546 Atlantic Hill DrCITY OF EAGAN il
I 3830 Pilot Knob Road
? Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: ., ,
546
;? i :,?n?i . -
PERMIT SUBTYPE:
TYPE OF WORK:
leI'rI i {ff
0..?4r:
N f b.l
f I'Aftl'f ( t9 I
INSPECTION .A • DA
: 1 1 f;; t
i ? ? ? . f . . ; ? . . . , . . . , ?
f iiI fMf1FtK `. ! PR1/
;. E.i rt kr; -, +•t irvt c11 Ezl;
?
--- ??
oN
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICQNT:
r?• I 3 t. 4 ?.?y.;?,
Permit No. PermR Holder Date Telephone li
SNV
PLUMBING t?,37tC-'5 3
HVAC ? /I/G ? 7 S3
ELECT (pQ?J L // r?G ?,? ?
ELECTRIC
Inspection Date Insp, Comments
Footings I
LC?
s 4i ?S Y' r?" f'o ? `
Foundatlon
Framing
Roofing '
Rough Plbg.
Rough Htg.
Isui.
fi?LL O -
Fireplace
Final Htg. /
Orsat Test ?
Final Plbg.
?! 7 Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
?
?
?
? . INSPECTION RECORD???? ?
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road
Permit Number: E 4
? Eagan, Minnesota 55122-1897 L -1? Date Issued: "
(612) 681-4675
„
; SITE ADDRESS: ;
t4 1
E ?, n ?r
I I.AkE:4 l.l1k E.S IAiF
?
APPLICANT:
440 4 s. 0f-.
I PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION .. . D,
,. ?: . . ?
?
I fiUIMAR1r ,_ .t"iEl'AftAff F'FHPIi t'; 141- WlTiti'It fnfi AI'tY 17111MtiTNt1 WURK •
, fI Et:lVT1;A! Pi•RN1I i RF(,)UtftEll fFIF7(1lIt;H '.I/i'fF F.IFfTRi( At C1A11RD
?
?
Pe?mit No. Parmit Holder Date Telephone 11
ELECTRIC
PLUMBING
HVAC
tnspeatfon Data Insp. Comments
FOOTINGS
FOUND
FRAMING (T
b
ROOFIN(3
ROUGH
PLUM8ING '
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUI
GYPBOARD
FIfiEPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OFiSAT
TEST
BLDG FINAL
BSMT R.I.
asMr FINAL
DECK FTG
DECK FlNAL
&rtificate vf ccc"anc?
Witio of Cpagan
Zepartmcxt o? ?xitbiag ?u?yecrion
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying thal at the time of issuance this structure was in complianee with the various
onlinances of the City regulatireg building coRStruction or use. For the following:
uxaasa;ecwa?:S FDWG swg.Penn;,Na. 22422
o.„.y T?W R3 /M I zoo;ng oisawt R 1 ryp, con5t. VN
owm? or B Wia;,,s PEDE.9CN1 1ICl935 Il+C Aed.= 3511 143RF3 ST W. R31T
77,,?aa-a56 AII.AffiTC HILL IRI[?E t.?,ry L32. B2. :S? FSTAlES
R n,?: 02118/4'+
f/-??a---?
.ddmo"
POST IN A CONSPICUOUS PLACE
?
?._ ? ..
?
? SwII
,i W
t?e? : ; .pv
j ER?wy?ap?, k??? e ;
ca§Klr* ?ay?s 'r
}??l?a4.+!af1}1'?F?a ?T;? 2k . ?'r'J fy41..?.'is
`?.`itldt'!f}.-
?'?w?;,9C3CF.?
:.tm
.:. ?L. ..A ? ... - . ..
? .: Y ' . ? ..
TOT,a?., Rviceapt
. .... y .. ,., .. e "? ` °. . .
?
M 60304 3?i ?
Request [e
?
?/2 ,? Fire o.
I OUgh-in Inspedion
uiretl?
FF"
: You l leclricInspectar
NOTICE
? A Rough-In Inspection
?
? f
1 Yes ? No s Required.
I Af licensed contractor ? owner hereby request inspection of above electrical work at:
Job Atldress (5lreet, Bon or Route No)
.3^ylo ,$ ?.Gan tic ,/l.? ,diz G"Y
?.? cr.?.U
Section Nn Tovmship Name or No. Range No. Couniy
0., leor?
Occupant?PRINT) Phone hJo,
Power Sup lier
,??k?t? Address
ElecVical Coniracror (COmpany Name)
'-?) i2 g'v o h ??ccf?s'L. [ o- CoriVadorS License No?
C.?9- o Z l i'?'
Mailing Adtlrsss (C nV otor or Owner Makino Insrellabonf
1eo ?1A? "#?c
Authorized SignaWre (COnVador/Owner Making Installation)
:7- Phon e
MINNESOTA STATE BOAqD OF ELECTRICITV THIS INSPECTION REQUE$T WILL NOT
Griggs-Mltlway Bltlg. - Hwm $-143 BE ACCEPTED BY THE STATE BOAqO
1821 UniversHy Ava., SL Peul, MN 55104 UNLE55 PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION
p? ? See instmctions lor completing Ihis fortn on back of yeilow copy
lol 60304 `X'°Below lYork Covered by This Request
ea-ooooi.ae
ew Add Rep. TypeofBUiltling AppliancesWired EquipmentWired
Frome Range Temporary Service
Duplex Water Heater Electric Heating
Apt Building Dryer Load Management
Comm./Indusirial Furnace Other (Specify)
Farm Air Conditioner
Other(specily) ConVaclork Remarks'.
Compute Inspection Fee Below:
# Other Fee # ServiceEntranceSize Fea # Circuits/Feeders Fee
Swimming Paol 0 to 200 Amps •tfd a to 100 Amps Ob
Transformers Above 200 _ Amps Above t _ Amps
Si
ns lnspedor5 Use Only: TOTAL
9
Irri ation Booms 7? 7
Special Inspection
Alarm/Communicafion TNIS INSTALLATION MAV BE PPW IS90NfJECTED IF NOT
Olher Fee COMPLETED WITHIN 78 MO ill
I, the Electrical Inspector, hereby Rough-in
r
certify that the above inspection has
been made. Final D ?e /
1Q-
OPFlCE USE ONLY - '
Thls request voitl 18 monihs Irom
Address 3235 ar anz nAK nuTVF Zip 5512?
Lot 2Bik 1 i Sub aux oAK xn.t.s 2rm
THESE IT'EMS WERE / WERE NOT COMPLETE AT THEJIME OF THE KINAL INSPECI'ION.
Date: Yes N Inspect :
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the iemoval o roof test caps from the plumbing system and [he shut-off of wa[et supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
S] 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructbn BeoulremeMS pemodeVHeoair Heauirements
• 3 rBgistarEd stte survey5 Showmg Sq. tt. of lot, Sq. fl. of house; and jf ro0fed areas • 2 copies of plan
(20%maximumbtcoverageallowed) • 7setofEnergyCalculationstorheatedadditbns
• 2 copies of plan showing beam 8 win0ax sizes; poured fountl design, etc.) . 1 sAe survey for exlarior addttions & decks
• 1 set ot Enargy Calculadons . Indicate il home served by septic system for addRlons
• 3 copies of Tree Preservatlon Plen il lot platted aRer 711l93
• Rim JoW 0etail Options selection sheet (bMgs wM 3 or less units)
DATE VALUATION?
,
SITE ADDRESS a_ MULTI-FAMILY BLDG _Y D?' N
NPE OF WORK Tc?L/L ?AF kre? FIREPLACE(S) _ 0_ 1_ 2
• f
APPLICANT?/ u?4-0
STREETADDRESS CIN ?? STATE?"?ZIP?
TELEPHONE#?T1yJ2 JcCELLPHONE# blZ*ol?l0? F,qX# ?'?l ?fIL 1?6 Z?
PROPERTY OWNER tyU TELEPHONE #
----------- ------------ -----------------°-----------------------------------------------------
COMPLETE THIS SECTION POR 11NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7690 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Resldential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheat Submitted
• Energy Envelope Calculations Submined
Plumbing Conhactor:
Plumbing system includes:
Mechanlcal Conhactor:
Mechanical system includes:
Sewer/Water Contrcctor.
_ Air Conditioning
_ Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
R 0 ? 0 U ?
---------------------------°------------------------------------------°---------°
I hereby acknowledge ihat I have read this application, state That the informa
with all applicable State of Minnesota STatutes and Cfty of Eagan Ordinances.
Signalure of Applicant
comply
OFFICE USE ONLY
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
I
A-
CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-44300-321-02
DESGRIPTION:
PERMIT ''
PERMITTYPE:
BuzLozHs
Permit Number. g 3 0 5 4 2
Date Issued: 0 g/1 g/g 7
546 ATLANTIC HILL DR
LOT: 321 BLOCK: 2
LAKESIDE ESTATES
BASEMEN7 FINTSM
ALTERATTON
434 A'LT. RESIDENTIAL
ai "
?pgl ?m ? ?? ?? ru.
REMARKS:
SEPARATE PERMTT5 REQUIRED FOR ANY PLUMBING WORK
ELECTRICAL PERMIT REQUIRED TWROWCrH 9TATE ELECTRICflL BOARD
FEE SUMMARY:
Base Fee
Surcharge
Lic. Search Fee
Total Fee
i
$50.00
$.50
, $5.00
$55.50
CONTRACTOR: _ qpplicant - sT. Lzc OWNER:
ANDERSON FRMILY'HOME 14404505 2004304 TANNEY JACK
16186 MAIPJ AVE 546 A7LANTIC MILL DR
PRIOR LAKE MN 55372 EAGAN. MN
(612) 440-4505 (612)454-9298
c y y1"?k ' _
d'€a, 114? f1
L sA ?f
ISLEDB S??A? \
1997 BUILDING PERMIo ?,aLcAN ICATION (RESIDENTIAL)
CITY 8830 PILOT KNOB RD - 55122
681-4675
? 3 regiatered Site surcey6
? 2 copies of Dlans (trtdude beam & window s'aes; poured fitl. tlesign: etc.)
• 1 enargy calwletfons
? 3 copias M tree preservstion plan 'rf bt plattad after 7/1 /93
required: _Yes _ No
DATE: 7-7-15 -g ?
DESCRIPTlON OF WORK:
STREET ADDRESS:
LOT '-,36) 1 BLOCK
e
?2- SUBD./P.I.D. #:
VSF- Sb
(44 ? mP
?j'S-00 00
PROPERTY Name: %.q., n w Phone #: 2 5`t •?.' Z F 8
OWNER
Street Address:_ 5^V(m /Y/a., A 4'uic.
City: ?44 6a? State: m r) Zip:
CONTRACTOR Company: /L/Lt on Fi" 46 A4m Phone #: yya •
Street Address: 1619(o avc, License #: ? Y3OY?- ?`?
1S
City: Q.-)' v. Z4e' State: mn Zip: .3T32L
ARCHITECT! Company: Phone
ENGINEER
Name: Registration #:
Street Address:
City: State: Zip:
Sewer & water licermed plumber (new construcdon only):
and lot change arc , equested once permit is issued.
Penally applies when address change
i hereby acknowledge that I have read this application and state that the infortnation is correct and agree comply with ali applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant
OFFICE USE ONLY RECEIVED
JUL 2 5 1997
Csrtificates of Survey Received _ Yes No
- ?
Tree Preservation Plan Received _ Yes _ No _ Not Required BY
RemodeVReoair ReauiremeMs
? 2 copies oT pWn
? 2 6hB 8UN@y5 (QXIBlIOf 8Qd'ItIOR9 f. dBdc9)
? 1 energy celculetions for heatetl additions
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 01 Foundation o 06 Duplex ? 11 Apt./Lodging
? 02 5F Dwelling ? 07 4-plex o 12 Multi RepaidRem. ?
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ?
? 04 SF Porch ? 09 12-plex ? 14 Fireplace fl
0 05 SF Misc. ? 10 _-plex a 15 Deck
WORK TYPE
0 31 New )? 33 Alterations o 36 Move
n 32 Addition ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actuai)
(Allowable)
UBC Occupancy
Zoning
# of 3tories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq.ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
A°PROVALS
Planning
Building FM_
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
-#T4t+-
?
?
?
Permit Fee
Surcharge
Plan Review
License
MClWS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SM/ Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
?
Valuation: $
°k SAC
SAC Units
CxTY aF rflr,AN
casii.r.cK a s rERnInaL Nf?: 759
DATE: : 06/iCi/39 TSMico " 13525:34 ..
IIi;
fNAfiF_r. TTNBEfikI0R1:5 E+DFtS INC ,
,
?
,?M 9003 546` A1'LP.tQ'CTC hEL
3
60.00
n
CSJJ 3001 546 pTLFlNTT.G
:32iQ 9002 788 TRbI'TEk;S F5fJ:00
-2155 3fl[71 788 TRO77EfYS CI.SCIr.i'
?
.:r
Y . e . . _ .
Total Recpipt Artitumt: Lc'?i.Citl -
'CFi.11545
USFi< Iii: NANrY
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KN08 RD - 55122 t L 0. S?
?
651-681-4675
New Conshuction Reauiremenis Remodel/Reoalr ReaulremeMs
? 3 reglsfered stte surveys showing sq. M. of loi, sq. tt. of house
and atl roofed areas 120% maximum bi coveraae allowed)
? 2 copfes ol plans (show beam 8 window sizea; poured fnd. design; etc.)
? t sef M energy calculations
? 3 cop{es ot hee preaervallon plan M loi plafted atfer 7/7/93
DATE: '6 -// -" ff
DESCRIPTION OF I
STREET ADDRESS:
LOT: \ BLOCK:
2 copies at plan
1 set W energy calculaNons ior heafed addNions
1 sBe suney lor eulerior addMfons a decks
?O
CONSTRUCTION COST: -3? ?? -
':? SUBD./P.I.D. #: ?- 0..? J?' <&
PROPERTY
OWNER
CONTRACTOR
ARCHITECT/
ENGINEER
Name: rX/?E y ?? Phone #: ?s?` T ? / z??
ta First
Street Address: 5-7i?, /f l/-A? /7`/ /tis ??t -
City ?-,A?A--L State: I Zip:
57!?-/Z 3
Company: / h'7i5E2P.?Os2L(?S egL,0,98 Phone
-:7-AL . (area code)
Street Address: tq--,7???'??? /?L9,f'4F leA License # 4(?'3 SZ Exp. 2B ?9
City z?4,!?244,1 State:
Company: Name:
Telephone #: area code ( )
Street
City
Sewer 8 water Iicensed plumber (reautred for new conshuction onlvl:
State:
PenafFy applles when address change and lot change is requested once permif is issued.
Zip:
I hereby acknowledge that I have read fhis appiicaHon, state that the informaNon Is cortecT, and agree fo compiy with all applicabl
State W Minnesofa Stotutes and CNy of Eagan Ordtnanees.
:
? SignaTUre ot ApplicantOFFICE USE ONLY ? Ill L T?? ' _
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required__ ^ r
i --- !
Regishation #:
OFFICE U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 ApaRments ,? 19 Lower Level [] 24 Storm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only . ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reraof
* Give PCA handou t to applicant for demolition permit
GENERAL INFORMATION
Const. (Actuap Basement sq. ft. Census Code ?
(Allowable) Main level sq. ft. SAC Code ?
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs Z
# of Stories sq. ft. MC/ES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building ? Engineering Variance
Permit Fee Valuation: $ l? ?U
Surcharge "
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SNV 5urcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total:
?
SAC Units
% SAC
--? CiTY OF EAGAN
3830 Pilot Knob Road
Eagan, h:innesota 55123
(612) 681-4675
PERMITTYPE: BuzLnxNG
Permit Number: 0 2 2 4 2 2
Date Issued: 11 / 01 J 9 3
SITE ADDRESS:
PERMIT
546 ATIANTIC HILL DR
LOT: 32 BLOCK: 2
LAKESIDE E57ATES
\\?
DESCRIPTION:
'U8C Cocupancy"
ConstrUCtiqh
Zaning, j?
Buiiding Length ?
6u3.lciirig W3dtb
,---
? ?
?
? F
1a.1 (PARCEL B)
8?uild3t1'g, Permix Type
puil;dfng WJerk Typs
SF DWG
NEW
R-3 M-1
V-N
R-1
72
46
C??? ?? ????u vi
REMARKS:
PRV
S& W PLBR - PEINE PLBG
FEE SUMMARY:
Base Fee
Plan Review
surcharge
SAC
sac %
SAC Un3ts
Subtotal
VALUATION
$720.00
$468.00
$61.50
$750.00
100
$1,999.50
$123,000
MISCELLANEOUS $18744.50
7ota1 Fee $3,744.00
CONTRACTOR: - Applicant - ST. LIC. pyyNER:
PEpERSON HOMES INC 14233086 0091466 PEDERSON HQMES INC
3511 143RD ST W 3511 143R0 ST W
ROSEMQUNT MN 55068 ' ROSEMOUNT MN 55068
(612) 423-3066 (612)423-3086
I hereby aaknowledge that T have read t#tlor
inftlrmatio-n is eor•reqt arld agrao tSr crarAply
Statutes an City of Eaga'rz Etrdin'anees.
- f-
AP LIC PEFMITEE SIGNATURE
a;pplitati:a7. a+7i1 sYate CtlaC tt5e
with ai.1 aP-PkS,eable State ofi hPn.
, . ?
'ISSUE : IG TURE r
RE,4CTI6'ATE,
PERM17'i.' ?- /,,7VIE
0!?' C
ITY OF EAGAN ????
1993 BUILDING PERMIT APPLICATION ?'3,?s1
681-4675
r,Q1r,1 I!•1
?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered slte surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 6 structural plans, 1 set of
s.pecifications, 1 topy 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) 1ot change i.s requested once permit
is issued.
Date 10 1,.3_ /g3_ Yaluation of work 120, n,nn
Site Address: x?1? ?z?'A+B -?°? -
fiREET fUITE M
Tenant Name: (commercial only)
lAT 32 BLOCK 2 SUBDLakeside Estates
N '
P.I.D.
Descri tion of work: Single Famil Residence
The applicant is: ? Owner [D Contractor ? Other co.oor+ne>
Name Amelia Reed Phone
Property LAST FIRST
Owner
Address
STREET L7E Y
Cjty Eaqan SLdiE MN Zip
Company Pederson Homes Inc. _ Phone423-3086
Contractor Address 3511 143rd St. west License #0001466 Exp?-94
City Rosemount State MN jjP 55068
Company Pederson Homes, Inc. PhOne
Architect/
Engineer Name RegSstration y
Address
City State ZiP
Sewer 6 water licensed plumber Peine Plumbinq , Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this ap lication and state that the information is
of
s and Cit
t
St
t
y
u
e
a
correct and agree to comply with a 1 applicab State of Mi nesota
Eagan Ordinances. ?
?
5ignature of Applicant:
OFFICE USE ONLY
?. ,. - ..
BUILDING PERMIT TYPE . . '
O 01 Foundation 13 06 Duplex ? 11 Apt./Lodging ? 16 Basemeat Finish
;2L 02 SF Dwg. ? 07 4-Plex O 12 Multi. Misc. -'? '17 SwimmPool
? 03 SF Addition ? OB 8-Plex ? 13 Garage/Accessory ? 18 Comn./Ind.
? 04 SF Porch ? 09 12-Plex O 14 fireplace ? 19 Comm./Ind. Misc.
O OS SF Misc. ? 10 Multi. Add'1. ? 15 Deck ? 20 Pub11c facility
O 21 Miscellaneous
WORK TYPE
)a 31 New El 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition 0 34 Repair 0 36 Move
GENERAL INFORMATION
Const. (Actual) y.N Basement sq. ft. MWCC System YcS
(Allowable) y-N - lst F1. sq. ft. Lity Mater YZ%
UBC Occupancy 3 ri-1 2nd F1. sq. ft. PRV Required Cz>
Zoning R_1 Sq. Ft. total Booster Pump
?V of Stories Footprint Sq. ft. Fire Sprinkler
Length 72' On-site well Census Code
Depth On-site sewage SAC Code oi
APPROVALS ' i
Planning ui].dinc_ Assessments
En9ineering Variance
'
lo
70 Sr'XEL7S7D"*7BAe
REDUIRED IN SPECTION S
O Site M Footing ? framing ? Insulation
? Wallboard 0 Final ? Draintile ? Fireplace
Permit Fee v.tuaeia,: 8 I239 ODO
Surchar9e
Plan Review GARA(Tg; ,?y Y 2Z ?$ZB K/6= 8
License ,
MWCC SAC
City SAL f3 s?•tiT; 6 y Z y_
X ?53?
Water Conn. uHx 36= 14 y
Water Meter $ x S = ( <-lo)
Acct. Deposit -
5/W Permit 1640 x15 = 246oa
S/W Surcharge Isr?i.ooa;
Treatment P1.
Road Unit ki3MT= ?64p
Park Ded.
Trails Ued. IIKZ? 22
Lopies
Other ? ? 62, 1c 54= 8G ?4?
Total:
SAC % 100
SAC Units !
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS VJHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE
FEES
NVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLET$ (MINIMUDI 1 @ $3.00 EACH)
ADD-ON/REMODEL (Ex1sT1NG CoNSTRUCI'ION)
STATE SURCHARGE
TOTAL
SITE
OWNER
INST
e r
,
$ 24.00
6.00
-190
$ 15.00
.50
3j. oa
3°/ . s CD
e
TELEPHONE #:
ADDRESS: F.
CITY: C?•eca?r.G??*-rY` STATE: ?-^ ZIP CODE:
TELEPHONE #4 3 7'- C Sr3 ?
r
?r(/L'(.+?? -?'?il.-?
SIGNATURE OF PERMITTEE
1993 MECHANICAL PERMTT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681j1675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT•
------------- - -
'O. FIXTURES EACH TOTAL
SHOWER 3•00 'C-e
? WATER CLOSET 3•00 ? t AIV
BAT'H T'UB 3.00
LAVATORY 3•00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00 3, ?
HOT TUB/5PA 3.00
WATER HEATER 3•00 ?
? FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum • t 3•00 ?Da
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DaLCty. lic. 15.00
U.G. SPRINKLER • eome under comi. 3•00
ALTERATIONS • to odsung 15.00
WATER TURN AROUND 15.00
,
3-J ga
STATE SURCHARGE .50
T/lT A T .
S11I"..
OWI?
INST
ADDRFSS:
CTI'Y: STAT'E:5???^ ZIP CODE: fS 3
PHON£ #:
SIGNATURE OF PERMITTEE
1993 PLUMBING PERNIIT (RESIDEIVTIAL)
CITY OF EAGAN
3830 PII.OT IQNOB RD
EAGAN MN 55122
(612) 6814675
L
, gL
SUBD. //? ?J
CITY USE ONLY
RECEIPT#: d 7?
RECEIPT DATE: 7
PERMIT# ?U-70 2?
1999 PLUMSINfi PEfiMIT (RE.SIDEIVTIAL)
crrY oF E,ecetkx
s&so P?Lor KNoa en
ERflAN. MN 55] Q2
(651) 681-4695
Please complete for: ? singie family dwellings
? townhomes and condos when permits are required for each unit
: backflow preventer for underground sprinkler system
FIXTURES
EACH #
TOTAL
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas I In outlBt * minimum - 7 3.00 X = $
Hot tubls a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavator 3.00 x = $
Minimum fee alteretions to existin dwellin 30.00 x = $' D=
Private Dis osal S stem new/refurbished ' re uires MPC iic. 75.00 x = $
Private Dis osal S stem abandonment 30.00 x = $
RPZ new installation/re air 30.00 x = $
Rou h o enin 1.50 x = $
Shower 3.00 x = $
Under round s rinkler if dwellin is under construction 3.00 x = $
Under round s rinkler if existin dwellin 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener IF dwelling under construction 5.00 x = $
Water softener if existin dwellin 30.00 x = $
Waterturnaround 30.00 x ---- _ $
State Surchar e 50 --> ----> ----> $ .50
Total --> --> ----> ----> $ 3 , s°
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-------------------- - - --------- ------------------- -----------------------------
I hereby acknowledge that I have read this epplicetion, stete that ihe information is cortect, and agree to compry with all applicable Ciry of Eagan ordinances.
It is the applicanPs responsibility to notify the property owner that lhe City of Ea9an assumes no liability for any damages caused by [he City during ils
normal operetional and maintenance activities to the facilities constructed under this permit within City propertyJrighbof-wayleasemen[.
SITE ADDRESS: S% (o
OWNER NAME: : TELEPHONE #:
(AREA CODE)
INSTALIER NAME: V/?`/?S? / /Cl4U/-, ,f TELEPHONE #: 6/ ->- `/ 9 'Z-Z / 2 /
?7 (AREA CODE)
STREET ADDRESS: ('74i?F-/Ltfsc /SZ(/--
C ITY: O
STATE: ZIP: S S?O y`?
SIGNATURE OF PERMITTEE
U5e BLUE or BLAGK Ink
r-----------------�
I For Office Use � �
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• � Permit#: �
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Permit Fee:
3830 Pilot Knob Road � � 9-f�'"-l�-
Eagan MN 55122 � SE� 1 � Z��� � Date Received: I
Phone: (651)675-5675 � � � i �
I Staff: ';
Fax: (651)675-5694 �;��__. �----------------- j
_�_._, 3
2014 RESIDEN�'IAL�PLUMBING PERMIT APP�ICATION
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Date• Site Address: �( � f�1
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Tenant: ���� U�- Suite#:
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n Name: �'� ;`�1, �. License#:� (� `-► 1 ��.L��- �
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�, e � �,� .. . . � . :
� .�.����,��� ,_ _New _Replacement _Repair _Rebuild _Modify Space `_Work in R.Q.W � ,
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� x s � Description of work:
�� � � •
t�w RE5IDENTIAL �
s �
� .l . . ., _ .. . k
` Water Heater . �
� � Water Softener �
r� ` �awrt Irtigallort(_RPZ/_PV8) �
������� � ` Add Plumbing Fixtures�Main!_Lower Level) �
,;. �_=�:� Septic System F
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New Water Turnaround �
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' Abandonment '�
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RESIDENTIAL FEES: �
$60.00 Water Heater, Water Softener;or Water Heater and Softener(includes$5.00 State Surcharge} �
�
$60.00 Lawn Inrigation(includes$5.00 minimum StaYe Surchargej r
$60.00 Add Plumbing Fixtures,Seqtic Svstem Abandonment,Water Tumaround�(includes$5.00 State Surcharge) �
�
� iVVater Turnaround(add$200.00 if a 5/8"meter is required) u ;
$115.00 Seqtic SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �� � '
TOTAL FEES$ ����
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.arq
I hereby acknowledge that this information is complete and accurate;that the woric will be in conformance with the ordinances and c�des of the City of
Eagan; that I understand this is rwt a permit, but only an application for a permit, and work is rrot 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.
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145423
Date Issued:09/08/2017
Permit Category:ePermit
Site Address: 546 Atlantic Hill Dr
Lot:321 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-321
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alan J Hager
546 Atlantic Hill Dr
Eagan MN 55123--204
(651) 452-7022
Capital Construction LLC
406 Gateway Blvd
Burnsville MN 55337
(855) 766-3221
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158026
Date Issued:09/23/2019
Permit Category:ePermit
Site Address: 546 Atlantic Hill Dr
Lot:321 Block: 2 Addition: Lakeside Estates
PID:10-44300-02-321
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Alan J Hager
546 Atlantic Hill Dr
Eagan MN 55123--204
Tony's Appliance
2090 County Road 42 West
Burnsville MN 55337
(952) 435-2442
Applicant/Permitee: Signature Issued By: Signature