4097 Baffin Bay SBUILClING PERMIT
To be used for $F D
Site Address 44
Lot g - Block
Parcel No.
W Name C1
3 Address 51
o _._ ......
Name 3AM
Address ?
City Phone
Name '
Address
City Phone ,
I hereby acknowlege thal I have read
information is correct and agree„1a-c
Minnesota Statutes and Ciry of Eag
Signatdre of Permitee
A Building Pertnit is issued to: cl
on the express condition that all work ;
applicabie State of Minnesota Statutes
r
Building Official '
CITY OF EAGAN P;? ?70
ob Road, P.O. Box 21-199, Eagan, MN 55121 '?" "' "'
PHONE:454-810U . . - ;
Receipt #
. . . ! ? L ? M.n _ i?Ibw A• 'n •
y o( Eagan
that Ihe
State ot
with all
?x ?•, OFFIC
. E USE ONLY
R-
pccupancy 3 M-1 FEES
Zoning PD it=1
(Acfual) Const V u Bldg. Permit 808.100
(Alipwable) ? SurCharge 74sOO
# of Stories
Length
Plan Review s?s.?
Depth 38' SAG. City 100.00
' S.F.7otal _ (???pQ
S.F.Footprints
- sac, nncwcc
On Site Sewage
_
Water Conn 660•00
On Site well Water Meter 45.?
MwCC System x ? .?
City Water x_ Acct. Deposit
" ?'?
PRV Requ
ued _ SNV Permil
Booster Pump - SrW 5urchar
e .50
g
Treatment PI 276'00
APPROVALS Road Unit 370.00
Planner - Park Oed.
Council
BIdg.OH. _
Variance - Copies
TOTAI
3,618.50
Permit No. Permit Holder Da1e Telephone #
WATEFl
SEW,ER
a.uMeNo - /? ?/ 9 a?ti3 - il f?
H.VAC. !? 7
ELECTRIC
Inapeellon Date Insp. Comments
Footings I
Foundation
UJ4
Framing
Roofing
Rough Plbg.
Rough Htg.
Isui. l? 111 A a H b0 f a_ Tn
Fireplace Z - 9 S
Final Htg.
Otstat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Const. Meter
Engr./Plan
Bldg. F,nal y r?
Dedc Ftg. G 2
Deck Final 2
L
040
Well
Pr. Disp.
-qJ
v
SEWER 8 WATER PERMIT
CI'1'Y OF 6GAN
3830 Pilot Knob Rd.
Eagan, MN.#55122-1897
OFFICE USE ONLY
METER # PERMIT DATE 30/28' I' 1
CHIP # WATER PERMIT # 123
METER SIZE B.P. RECEIPT #
ISSUE DATE B.P. RECEIPT DATE
_ PRV - BOOSTER PUMP
SITE ADDRESS Ay °LDT BLOCK SEC/SUB
APPLICANT:
ADDRESS:_
CITY, STATE
PHONE: -
PLUMBER: fLYMOUTH PLb.YT?_NU
ADDRESS: 9290 2ACHAItX l.::
CITY, STATE , ,: ?,?- ?}-,.-.,,?- •• ZIP
PHONE:
OWNER: CQ: fEX HC1-`::?
ADDRESS: ??29 BA}:cR lt:;
CITY, STATE ZIP ?
PHONE:
ZIP
PERMIT REDUESTED
-2L SEWER L WATER - TAPS
_ COMM/IND ? RESIDENTIAL
Y NEW
EXISTING
I AGREE TO COMPLY 1NITH CITY OF
EAGAN OR L?N EES:
dSIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT. APPLICANT AND PLUMBER YVILL BE NOTIFlED WHEN PERMIT IS PROCESSED.
(Itr#i#iratt uf (Orrupanry
Citp of (Cagari
? arprtmrtct uf iudbing 3wrrtian
77ds Cerafrcate ? prrrsuaw lo thc rvq?mniex& of Section 306 of rke Uniform Buildtxg
Code cerlijying lhat at the linie of issua?ce lkis stnrclune ww in compliance wilh 1he mrious
ordbances ol the Ci[?' regukdrt8 buitding coiuuruction or use For the foUowing.
use cbsuTmtim SF DWG/GAR ? % Na 19820
0-Monq TM R-3. !!-l yaaw Dwrict PD R-l ?? Vn
???.? ?ENTEX HOMES ?m 5929 BAR RD. , MINNETONKA
.._..,_- 4097 BAFFIN BAY S L9, B3, HILLS dF STONEBRIDGE 2
APRIL 17. 1992
aosr IN A GoHSPIcuous Puce
*
IV ?'•-?
DATE
9E: Al097 BAFFIN BAY S (CEAITER
OCT 28, 1991
X Your Sewer & 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. BE SURE TO
, CALL PUBLIC WORKS (4545220) FOR YOUR PERMANENT WATER TURN ON.
' Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Biil Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REOUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
__ ?---?
CASH RECEIPT
;
CITY OF EAGAN
3830 PILOT KhI08 ROAD
EAGAN, MINNESOTA 55122
_. ?
? DATE
i 1
AECE?
? I
AMOUNT F ;?
?,l ?
/60'
,oo
? ? CASH XCHECK
?i__t?-{`'i 02NJ
-?
Thank You ; ?.._`.
BY
C 015961 ?de-Peyam COPY ?
va,lm-POgvng coor
Pink--File Copy
i r+'C? B Ixk ?) 1-i I f; 1 rbrI c4?1
?
CITY OF EAGAIV
3830 Pi4ot Knob Road
Eagan, Minnesota 55123
lR1P1 RR1-dF,7.9;
SITE ADDRESS: ? t'll:
ia HpY S
PERMIT SUBTYPE:
H I 4i I. ?' i
tMIT TYPE:
it Number:
Issued:
t?ut! 11 4
;
i Nl,t)??? i?iJ I'[??1t?F? 13L llkti 1 JJi
TYPE OF WORK:
4 1 rr
I; ?.t'I I Ni, I I I r rani
Permit No. Permit Holder Date Telephone ?i
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Flnal Htg.
Orsat Test
Final Plbg. Plbg. Inspector - hioCrty Plumber
Canst. Meter
Engr./Plan
Bfdg. Finaf
Deck Ftg.
-? S 13 I
? ?.?J
a-?ti< C?c.??e,e?r ?c? R{ n? •
?o
?
Deck Final v // r
Welt
Pr. Disp.
SEWER 8 WATER PERMIT
CITIf OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
OFFICE USE ONLY
METER #'/// Q d PERMIT DATE '
CHIP # ??? ? 1 Z F Z WATER PERMIT # 12
METER SIZE P li B.P. RECEIPT #
ISSUE DATE -
c?t B.P. RECEIPT DATE } G, = 51
- PRV - BOOSTER PUMP
SITE ADDRESS 4097 B1.FFtN BAY S , PERMIT REQUESTED
LOT?LOCK 35SEC/SUB '''..LLS O E 5i."'aNEBI+',1lsu',C ?: :ia
-1-- SEWER ? WATER - TAPS
APPLICANT:
ADDRESS: _ COMM/1ND 2 RESIDENTIAL
CITY, STATE ZIP
PHONE: NEW - EXISTING
PLUMBER: ':_Ot' l'L? YLilMFS? ^3: _;;c:
ADDRESS: `-20 Z..ICEtARY LN I AGREE TO COMP4Y ??TFI CITY OF
CITY, STATE '-.PLF. GROVE MN ZIP ??'?'ORQIyANWE?rl?,
PHONE: -'-'471
OWNER: {:E:7TEX i?OA1ES
ADDRESS: 5929 BA1:T:R RD SIGN RE WHEN METER ISS ED
CITY, STATE ' `. ti?•?T? , .,? ?.. ZIP _
PHONE:
-• - v -
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWtR PERMtTS, CONTACT
ENGINEERING DEPT. APPUCANT AND PLUMBER WILL BE NOTIFlED WHEN PERMIT IS PROCESSED.
.., ? .
? CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?19 ..? C?
DATE
??IVEo
FROM
AMOUNT a ? \j
g pQLLARS
lm
?/CASH ? CHECK f?
? r
-?,?-l,t,-,? ?-r Y ?-,?..1 .? ?'C'C-t? r--?-
?
/'/V?/? ?• 4'? :j
Thank You, r ?
av
_[? ,
? ? 1 ;' 11??iv ?` ??x ?
Pink.-File covr
Address: 4097 BAFFIN BAY S Lot 9 Blk 3 Sec/Sub HILLS OF STONEBRIDGE 2N
These items were/were nat complete at the time of the final inspection.
Date: - 17 - 2 Yes No
Final grade (6" from siding) k__1'
Permanent steps - garage
Pezmanent steps - main entry
Permanent driveway t/
Permanent gas ?
Sod/seeded grass
"Trail/curb damage
Porch
Basement finish
Deck
Pleasa verify with the builder the removal of xoof test caps fzom the plumbing
system and the shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
aawxEOr?r?x
White - City copy Yellow - Resident copy Pink - Contraccor copy
/??'7/ V/
3??
d ?
? ? o a
p 7 303?,g 6 ?
Reauesl Date Fre No
/ w??
U Rough-in InsOection
iretl>
Ves = No
? Reaay Now ill Notily Inspector
hen Reatly?
I7L licensetl contrector '] owner hereby request mspection of above electncal work at'
?oo naoress c5treei Box or Roma o I
? ? //II Ciry ?
L
6ecnon No Townsnry Name or No nye Na
I County
Occupant(PR " Phone No
PokrerSUppM1er Ntltlress
?
n7Gr^
Elecnmai on c any Na
ra
cl
ors License No
CoM
? ?
j?
?
MaJmg / dp?ess i ZdAhAt., or Owner Making Insialiauon)
m
ber
N
a
?
?
l
P?
u/
?
one
1
[e
lat?on
umonzetl/c?/p/1y/?enn ?.C/ Ins
/ ? f ,"Z ?,? 7
MINNESOTq STATE BOAFD OF ELECTRICITY THIS INSPECTION REOt1EST WILL ?OT
Griggs-Midway Bldg - floom 5-193 BE ACCEPTEO 6V THE STATE BOARD
1801 Unrveruty Ave., St. Paul. MN 55104 . UNLES$ PROPER INSPECTION FEE IS
Phone(611) 6<2-0800 ENClOSEO
REQUEST FOR ELECTRICAL INSPECTION
f? lw See ins:mc:ipns lor complevng this form on back of yellow copY
Q 7' ?n _,i "X" Below Work Covered by This Request
•a?????'A E8-00001.08
ew Adtl;Rep TypeofButlding AppliancesWired EquipmentWired
' Home Range Temporary Service
Duplez Water Heater Electnc Heating
Apt Bmlding Dryer Other (Speafy)
Comm ilndusirial Fumace
Farm Av Conditioner
? Otnerispecifyl CanVeamrs Remarks
Compute Inspechon Fee 8elow
Olher Fee # SermceEnirence Sae Fee # CircunsiFeeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS Inspectors Use Onry TOTA (?sy?
'
Irngation Booms 4
6. Slci
Speciallnspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED OISCONNEC7ED IF NOT
Other Fee COMPLETED WITHIN 18 MO HS.
I, the Electncal Inspector, hereby Ro°9h"° . ?e
cerufy that the a6ove mspection has
been made F,,,ai oate// ? y
OFFICE USE ONLV
TM1is reauest voitl 18 monihs Irom
Request oate Fre rvo RougRin Inspection
?irpdv J Reaay Now IxWAI NolAy Inspenor
q
?
ves - No when Reatly?
1o-23-91
I)[. licensed contracbr D owner hereby request inspecllon of above electncal work at:
Job Afhtlress (SVeet Bax or Roule N. ) Gly
4097 Baffin Ba South Ea an
= Name ar Na Range No Counly
Oc<upant(PRINT) Phone No
•Centex Homes
Pawer Suppber Atlaress
Dakota Electric
Elecincal Comracior iCOmpany Namei Conttactors License No
z r Electric I -
Mailmo Anorezs ICOnIracIDr or Owner Makmg Inslalla;ion)
8383 Sunset Road N.E., Minneapolis, MN 55432
Aumonzec Sgnatire tC
On
ire
cm
•Ow
ner ma'?ing imtananon) Pbone Nomber
?
L
,?
?
?
/?( & c,v?'t57?tl 784-3729
STATE BOAPO OF ELECTRICITY THIS INSPECTION PEOUEST WILL NOT
Grlggs-MiCway Bltlg - Room S173 . BE ACCEPTED BV THE STATE BOARD
1821 University Ave , St PauL MN 55109 UNLE55 PROPER INSPEGTION FEE IS -
Phone(61Y) 642-0800 ENGLOSED
1 n/,//?? ;EQUESToFORoELECTRI?CALtiNSPECTION
?`YJ
Q 72289 - "X'Below Work Covered by This Request
?•?-?<^ E8.00001-08
.'?<.c??
ew Ad?l Rep ,.? TypeolBwldmg ApphancesWired EqwpmentWired
g Home Range Temporary Service
Duplex Water Heater Electnc Heahng
Apt 8uilding Dryer Other(Specdy)
Comm /Indusirml Fumace
Farm Au Condihoner
O!her(syecify) Gonlracfors Remarks
Compute Inspection Fee Below
Other Fee # Service Entrance Srze Cucurts/Feetlers Fee
Swimming Pool 0 200 Amps
fl 0 to i00 Amps
hansformers Above 200 _ Amps Above 100 _ Amps
Signs Inspectors Use Onry
; TOTAL
trrigation Booms $86.50
Special Inspection
Alarm/Communicahon TNIS WSTALLATIDN MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 HS.
I the Eledrical Inspector, hereby Rooqn-io Mri ?te
certdy that the above inspection has
been made Rmai oai ry
OFFICE USE ONLY
This reGVest vatl 18 monihs fmm
CITY OF EAGAN No . 19820
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILdING PERMIT Receipt # G o
?l(1 ?
f
Tobeusedror SF DWG/GAR Est.Value $148,000 Date OCT 21 ,1991_
Site Address 4097 BAFFIN BAY S
Lot 9 Block 3 SeGSub. HILLS OF OFFICE USE ONLY
Parcel No. T NE RID E ND
A
pccupancy R-3 -M-
FEES
PD R
1
-
Zoning
W Name CENTEX HOMES (AC1ual) Const V=N Bmg Permit 808.00
; Address 5929 BAKER RD (Allowable) V-N 74
00
° Surcharge .
Ciry MINNETONKn Phone 936-7833 ? of stones 521 Plan Review 525.00
Langth
o Name SAME Depih 381 SAG Ciry 100.00
0a Address S.F.Total - 650
00
SAC,MCWCC .
? City Phone S.F. Footprints -
W
n
re
C (?(70.00
On Srte Sewage _ r
n
a
o
NamE OnSileWell - W
t
M
t 95.00
IN AddreSS MWCCSystem a
er
er
e 3
C12y Phone CM1yWater ACC1.Deposd ?•0?
A 30.00
PRV Reqwred _ N Permil
S
I hereby acknowlege ihat I have read this a plication an'y le that the
' Boosler Pump - gyy Surcharge .50
information is wrrect and agre mpl?wi al
pp' •i le Stale of
Minnesota Stalutes and City of g rdin n Treatment PI 276.00
Signature of Permitee APPROVALS Road Unit 370.00
A Building Permit is issued to: CENTEX HOMES Plannar - park Ded.
on the express condition Ihat all work shall be done in accordance with all Cauncil
applicable State of Minnesota StaWtes and City of Eagan Ordinances. gldg, plf, _ Copies
Building Oflicial ? p 1L p.1.(?c l
??l1 ??
7 ? Varienca _ TOTAL 3,618.50
2004 RESIDENTIAL MECHAIVICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 I 73 ?a 3
Please complete for single family dwellings & townhomes/condos when permits are requiredi'for each urut ,
i
Date - O-/ 6 II
Site Address ' u Unit #
Property Owner Tele'phone # (Ur?' )
Contractor i
Street Address ' ?I?, City
State / / / o
? Zip Tele hone #
/
?/
B
nd "/?g grA :7
E
ires:
o xp
The Appticant is _ Owner Coniractor _ Other ?
A
dd
-on or alteration to eaisting dwelling unit $ 30.00
`
/
fumace _Additional Leplacement ?
air exchanger
-
4
_ airconditioner _New _ Replacement
other
?17
u
L OC
Lj ` Opq Jl
State Surcharge gy
. .50
Total
i
I hereby apply for a Residential Mechanical Permit and acknowledge that the info I tion is complete and accwate; that the woxk will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
per[nit, but only an application for a pemut, and work is not to start without a permit; tkar-gw work will be m accordance with the
appr ed plan in the case of work which requires a review and approval of pla
j/? l??,lr Ch 44 /./,ll
ApplicanYs Printed Name' Applican t's Signature
?
RESIDENTIAL '
? BUILDING PERMIT APP 6CATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reuuiremants
• 3 regislered site surveys showing sq k. of lot, sq. ft. of house; and all roofed areas
(20% maximum lat coverage allowed)
• 2 copies of plan showinq beam & window sizas; poured iound design, etc )
• 1 set of Energy Calculations
• 3 copies of Tree PreservaM1on Plan i( lot platted after 711193
• Rim Joist Delail Options selection sheet (bidgs with 3 orless units)
DATE Q.& IGo
_ Waler Softener
Water Heater
No. of Baths
SITE ADDRESS ?I C?R-J !> APf-t tJ Svu"t1-A ? MULTI-FAMU
TYPE OF WORK k- e- S i?2 FIREPLAC
APPLICANT
BLOG _Y _ N
_ 0 _ 1 _ 2
STREETADDRESS ? (`.kP d4zit- CITYC'I?r??kQzsenSTATE Jli ZIP 55QS i
TELEPHONE #q5?) - 3?8-?itluf? CELL PHONE # I FAX # 9e e) y
PROPERTYOWNER lnrn I t.t°C'l?. TELEPHONE#?%6/' ?-??GI
COMPLETE FOR "NEW" RESIDENTIAL'BUILDINGS ONLY!
Energy Code Category _ MINNESOTA RULES 7690 CATEGORY 1 MINNliSO'fA RULES 7672
(J submission type) . Residential Ventilation Category 1 Worksheef Submttted • New Energy Code W orksheet Submitled
• Energy Envelope Calculations Submitted ,
Plumbing Contractor: __
Plumbing system includes:
Mechanical Contractor:
Mechanical syslem includes
Sewer/Water Contwctor:
Air Conditioning
Heat Recovery System
I Phone #
Phone #
Fee: $90.00
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
--------------------- _____________..---------------------- ------------------ -------- ---------- ___--------- ------------------- ..----- _._..
OFFICE USE ONLY
?
Certificates of Survey Received ` Tree Preservation Plan Received _ Not Required _
' lJpdated 4/02
j
RemodeUReoair Reauirements i
• 2 wpies oi plan ?
• 1 set of Energy Calculatioris for heated additions
• isitesurveyforexlenoradditions&decks
• Indicate if home served by septic system for additions
I
VALUATION ? IS OOo
I
Phone #
_ LawnlSprinklcr
No. of R.I. Baths
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
PS?16S,NG.; YE3?G?'
mg"N?
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME: Uy/?'1
SITE ADDRESS: 7 ?
LOT:-- BLOCK..3 SURD.
INSTALLER:
ADDRESS :z???5
CITY:A'62???. ZIP:
DWELLINGS &
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
L ADD-ON MINIMUM 15.00
U
SHOWER 3.00 , fp
WATER CLOSET 3.00 ?U
? BATH TUB 3.00 Lo U ?
? LAVATORY 3.00 /-&?(LO
? KITCHEN SINK 3.00 200
? LAUNDRY TRAY 3.00 300
HOT TUB/SPA 3.00
/ WATER HEATER 3.00 =
T FLOOR DRAIN 3.00 s3G7 U
GAS PIPING OIIT.
? (MINIMUM - 1) 3.00 ?U L7
? ROUGH OPENINGS 1.50
_ OTHER
WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
PHONE #: ±ZL-1c7 %/'-!`4 /C
?-! J ()
SUBTOTAL $
ST. SURCHARGE .50
SIGNATURE PERM TEE
TOTAL: S ?U.?/
RO?ERCIALJii1DUSTRIAL:; PLEASE COMPLETE TAIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WNEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
-___---°______________°-___----____-
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FOR CITY USE ONLY
PERMIT #
RECEIPT # D
DATE: ?
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
------------------------------°--------°--------'
----
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
S
(SIGNATURE)
51 _ z `L,:?R
H OUS HEATING TEST RE CORD
?? `?? e,? F TY? G SUBURB
R C
ADDRESS APT.- QO
I
--f
OCCUPANT OYMER
HEAT LOSS DATE HTG. INST.
Q
SOLD BY INSTALLED BY
-? Z
El
rrical Work B Gas Lin. B {'
y
.c y . -
TYPE OF HEAT GA-FA _HW _STEAM-SPACE HTR. -UNIT HTR. -OTHER
GAS DESIGN CONYERSION
•
MAKE ? ?u
`-
y MAKE OF BURNER -
° "
7
S ????
Moda Modal
5«iul I Max. BTU Rcrfnq - ? 5?--
INPUT MAKE OF FURNACE
Modal
? CONTROLS
?
J !e?
THERMOSTA,
Heat Plup Vent Sizs
Volvs KIND OF LIN 512E NONE
Limit I Drah Hood Rapulamr
Limit SeHing Filter• Siza Nu
Fan Setting
A Ghimnoy Lomtion Insids /y yOutside
-?(
Pilor Trps Chlmney ConstrucYion ?_?-d S O
Pilot Moke
Pilot Model $moke B b
? Wifin9
Pilat Timin
I • Sl L• ?
Draft ?? /? • Tasl Tay --
g
L.W. Cut Off Door Preswre Liqhtinq Inat.
P
CO 'v
P ?W1e Rsbd
`
?- e
ercani
rsswro
InputCFHPercenf 0 ????mpany Tes
-
?
?/?
yoo P
CO e"I
S
T
? af Tesf
? Na
areant
amp.
tack m
Fwm 235
,
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-32991-090-03
DESCRIPTION:
r
PERMIT
4097 BAFFIN 6AV
LOT: 9 BLOCK: 3
HILLS OF STONEBRSDGE
" -1, -
eu'ilding'_Permit Type
Puilding Work Type
r1.IBC Occupanoy\,
Building Lenqtfi-i,
X gui7riinn I.liiith ,
\
PERMIT TYPE:
Permit Number:
Date Issued:
S
2N0
DECK
ADDITION
R-3
20
10
BUILDING
@21954
09/14/93
,
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search
Total Fee
$25.00
$.50
Fee $5.00
$30.50
CONTRACTOR: - Appl3cant -
INDOOR OUTDOOR BLDRS INC 18895330
P 0 BOX 5040
BURNSVILLE MN 55337
(612) 889-5330
sT. LZC. OWNER:
0009097 LUECK TOM
4097 BAFFIN BAY S
EAGAN MN
(612)456-0719
I hereby acknowYedge that I have read this
information 3s correet and agree to cflmplp
Sta utes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATUPE
app]iaation and state that the
with ali appl,icable State of Mn.
.jq
ISSUED B SI NATUR
y?'? ?3
IN5PECTION RECORD
CITYOFEAGAN PERMITTYPE: guzLozNc
3830 Pilot Knob Road Permit Number: 021954
Eagan, Minnesota 55123 Date Issued: 09 / 14 / 93
(612) 681-4675
SITEADDRESS: Lpr: 9 eLocK: 3 APPLICANT:
4097 BAFFIN BAY 8 IMDpOR OUTDOOR BLORS INC
HILLS DP STONEBRIOGE 2ND (612) 889-5330
PERMIT SUBTYPE: TYPE OF WORK:
DECK ADDITION
? m
REACTIVATE _ CITY OF EAGAN
PERMI7'M ' 993 BUlLDING PERMITAPPLICATION ?3 Q.?O
119AUCENTED 68,.?6,5
9 1993
--------
SINGLE 8 MULTI- ------
f plans, 3 registered.site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specificatians, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month.
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date /9 Yaluation of work
Site Address: 40ayl
STREEi SUITE #
Tenant Name: (commercial only) `-
LOT q BIACK BJ SIIBD? ?' p?-
Y.0'V P.I.D. k
Descri tion of work:
The applicant is: ? Owner 0 ontractor ? Other (Deseribe)
Name L-vE?K Toc? Phone A5Co--G`1 1'%
Property LAsT FIRST I '
Owner Address -A09`1 vt-,?7'FI'--i Sc?-'\c
STREET STE /
City State Zip S?
Company 1?oc=?Z/cwrD?c,2_ P,v??S ?? Phone
Contractor Address ?i: ?ox Sv?O License # ?k&Y"1 Exp.3-??-
City ?5?>•z ?,?.1???.r State n-,? Zip SS
Lompany Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to compl with all applica6le State of Minnesota Statutes and City of
fagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
O 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
0 09 12-Plex
? 10 Multi. Add'1.
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 fireplace
)c 15 Deck
O'16.Basement Finish
? 17 Swim Pool
O 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New
V32 Addition
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MWCC System
(Allowa6le) lst F1. sq. ft. City Mater
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning 5q. ft. total Booster Pump
i of Stories Footprint Sq. ft. Fire Sprinkler
Length
? On-site well ?
Census Code
Depth ?_ On-site sewage SAC Code _
_
APPROVALS T
?
Planning Building Assessments
Engineering Yariance
REQUIRED INSPECTIONS
O Site [I?Footing ? framing ? Insulation
? Wallboard 44 Final ? Draintile ? Fireplace
Permit Fee
n
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
vatuetion:
?
SAC X
SAL Units
' .?
/..
. V,* ?? ?
PIONEER
? eng * eering.
**?
/
Floneer FnaIna
5=1'?4R4 F'. [l^`.
lAMp PLANNCpc v LANOXqvE
242? Enr=.priee r)rivr
Mendota Haightt MN 55120
f61 ?1R87-1914 '---
Certi(icate of Survey for: CENTEX KQMES
ti a?° 'vOR7H
?a \ ` F
? ? •-,H
\ C)
.\
?,?^ \ ?? 'o,,• ? ;.
y ;,ea N ?
o <s .
A,?
(/ d.•? ? Sd?Y b ? ., '• ?
\?0
tv°39
0 ? ?y ` `t, ^ ?. ?•A; ?0ut??
. 900.0 DphoFeS PX?S?irt¢ ?levaf?orr o E v?
• 900. p ?i?g?? ?VA77vN
(_? Uennfes prop?ed F_/eva??'or? ?owes F oor Eleva -1 wi
-- Uhnnfes U+?ama e( Ufif?? EctSpr?er??? rp n?BJock Elevafiorl`-
----- l7enofes vrainiie t"J'ow /arrdwy Gcrrq?e S/ab GevaFiprt ` -
0 derrptes mol7Ufner7f o Denaes Ot1?"sef r?Iub
(3Earlr?5 slIown ar-e assumed 5u?ec.? fU Edse;>>enjs p( ' /j'eccrv'
;LQT 9, gcocu 3WrLLs aF SronrEeardGE pcpr 2
j _ DAIGOTA CoVNTY
? I h.?ele?• ca??ily Ihpt tql, y 0 IYUr, Rod Ctl•rRCt r?pr?lRnl@l100 RI ? lll'Vpy nl 011 hoVnlillYiq- pI IMP nhet•R (irunih''rI Innrl, OnA n11hn I ?Ji
? bu;ldt,.pe,.lln,???o?,, au?l ull aMl71o nncroachmrnts. 1t e,,y, rt,.+ or en eeia i,?d. ne ek,,?ved lw mo 0113.-.._111y A.D. ^1n
. _.-'
?e '
mc ?- h. ?? fef
n J a . j-. - ? ---- ---------- .._._ . ----? -- ?----
'IQ??7i?? Rr:AC.ui N ?nu(:nL• orr..?Y? Ilrwi ?
- 14?ZQ . .
` 1991 BIIILllING PERMZT AP LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS IfiJI.TIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/NOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CtiASIGES 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.
To Be Used For: SFD GAR Valuation: =" - Date:
Site Address 4o97D?g?`?? Yse
tAC 7 slock 3 NIL-Ls CF-
Parcel/Sub S?h1??R1d>[? PLA?-j a
Owner
Address
City/Zip Code
Phone
Contractor aA " -F1<-
Address 5/ z? A
City/Zip Code
Phone 423?21?5
Arch./Engr. ?0 jVL L /_
Address
City/Zip Code
Phone #
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
R 3 M-I
P0 fZ- 4
V-N
V-N
52'
38'
On site sewage_
On site well
MWCC System ?
City water ?
PRV _
Booster Pump _
APPROVALS
Plannex _
Council
Bldg. Off. /O%j
Variance
`?oAcZ- -?f
ONLY
FEES d
?ib'
Go
Bldg. Permit .
O
Surcharge Ll•00
Plan Aeview SZS• 0''
SAC, City /OD• pO
SAC, MWCC S?iO100
Water Conn. 66 0. 0'0
Water Meter 15,0 C)
Acct. Deposi t 30,00
S/w Permit 3o.0-?
S/W Surcharge r5a
Treatment Pl . 07 LDo
Road Unit 390,00
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL ,?-Irn
Sewer e?i ens tr. PL r14OVT H
C agrees that all woxk shall be done in accordance with
( ignature of Cont actor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
cer cnro I ncvr I - -..- --.
'F PIOP
* t?ngir
* * **
/
y j0
w ?
?
?v
2422 Enterprise Drive
Mendota Heights. MN 55120
?@lEr,nQ?? LANOPLANNEP9. LANOxqPEARpi1TECT3 1'61^) Ct5^1.1nn1A
? / v ?
Certificate of Survey for; GENTEX MDMES ?
N??o ,'Vp?7y
? 479-
?•
?
?
I-O3. T
?
?
w ?
.
o_
1?--
c"
r ?
?
?
?
F_
? .
. ?
$Aab /
\ ?b QYO o'S? .
? p ? i
. ? y G°l r ?'?.
,a
. 90010 Denotes exisfin? Elevafi'ort
? ,900.o Dennfes propcfged EievaPiort
- Uwnnfes Uraihp € Ufili? EasemenF
---1-- Denofes Uraine PoW Qrrows
a Derrale5 mortumenf
gedriqos Sftown are as5umed
?
\
?
/
?
/ ?I ? e?t7??31
gp,Ff?N gA , _. LQ?.??.?
S000 ?? , j?,o4 ?> l6•7z R?
-PfZOPOSED NOUSE tlEVA71UN
Lowesf Floor E?levatiarl
Tap a?Block flevafron
Gara eS/ab flevafian
o Deno?s 4?t?'sef Nub
$u ?eCF t0 Fay5emen f S Of ",qPCUrof
Lor 9, BL4CfC 3, NILLS OF' STdNEBRIDCE pLAT 2
OquorA covnrrr
i h..ebr c?,eify thPt Ih1I y 0 IYUF. 8HH CO,,P,CI feprPfBn(BtIOn Of a 3Urv1'y pI IhP h-Afl'ICS Of fI1Q t1I.19VN ffn[GlihPI IpPfl, nnrt nf lhn ef o01
bU?l?li?pa. tliereO?,a?+d all vixihlU 4,+CrOPChmNttS. if any. frpm or On ygip Ipn?l. As SUrvcVOd l)y Inn r1'15?-.__rlpy
SCaIe ' 1 inch, 4 O?reel
•--•-^..._.w...-----__.__-- -
R(:9CN* R. SIKIC14 l.'., rtF(;. 1Jn. 1 :nat
I'lanniriy li:asiyn tnr.'.
1611 Hiyhw"ry 1c) IV.F:..
hlPl
61 :_- FiCILiEL #F;' 161
hl.innusnit<:a Stahe F_ncrg'r Ccrcl='• Calc..ilat:'ions
LiaLc:rcl uri ivhaFrLEZr 5 o; the i`luclcl L:nc-a.y; Cn;J:-?
L948:= f.:ditivn -- Arlay_Csacf 111184
l%ner.
.
j: Cr-, Aiidre,s;
cc "' ract or ;
._ on. Mass;
Tl?h!E'!;;t-u.. fNf'OFtMAl'IC;r!
corum. r-ir). SqO2Co7
cnMr7. Na.?ojOZ(a 7
CEPdIL`;'. iICIpIF..:i I'i1onE-.'7
:1l i•§1 ior- SLngle F''r.lrnil/:Dup7.e>;
ii:.', Y"EfE.AdE?il'I:lal . 3 st.c,ries
Ovur .. ? slories
QthE_r_
';[';-, il;c- seciiu,; r.;usignations r"Seac.i_inn Fl", ";iect;ori 13" ctc.i aurr far-
_;,m:enio„r_e in ca:culationv ont.•, anr.l are nut ;?N1r,tF_?d Fr-??m unsa set oF
_.nlrllJ..3{l:r?fl'.] f?E'd1C'vJ co t.:tie nF::t..
;?
eriuzeLcr .. Ja11 heiyhts, = r'lrea
gI'"C)L.If7Cl h0 er.lVE
.`]LL{.iD(1 A . 50.5 10.92 - 551.46
SrcCior't S. 114 14.83 _ 2::60.62
:,°c l- i en L„
.:,.•L'Ll {::: I.'
E:ui.ici;ri•.7 dimenszons
Eertion A .
Sect i on D .
Sectinn C .
3ection D .
L''•Y'(755: 4J.;jj ( rjrea
F1 UOY' Gi
L"ei 1 i ny
Longth >: 41i dth = Flrea
18 14.5 = 261
-U 52 = 960
1°•817 2 _ 37.66
11.16 2 _ 22.Z2
l"atal f 1 oor ur cEi 1 i ng area = 1290.98
0. F',im .TUisl- F'erimel_e;- -- 164.5
i=loar joxst ^ t?y (?3??, 1i???, 12" cr SG?")?: 10
? P.im Joist Area = 137,0833
-:. i?oors
'"rri: 46.9 ThicF::nes= (inr_hes);
;'er i meter, (i: eet. ): l`:Pe of cen;iruct.iciri:
U. TuLa1 door's parimt•ter:
6. bJindnws
- ,:?812. 07
r
, ,nuracture;•: 4lCATHEF;SHIELn U factqr; 0.47
, .I.attaF'}pro•:;_i_I; `rFS
I-!ezgtit ., Lcmgih ., hli.imbc:r - Foi.eal
(.inclii=s) :Inchesi oP ui.,_r.s S;qFt
Un M-
i'=? . i .:' c?•?
7
?
... F r!i'Hl!',i
1.6
.24
?l. .
((l.07
'6
2
.'FI
..
?t9
a.'.8 ..'t> 141.M
_... .:_'L 6
._..
37.
lL-o 40 ^
... Li.BC?
r(?.1?"i??i ? S : 54 S Ll . ..
,.)
ti ('i
;. 6Jincioo-i glass area !E3q Ft } _ 230.027
p I-iEiyht ., LE-ncith „ Num6ei- = Tntal
(feet) (feet) uni ks E>yf=t
0, Fati O DoO:^ ; 6.19 3 i ^ 40.8
, r-1t: r; utiR , ti! t? [1 6
1O. F:irepiace ai^ea
PJidth:
-
- S Height: 5
i
ot«i s q r- t - 30
1 i. ...tPused Wo:.ind.rl-ion
Iwinht area r,,; ^.67 F'erameter ar ea G:
:_i; f=L- area A - 40r7.21
• i_::nnsoC Fc?unctatinn
,._ic,hi erea Li: t, F'erimeter ar ea
Sq Ft area Li = G
12- SqFt ? LJ factor U r, A
Orea=.s wat.i area 2912.08
m'L nP. s
ilindow area ^3@.83
? 1?.47 112
2
?
f atio deor area 4!).8 0.42 .
.
17.14
ALrium urNa rJ 0 0
-:im joist area 137.+.'tJ,_._3Z33 0.035 4.8
17r,ar .,tre2 46.8 0.14 6.55
Pireplar_e area 30 0.17 5.1
E::po=_ed Found. 109.21 0.14 15.29
? Framina area ^c81.209 0.069 17.4
'L'qLIalS
Tocals for net wall: 1429.1446667 0,037 71,34
Cities Di
itv Control
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,. . ? ! ?- ?.,r .? ?- - . W...il i .. .-.:. •
.:u•'07.9 : ., +Wtl::"
?!:':':
.; P
=ac.!.Ln• i?_ i.t rur Fi-1 s.inn]t f?in?il.y I..?l.t
...._ 'tQC' A-2 dl"1d L71..11(-_'r :'e3.Ldf`IlW:il.
.00 1ar o'Lfier hu:;ls.l.i.nyr.c
..,;t cor ._.ur . =_'tcr-i.es
Fr?,i_1?_rr ?.•-?? G.11
_::6r? riu???r r,c : nF; _
-n<?
^s, ,;_,,
,
.
.lI:I.Ild'tC'll idr3pt'F)
.. (i_'T
. t 2ilO .':+tl
- 1•Yu•??)?:Fi
1,.. eai
C':-iJ ir;;,j ;-r'n:::.i.ri?i r;i??-a ?.i??;•: us c:eil.znn ar 128.098
tc. Joi-t F':r•e?, it.iii. aF ce;;ing are??? °
rE.iai ._
A5t c
- 7q
1152.602
f : . .
.
',-_,
_
I',IE`t ['E?i 1:f1g aC'(:.a21 !Grue=_s rei], areei
21-??
24
+,i? -
?;.?:??:l „ I`er_ ceil. arr?a
:i .. -linris:7
= = ,
??J•L'''i:?
?,'?'4 ;: Jui=.st ??rf??
0 _ .
i?._ .
?? . -.-ari:.?;:
Total oY i. I[om .I.S :; t l_ein .lq 27.284:37
2"..
-
nc. „rv« „ F <•,ctc:r be.low = ll , A pcr codi.,
, s-i l;
i;
• o
, . .
_
r
_y?h;:i' i_ .'J26 'YOi" A-i S1nU1e faRill j°! 1:1t.tOBi:
;'
.
, ..017 fc,r A-2 eind o'C.Iier re.=.irientaal
.16 for oLhcr bi.ii ld.inq,=
?- It.. '=
'`'''-; -n •?`i''`'
30548 htUST FiE :> OF: _
33
'
27.2848:
.
L3
1 i_E; ?
(calculated a6ove)
r
u vnr.ur•. cnr cur,n•rioNs
6 / HICH "R" SHEATfIZNG
WALG
.riCCTION
sivo
S[iCTION
LtIM
Joisr
R VALUE
u vnr,ur•.
Inside air film .60
Inl-erior uall .45
InsulaCion 19.00
Sheathinq 6.0
Siding .G7
Outside air film _17
It TOTAL 26_97
Inside air film
Interior vall
Stud - G "
Sheal-hing
Siding
OUl"31Gj2 cl1C Ill[fl R TDTAL
(Wall) U = ]. _
?t
.037
.Gt3 ?
.45
6.50, (1•'raming) U = 1 =
6.0 R
'67 .069
_17 '.
14,47
Inlecior air film .60
Insulation 19.00
1 2 inch sott wood 1.84 (ktiiu Joisl) u= l
Sheatlti.ctg I • 6.0 !t
CxL-erior uall covering -67 .035
EzL•erior aic L•iLu _17
R IXDTAL 28.4
PDN_
Interior air film
Insulation
C•OUndatiOn (12 " Block)
Gxterioc air film
R TOTAL
.68
5.00 ,
1.20 (COUndatioci) U = 1
.17 R
7_13 .14
CErLING WITH YENLID ATTIC SPACE ABOVE
R YALUE R VALUE
FRAMING CEILING
).61 Air Film 0.61
36_00 Insulation 44.00
4.38 Joist
.56 Ceiling .56
0.61 Air Film , 0_61
41.55 Total R 45.78
.024 U = R .021
rnmwF.rKtar. ?LING
R YALUE R VALUE
FRAMBIG CEILRdG
0.61 Inside air film 0_61
.56 Ceiling .56
14.375 Joist(Spacer) -
Insulation 33.85
- Air Space .50
.67 Roof decking .67
.06 Felt -06
.44 Shingle .44
0.17 Outside air film 0.17
16.88 7bta1 R 36.86
.059 = D .027
Windw infiltration .5 cfm/lir?eal foot of crack R
Residential door infiltration 0.5 cfm/square foot or door and s????xn code requirement
Non-residential cbor infiltration 11.0 cfm/lineal foot of crack
Db 12" concrete block no insulation =.781 R 1.28
double glass = .52
triple glass = .31
All extetior tira].ls and ceilings must have a vapor bartier (0.10) perm max.).
Vapor barrier must be on the inside (heated side) of val.l.
Yapor bariers of the polyethelene thin film have no R value.
PERMIT # " CITY OF EAGAN
, 1992 BUILDING PERMIT APPLICATION
681-4675
MA9 g?ECD , ? 0>
??.?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets af architectural.8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of work 4-ec'c
Site Address: a5-2 ?3 -jt,' r3=
STREET STE i'
Tenant Name: (commercial only)
?
tor r?
e?aK ?
SUBD.
I.D. i.Y
Descri tion of work:
The appl icant is: ? Owner QK Contractor ? Other comor;ne>
Name Tum Phone 5'S6-
Property u5T ?IRST
Owner
qddress voy-2 /Ja r?•?
STREET STE Y
City r5..... , State 1_4.v Zip Ss?az
Company -rh,,..f f??,vTr<.?r?,. PhonehvP -3?26 y
Contractor Address D VSC,G License # oeocco?, Exp.3- -!?
. ,
City ?G,.•s??, ? State rhyv Zip ssUi?
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
5ewer 8 water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
A • .
O 01 Foundation ? 05 Apt. Bldg ? 09 Basement Finish O 13 Comm/Ind New
? 02 SF Dwg. ? 06 Garage/Accessory ? 10 Swim Pool 0 14 Comm/Ind Add
O 03 Two family ? 07 Fireplace ? 11 Res. Add. ? 15 Comn/Ind Rem
? 04 Multi-fam. T.H. ig 08 Deck 0 12 Res. Porch ? 16 Public Fac.
. O 17 Agricultural
WORK TYPE
31 New O 33 Alterations ? 35 Move
? 32 Addition ? 34 Tenant finish 0 36 Oemolish
GENERAL INFORMATION
Lonst. (Actual) Basement sq. ft.
(A1lowable) lst F1. sp. ft.
UBC Occupancy 2nd F1. sq. ft.
Zoning Sq. Ft. total
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building Q1??-/-9z
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
0 Footing
O Final
? framing
E3 Draintlle
(> Insulation
? Fireplace
Permit Fee ? Yaluetion:
Surcharge
Plan Review
License
MWCC SAC '
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit •
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total :
SAC %
SAC Units
:
MWCC System
City Mater
PRY Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
? ? - Fioneer En4ineerina 5319488 p.q2
wu` ? T •
PIONEER 2R22 Ent?rprisp Drivn
• * LANOSVNVEYOR$•GIVILENGINEERS Mendot? Heightg MN 55120
J BnC?InBeI?IP19. LArvpPLANNEH'S?LANOy[RPEAqCHITECTV
T* ? ** H I61 ?.} 6f311914
/
??C Certificate of Survey for; GG..?TE/Y ?OMG s ?
47y
? -"
\ C) \
\ y (/
? w
w ?
^
J%
. c?'.V (bh oQn ,p •
\a C °1
i
7
39
6.5 -$30
p e -_.?-} R:
,e° ,? gAY ??-. `?,Z,•? 3
yzR_?5oo
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CZTY OF EAGAN
3830 PILOT RNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
WN??
WSnE
------------
WORK DES
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
SITE ADDRESS:
LOT:-!q- BLO
INSTALLER: ?
ADDRESS:
CITY:_???' ?//?4
-?,?-
PHONE #: It
SS?Iv
ADD-ON MINIMUM
HVAC 0-100 M BTIT
ADDITIONAL SO M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PEI2MIT
SUBTOTAL:
STATE SURCNARGE:
DWELLINGS &
TOTA3;: $?
?_.
SIGNATURE OF PE ITTEE
CONTRACT PRICE: FEES
OWNER NAME:
SITE ADDRESS
LOT: BLOCK _ SUSD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHDNE #:
FOR:
FOR CITY USE ONLY
PERMIT #
RECEIPT # ? O
DATE: ?
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
-------------------------------------------
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING = $25.00
g25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
gq*iSRCIPLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT B[IILDINGS, AND MULTI-FAMILY.BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
• • - 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN '
--? 3830 PILOT KNOB RD - 55122
651•681-4675
New Conshucffon Reauiremenfs
> 3 regtstered sNe surveys showing sq. N. of loi, sq. M. of house
and all roofed areas (20% maximum lof coveraae ollowed)
> 2 copies of plans (show beam 3 window sizea; pnured fnd. design; etc.)
> 1 set of energy calculations
> 3 copies of tree presenatlon plan H lot plaRed affer 7/1/93
DATE: _I I Ig 1. oiq
DESCRIPTION OF WORK: IeAY- U.Aoo-
STREET ADDRESS:
LOT: ? BLOCK: ? SUBD./P.I.D. #:
Remodel/Reoair ReauiremenTs
$ 1ix-4, as
S-- e:?i9(
y2 copies o( plan
?1 set oF energy calculaffons for heated addftioni
1 sBe survey tor exleriw additSons 8 decks
CONSTRUCTION COST: -4 ^
V ( e't ?--
Name:ToM L-1.ltC'K Phone#: H510- o-+19
PROPERTY Last Fust
OWNER p?_
StreetAddress: HU9?" .L..?iffi(1 aaU S°
--r-
City ??fUn State:
Zip: 554oZ.3
Company: Phone #: b1cP- aqD -,591co
(area code)
CONTRACTOR ???•-
Street Address: license #c-j?JExp.
?ity Burnsviiic:. MN 55337 State: zip:
ARCHITECT(
ENGINEER
Te6ephonE #: cieo cada
? Name:
Sheet Address: Registratlon #:
City State:
Se,wer 8 water Iicensed plumber (reauired for new consfructton onlv):
Penalty applies when address change and lot change is requested once permit is;issued.
Zip:
I hereby acknowiedge tfia41 have read fhis applfcaFfon, stote that the Infiormation is correct, and agree to comply wNh all applicoble
State of Minnesofa Sfafufes and Ctty of Eagan Ordinances. ?y??? _
oaA/J O
Signature of Applicant: •? =?x??J
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes - No - Not Required
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171308
Date Issued:08/10/2021
Permit Category:ePermit
Site Address: 4097 Baffin Bay S
Lot:9 Block: 3 Addition: Hills Of Stonebridge Plat 2
PID:10-32991-03-090
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Thomas A & Tammy J Lueck
4097 Baffin Bay S
Saint Paul MN 55123--392
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(952) 479-7131
Applicant/Permitee: Signature Issued By: Signature