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1643 Ashbury PlCASH RECEIPT CITY OF EAGAN '- 3830 PILOJ eNbB ROAD . EAGAN, MINNESOTA 55122 ,s FW-CEfVEo \ FFBOM AMOUNT $ i & DOLLARS ioo ? CASH fJ CHECK FM p 1 BY , 1Mhite--PaYers CoPY Yellm?oetin9 CACY Pink-Flle Copy Thank You CASH RECEIPT -?CITY OF EAGAN ? : 3830 PILOT KNOB ROAD 4z-AGAN, MINNESOTA 55122 . 19 REceweo FNOM ? AMOUNT $ "% I ? & DOLLARS ,oo ? CASH ?'CHECK t / . FUND OB.JECT AMOUNT . ?. - Thank You BY _ WhNe-Payers Copy Yellow-Poeting Copy Pink-Fib Copy CITYOFfiAGAN PermitNo: I004f Date: $030 PUot Knob Road Meter No: 41 V 2-r3 73 Size: ?)?C),/< P.O. Box 21199 Reader No: /d IR ?Z 'Zk .PTi' Date: ZA-/ 2- yg' Eagan, MN 55121 Owner. " .'gren Eros. Site Address: '1: Plumber. - ° Conn. Chg: 'S0.OOpd ACCi. Dep: Permit Fee: Zoning: No. of Units: Surcharge: •-)VPa I agree to comply wilh the City o( Eagan Tr. Plant ' ?4 • 000 Ordinances. Meter. J t1n;; -; Misc.: . r ... _ B ? WATER SERVICE PEFtM1T CITY OF,EAGAN 3830 Pilot Knob Road P.O. Box 21199 Eagan, MN 55121 Site Permit No: 1004. 6 Date: Meter No: Size: Reader No: Date: Conn. Chg: SSO.OOn?] ACCL Dep: ? ` • M '"" Permit Fee: ' ? • 0Or =' Misc.: Zoning: ?1 Surcharge: - 5e'-c' Tr. Plant 904.00w, Meter. No. ot Units: ? 1 agree to comply with the C1ty oi Eagan Ordinances. By WATER SERVICE PERMIT CITY OF EAGAN Permit No: I I 1' "- Date: ?' 1- ' 3830 Pilbt Knob Road B / P No: Date: P.O. Box 21199 Eagan, MN 55121 Site Address: ??•??3L° Y? ate ] Plumber. . . ` rro?:. P2wnb' ? Il•1WCC: a ~f1• City Chg: Acet. Dep: , Permit Fee: Surcharge: Misc.: Zoning• No. of Units: I agree to comply with the City of Eagan Ordinancea. SEWER SERVICE PERMIT BUILDING PERMIT To be used for ' -'.k i?' ??R03 a Receipt # Est Value $1339000 Date WTOBU 28 ? Site Address a .? .. .?... F! _ Lot ? Block Sec/Sub.li??VK GUN 2M Parcel No. Name ¢OName _ . ? Q Address ? City _ 1- CC "W Name _ g Address 6 W City Phone I hereby aCknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State oi Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee L:,':,,s(.F:h?? ;??;?•„ CC':PiS'[ A Building Permit is issued to:__. on the express condition that all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Building Official_ _ -----.- ?UC-RM MV11W 6/ 14/oITY OF EAGAN 894 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH O N E: 454-8100 OFFICE USE ONLY On Site Sewage Occupancy MWCC System y Zoning R-i On Site Well (Actual) Const v'h City Water x (Allowable) V- PRV Required of Stories Booster Pump Length g4' Depth S.F. Total Footprint S.F. APPROVALS FEES bBZ?? , Engr./Assess. Permit ? Planner _ Surcharge ' - Council Plan Review W T4Y' _? BIdg.Ofi. SAGCity ?'? Variance SAC, MWCC 550.W WaterConn. 67•00 WaterMeter 325•00 Road Unit - - - - Treatment P1 0 0 2 C 0 Parks 2_1Bff5?? TOTAL - Permft No. Permit Holder Dats Telephone x Plumbing H.V.A.C. ,17 Electric - ? ? ???? • /?'?/ ? ? Softener Inapaction oate Insp. Comments Footings 1 Footings II Foundation Framing Roofing Rough Plbg. Rough Htg. isui. %', ?`.S Fireplace O,:lr ; ? Final Htg. ?-- ; A?' Final Plbg. Bldg. Final ZG P 9 Cert. Occ. Temp. LP Deck Ftg. S Deck Final 3 D?^ Well Pr. Disp. . , ?. CON1 C .... . ?, ? ? `\ . • ' r, _ PERM ' b MECHANIG, 11L PERMIT CITY OF RECEI EAGAN , ?+t 3830 PILOT KNOB RO AD, EAGAN, MN 55122 DATE: PRICE: ? 71 ? J PHONE: 454-8100 BLDG. TYPE Res. Mult Comm. Other ? Nanfl J%1LC A[1i. d As Ve IM ? Addres? ?dk A N c City Wden VaIW. M ? Name c Address p City Phone?' TYPE OF WORK Forced Air M BTU Boile? M BTU : Unit Heater M BTU A.- Air Cond. M BTU i Vent. CFM -: Gas Piping Outlets # -L Other FEE: S/C: I TOTAL: WORK DESCRIPTION New Add-on Repair FEES RES. HVAC 0-100 M BTU -$24.00 ADDITIONAL 50 M BTU - 6.00 (RES. HVAC INCLUDES A1C ON NEW CONSTRUCTION) GAS OUTLETS (MINIMUM - 1 PER PEHMIn - 1.50 EA. COMM/IND FEE - 136 OF CONTRACT FEE APT. BLDGS. - COMM. RATE APPLIES TOWNHOUSE 8 CONDOS - RES. RATE APPLIES MINIMUM RESIDENTIAL FEE - ALL ADD-ON & REMODELS - 12.00 MINIMUM CaMMERCIAL FEE .? - 20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S/C IF PERMIT PRICE GOES ? BEYOND $1,000) SIGNATURE OF FOR: CITY OF EAGAN -_ • ? 4 Cities Di ital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. ' ' • ' PLUMBING PERMIT CITY OF EAGAN 3830 PILOT KNOB ROAD, EAGAN, MN 55122 INTRACT PRICE PHONE: 454-8100 Site Add Aess Lot -? _ Block Sec/Sub ' ? ? Name m ? Address ? - ' c City? Phone-- - ? Name ` f 3 Address p City Phone FEES COMM/IND FEE - 196 OF CONTRACT FEE APT. BLDGS - COMM RATE APPLIES TOWNHOUSE & CONDO - RES. RATE APPLIES MINIMUM - RESIDENTIAL FEE - $12.00 MINIMUM - COMM/IND FEE - $20.00 STATE SURCHARGE PER PERMIT - .50 (ADD $.50 S!C IF PERMIT PRICE GOES BEYOND $1,000.00) SIGNATURE OF PERMITTEE FOR: CITY OF EAGAN PERMIT # ? RECEIPT 4i DATE: BLDG. TYPE WORK DESCRIPTION Res. ' New Mult. Add-on Comm. Repair Other RES. PLBG. ONLY - COMPLETE THE FOLLOWING: NO. FIXTURES TOTAL T Water Closet - $3.00 $ Bath Tubs - $3.00 Lavatory - $100 Shower - $3.00 ' Kitchen Sink - $3.00 Urinal/Bidet - $3.00 Laundry Tray - $3.00 Floor Drains - $1.50 - ?' ` Water Heater - $1 50 Whirlpool - $3.00 Gas Piping Outlets - $1.50 (MINIMUM - 1 PER PERMIT) Softener - $5.00 Well - $10.00 Private Disp. - $10.60 Rough Openings - $1.50 FEE: STATE S/C: GRAND TOTAL• ` . v (Itrtifirafr uf COrrupanxy titp of eagan lorpartmrttt o# Iuttbittg 3wpriiua This Cenificate issued pursuant lo the requiremenu of Section 306 of the Uniform Building Code certifying that at the time of issuance thrs scructure was rn compliance with the various ordinartces of the City regulating 6uilding construction or use. For the following.• Uae clnvficoo. SF MX;?C'AR eles. ptrmic No. 158QI oaum-y -rra Wt -ZoWngnm6« R l Type com VN LD.hty I.3, B4, BAZQiAl3C GLEN ZrID pw: .TATHIARY ?P* 1989 -?t POST IN A CONSPICUOUS PLACE CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 PH O N E: 454-8100 BUILDING PERMIT Receipt # To be used for W 0'VG1(,=A'R Est. Value #133,000 Date 0CTOEE? 28 ,19 SS Site Address 1643 Ei-St1MPf ;c>], Lot 3 Biock 4 Sec/Sub. SUCICiiAWK GLSIi 2M Parcel No a Name LUHDGRSN B1ttI3 CONS'I'RUL'TIO'P ; Address LAYLA'ZA 9u'A C) City? Phone 47:c-` ¢ Namn .a ? a Addre: 0-1 City _ Name Address City I hereby acknowledge that I have read this application and state that the information is correct 9nd agree to comply with all applicable State of Minnesota Statutes and City of Eagan Ordinances. Signature of Permittee _- " :C+?: ?t!)'i,J'1'?' A Bu'elding Permit is issued to:.__ T?! _ _ on the express condition that all work shall be done in accordance with all applicabje State of Minnesota Statutes and City ot Eagan Ordinances. Building OFFICE USE ONLY On Site Sewage Occupancy p'3 M"1 MWCC System X Zoning r1'"1 On Site Well (Actuaq Const V`N Ci Water ty X (Allowable) '` ? PRV Required x # of Stories Booster Pump Length 3 4 ? Depth .j b r S.F. Total Footprint S.F. APPROVALS FEES ?a?'? Engr./Assess. _ Permit 5'?' • SO Planner Surcharge 341 .'-0 Council Pian Review 100' ?'0 Bldg. Off. _ SAC, City Variance SAC,MWCC 550'00 Water Conn. 550.00 WaterMeter 157•? RoadUnit ??-?•4? Treatment Pi 204•00 Parks 10 TOTAL 7 2 82 9 Request q91e , ?? Pire No. Fougtrin Inspeclion Required7 eeEy Now ? W II Nofify Inspeaor ? O O ? Ves )(NO When ReatlY? 1 p licensed contractor ? owner hereby request inspection of above electrical work at: Job Mtlress (SVeet, Box of FoNe No.) /6xf3 %Iiya(•ey_ ? Ciy ?.a.? Seclion No. Tow nship Name or No. Rarye No. Counry Df} /?07'i4 Occupant (PRINn oer I,r PMne No. , Power Supplier DR/CaTL? ? tw•?-,2?C qddress / fl' ?3L17^?a??.s1? ? /?Jq.EM?A/6slro? Eleclncal Contrector (COmpany Neme) Standard Electric Co. Connactor5 License No. 40837 Malirg Atltlress (COntraclor w Owner Makiig Inatallation) 2672 Mapl ood Dr., Map d, Mn 55109 AuthorizeC nat ontractar/Owrie? 'ng In IlatiO Phone Number 484-8044 MIFJNES ? E BOARO OF ELECrt]'CffYf v THIS INSPECTION REQUEST WILL NOT Wwey Bldg. - qoom S•R3 BE ACCEPrED eV THE STATE BOARD 1821 Universily Aw•. St. Paul, 61N 55700 UNlESS PROPER INSPECTION FEE IS Phone(814)841-0800 ENCLOSEO. ?/??.bF7' REQUEST FOR ELECTRICAL INSPECTION EB-OOOObO] /?D O NO- See instmc[ions for compleUng Ihis brm on back oi yellow mpy. 'SEY?7s/ R 7 2 8 2 9 X" Below Work Covered by This Request e Atld Fep. ' 7ypeofBuilding AppiiancesWired EquipmentWired Home Range Temporary Service Duplex Water Heater Elechic Heating Apt. Builtling Dryer Olher (Specity) Comm,/Industrial Furnace Farm qir CondRioner Olhe? (specily) ConiraClorS Remarks: Compute Mspection Fee Below: # Other Fee # Service EntranceSize Fee # CircuitsiFeeders Fee Swimming Pool / 0 to 200 Amps MT'-- / o to 100 Amps Transformers Above 200 _ Amps A6ove 100 _ Amps Sigt15 InspBCtorS Use Onty: TOTAL ` Irrigation Booms Speciallnspection Alarm/COmmunication Olher Fee s I, the Electrical Inspector, hereby certity that ihe above inspection has been made. R0°eh'" F;nei oa? OFflCE IISE ONLY This requesl voiG 18 moMhs trom // '?2/ 8? ?9-;2 ? .. ;,ZB 6 3 ? j a = ?yV,' Request Date O n?/ II ? IO ? O Q Fire No. Rough?in Inspeclbn uiretl? G Raady N. ?II Notiy Inspeclor R tl ? Wh Vee ? No en ea y IXlicensed contractor O owner hereby request inspection of above electrical work at: Job Atltlress (S1ree1, Box or Rou[e No.) /G ?3 ?Qsflav?ey /? f?4c? Ciry p $edion No. Township Name or No. Range No. Couat? 1JR.t'aT.? Occupa (PRINT) ?> P?one No. UhT T 1174-r. Po7r Supplier r? K ? ? Atldress Q '?3 V 2 ? v / '? OCtt ?c c ! _a Q ? d i n l Ekctnwl Coniractw (COmpany Nama) Con or9 Litense No. Standard Electric Co. 40837 Mailing Adtlress (Contractor or Owner Making Inslallation) 2672 Ma lewood Dr., lewood, Mn 55109 Authwizetl Si a Conhedor/Owirer Maki ste io Phone Number 484-8044 MINNESOLI STATE BOARO OF ELECTGICITY V THIS INSPEGTION REQUEST WILL NOT Grigge-Midway BMg. - Room S173 6E ACCEPTED BY THE STATE BOARD 1821 Univerelty Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS Plwne (812) 692-0800 ENCLOSED. REQUEST FOR ELECTRICAL INSPECTION EB-OOOOb07 ? See insimdions lor wmpleting Ihis brm on.pack ol yelbw copy. ? G9? g? ? O E-"*'128 6 3 JC" Below Work Covered by Thrs Request ew Add Rep. TypeofBUilding AppliencesWired EquipmentWired Home nge Temporary Service Duplex ter Heater Electric Heating Apt. Building j er Other (Specify) Comm./Industrial nace Farm ' Air Conditione r aner tsaeciM Comradw5 Remarks: Compute Inspection Fee Below: # Other Fee # SarviceEnVanceSize Fee # CirouitsiFeeders Fee Swimming Pool 0 to 200 Amps l o to 100 Amps Transformers Above 200 _ Amps Abwe ! Amps Signs InspectorSUSeOnly: TpTpL & Irrigation Booms ? Special Inspection 4V ? Alarm/Communication '. Other Fee I, the Electrical Inspector, hereby certitythatiheaboveinspectionhas been made. Ro"?M'" . FiB1 oate _ //?-? " OFFICE USE ONLY This requeel wItl 16 monihs Imm CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? ? 15803 ' PHONE:454•8100 ? ?g- ? BUILDiNG PERMIT Receipt # c'? :`\ ! 2 4 To be used for SF DWG/GAR Est. Value $133, 000 Date OCTOBER 28 ,19$? Site Address 1643 ASHSURY PL OFFICE USE ONLY BLACKHAWK GLEN 2N Lot 3 Block 4 Sec/Sub OnSiteSewage _ Occupancy R-3 M-1 . MWCC System X Zoning R-1 Parcel No. V-N On Site Weil - (ACtual) Const rc Name LIINDGREN BROS CONSTR 70N Citywater X (A1lowable) V-N W z Address 935 E WAYZATA SLVD PRV Required X._ # of S[ories ? City WAYZATA Phone 473-1231 BoosterPUmp _ Length 5?+1 Depth 361 a o Name SAMF. S.F.7ota1 ?a Address - FootprintS.F a i- City Phone APPROVALS FEES W w ame Engc/ASSess. Permil 682.00 66 50 ? i Planner Surcharge . z Address 341 00 ? Q? w Gi?y Phone Council PlanReview . 100 00 81dg. OH. SAQ City . . I hereby acknowled9e that I hav read this appliwtion and state that the Variance SAC, MWCC 550.00 inbrmalion is correct and a9re to com y with all lica6le State of Water Conn. 550.00 Minnesota Statutes and City o an Or ces. 67 00 Waler Meter • Signalure of Permittee Road Unit 32$.00 A Building Permit is issued to: LUNDGREN BR9 Qj9$T- Trealment Pt 204.00 onlheexpresscondifionthatallworkshalibedoneina c dancewithall applicable State of Minnesota Statu[es and City ol Eagan Osdinances. Parks Z $85 50 Building Ofticial TOTAL > . . BLDG. PERMIT NO. ? • `D -K-` -?? ?,. , z-- . 07-3210 Bldg. Permit 01-3422 Plan Check ?? ? CC' ' 01-3445 Surch./Adm. 1 ? .? J 013446 SAC/Adm. i? 01-2155 Surcharge I 1 --? 75-3860 Road Unit ? 20-2275 SAC 203865 WaterConn. ? SCs C?? ? 20-3868 Water Trmt. U 20-3716 Water Meter / L? 7 On ? 20-2252 Acct. Dep. 20-3713 Water Permit 77 J 20-3743 Sewer Permit r 79-3866 Sewer Conn. 28-3855 Park Ded. TOTAL 1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN SINGLE FAMILY DWELLINGS 14 1 o ? INC[.UDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfIICH ADDRESS IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BQILDING PERMIT IS ISSUED. MULTIPLE DWELLINGS AENTAL QNITS FOR SALE UNITS # OF UNITS INCLUDE 2 SETS OF PLANS, CEATIFICATE OF SURVEY - CHECK WITH BLDG. DEPT., 1 SET OF ENERGY CALCULATIONS COMMERCIAL INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS? 1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS To Be Used For: 5F ?? 4r Valuation: Date: /D Z.(s lt Site Address Lot J Block Pareel/Sub c Owner Address 935 E MIAYLITA BLVD, City/Zip Code PHONE 4131231 Phone P 33 00'.11- On site sewage_ MWCC system f 9n,'?site well City water ? PRV required ? Booster Pump _ Occupancy ?,.I M-I Zoning 12 -I Actual Const V-/J Allowable V- 1.4 # of stories Length Depth 3 6, S.F. Total Footprint S.F. APPROVALS Contractor Engr/Assess 935 E WAYZ1ITA 8L1fD. Planner Address . Council WAVZM, MN 6=1 Bldg. Off. City/Zip Code PNONE 473-1231 Variance Phone Arch./Engr. •?wwiw ?Il?i. WN3TNUOTION, Mf'r. Address O5 E WAYZI4T AYZATA, MN 553g1 City/Zip Code P?+nuF 4M1231 EEES Permit g2, OU Surcharge ! 6, CO Plan Review 3yt , on SAC, City / DD, o0 SAC, MWCC 0.00 Water Conn O. Op Water Meter /(,9-7,00 Road Unit 3Z5.00 Treatment Pl Z04.Dc7 Parks Copies -q?-- TOTAL ?yb 5 , s Phone # U,aL- uP.-??ot?1 GA2A-C?' " ZoxZ2r.-4yaX 1y= 15?2o 13Sw?T __-----?- 2? 19 (o. loBo x13? lyoy.o I Sr ?'??on_ g srrr = i oKO l-- ZNb Z6X2Y= V?Lo Xi4.1 -- !col` ? qi:, 5 3 9o q `1 Z 8 I o° ? X yM . 4`i3ti Z 1322519 ? m AarjATi11W .im IlmtimW OYJS ATA2YAIM.3 2tR Mt2! MM.ATA4YAW tFS1Zi.3NC!f9 ?.MIIW7 ttM7 lM 03+rlMNe 4Y.18A.;yaW 3W r?`,. . . . _.•i _ _..aw axv t ?;raJv . . ?M?? SCJRVEYOR'S CERTIFICATE Z , r -- . _J 60\1> / C'?,0,? SIENNA CORPORATION REVISED 10-I8-88TOSHOW A PROPOSED HOUSE FOR LUNDGREN BROS. CONSTRUCTION. r r?, o / \ ???l1! \4- ? i? LOT 3 / Xvt/ ?\ ?ic ? DO ?`2 J rl,rO_ e?.? . `Z'l S? ? 3s, -- , `. 9 --- ?- 3 s \ ` 0 0 . qsy\ °S, ? ? 0Ca A ? <,9 ? c4?? \ i cqq s 0 4, ?. ?33 ry?. ^? • 9 h0 ?j ' ' o ? 0 tr)h \p O t''.\ i nJ t? '• {..' ? ? rQ- i f?- ? : _J I I ?. d'i?a ty',•,3 ? ?._ s .. . __ ..__. o s , ? EAGA:V ?:1\Iz?TNiY'RI??G P-E1.T M P ? DENOTES PROPOSED SURFACE DRlIINIIGE . ? v. W?? ?) R ?p O .UEN07E5 lRON MONUF!EN7 SET O SCALE; 1 iNClf - . iD DEIJOTES IRON F10NI1h+E117 FOUtIQ PROPOSED GARAGE FLO(lR - FEET X000.0 DENOTES EXISTJNC ELEVItTION PROPOSEp L014ES7 FLOOR = FEET (000.0) UE1107E5 PR01'OSED ELEVATION PROPOSEU TOP OF f3LOCK =8r9.'7 FEET b1E FIERE[3Y CERTIFY TO SIENNA CORPORATION TIIAT TI115 1S A TRUE /1ND CORREC7 REPIIESENTATIUN OF A SURUEY OF TIIE QOUNDAAIES OF: Lot 3 alock 4 BLACKFIAIJK GLEN 2ND ADDITION, according Lo the recorded plat Lhereof, Uakota County, Mtnnesota. 1T DOES flOT PURPORT TO SI10V IMPROUEt1E14TS OR ENCROACH!•fENTS, IF ANY. /15 SURUEYED UY IdE OR UPIIIER !•fY D112ECT SUPEItVI5I0W TIIIS 30TH pqY OF DECEMBER . 1986. .C)iUNEu. JAii}.ci R.'iiiILlii'i^i. /l . UY; HAROLD C. PETERSOIJ, LAND SIIRVEYOR hI1NFIESOTA LICEPlSE 11UI•iDER 12294 PROJECT NO. 85618 (88740) FILE NO. F'OLDER PA 287/ 30 JAMCS R. I-IILL, tNC,. Planners / Cngtneers / 5urveyors 8200 Flurnboldt Avenuo Soulh Bloomineton, Mn. 55431 012-804-3029 . OS ROS.?-?JCI RUCI IOIJ ?---?- . \';l.YZ/,7!• IhI;JI:(-S0 835 E6kST \'JkYZ/,7P. GOULGVD E71CR10P. EI???'E cP.J-SE U C0:'P" L o t F 1 o c I: ?T ?- .3 Si ?e l?dG? ess /1v93 A u R 8 .058 ppaoue walls . _ 117 41a11 Framing Hrezs ? .023 . Ceiling Insulation Area , - .027 Ceilino.Framing Area - - .04 Rin Joist - !e I•')asonry l4all .26 ?lindov,,s Double Hung - .GE Casenents - .18 Doors 46 Paiio Doors .47 Sidelites 1) Loo-rer Level (Basement) v Total exoosed wall area (U) .058 = Opaque Idall Area (U) .117 = 1Jood Frame Area -x (U) -04 = _?- Rim Joist 8 = ?x ??) -14 Exposed block (U) 46 ? Z-' Casement Window Area aa X X ??? .26 - _?- Double Hung = 46 = <??x tj) . . Slidin9 Glass Door s x '. ??) -18 _ - Door Area - ?G 6 ? - Total 2) 0 Cr_oI,?slRUCI 101? -- ? n\Jc. ? --- ?. ?;-i2) 473-237 20UL[V/-.RD •\4!hYZA7h. IIIIJN[SOTh 5`.:??"? •? ?SL or r,ain floor Tot,11 e>.posed •,rall orea Opaoue v;zll area I-lood frame area Rim joist I ;!indow P.rea . ; ? Sliding Glass Door Door area Sidelites Casements Double Nung , 3) 2nd floor if 2 s-Lory ' To-al exoosed wall area Opaque wall area ? Wood frame area 1•lindow area Sliding glass door Door area q) Total ceiling area Wood frame area ppaque ceiling area Skylight Casements Double Hung nx (u = ??•?C .117 x (U) -04 = ,596 ax (U) _46 .26 = -`-? = ?.-?- ?Lo x lz?EX (U) (u) .46 -la - ?`-'-- = G, 8 2X 70 -Lal (U) .47 ao. 9 ???x IIx (U) (u) -058 -117 ._x ?X (U) ( U) •46 - .26 - ? -_ = D?- oc>2- - x (u) :46 ? x Total (U) .18 = __-- &) a? (U) - 027 = I?X (U) .023 = O a? - x (u) -55 = -? Total ?.J S . [,WIDGR ?Y? CCONC1RUClIOfJ - - r (,? :?)?J ? ?.-.? 473935 EA57 ?'?l,YZA7A E'OUL???l,RD • \':f;YZF.Tl?,. I!iIIJIJESOTH .?->??1 • {?'Z) '? - 1 14inn. U Factors Total e>:posed ti•:all zrea area //?D? x .026 = v?G, a 11inn. U Factors Total er.posed ceiling ? (q) Total ?D. + Item 31e .? } 1 Lem + I tem 2/ Item 1S?o,(o ,-... If total of Items 1- 4 is less than Item (A), building complies with SBC 6000 (C)s ? APFLICATION 1=0R PERMIT SEWER ANQ/QR WATER CONNECTION ., ....... . .. ... . ? M71'E: PAYMENP OF FEE AT TIME OF . ? APPLICATZpP7 pppS NpT CpP]- ' " 3PI7VPE APPRGVAL OF PIIEMIT. w • ? INSP?CPICN OF SESd?Ii ADD/OR W11II2 k. ; xczsTar,v+TIorLS waa, rxrr ee scEvn E, • t UNPSL PEI7pIIT HAS B@] APPROVFD. tw??xr??i?xt:t?t?W+kx+.fir:??eaee??ri?r IRV o¦ (zc9cqC'aPa (PLEASE PRINT 1) PROPERTY ADDRESS: 16 `{1j LEGAL DESCRIPTION: . Z--? / .j & Z ac% q dcAZK?/fr.?'- lcle? ZNW• IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING P°,.RMIT ZSSCANCE: Id4BB Nkont Year PRESENT ZONIA'G/PROPOSID OSE: Q CONMERCIAL/RETAIL/OFFICE Q INDL'STRIAL Q INSTITUTIONAL/GOVERNMENT 2> ? NAME: aoDREss: 513s- E X R-1 SINGLE FAMILY Eil R-2 DL'PLEX ('Rvo Units) Q R-3 T04viVH0USE (Three + Units) ( Units) ? R-4 APARTMENT/CONIDOMiNIL'M ( Units) Can CIT'Y, STATE, ZIP: (,?/,q..y 2GLf ,v - ----r PHONE: zf 7 3- / 23 3) • ?: ?• NAiE: ADDRESS: _ CITY, STATE, ZIP: PHONE: 4) MASTEEt LICENSE # NAME: 4p? ",? ADDRESS: CITY, STATE, ZIP: PHONE: I? Active i Expired Not recordec Sta Inff itial 5) i? . w..?i • ?? ..i ?r CONNECTION TO CITY SEWEF2 f-VI CO[VNECTION TO CITY WATEE2 LD QTHER 6) M? ?Lly A'L' zz--/Z 0 /ea *?*****,*,******?****?**?*************,*.?,**,*****??****.**?,*?*?******,**.*********?**?*********, * 7R3E GOLD COPY OF THE PERMZT WILL BE SEPli' DIRECPLY TO PIIBI.IC WORKS TO FACIISTATE MEPER PICK-LP. y *k PLEFISE 11LLOW 't4,0 WORKING DAYS FOR PROCESSING. SOMID()NE FROM TfIE CITY WILL CONtALT Y(X7 IF TfEE2E ; * ARE ANY PROSLEMS. ? '?**??***+r*?*??«*?+,#x**,t*********,r***t*,e*t*?**?,r***?**,t,t,rr?*+t***+,t******??*?**********?,t****+tt+***?; :# FOR CITY USE ONLY PERMIT # ISSC'ED • Pd w/Bldg. Permit FEES: $ $ /U 5-,D SEWER PERMIT (INCLC'DE SDRCHARGE) $ $ ?/? - S O WATER PERMIT (INCLUDE SCRCHARGE) $ ? ?'C o $ WATER METER/COPPERHORN/OL'TSIDE READER $ $ WATER TAP (INCLCDE CORPORATION STOP) $ $ SEWER TAP $ $ 15,? ACCOtiNT DEPOSIT - SEWER $ 6 ACCOCNT DEPOSIT - WATER $ $ wAc $ G` ?C' • CIL' $ SAC $ $ TR['NK WATER ASSESSMENT $ ' $ TRCNK SEWER ASSESSMENT $ $ LATERAL BENEFIT/TRC'NK SEWER $ $ LATERAL BENEFIT/TRtiNK WATER $ Cl` $ WATER TREATMENT PLANT SURCHARGE $ $ OTHER: $ $ ? • U?--? TOTAL 7 ,?? RECEIPT ? .S RECEIPT DOES LTILITY CONNEC TION REQUIRE EXCAVATION IN PIIBLIC RIGHT OF WAY? Q YES IF YES, THEN A"PERMIT FOR WORK {VITHIN PUBLIC Q NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING DIVISION LIST AS A CONDITION . . SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE : 88-838 sy CltV OF aLigC111 3830 PILOT KNOB ROAD, P.O. BOX 21199 VIC ELLiSON EAGAN, MINNESOTA 55121 Mwor PHONE? (612) 454-8100 Special Assessment Search MOMAS EGAN DAV1D K. GUSTAfSON PAMEL4 McCREA THEODORE WACHTER Dat e: 10-26-88 Council Members iNOMASHEDGES City Atlminishotor Requested By: Re: 10-14351-030=04 EUGENEVANOVERBEKE L3 B4 Blackhawk GLen 2nd ciNaen Sienna Corporation On the attached form is the City's response to your search reguest on the identified property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineerinq Division can provide further clarification of this policy, if you desire. AAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECZAL ASSESSMENTS Attachment THE LONE OAK TREE. ..THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN RANt:Af.'7ICI•,.I :[D: 1=i768 SI='t.iC3:iiL ASE3ESS1°IElU7S SP[=CIA1._. Ac>SI=Svih11_NTti SL:riRCH SLIMMfiFiY Phi.7F'EFil"Y I.D. T'LiTJriY;''.i DriTL: 10/26!88 ---•`.iiP'EC2AL FLHGS----- 1--:'?- = --N -l:i--8-i -"f3--9--:t t i 1 C!- I. =4:=;51. --0:'? `-(i4 .A. # ASS'L=:SS1`]F_hlT DE:`?;=F 00124 S41N S'r! TRk:: , il; i3-'9 4lATI._.fi Flf-iEr^, 00732 .->s rr 297 0u0898 Si_TPi1:::37:1 01008 ;:i`Il=il= 1- T :° i :I. 01109 S?FJctT 01110 t=AN S?'-1,J L...:;'I 01112 i37ORI`'I S!=:W Tj.:ii:: 01113 ST{ 1RM !-1FGW i_F7 T 01326 UtA T l_'i7'T }iN f='454 01327 Sr.r:vlc.es P454 01328 ST :E.l.l i_.A'1- F.454 01=30 5"fREFi F'454 Sl lk°!;°I;;F Y CJ(- AC`!":[ VI'_ : tr.e ?.?..yc i H? rt '{ 1=AFi ' E3 Ti:J'1- p:.,::1: YI=i YFi;; 1=iATF: 69 25 o. Clr)"•'= 76 ].':'r 8.00% B2 lc3 1.2..501ti 84 .'•.`i IU. 5t11. I;E: 1i1 ].:t . Ci0:; 86 15 10.. '..,0-i 66 ..E; 10„ 50; £] z, t?? .z?.5i,;?; 1 -1 ?.](?J ?.?..1 i 10.JIJI B/ 10 8.50":: t37 10 8.50"I. 87 10 i?.`Sii°i, f;' 10 8. 5,::tt; TQT(71_ r=ahlly.PF2TN 8.86 ._6 i.7.„4v „76 488. hi 32.58 151.8E 10.12 1.20 .12 .49 .01 ]..93 .7.:; 14.59 .97 .67 .I!:J 121.52 12.15 19i.5i 1?n2u 68.87 h,c?? 198.16 19.82 1260.9i 103.24 198.10 PAY(:1PF CnMML:IV ( 1.7e 1.52 260.60 101.24 .72 , r}0 1.54 1:1.6c3 n.lJ 97.22 154.05 35.09 158.52 B44.91 C0MI`'I ?_,_ :?..:.- _. I,_?..._?. .-.c'_? n.b. u'.,ii°, n?i`. _._?_1)il.?.,:. i.iJi. ?_::•?: i:..,-':?_I ...- ...- .. . .._ - . .. . . . ... . _ .. - _ -:r... . . . . .. . , . . . . . ? .. .. .. . _. '.,p5t. wr. . .n. ... .. r...,.,:l?C aa-?ga =.? OF 3830 PILOT KNOB ROAD. P.O. BOX 21199 EAGAN. MINNESOTA 55121 PHONE: (612) 454-8100 Date: Octoher 12, 1988 Requested By: 24691-Z24 VIC ELLISON Mayw Special Assessment Search TMOkW EGAN DAV1D K. GUSTAFSON PAMEL4 McCREA THEODORE WACHTER Cnuricd Members TMoMas HeocEs - GH.wi.unuv?ar Re: 10-14351-030-04 El1GENEVANOVERBEKE L3 B4 Blackhaek Glen 2nd aty aen, Dakota County Abstract On the attached form is the City's response to your search request on the identified property. The information includes the original amount of the assessments and the payoff amounts oP the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning,.waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, 1?? iwl /?7? ??C SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIN `If-tANSACTIuN Ilia R763 SFE.CTHL AS:;ESSMEPaTS SF'GL'IAL NS51_SSI°ILIV`CS SELF3I':LFi SUMI°IAt:Y PRC1F'E=1iT't' I.!)„ l'GDFiYS I)iaTfi:r, 10/1::i88 ____.c;PEC:Ll'}L_ F=Lf•aGS--_.-- ;. 10'-14 'S57. -i i:S U--(.i 4 ci„(-1„4# AfiSF:SSMf_I'•11' U"L-'SCF%,. Yf-i YRS Fii-ifE 'f0'fAd_ i-`.P.If•J.FR:IPd. IsAYOFf= COPIM.F..N"f 100124 5r4N SW '1"Rk( E9 ^; - . 8,i??ii f:i.c3c, .?;1> ^ _... 1-S i(.ii i:;.?y Wr;l"F'f-'t fii?I _A 76 15 8. 00% 11.49 .76 _. ^<9 I.00732 SS TR 297 F2 l.,`..i 12..50% 48fi;.81 32.57 293.17 10O898 SL.TRh::371 84 15 10.50l 151,.85 1U.1?:'. 111.36 101008 S-rrEi_r 371 BF..; 10 11.00"/„ 1,.20 .1:2 .434 101lU9 S"fI;EE7 86 i.°i 10., 50i:. 149 .03 .=6,., 101110 i,FiN sEW i_Ar B6 i; 10.50% 1.93 ,.i-; 1.67 101112 s-rokri SEw l"FiF: 86 15 10.50;:. 14.59 .97 12. bEi 10111 : S"fCll=(hl SL-`W L(-1T F6 15 10.50G ,87 .05 .59 ].iii::;_b lfJA"f L(il" RP,I Pr},,'q. L37 iV 8.:50;: 121.52 12.15 109.37 101327 Si_P:VICL-?£3 F'454 87 10 8.50"/. 192.E17 19.26 173.31 10:1329 Sl" SEW LH1 P454 87 iti F. `,0/ 68.87 6.B9 bl. 9'r.i 101::30 ril'FiLl-1- I:'454 Es7" lii 8.50Yi, 198.16 19.82 178.=:4 `;UhiMAF?Y O'r" AUTIVE 1:60.;J:l 1tii.'T - - y4?t.i' C01'11I ?..?..?.?.;?.? ...I-II13 YI:_Fi' ; ..U_? F,o 1 237.24 88-740 Mr 3830 PILOT KNOB ROAD. P.O. BOX 21199 2 4 6 91-4 7 VIC ELL?SON EAGAN, MINNESOTA 55121 ?, PHONE: (612) 454-8100 gpecial Assessment Search iHOMA$EGAN DAV1D K. GUSTAfSON PAMEUIMCCREA THEODORE WACHTER Date: 10-6-88 co„.u??. rHOrros HeoGEs ' pNmministiofor Requested Sy; Re: 10-14351-030-04 EIIGENEVANOVERBEKE L3 B4 Blackhawk Glen 2nEi"c1e1k Dakota County Abstract - - On the attached form is the City's response to your search request on the identi£ied property. The information includes the original amount of the assessments and the payoff amounts of the assessments on the parcel. In addition, pending assessments are included for improvement projects that have been ordered to be installed by the City Council as they may affect this parcel. The levied and pending assessments may or may not reflect the complete assessment obligation based upon the parcel's current use or zoning. Certain parcels have not been assessed at the appropriate rate per their zoning/use. The City's policy is to review the assessment obligation of parcels at platting, replat- ting, rezoning, waiver of platting, and prior to the issuance of conditional and special use permits and certain building permits and in other unique situations. A condition of approval requires the parcel to assume its additional assessment obligations that have not previously been levied for existing public improvements. The City's Engineering Division can provide further clarification of this policy, if you desire. WAIVER/DISCLAIMER: Neither the City of Eagan nor its employees guarantees the accuracy or completeness of the information provided which was required by the person or persons indicated. Nor does the City or its employees assume any liability for the correctness thereof. In consideration of receiving and using information on the attached form and for all other consideration of any nature whatsoever, any claim against the City or its employees rising therefrom is hereby expressly denied. Pending assessments cannot be paid until levied. Levied assessments can be paid to the CITY OF EAGAN. Very truly yours, SPECIAL ASSESSMENTS Attachment THE LONE OAK TREE. .. THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN TREifJSACTIOhJ Ill° R768 '=,PF_LIAL HSL"3L-:SSh1EIV1'!:i S'PECIAL F;EiSESSMFfJ'f5 SF:ARCH SLJrIhIHRY F'RC_1F'FcIiTY I.D. TUUFaYS DA"Clc: 10106/08 ---:iPECIFIL FLAGS----- i. -2-3•--4-5 -6-7-B-S'-1 0 1 i i-14':5 i-U 3u-p4 -- --------_._----------------------------------------------------------------- S.A.#t ASSES51HEPlT DESCR. Y'R YRS RA"f_ TQ-('AL AIVN,.I-'I-il:N. WAYCIf'1= COMIMf_N1" 1GU124 SAIV SW l'fil':: 69 <^.S 8.00% £3.86 .;b 2.1' 100339 WATEt=i fiRf_'F; 76 15 8. 00% 11.49 .76 2.29 1011732 SS TE1 297 92 iJ 12.50% 488.61 ,..'-''.J7 293.17 100898 L71_TFik::377. E34 15 10.50I. 151.85 10.12 111.36 10100e sTF;F.Er 37J. 85 10 11.00r i.?o .i? .84 101109 S"I'RE'L"1" 86 15 10.50"/., .49 .0:3 .43 101110 6EaP! ;CW L_AT Hb 15 iC>. 50"/. 1.93 .13 1.67 101112 S"fORM sF=W TFik' B6 15 LV.JLI% 14ii59 .97 12.65 101111 a"I"OFiM SEW LA'T Bh 15 10.50% .67 .OS .:iy 10132h WF'i'f L_r17 13N F=454 87 10 E3.50`/„ 1:21.52 12.15 109.=:7 101327 SERVICJL:':i F'454 E37 10 8.50% 192.57 19.26 173.31 101328 Sl' :;EW I_.flT F'454 07 lii 8,50% 68.E17 6.89 61.98 101330 Sl"RI=ET P'454 87 10 8.50"/. 198.16 19.82 17E1.34 x;?+*## SUMMAI;Y 01" F1Cl'IVL 1260.81 103.:3 948.13 COMI`1 'iHTS YC'HI?'4:i TOC F'8:T 237.24 1989 BIIILDIAG PERMTT APPLICAYION ? . CTTY OF EAGAN /Sta SINGLE FAMILY DWELLISGS 2 SETS OF YLAHS 3 REGISTERED SITE SOBYEYS 1 3ET OF EAEAGY ClLCS. !lITLTIYLS DWELLINGS RENTAL UNITS COlFdERCI9L 2 SETS OF IACHISECTUR9I. 6 STHQCTQRAL PLAN3 1 SSf OF SPECIFICATIOHS 1 3ET OF BHERGY CALCS. gpg a6i,g . DNTrS ! OF II6ITS BIOTEs ADDRES3E5 FOA CORHER LOTS - CORTAACTOl1/110MEOfiNEA !lQST DESIGN9TE 1iHICH ADDRESS IS DFSIRED. NO C991iGFS NILL BE ALLOIiED OACE Ht1ILDIPG PEAHZT I3 I33UED.. SEAER 8 iI9TEA PEIHIIY FEES AND ?CCOIINT DEP0.SIT FSES IiILL HE INCLDDED WITB T6E BOILDINf3 PERHTT FEE. PROCESSING TIME FOR SBfiEA AAD WATSA PE114IT5 13 TiTO D9YS ONCE A PERMTT HlS BEEB COMPLETED INDIC6TING d LICENSED PLUlBEA. PENALTY APPLIFS HfENt PEAMIT IS NOT PAID FOR IN SAME MONTA IT IS REQOESTED. LOT CHANGE IS BEQDESTED ONCE PERMIT ZS ISStTED. 0 S t989 To Be Used For: 1,-,E Valuation: ?- Date: 6'C'87 Site Address k'"a NA cg Lot J Block /// Parcel/Sub IDx-A Qtmer klVl 4Ati,,, AJ'-L Address /643 City/Zip Code Ui[ ?-_ Phone ?-( Contraetor ?KCQee tJvvse,r., Address Lf?a5 C,. Vb. `(ol. City/Zip Code ? Yhone 5?5Y Arch./Engr. Address City/Zip Code / dZft Occupaney Zoning Aetual Const Allosrable ! of stories Length Depth S.F. Total 370 FooLprint S.F. On site aewage On site vell _ MWCC System _ City rater _ PAV required _ Hooster Pump _ APPROVALS Planner _ Council Bldg. Off. IVeriance f yN Bldg. Permit Sureharge Plan Aeview SAC, Citq SAC, MUCC Nater Conn Water Meter Acet. Deposit S/ft Permit S/fl Sureharge Treatment P1. Road Unit Park Ded. Copies SQBTOTAL Yenalty TOT9L ovn, D D /.oo Phone # 95 Y ? J7'Yo H-??e V ,,A 7 MULTIPLE DriELLINGS 2 3ETS OF PL9NS BEGISTSHED SI'fE SQ6VEY3 - (CHECH iiIT& BLDG DIV. ) 1 SET OF SNSAGY CALCS. SURVEYOR'S CERTIFICATE ? - Z , r -- . _J •? ? , ? 0? / F?1 ? LOT 3 ? ` e''> 7 (-?,?I'`?,, 2 y- ? m 'a ! • %, "._ ? \ e ?3 - 6>- m, Q•` ? ? ? ?J \ O 01 Q° v' o2 J 9 , o _•(9xc? ?C^•^y J- ?J 0 }'\ F OD \ ejJ9 ` .? ? ? A ° J . s SIENNA CORPORA710P! REVISED 10-I8-88TO SHOW A PROPOSED NOUSE FOR LUNOGREN BROS. CONSTRUCTION. I??- n rf in-?( 4I s I J I /-\L.?i I IJ I v 3?,0 ? ? ?ss •O ? ? ? \' ry r/ ?a 1.4v f ?- ? ? f-- O e4?h _J C9 . p L i•{ .%f: i L -T..1.,..?s, ..? ?'? h??G?aG??-;:..?.. ? . ..._..... V P " DEN07ES PROPOSEfI SURFACE DIiAIP1/1GE ? 1 • GQU)?kp •' `• O UENO'fL•S IRON MON UF!EFIT SET SCALE; 1[NCII a .0 [JENOTES II2UN FIONUh+EIIT FOUt1U PROPOSE[l GAllAGE FLU011 - 8.1q,?. FEET XD00.0 f)EN07E5 EXISTINC ELEVATION PAOPOSED L01lEST FL0011 a 81 1 .6 FEET (000.0) t)ENOTCS PROPDSEO ELEVATIOPI 1'ROf'OSEO TOP OF ULOCY. = 8rq,-7 fEET I•!E IIEllEf3Y CERT(FY TO SIENP7A CORPORATIOhJ TIIAT TI115 1S /l TRUE AtIQ CORtiECT IIEPItESENTAT10N OF A SUIiVEY OF TlIE UOUNpAIt1E5 Of; Lot 3 plock 4 OLACKIIAWK GLEN 2ND ADDI'fIOM, according to the recorded plat thereof, UakoLa County, IdlnnesoCa. !T p0E5 PIOT Pl1RPORT TO SIfON 1NPROVE11EhlTS OR EtICR0AC1(PIEI4TS, iF APIY. AS SURVEYED l1Y I•IC Oll Uh1UER h1Y DIRECT SUPEI2VI51011 TIIIS 30TH ppY Op DECEMBER , 1986. SIGtIED: .? UY: t G'?4?Z?r:l'. ? Y?t?C?,r.?.•? IIAROLD C. PETERSOW, LAllll SUIZVEYOR I•11WhIESOTA LICEhISE NUI•IUER 12294 PfiOJGCT tJ0. ooaIc / rnUF ,JqMES R. 1-IfLL INC,. 85618 , (88740) 287/30 pianners / Cngineers / 5urveyors FILE NO. 0200 Ilutnboldt Avenu• Soulh FOLDER ploominplon,MiL 65431 012-o44-3029 Cities Digital Quality Control The following image represents the best available image from the original page. Every effort was made to capture the content from the original page. . ._ . ? ;i C7I'l 13F?EAGAt1 f:A9H:(E12; S 1'EM7NAC NCJ,I 767 DFlTEa 06l03/99 1'ZM?' 42a25 I11: ? . . .. 1 NAhiEa 'KABTi_E RUQf-INIr $ REMO?JEI_:[NC; 320 9001 1443,A8NBl1fiY,FL 2i'5 3001 1843 ASHrs1.1R5+ FL I! ; 3.OQ ' . r. . . . . . ° - ?1 . '= . . , . . '•S' . . ?I .... . - ?? : ,. - - . . - u . . .... . ' . .. RY .; . II , . . i1 _. . .. . Total Feeeipt An,nun+„ . +Cf:ii.C1326 UBVft bU: NANGY ll' ?? '? 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL) CITY OF EAGAN 3830 PI a5r KNOB 5 - 55122 1-61-467 6 V New Construction Reouirements RemodeVReoair Reauiremenb fo ? 3 registered site surveys stwwing aq. /L o/lof, sq, ft o/house and?f! rooted areas (20% maxlmum lot covaroae allowedl ? 2 copies of plans (show beam & wintlow sizes; poured fnd. design; etc.) ? 1 set of energy calcutations ? 3 copies of tree preservaNOn plan if lot platted after 717/93 DATE: 611 zc'I I ? 2 copies of plan ? 1 set of enetgy qlcutaGons for heated a0difions ? 1 site-survey for exterior additions 8 decks CONSTRUCTION COST: 01-`?- DESCRIPTION OF WORK: 1 U K? ?' C?_ CY STREET ADDRESS: ILOT: ? B! pCK: SUBD./P.I.D. #: Name: S?. Ne j,1 !L'n Phone N: O9I- U`J PROPERTY FusE OWNER !? I ` Street Address: j`'1 ? S L, bU 1' ? ?' . City _G C?,- C State: /1?1 fi/ Zip: S S ? oZ vZ CO Company. V.Gt. S-F E? ?i Phone #: I I L-? ' ? W Iv"I'RACTOR ? Street Address: license tl -';ZDO2q S z xp. City S State: 7ip: ARCHITECT/ ENGINEER Company: Phone #: Nazne: Registration N: Street Address: City State: Zip: Sewer & water licensed plumber (reauired for new construetion onlvl: PenaRy applies when address change and bt change is requested once permit is issued. ?AN I' i this application, state that the information is correct, and agree to comply with all applicable of Eagan Ordinances. Signature of Applicant CE USE ONLY J _ Yes _ No Tree Preservation Plan Received Yes No OFFICE USE ONLY BUILDING PERMIT TYPE O 01 Foundation ? 06 4-plex ? 11 10.plex ? 16 Fireplace ? 21 Porch (3-sea.) O 02 SF Dwelling ? 07 5-plex ? 12 12-plex O 17 Garage ? 22 PorchlAddn. (4sea.) ? 03 1 of _ plex ? 08 Crplex ? 13 16-plex C] 18 Deck ? 23 Porch (screened) ? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage ? 05 3-plex ? 10 8-piex ? 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 Renair ? 3$ Ilemnlich !Interiorl CI 42 Reroof GENERAL INFORMATION Const. (Actual) (Allowable) UBC Occupancy Zoning # of Stories Length W idth APPROVALS Planning Permit Fee Surcharge Plan Review License NICiES 5AC City SAC W ater Conn. Water Meter Acct. Deposit S!W Permit S/W Surcharge Treatment PI. Park Ded. Trails Ded. Other Copies Basement sq. ft. Main level sq. ft. sq.ft. sq.ft. sq. ft. sq.ft. Footprint sq. ft. Building Engineering Valuation: Census Code SAC Code No. of Units No. of Bldgs MC/ES System City Water Booster Pump PRV Fire Sprinklered Variance ToWI: SAC Units r % SAC Use BLUE or BLACK Ink 41 I For Office Use ! I (ion ~ Permit#: City of Ea Rd Permit Fee: 3830 Pilot Knob Road I I Eagan MN 55122 ; Date Received: 7~, Phone: (651) 675-5675 I I Fax: (651) 675-5694 I Staff: 1 I I 2013 RESIDENTIAL BUILDING PERMIT APPLICATION Date: Site Address: Unit Name: PC; ` Phone: CCU / 3 7 2 Resident/ Owner Address / City / Zip: (o (A W Applicant is: Owner Contractor Type of Work Description of work: rC t(' CAD Construction Cost: WL-)a Multi-Family Building: (Yes /No 1/ ) Company:Ci h ~%K J-Y'✓CX.~ LL CContact: P'_ k &a ki Contractor Address: S g V S o City: rS ;,I State: Zip: Phone: 6 f ( -ZV 7 72S License C l7 Lead Certificate If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) II COMPLETE THIS 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: 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. 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. Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180 days of p rmit issuance. x ~~1~ Gt~l x Applicant's Printed 146me A pl' Sign t e Page 1 of 3