3565 Baltic Ave
Use BLUE or BLACK Ink
r-----------------i
IL41 ~ ~ I For Office Use I
City of Ea Zo,o I Permit#:
Z2, ~ of I 0
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: j
Phone: (651) 675-5675 I
Fax: (651) 675-5694 I Staff: I
- - - - - - - - - -
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
$~lO~
Date: Site /Address: ~
?a5 C~ l~ 6w , /22/t/
Tenant: D r tR' I l.{.Cr~~~lq J6 t Vtcl rki Suite M
RESIDENT / OWNER Name: 'Mo k n Sri l y e tyl Phone: (mil ~ 3 5~
Address / City / Zip: 5 A 4ye-
Applicant is: _zowner Contractor
TYPE OF WORK Description of work: 64-AkI tkA)-Ct C& C44_
Construction Cost: Multi-Family Building: (Yes / No
CONTRACTOR Name: e) License
Address: City:
State: Zip: Phone:
Contact: Email:
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 the 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 approv of plans.
P f
x bro ~ 5D l m x
Applicant's Printed Name Applicant's Sig ture
Page 1 of 2
3~56--f7 /60 / 4UC--
DO NOT WRITE BELOW THIS LINE
SUBTYPES
- Foundation _ Fireplace Porch (3-Season) _ Storm Damage
- Single Family _ Garage Porch (4-Season) _ Exterior Alteration (Single Family)
- Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level Pool Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-Y) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: _ T2 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
81-3 MA N0 SE CERTIFICATE FORS
SURVEYING ► HOME BUILDERS
C) OEELO{•f RS
REALTORS
SERVICES
3908 Sibley Memorial Highway RRONTIE COMPANIES
Eagan. Minnesota 55122
Phone: (612) 452-3077
IK- 6 l / MODEL: HARTFORD -
L-MUM
hc,A•t.~E : ~ rs ~ ~ I
q0
In ~o I
DR A,IN A4e o
~\10 o o' X58
W. ( y U T R L R'fY .
I
LOT
10
N IOA- . ^,y 5~
051'
4(1
m
It
E SoOii~~~//i
.
WAYNE D.
i CORDES t
t 14675
I~l' ` 'Q~'
S~0.0
-LEGEND _ PROPOSED GARAGE FLOOR ELEVATION"
nnnoncrn r-- R I ni•k FI FVAT ION- _
CITY-00 EAGAN WATER SERVICE PERMIT
3030 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: J No. of Units: 11 Owner 1 Oilt'i L f
Address:
Site Address: 7P'_
Plumber: u,.. i,,..
Meter No.: -375( G .3 c~-3 ne on Chorpe: 5 ~l l -
Size: slg~~i9oc6f Oil! dijming, "j 0jjft
Reader No.: D 76 fg9.94d~ TTELMONE • FLGIR~ ~ Etc. 12 . onrr;
I agree to eerily wiflr 60 Ci[Gt= R ter
Total: 63.5t) c'
BY Date Raid:
Dot Insp.: Insp.:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 551A DATE:
Zoning: No. of Units:
Owner:
Address:
Sit Address:
Pltxnber.
Metier No.: Connection Charge:
Size: Account Deposit:
Reader No.: Permit Fee:
1 sfrce to eemply MMb the Qtr of gown Surcharge:
Oriweee. Misc. Charges:
Total:
BY Daft Paid
Doh of Insp.: InaP.:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: No. of Units:
Owner. 't
Address:,
Site Address
Plumber.
II efree ro Goal* wk b do c" of 119"M Connection Chow: ` 7 •
.
0 A - aces. Account DePte, 0 ,
Permit Fee:
Surdwrpe:
BY Misc. Charges:
Dote of Insp.: Total:
I rap. Dote paw:
I
Trrttftrat.e of (Orrupaury
Ctp of (Eagan
atpa rbMt of VaHbmg ,fin n-timt
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.•
Use Qassir"tion _ 'j 1z` Bldg. Permit No.
tF
Occupancy Type F3 Zoning DL+vict Type Corot.
1't31: i{~1, C,r1rv"•
Owner of Building cR. Address
BtWdiogAaereas 765 AAIIi" - ?5, B3, fjA,.r
Dal
Boildiog Ofici d
POST IN A CONSPICUOUS PUCE
CITY OF EAGAN V a7 a.
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt # i~
To be used for Est. Value Date APi, 21 190
Site Address 3565
Lot 5 Block 3 Sec/Sub.-t1A~ ~T01: Ff 1 xj!T: OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name L! 1 (Actual) Const Bldg. Permit
Address 3565 kAL.T;C Lw- (Allowable) Surcharge • 5t?
° EACAN City Phone L52-+1u Sw 00 # of Stories
Length 121 Plan Review
Zp Name Depth 12, SAC, City
0¢ Address S.F. Total SAC, MCWCC
City Phone S.F. Footprints
On Site Sewage Water Conn
w W Name On Site Well Water Meter
a= Address
Phone CiMWCC ty Waterstem Acct. Deposit
Y
PRV Required S/W Permit
I hereby acknowlege that I have read this application and state that the Booster Pump S.iW Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances. Treatment PI
Signature of Permdee APPROVALS Road Unit
A Building Permit is issued to: CS' i, I S IPH LP FENS 7~ Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council 1.00
applicable State of Minnesota Statutes and City of Eagan Ordinances. Bldg, Off. Copies
Building Official Variance TOTAL 27. 50
WATER Permit No. Permit Holder Date Telephone #
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
I
Foundation
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Deck Fig.
Deck Final F QV[
well
GLctq f l ra.. fi`
Pr. Disp.
CITY OF EAGANa ? 1 6
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR Est Value $56,000 Date AUGUST 13 19 86
Site Address 3565 BALTIC AVE Erect 1J ❑X Occupancy R3 Lot 5 Block --3-Sec/Sub. HAi4PTON HTS Remodel 13 Zoning PD
Parcel No. Repair ❑ Type of Const v a
Addition ❑ No. Stories
m FRONTIER MIDWEST HOMES Move ❑ Length 48
Name 3908 SIBLEY MEM HWY., #E Demolish ❑ Depth 36
3o Address Int Impr. ❑ Sq. Ft
city FAGAN Phone 454-0433 Install ❑
a Approvals Fees
o Name SAME
00 i Address Assessment Permit $ 301.00
City Phone Water & Sew. Surcharge 2 ' Ua
Police Plan Review ';4
Name Fire SAC -
Address t~
ija Address Eng. Water Conn. 500.0+7
W City Phone Planner Water Meter 63.5
Council Road Unit 290.0
I hereby acknowledge that I have read this application and state that the Bldg. Off. 8/13/8 Tr. PI. 156.0(
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Citv~i.Eaaan Ordif~nces. APC Parks
_ Var. Date Copies • 5
Signature of Permittee Z2 if 2 F Z' Total , .5
A Building Permit is issued to: FRONT MIDWEST HOMES 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 '
v~ o @ r r„ ~ ~ ~ a 'n r w m x S
a ~ _ g €
o
- w
o
3 ~ \ O Z
_ i
V e
c~ 3
PERMIT #
1 a PLUMBING PERMIT 4 ~d
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN $5121 DATE: r/
CONTRACT PRICE: PHONE 454-8100
Site Address 2>> 7- 6 BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
ii r~ i l / I ' S Res. x New
W Name / rr /V Mult Add-on
m Address ' 4 LA) n' /u C L L Comm. Repair
c city C~ A N Phone yr=~ -!S Other
* n- N / i 1 r NO. FIXTURES TOTAL
Name
Water Closet - $3.00 $
c Address F S. 6) E "I t !n C. is r F -Bath Tubs - $3.00
r _6 2/~3 -Lavatory - $3.00
p City Phone _7
Shower - $3.00
FEES 7-Kitchen Sink - $3.00
COMM/IND FEE - 1% OF CONTRACT FEE -7-Urinal/Bidet - $3.00
Laundry Tray - $3.00 '
MINIMUM - RESIDENTIAL FEE _$10.00 ?-Floor Drains - $1.50
MINIMUM - COMM/IND FEE - 20.00 =Water Heater - $1.50
STATE SURCHARGE PER PERMIT - .50 Whirlpool - $3.00
(ADD $.50 S/C IF PERMIT PRICE GOES =Gas Piping Outlets - $1.50
BEYOND $1,000.00) Softener - $5.00
Well - $10.00
Private Disp. - $10.00
r
s~ .f~~11~`/v ..Rough Openings - $1.50 , 3
SIGNATURE OF PERMITTEE FEE
STATE S/C: ~C
/
FOR: CITY OF EAGAN GRAND TOTAL: ` ~ SC
. .
MECHANICAL PERMIT PERMIT #
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE $1620.0U PHONE 454-8100
Site Address Baltic BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub
L uC "d1=, Res. 'x New
Name wENZ°
Mult Add-on
Address 3600 r,vunebec llrive Com
air
c City Lagan Phone 452-1565 O~them' Repair
Name Frontier Companit., FEES
c 3908-Sibley Mfi :oriz 1. i' ay• Address RES. HVAC 0-100 M BTU -$24.00
0 Cry %;agan phone 454-0433 ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
c U , UUU 0U GAS OUTLETS - 1.50 EA.
Forced Air M BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 SIC IF PERMIT PRICE GOES
U BEYOND $1,000.00)
Gas Piping Outlets #
Other
FEE !5.50
S/C' 15U SIGNATURE OF PERMITTEE
TOTAL•
FOR: CITY OF EAGAN
BL-Db. PERMIT NO.
S~ y
01-3210 Bldg. Permit ;
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn. 4
20-3868 Water Trmt. .
20-3716 Water Meter ,
20-2252 Acct. Dep. 20-3713 Water Permit /
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
t
I
TOTAL; / S S~
This request void /047r]) ~'(o L I 5 p
18 months from d
C-62049 L sP,5 -.\(!~v\ N-~-s ?1 00
Requu~~sss~~~DDDate Fire No. Rouah-in Inspection
/ I t e / L / Regw red? ❑ReadV Now [g.V/ffl Nntily Inspec-
t/ C~ ~p ®4s ❑No for When Heady
(DAIS.nsed Electrical Contractor 1 hereby request inspection of above
❑ Owner electrical work installed at:
Str Add ress, box or flue No. Cily *-94
Section No. Township Name or No. an,e No. County ,
Occ ant INT) Phone No. ,N(~( /
10 E IJ W Sr Lks -D 33
Power plier - Address
Electrical Contractor (Company Namel Contractor's License NO.
KENDRICK ET.F.('.T r a
Mai.l in tldr s ( o r r w r Makin In I la ti on)
Auth t r O ation)
Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Orims-Midwev Bldu. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave.. St. Paul. MN 68104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 6420800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ES-00001-05
See instructions for completing this form on back of yellow copy. 6-7 R35
"X" Below Work Covered by This Request
ft4Addl Rep- Type o1 Building Appliances Wired Equipment Wired
Home Range Te porary Service
Duplex Water Heater ightiny Fixtures
Apt. Building Dryer Electric Heaton
Commercial Bldg. urnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm lher (Specify) Other Isnerffyl
Other peu y Other Other
ompute Inspection Fee Below
N Fee Service Entrance Size ft Fee Feeders/Subfeeders Fee Circuits
0 to 200 Amps 0 to 30 Amps .O 0 in 30 An ;p,
Above 200 gmp5 31 to 100 Amps O 31 to 100 Am
D Swin7ing Pool Above 100_Am s Above 100_Amps
Transformers Irrigation Booms Partial-'Other Fee
Signs Special Inspection q /
arm rks / TOTAL/FEE 1
r ( 2v--7 0J
Rqugh-in Date~/~(~r" I, the Ele •ie5t
e !4 Inspector, hereby
Final ate certify that the above
inspection has been
j-
c r metle.
This request VOW 18 months from
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
t I I 3830 PILOT KNOB RD, EAGAN MN 55122
7 `J 651-681-4675{, S
New Construction Requirements Remodel/RePalF Requirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas . 2 copies of plan
(20% maximum lot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam & window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
1 set of Energy Calculations . Indicate if home served by septic system for additions
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
. Rim Joist Detail Options selection sheet (bldgs with 3 or less units)
12123
DATE /VALUATION /
SITE ADDRESS JS~~u.~7r MULTI-FAMILY BLDG _Y Z!tv
TYPE OF WORKS / no FIREPLACE(S) ✓0 - 1 _ 2
APPLICANT
STREETADDRESS_3~IoS a J7YC C_ITY_tKj 9~.~S_T_ATE/YI/li_ZIP
TELEPHONE # lpS(- loaf-&PUCELL PHONE # FAX #
PROPERTY OWNER 0 - `fie&el _ TELEPHONE# I~~~~I~PF l ~U
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY I _ MINNESOTA RULES 7672
(V submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Contractor: Phone #
Plumbing system includes: _ Water Softener _ Lawn Sprudder Fee: $90.00
Water Heater No, of R.I. Baths
No. of Baths
Mechanical Contractor: Phone #
Mechanical system includes: _ Air Conditioning Fee: $70.00
Heat Recovery System
Sewer/Water Contractor: Ph on I V J I U O LJU, 'I
I~~ LJI
I hereby acknowledge that have read this application, state that the inform c
atio u's orrect, and agre__Icomply
with all applicable State of Minnesota Statutes and City of Eagan Ordi ces. - _ _
Signature of Applicant Cl~
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 776
DATE: 09/13/00 TIME: 13:58:24
ID:
NAME: PANELCRAPT OF MINNESOTA INC
3210 9001 3565 BALTIC AVE 223.25
2155 9001 3565 BALTIC AVE 6.50
Total Receipt Amount: 229.75
CR137281
TTZFR ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF FAGAN
3830 PILOT KNOB RD - 55122 ✓ o~
49 - 3 33
651.681-4675 Oo7a 9. 7
New Conshu ton Reauiremenls Remodel/Repair Reaulremenh
D 3 registered sRe surveys stowing sq. K of lot, sq. ff. of house 2 copies of plan
and gp roofed areas (2096 maximum lof coverage atiowedl i set of energy adculaMons for hoofed additions
➢ 2 copies of plan (how beam & window sizes; poured fnd. design; etc.) 1 sBe survey for exterior additions ✓1 decks
n I set of energy calculations
9 3 copies Of free preservation plan H lot plated offer 7/1/93
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK: S/ 1!9/1 LSD Le,-~Jl f SC/A"
STREET ADDRESS: 3 5 (OS L~ q ~L / ~i /T 11
LOT: J BLOCK: 2 SUBD./P.I.D. If: HC nn Y) ~Qt~t i k
Name: 150 Aelm Phone
PROPERTY tat First
OWNER
Street Address: .3.S (0 S Q C G J~ ✓ - )
City EC a,-7 State: ~/v LP:
Company~ltr✓te/L' 9f / o/ 11 /A Phone N: 61,;?- -7.2 (oa
(area
CONTRACTOR r code)
Sheet Address: 3//i> Jne" 9 1(~ V,e • - LkJense fi a~/ 7 E p. 31 i1/
City .2/5 State: Zip: SS 4`l)
ARCHITECT/
ENGINEER Company: Name:
Telephone C ( )
Sheet Address: Registration t:
City State: Zip:
Sewer/water licensed plumber !}f installing sewer/waterPhone L___)
I hereby acknowledge that I have read this application, slate Mat the Information Is correct, and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant n(,Q? C~CAYY~
FICE USE ONLY SEP 13 2000
Certificates of Survey Received Yes No !
~Y:
Tree Preservation Plan Received Yes No Not Required
CITY OF EAGAN
CASHIER: JS TERMINAL NO: 794
DATE: 09/28/00 TIME: 10:18:21
ID:
NAME: CAROLYN K SOLHEIM
3210 9001 3565 BALTIC AVE 111.25
2155 9001 3565 BALTIC AVE 2.50
Total Receipt Amount: 113.75
CR137957
USER ID: JAN
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122 I ~J,15
' `I 3 V 651-681-4675 Coped q-2
New Construction Reoulremenh Remodel/Repair Reoulremenh
3 registered sfte surveys stowing sq. K of lot sq. ft. of house 2 copies of plan
and g11 roofed areas (20% mautmum lot coverooe allowed) 1 set of energy calculations for heated additions
D 2 copies of plans (show beam a window sizes: poured krd. design: etc.) 1 site survey for exterior additions a decks
D 1 set of energy calculations
3 copies Of IrG pre rvation plan if lot platted after 7/1/93 100 i- ~ls
DATE: CONSTRUCTION COST: ~-l-J
DESCRIPTION OF WORK:
STREET ADDRESS: M
C' evio~
LOT: S BLOCK: 3 SUBD./P.I.D. O&JAL
Name:_6)A'e4w- d~ Phone
PROPERTY Lost / First /
OWNER Street Address: Q
7J flan
City JFR et State: Zip: 2L192=
Company: Phone C
(area code)
CONTRACTOR
Sheet Address: License # Exp.
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone ( )
Street Address: Registration C
City State: Zip:
Sewertwater licensed plumber (H installing sewerrwaterl: Phone (
I hereby acknowledge that I have read this application, state that the information is co act, and agree to comply with all applicable State
of Minnesota Stables and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received Yes No ( 1
SEP 2 6 2000
Tree Preservation Plan Received Yes No Not Required
L
OFFICE USE ONLY
BUILDING PERMIT SUBTYPES
❑ 01 Foundation ❑ 07 05-piex ❑ 13 16-plex ;FV 21 Porch (3-sea.) ❑ 31 Ext. Aft - Multi
❑ 02 SF Dwelling ❑ 08 06-plex ❑ 17 Garage ❑ 22 Porch/Addn. (4-sea.) ❑ 33 Ext. Aft - SF
❑ 03 01 of_ plex ❑ 09 07-plex ❑ 18 Deck ❑ 23 Porch (screened) ❑ 36 Muni
❑ 04 02-plex ❑ 10 08-plex ❑ 19 Lower Level ❑ 24 Storm Damage
❑ 05 03-plex ❑ 11 10-plex Plbg _V or_ N ❑ 25 Miscellaneous
❑ 06 04-piex ❑ 12 12-plex ❑ 20 Pool ❑ 30 Accessory Bldg.
ORK TYPE
31 New ❑ 36 Move Bldg. ❑ 43 Reroof
32 Addition ❑ 37 Demolish (Bldg)' ❑ 44 Siding
❑ 33 Alteration ❑ 38 Demolish (Interior) ❑ 45 Fire Repair
❑ 34 Repair ❑ 42 Demolish (Foundation) ❑ 46 Windows/Doors
• Give PCA handout to' applicant for demolition permit
GENERAL INFORMATION
SAC Code 0/ # of Stories sq. ft.
No. of Units 1- Length sq. ft.
No. of Buildings Width Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code V2 Z/-
(Allowable) %-A/ Main level sq. ft. MC/ES System
UBC Occupancy, P-? sq. ft. City Water
Zoning RT l sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
❑ Stucco/Stone
APPROVALS
Planning Building 6'IX Engineering Variance
Permit Fee Valuation: $ oaz)
Surcharge n
Plan Review 3/Seasdx / c,c~~
License nj ~v x ~3 ad/ ~y
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Park Ded.
Trails Ded.
Other
Copies S
Total:
SAC Units
% SAC
SIGMA N-OBE CERTIFICATE FOR:
At,
LANG GEV
SURVEYING A~ HOME aU4O
EU)1{Rg
REALTORS
SERVICES ~
3908 Sibley Memorial Highway C rR~ NTIER COMPANIES
Eagan, Minnesota 55122
Phone: 1612) 452.3077 ~r
MODEL: HAItTpoRD -L-
hcAl,B
I Lt. "T 3 L:.`f 4 I
I 2S
~5*P
° o.. r. _ it
a _
I.
gRAINA4g o ~I :3
o 0A,
LOT 5 IL
.41 "
Q, I ~d
SL
I
y
sfc; WAYNE C) %
j CORDES !
E
-14675 -
~a
n'nruruuunraln°N
-LFGENO 6ARA6E FLOOR ELEVA TION- f100'4
~ A PROPOSED Top of Block ELEVATION -tL0--1-j
CITY OF EAGAN N4 16331
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
//:_'1 PERMIT ~
BUILDING PHONE: 454-8100 Receipt # /tG~
To be used for DECK Est. Value $1,000 Date APR 91 19-8-q
Site Address 3565 BALTIC AVE
Lot 5 Block 3 Sec/Sub. HAMPTON HRTCHTS OFFICE USE ONLY
Parcel No. Occupancy FEES
Zoning
W Name CHRISTOPHER BENSON (Actual) Corral Bldg. Permit 26.00
9 Address 3565 BALTIC AVE (Allowable) 50
Surcharge .
City EAGAN Phone 452-8654 (H) #of stories -
Length 121 Plan Review
Zp Name SAME Depth 17' SAC, City
u< Address S.F. Total SAC, MCWCC
City Phone S.F. Footprints
On Site Sewage Water Conn
Fw Name On Site Well Water Meter
a= Cddress Phone C'ryWaeYstam Acct Deposit
y PRV Required SNd Permit
I hereby acknowlege that I have read this application and state that the Booster Pump SAN Surcharge
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Cityy~ Ea 'an Or maa e~s. /tom/ Treatment PI
Signature of Permitee ' Y1WJ R- -jEVr•~ APPROVALS Road Unit
A Building Permit is issued to: C RISTOPHER BENSON Planner Park Ded.
on the express condition that all work shall be done in accordance with all Council 1.00
applicable State of./Minnesota
.(Statutes and City of Eagan Ordinances. Bldg. Off. Copies
Building Official _ f 1_iHl 1~~.~A 2 Variance TOTAL 27.50
v
1989 RUTLDTHG PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS 14 M I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE 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
m, I.eeL
To Be Used For: ~EL~G Valuation: 000 Date: -
Site Address S~SaGTi~ /9✓~ OFFICE USE ONLY
Lot Block_ Occupancy FEES
Zoning
Parcel/Sub N+ptbR1 o--1 ~Degy, Actual Const Bldg. Permit 24,0u
Allowable Surcharge S
Owner # of stories Plan Review
Length SAC, City
Address ' 5S 5- Depth 12 SAC, MWCC
S.F. Total Water Conn
City/Zip Code /~?yr rh0 SS/ Footprint S.F. Water Meter
Acet. Deposit
Phone~~/SoZ-~6f 13~r -'/,73g On site sewage S/W Permit
On site well S/W Surcharge
Contractor MWCC System Treatment Pl.
City water Road Unit
Address PRV required Park Ded.
Booster Pump _ Copies ,ov
City/Zip Code TOTAL MM so
APPROVALS
Phone Planner _
Council
Arch./Engr. Bldg. Off.
Variance
Address
City/Zip Code
Phone #
NOTE: Sewer & Water Permit fees and account deposit fees will be included in the building
permit fee. Processing time for sewer and water permits is two days once a licensed
plumber has applied for a permit at City Hall.
SIOMAJ HO SE CERTIFICATE FOR:
HOME BUKPEB6
SURVEYING EANG OEVEEnntRS
!'U REALTORS
SERVICES nrr `"10'w■
3808 Sibley Memorial Highway FRO COMPANIES
Eagan. Minnesota 55122
Phone: 1612) 452.3077
p,S
Q. MODEL:HAKtFoRD -L-
;l
yc.AL 6 lu;4 I I
~a Q ` o 24
DRA1~AsE@ ✓ t a \I S ~ ~g!k
w U ~
TILITr - ; x
o o q, al
t ~T 12. 'r p T s~.
Lo s
a51y ` ,
L OZ S 1
.nN~~s
* CORDES
i
i E
14675
S U uR 1
PROPOSED GARAGE FLOOR ELEVATION= S&O.O
-LEGEND PROPOSED Top of Block ELEVATION-
O Denotes Iron Morrent
Nord Nub Set PROPOSED BASEMENT FLOOR ELEVATION
A Denotes ~~~•3
x e(,o.° Denotes Existing Spot Elevation NOTE. Verify all floor heights with Final House Plans.
fA sw.~) Denotes Proposed Spot Elevation
-Denotes Drainage Direction ~q~pyEyd~ IFIGITI~I-
1 hereby certify that this survey. Plan or report
_PERT1' DESCRIPTION- was prepared by me or under any direct supervision
and that I am a duly Registered Lard Surveyor
LOTS SLICK 3 under the laws of the State of Minnesota.
HAMPTON HFIGHTS n 8/L f$6
according to the recorded plat thereof, 4/, lp~lcL Date;
Dakota County, Minnesota Mayne D. Cordes, Minn. Reg. No. 14575
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN 0)33
3830 PILOT KNOB RD - 55122 tr S
C» r 651-681-4675
!construction Requirements Remodel/Repair Reautremenis
> 3 registered site surveys showing sq. N. of lot, sq. ft. of house 2 copies of plan
and all roofed areas (207, maximum lot coverage allowed) 1 set of energy calculations for heated additions
> 2 copies of plans (show beam & window sizes; poured Ind. design; etc.) 1 site survey for exterior additions & decks
> 1 set of energy calculations
ree preservation plan R lot platted after 7/1/93
> 3 copies of t&'Z
DATE: CONSTRUCTION COST:
DESCRIPTION OF WORK:[ L~.~37
STREET ADDRESS: ~3d'6S Q/1G 4'e44cLJ
i t
LOT: rJ BLOCK: 3 SUBD./P.I.D.
Name: v~Z/i Ecfrt~ 7~~LlIJ Phone
PROPERTY Last el' First
OWNER
Street Address: s~S ~>lGyKi~/GGc¢~
city `-'4A4--) State: LIN /0 Zip: ~cr/ZZ/
• Company: ~GfCff ~I/~ t~i~~ Phone rPFaGt7
(area code)
CONTRACTOR ~
Street Address: ~//S cf-xerrLL/Z~ KGGCdLLGE L( License # / 9 Exp. O Dp
City State: Zip:
ARCHITECT/
ENGINEER Company: Name:
Telephone area code ( )
Street Address: Registration
City State: Zip:
Sewer & water licensed plumber (required for new construction only):
Penalty applies when address change and lot change is requested once permit is Issued.
I hereby acknowledge that I have read this application, state that the Information Is correct, and gree t~with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
• Signature of Applicant: C/Z."
OFFICE USE ONLY
Certificates of Survey Received Yes No
Tree Preservation Plan Received Yes No Not Required
1
OFFICE USE 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. (4-sea.)
03 1 of _ plex ❑ 08 6-plex ❑ 13 16-plex ❑ 18 Deck ❑ 23 Porch (screened)
❑ 04 2-plex ❑ 09 7-plex ❑ 14 Apartments ❑ 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 11f 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 Reroof
* Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) 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
# 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 1g a5 Valuation: $
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded. `
Other
Copies
Total:
SAC Units .
% SAC
3830 Pill Knob Road! P.O. Box 1--1 9, Eagan, MN 55121N2 12446
/ / y -
BUILDING PERMIT PHONE: 454-8100 Receipt If ~>T
To be used for SF DWG/GAR Est. value $56,000 Date AUGUST 13 19 86
Site Address 3565 BALTIC AVE Erect R3
Occupancy
Lot 5 Block 3 Sec/Sub. HAMPTON HTS Remodel ❑ Zoning PD
Parcel No. Repair ❑ Type of Coral. `Zn
Addition ❑ No. Stories
a Name FRONTIER MIDWEST HOMES Move ❑ Length 48
2 Demolish ❑ Depth 36
Address 3908 SIBLEY MEM HWY., #E Intlmpr 11 Sq. Ft.
° city EAGAN Phone 454-0433 Install El
x Approvals Fees
° Name SAME
$a Address Assessment Permit $ 301.01
city Phone Water & Sew. Surcharge 28.01
Police Plan Review 150.51
Fw_ Name Fire SAC 575.01
s Address 500.01
v _ - Eng. Water Conn.
a W City Phone Planner Water Meter 63.51
Council Road Unit 290.01
I hereby acknowledge that l have read this application and state that the Bldg. Off. 8/13/8 Tr. PI. 156.01
information is correct and agree to comply with all applicable State of
Minnesota Statutes and Ci an O nces. APC Parks
-tlm
Signature of Permittee Total Date otal $2,064.511
Total
A Building Permit is issued to: FRONTI~w MIDWEST HOMES on the express condition that
all work shall be done in accordance with all app6 ab Staff to nn 0 a tut s and City of Eagan Ordinances.
Building Official
y
dof A
1986 BUILDING PERMIT APPLICATION - CITY OF FAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MULTIPLE DWELLINGS - RESIDENTIAL RENTAL UNITS FOR SALE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE 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,
$2,000 LANDSCAPE BOND
To Be Used For n Valuation: Date
Site Address OFFICE USE ONLY
Lot O Block J Erect )4 Occupancy L3
Remodel Zoning p
Parcel/Sub s Repair ' Type of Const
Addition # of Stories
Owner 01~ a i/~yAe Move Length
Demolish Depth
Address ~3J3 Int.Impr. Sq Ft
_ Install
City/Zip Code
Phone / lP APPROVALS FEES
Contractor / Assessments Permit 3~ 1
Water/Sewer Surcharge y,
Address Police Plan Review
Fire SAC 57~
City/Zip Code 5 Engr Water Conn 5(~~
Planner Water Meter 9
Phone Council Road Unit 29D
Bldg Off Treatment Pl /5(~+
Arch./Engr. APC Parks
Variance Copies . J
Address TOTAL -5-0
City/Zip C e
Phone #
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
SIGMA HOLSE CERTIFICATE FOR;
SURVEYING bioMELANDDLYELO PFNS
SERVICES NEM Fpq;
Air
3908 Sibley Memorial Highway FROG Nr TIE COMPANIES
Eagan. Minnesota 55122
Phone: (612) 452-3077
MODEL: HARTFORD -L-
~aurAl.6: )s=~ I I
I L.:-f 3 ' •.•-r 4.
I "2S
°
Sim
4-i "I
D}~RuAIr1Aas@ , ~ i ~ A
LIT' 12 ~ 0' 1 LOT S 0PX gi`i y _ 3000
I NI
{ )
L
I r b
x --a .tea- N_q° 41 f_PO° w. 1yx t- xs
L oZ 4 l
1
rid
WAYNE
i CORDES j
14675 -
7y
_LEGEND_ PROPOSED 6ARA6£ FLOOR ELEVATION= 8(00.0
0 Denotes Iron Mommnt PROPOSED Top of Block ELEVATION- f"5/o6.3
= Denotes Ward Hub Set PROPOSED BASEMENT FLOOR ELEVATION= 55.7-3
9861.1 Denotes Existing Spot Elevation
MITE Verify all floor heights with Final House Plans.
Denotes Proposed Spot Elevation
--Denotes Drainage Direction _glpl/FY~ts GEWiFIC010rl-
1 hereby certify that this survey, plan or report
-PAOFERII' GIESCRIPTILri- was prepared by me or under my direct supervision
LOTS BLXX 3 . and that I am a duly Registered Lard Surveyor
order the laws of the State of Minnesota.
HAMPTON HEIGHTS
accordirg to the recorded plat thereof, I1,,,, Q ate: 8/&, 1S6
Dakota Canty, Minnesota Wayne b.. Cordes, Minn. Reg. No. 14575
.;,VJv, e~T'm~+ f7Cb6~v~ Page 1 of 4
IOR. ENVELOPE AVERALE "I1" EONNITATION
SITE ADDRESS: PHONE:
CONTRACTOR: PeoiTt M
Determine working square f00t3{7e of each
1. Total exposed wall area..... sq. fL. x .11 = 6d
2. Total roof/ceiling area..... Sao T „
sq, ft. x .026 -_C~'•~ O
Total exposed wall area above floor=
a. Total wall window area
b. Total door area
c. Total sliding glass door are;,,,,,,,,,,,,„ 3 9
J. Total fireplace wall area Z
e. Total wall framing area (average 1. . 185. 7
-
f. Total rim joist area............ .
2
9• net wall area above floor.Z.Nt. " " '
- -
h• wall area above floor
-
i• wall area above floor..........
J• frarne wall area at foundation
Total exposed foundation area=__ Z 5 -
k. Total foundation window area
1. Total net foundation area above grade............
Determine "u" value of each wall segment
(e.g. window, door, each separate wall section)
4R 6 7, X 1. U 11
b. '45
C. X "'lJ" 0z z. &
h. X V
j. X U., -
k. if item #3 is the same
as, or less than °'item
;
1•_~m~• L X "U" #1, You have met the,'-,:
..Z____° ~p intent of SBC..6006 `c)
3.
...........Total
' L'xt('rjor 8nvolopc Twerngc Iw, com ut..ati.on Page 2 of 4
ToLal exuosod roof/ceiling area ~gc~
m. lbtal skylight area
n. Total. roof/ceiling frvming area (average 104.)...
o. Total net insulated roof/ceiling area........... A 7
Determine "U" value for each roof/ceiling segment
M. x „u,l n. x lull
4 Total
If total of P4 is the same as, or less than 42, you have met the intent of
SBC 6006 (c) 1.
Alternate Building rnve]-ooe Design
To utilize the total envelope 'system method, the values established by the sum of
items #3 and (t4 shall not be greater than the stun of items P1 and ii2.
1. Zd~. L_ + 2. _ ~f~,
of + 4.
C. U:'r'! t .J,l r'1.7utu? unll nro, [uC
` Irnm•; t.n:.t ruci lun r?,;_t;u~ ~ i. vn1n; .
Ale AII-M
' • Y Cry. F' `sue
7 00
LAIL
P1G. 11 T011VIMq OF
FIWili ltALl, 1nCrr'Inr nit- `11n; f 6A
'i.! Viet
r a 'C~ ,Cello
f.t•r iur nir 0.17
FIG. P2 -i---- PuLal-
i. SrAL rA
};xttor (or nir i i Irn 0, i'!
'~•-__T-_ - -
. it . Q -----0
y
it'l
SlAii DH i;MDE dd
t, fir( r 1 1
77
y ' /rr
04
G. 13
t
r } ~ ~;u•I'C: ln,ll,:nn• ly,~r "'i" v,,!uu, Jr_ntlt and
I o ~ i,, I i I,1 n',: r•n~•, irr;i l.,Sinn.
' fi.OQF/CEILI:lC
Construction R-Valtc
1. Interior air film 0.61
--cam ~ , ~ p ~R
4. Exterior air film (still) 0.6
Total 2 4s8o
1-02 (J= ,p2
• Fr~fi+~t ~
znted Eea[ flow 1. Interior air film 0.G1
up 2. G
3. 1 `11.~5-uL _ 38.35-
d. F,xteT- air 'n (stilS ~6I
- Total 2•
FIG. D5
o24.-
COA-51,RVCT/ my~_
~ll,~•t a+~~.Vl:n.-1 t°L.~ .•v,.ll-•~tJ Rt;t~
1_ Inside air film 0.61
2-
3.
4.
: P/1 5. Oulsidc air, fiLn 0 .17
j((f~~~~i^/lI,~~I U~l ~jj
'11 Total
-r
- -
1. Inside air film 0:61
CLL floe up - , • I VCntad 3-
4_
• 5. Outside air film 0.17
•jrlG_ E6.'. Total
1_ Inside air film 0.61
3- '
~~~.v~,I~.'.::.:':: ••r_'~~~r ~ ---1 4~ ~
Outside ai.r film 0.17
Total
HUI-^;IZ7 Note: use additional sheets if more rpaco is
needed for deta-ZI.S and calculatioo'ns.
Heat
flow up
Fir-
MIA, rM INM
N *1+
V
fr. M,: r,wl:,t rucl lun cc•it.u i l i. n I,_.V,,tV)
r Il,
! ~ 5 ~PG~.B>ZIGK _ ..._tl
IC G, Paler i;.r 0.17
11d ~ o(nl Z.-fS f
FIG. Al =4VIEd OF..
MULE NAW
' fr
f,
Exto t':or_;i.- liln 0172
'lutal~
FIC 112 u> ~ ,
I ....-~O ~r f f
4 p i ,.i!
i
! 1, 1n1.r.::ur nrr tiL',I t1.69
)rizaj~ 7:
}_xtcrlor Air lilm-- - --!;.11
To t ;I I
Cllr.i (R
IT 101
L) C
-
41 f,
Y _ 1 t
;
w
a 1 y ,'A~ti
1 /1~ 1s r wk
_ ~ l}lYt't:: kridl~at ly~,C, " ~•alu~ d~uCli nnd,n cy~nT'a~~~e,'~.
c.
as
1 }..e ; .,t, ~ f:l r•.r^.,. nc. of
PLAN
L.irjE 4L FT, EXPOSED WALL
5L.04- k ; 7Z.+ 4~.~ ro rZ~.S
~.u~E ~z.+ 4~•S _ coy. ~ -
;:ULL► Zit 48 +s= rz~
pod , I=
~r Iz--EPLAr.E ; orm, I
lZ l t-t : i ! ~ ~
SKP'osEiI!5 WALL. AZE.A
t3Lac►~'c ~~•S X , S = 64, ZS
x 5- 51,
1::uLL k
r 7 t . /.d
F. P, To~-A L,
SQ.~t • EXPOSED GEI LiLiq
Q W DW5 ~j Doops i:~ 31AM
-zoo 36 7
74146:. 4::-32
2s~ PA-Flo DIZ.S. ~ 0_.
zC4 3roa v
ic:
xxxxxxxxxxxxxxxxxxx....xrxxxxxxxx~
C I TY O F E A G A N * 'a0 PAYMRBR OF FEE AT TIME OF
APPLICATION DOES NOT CO16TITUTE
APPROVAL OF PERMIT.
APPLICATION FOR PERMIT
lot * INSPDCTION OF SEWER AND/CR2 WATER »
* INSTALLATIONS WILL NOT BE SCBED-
SEWER AND/OR WATER CONNECTION * ULED UNTIL, PM'IUT BAS BEEN
w APPROVED.
* *
Please Print
1) PROPERTY ADDRESS: -ft ( -
LEGAL DESCRIPTION: -
Lot Bock ubdivis on or ax Parcel ID )
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
(Month/Year)
PRESENT ZONING/PROPOSED USE:
CaAMMCIAL/RETAIL/OFFICE ® R-1 SINGLE FAMILY
INDUSTRIAL R-2 DUPLEX (Two Units)
INSTITUTIONAL/GOVMWENT R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTM3Wr/CONDOMINIUM ( Units)
2) r ~1
NAME: FRONTIER MIDWEST HOMES CORPORATION
ADDRESS: 3908 Sibley Memorial Highway Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
PHONE: 454-0433
3) NAME: STAR PLUMBING For City Use
Plumbers License:
ADDRESS: 1018 Mound Springs Terrace Act1Ve Expired
CITY. STATE, ZIP: Bloomington, MN. .55420 -Not recorded
PHONE: 884-4149 MASTER LICENSE# 3329 Sta~Initial
4) • ml-
NAME: S
ADDRESS: ~3/ 7 4h
CITY. STATE, ZIP:- "I fy)N _s 2-
PHONE: Fes` 5~9 3
•g} / r• r: •:r •
® CONNECTION TO CITY SEWM CONNECTION TO CITY WATER OTHER
6) u • r ® PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE -
PLEASE MAIL APPROVED PERMIT TO 1, 2, 3, 4, ABOVE
(Circle one)
7) a r• r Ii )Q
ssk~
• r • r • • • • r • • • ~ r~• a r• 1•• • • • • a• • • •
. FOR :CITY USE ONLY
PERMIT # ISSUED
a z_
Pd w/Bldg. Permit FEES:
, S d $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$,3• J $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOUNT DEPOSIT - WATER
$ -5",v). CJZ $ WAC
$ ~ 2S 06 $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ I-, K4. O $ WATER.TREATMENT PLANT SURCHARGE
t $ $ OTHER:
TOTAL _
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: t E plc cx~'u~
TITLE:
DATE: ./2p
I -
4b~
City of Eajan I Permit
I
~ Permit Fee: - vv I
I
3830 Pilot Knob Road r G I
Eagan MN 55122 i Date Received: a p i
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 Staff:
- - - - - -
2008 rr~~ MECHANICAL PERMIT APPLICATION
Date: 12'13'01 Site Address: 3565 Baltic Ave
Tenant: John Solheim SuiteM
RESIDENT/OWNER Name: John Solheim Phone: 651-235-9954
Address/City/Zip: 3565 Baltic Ave Savage 55378
CONTRACTOR Name: Ron' s Mechanical Inc License
Address: 12010 Old Brick ayrd Road
City: Shakopee State: mN Zip: 55379
Phone: 4 4 5- 8 5 98 5 Contact Person:
TYPE OF WORK New 4- Replacement Additional Alteration Demolition
Description of work:
PERMIT TYPE RESIDENTIAL COMMERCIAL
Furnace New Construction _ Interior Improvement
Air Conditioner - Install Piping _ Processed
- Air Exchanger Gas Exterior HVAC Unit
HVAC units must be screened
_ Heat Pump _ Under / Above ground Tank Install / _ Remove)
Other " When installingtremoving tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50:50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract value $ x1%
$50.50 Minimum (includes State Surcharge)
- If Permit Fee is less than $1,000, surcharge is $.50. $ Permit Fee
If P M Fgg is > $1,000, surcharge increases by $.5o for each = $ State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
1 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 witho i a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
X_ Linda ,,-~w wda( x
Applicant's Printed Name App cant's Signet
p
FOR-OFF"
PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA102120
Date Issued: 11/16/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 3565 Baltic Ave
Lot: 5 Block: 3 Addition: Hampton Heights
PID: 10-31900-03-050
Use:
Description:
Sub Type: e-Siding Construction Type:
Work Type: Sidin,
Description: House
Census Code: 434- Occupancy :
Zoning:
Square Feet: 0
Comments: 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.
Carbon monoxide detectors are required bn law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
l\Iasberg Inc Jolm E Solheim
26850 Navlor Avenue 3565 Baltic Ave
New Prague NIN 56071 Eagan NIN 55122
(612) 382-726
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature