3564 Baltic AveCITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot it nob Road
P. O. Box 21199 + PERMIT NO.:
Eagan, MN 55121
DI\TE:
2aninD: No. of Untts: 1
Qwrfsr: leT ?`". icawE3S L
/1dclros3:
? Sits Addrem .)04 rsatr-ic :;v:
? Plumber. 'Yar P1ur:',1nrvJAAJ
Meftr No.: -3 7 -5 3 ?
; s,ze: i ore igging
j Rsoder No.: 0 7.0 2ya;3TEtEPH0NE • E
1 ..mpl, w. cARI IT I LUMV iRE
?
B
, of Irup.:
S7
)ton HeiQhts
U.
Totol: " ' ,, • , , ei
Daft Paid:
Irap.:
CITY OF EAGAN WATER SERVICE PERMR
3830 Pilot Knob Rosd
P. O. Box 21198 , , PERMIT Na.:
EaS{an, MN 55121 D^TE:
ZoninD: No. of Units:
Qwner: - '"rantier %tic3w,
AddrosQ°- '
Site Addrou: •? s?4 3 z'i r i c_!??: r _ _`r.? ;-?, t. ?
Plunber. StAr P1,im?,in..
? -
Mefer No.: Connection Charpe: '-):' _ _'•:l?.ri
Slze: llccount Oepoatt: `
fLsoder N1o.: Permit Fae: 1 Mm ft a.wyr rilh lw Ciep of twn Surdhorye:
OnibweM. Misc. Charpes: .,.P
Totol: ' ' `ay? •::? C..: -
8y Dalr Poid:
DoM of Irup.: Irup.:
CITY OF EAGAN SEWER SERVlCE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 ? PERMIT NO.:
Eagan, MN 55121 pATE:
Zoninp: No. of Units:
Owrwr.- firn::t, .. i?rc•
Addresst ?
$itE ^ddrQfS: i!r dvP'nu o T-'" 1 -ljn'?, nn Ii '-1?l?Yy
Plumber: , ' ? A
100. (!,Ir ;!
1 p?N to nwAr wilh lw Ck? ei lepw Cannactlon Chaega: ..ry? 5;?1f..e,..._
OrmMeeM. ACOOUrM Deposft: 1.5 .'?4 J
Wrmit FN:
Surchorpe:
BY Miac. Choroes: .
Dote oF Irap.: Totai:
I^sR : DoM Pald:
BLDG. PERMIT N0.
01-3210 Bldg. Permit
01-3422 ?
Blan Check
01-3445 Surch,/Adm.
01-3446 SAC/Adm.
01-2I55 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-386$ 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.
TOTAL
.r
?
?
_ ,.
L' .
? L
? Site Address _
Lot
Name _
Address
City _
Name _
c Address
O CitY -
' TYPE OF WORK
j Forced Air
Boiler
`. Unit Heater
? Air Cond.
I Vent
Gas Piping Oubets A
? Other
3830
;1700.00
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
r KNOB ROAD, EAGAN, MN 55121 DATE: -
nunuc. AeA e4nn
BLDG. TYPE
WORK DESCRIPTION
Res. LX New `x
Mult Add-on _
Comm. Repair _
Other
FEES I
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 SURCH/ARGE PER PERMIT - - _50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
t?,,'vUu MBTU $/-4!'?
M BTU $_
M BTU $_
M BTU $_
CFM $
FEE
S/C:
TOTAL•
.5() I SIGNATURE OF PERMITTEE
-(,, O ?7
FOR: CITY OF EAGAN
p CITY OF EAGAN ? 2
4 3830 PNot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?" ??`C5?
?
BUILDING PERMIT PHONE: 454-8100 Receipt u '
7o be used for SF DWG/GAR Est. value $64,000 pate SEPTEMBER 2 19 86
SiteAddress 3564 BALTIC AVE Erect 0X Occupancy R3
Lot-2..? Block 4 Sec/Sub. HAMPTOlV LiTS Remodel ? 2oning PD
Parcel No. Repair ? Type of Const V.YL
Addition ? No. Stories
FRQNTIER MIDWEST lini4l:S Move ? Length 40
a Name
_ emolish ? Depth ?
; Address 3908 SIBLEY MEM HWY, $LDG nt.Impr? S Ft
° cicy Phone 454-0433 Install ? Q
a
,o
zt
0
O<
a
?
?Q
V W
WW
?_
Uu
¢_
t W
Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ofdinap,ces.
Signature
Assessment
Water & Sew.
Police
Fire
Council
Bldg. off. 8/29/86
APC
Var. Date
A Building Permit is issued to: ' Fi20NTIEJ2 t1IDWEST f ivNES
all work shall be done in accordance with all applicabl$ State of Minnesota,Stat
Building Official
City of
Permit ?
Surcharge
Plan Fievie
Road Unit Z7V• VLO •
Tr. Pi. 156.00
Parks
Copies . . 00
Total
the express condition that
Ordinances.
Wrmk No. Pwmlt HoWsr o.e. r~wm 0
wumexw
M.V.A.C.
Electric
saften..
IrapeeMon Dab Irop. Commmntt
FooNnysl
Footlnys II
Foundatlon
Fnminy
Rooflny
Rough Plby. ??/ ?• • ? (,( _
Rmigh MtD•
Inwl. ? Rze,
Finplaee
FM,l "to.
Flnsl Plbp. -Q'-9,_
81dy. Flnal ?/r n
CKt. Occ.
Dsck Ftq.
Deek Frmy.
Well
Pr. Dlap.
, - . , . PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3530 PILOT KNOB RDAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE PHONE 454-8100
SiteAddre?ss
L
t ' i Bl
/S
k S
;-
:
o
oc
ub
-
ec
m Name
? Address
c City. Phone
. Name
.
; Address -
p City Phone
FEES
COMM/IND FEE - 196 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 GTY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult Add-an
Comm. Repair
Other
NO. FIXTURES
' Water Closet - $3.00 30TAL
' Bath Tubs - $3.00 3 '
=Lavatory - $3.00 -1 • '
Shower - $3.00
/
'
Kitchen Sink - $3.00 -
Urinal/Bidet - $3.00
Laundry Tray - $3.00
?
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
=Gas Piping Outtets - $1.50
?
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
=Rough Openings - $1.50 • s '?'
FEE - ? • ? i=
STATE S/C:
GRAND TOTAL: ?n , G
0 a- RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
, ?/ / .? 651-681-4675
` -I n
IewConsUuction eauirement4 ?_f V
3 registared site surveys showing sq. fL of lol, sq. ft. of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing beam &windax sizes; poured found design, etc.)
1 set af Energy Calculations
3 copies of Tree Preservation Plan if lot platted aker 711193
Rim Joist Delail Options selecfion sheet (61dgs with 3 or less unKs)
)ATE
IOB SITE
F MULTI-FAMILY BUILDING, HOW MANY UNITS?
'ROPERTY OWI
'YPE OF WORK
4PPLICANT ?
kDDRESS ?
'AGER #
FIREPLACE(S) _0 _1 _2 _3
(? ?-K ONE# LQSI `?
7S!5122 ZIPCODE
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNFSOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor. _
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ 11ir Condilioning
_ Hcat Recovery 5ystem
Phone #
UI above information must be submitted prior to processing of application.
hereby acknowledge that I have read this application, state that the infori
711 applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of
;ertificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softencr _
Water Hea[er
_ No. of Baths
S -_7 (D .C) ?)
RemodeVReoairRequiremenb ?9? ?????
• 2 wpies of plan
• 1 set of Enaqy Calculations for healed additians y_ 3 p_ o?
• 1 sfle survey for ezlerior addilions 8 decks
• Intlicate if home served 6y sepGc system foradditions
VALUATION
Phone #:
Lawn Sprinkler
No. of R.I. Baths
Fce: $90.00
Fee: $70.00
pPR 2 9 2002 UI
lcorrect, ane to
Not Required _
with
Updated 1/07
OFFICE USE ONLY
7 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
7 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
] 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
] 04 02-plex ? 10 OS-plex ?,? 18 Deck ? 23 Porch (screened)
7 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
] 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
] 31 New
?y 32 Additian
? ] 33 Alteration
34 Replacement
? 30 AcceSSOry RI00g
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interiar) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) O 45 Fire Repair
? 37 Demolish (Bldg) ? 43 Reroaf ? 46 Windows/Doors
*Demolition (Entire Bldg only) - Give PCA handout to applicant
laluation 49-0 Occupancy
;ensus Code Zoning
iAC Units G Stories
Jbr. of Units Sq. Ft.
Jbr. of Bldgs / Length
'ype of Const ? W idth
Foorings (new bldg)
? Footings(deck)
? Footings (addition)
Foundarion
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
3ase Fee
iurcharge
?lan Review
AC/ES SAC
:ity SAC
Nater Supply & Storage
i&W Permit & Surcharge
-reatment Plant
'lumbing Permit
Aechanical Permit
.icense Search
;opies
)ther
fotal
as__ U/,.'4-
REQUIRED INSPECTIONS
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
FinaUC.O.
? FinaUNo C. O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacemern)
---------------------------------- Approved By? Building Inspector
------------------------------------°___-----------?
i
70
7his requast void 1111-2
18 months from
C62103
cv .? .
C-G
?s.n._ nre rvo. navpn-in inspec?wn
?? nG Re9??es' nNO ??adYNUw?rfWhen'PeadYeu
?
[Y]oCicensetl Eleclrical Conbactor 1 harebY request insDaction of above
? Owner electrical wark installad ai:
Slreet Adtlress, Box or R e No.
35 Ciiv
6'.4 Q,4A)
ection o. Townahip Name or No. anea o. County
?J T
Occupant PflINT)
? ?'1
W Phone No.
Q 33
2
5
(
< 1
?
-
Power 5 olier Atldress
Connacmr's icense No.
MailinpAd r toGb1'?OWne.Id n t"I ionl
APPLE
5 ,9 12 4
Authorized SiBnaWre IComrecto? Owner Making Installationl Phone Number
UIINNESOTA STATE BOAflO OF EIECTRICITY , THIS INSPECTION AEQUEST WILL NOT
Grippg-Midway Bltlp• - floom N•797 BE ACCEPTEO BV THE STATE BOARD
1837 Univerait, Ava.. 8t. Peul. MN 65106 UNLESS PNOPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
//??o?g(p pEQUEST FOR ELECTRICAL INSPECTION es-?o(ooai-os
See inatrucfiena lor com leti
? p ig this iorm on beek of vellow copy.
2 , O "X" Selow We.* Covered by 7his Request
F_Id ReD• Type ol Boiltline? AV ingeo0 N'irod Equiument Wired
Commercial Bldg. ? y?Furnace ? ? Silo Unloader J
Industrial Bldo. Air Conditioner Buik Milk Tank
M Fee Service EnvaneeSize p Fee Fexders/Subteeders N Fea Circuits
U to 200 Am s 0 to 30 qm s ? .D 0 to 30 Am
Above 20 _qm?s 31 to 100 qinps 31 to 100 Arnps
D Swinvning Pool Above 100_Am s Above 100_P.mps
Transiormer5 Irrigation Booms Pdrtial."Other Fee
Signs Special Inspection $ ? TOTAL FEE;'?^
Memnrka __-. ?. / i ? ?6-1 ? 06))
I,the ElectrrCe-I
Inspactor, hare6y
cerlifV that the above
intoeetion Aes been
mede.
Thle repueet void 18
CITY OF EAGAN N2 12557
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 ?6?
PHONE: 454-8100
BUILDING PERMIT
Feceipt N
To be used Ior SF DWG/GAR Est. Value $ 64 ,000 Date SEPTEMBER 2 19 86
SiteAddress 3564 BALTIC AVE Erect C? Occupancy R3
Wt 27 elock 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning PD
Parcel No Repair ? Type of ConsL liyII.
. Addition ? No. Stories
c
N,m, FRONTIER MIDWEST HOMES Move ? Lengtn 40
W I
o
Address
3908 SIBLEY MEM HWY,
BLDG emolish
? ?
? Depth
F 47
City
Phone 454-0433 ? lmpr.
install
? Sq.
t
o Name --- SAME
0
0 ¢ Atldress
? City Phone
w w Name
"z
Address
a w Ciry Phone
I hereby acknowletlge 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 Or,digdrlpes.
Signature of
A Building Permit is issued to:
all work shall be tlone in accordance with all
Assessment
Water & Sew.
Police
Fire
Planner
Council
eidg. ott. 8/29/86
APC
Var. Date
ER MIDWEST HOMES
State of
Fees
Permit $ 325.00
Surcharge 32.00
Plan Review 162 . 50
SAC 575.00
Water Conn. 500.00
Water Meter 63. 50
Road Unit 290.00
Tr. PI. 156.00
Copies
Total -T2 ' 1n -.00
on the express condition that
antl City of Eagan Ordinances.
Building
.810MA
B U AYEYI NO
SEfaVICES
3908 Sibley Memorial Highway
` Eagan, Minnesota 55122
Phone: (612) 452•3077
SCALE ?
?
C
?.
?
n
25
,.? .: ?- *z„
?N
O
WAYNE D.
CORDES
- 1AGT5 -
-LEGEND -
O Qerates lrcn 11aw,rrent
a Oenotes N'oai Hub 5et
x 856.o p"tes Existirg Spat Elevafian
:w?•w ) Olsrates Proposa! Spot f levation
,.,---Denotes Drainage Directim
-PRDPERiY OE9CFtfPf'ION-
LOi? , BLGCK ?
HAMPTON HFIGHTS
accordery to the reccrded plat thereof,
Dakota C?ty, Minnesota
H0?„SE CERTIFICATE FOR:
? HOMEBbRbEt1S
A lAN[, DEVELO{fA5
? HEAIIpq$
JqW
F?RON COMPANIES
MODEL : 51'A FFOR o
I":40'
f
?
?
Q I?
f4 ?
:.?}- 1 r 'c,7?
y
I x%'_::: ICoS, -
--
?w.
1NA6
beRA
-T •
u
0: ,?? o j o
L'fOT ? Zu^I
d°.,? :? a/ OecX-
b
i0 L!" za.a - _
in- --:;2'=---
r?e5(0: L S,IS.: ::.:...: s.: $9°_:17°I' O"1 W..
PROPOSED GARAGE fL00R ECEVATIONa 8510
PACJPOSEO Top of 81ock ELEVATlON! 8513
PROPOSED 8A3EMENT FLOOR ELEVAtfON- 95(0,3
MDTE: Verify all floor heights with Fina! Hane Plsns.
IF I -
-SUNEYM 1 hereby certify thet this survey, plsn or report
wes prepsred by me or vder my direcf superv isicn
anl thet 1 am a duly Hegistered Lani Surveyor
urder the faws of the Sfafe of Mimesofa.
s- Date: Blfbf?
Wayne . Carties, Minn. Req• No. 14575
RESIDENTIAL
?? 5 2- g' BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD - 55122 aa' 9 -7 S
651-681-4675
New ConsUuction Reaulrements RemodellReoair Reouiraments
• 3 registered site surveys showing sq. ft. of lot, sq. fl. of house; and all roofed areas • 2 copies of plan
(20% mazimum lot cove2ge allowed) . 1 set of Energy Calculations for heated addiliors
• 2 copies of plan showing beam 8 window sizes; poured (aund design, etc.) . 1 sNe survey for extenor addifions & decks
• 1 set of Energy Calculations . Indicate'rf home served by sep6c system for additions
• 3 copies of Tree Preservation Plan if lot platted aRer 711193
• Rim Joist Defail Options selection sheet (61dgs with 3 or less uniGS)
DATE A- (?-) " OZ_ VALUATION ?Z SZ3y-SP
JOB SITE ADDRESS 3L?S?01-A ?.C- ?.
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNERbka-ra
TYPE OF WC
APPLICANT
ADDRESS ?
PAGER #
FIREPLACE(S) _ 0 _ 1 _ 2
? PHONE# b51-_t3A'9'Q?
&43 ZIPCODESS\I
FAnX#
n,c_
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Ener9y Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Conhactor:
Mechuucal System Includcs
Sewer/Water Contractor:
_ Air Conditioning
Hcat Recovery System
Fee: $90.00
Fee: $70.00
?`
PR7? p y 2002
t, ane to c
All above information must be submitted prior to processing of application.
Phone #
Phone #
I hereby acknowledge that I have read this application, state that ihe information is
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of App
Certificates of Survey Received _
`i I a c_W_??
L? SUA 6° -?to, V-C7s"1t
CELL PHONE # ---
tvr:?-/?sai - (' a(? ?'r ?
Waler Softener
Waler Heater
_ No. of Baths
Phone #:
Lawn Sprinkler
No. of R.I. Batlis
Tree Preservation Plan Received _ Not Required _
50 L.-
Updated 2002
CITY OF EAGAN
APPtICAT10N FOR PERMIT
SEWER AND/OR WATER CONNECTION
XxYx3?xixtxFRxxxixxisx.x?xx?zx?x;
*IOTF: PAYMRtJf OF FEE AT TIME pg
APPT.TcATIorr noFS Nom cONSrrivTE
APPRD7AL Ok' PII2NIIT.
INSPBcrloN oF sEWM arm/at WkTM
TnOrar.ramrpNS Wny Nprr BE gCRED-
trzED tnlru, PFRr¢T HAs sm1
Arrttovm.
P ease Print
?1) PROPERTY ADDRESS: 3564 B4atic Avenue, Eagan, MN. 55121 ',-
LEGAL DESCRIPTION: Lot 27 Block 4 Hampton Heights .
If' EXISTING STRL'C1S7RE, DATE OF ORIGINAL BLILDZNG PERNIIT ISSL'ANCE: .
1
' .. (MDII YEdP) .
PRESFNT TANING/PROPOSID LSE:
(D COI41ERCIAL/REPAIL/OFFICE
Q IAIDUSTRIAL
n INSTITL"fIONAL/GOVERIMV'P
2)
? R-1 SINGLE FAMII,Y '
Q R-2 DUPLEX (iko C?nits)
? R-3 7OWPIIiOIISE (Three + Units) ( Dnits)
Q R-4 APARTMENP/CODIDOMInTIIIM ( Units)
NAI"lE: FRONTIER MIDWEST AOMES CORPORATION
, ADDRFSS: 3908 Sibley Memorial Hig3iway Bldg. E
CITY, STp,TE, ZIP: Eagan, MN: 55122
PHONE: 454-0433
3) NAME: STAR PLUMBING
AD?RFSS: 1018 Mound Springs Terrace
? CITY, STATE, ZIP: Bloomington, MN. 55420
PHONE: 884-4149 MASIER 7,I(ETISE#
3329
Active
EXPu'ed
Not recorded
St? tial
4) •• • i?•
24AME: Garaghty, Bill & Diana i
_ ADDRESS: 5310 Lake Cove Apartments ' I
CITY, SPATE, ZIP: Inver Grdve HAights, MN. 55075
PHONE: 455-5832 .
•5) ? '? ?• ' ? r. . ?.
QY CONSECTION 7U CITY SEWR ? CODIIVF]CPION 10 CITY 4ATER Q OTHEE2 '. .
6)
u r• • r ?
?
PLEASE HOLD APPROVID PIItPffT ECF2 PICK-IIP BY ONE OF ABOVE
PLEASE MAIL APPROVID PERMT RO 1, 2, 3, 4, ABOVE
/? ?? (Circle one)
.-FOR -CITY USE ONLY
PERMIT # ISSUED
i
gb??
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE S(JRCHARGE)
$ 169 ' S-o $ WATER PERMIT (INCLIIDE SDRCHARC,EI
$ $ WATER METER/COPPERHORN/OC'TSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ ??• D-Z) $ ACCOUNT DEPOSIT - WATER
$ 6-0 fi . ( % C) $ WAC
$ z5_ 7,6 ? L) O $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ TOTAL _
RECEIPT - RECEI
T
P
DOES UTILITY CONNEC TION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MLST BE ISSUED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLL OWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
.
• GARAGHTY
1986 HQILDffiG PSR!!IT AP LICATIOg - CITY OF EAG6N
NOYS: ALL COPTRACTOES M[JST BE LICERSSD IiITH THE CITY OF EAG6N
SI6GLE FAlQLY DiiELLI9GS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MQLTIPLS DTaELLIHGS - BSSIDENTIAL RENT9L DgI2S FOR SALE DNITS
INCLUDE 2 SETS OF PLANS, CfiETIFICAT6 OF SQRVSY - CBBCB WITH BLDG. DEPT.,
1 SET OF fiNERGY CALCULATIONS
CONMRCIAL
INCLUDE 2 SETS DF ARCHiTECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2*000 LANDSCAPE BOND
,
To Be Used For: Single Family Valuation: r-_7554=95tr, Date: 8-14-86
Site Address 3564 Baltac Avenue
Lot 27 Bloek 4
Pareel/Sub Hampton Heights
Owner GARAGHTY, BILL & DIANA
Address 5310 Lake Cove Apts.
City/21p Code Inver Grove Heights
Phone 455-5832
Erect '),f Occupaney R16
-
_
Remodel Zoning '?
Repair _ Type oP Const
Addition 8 of Stories
_
Move Length 4O
_
Demolish ! Depth 47
Int.Impr. Sq Ft
Install
APPROVAI.S FEES
Contraetor FRONTIER MIDWEST HOMES
Address 3908 Sibley Mem. Hwy, Bldg. E
City/Zip Code Eagan , M. 55121
Phone 454-0433
Areh./Engr.
Address
City/Zip Code
Phone #
Assessments Permit 3Z 3
Water/Sewer Surcharge 3'r
Police Plan Review bZ% a
Fire SAC
Engr Water Conn _?_
Planner Water Meter 63?a3d
Council oad Unit ,q0
Bldg Off ? eatment Pl 156
APC Parks
Variance Copies
TOTAL
NOTE: ADDRESSES FOR CORNBB LOTS - CONTRACTOR/HOHfiOiiNEB MDST DESIGNATB WHICH ADDRfiSS
IS DESIRED. NO CHANGES TdILL BE 9LLOHED ONCE BQILDING PBRMIR IS ISSDED.
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ERTERIOR rIRV[LOPC ,1UCR,1G17 "W"
CONTRACTOR; RLCAPJrt"(IM
COhil'lIT/1TIpY
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Oetermine working square footage of each
1. Total exposeC wall arEd..... _ 1 9(e4.5 sq, Ft. x,I: =
2. Total roof/ceiling area.... . 10! (p ;q. ft, x.626
Total exposed taall a:-ca abovc flnor=_ lCj- 7
a. Total wall window area ...............
..........
...... ,-?
b.
Total
doar area ...................... ............ i ? ?
c.
otal ..........
siidin
ss d
l ........••
........ a Z
g g
a
oor arca ...........
.
Total .......
fireplace wall area,,,,, .......
...........
-
-4
e.
Total ,,,,,,,,,,,,,,,,,
wali framin
ar
( ,,,,
,
............. _.^.,
g
ea
average 10") .......... .....
f.
Total
rim joist area .............
.. .....
........
?
S•
net
.... .... . ... .
. . .. ............
wall area above floor...Z`.?4G
?l?TS;` : z
?
r• .
wall area ab
fi ............ _ ? a
. ove
oor ............
...
..
?• ....
wall area a6ove floor ........... ................
3•
frame ........
wall area at =
d
i ...
...............
oL:n
at
on ................. ....
Total exposed Poundation area=
'R. Total foundatian window area...........
l.
Total
.
.......
net foundation area above 9rade ..........
....
....
Detcrmine "u" value oP each watl seymrnt
' (e.g. window, door, eacit separate viail s2r.iion)
• a• I zS X ?'Ll„ ;
0
. b. q ? X
C. x
. d. X
• e. I q?,4 S x
• f•__ I ?O X
•9. 13gI??J x
„u„
= J c,. °
„ul,
"U„
,. U l, ?? = f S• 7/
,,,J,. 3
„V
.o?
. h, X ?lUl. _
• {, ? ?.U..
- j , X 'fu„ s ? .
g X "U,. ? .
• 1. Cp S X „u°-,-- LS , =i 75
... ................................. TOtdl c ? 5?
If item A3 is the !
as, or less Lhart•il,
#1, you have meE..tt
intent of SBC._6.60A6?
• 4 . ^. :'ff?
s' r,F"
??ncin Z QZ 4
Tolsl exposed roo[/ccilinq arca = O fp m. 1b tal skylight area ............................ _
n. Total roof/cciling framing arca (tveragc lOF.).., l pl,
o. Total net insulated rooE/cciling ,zrea......
.....
• Determine "t1" valuc for each rooi/ccilinq segment
M. _ X ..v..
n. l O( CD x'v" ,p
a. x „U„
'1........................... 1VLal
Ii total of 104 is the same as, or less t:han 92, you have met the intent of
Sbr GOC6 (c) 1.
Alternste Buildinq Env(2looe Desiaz
2b itilize tne to tal envelope 'systln metktod, the values established by tite s•.un of
ite-ms n3 and t4 shall not be g.eater than the sum oi items ,"r1 and ;{2.
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SIOM14
BURVEYINO
SEFaVICEB
3908 Sibley Memorial Highway
S Eagan, Minnesota 55122
Phone: (612) 452•3077
scALE : i":ao'
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CERTIFICATE FORS
HOMe eun ne rn
L UND OEVElO1f11S
? p(AliUq$
?i COMPANIES
MODEL: SfAFFORD
o.,3q, 0'iN E
13T ? r
?bR,4I NA?
? u'fiLI-T
x8?°'? ? r?Ah M'T
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xa5?:o?5•15 ":__:.s 89°.:3°I:O`l.". W _
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Ke'S6•O
WAYNE D.
CORDES
- 1 A675 -
-LEGEND-
a 0.notes lrcn Moni.+m.nt
m Denotes Worai Nub 5et
x S%•0 Asrrotes Existirg Spat Elevatian
f„ :?... ) Denotes Proposed Spot Elevation
?,?--Asrrotes Drainege Direction
-PMRTY DESCRIPrICYV-
L0T 21 BL.CCK 4
HAMPTON IiF.IGHTS
xcordirg to the recarded plat thereof,
Dakota Countv. Mimesota
PROPOSED GARAGE FLOOR ELEVATlON= 859.0
PROPOSEO Top of Block ELEVATION- 8513
PROPOSED 8A5EMENT FLOOR ELEVATfON--tL(O13
M?(11E Verify alf floor heights with Final Nouse Plans.
qUHA'v[]RS CFAi1FICATILr1-
1 hereby cerfify thet this survey, Plan or nporf
was prepered by me a' Lrder my direct svperv ision
e+d thet I am a duly Registercd Lard 5urveyor
t.rder the laws of fihe State o( Wimesota.
Date: $Irbk
Wayne . Cordes. Mrnn• Reg• No. 14575
,?-() ???
2007RESIDENTIAL BUILDING rExMrT arrLrcaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ctlon Reau"vements
3 registered site surveys showing sq. ft. M lot, sq. ft. of house; and all roofed areas
(20%mazimum lot coverage allaved)
1 Shcs RepoR H proposed building is to 6e placed on disWr6ed soil
2 wpies of plan shmving beam & window sizes; poured found design, etc. -
1 set of Energy Calculations
3 copies of Tree Reservafion Plan if lot plafted after 711193
RimJoistDepilOp6onsselectionsheet (buildingswith3orlessunits)
Mnnegasco meUanical ventilation fortn
RemodeVReoair Renuirements
2 copies of plan shaving foo6ngs, 6eams, joists
1 setof Enerqy Calalations for healea addtions
1 site survey fa additlons & decks
Add'rGOn - irMicafe i(orrsite septic syslem
Telephone #(
Plans are considered nublic information unless vou state thev are trade secret and the reason.
Date L0 / _:u5z/ 0__? Construction Cost
Site Address 3-S-LZ-/ RIl l74C V?C UniUSte #
C.EA Cs /? rYl a..? - z
.Description of Work ? iJO y.7.? C
Multi-Family Bldg _ Y )L- N Fireplace(s) 0 _ 1 _ 2
PropertyOwner Telephone # ((p)/)
Contractor c?C
Address 7iv7Z? N-
State ?r ?iU? 5? • S ?e.?c ? 3 Lo/ City !? ?«
Zip I Telephone # (?6? ) q1L1
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submiried
In the lasi 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
Mechanical Coniractor
Sewer/Water Contractor
I hereby apply for a Residential Building Permit and
Telephone #(
Telephone #(
c?
Office Use OnN
CeROfSurveyRecd _Y _N
SoJSRepartc..:.;.;:... _Y. _N
Tree Pres:Plan Rectl Y-
.
?N
Tree Pres Reqwred - - Y-
- N
On-site5ep6c5ystem _Y' _N
the information is complete and accurat
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 permit, and work is not to start without a
permit; that the work will be in accordance with the appro 'n the case of work which requires a review and
a ovalofplans??G ?
R I" \
Appli ant's Printed Name Ap licant's Signature
I
Use BLUE or BLACK Ink
r_________________
For Office Use Permit C"O~'fly of EaEd~ Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 3U"
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: C1 h Phon 23~ 01 ~06
Resident/ r )
Owner Address / City I Zip:
i
Applicant is: Owner Contractor
Type of Work i Description of work: C3
~v
~
Construction Cost: ~61 Multi-Family Building: (Yes /No Company: o i C_ Contact: p
Address: City:
Contractor
State: _ Zip: 5 31Z-- Phone: Z t W l
i
I
License ( Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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:
......e_... ..........av.. a
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.oopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of.ptans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State uilding de st pleted within 180
days of er it issuance.
x "e, ' M(~R I
Appl' nt's Printed N m p icant's Sig ture
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA120443
Date Issued:02/11/2014
Permit Category:ePermit
Site Address: 3564 Baltic Ave
Lot:27 Block: 4 Addition: Hampton Heights
PID:10-31900-04-270
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Sudhir Basyal
3564 Baltic Ave
Eagan MN 55122
First Choice Builders
20980 Lynn Dr
Prior Lake MN 55372
(952) 808-7400
Applicant/Permitee: Signature Issued By: Signature