3568 Baltic Ave
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BLDG. PERMIT N0.
01-3210
01-3422
01-3445
01-3446
01-2155
17-3860
20-2275
ZO-3865
20-3868
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
;
;
<. -_.
; ?. .
?-,
? '-?c•: , r : !, -"' , -
t
Plan Check
Surch./Adm.
SAC/Adm.
Surcharge
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permit
Sewer Permit
Sewer Conn.
Park Ded.
TOTAL
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road ,
P. O. BOx 21199 . PERMIT NO.:
Eagan, MN 55121 ? DATE: '
Zoninp: " No. of UMri: Owner_ 'rcntiar ?'i?wt??t
Addron:
Sift Addross: ''altic Avc.: .._ . . , 4 : ;t _ - '.s
Plumbe?: - `, C?i T" ' 1.'_ i? !T: ' ,r ; : ? fis•
Meftr No.: ' '1? ion Chorge: _
SiZE:9/l?? ?C[/C ? ? ? Mnnclt•
ReOdlf Na.:,Q 7-4 6 riil IiVI\[ • GL.CLIlL?4.?5 ? - , I
1'eTT7? TQ
?..?..,? o..?,?,.?, ?. ? ?IR?? . ?
? .
Totol: ,
Br - 1 ? oar. Paid:
Dace of IrKp.: I,W;
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 . PERMIT NO.:
Eagan, MN 55121 pATE; `
Zoninp: ' No. of Units:
Owner: ' -• r ' i 2;:
11ddr.
Sits Addremq
PPlumber.
Mehr No.. Connection Chorye:
SIZQ: AcooUnt L/CposiY. • J'J T•; '
Reoder No.. Pertnit Fee: - ?r91
1 ym lo aoseplp wN6 !iM Cilp oi !Ne¦ Surdharye:
Odi? Mtsc. Cho npas:
TotoL•
BY Date Poid:
Dote of Insp.:
Irnp,; ?
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoninp: ,°•Owrnr.
Address
Site Ad
Plumbei
I ym f0 0mply NMb 1hf CRT OF &WA
OrdL.se...
eV
Dote of I rnp.:
?.Ofl?1lCt?Of1 a1Gf?: 4 , 5• ;.,' ..
?,c,counr oepoWr:
Parmit Fea:
Su?charps:
Misn. CM?pes:
Totol:
Dote Pald:
SEWER SERVlCE PERMIT
. PERMIT NO.:
DAl'E:
No. of Units:
CITY OF EAGAN rrC)
1?558
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE• 454-8100
BUILDING PERMIT Receipt #
Tobeusedtor SF DWGJGAR Estvawe $68,000 Date SEPTEFrlBEi7 2 19 85
Site Address 3 568 8AI,TIC AVE Erect ff OccupanCy R3
Lot 26 Biock 4 Sec/Sub. HA14PTON 4-iTS Remodel 0 Zoning pD
Parcel No. Repair ? Type of Const Vn
Addition ? No. Stories
¢ Name FRONTIER MYDWEST HOMES Move ? Length 40 ; Address 3`?08 SIBLEY MEM HWY, BLDG E?molish ? Depth 4?
o V r c a r.r i c A_ n A!b2 Int. Impc ? Sq. F?
15 ¢
W W
?Z
U?
Q=
? W
Address Assessment Permit -
City Phone Water & Sew. Surcharge
Police Plan Revie
Fif@
.00
.00
00
SU
00
00
- Phone
Council RoadUnit & -7 U,
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe BIdg.Off. 8/29/8 Tr.PI. 156,
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances. APC Parks
Signature o} Permittee`??g =1- ? t'? ??- ------• - Var. Date Copies
Total $2.124.0 '
A Building Permit is issued to: FR01i''1'IE12 i:tDk7EST NUMES on the express condition that
all work shall be done in accordance with all applicable State ot Minnesota Statupg and City of Eagan Ordinances.
1 -
Building
I I PKmN No. I Ptrmk Molder I Dats I Telephons N I
h Plbp.
h Hty.
lacs
Hly.
Plbp.
Finsl
Occ.
Fty.
Frmy.
' MECHANICAL PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 5
ACT PRICE: -•-50U. UU pHONE: 454-8100
Site AddrQss _
Lot ?
? Name _
m Address
c City
-
Name sroncier
c Address 3908 Sib:
0 City r asdi;
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
80,000 M 8TU
M BTU
M BTU
M BTU
CFM
FEE -- "
S/C:
TOTAL: $26•
,
•.-- -- - - .? .
PERMIT #
RECEIPT #
DATE:
WORK DESCRIPTION
Res. '` n
Mult
Comm.
Other
::h
New
Add-on -
Repair
FEES
RES. HVAC 0-100 M BTU - $24.00
AdDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
. PERMIT #
PLUM8ING PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE: 454-8100
r? ?IC A
Site Ad
d BLDG. TYPE WORK OESCRIPTION
.
,
Lot -? Bloc Sec/Sub
i' f+ -t'D 1_ S x
X
Res.
New
? Name t'!v Z C )1 E0 7 N Itl J C H Mult Add-on
m
? Address 3 OD F Comm. Repalr
U
G
r A r
city ?= N
Phone 5A -6 omer
' f r C!)) r' f,
Name ? FIXTURES ?TOjI,L
i
00 '; ,
W
t
r Clos
t - $3
3 Address 3` `b r 07e ) 01' i Aj1 a
e
e
.
Bath Tubs -$3.00 '' -
p City Phone 4154-C 33 ? Lavatory - $3•00 '
Shower - $3.00
FEES =Kitchen Sink - $3.00 z '
COMM/IND FEE - 1% OF CONTRACT FEE Urinal/Bidet -$3.00 _
?-Laundry Tray - $3.00 ?
MINIMUM - RESIDENTIAL FEE _ $1p,pp
MINiMUM - COMM/IND FEE -20
00 Floor Drains - $1.50
J C'
•
5TATE SURCHARGE PER PERMIT - •? Water Heater -$1.50 •
Whirlpool -$3.00
(ADD $.50 S/C IF PERMIT PRICE GOES ?Gas Pipin
Outlets -$1
50
BEYOND $1,000.00) g
.
Softener - $5.00
Well $10 00
FOR: CITY OF EAGAN
Private Disp. - $10.00
=Rough Openings - $1.50 . ' ?'
FEE
STATE S/C:
L
GRAND TOTAL: ? .' ?
BUILDING P?
To be used for
Qu,:
CITY OF EAGAN a16e23 ?
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
:600.00 Date !!AR 2e 19 91
SiteAd5rss " "" ""'•"' °.-
Lot Block Sec/Sub.
Parcel No.
W Name -
o Address
ritv
Name -
Address
Clty -
Phone
Phone
Vw W Name
?W
; Address
< W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State ol
Rmlrlinn (lHirial .1NLY ?
Minnesota Statutes and qqy ot Esgan Ordinances,
Signature of Permitee ?
DAVID B013MM
A Building Permit is issued to:
on the express condition that all woric shall be done in accordance with all
applicable State of Minnesota 5tatules and City of Eagan Ordinances.
.,?OccuF,:,.,? FEFS !
Zoning i -
?= . i
18000
(Actuap Const - Bldg. Permit
?
(Allowable) - .50
Surcharge
?Y oi stories - ,
_
Length
?
Plan Review
i
Depth - SAC, City
?
S.F. Total - SAC, MCWCC _
S.F. Footprints -
On Site 5ewage _ Water Conn _
On Site Weil - Water Meter _
MWCC System -
Acct. Deposit _
City Water -
PRV Required _ S/W Permit _
Booster Pump - S/W Surcharge _
Treatment
I
APPROVALS Road Unit
Planner - park Ded.
Council
Bldg. Ofl. _ Copies S •
Variance - P
TO7AL
PeKmit No. PamR Hoider Date Telephone #
WATER .? SEWER . ?
PLUMBING
H.VAC. ELECTRIC
Inspectlon Date Nisp. Commsms
Footings I
Jdg. Finel
Deck Ftg.
'Deck Finai '
Pr. pisp.
I • i
.?
.
M i
BUILD ING PERMIT
To be used for DECIC
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Site Address 3 S68 ILALTIt' AYE
Lot --2f- Block _ik Sec/Sub. H?WpTON NEIGHt'S
Parcel No.
W Name DAVID 6 RBDECCA HQESC?isl?l
; Address _ 3568 ULTIC AVE
0 Clf ??H
y Phone 830-8715
Name _
Address
Name _
Address
Phone
Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesola Statutes and City of Eagan Ordinances.
Signature of Permitee-,--1 .
?
A Building Permit is issued to: DAVID OX iiEaECCA HOSSCH1
on the express condition that all work shall be done in accordance with all
applicable State o1 Mmnesota Statutes and City o1 Eaqan Ordinances.
Occupancy
Zoning
(Actual) Const
(Allowable)
8 oi stories
Length
Depth
S.F. Total
S.F. Footprints
On Site Sewage
On 5ife Well
MWCC System
City water
PRV Required
Booster Pump
APPROVALS
Planner
Council
Bldg. OH.
Variarice
OFFICE USE ONLY
I" FEES
ib'
JW1
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Acc1. Deposit
S/W Permit
S/W Surcharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
zs.so
4..x
, Permk No. Permit Holder Date Tebphone #
WATER
SEWEti
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation .
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg. Plbg. Inspector - Notify Piumber
Const. Meter
Engr./Pian
Bldg. Final
Detk Ftg. Sei? S/ Gt/?O
oedc Final
P/f
Well
Pr. Disp.
?. . _
CITY OF EAGAN
3830 Pilot Kn4b Road
Eagan, Minnesota 55123
(fi 12) 681-4675
SITE ADDRESS:
. .... a:r:i I ?+ nvf
ii:lql> I??If Hf:. J t.?}? I'-.
PERMIT SUBTYPE:
I lo1 r%ra 1 N,,
11siI1 i M P L Ftli
'ECTION RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
H ili 1,1 iai ri
( t, I .' ) ?I ;6+ ?t: I •.
TYPE OF WORK:
I hd',111 A 1 IirN
I I N A I
?. .
Ik /1'•; I 4F
At i r Rn 1 +;lry
I i 1 IiAkKS: Sf WAkATF i?f I;M i f r, Fiiil Kt 00 i I:I 11 1 1 ik ANY I't lIlql+! NLi I:?It t I f i {k!i_A) 4J014M
?
?
Permit No. Permft Holder Date Telephone #
S/W
PLUMBING •
HVAC
ELECT O
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation
Framing uoz
Roofing
Rough Pibg.
! 4?4
Rough Htg.
l5ul.
Fireplace , - c' -4
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notity Plumber
Canst. Meter
Engr./Plan
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
' NQ 19090
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 ^
?? ? 3 J
Feceipt # c
To be used for DECK EsL Value $1,000 Date Me1Y 21 , 1991
Site Address 3568 BALTIC AVE
Lot 26 Block 4 Sec/Sub. RAI4PTON HEIGHTS OFFICE USE ON?V
PefC81 N0. Occupancy IL-2 FEES
Zoning
w Name DAVID & REBECCA HOESCHEN (Aduap Const Bldg. Permil 25.00
o Address 3568 BALTIC AVE (Allowable) -
- 50
Surcharge .
City EAGAN phOne 830-8715 X ol Stories
16 1 Plan Review
Lengih
o Name SAME Depth 14' SAC
Cit
i
U
Address
S.F. rotai
- y
,
SnC, MCWCC
? City Phone S.F. Footprinis -
W
t
n
C
On Site Sewage _ er
on
a
•
?w
Name
on site weu
W
M
ti
??
AddreSS
MWCCSystem -
- ater
eter
a W City Phone Ciry Water _ AccL Deposit
PFV Required - SNJ Permit
I hereby acknowlege Ihat I have read ihis? lication and state that the Booster Pump - SnN Surcharga
information is correct and agree lo corr? y ith all applicable State ot
Minnesota Statutes and y of Eagan (din
ces. Treatment PI
?
?
Signelufe Of Pefml a ????
? APPpOVALS Road Unit
R REBECCA HOESCHE
A Building Permit is issued to: DAV Planner - park Detl.
on the express contlilion thel all work shall be done in accordance with all Council _
applicable Slate of Minne
ota Stalute
and City of Eagan Ordinances. eldg. olf. - cOP'"
i
? '?
i
Buildin9 Official L?.4.Q1f?L1
Variance
-
TOTAI zs.so
?ms requesl void
18 rtqn[hs }rom // /
C62101 R ??e Fire o. Requir In s0ection E]Reatly Now Notilv In50ec-
? I
es ?NO '
When Feady
? Licensed Electri"l Contraclor 1 hereby requas< inspection of above
? Owner elecbicel work instalietl et:
St eet AdAress, Box or Hqu/e No. cit?#
ecbon o. TownshiD Name or No. Panpe o. County.? .
Occ nnt INT) • Phone No,
Powe? Aadress
Elecirical ConVactor (Company Namel
KEIVDRICK Eii=:CT[iIC Conhacmr' License No.
??y
MailinB Jdll??s4V {4o, fgc?l?!..JjM??aLl? gl?iK1V1?
?? rr
lation)
Au fed t t ?O lationl Phone Number
MINNESOTq STATE BOARD OF ELECTNICITV THIS INSPECTION qEQUEST WILL NOT
Grigpa•Midway BIAg. - Room N-197 BE ACCEPTED 9V THE STATE BOAND
7831 University Ave.. St. Poul, MN 56104 ? UNLESS PROPEH INSPECTION FEE IS
Phone (614) 642-0800 ENCLOSEO.
REQUEST FON ELECTRICAL INSPECTION ee-oooqoi-os
It See instructions tor complet inB this fwm on beck Of Vellow cooY.
C R 7 1.(?1 "X" Below Work Covered by 7his Request .
INwvLAAtll NeD.] Type of BuiltlinB I APPlianeee Wired ? Equiumeni Wired ?
k Fee ServiteEniraneeSize B Fee Feedars/Subfeeders? N Fee Circuits
0 to 200
Amps 0 to 30 qm s 0 tn 30 An%35
/All Above 2Amps 31 to 100 Amps 3to lU0 A s
j
SwimminPool qbove 10DAm s Above 100_Amps
0 Transforrs Irn - tion Booms Partia6"Other Fee
I ?•°' ? Signs ISVecial Inspection ?S, /l ?
emarks c?( OTAL FEE
Nouph-in e 1, the Elecvicel
? ?a/% Insoectoq hereby
tertify the
t ihe xbove
Final i
Date ?I??
? nsoecti
vn has eeen
? mede.
TMS reVUest voltl 1B monlh irom
?v ra 9a-
3 4 3 5La ? ? °?
RequestDate / . g?-in Inspecl n
e iretl7 XfleatlY ?w ? Will Nolify Inspettor
?s ? ? When Reetly7
I [D licensed contractor )(owner hereby requestinspection of above electncal work at:
Jo0 AtlCreas (SlrBet Box or FoNe No.)
3S 8,C??/ i c v Cily
? ?
Seaion No. TownsMp Name w No.. ' Ra?ge No. Counly
14W261 -
Oceupanl (PRINT)
,0'0?v Rs c?&N PAOne No.??,y
o ?s 5 •?o9a
Power suvWie. naaress
E18chkal ConVaclor (Company Name) CoMractor§ Liceiqe No.
Meiling AOtlress (COnhactor r irg Installetpn)
3S ?i c Ae -
AulhorixeG Si ure (COnVacl r ki InstelW4anl Phone Number e
30 -,?7/s vsa-?o?
MINNESOTA SiATE BO0.H0 OF ELECTNICITY ' THIS INSPECTION REQUEST WILL NOT
prlpyrNpEway Bldq. - RoOm S477 . BE ACCEPTEU BV iHE STATE BOARD
1821 Unlrnflry Ave., St. Poul, MN 55706 . UNlESS PFOPER INSPECTiON FEE IS
Plqne (612) 8424800 ENCLOSED. -
(?d 9? es
REQUEST FOR ELECTRICAL INSPECTION
% ? See insVUClions for cromplefing this brm on beck oi yellow copy.
M ?D
w `" Below Work Covered by This Requesf .?
38435 "7C ? ??
e !%". Hep. TypeolBUilding AppliancesWired EqulpmeniWiretl
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Building Dryer Other (SpeCify)
Comm./Indusirial ' Furnace
Farm Air Condltioner
Olher (specify) ConVecbrS Remarks:
Campute Inspection Fee Below:
# Olher Fee # ServiceEnlranceSize Fee # CircuNS/Feedars Fee
Swimming Pool 0 to 200 Amps a to 100 Amps
Trensbrmers Above 200 _ Amps ADove t00 _ Amps
Signs Inspecrors use ony: TOTAL s?_
IrrigationBOOms
Special Inspection
AIarMCOmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN "ONT%
I, lhe Electrical Inspector, hereby Rough-in
? ?
certif that the above ins ection has
Y P
been made. Final oate
.?1
OFFlCE USE ONLY '
Tnis request voitl 18 montns irom
-S
?
i0 2 g i'o
Repuest Date
2
3 ?
'
I? Fir No. Roul In eclan Peq retl Inspection ReaOy han Rougn-ln
(YOU musl cBll inspeqor when reedy) ? Naw Iliy
Inspeclor
-
v Ves ? No Oale Peed
IEl licensetl contractor'il? ow?ner hereby request inspection of ahove electrical work at
,
Job Adress iSVeet
B
oa or Rou
te
No.I pity
/
;
/
?
/
R/ ??` lfl?we
Section No. Tawnship Name or No. Range No. Cqvny
OcaOant (PRINT)
4 Phone No.
3719149 e/lJ •
POwer SuODlier Atltlress
!/G / c '
Elech¢al ConVactor (Company Name) Conttatlors License No.
/"` W
l?
Mailing Atldress (COnlractor or Oner Making Inslallation,
S
0
.
s? ? e 10CA-1
Authonietl Slgnat onlrador;pwn r Making st Ilation) Phone Number
-ys ?090
MINNESOTq STATE BOARD OF ELECTqICITY TMI$ MSPECTION flE?UEST WILL NOT
Grlgga-Mitlway Bltlg. - Poom 54]3 r I BE ACGEPTED BV THE STATE BOARO
1831 Universfly Ave., SL Paul. MN 55104 ??SR UNLESS PROPER INSPECTION iEE IS
Phone (812)64Y-0800 ENCLOSEO.
`j/? REDUEST FOR ELECTRICAL INSPECTION »r'°."
? g?€A, EB-OOOODOB
See InshudionS for compleling Ihis brm on Oack ai yellow copy
oc aa r? r
pV
025 O -''X'i8elow Work Covered by This Request
ew Add Rep. Typeof BUiitling_ AppliancesWired EquipmentWired
Home Range Temporary Servica
Duplex Water Heater ElecUic Heating
Apt. Building Dryer Load Management
Comm./Industrial Fumace Other (Specify)
Farm Air Conditioner
ONer (specily) Conhacmr's Remarks:
Compute fnspection Fee Below:
# Other Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0[0 200 Amps 0 Po 100 Amps
Trensformers Above 200 _ Amps Above 100 _ Amps
Signs inspeaorg use only: .? TOTAL
'
Irrigation Booms
,q ?
? y?
s V
Special Inspection ?v
AiarmiCOmmunication THIS INSTALLATION MAY. DE CQNNECTED IF NOT
Other Fee COMPLETED WITHIN 1 S.
I, the Electrical Inspector, hereby
if
th
h Rou9n-m
?
cert
y
at t
e above inspection has
been matle.
F??ai ?
?
oa?e
OfFICE USE ONLV ??? C? ?
This request voitl t8 monms Irom
BUILAG PERMIT
RSSTIIFNITAT.
To be used for TNIRRTOR TI
CITY OF EAGAN NO 1$823
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55727
PHONE: 454-8100 G
Receipt #
Est. Value $600.00
Site Address 3568 BALTIC AVE
Lot 26 Block 4 Sec/Sub. HAMPTON HEIGHTS
Parcel No. " acupaocy
Zoning
Name DAVID HOESCHEN fACtual)COnst
w
; Address 3568 BALTIC AVE jAllowable)
° City EAGAN Phone 830-8715
4
59 eorstodes
- Lenglh
o Name OWNER Depih
,
?a Addf8S5 S.F.Total
? CItY Phone S.F. Foolprinis
On Slte Sewage
Name onsrceweu
Mit Address MwcC System
i City Phone ciry water
PRV RequireU
I here6y acknowlege [hat I have read Ihis plicalon and stale Ihat the Boostar Pump
information is correct and.ag?ee to com y with/all applicable State oi
Minnesola Statutes andCitv.oi Eaoan Ortlinance's. .
OFFICE USE ONLY
FEES
Signature ol Permitee n?L`??-C?y??`T -? APPROVALS
A Building Permit is issued lo: DAVID HOESCHEN Planner
-
on the express condilion ihat all work shall be dona in accordance with all Council
applicable State ot M.i/n?neso""ta S?platutes ayndy,C,/ity of Eagan Ordinances. Bldg. oif. -
BuildingOlficial-1Variance -
1 ' l
Bldg. Permit ! o.V
Surcharge Sh
Plan Review
snc, cny
SAC,MCWCC
Water Conn
Weter Meter
AccL Deposit
S/VJ Permit
5/VJ Surcharge
Trealment PI
Road Unit
Park Ded.
Copies
TOTAL SH.SO
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
41 y3yy?
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
42i?.z5
New Conahucflan Reaulremenh RemodeVReuair Reaulrertrenb
D 3 repltlered eite wneys ahowing aq. IR of bt, aq ft. of house 2 copies of plan
and gfl rooletl areaa (20% maximum lot covemae allowed) 1 sel of energy calcu1011011s br heated addiflons
D 2 coples of plpna (show beam d wlntlow alzea; poured tnd. deaign; etc.) 1 afte wney lor exteda adtlitlona 8 tlecks
n i aet W energy calculaHOns
n 8 coples of hee preaervatiai plan if lof plattetl afler 7/1/93
DA1E: CONSTRUCTION COST: ??
DESCRIPfION OF WORK: Amove A?7 C-/ se??gz??e'z?
STREET ADDRESS: 35?We ,i4 11-i% .OW,
LOT: ? BLOCK: q_ SUBD./P.I.D. #:
Name: */*CS47Xe,? Z;?V vC phone #: 17-1t?'"?- ?0 9D
PROPERTY last Fint
OWNER
Sheet Address:
City RA?'n State: ?p:
Company:DS??J.S??r Ta.? ?T Phone a: 4? -
(area code)
CONfRACTOR
streat naaresa: P'/01 ucer,se a;K- ?7 Fxp. 3/3i r
a y sra?e: /f/1 zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone Y: (
Sheet Address: ReglshaHon q:
Clly
State:
vP:
Seweriwater licensed plumber (if Installina sewerlwater): Phone #: (?
I hereby acknowledge fhat I have read this applicalion, sfafe fhat ihe infortnatbn is coffect, and agree to comply wilh cp appAcable Stat
of Minnesola SMlutes and City of Eagan Ordinances.
Signature of
OFFICE USE ONLY
Certificates of Survey Received
Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
-CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
? & ?(
3?8'U?&I N G
029157
03/25/94
SITE ADDRESS:
3568 BALTIC AVE
LOT: 26 BLOCK: 4
HAMPTON HESGHTS
P.I.N.: 10-31900-260-04
DESCRIPTION:
B,ff3.ldin-g`?-eermit Typs
Pwilding Wo?rk 7ype
U °r
REMARKS:
BASEMENT FINISM
ALTERATION
????? ?? a(agun
SEPARA7E PERMI7S ARE REQUIRED FdR flNY PLUMB2NG pR ELEC7RICAL WORK
FEE SUMMARIF
Base Fee $35.00
Surcharge g,50
Total Fee $35.50
CONTRACTOR: OWNER: - A p p L i c a n t-
HOE3CWEN qAVID
3568 BRLTIC NVE
EflGAN MN 55122
(612)830-8715
I Mereby acknowledge that I heve read this applieation and state',Chat the
information is correct and agree to comply with a11 applYcable State o'f Mn.
' Statutes and City ofi Eagan Qrdinances.
jooua 'D
APPLICANT/PERMITEE SIGNATUR? F -ISSUED B SI U?? ?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: Lo r: 26 6 L 0 C K: q APPLICANT:
356$ BALTIC AVE HOESCHEN
HAMPTON HEIGHTS (612) 630-8715
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILpIMG
023157
03/25/94
DAVID
ALTERATION
INSPECTION
FRAMING .. .
INSULATION ..
ROUGH IN PLBG FINAL
REMARKS: SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
?
L
- -- ° - -I
_ _ ?
151
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
-t? ? r?D
-- ? I
i
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 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 oK? Valuation of work
Site Address: dplo
STREET Sl1ITE #
Tenant Name: (commercial only)
LOT ? BLOCK ? SUSD. U
? P.I.D. #
/?? /T?/?1
.CS
Descri tion of work: ' ?k AO
199/yf J?IV 481t l
The applicant is: I8f Owner ? Contractor ? Other (Describe)
Name ?SG?iP/V /?i?fiii/J Phone e30
Property LAST FIRST
y?v -?9? ?
Owner Address ,?4-6 tf i9?*916 AO+e'-
STREET STE #
C i ty AlGN/t/ St ate /AW Zi p
Company Phone
Co ntractor Address License # Exp.
City State Zip
Company 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 comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
?
?
?
?
Signature of A
l9cant:
?`
?,?? iZ
?G?'?'?. •
%
%
pp
?
.e
?
OFFICE USE ONLY
:k wft
B UILDING PERMIT TYP E
ix
•.w?
? 01 foundatian ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ? 17 5wim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 0 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
? 31 New El 33 Alterations O 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Dccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? .s;te
rl Wallboard
Basement sq. ft.
lst F1, sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-slte sewage
Building
Variance
13 Footing
EI Final
El Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
Y3 Y
o/
-?--
0
C3 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yalmiim: $
SAC %
SAC Units
CITY OF EAGAN p
N
12558
3830 Pilot Knob Road, P.O. Boz 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receiptp
TobeusedtorSF DWGIGAR Est.Value $681000 Date SEPTEMBER 2 ?g86
SiteAddress 3568 BALTIC AVE Erect ? Occupancy R3
Lot 26 Block 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning F'D
Repair
Parcel No ? 7ype of Const. Ul.l
.
Addition 0 No. Stories
a FRONTIER MIDWEST HOMES nnove ? Length 40
3 Name
nddress 3908 SIBLEY MEM HWY, BLDG EDemolish
t
I
I ?
? Depth ??
S
Ft
p .
n
mpr.
city EAGAN phone 454-0433 nstall ? q.
.
a
0
i
013
a
:
U?
W W
?z
x?
UI
Q W
Name SAME
Address
Ciry Phone
Name
Atldress
Cify 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 of
Minnesota StaWtes 2nd Ciry of Eagan Ord}n3Wcey.
Signature of
Assessmeni
water & Sew.
POlICE
Fire
Eng.
Planner
Council
Bldg. Off. 8/2 9/ 8 6
APC
Var. Date
Permit $ 337.0(
Surcharge 34.0(
Plan Review 168.5(
saC 575.0(
Water Conn. 500.0(
Water Meter 63.5(
Road Unit 290.0(
Tr. PI. 156.0(
Copies
Total $2,124.0(
A Building Permit is issued to: vr tcviv rlr,x i7luVMa 1 ntjisab on ihe ezpress condition that
all work shall be done in accordance with all ap ?plt?abl9 State?f Minnes ib a Sta{ nd of Eagan Ordinances.
Building Otticial ?e ? ??
/ e 4;;6, S? ??, t "S m P.
HOESCHEN 1986 gpIyDING PEBFIIT APPLICATION - CITY OF EAGAN
NUTEe 9I.I. CONTBACTOES MOST BE LICSNSED tiITH THE CITY OF EAGAN
COFAIERCI9L
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONSJ
$2,000 LALVDSCAPE BOND
To Be Used For: Single Family
Site Address 3568 Baltic Avenue
Lot 26 Block 4
Pareel/Sub He1MPTON HEIGTHS
Owner Hoeschen, Dave & Rehecca
Address 3485 Greenwood Court, S
SINGLE FAMIILY DiiE[.LINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SIIRVEY
1 5ET DF ENERGY CALCULATIONS
Gkomm
Valuation: r4=1D Date: $-15-86
OFFICS USE ONLY
City/Zip Code Eagan, MN. 55122
Phone 454-3665
Erect ? Oceupancy
Remodel
Zoning ?
Repair Type of Const
Addition # of Stories
Move _ Length go _
Demolish _ Depth
Int.Impr. Sq Ft
Install
APPROVALS FES3
Contraetor FRONTIER MIDWEST HOMES Asgessments Permit 51
Water/Sewer
Sureharge _
4-6.04
Address 3908 Sibley Mem. Hwy. Bld E
g•
Police _
Plan Review
16
Fire SAC ??
City/Zip Code Eagan, MN. 55122 Engr Water Conn
sgw-
Planner Water Meter 63,
Phone 454-0433 Couneil ad Unit
Bldg Off eatment P1 1 fp
Areh./Engr. APC arks
9arianee 'Copies
Address TpTgT, ? a
City/Zip Code
Phone #
NOTE: ADDRFSSSS FOR CORAER IAYS - CONTRACTOR/HOMFAi7AEE HQST DESIGNATE iiHICH
ADDRESS I3 DESIRED. NO CHANGfiS WILL SE ALLOWED ONCB BDILDING PERHIT
IS ISSDED.
? ..?ivca.vLr? nvc.???c ? ?.vuil.u?.?..i.i?i ....?.. .. ,?.. -?
TaCnl cayoced roof/ccilinq nrca
'otal s;:ylight area ............................
`otal roof/ccilin, -."raming arra (;ivcr.c,gc 10e)...
'otal net insulate3 rooE/ccilin9 area...........
Determine "U" valuc for eacii roof/cci1in9 segme.^.t
M. X
n, cj9. L x
x
4 ........................
If total of ;p-0 is L-he sam
SriC 6006 (c) l.
?
... 'LbLal v
e as, or less t_han $2, ycu i-iave met the inCent oP
Alternatc Buildina Enve].one Des
7b ut.ilize the total envelope'system method, the values establishecl by tne s:Lm of
i_tems 0 and 1l4 shall not be greater than the sum oi items ;1 and 1i2.
z. 77.:7.015 i z. ??.T7
3. +4..??.?
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,pecdcd far detail> and ealcu?atians.
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810MA
BURVEYINO
BEFiVICE9
3908 Sibley Memorial Highway
Eagan. Minnesota 55122
Phone: (612) 452-3077
CERTIFICATE FOR:
HOME PV4bERS
? UNbbEVEIOPFRS
* AEAtTUNS
?i COMPANIES
MODEL : L.,AN Gq 5'r F.:A,
9GA LS ? 1N=4.6!
+ 25
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WAYNE D.
CORDES
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_LEGEND"
O Opnotes Ircn YaK.nent
° Oenotes Woai Hub Set
x0520 Aenotes Existirg Spat Elevation
(„ :M ..) Lkrates Proposed 5pot Elevafion
,„?Denotes Dra inege D i rec t i en
-PRGffRTY DESCRIPf1GN1-
LOT? , BL(X'K 4_
HAMPTON [iEIGHTS
xcordirg to the reca-ded plat thereof;
Dakota Countv. Mimesota
pROPO5E0 GARAGE FLODR ELEVATION= 857.0
PROPOSEO Top ofBPlock ELEVATION! ??57.3
PROPOSED BASEMENTYFLOOR ELEVATION- SS`?3 wla
Propesed Bascmw.} lewex Fleer Eiev, = 549.3
NOTE: Verify all floor heights with Firo! House Plans.
IFI
1 hereby certity thet this survey. Alan or report
was prepsred by me or iwder my direct svpervisim
ard that ! em a duly Re4isfernd Lard Surweyor
under the laws af t State of Mimesota.
Date: $/1,1916
Wa D Cardes, Mirn?. Reg. No. 14675
Y^e
?
fqoqo ?
? 1991 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MITLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQIIESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES
DESIRED. FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[JST DESIG
NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT T DRESS IS
? C!'
-? `__-'
?
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE IT HAS BEEN COMP
PERMIT MUS S SHOW A LICENSED PLUMBER. ?iAY ?
Ll
To Be Used For: PeC/? Valuation: ? Da , 7_Zj
Site Address ?Shg ,Q,,y/iir A= .
Lot ?6 Block
Parcel/Suh pnyp,-pti ww4eTS•
Owner /,fjJU//7 /lPhPr'l'tl Aggde'A/
Address G
City/Zip Code dn*("/ &A ) y,$d
Phone ?90'$711rDIF5-
5/5'.?-70ADh?Contractor (y(,VNEyL .
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
OFFICE USE ONLY
Occupancy ?-T-
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
81dg. off.ts.,$Zr-9?
Variance
FEES
Bldg. Permit , Oo
Surcharge : 5 G
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL 5 ?
--'<(?s.1 e A.4e, ? agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
L ?-.?. .
9cAI.E S I":4?i
25
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VICEB
Memorial Hfghw ay
nnesota 55122
12) 452•3077
CERTIFICATE FOR:
NOMEBUROEpS
? LANOCI(VELOPFAS
? pEAITURS
? COMPANIES
MODEL: LAr.IGqS'C OF&
L,i'r ,2y
??? _ .._i.&y.l.5 y..$11e1910..0.1IT E
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r' - - -
13.0
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WAYNE D.
CORDES
- 14675
r
-LEGEND "
0 Aenotes lran Maxm.nt
p Denotes Wocd Hub Sef
„ esz.o a,notes Existiry Spot Elevafion
=N ) Gbnotes Proposed Spot Elevation
?.---Denotes Orainnge Directicn
-PRnPfRTY DE.SCAIPTIGN-
L0T ?, 9LCrK ?4
HAMPTON IIF,IGHTS
accordirg to tir recorded plaf thereof;
Dakota Coun}y, Mimesofa
-r ?•?
y..i ? ?
"`np6mn'nrin?aaw'" I
? .
PROPOSED GARA6E FLOOR ELEVATlON= ;857.p
PfdOPOSEO Top of p8lock ELEVATION- 85 ?•3
PROPOSfO 8AS£+MENTv"FLOOR ELEVATIONF SSq,3 Wlo
f'ropoee.d 635arhe4 lewer Fleer FJGV, = 541.3
NOTE: Verify all floor heights wifh Firel Nause Plsns.
IFI
I hereby certify tlat thia sur+ney, Pfan or report
was prepsrod by ms or urder my direcf supervisim
and that ! am e duly Regiefered iard Surveyor
uder the laws of f Stete of Yrrraesots.
0a'l,µ- 0- Dete: $Iylero
Wsyne D. Cardes, Minn. Reg. No. 14575
1991 BIIILDING PERMI?PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 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 LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS IS6UED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETE?.
PERMIT MUST SHOW A LICENSED PLUMBER.
(-Ppe' -4. ?_
To Be Used For; Valuation: Date: 31AZ
Site Address 3S6 ? g4H/G'4&?
Lot '-'P6 Block y
Parcel/Sub JffBMpTpAU 11e10#7-s
Owner Abe GF'HF/iJ
Address 3SlD?i'' /?.4/bG AUP -
City/Zip Code _ "(qij/V /fj"V
Phone ? /IS/ ?3C?--7 g7/S
?l D
Contractor (J°6jjAj&e,
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
&D0'
USE ONLY
FEES
Occupancy Bldg. Permit
J
18,4)
Zoning Surcharge _
Actual Const Plan Review
Allowable SAC, City
# of stories SAC, MWCC
Length Water Conn.
Depth Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage_ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pwnp _
APPROVALS
Planner
Council
Bldg. Off
Uariance
3 - z )-9/ Q4
SUBTOTAL
Penalty
Lot Change
TOTAL
#F, "i-aH S71A a? 3,e p LEV ?
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
.
CITY OF EAGAN
APPLICATION FOR PERMIT
. .
SEWER AND/OR WATER CONNECTION
*R7PF': PAYMF.KKr QF k'EE AT TIIM OF
APPLICATION m? ? ?
APPFZM OF PEIOUT.
..... __________.-.-------- - --
P ease Print
?1) PROPERTY ADDRESS: 3568 Baltic Avenue, Eagan, MN. 55121
LEGAI, DESCRIPTION: Lot 26 Block 4 Hampton Heights tLOL/tilOCK/JllAQ1V1510II OL"PdX YdrC01 lll $) ..
IF E7QSTING SZRL'C'!L'RE, DATE OF pRIGINAL BC'II,DING PEftMiT ISSL'ANCE: -
Mon Year -
_ PRFSEDTP ZONING/PROPOSID LSE:
? C0i41ERCIAL/RETAIL/0FFICE
Q IPIDL'STRIAL
0 INSTI'IVTIONAL/GOVERNMENNT
? R-1 SINGLE FAMII,Y
Q R-2 DLPLEX (iko T-Inits)
0 R-3 2DWNEiOIJSE (Three + Uni.ts)
0 R-4 APARZPg3V'P/C0NIDOMINiIIM
( [fiits )
( [fiits)
2) NAME: FRONTIER MIDWEST HOMES CORPORATION
• ? ADDRESS: 3908 Sibley Memosial Hig3iway Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
PHOf7E: 454-0433
3) • u?: ?• NAML: STAR PLAMBING Far City Use
Plumbers License:
ADDRESS: 1018 Mound Springs Terrace Act1ve
? CITY, STATE, ZIP: Bloomingtoa, MN. 55420 ???
. Nat recorded
PHONE: 884-4149 MASTER I,I(ELVgE# 3329 St?tial
4) ?.?u•_,??..i?
-24AME: Hoeschen, Dave & Rebecca -ADDRESS: 3485 Greenwood Court South '
CITY. STATE, ZIP: Eagan, MN, 55122
pHONE; 454-3665 •
5) t.? r• r• •a• :n • ? - ??
? COND]E7CPION 'lO CITy gE«St ER CpNNE7CTION 'IC) CITY WATER
a OTHER
6) '? • •?- ? PLFASE HOLD APPROVID PERMIT FCR PICK-UP BY ONE OF P,BOVE ---•- -- .--
ri PL£ASE MAIL APPRUVID PERMIT 2t7 1, 2, 3. 4. ABOVE
(Ciscle one)
7) rr• • ?'?<-o?io?`/ ?' '' ,?.:-??-fS[?
nzpncriorr oF sF,Wmt Arm/cR Wk7Et
IpS'rA7.r_am20I1S WILL NOT SE SCHED-
UI,F9 ilDfl.'IL PERMIT HAS BFII?
APPxovID.
: FOR :CiTY USE ONLY
PERMIT # ISSUED
?
0 L, c
Pd w/Bldg. Permit FEES:
$ ?GS
o $ SEWER PERMIT (INCLUDE SURCHARGE)
$ ?-G $ WATER PERMIT (INCLODE SURCHARGE)
$ 10,?j-S?J $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ?
ACCOC'NT DEPOSIT - WATER
$ ;J CJ D - Cr-o $ WAC
$ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRCNK WATER
$ °a--Z) $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ /.3 `Ir ` .S-D $ TOTAL .
RECEIPT - RECEIPT
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PCBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST SE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SIIBJECT TO THE FOLL OWING CONDITIONS:
APPRQVED BY:
TI2LE:
DATE :Y
? ? ° °
2006 RESIDENTIAL BUILDING rE?iT arrLicaTioN VCity Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenfs
3 reglsfered site surveys showing sq. ft of lot, sq. ft of house; and all roofed areas
(20% maximum lot coverage allaxed)
2 copies of plan showing beam & window sizes; poureA found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservatlon Plan'rf IM piatted afler 7/1193
Rim Joist Detail DpGons selection shee[ (huildings with 3 or less units)
Minnegasco mechaniral ventilation fortn
RemodeVReoair ReQUirements
2 copies of plan showing footings, beams, joists
t set of Energy Calcula6ons for heated adtlitions
1 site survey for addNOns & decks
AddiUon - indicate if on-s'rfe septic sysfem
6fflce"Ils"e onlv
CertofSuW¢yRq 00 Y rv`N
7teePresP.lanRacd =Y=LJ.
,
Tr,eePresRegmred i ,.,Y
Oii-SI,teSeppcS?stem '.,..=YN
?j l?
Date CG /l`/ (?
?Y /J /' 6?
Consfruction Cost 7
SiteAddress Unit/Ste #
Descrip[ion of Work
"UN
O
Multi-FamilyBldg _ YN Fireplace(s) _ 0 _ 1 _ 2 `4?f
'9 ?QQb`
Yroperty Owner??s rrl i c I lko- Telephone # (66-1) ??76W - ). 76
Coutractor
Address C - A City
State + ? )n Zip ? Telephone # (K;j /) ??-? 616 COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residentlal Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit that the work wi11 be in accordance with the approved plan in the case of work which requires a review and
approval ofplans.
1,11,2al"ia
t'Applicant's Printed Name App1icanYs Signature
?
?
? . : ?.?.
,
, .. . .
. .. ., ,
..
1994 PLUMBING PERMIT (RESIDEIVTIAL) -
_ CITY OF EAGAN
- 3830? PILOT KNOB RD' -
, EAGAN MN' S5122 .
(612) 6814675<
PL,EASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR T'OWNf30 'E?;AHiD
CONDOS WHENPERMTTS ARE REQUIRED FOR EACH `UNTT.. ?
,
_-_.____.--_--------------------------------------'_?__
NU. FIXTURES TOTAL,
EAG•
/ SHOWER . .__. . . . -.Y .. .
3.00 ,, .
/ WATER CLOSET 3,00 '.`
BAT'H TUB 3.00
? LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3:00
HOT TUB/SPA 3.00
WATER FEATER 3:00
-
. FLOOR DRA11V 3.00
,
GAS PIPING OiJTLET •minjmum - i 3.00 = -
ROUGH OPENINGS 1.50 °
-
WATER SOFTENER 5.00
° :
PRIVATE DISP: • netcty. uQ 20.00
U.G. SPRINKLER • eome maa ooost. P'
3.00' '
ALTERATIONS • to ?tins 20.00
, WATER TURN AROUND 20:00
_ STATE SURC'HARGE .SU
TOTAL: a0 ' S?
STTE ADDRESSs
-OWNER NAME;
CI'1'Y:: l6 A"i/?/ STATE: .h /1l ZIP CODEs
-
PHONE #: (4/02) ?v?o? -/S?o S .
1?/.l/11?in • nJ i??,t?mJ
sTGNATURE O ERMITTEE
MAR -22-2013 04:50A FROM: TO:6516755694 P.1
41101/` City of Evan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: 1_(]
Permit Fee: l'/) C)
Date Received:
Staff:
2013 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with allcommercial applications.
Date: 511-413 1-(0(Z
13 Site Address: � (o (Z L L- �
Tenant: Suite #:
J
Resident/Owner
Name:TOW fl1\ // 1 id F -e--) Phone:�J' l- 1459 -" 15L0
AA ''
Address / City / Zip: 2 2 m'v /ZZ
Contractor
Name: <-1 S F[-ela-+Iik0 4 ACV Cie,vd . License #:
Address: l NE_ ; i E_ NZi vtie1 L. J'6S
2City:QcII. •J
State: rm.)Zip: .55421 Phone: /1:J—1S I — /t 1•
Contact: Md pOixas Email: OGt-V`t° . d 40145CUi1A-4 (.ril A atR-, Leo
Type of Work
New )( Replacement Additional Alteration Rion
"�Deme
Description of work: It$ -&.0 �V�tNt7�L £Li' \( Ct�1X11CtCs., tl4-Uv-v P"JC.
NOTE: Roof mounted and ground mounted mechanical equipment Is required to be screened by City
Code. Please contact the Mechanical Inspector for Information on permitted screening methods.
Perm It Type
RESIDENTIAL
Y Fumace
COMMERCIAL
New Construction Interior Improvement
X. Air Conditioner
_
Install Piping Processed
_ Air Exchanger
_ _
Gas Exterior HVAC Unit
Heat Pump
Under / Above ground Tank (_ Install / Remove)
Other
_ _
RESIDENTIAL FEES:
560.00 Minimum Add-on or
alteration to an existing unit (includes 55.00 State
bumed out appliances, ductwork, etc.) (Includes
Surcharge) ; 00
55.00 State Surcharge) = $ `` TOTAL FEE
5100.00 Fire repair (replace
COMMERCIAL FEES:
$70.00 Underground tank installation/removal
555.00 Minimum
$1 million, please call for Surcharge
Contract Value $ x 1%
= $ Permit Fee
*If the project valuation is over
= $ 5.00 Surcharge`
= $ TOTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground utility damage. CaIl 48 hours before
you Intend to dig to receive locates of underground utilities. www.uooheretateonecaltorq
I hereby acknowledge that this information is complete end 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 wi be in accordance
with the approv . Ian in the case of work mnl "ch Lequires a review and approval of plans.
x
Applicants Printed Name
S IM
• AAA Pc,beAftS
Applicants Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Cate:
Underground Rough In Air Test Gas Service Test In -floor Heat _ Final HVAC Screening
*'
City of Eaaall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #: / / /(�
Permit Fee:
Date Received:
Staff:
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
Resident/
Owner
Name: Me fl) Me L. eg-
Address / City / Zip: .j vS 816,4G 4t/'/,,,
Applicant is: Owner / Contractor
Type of Work > Description of work: T,r—rn 'e'€Ot
Contractor
Construction Cost:60
‘9 .-00
Phone: Li',,' SI
Multi -Family Building: (Yes / NoA_ )
Company: S'ti,p Ui&.b4,n /4644-e =h'iOroVcn-m -ertrt Contact:
Address: 3.)-- t921 /4/2P.
City: Lf 14/e CQ adq
State%11e) Zip: 61117 Phone: lo. ; j' - %Email: ler2C-W-e/✓e%—
' License #: 6 6 — 6 3 7 '7 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the 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:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-publicif you provide specific reasons that would permit the City to
conclude thattheme r 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.qopherstateonecall.orq
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 permit issuance.
x /C tit" hr-erS
x
Applicant's Printed Name Applicant's Sig
/*tiv,0
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161949
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 3568 Baltic Ave
Lot:26 Block: 4 Addition: Hampton Heights
PID:10-31900-04-260
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 -
Thomas J Mielke
3568 Baltic Ave
Eagan MN 55122--123
(651) 452-1549
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161949
Date Issued:06/19/2020
Permit Category:ePermit
Site Address: 3568 Baltic Ave
Lot:26 Block: 4 Addition: Hampton Heights
PID:10-31900-04-260
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 -
Thomas J Mielke
3568 Baltic Ave
Eagan MN 55122--123
(651) 452-1549
Bruckmueller Plumbing Inc
3992 Pennsylvania Ave
Eagan MN 55123
(651) 686-6696
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175804
Date Issued:04/15/2022
Permit Category:ePermit
Site Address: 3568 Baltic Ave
Lot:26 Block: 4 Addition: Hampton Heights
PID:10-31900-04-260
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 J Mielke
3568 Baltic Ave
Saint Paul MN 55122--123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-7052
Applicant/Permitee: Signature Issued By: Signature