the express condition that ail work shall 6e done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. :;_-L?dj?-?,??s1ii'?,.:.???-?• ?:y...t .?;m?diu, DFFICE USE ONLY , On Site Sewage Occupancy KA MWCC System ' Zoning ??'E• ?"? '? On Site Well (Actual) Canst City Water (Aliowabie) PRV Required # of Stories Booster Pump Length Depth S.F. Total Footprint S.F. APPROVALS FEES ; Engr./ASSess. Permit 4o' 50 '' Planner Surcharge , Gouncil _ Plan Review Bldg.Off. SAC,City Variance SAC, MWCC ?5-0" 00 ; WaterConn. 5510•00 Water Meter ' 7• 0o , Road Unit 325r00: Treatment P1 Parks , TOTAL ` Permit No. Permit Hoider Dats Telephone # Plumbing /G J.CO - ? 70i&C .Y 1&0 17 " ? ?r(.. 0?0 r 3a g8l/ H.V.A.C. ? f • ,?LLa 'u&k J?h 'y- A,? I fa -a7-? Electric Softener Inspection Date Insp. Comments Footings I . Footings II Foundation Framing Roofing Rough Plbg, Rough Htg. Isul. Ffreplace Final Htg. -14f Final Plbg. Bldg. Final Cert.Oec. p Temp. LP r Deck Ftg. D6ck Final Well Pr. Disp. I C .-., r_._ . - PERMIT# , PLUI4tBiNG PERi41iT RECEIPT # F51 1'?!? CITY QF EAGAN 3830 PIIOT KNOB RQA, D, EAGAN, MN 55122 DATE 1NTRAGT PRICE: PHONE: 4'54-5100 e Address wI-?°? IBLDG. TYPE WORK DESCRIPTION t Bloek ? SecfSub Res. ' Mult. Add-on Name Comm. Repair Address ',Other _ Crty ?--r:•?' L.,a Phorte RES. PLBG, ONLY - C'fMFLETE THE FOLLOWING: FIXTURES TOTAL ? Name Water Closet - $3.00 : f Bath Tubs - $3.00 Address ? L $3 00 avatory - . City Phone Shower - $3.00 ? Kitchen Sink - $3.t10 FEES Urinal/Bidet - $3.00 MMIINQ FEE -lolo OF CC7NTRACT FEE 'Laundry Tray -$3.00 T BLDGS - COMM RATE APPLIES ? Floor Drains -$1.So WNHOUSE & CONDO - RES. RATE APPLIES ?Water Heater - $1.50 NJMlJM - RE5IDENTlAL FEE - $12.00 Whirlpool - $3.00 VIMUM - COMM/IND FEE - $20.00 ?Gas Piping Outlets - $1.50 •? ? ATE SURCHARGE PER PERMIT - .50 (MINIMUM - 1 pER PERMI'n )D $.50 S/C IF PERMIT PRICE GOES Softener -$5.00 YOND $1,000.00) Well - $10.00 ? ?? `f ? Private Disp. - $10.00 . . ? ?? Rough Operrings - $1.50 ?.- .-- iNATURE OF PERMITTEE ? FEE: STATE S/C: 6' ?R: CITY OF EAGAN O ) GRAND TOtAL: ?^? ?? r ? l PERMIT # ?? ? 171. ' MECHANICAL PERMIT RECEIPT # tx ff `?? CITY QF EAGAN ' `;•?;'? ; ? DATE: 3830 PILQT KNQB ROAD, EAGAN, MN 55122 T CONTRAGT PRICE: PHONE: 454-8100 For Office Use Only: Site Address "ij ° BLDG. TYPE WaRK DESCRIPTION ? Lot ' 2 Hlock 6 SecfSub ' 7-'-? x ?Res. ?'? N ew t a hJame B11??SVILLL HEATICVT & A r Mult ? Add-an ? ?v , .?? Address .._ , ,. r,?c3?e i sl,a nA aae? Comm. Repair ?3 v, ? - Fi Ci1Y Phone - Other : R,in H N8me Ms S, T,'a s_. , FEES j HVAC 0-100 M BTU -$24.00 RES ? ? Address . ADDITIONAL 50 M BTU - 6.00 3 p City Phone ?-E)';? : 1. (RES. HYAC INCLUDES A/C ON NEW ? y S CpNSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. TYPE OF WORK CUMM/IND FEE - 1Q/o OF CONTRACT FEE ForCed Air M BTU APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE & CONbOS - RES. RATE APPLIES ? Boiler M BTU $ MINIMUM RESIDENTIAL FEE - ALL ADD-ON & ;G Unit Heater M BTU. 777777 - REMODELS - 12.00 20 00 '- , AL FEE CO C , M BTU $ . _ MINIMUM MMER I STATE SURCHARGE PER PERMIT - .50 Vent CFM $ 4ADD $.50 8 1 C (F PERMIT PRICE GOES Gas Piping Qutlets # t $ BEYOAID $1,000) Qther $ ' . A ? . . >--, FEE: SIGNArURE QF PERMI7TEE ? S/C: + _ .' ? T4TAL: '' FOR: CITY OF EAGAN CITY OF EAGAN z 454-81 00 DEPT. OF BUILDING INSPECTIONS Correction Notice Located at ? 9129 I have this day inspected fhis structure and these premises and have found the following violations of city codes gover,ning same: P/y When corrections have been made, please call 454-8100 for inspection. ? Date 0?_ Inspector City of Eagan DO NOT REMQVE THIS TAG GI7Y OF•EAGAN Permit No: Date: 12 f 3fl/ 88 383&Pilot Knob Road Meter No: ?Size: ? P.O. Box 21 t 99 Fieader No: 5 ? Date: ?' $ f Eagan, MM 55121 Owner. RSM U014ES SiteAddress:-hAo RRfIrK'!'()N t3I1RVE1, 1,13, B6, ttILLS OF STONEBR G Plumber. r.AUFSTrsg Et.BG Conn. Chg: $550_00 ;,d Zoning: Ri Acct Dep:--- _1S00 nd No. oi Units: i Permit Fee: 1n nn nri &urcharge: ?0 i agree to comply with the City o1 EBgan 7r. Plant___ _ 204 • 00 pd Ordinanc e/? r?) Meter. _Fi7.00 Pd / ? _ 1r _ Misc.: gy WATER SERVICE PERMiT BLDG. PERMIT NO. ?-p-(-' I 3 E'?,,I o Cjf-Co ?-?-O?.?o ?? Y'? c?? ` 013210 Bldg. Permit 499 01-3422 Plan Check , 01-3445 Surch./Adm. 01-3446 SAGAdm. ` 01-2155 Surcharge 3C1 ? 75-3860 Road Unit 3 a: ? 20-2275 SAC J 4 d ? 20-3865 Water Conn, c ? 20•3868 Water Trmt. ?o /4 ? 20-3716 Water Meter ? 20-2252 Acct. Dep. ? 203713 Water Permit r 20-3743 Sewer Permit ? 79-3866 Sewer Conn. I i) ? 28-3855 Park Ded. 50 d TOTAL CITY OF EAGAN Np 19261 _w 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE:454-8100 f l. BUILDING KRMIT To be used for DECK Est. Value $1,000 Site Address 680 BROCKTON CURVE Lot 13 Biock 6 Sec/Sub. HILLS OF Parcel No. STUNEBRTDGE W Name MIKE ROSEN t Address 680 BROCKTON CURVE ° city EAGAN Phone o Name DEC[Q?fASTER g? Address 4141 E HWY 13 E City BURNSVILLE phone 890-6587 ? W Name ?z Address 5W City Phone I hereby acknowlege that I have read this application and state lhat the inlwmation is correct 9-agreat?ceen??" hcable State of Minnesota StaWtes Signature ol Perm r c. A Budding Permn is issued to: DECKMASTER on tbe express condition ihat all work shall be done m accordance wnh all applicaDle State of Minnesota Stalutes and Ciry of Eagan Ordinances. Building Official Receipt# ' Date .1llN 17 , 1991 _ OFFICE USE ONLY Occupancy - FEES Zpning _ (Actual) Const - Bldg. Permit 25.00 (Allowable) - Surcharge .50 # olstories Length ?? ' Plan Review Deplh 1$ SAQCity S.F.TOIaI - SAC,MCWCC S.F. Foolprints _ On Site Sewage _ Walar Conn On Site Well - Water Meter MWCCSyslam _ Accl Deposit City Water _ PRVRequiretl _ S/WPermit Booster Pump - SM15urcharge Treatmenl PI APPROVALS Roatl Unii Planner - pgrk Ded. Council BIE9.Oft _ Capies Variance - TOTAL 25.50 CITY OF EAGAN N? 19669 .? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PI10NE:454-8100 /a BUILDING PERMIT Receipt # c I ? To be used for $ASEMENT FINISH Est. Value Date SEP 11 1991 Site Address 680 BROCKTON CURVE Lot 13 Block 6 Sec/Sub. HILLS OF OFFICE USE ONLY Parcel No. STONEBRIDGE Oaupancy - FEES Zoning - W Name MIC}LaEL• ROSEN (Aqual) Const Permtl 35.00 81dg o Address 680 BROCKTON . RV - (Allowable) - . SO Surcharge . City EAGAN Phone 456-9392 Motslones - Plan Review Length _ p N8f1'18 SAME Depih _ SAC Cit * , y oa Address S.F. Totel - ? SAC, MCWCC City Phone S.F. Faotprints - t C W On Sile Sewage _ er a onn ` Name on saewen - l M W ti AddfBSS MWCCSyslem - er eter a ? a? City Phone cirywater - Acct Deposit ' PRV Requrted - N Permil S/ I hereby acknowlege that I have read this applicatwn and stale that ihe Booster Pump - S/yd Surcharge inlormation is correct and agree to comply with all applicable State of Minnesota Statutes and C iof Eagan Ordinances. D Treatmem PI ? Signalure of PermrteePA dX1 1? N ?MJ v APPROVALS Roatl Umt ? A Buiiding Permit is issued to: MICHAEL ROSEN Planner - park Detl. on the express condition that all work shall be done in accordance with all li bl S Council - 1. 00 i C ca app e tate of Minnesota Statutes arM C it'y o t Eagan Ordinances, Bldq. Off. op es } h ? I BuiltlingOflicial??rx?n R 1 11L[I Variance - TO7AL 36.50 ? L//53 5?.2 ? 38386 &. - Hequest Date Fire No. R nn Inspaction rtetl? ? RBady Now ill NoLy In9peda ' ,+et ? rm Ramrv 1 p licensed conhactor /Kowner hereby requesf inspection of above eiectrical xrork at: ,wo adarese ( Src r aw?e w.) Ciy D ' ?oc?407 C! rU Sectan No. TownsNp Nama q No Raiqe No Couny Occupey.PRINT? Phone No. 1 eresq o s zn Pom,a, Supwbr Addrimu, Eleclr¢al Comroc?m (LOmVenY Name) Contrada§ Lieense Na. m?ownvY MaiNrg AOtlr ess ?Conirector or pxnx hfBkrtg IrtwtellaM1On) [ ? a/UL Au SgnaWre I?nrcacla in9l M . Phone Number ? MINNE90TA STATE BOAND OF ELECTPICT' GrqpaMlUway BWg. - F1oom S173 1BR/ UMVanMy Aw.. $1. ieul. NN 65106 vnm.l6iRl 642ae00 TNIS INSPECTION REWEST WILL NOT BE ACCEPTEO BV THE STATE BOARD UNLESS PROPER INSPECTION FEE IS ewcwseo. REQUEST FOR ELECTRICAL INSPECTION ??°`!?? EB00001-0B ? See insUUdions for compleLng ihis form on back oi yellow capy ?L415'? T H 3?S 3 8 6 _ X° Below Woik Covered by This Request ew .ldtl, Re'4 TypeofBuilding AppliancesWired EquiOmen[Wiretl Home Range Temporary Service Duplex Water Heater Elecinc Heating Apt. Buildinq Oryer Other (Specify) Comm./Industnal ' Furnace Farm Air Conditioner Other ISpecRy) CorilraCtorS RemaMs ?S?h?nlsh Compute Inspection Fee Below: # 01her Fee # Service EntranceSize Fee # CircuitslFeeders Fee Swimming Pool 0 to 200 Amps 0 to 700 Amps Transformers Above200_Amps A 700-Amps Signs bispectors use onry: TOTAL S? Irrigation Booms ?q Special Inspection Alarm/Communication TNIS INSTALLATION MAY B RDERED qlSCONNECTED IF NOT Other Fee COMPLETED WRHIN /8 HS. f I, the Electrical Inspector, hereby RougMn VC-11, certity that the above inspeclion has been made. F„ai oa? [6 ? OFFlCE USE ONLY T1iis request wM 1B monlhs Irom 1" / / /SG:J ?OSo a- ? E 85918 / _ RequasiDete M. Roug uflnspectb HeQwreC? Yas ? No ? ReaOY ?w fd WIII NoHry Inspector ? ? When ReaGY4 I licensed contractor ? owner hereby requesi inspectlon of above electrical work at: Adtlress (SVeot. Box a Ro No.) Ciry 1 r ? Section Na. Townshlp Name or No. 4R. No. Counry OCwpant NT) , Phorre No. PawerSU er Adtlreas ? ci G NJ Elechical Conlrapor (COmpany Name Comracror kense No Z,Pi? ?/I`3 cg"S`3 Maibng AEd (COntracfor or Pvnar Making I telletlon) 6?7,S-- C?? 3 - n AutlronzeA nawre ( Comr r/Own?r kLng In n) Number ? Y/?YZj ,/ MINNESOTA STATE BOARD OF ELECTflICffV Grggr?Midway Bltlg. - Raom 5-773 76TI Unlveniry Ave., St. Poul, NN 5570C PIwM(612)BC2-0800 THLS INSPECfION REOUEST WILL NOT BE ACCEPTED BY THE STATE BOARD UNLE55 PFOPER INSPECTION FEE IS ENGLOSED. 6//f,3/V REQUEST FOR ELECTRICAL INSPECTION ?Sas.inslruclbne lor compleHng Mie form on beck oi yellow copy E 85918. ?'x" eelow Work Cavered by This Request ' E8-00001-07 ew Atld Rep. TypeoiBuilding AppliancesWiretl EquipmeniWiretl Home Ranqe Temporary Service Ouplex Water Heeter Electric Heating Apt Building Dryer O[her (Specify) Comm./Industrial Furnace Farm ' Air Conditioner Otlier (specify) Cantractor9 RemaBS: Campute InspecNOn Fee Bebw: # Other Fee # ServiceEnlranceS¢e Fee # Circuits/Feetlars Fee Swimming Pool 0 to 200 Amps L? i ly 0 to 100 Amps Transformers Above 200 _ Amps Above 100 _ Amps Signs lirepecror5 Usa only: 70TAL IrtigaNon Booms f? ?? ?/ sv Special Inspection Alarm/Communicalion Other Fee ? I, the Electrical Inspector, hereby certify that ihe above inspeclion has been made. Roupn;n '/? F,nei ,py? OFFICE USE ONIY Tins request vdtl 18 monMe (rom / lYy?oL-tY E 7 7 0 8 6 Requeal Dele Fra No. Z-S gh-in InspecUOn 7 ? RBadY Now f?V0.?lll Notlfy Inepeciw rWh R tl ? Q 13 Yes ? No en eB Y Iglicensed contractor ? owner hereby request inspection of above electrical work at: Job Atldreas (S{b?eel,?Boz or ROWa ? Ciry U V 77 l_-l?G d C? 'E- ? Seelion No. Tdxnalup Neme w No. Range No. CauMy 0= 7V PhorreNO. . Pawer Su dier Adtlress „ ? Electrical CanVeclor (Cwnpany N ) C tor9 Licenee Ib. ?) Melling Addreds (CA1111BCIM IX OWII¢I MeklllG IIISI9119b011) s ? ?? Au1Mrt[ey$ignalure (COntrc[or/Owner Making In bn) a Nu ber ??G / MINNESOTA STAiE BOAHD OF ELECTIi1CRV THIS INSPECTION RE9UEST WILL NOT Griggs-Mltlway BIEg. - Xoom 5173 BE ACCEPTED BYiHE 3TATE eOAflD 1827 Univenity Ave., SL PaW, NN 56101 UNLESS PROPER INSPECTION FEE IS Ptiona (812) 662-0BOD ENCLASED. REQUEST FOR ELECTRICAL INSPECTION EB-OOOD1-07-/ 7 ? See instrucuona ior completing ihis form on back W yellav copy. E, F 76'8 6 JC" Below Work Covered by This Request e Add Rep. TypeofBuilding AppliancesWired EquipmeniWired Home Range Temporary Service Duplex Water Heater Electric Heating ApL BuiMing Dryer Other (Speaty) Comm.Andustrial Furnace Fartn ? Air CondRioner Other (spacily) Contrector§ Remarka Compute Inspection Fee Below: # Other Fee # ServiceErrtranceSize Fae # Cimuits/Feedere Fee Swimming Paol 0 to 200 Amps o to 100 Amps Transformers Above200_Amps Above100_Amps Signs Inspectors Use ony: 70TAL Irrigation Booms /ai CU ? zi Special Inspection Alarm/COmmunicafion Other Fee I, the Electrical Inspector, hereby certify that the above inspection has been made. Ro?qMm ? RMm owe N OFFICE USE ONLY This reQUeal vad 18 monlhs ham . i, /,_r. %i.r1, CITY OF EAGAN 3830 Pllot Knob goad, P.O. Box 21 •199 PHON E: 454-8100 BUILDING PERMIT To be used for SF DWG/GAR Est. Value $81,000 Site Address 680 BROCKTON CURVE Lot 13 Block 6 Sec/Sub. STONEBRIDGE Parcel No. : Name RSM HOMES = Address 5516 180TH ST E ° City PRIOR LAKE phone 440-6900 a 0 Name S? ?a Address : City Phone W W Name ?g Address a W City Phone I hereby acknowledge Ihat I information is correct and i Mmnesota Statutes and Cd. ?n and state that the applicable State of SignaNre of Permittee A Builtling Permit is iss ed to _ ontheexpresscontlrti ihatallworkshallbedoneinaccordancewithall applicable State of Minnesota Statute?s ?and,,Ciry of Eagan Ordinances. BuildmgOfficial ???_-_--_ Ea9an, MN 55121 NO 15910 Receipt # sq &JQ Date NOV 28 ,198$_ OFFICE USE ONLY On SNe Sewage _ Occupancy R-3 M-: MWCCSyslem x Zoning PD R-1 on site wen - (actual) const V-N City Water X (Alloweble) V-N PRV Required - # of Stories Booster Pump _ Length 60 ' Depih 37' S.F. Total Footprint S.F APPROVALS FEES Engr./Assess. Permit 49$.00 Planner Surcharge 40.50 Council Plan Review 249.00 Bltlg Otl. SAC, Cify 100.00 Variance SAC, MWCC 550.00 water Conn. 520,40 waternaeter 67.00 Road Unit 39 5 0 7reatmeniPt 204_00 Parks TOTAL 2,583.50 r ? t ? 1988 BIIILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS ' o INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVE?, 1 SET OF ENERGY C9LCULATIONS NOTEs ADDRESSES FOR CARNER LOT3 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH 9DDRESS IS DESIRED. NO CAANGES WII.L HE ALLOWED ONCE BOILDING PERMIT I3 ISSUED. M[TLTIPLE DWELLINGS RENT9L IINITS FOR SALE QNIT3 4 OF iTNITS INCLUDE 2 SETS OF PLANS, CERTIEICATE OF SORVEY - CAECH WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COP4fERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS, ? 1 SET OE SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?gy 2 3 1tJW To Be Used For: 'Sqtq ?Ovcntt?_ Valuation: Date: td?3 tes Site Address4??-??CC?Dw? CWsot_. Q??? ^? ?OFF] O w Lot _a Block ?, HILLS pF. On site sewage ??n? MWCC system ? Parcel/Sub c?wlJC 'R?OC l?G3 On site well p City water ? Owner 7? •?J • M. ?O?AAY..S PRV required _ Address 65"D L8O'L S{•-L Booster Pump City/Zip Code rKwok+.. UC.. ?s'-l Phone L(q0 'roao8 I APPROVALS Contraetor 5?,?IL Address City/Zip Code Phone Areh./Engr. Address City/21p Code Phone N Occupaney 9-3 M^ Zoning pD R"y Aetual Const V- N Allowable V-N # of stories Length Depth S.F. Total Footprint S.F. FEES Engr/Assess Permit 418100 Planner Surcharge i4o so Council Plan Review .7 00 Bldg. Off. i? 2°j SAC, City DD.00 Variance SAC, MWCC O b Water Conn SD, 00 Water Meter 19 ),OD_ Road Unit 3 Z Treatment P1 ,OD Parks Copies TOTAL :? d 11 ..?/AL l?l A`T i O'I? , ' •' - ? C? A_R AC3E Zox?j = c-f 00 X/y= 5?ov ? ?------- ?.ro x ?3? 'Ii ao NouS? 3y X 3.5 = jI (D I?Sx 6p _ IoC6/ a x '? = 1 U - 135Z x? 9=? G 2?? ? ? . - Surrveilores 6ertificate SURVEY FOR: R.S.M. Homes Inc. OESCRIBED AS: Lot 13, Block 6, HILLS OF STONEBRIDCF,, City of F.agan, Dakota County, D1innesota and reserving easements of record. 90,? eR0c,j ?cv o % p s?o. °2. CUR?E J ti,,,, • lp3j?f ?? / OQ ti /- 100 00 ? ?9oZ.6 ? a 9p??3?4 o ?y I ? . D ? C:)\ LV I ?p / 1 ?b ? ?R pp °p M/0 9os f o // / w 40.00 `ot. ? ool ? ? ?, 906.4 y ? l ? 60.00 20• 00' I ? o jL- ? LoT - , I ry N Op_ \ fs9 L'? _?}-r-_ tcf ;.-? /1 __,_---- ? ? v/s .AGAN ENGTIV?ERTNG DEP' 892.1 PROPOSED ELEVATIONS top of foundatlon ¦ 905.5 GaroqeFloor .905•1 Boeement floor :902.3 ' ApproR. Ssr+er Sxvlcs Elw. • Verrfy proposed Eleraflons I Q Existinp Elevatlons 3 _ Droinape Dirsctione r...-,_r Denoles O/ISet Stake I 0 lifEDLUND Planning Engineet/ng Suiweylrrg p01fMlbwnFylOSIMw MMtl?bll0 1M?pIqM?t1?l1? N SCAI.E: 11neA = 30 Feat BENCHMARK, T.N.N. 49 N.eor. L ?3,86 E1ev. = 9o5•5o MIN. SE?BACK REOIREMENTS iront - 30 Hou» Slde - ?o Reor - ?5 Oaraye8ks- S i henly evtllf lhet tMe surwY. Olen er re0er1 ras PnyenA EY mg er unAer my dlnN supnvblm anA Ihef I em e dulp 116919toied Lane aur..rer uMorr Me laws ef Me 8tate sf Minne+ola. oel.: f I .22. 88 D. JOB NO.: g82-59? BOOK: 13(l PA6E: 2 - • tva y/'/?,6jf/ E:[TEHIOIt F.NVE[APE AVIiItAGE "U" CO-MPU7'i1TIVq ? awur•.n siTe nuolu:ss CONTRACTORRS /I7- /jjt2? DATE ttt.t3(8g PIiONE r?.7'.'? yy0 Determine aorkiny yquare footaqe of each. 1. Total exposed wall arca ....... /760.0 sy. ft. x • ?1 ° /93 6- 2. Total roof.ceilinq arca ....... /,Y38•O sy. ft. x •025 Total exposed wall area above floor =/IPi D.O a. Total wall vindow area .................................. /03• b. Total door area ........................................ ... tVI. G_- c. Total slidinq glass doorarca ............................. . V2. 2- 1. Total Liceplace wall area ................................. O e. Total wall fzaming area (average lOt) ..................... 276. O f. Total net wall area above floor ........................... /#'oq,B , q. Total rim joist area ...................................... /", g_ Total exposed foundation area = /pwXi h. Total found3tion window azca .............................. O i. Total net Eound3tion area above qrade ..................... /O?.G Determine "U" value of cach wall seqment. d. /03., /,? x ..U.. ?JCs ' •? b. 3/3•L X ..u~ . o9t ° . .?s? c. 32• = x •'u^ , ss d. O x^u-O ? d e. 1,7L•O X "Ll" ./?T ° o?/•?`_ e._1Y,910FK .u.. ?- -?-? - - .?. /7?•si.__ '? U. . osj = ?•3 ? ??.u o..----- r ."., ? °. . • _ .. . o. .__. j. 'P4ta1 skylight area ....................................... p k. Toeal roof/ceiliny framiny arva (averuge LO'a) ............. /3 3•g 1. Total net insulated toof/cuilincj acca..................... l>nyli.__. petermine "U" valuc foc each rooE/reilinq seymenr.• ? 3 ..... ............. .................ToCal a 17f y...? i I[ itcin 13 is thc samc ss, or lcr.:: ehan itum 41, yoa twvu met che i,ntmit of suc 6006 (c) z. A„ of z?is.z? -4w.li.?d?$/?c boOG ??2 ? 338 D Total exposed roof/cciliny arca = ?_• _ j, O X"U" O ? d k. /3?•B X "U.. 1.1?0 y L %"U" , G-? n ea'IS• 3 4 .....................................Tota1 a 691g•Z If total of MO is the same as, or Less than #2, yau have met ttic intene of SBC 6006 (c)1. cq&.,, 44 S/ ?LS• 7> L c?.'" ??j3• r-') '"'-e-'ea` ..01J..Ge...f //? s9 c G oo A1'ternate Buildinq Envelope Design To utilize thc total envelope system methal, Gic values establish•:d by tlic sum of items 03 and 44 shall not be greaeer than tiie sum of item, ql snd 02. . z.. 3?•s = a»? 3. 19s 2 . a. Z8.7 ° ???•9 ' C-? o? +4-i'r"? APFLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION x1 ? NOTE: PAYMENf OF FEE AT 1'IME OF : ; nrrLZCUIaa ooFS Mar cON- ; i SI'I1S71E APPROVAL OF PIItFIIT. : ? IN //p ?.?ncp i SPFXTICN IX+ S'F3?]HZ APD/.d? Maa?a? ? M lxcrnrsaTTpNS WU,L Npr gg SCExn.sn y+, t ONPIL Pfl2PIIT HAS BE@] APPItOVm. .,*t •Mf4flittf?fi4flRk!!ltetYYffltO'M'f1f'R?4 oF eagan (PLEASE PRINT 1) PROPERTY ADDRFSS: LFX',AL DESQtIPTION IF EXISTING STRL'CTURE, DATE OF ORIGINAL BUILDING PERMIT ISSOANCE: Nbn Year PRESENT ZONING/PROPOSID USE: Q COMMFI2CIAL/RETAIL/OFFICE Q IPIDOSTRIAL ? INSTI'IUTIONAL/GOVERNMENT i}?R-1 SINGLE FAMILY (% Q R-2 DLPLEX (3Wo Ljnits) ? R-3 TOWNiOL'SE ('I9zree + Units) ( Units? Q R-4 APARTMENP/CONIDOMiN2UM ( inits) 2) ? NAME: ADDRESS: CITY, STATE,' ZIP: PHONE: 3) ? :?• nAME: L? T ADDRESS: e, CITY, STATE, ZIP: PHONE: ? ?c MASTEE2 LICENSE #dDo2?P? h'70 I? Active Expired Not recorded St Initi ? . . ? ?. 4) ruAM: ,65rn /fe-? ADDRESS: CITY, STATE, ZIP: S`,?U 70 PHONE: 5) ? ? u?:i?i?. • ?t u : iRli:iau??'?.?i?'a'7 CONNECTION TO CZTY SEWERL-fE]CO?CTION TO CITY WATII2 O OTfm 6) * THE GOLD COPY OF 2fIE PERNffT WILL BE SIINP DIRECTLY TO PUBLIC NARKS TO FACILITATE ME.TER PICK-UP. * ? PLEASE ALLAW 1W0 WORKING DAYS FC)R PROCFSSING. SONIDONE FROM Tm CITY WILL CONfALT YOu IF 7HERE % * ARE ANY PROBLF21S. ? ?*** *??**+?: ??*****?**,???t*,tx***?***,r***?*+*****r*???*,r****+*,t*,t+*x?*,t********,t***,t**,t,t,r*** *+***,t**; . FOR CITY USE ONLY ' PERMIT # ISSOED •. ? -? Pd w/Bldg. Permit FEES: S Z'$ $ ? 'o SEWER PERMIT (INCLLDE SLRCHARGE) $ $ ? o WATER PERMIT (INCLUDE SC'RCHARGE) $ $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLL'DE CORPORATION STOP) $ $ SEWER TAP $ $ ACCOUNT DEPOSIT - SES•:ER $ $ ? J ACCOONT DEPOSIT - WATER $ $ WAC $ 6 S ? $ sac $ $ TRLNK WATER ASSESSMENT $ $ TRUNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRUNK SEWER $ $ LATERAL BENEFIT/TRUNK WATER $ r?2 C' $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ ' $ J I TOTAL RECEIPT RECEIPT DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RIGHT OF WAY? a YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC ? ROADWAY" MLST BE ISSUED BY THE ENGINEERING NO DIVISION. LIST AS A CONDITION. SDBJECT TO THE FOLLOWING CONDITIONS: ? APPROVED BY': TITLE: DATE: I? ? (?? December 30, 1988 LARESIDE PLUMBING & HTG 12469 ZINRAN AVE ? ?? yy, SAVAGE, MN 55378 REt 680 HROCSTON CURVE9 L13p B6, HILCS OF STONEBRIDGE WARNING: BEFORE DIGGINGp CALL LOCAL OTII.TTIES - TELEPHONE, ELECTRIC9 G13t ETC. - REpIIIRED BY LAW 7IX Your Sewer and Water Permit for the above property has been completed. It will be held at the Public Works Garage (3501 Coachman Road) until the meter is picked up. HE SURE TO CALL POBLIC WORKS (454-5220) FOR YOQR PERMANENT WATER TIIRN ON. Your Sewer and Water Permit for the above property cannot be completed for the following reason: Your Sewer and Water Permit for the above property has been completed, however, the meter cannot be issued or oecupaney allowed until further notice. Siney, Jan Severson Secretary JS 19LLq 1991 BIIILDING PERMIT APPLICATION CZTY OF EAGAN SINGLE FAMILY DWELLINGS MOLTIPLE DWELLINGS COMlfERCIAL ? ? 2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARGHITECTURAL 3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS ?J 1 SET OF ENERGY CALCULATIONS (CHECK WITH SLDG. DEPT.) 1 SET OF'SPECIFICATIONS 1 SET OF ENERGY CALCUTATIONS 1 SET"OF;•ENERGY EALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES flHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY IAST WORKING DAY OF MONTH IN WHICH REQUEST IS MADE. IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS IS DESIRED. NQ-CBANGES-WILJ BE ALLOWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS PERMIT MUST SHOW A LICENSED PLUMBER. (N/rrp IC . To Be Used For: 5 SemeilTHnirh baluation: . Site Address 007?3yoCk1? CUYV`f- ? ?.ot 1-3 s1octc (o }}i115 ? S??ri Parcel/Sub Owner p/1S-t-i7 Address 48O ,ai'ec ?'?on Gu ?dP City/Zip Code Eaycr,y/ 53"/2-3 Phone 93 YdL Contractor 52,1 i' Address City/Zip Code Phone Arch./Engr. _ Address City/Zip Code Phone # Occupancy 2oning Actual Const Allowable # of stories Length Depth S.F. Total Footprint S.F OFFICE On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVALS Planner Council Bldg. Off. D5 k''•79 y/ Variance ?'? 1 a? FEES siag. rermit Surcharge, Plan Review SAC, City SAC, MWCC Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded. Copies SUBTOTAL Penalty Lot Change TOTAL 3 oo S ,oo ?k Sewer/Water Licensed Contr. Qh p Q, ??QiGLJ agrees that all work shall be done in accordance with (Signature of Contractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. 11 SINGLE FAMILY DWELLINGS 2 SETS OF PLANS 3 REGISTERED SITE SURVEYS 1 SET OF ENERGY CALCULATIONS III &ER1ILLICATION DCITY OF EAGAN MULTIPLE DWELLINGS 7 COMMERGZAL_ ? 2 SETS OF PLANS 2 SETS OF AR"CHITECTURAL " REGISTERED SITE SURVEYS - & STRUCTURAL PLANS (CHECK WITH SLDG. DEPT.) 1 SET OF SPECIEICATIONS 1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS # OF RENTAL UNITS # OF FOR SALE UNITS PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY OF MONTH IN WHICH REQIIEST IS MADE. LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED. NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED. PROCESSING TIME FOR SEWER & WATER PERMITS IS TWD DAYS ONCE A PERMIT HAS BEEN COMPLETED. PERMIT MUST SHOW A LICENSED PLUMBER. To Be Used Fo7 ??_ Valuation: Site Address G$O 3;e'?C?K:vy e6oPdIT Lot /,,? Block 61 Parcel/Sub h1L[S o tr S77?r?'?iQ)Db? Owner Address 4;?ff-c Fz°p oA-/ ('o'vPr'?- City/Zip Code E="4v Phone Contractor mCG(<- /'1 ?457'G? Address City/Zip Code Phone ?170 -4s a ?' Arch./Engr. Address City/Zip Code ?---- 3 UN I 3 REGQ Date: _ OFFICE USE ONLY Occupancy Zoning Actual Const Allowable # of stories Length ? Depth ? S.F. Total Footprint S.F. On site sewage_ On site well _ MWCC System _ City water _ PRV _ Booster Pump _ APPROVAIS Ylanner Council Bldg. Off Variance bS (./yf/ FEES:: Bldg. Permit Surcharge - . iSv Plan Review SAC, City _ SAC, MWCC c Water Conn. Water Meter Acct. Deposit S/w Permit S/W Surcharge Treatment P1. Road Unit Park Ded. Trail Ded•. Copies SUBTOTAL ." Penalty Lot Change TOTAL C=X -3 - Phone # ? agrees that all work shall be done in accordance3;with ( igna ontractor) all applicable State of Minnesota Statutes and City of Eagan Ordinances. wwrwww? ? Smirellors Certificatc SURVEY FOR: R.S.M. Homes Tnc. OESCRIBED A5: ?,ot 13, Block 6, liil,i,s ot: s'i'Orlrii3121DCE, City or F:agan, Dakota County, Atinnesota ancl reservin,a easemeiits of record. ? ? ? ?0 403.1 yra, 8R0C4-T0N? ? CUR VE g7? ?pQ ~ :'ry? ?` ` l0000 M 9ot.6 nj 9p o ? I ? O ti ? ?s,c g -14 ? ? ?~ 24 ro 14o "' ? e BAa 1 ? oo 10.00 go "'O / a f Q / ??` ` "r 2q ? 9os,s ?ol 9= h? / ?= °?-6, '29° ? m ?--3-? - t?- 0 sQ pp .00 I l ,° LoT - I 4 \? I I h s96o9 \ ? ? • ? ? i `t ,"???` . y?J Jl.i PROPOSED ELEVATIONS Top ol foun0ation .905.5 GuraQe Floor • 905• I Bosemsnt floor ?9 U2.3 ' ApproR. Sewer Sarrlca Elav. • %/6r-'Fy provosed Elevalioae . Q Exierlny Elevafion$ '- Druinoqe Dlrectione Denoles Of/set Stake . ! HEDLUND Planning Englneering Sunreylrrg ne? ba er??o? •. w?+xir sei?°1 n...a.?e.te 892. I ? SCALE: i lneh Q 30 Fest BENC MARK, T.N.H. @ N. cor. L 13,0 6 Elev. = 9o5•So MIN. SETBACK REa1REMENTS Front - 30 Rear - 6 I Mney e.rnrl leol nN. .urwr. oron w r.vert .a6 vnoene er me er unAer mr dlreet supnrNlon onA Ihel t em a Auly Re9i+fore4 LenA 9wroya unAet Me laws ef Mg 9tats e1 Mlne#2e10. oalr f I, 22• 88 D. Nowo 81de - 10 Oorape Side - 5 JOB NO.: fl81L-5`l? BOOK: 13? PAOE: 2 ? 0 m z 0 4::?-o u, "S ? RESIDENTIAL BUILDING PERMIT APPLICATION CITY OF EAGAN 3830 PILOT KNOB RD, EAGAN MN 55122 651-681-4675 NewCOiretructbn Reaulrememe • 3 registered sfle surveys showinp sq. fl. of bt, sq. R. of house; an0 yl roofeA areas (20% maxtnum bt coverage albwed) . 2 coples of plen showVg beam 6 window sizas; poured fouM design, etc.) • 1 setWEnergyCalculatlons • 3 copies o1 Tree Preservetbn Plan d bt plattetl afler 7/1193 • Rim Joisl Detail Opdons seledbn sheet (bltlgs wNh 3 or leu units) DATE SITE ADC NPE OF APPLICANT 'n KCL)WIC ? riC? , ? STREET ADDRE/S?SI(' TELEPHONE #?L3-??"I?-t?-CELL PHONE # 7ULTI-FAMILY BLDG _ Y ?N FIREPLACE(S) _ 0 _ 1 _ 2 i:-bff? FAX # ULDl " 21-1ol' PROPERNOWNER a??n -?AQ&J? TELEPHONE#I-qDb ' _169 ----------------------------------------------------- --------- ----------- ----- ----- - COMPLETE THIS SECTION FOR -NEWn RESIDENTIAL BUILDINGS ONLY Energy Code Category MINNESOTA RULES 7670 CATEGORY I MI bj (4 su6miesion type) • Residential Vantllation Category 1 Worksheet Submitted • e d4v W6 • Enargy Envelope Calculatlons Submitted (? MAY 2 3 2002 Plumbing Conhactor: Plumbing system includes: Mechanical Conhactor: _ Mechanical system includes: Sewer/Water Controctor. _ Air Conditioning _ Heat Recovery System Phone # Phone M Fee: $70.00 -------°-------------------------------------------- I hereby acknowledge that I have read thls applicatlon, state that the Information is correct, and agree to comply with all applicable State of Minnesota Statutes and City of Eagan (d?inances. Signaiure of Applican ?1 l ?? ? utio .._._._.__._._.._..._....___?._.....?._..... OFFICE USE ONLY _ Water Softener _ _ Water Heater _ _ No. of Baths Phone # ? Lawn Sprinkler No. of R.I. Baths m . 2 copies of plen . 1 set of Energy Cakulatbns Mr heated eddNOns . 7 stte aurvey for Merbr addHbns & decls . IndMate if home served by septic system for atldaions VALUATION 54vv Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _ Updated 4102 �----------------- � For Office Use � I / I �/l� �� j Permit#:_1 � j! � I j �I [/ / � I Permit Fee: Z��• (_� Q � 3830 Pilot Knob Road Eagan MN 55122 i Date Received: j Phone:(651)675-5675 I I Fax:(651)675-5694 I Staff: I I I `��__��_J 2015 RESIDENTIAL BUILDING PERMIT APPLICATION Date: �o � f� Site Address: l/� �� "nG��-A✓� �u.,/�i�°2 Unit#: T, .. ' Name: ?�!' Phone:_(Q�Z �8/(o ..Sv7.�.� �#3�� ' Q�t��',' Address/City/Zip: �o J�--��o� �o•�► �'_u�r v� � �a.��-, S.�'/Z3 Applicant is: �Owner Contractor �� /�j�t�s . Description of work: GL � + e, G� J` � / i S p�2G� , ��AC�� ,�; Construction Cost: C� � � �Uf� Multi-Family Building: (Yes /No � �h ; �� ,� I•'f'-- �� - , ,,��. Company.__ Contact: �.��,, ,��: ' = Address: City: �f'1'��'+�G'�C1� ' °:: State: Zip: Phone: Email: License#: Lead Certificate#: If the project is exempt from lead certification, please explain why: COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the Clty 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: Fire Suppression Contractor: Phone: N�7"E��an��r��`��I+a �h��;�r �rr��t��i��` p�r��fc�rr�r�t��n Pa�'C�n��` #h��r�tc��a��t ' cla��+��r�t�n pul��i��,�t�u p#�a��iecifi��'��rs��i`��"�1��;�� ; � � , �� _� ` e�r��#uc��!'#he �►�:i��., ,� � ,,..� `� �.�... .. .:�._..��.� . ' .....�. . � .��u. . .,.: ..:.. :. CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utitity damage. Call 48 hours before you intend to dig to receive locates of underground utilities. www,;,go herstat�onecail.ar 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 accordance with the Minnesota St uilding Code m st be completed within 180 days of permit issuance.. X �A�DJN( �fG�'�,�J`�.Scy�"� x ApplicanYs Printed Name Applic Ys Sign tur Page 1 of 3 VV 1\V� •t�\��V YVVV�• ��V V��\V I SUB TYPES , _ Foundation _ Fireplace _ Porch(3-Season) _ Exterio�r Alteration(Singie Family) Single Family Garage Porch(4-Season) Exterior Alteration(Multi) _ Multi � Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous 01 of_Plex Lower Level Pool Access�ory Building WORK TYPES ��I _ New _ Interior Improvement _ Siding ' Demolijsh Building* _ Addition _ Move Building _ Reroof _ Demoli�h Interior _ Alteration Fire Repair _ Windows _ Demolilsh Foundation _ Replace � Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building-give PCA handout to applicant DESCRIPTION C� Valuation .�� Occupancy ��-� MCES System - Plan Review � Code Edition o/� SAC Units — (25%_100% t!) Zoning n -� City Water ._._.- Census Code � Stories -"- Booster Pump — #of Units / Square Feet PRV --- #of Buildings / Length — Fire Suppression Required Type of Construction � Width --- I REGIUIRED INSPECTIONS Footings(New Building) Meter Size: Footings(Deck) Final/C.O. Required Footings(Addition) � Final/No C.O. Required Foundation HVAC Gas Service Test Gas Line Air Test Roof:_Ice&Water _Final Pool:_Footings _Air/Gas Tests �Final Framing Drain Tile Fireplace:_Rough In _Air Test _Final Siding:_Stucco L,ath _�tone Lath �Brick Insulation Windows ' Sheathing Retaining Wall:_Footings_Backfill_Final Sheetrock Radon Control Fire Walls Fire Suppression:_Rough In_Final Braced Walls Erosion Control �-`"�'_�.- Other: Reviewed By: , Building Inspector RESIDENTIAL FEES Base Fee �� ' Surcharge Plan Review `.3 3 �! '' I ._.- MCES SAC I City SAC Utility Connection Charge S&W Permit&Surcharge Treatment Plant , Copies ' TOTAL ', Page 2 of 3 r For Office Use • •�,,, Permit#: O / 7 CT E AG N T •� Permit Fee: Date Received: 3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810 (651)675-5675 I TDD: (651)454-8535 I FAX: (651)675-5694 Staff: buildinginspections ancitvofeagan.com 2019 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 1011(0/2,o(1 Site Address: CO Bt.) �c'C�� r.�� Unit#: Name: f13 'b (A',J likkvA67_ Phone: 1'11 (la- Li 690 Resident/ y // �vim.._ �,n6'5-1?-3 Owner' Address/Cit /Zip: �v� rbc,��cnn �-�-,/ 1 X IU Applicant is: Owner \I Contractor Type of Work Description of work: e e ^ Kon . Construction Cost: .A I (r}) 000. Multi-Family Building: (Yes /No ) Company: "TD 'Je-kir Gj/1$1 f,.c wy LLL Contact: 6ec Contractor Address: c 7 5efvvxnot-c Au-t. _ City: ;-to S P'- State: VAL)Zip: SCII U Phone: (o ( S lZ7fvbtmaii: `dx-b-eck-ec L e �� ( .0aft, License#: � `Q 5-BLE 3 Lead Certificate#: l), T 1 L-�1 2 (`c If the project is exempt from lead certification, please explain why: e v;1,1 \)01,_ • oLcLL- AA/ cAL - COMPLETE T IS AREA ONLY IF CONSTRUCTING A NEW BUILDING In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan? Yes No If yes,date and address of master plan: Licensed Plumber: Phone: Mechanical Contractor: Phone: Sewer&Water Contractor: Phone: Fire Suppression 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 they are trade secrets. You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's website at www.citvofeaaan.com/subscribe. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of permit issuance. 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.gopherstateonecall.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 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. x J €.. g ec k.t_f xu-y�L 4/- Applicant's Printed Name Appl arty Signature