4755 Beacon Hill Rd9- qotco eA 7)6
; ___ f__-_______
?
j Permit #: 613 f
Uty of Eatan
I Permit Fee: ?
3830 Pifot Knob Road Eagan MN 55122 j Date Received: i
Phone: (651) 675-5675 I Statf: ?
Fax: (651) 675-5694 I ?
. V----------------J
2008 RESIDENTIAL BUILDING PERMIT APPLIGATI4N
Date: t zt) V t/ Site Address: 'T lt ?/? ?aC ?? Ib/ [ P
Tenant: Suite #•
RESIDENT! OWNER Name: ? ?Phone:
Address ! Ciy / Zp:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: E%w ? " &
Construction Cost: elvl Multi-Family Building: (Yes t NoX-}
? ??
CONTRACTOR Name: License #: M'Q?
Address: 0+
;
City: ? 11State:?? Zp: S5Q
Phone: t051 '`"1 A9 -L43olO Contact PerSOn:
COMPLETE THIS AREA (?NLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code • Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
Cateypry Subrtidted submitted
(4 submtssion type) • Energy Ernetope Calculations Submitted
In the last 12 moMhs, hes the City of Eagan issued a permit tor a slmllar plan based on a maeter plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor Phane:
.
,f
, ..._.. , ..... ?x„? , ,;?.,. _ . . _ . ? `.
I hereby acknowledge that thts iMorrnatlon is complete and acourate; that the work wip be in coriiortnence with the ordinences anci cfldes of the Cil}r of
Eagan; that I understand this is not a permit, but onty an applicdon tor a permit, and work is not to stert without a pertnit: thai the work wiA be io
accordance witl? Me approved ptan in the case of worls which requires a review and approval of ptans.
?
X /*& fi-IIIAIMVII X ` ?
Applicant's P nted me Applicant's Si ture
Page 1 of 3
W ? ( /
.
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knab Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-575-5694
dT--s
New Con§truction Reauirernents RemodellRepair Reauirements Oft Use Qnlv
3 registered site surveys showing sq. ft. o( lot, sq, fl. of house; and II, roofed areas 2 copies of plan Ced ur5?lrvey R?Cif aY _ N
(20% maximum lot coverage allawed) 1 set of Energy Calculations far heated additions Tr6? PreS Plari Rei.!
2 copies of plan showing beam & window sizes; poureci found design, etc. 1 site survey for additians & decks 'Frte Prta Required? iV
1 sel of Energy CaEculations Addition - indicafe Nonsite septic system On-site; veplc SyStsm _ Y_ N
3 coples of Tree Preseroation Plan it lot pletted aftar 7l1I93
Rim Joist betail Options selection sheet (buildings with 3 or less units)
Date _C-?I ? lv 0S Construction Cost '7,? ? lcb ca
Site Address L'?? ??? ??1?1 ? ? ?? ?• Unit/Ste #
Description of Work ? ?
S l 1. .
I
) I t
. :
Multi-Family Bldg _ Y_ _-
N Fireplace(s) _ Q 2
Property Owner Telephone # 1"61) ?(0StG"' q`'id1-
Renewal By Andersen
Contractor 1920 Courtty Rd. "C" West
Address Roseville, MN 55113 _ City
State 651-264-4777 Aone # ( }
License #20130983
COMPLETE THIS AREA ONLY IF CGNSTRUCTING A NEVY BUILDING
- Minnesota Rules 7570 Category ] Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Workshest New Energy Code Worksheet
(q submissian type) SubmiCted Submitted
• Energy Envelope Calcu4atians Submitted
Have you previausly constructed a building in Eagan with a similar plan? __._ Y_ N If so, 25% plan review
fee appfies.
Licensed Plumber
Mechaniecal Contractor
5ewerJWater Con#ractor
Telephone # {
Telephone # (
Telephane # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is camplete and accurate;
that the work will be in conformance with the ordinances and cades of the City of Eagan and the State of MN
Sta.tutes; I understand this is not a permit, but only an application for a pertnit, and work is not ta start without a
pe i; that the wvrk will be in accordance with the approved plan in the ease of work which rec}uires a review and
app al of plans.
?
pplicant's Printed Name Applicant's Signature ?
••V •••..s..,.c stiv .a..v? rtsa. rov i3rJ. +?i??tiT K?'Ptl?1`ht, ?x°?tYl1tSlG7lSDt • ,
re ?.?. -- ?? . - - - -
.. . . .
. T?mn 7, 200? - - . - • . L.
. 3? af fiagazt. ,
6 Pitcrt Knob'Road
E%M% MN 55122 -
- . . . ?,
. . T° Wbom It 1VIay Caatoern: ' .
IIder Jones is atitho&M
Eldcr ]oncs to to ptll ??g P?ts foor Rdte?r$1 i?Atcdazse?_
pravidc ttus s.cr's7icc far u$ in Y pte=c atIoar
. date bcyand 6l6101; ?
wati? a?ovM • Thus euEharl2aticht is v$tid for ary
to tha City_ ?`°?n MMM anmslY revokes ft in wrfting
I reqnESt this autIia?tian b? ? ...oar bailding poadb au fa $?pftd ?dottsJy, ? to aot doIay in thn prvcessistg of
cvn?actcd at 763 S y-? Plcasc c$Il sac If thcm a?rc any qncstfona.. I ca?ct i?c
r U?r4'706 . . _ ? , .
? •
Your immr,diatc aftation to tiIs matter is aIL?etlai,ed.
Sinoazaly,
. •?
vadR, Ita?z
tistallation 11inagcr
Rcnowal by Andasen Corporat?cm
C:c.: Ksin-FTderTnne,e -
i
1ruMa?
?
- - - - • ?- -- -? - --•-?Yet.hO. Si,yQqq _ - -- -•-
Received Time Jv.n. 1. 1,01Pld -
r4'f s!t?
.? ' .
.,
. . ?: .
: .
y77
? WATER SER1/ICEc?PER"MIT CITY
'OF
%AGAN
%
:? ?iY
3745 Aiot:. Knob Rood PERIVIIT WO.::
Eaga?;' MN 55122 DATE:?
Zoning: _ RII , No. of, Units
Owner:
-`f-
Address:
?Site Address• 4755 SB:i:CA 1. R04id T, H'$ B"*M;
Rlumber: ?''?«C17? .?31!!X'? _ • '? " ? #,
kAeter No.: Conriectwna
,Chr9e
Size: , • ' . ? '
Accdunt
R'eader •No.; d
Permit. Fee
.'I ogree to'eoniply with t6e+.City of Eogan "Surcharge
- =0rdinonees. ' Misc: Charge5::: '{
.
?'?r?
? 'Tot61,: • , ? ;
BY Date:, Raid
Dote of Insp..
`
. . . . . ... . . ._X . . .•
"F , '.-1`?.,:??¢?
o SEWER SER1/I0 E' PERNIIT
cirr
F EAGaM
3795 Pilar Knob Road PERMIT-NO
:
? . . .
. .. ..(.
Eagon,<MN 55122 DATE:. ' l1* I76
Zoni g: No. of Units:
Owner:
........ ....?
Address:
_
Site Address: 1. -rcr v ' ..
,s.._,? • ? a?.or.
-
' u.yt t,;
_..
i>i
• .. ?...
Plumber: r?,.. n,.a..w? .....?? . IM...
•+4r?'
74 1'.? Y?.
.I:Y 7
I0/15179 I6276
11 agree to-comply wiifi the City of Eagan
Ordinanees.
By
Date of Insp.
I nsp.:
??fl4.?t9. '
F?
Connection CMarge
• .-,m. .
.
?.r r vv _: Y+N . < .,
ctount Deposit
A
Permit :Fee•
' ?irt' neti . q ,
.: ??i. •. :?
Surchorge• en -9.:..;
-
' - t ?'4 .?
_ Misc. Charges:
_ Totol• D
Date Paid:
_
. ' . ... -
.. ! .. . . . . F
1..'+. ...r .
.. .: . ..
CITY OF EAGAN
3830 Riimt Knob Road, P.O. Box 21-195, Eagan, MN 55121
i?HA?IE: 434=87 (?O
BUILDING PERMIT Recetpt # --
To be used for t ORCH Est. Value $9°000 ?, JULY 17 ,19 67
Site Address 47 $5 arllCt)kV NILL RD QFFICE USE OMI.Y `
?I`?CO?i }3I ?,L
Lot 7 Bloe?k ? Sec/Sub On Ske Sewage _ Occupency
. MYVCC System _ 2oning
ParCel No, On Site WeU _ Type af Const
City Water _ (Avtual)
a Name Lr.:RvY 9.AE1AItAIN E1V (Aliowable), -
W
=
Address 5AME # of StOries -
lenpth
? City Phone 454- Depth
S.F. Total
. ? Name ?iI1? tiEi2RTGl?Ni FoatpHntSF.
o ? 8 ilom + Ui% A
Address
APPROVALS
FEES
0
1-
City Phone 8243470 '
Assessments
_ Pem?ft ??'b. S?
A
? a . Water/Sewer _ Surc
arpe
W NamB Police _ Plan Review
? z '
Address Fire _ SAC, City
v Z Engr. _ 3AC, MVYCC
I W City Phone Plenner _ WaterConn.
Council _ Weter Mater
I hereby acknowledge that 1 have read this application and state Bldg. Oft _ Roed Unk
thattheinformaiioniscorrectandagreetocomptywithallapplicable APG _ 7reatnerrtPt
State of Minnesota Statutes and City
Eagen rdlnances. varlance _ Parka
? Capies
Signature of Permittee TOTAL • 't
A Building Permit is issued to: T'-'I KE `'SERRIGA:'V on tha exprass conditioq thst
all work shall be done in accordance with all applicable State of MinnesOta Statutes and City o# Eagan Orclinanoes. ?
E3uilding Official -' * ' % `
Petmk No. Psrmit Holder Oatr Telephons ?
P1'umbing
H.V.A.C.
Electric
SofGener
Inapection Dete Insp. Commmna
Footings I ?
Footings II
Foundation
Framing ? I-Am rz? Adv
Roofing
Rough Pft . .?`
Rouyh Ht4.
Isul.
FireplaCe
Final Htg.
Final Plbg.
Bldg. Final
Cert Occ.
Temp. LP ,
Deck Ftg.
Deck Frmg.
Weil --
Pr. Oisp.
77-
y
erry OIF LASM
Y/'s+i ?' ? ? s'NII, a?7R U123t
. ,? , ... PFIOI+IEL 454-V60
,. 10?-?
T {ort',
Est. Vai
Diu
s+te AMre? ?755 ?eaonn Fiill Ttoac3 &Oct
30 rip-*Omr
tott 7 Bloek R See/Sub. FeZac7!7 11t _ Aiter O $'aMs? ??
Paroei #? 10 ?35?? !??'? OR Repoir Q fin Zom
Kxres E?orye p "'ype -c?R ?. ?
Name -• Move p • ,? ?,rieo.,
? Add , ? Demoiish Q ftvnft ......?.?;
re.., e?.__.. .?... . Gtads 0 [)si* ?:::?,:....?,::?,
Name Appmmb
t '
$? Address Assessmen
? Ph
C Wa#er & 5aw. Su0*4
"
RY Po
lire
os d
?
i Nama F i?C
?
t
ire
i
.,.,
?? Address Eng, ?W?r
ff Cft ph" Plonner ? _..,..?
Counr3!
.._...._....._..4
,--..?;
I hereby atknowlecge that i have read thts oppitcation and stote that g*; pff.
tlsa infonrio#ion is correct and ogree fiu compfy with oil applioable APC
Stote of Mirr??esata Statutes and City of Eagtm Ordirarnes.
Siorrara?e of Rarrnittse .,.
A Building P,rnmit ts assmd ta: Cmtex Iicries Midwest +bi
aN woric "l bq Opo in mxor+donee vrith oil opplicabie Sta" of Mi+nesota Skomko rwn41ciftp
,
Y -
1Nmk #
- Deft lau?d PreMtlti?
Pl„mbing rt - s -?
Mechcnicol
INSPECTIOIYS DATE INSP.
Raqh-In
Final
Footings DoFe IroD. Dote Imp.
Foundation Plumbing Mst
Frame / ins. Mechoniccl
Fin41
Remorks:
Vr ;tJ --
C?.ertif irtt?t of (Orrupttnry
?itp of tEagan
; iBppttrtmptcf nf Builbittg Jrespprtiim
Thi.r Crrtf ficate is.rued pur.ruant to thr requirement.r of Section 306 of the Unifonn Bxillling
Code arti f ying that at- thc tinu of issuana thrs structurc wa.r in com pliance with the variaus
urdinances o f the City rrgulating buitding connruction or use. For thr follnu-ing:
?n Clasdflcadon SF Davlg/Garage Bldg. Permit No. 54vO
ou.w.r TrPe `-?_'lype con,uoouonv? Ftw 7=. T T T Zoning ni,uici R l
a,,,?of . Bulidine Centex Homes MidaveAL. 4615 Beacon Hill Ct.,E
bdIMia Add- 4755 Beacon Hill RLd?ity L7 B8 Beacon Hill
- ?: BY
ew?ainao & wu: 3 2!+ 80
PONT IN ? CONEMCUOYP /{AC[
.I-J ?N u.S.A.
- • CITY OF EAGAN Na 13 9 3 8
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8100 ---1 ?- 1 -1 - r
BUILDING PERMIT Receipt # J
To be used for PORCH Est. Value $9, 000 Date JliLY 17
Site Address _
Lot 7 Block
Parcel No.
4755 BEACON HILL RD
8 Sec/Sub. BEACON HILL
m Name LEROY KAMARAINEN
3 Address SAME
0 City Phone 454-5445
a Name MIKE MERRZGAN
0 a Address 3814 BLOOMINGTON AVE
? city MPLS phone 824-3470
a
F W Name
x ? Address
a W City Phone
I hereby acknowledge that I have read this appiication and state
that the information is correct and agree to complywith all applicable
State of Minnesota Statutes and Clty f Eagan Ordinances
Signature of Permittee ?3???.t1U_W!'C--
A Building Permit is issued to: MIKE MERRIGAN
all work shail be done in accordance with all applicable tate of Min
Buitding Official n
OFFICE USE ONLY
On 5ite Sewage _ Occupancy
MWCC System _ Zoning
On Site Well _ Type of Const
City Water _ (Actuaq
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
,19 87
APPROVALS FEES
Assessments _ Permit $86.50
Water/Sewer _ Surcharge 50
Police _ Plan Review
Fire _ SAC, City
Engc _ SAC, MWCC
Planner _ Water Conn.
Council _ Water Meter
Bldg. Off. _ Road Unit
APC _ Treatment P1
Variance _ Parks
Copies
TOTAL $91 _ nn
_ on the express condition that
and City of Eagan Ordinances.
CITY OF EAGAN Remarks
Addition BFACON HTi.I. ADDrTION Lot 7 Blk H Parcel 1tLl3snm 070 nR
Owner ?e v ??u r Vla ? W ??h n r,? , j street 4755 Beacon Hill Road Srate_ Eagan, MN 55122
,
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSURF. 1982 1806.93 200.77 9 1806.93 C007612 10-1-81
STREET RESTOR.
GRADING 1982 526.46
58.50
9
-S2-6.46
C007612
10-1-81
SEW TRUNK
SAN 0 15 99.73 A008117 9 27 79
SEWERLATERAL 1 82 3 16.46 346.27 9 3116.46
WATERMAIN
WATER LATERAL J
WATER AREA 1982 198,01 22.00 9 9 10-1-91
* Stubs 1982 9
STORM SEW TRK 1 82 359.82 39.98 9 359. 82 C007612 10-
181
-
S70RM SEW LAT 1982 9
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
n
ir
BUILDING PER. +t
SAC
PARK
1999 BUILDIN PE
G RMIT ARPL ICATION (RESIDENTIALf
CITY OF EAGAN ? j ea1 q1
3830 PILOT KNOB RE1- 55122
651-681-4675
New Conshuctipn Reauirements
D 3 regisiered sffe suneys showing sq. ff. of lot, sq. ff. of house
and all roofed areas (20% mcximum Ipt cavgraae allowedl
7 2 copies of plans {show beam d, window sizes; poured fnd. design; eic.}
> 1 sef of energy calculatlons
? 3 coples ot tre preservation plan if lat platted afier 7/1/93
DATE:
r--- ? ? ?
DESCRIFTlON OF WORK:
STREET ADDRESS: kd
LOT: -1 BL4CK: SUBD./P.I.D. #:
F[ame: ?fckc) Z?!± e 0 (F Phone #:
PROPERTY tan Flrsi
OWNER Street Address:W-7 SS 2E Gt. C u A
/
Gity State: Iip:
?
Compariy: Le t')SA, Phone
(area code)
CONTRACTQR
Street Address:_ ?0 c/ License #a?W;'?SOExp,
City _ •? ? ? ? State: Zip: ?E-7 1 /
ARCHITECT/ ENGINEER Company: Name:
Telephone #: area coc4e ( )
Street Address: RegistratlQn #:
City State:
Sewer & water licertsed plumber (reavired for new consfruction anlv):
Penalty epplles when address change and !ot change is requested once permit is issued.
I hereby acknowledge that 1 have read thls appllccstion, sFate that fhe information [s corre t, and
SiQte af Minnesota Statutes and City of Eagan Ord[nances. %)' f?
Signature of AppBcant:
OFFICE USE ONLY
Certificates of Survey Received Yes No
Remodel/Reovir Reaulrements
2 copies of plan
1 set of energy calculations for heated addiftons
1 sffe survey tor exterior addHions & decks
????? e-I&.
CONSTRUCTIQN CQST:
? ? 6-
41 1
Zip:
to camply wfth al1 applicable
? .?...,
Tree Preservation Plan Reeeived Yes -No Not Required
I .
. ?
?
. . .
1987 BIIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLIIDE 2 SETS OF PLANS, 3 CERTIFIC9ZES OF SQRVEY, 1 SET OF ENERGY CALCOLATIOHS
NOTE: IDDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNEE MUST DESIGBA?S WHICH ADDRESS
IS DFSIRED. NO CHANGES WILL BS ALLOWED ONCE BIIILDING PERMIT IS ISSIIED.
MOLTIPLE DWELLINGS - RESIDENTIAL
RENTAL UflITS FOR SILE UNI?S
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SIIRVEY - CHECg iiTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
rnMMrrur_T e r _
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 5ET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For' 3 StA56p, Prc.1-1 Valuation: Date: 7- /?- -7
Site Address 46EpCOv1
?
Lot -7 Block l1LL co-'qto
Pareel/Sub
Owner l-Frv!? kAMA1r4 t4e
Address L/ 7S5- l3t?? cv) r/( L ?(?0.900
City/Zip Code ? p6.1 rl ,S S/ Z Z
Phone
Contractor
Address 3'/ 4-1 , , ??- 7vn xU,6:
City/Zip Code /4OL S SS '-/ d 7
Phone ?o? " S-/ -) O
Arch. /Engr . L2t'L-- }
T
Address
City/Zip Code
OFFICE DSE ONLY
On Site Sewage Oceupancy
MWCC System Zoning
On Site Well Type of Const
City Water (Aetual)
(Allowable)
# of Stories
Length
Depth
S.F. Total
Footprint S.F.
APPROVlLS FEBS
Assessments Permit ??
Water/Sewer Sureharge 4•e
Police Plan Review
Fire SAC, City
Engr SAC, MWCC
Planner Water Conn
Couneil Water Meter
Bldg Off Road Unit
APC Treatment P1
Variance Parks
Copies
TOTlL. ?
,
Phone #
cirY oF Er?c,AN
t 3795 Pilot Knob Rood Eogan, MN 53122 Ng 5460
` PHONE: 454-8100
BUILDING PERMiT APPLICATION Receipr
To be nsed for SF Dwlg & Garage Est. Value 61, 000. Date 10-15 19 K 79
Site qWress 4755 Beadori Hill RC)1d Erect :MC Occupcncy R3
Lot 7 Blxk 8 Sec/Sub. BeacOn H]"l1 Alter ? Zoning RI
Pcrcei 10 13500 080 08
.# Repcir ? Ftne Zone 3
Enlarge ?
Type of Const. V
PX Hcms S
Name Move Stories
A 4615 a?
Add Demolish FmnY
ft.
49
Ci Phone Grode ? Depth 44 ft
ft
g Name SaTrle Approvafs Fees
?? Address Assessment
F" Ci Phone Water & Sew.
Police
?W NQR1e Fire
?? Address Eng.
a W Ci Phone Ptanner
Counci!
1 hereby acknowledge tFwt I have recd this application and state thot Bldg. Off.
the infoRnation is correct ond agree to comply with all cppiicable
State of Minnesoto Stoeutes and City of Eogan Ordinnnces. APC
Permit 1-Jv.vv
I Surcharye 30.50
Plon check 78.00
5AC 525.00
Water Conn. 270.00
Water Meter 60. 00
Road Unit 75.00
Total 1,194.50
Signature of Pem+ittee (
A Buiiding Permit is issued to: CenteX HC1125 MI'dWF'St on the express condition tiat
all work sholl be done in accordcnte with all appKcuble State of Minnesoto Statutes and City of Eagcn Ordinances.
Building Official
S,?9
.
BUILUIi+G PF.RMIT APPLICATION
Irclude 2 sets oi plans, 1 site pldn w/elenationa and I set of enerqy calculationa.
TO bf usad for V4 C-3 ?-A? valuation (, 1? o ? ?
??.._. ___......
sitt nddsass; 'rJ S ?? A?CO ?l ? ? ?V `C? ? Y
7 8 z Em.c. J?.1 ?ci l.L
Lo! B. logk Sec ub Parcel Number `? ? /? 5 ???? ?1 J? n,s?
Owttes' Telephone
1?ddrees
oontractoVk()NAE-% 1`?1 W?iSj Telephone 4'54 ' 1 (o
Address
- - •
7?rch. /Fnq. Telephone •
Address
Erect
Altes
Aepais
Ihlarqa
Mave
fleccoliah
GraBe
OFFICE USE
Dste ot roval & Initial
-
Assessaeat
?___.?....
tQater/seaer
Police
!'ire
Eng • ?..
placzner
povmil
Rldq• Ott.
A.P.C.
OFFYCE (fSE
Occupancy ____ ?
Zoning
Fire Zone ?
Type of Oonst. ,
I og Stories _
Pront
Depth FEER
Peztnit mko.?
Surcliarqe? .. '- . 304 .'
eian Check
SAC
Vater 4nnn.
Water Meter
Tarnr. i 1 3
t !' : .
, , :E"? rtt,?? . '{?m.:?;- ? .?,?•.. ` 1:11 C
'• : .rnEr 1 l N:::j(1
. ?
1 ?
DELMAR H. SCHWANZ
• ,
LANDSURVEVOR '
RaQistastl UnC4r Lawi of The Sute or Minnosot• ?
-??
2978 - 146TH STREET W. - BOX M ROSEMOUNT, MINNESOTA 55088 PHONE 612 423-1709
SURVEYDR'S CERTIFICe TE ?
1 I
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?? ????',ZY P. ' -__ ---,? ` ,4 .
1
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1pT':°U` CE:T``..'if'a ?., t. If
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'T F T j.1,, ac rd:
.,t.-<.i. ?. - .
?, t ?t.:it f
i' 1"`C. •t.'T; ?
,
rit, rec )r•ciec pi,± Lhereo f
Date<: . J ,r;e i 1 , :i '?? •
3erir.rim.irk: Tcp of h?dr:u?t betweF, •: 1-?ta 4.Ind i , .jICC'k :i
;s1ev,i!IotI - `s ) 1, 41 feet
• Revised t,3 show pr-3P,,)sec ri:?:?;?e ?5'9
?; /} 1? J ?l. ?,•r ? ? . ? /ri. '!?; 't
, ?..G,? . {'? _ .r'?: r,
MINNESOTA REGISfRAT10N N0.8825 ? .,
? . ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirementa RemodellReoair Reauirements
• 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas • 2 copies of plan
(20°k maximum Iot coverage allowed) • 1 set of Energy Calculations for heated additions
• 2 copies of plan showing beam 8 window sizes; poured found design, etc.) . 1 site survey for exterior additions & decks
• 1 set of Energy Calcula6ons • Indicate if home served by septic system far addilions
• 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joist Oetail Op6ons selection sheet (bidgs with 3 or tess units)
DATE I`i •IuYn_L • 09, VALUATION 31ot`.xS`VI
SITE ADDRESS _Li*SS ?r?. ea,CAN ?1?11'?,oac? MULTI-FAMILY BLDG _Y K_ N
TYPE OF WORIC't?r? Or. r o 3 W??? ..t,M:S FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS Ija(5 Cou,r
&4 Zd. " C'CITY KQS4.v;llf.. STATE Il'1d1) ZIP 55! ?3
TEIEPHONE #(o5I•a?Ioy-???'?' GELL PHONE # FAX #
PROPERTY OWNERTe.r??. TELEPHONE# ?Q?1• Ga?a • yy? ?
COMPLETE THIS SECTION FOR'•NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNL•'S01'A RULI:S 7670 CA'I'EGORY 1 IMIti'NESOTA RtiLES 7672
(J submission rype)
Plumbing Contractor:
Plumbing system includes:
• Residential Ventilation Category 1 Woricsheet Submitted . New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Mechanical Contractor: _
Mccli<uiiril syslcni iiicludcs:
Sewer/Water Contractor:
Water SoFtencr A
Water Heater _
No. oF Baths
_ Phone #
Lawii Sprinkler
No. of R.I. Baths
Fee: $90.00
Air Conditioning
Hrat Rccovcry Systctn
Phone #
Phone #
Pcr. $70.00
-----------------------------------•--------------------------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Signature of Applicant at'a b4m.Q??
OFFICE USE ONLY
Certificates of Survey Received Tree Preservation Plan Received _ Not Required _
Updated 4102
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3836 PiIct $nob Road E8Vkn. INdN 55122
To Wham It May Gostc:ern: .
Eldex 3ones is autharimd to pnII ??g P?ts foor Rea?ewst by Aadexsem. ptease sIvw
t? pmv?cic this ?vicc for us in Pe?. ?ts
Fslder ]ancs auchwrl2aficn ia valid far any
date bcyand 6f610 1; watil a Wonewa! by Andceseu
to the Clty_ mxuew exprawly revokea !t in wriftg
? rcquest #his authotxzatian bc arc?rted-?xp?dousi??, as to not deIa in ?e
ovr bexildiug Fo?ita aay furthar. Flcasc cail mc If t?crau+c any Wana. lo'mbe
v?
oontWtcd at 763-502-47U6.
, . .
Your kWI;&W= aftad.on to th#s matter is apprect,aMd, .
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ond'R. -Rau
vstaltation M,ana.gcr
Rancwal bY Andmcn Crnpvraden
C'.c: Ksrm-F.ldexXnnm. •
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Received Ti'me Jun. 1. I:07pM
Date:
City of
3830 Pilot Knob Road.
Eagan MN 55122
Phone: (651) 676-6676
Fax: (651) 6765694
Use BLUE or BLACKInk
For Office Use
Permit #: 1
Permit Fee:
Date Received:
Stan:
2911 RESIDENTIAL RUILDING:PERMIT APPLICATION
Site Address: (-175-5- ,8674eiv.
171 a ` Unit #;
RESIDENT /
OWNER .
Name: '5lrrV 57 % E -k ...
Phone:4%a—ig 7'J��%fl
r•
Address / City / Zip: a6AttOiNt jJi LL RP. Eitil.teiljkl S,5""/.2
Applicant is: .Owner Contractor •
TYPE OF WORK
CONTRACTOR
Description of work:••-/.1:74,44..6-
6014A-ere.11
Construction Cost q7Zo. Ufa Multi -Family Bqding: (Yes t No k)
Company: Jag, 1y t/1 /Ln.Contact: 7'71/'6 S7'`�,Q r4>=9,,�
Address: D/ <<4.) ,a0e City: /S
State: _ i[/ Zlp: 1.�S 4 oa6 Phone ?' -4.”4 /Ca
Ucense #: L�D.304g02 Lead Certificate # iV p� 3 `��
-- /
If the project Is exempt.from lead certlflcatlon,,please explain why, (see, Page 3 for additional information)
COMPLETE THIS AREA 0_. NLY IF C9NSTRYCTINC3 A NEW W BUILDING
In the last 12 months, has the City of Eagan Issued a permit fora almilarplan based•on a master plan?
_Yes ._No If yes, date and address of master plan:
t;Jcensed Plumber: Phone:
Mechanical Contractor,
Sewer & Water Contractor:
Phone:
Phone:
NOTE: Plans and supporting. documents yo:u subm, itrr cgnslsferetl• to. be public Information. Portions of
the Information may be classlfled.=as noij- ;ubllc,ifyo•,u p{+pvlde s i'OJ(/c reasons that would permit 'the City to
• .. ;. �corfcude# lhatthey.are•tradesecrets •
CALL BEFORE YOU DIG. Can Gopher 9titeoh. Cat! sf(¢51) 4&4 6002 for;protectlon against underground utility damage. Call 48 hours
before you Intend to dig to receive locates
Of underground.Utntil8i,:W!i^N,9oDI1Qr3tEtB4r1Icoilblgr :
I hereby acknowledge that this information Is complete and accurate; that the work.iv1n be In conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a pirmit, but only an application tot a permll, arxl,.work Is not to start without a permit; that the work will be in
accordance with the approved plan In the'caso of work which requires a review and approval ot. 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,
Applicant's Printed Name
AnnncanN Signature
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