821 Arbor CtCITY OF EAGAN
3830 Pilot Kriob Road
Eagan,4Vlinnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• l c)'I
. t{??c? • ?
PERMIT SUBTYPE:
44 F{, 01 . APPLICANT:
TYPE OF WORK:
Ni t,
Fst+rI I.l ird
0:' 0:t
F1rAMINi, I I I I I NaI
Pennit No. PermR Holda Data TiNphone #
SNV
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inapectbn Dete Insp. Comments
Footings I
Foundation
Framing 7 - Z 4,` pf
Roofing
Rougn Pltg. -eG d
n?
Rough H9. :v .zc 9s J?
I5ul.
FreplaCe
Fnal Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notffy Plumber
Const. Meler
EngrJPlen
Bidg. Flnal
i i
Deck Ftg.
Dedc Final
Well
Pr. Disp.
• , .. .. ,.. ?
?
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 i?Q
? ? 17140 1
BUILDING PERMIT PH O N E: 454-8100
Receipt #
_.
To be used for BASMNT Est. Value # 1+ s00 Date OCT 4 , 19 89
Site Ad ress 821 AR.lOR CT
Lot 0 Block 4 SeciSub. TOR WOM"M
OFFICE U
SE ONLY
P8fC21 N0. Occupancy - FEFS
?
'
W
Name ?RY ?i'? Zoning _
(Actual)Consl -
BIdg.Permil
36.00 ?
; AddresS 821 ARBOR CT (Allowable) -
h 1000
0 Clt Phone "7-?s
y ? k of Stories
- 5urc
ar
9e
Plan Review
o Name ='i??M ?• i? Length Depth - SAC
Cit
?a
Address 987 STRlITY'OitD RD
S.F. Total - ,
y
?
City HENDOTA RTs Phone 4%-7866
S.F. Footprints - SAC, MCWCC
ter Conn
W
r-
On Sde Sewage _
a
F W Name On Site We11 W
M
t
t
- ar
a
e
er
_= Addl'eSS MWCC System _
i W CitY Phon@ Ciry Water _ Acct. Deposit
i
PRV Required _ S/W Perm
l
I hereby acknowlege that I have read this application and state that the
infortnation is correct and agree to comply with all applicable State o(
Minnesota Statutes and Csty o1 Eagan Ordmances- - ," Boostar Pump SrW Surcharge
Treatment PI
Signature of Permitee ? _ ' --AMpOVALS Road Urnt
A Building Permit is issued to: I'iFEs?U UMS, INC
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ol Eagan Ordinances.
Building Ofiicial Planner -
Council
Bldg. Ofl. _
Vanance - park Ded.
Copies
TOTAL
.50
37.50
1
Permit No. Permit Notder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ? ? ?e4
InspecHon Oate Insp. Commenis
Footings 1
Foundalion
Framing (n O
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Const. Meter Plbg. Inspector - Notdy Plumber
Er.gr./Plan
Bldg. Final R ,Z 7 'OOV
Deck Fig.
Deck Final
weu
Pr. Disp.
,^-.-----. . CIIY OF EAGAN
` 3830 Pilot Knob Road, P.O. Box 21-199,
PH O N E: 454-8100
BUILDING PERMIT
To be used for ?<<;A1 Est. Value ' 164, O00
Eagan, MN 55121
Receipt
19
Site Address OFFIC
Lot BloCk Sec/Sub. On Site Sewage
MWCC System
Parcel No,
On Site Well
rc Name . City Water
W PRV Required
= Address
; ' 0 Booster Pump
° City Phone
¢ Name
.o
? ? Address
? City Phone
FQ
ci
W Name
F W
Address
5 W City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature oi Permittee
A Building Permit is issued on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
APPROVALS
Engr./Assess. _
Planner _
Council _
BIdg.Ott. _
Variance _
c- `r a ;
. ?
Occupancy
Zoning -1
(Actual) Const v -
, •_,
(Allowable)
# of Stories
Length '
Depth
S.F. Total
Footprint S.F.
FEES
Permit .r
7
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn. '
Water Meter
Road Unit
Treatment P1
Parks
,, S ?
??
TOTAL •
'3ijl.. - - _ I
Permit No. Permit Holdsr Oate Tsl*phon* #F
Plumbing ?/?
H.V.A.C.
Electric 53? , ' $g ? SO
Softener
Inspeetfon Date Inap. Comments
Footings I a ^
Footings II
Foundation v
Framing
Roofing
Rough Pibg.
Rough Htg. /
Isul. ?
Firepface
Final Htg.
?
Final Plbg. ?-
Bldg. Final
.?
2 K
Cert Occ.
Temp. LP
Deck Ftg.
D6ck Final
Well .-
Pr. Disp. ? ?
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
CON TRACT PRICE:
Site Address
Lot Block
_
? Name
? Address
c Ciry
?
4D Name
Address
p ?
City
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
SIGNATURE OF PERMITTEE ' I I
I?
FOR CITY OF EAGAN
PERMIT # ?PLUMBING PERMIT RECEIPT # Q C? ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _1.8
PHONE: 454-8100
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. ' Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
- Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3:00 '
Kitchen Sink - $3-00
UrinallBidet - $3.00
Laundry Tray - $3.00
' Floor Drains - $L50
Water Heater - $1.50
Whiripool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM.- 1 PER.PERMIT)
Soft2ner - $5.00 .
Weli - $10.00
Private Disp. - S10.00
Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
.? PERMIT #
MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTflACT PRICE: PHONE: 454-8100
5ite Address BLDG
TYPE
O
3
, .
W
RK DE
CRIPTION
Lot • Block Sec/Sub
Res, New
m
Name Mult Add-on
Comm. Repair
?o Address
c
City
?
Phone Other
?
Name '
?•
> FEES
RES
HVAC 0-100 M BTU -$24
00
c ' .
.
Address ADDITIONAL 50 M BTU - 6.00
p Ciry Phone • ? (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkrAln - 1.50 EA.
TYPE OF WORK °=- COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM FESIDENTIAL FEE - ALL ADD-ON &
Unit Heater r_ M BTU $ REMODELS - 12.00
Air Cond. - M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ? (ADD $.50 5/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other
FEE: R
S/C: SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
a '
• . • ?
• ?
• ? ? idl
? (Ctxtif ira#e af (Orrupanry
Citp of Cagan
loppwftYtT1 Itf llttlbhv jwPtYiriti
This CertiJcate issued pursuant to the requirements of Seclion 306 of the Uniform BuiJding
Code certifying rhat at rhe time of rssuance tlus structure was in compliance with the various
ordinances of the Ci1y regulaling building construction or use. For the following.•
Usecludription SF DWG/GAR &? ?t No 15390
om„w,y Tyj, _ g-31M-1 zo,i, au,id R-1 rra c,.c v-N
Bw7dingAd4rm 821 ARBOR %"AOURT locality1.20, B4, IM W)MM
MarC.h ay, 1981
8 g O(ficial
POST IN A CONSPICUOUS PLACE
? CASH RECEIPT ?
CITY OF EAGAN
3830 PIL(:Yi KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
AMOUNT $
..r. ? J
DOLLARS
,oo
? CASN E) CHECK
White-Payers Copy
'. : . '•. - i:? . :r Yellow--Posting Copy
Pink-Fiie Capy
Thank You
4'
CITY%0F EAGAN Permit No:
3810 Pilot Knob Road Meter No: 4114 0.3 7
P.6. Box 21199 •' Reader No: Q--?:& 3 sa
Eagan, MN 55121
Dale: 8-25-98
Size: ?o cl?
Date:
OWn@r T 4 Lee.r"X n •XDM.
Site Address: ? I , 'e T1? .;
Plumber.
Conn. Chg: ?41? oQpj
Acct. Dep:-
Permit Fee: :-
Surcharge:
Tr. Plant ? °. •. ??
Meter.
..:_ _ . . ,
Zoning: _
No. ol Units:
I agree to comply wNh the City of Eagan
Ordinaoces.
er
WATER SERVICE PERMIT
CITY OF EAGAN = F"
?
3830 Pilot Kncb Road, P.O. Box 21-199, Eagan, MN 55121
' PHON E: 454-8100
BUILDING PERMIT Receipt #
Tobeusedfor SE' D ?'??-':r?Est.Vaiue ;?1t;4,t30Q Date ,?ULi 27 ,19 '•M
Site Address R21 AkAfV C0?z^T
Lot ' ?' Block f' Sec/Sub.TH" WOODLANfl`'
Parcel No.
,r. Name LIF'E3TY4E HOAiSS, 1NC.
3 Address 987 ST9.tA'XFORTI R?.
o City M&NDO'IA HTS.phone 455-8705
°G Namc, SRMP
.o
? Q Address
City' Phone
Name
City
:
I hereby acknowledgethat 1 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.
Signaturg of Permittee
A Building Permit is issued to: k 1 {'?f, TYLE 4 -Ink F;i ?1
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
SuiSding Officiat
OFFICE USE ONLY
On SRe Sewage Occupancy R"3, F:-1
MWCCSystem x Zoning R-1
On Sfte Well (Actual) Const u"r4
Ciry Water X (Allowable) V-N
PRV Required # of Stories
Booster Pump Length 75
Depth 34
S.F. Total
Footprint S.F,
APPROVALS FEES
Engr./Assess. Permit ? 782•?Q
Planner Surcharge $2•?
Council Plan Review 391.
Bldg. Off. SAC, City 100.0O
Variance SAC, M WCC 550.0
fk
Water Conn. 5 3t).00
Water Meler 67.0
d
Road Unit 32.5.00
Treatment P1 ?!_N?-lXI
Parks
TOTAL °3E)SZ.QG
CITY OF EAGAN Permit No: Date: "-7 5- LP
3830 Pilot Knob Road B/P No: Date: 7-7' f.fi
P.O. Box 21a99. ' Eagan, MN 55121
Site Address:
MWCC: Zoning
City Chg: ?,' 7 No. of Units:
) . ?., j,,. ...
Acct Dep: - 1 agree to comply wtth the City of Eagan
,• , .?,.
Permit Fee: Ordinances.
.? ,.
Surcharge:
Misc.: By
SE,WER SERVICE PERMIT
CITY OF EAGAN
3830 +Pilot Knob Road
P.O. Box 21199• .
.Eagan, MN 55121
Site
Permit No: ?"??-'
Meter No: _
Reader No:
Date: '
Size:
Date:
Conn. Chg: f?'-;Qd Zoning: . 1
Acct. Dep: No. of Units:
Permit Fee:
Surcharge: ? 1 agree to comply with the City of Eagan
Tr. Plant Ordinances.
Meter. r•.-* nr_
Misc.: By
WATER SERVICE PERMIT
a7c;2 6Y
? 0 g45
Rei Uate Fre No Raugh-m Inspection
Feqwretl?
C Ready Now iZWtll Notify Inspectm
AYes [ N. When Featly?
I)(licensed contractor D owner hereby request inspection of above elecincal work at:
Jab Adtlress (Street Box or Route No ? . Qry?-
? T ? "l
Section No Townsmo Name or No Fange No Co?
OccupantiPFINTI Pirone No
Power Suppher ? tldress ?
CLEe-,zI
Elecincal ontracmr(Company Name) GonVector5 Lwanse No
i-1A
Matling Atldress (COntractor or Ownar Makmg Ins[ailabon) '
?
0
?
/?
_0V)&:nan-
Aulhonze ignature IConVaclorrOwn
Iakin
g
Inst311avory
e,?r na Numb2r
Pho
/
?
/
\ j
MINNESOTA STATE BOARD OF EIECTflICITY THIS INSPECTION RWl1EST WILL NOT
Griggs-Mitlway Bltlg - Room 5193 BE ACCEPTEO 9Y THE STATE BOARp
1821 UnrversHy Ave, St Paul. MN 55104 VNLESS PROPER INSPECTION FEE IS
PponeJ612) 642-0B00 ENCLOSED
-1 REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-oe
? 05845 See instmcnons lor compleLng this form on back ol yellow copy `X".Belaw Work Covered by This Request
ew Add Rep TypeoiBmlding AppliancesWVed EqmpmentWired
Home Range Temporary Service
Duplex Water Heater Elactnc Heating
Apt Bmlding Dryer Other (Specity)
Comm./Industrial Furnace
Parm AR Condihoner
Othe??syemfyl Contraclors Remarks
Compute Inspechon Fee Below. 177ih 5
# Other Fee # ServiceEnirance5¢e Fea 8 Cucuils/Feetlers Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps -
Transformers Above 200 _ AmpS Above 100 _ Amps
SignS Inspactor§ Use Only TOTAL e
Irrigation Booms ?. ? ?-
Special Inspection
Alarm/Communication THIS INSTALLATION MAV 8E ORDERED DISCONNECTED IF NOT
Other Fee . ^D COMPI.ETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9n-"' J1`11 1) Date ,J
certify that the above inspection has
been made Frai oare ? Z
OFFICE USE ONLY
This request void 18 monibs lrom
? 2 2 618
;9
Requ k ?
? ire No. Rough-in Inspection
Required4
yys ? ?
? Ready N. ^Will Nobty Inspecior
When ReetlY'+
I licensed contractor ? owner hereby request inspechon of above electrical work at:
Job Adtlress (Street, Box or Rou/te NoL) Pt
SeGion N. TownsMp Name or No. Range No Coun
?
Occupanl(PRINT)
& -?fGEf Drn pryp? ?
Pmvx SuPPlier Atltlress
Elednw r?CqmNameTZI?.
/1/
%V ? Coi(?/1 Nt/S?
!!'?CG
lAaling ACdress (C tracior or Owner MeWng Inefallaeon
Au ignelure ( mr rrer ng InatallaUOn) Phone Number
? ?i??/
MINNESOTA STATE BOARO OF ELECTRICRY THI$ INSPECTION REQUEST WILL NOT
GrigghMltlwey Bldg. - Poom 5173 BE ACCEPTED BV THE STATE BOARD
18T1 UnNarslry pva., St Paul, MN 55100 UNLESS PROPEfl INSPECTION FEE IS
Phow (814) 6,12-08011, ENCLOSEO
?D/,[8'9 REQUEST FOR ELECTRICAL INSPECTION ??"- eeooomo?
? See msiruclions fur complelirg ths lortn on back ol yellow wpy
IF 22618 `X" Below Work Covered by This Request
e Add Rep. Typeofeuiltling AppliancesWired EquipmentWrted
Home Range Temporary Service
Duplex Water Heater Elecinc Heating
Apt. Building Dryer Other (Spec"rfy)
Comm./Industrial Furnace
Farm Air Condrtioner
Olher(spemly) Con c[o^r5 Rsemyajrks/:? ?
//IC/??C,V
Compute Inspection Fee Below: /
# Other Fee # ServiceEntrenceSize Fee k Circwts/Feeders Fee
Swimming Pool 0 io 200 Amps a to 100 Amps
Transformers Above 200 _ Amps Abo 00 _ Amps
Slgfls Inspeclor9 Use Only
Irrigation Booms Q .
Special Inspec[ion
AlaimlCommuniration ?
Olher Fee
I, the Electrical Inspector, hereby Rough-in oaca G`
certify that the above inspection has
been made. F„ai oe?e
OFFlCE USE ONLY
This rBquest wk 18 monibs !mm
Th, reVUesl voiA 4/
18 mpn[hs from ? ?'
E 1q.r,??
flequew Uate ' rte . NouPh-?n Inspecuon
Requiretl?
?Aeady Nuw W?II Nn?itv Insoec-
p
9` ? ?es ? No or When fleatly
censed Electncal ConVaLtor I he.eby requast insoaction oi above
Owne, elactricel work instelled a[:
Stree?t }Addres/s, Bax or ?RoQute ?No. C ny D
ecuon o. Townshio Name or No. Fanee No. Comit
? -/V
Ocwuan[ (MINT)
C I?E ? C C Af?S Phone Nn. p?
119-V-
Address
?
Electncal ConVactor (FomUany Nxme) a
0 Contrer.mr's L,cense No.
MaJinO Address IContracmr or Ownar Mak.nq Insmllationl
3! 4F-- S4 zl?r/z=- . , 5-)- 5
MIfJ61SOTA STATE BOARDI* ELECTflICITV TMIS INSVECTIDN REQUEST WILL NC
riB9s-Midwev Blde. - pq9h? N•19i BE ACCEPTED BY THE STATE BOAHO
C
1821 Un,versitv Ave.. St.'7a.1. MN 56104 UNLE55 PROPEN INSPECTION FEE IS
Phone(6121642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ^. EB-00001-06
? See insvucbons tor comOlebng Mis form on back of Vellow copy. "
.Sf'7?7??
E 1953_3 "X" Below Work Covered by 7his Request
Add fteD. Type oi Bufltling AppliuncesWrted Eompment Wired
Home ange Temporary Service
Duplex Water Heater i,yhtinq Fixtures
Apt Buflding Dryet Electnc Heztin
Commercial Bldy. urnace Silo Unloader
InduStnal 81dg. ir CondiUOner Bulk Mrik T'enk
Farm 01nnr oe, v -m„r ise.niyl
? er urmtv tner Otne,
ComUUte lnspection Fee Below s-0-
N Fee ServiceEnLenceSize teetle?s N Grcwts
0 a 30 Am s
Above 200 q?n ps ps 31 to lU0 qm s
Swimming Pool Am s
=bove Above 100_Am s
Transformers ort?s Partial- Dther Fee
Signs ecuon
'Y-
SA
TOTA
F
Nemerks ;3M ,?o
L
?-
Final
I, Ue Elactncal
Inspectaq heraby
certify thet the nbove
CITY OF EAGAN rJ2 15 3 9 0
, 3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
. PHON E: 454•8100 -y
BUILDING PERMIT Receipt# ?? o?t_oa`r7
To be used tor SF DWG/GAR Est. Value $164,000 Date SULY 27 ,19 88
Site Address 821 ARBOR COURT
Lot 20 Block 4 Sec/Sub.THE WOODLANDS
Parcel No
a Name LIFESTYLE HOMES, INC.
Address 987 STRATFORD RD.
3=
0 City MENDOTA HTS.phone 455-8705
OFFICE USE ONLY
On Site Sewage _ Occupancy
MWCC System X Zoning
On Site Well _ (ACtual) Const
CiN Water X (qllowable)
PRV Required _ # ot Stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
¢ Name _
,o
? a Address
r City_
w
w
a
z
W
Name _
Address
C ity _
1 hereby acknowledge that I have read this application and state lhat the
mformafion is correct antl agree to comply with all applicabie State of
Mmnesota Statutes and CityrpFCsagan Oidmances , ,
Signature of Permittee - f?
A Building Permit is issued lo. LIFESTYLE HOMES_,_ING__
on the express condihon that all work shall be done in accordance wrth all
applicable State of Minnes Statutes an ity of Eagan Ordinances.
Bwlding Oflicial_
?
APPROVALS
Engc/ASSess._
Planner _
Council _
BIdg.Off _
Variance
FEES
Permit
Sumharge
Plan Review
SAC,City
SAC. MWCC
Water Conn.
Water Meter
Road Unrt
Treatment P1
Parks
TOTAL
R-3, M-1
R-1
V-N
V-N
75_
34 _
$_.782.00
3qi_nn
11nn_9D
-r35Q.-aD
SSn-QO
_325 "
--2(l4.AO
$3051.00
CITY OF EAGAN ND 17140
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
BUILDING PERMIT PHONE:454-8100 Receipt # ?l
/? 11 as-
To be used for BASEMENT Est.vawe $1.500 oate _ OLT_4 te 89
Site Address $21 ARBOR CT
Lot 20 Block 4 Sec/Sub. THE WOODLANDS
Parcel No.
Im W IName LARRY GOLEN I
o Address 821 ARBOR CT
City EAGAN Phone 687-9425
?F Name LIFESTYLE HOMES INC
ga Address 987 STRATFORD RD
? City MENDOTA HTS Phone 454-7866
Name _
Address
City _
Phone
I hereby acknowlege ihat I have read ihis applicallon and state Ihat the
inlormaUOn is correct and agree to comply wrth all apphcable Stata ol
Minnesota StaWtes of Eagan Ordinances,?
SiqnaNre ol Perm'iPe -4;q?
A Buiiding Permil is issued lo' LIFEST]' HO S, INC
on the express contlnion that all work shall be done in accordance with all
applicable Stale of Minn?esota Startutes and G-ytyoflEagan Ordinances.
Bwldinq Otlicial J '_j 11 ?\ 411?. I y?? I ?1 ,L1
OFFICE USE ONLV
Occupancy _ FEFS
Zonmg -
(Actual) Const - Bldg. Permtl 36.00
(Allowable) - Surcharge 1.00
# 01 Stones _
Lenglh _ Plan Feview
Depih - SAQ City
S.ETotal - SAC,MCWCC
S.F. Foolprinls -
On $tle Sewage _ Waier Conn
On Sne Well - Water Me[er
MWCC System _
Acct Oeposit
CM1y Water _
PRV Reqmretl _ S/W Permit
Booster Pump - SM/ Surcharge
Treatment PI
eoownvpLS Road Unrt
Planner - park Ded.
Counal -- 50
BIdg.Off. _ Copies ,
Variance - TOTAL 37.$0
, • CASH RECEIPT .
' CITY OF EAGAN
3830 PILOT-i,(NOB ROAD
55122 ?
D
,s
AMOUNT I$ U S'jl U U
8 DOLLARS
iw
O CASH HECK
fOP
O ?? ? ?JS r?.?• i ri ???
FUND OBJECT AMOUNT
O? U
U
Thank You '
BY
N? 86866 vwft?PaYm CopY
vell?Paaorg Capy
Pink?ile Copy
! : ? . . ?.
BLDG, PERMIT NO. '
x/
0'1-3210 Bldg. Permit 77
' 01-3422 Plan Check `°1 I DO
? ?
01-3445 SurchJAdm. 9y
? 01-3446 SAC/Adm.
L 01-2155 Surcharge ? •z
Q 75-3860 Road Unit 3
20-2275 SAC
? 20-3865 water Conn. CY)
20-3868 Water Trmt. (X-)
20-3716 Water Meter oC)
?
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL ? ? ? ? U ?
"?e S-/ e o
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
P ease Pzint
1) PROPERTY ADDRESS: e(;>'?J ?? GJ ? i,, ? ••
r-
LEGAL DESCRIPTION:
Lot Block Subdivision or Tax Parcel ID ) .
IF EXISTING SIRC'CIL?RE, DATE OF ORIGINAL BL?II,DING PII2MiT ISSL'ANCE:
(Nbn Year -
PRFSELVP ZONING/PROPOSID USE:
0 CA"'Y'EF2CIAi./RETAIL/OFFICE
rl IMLIS'TRIAL
n INST'IZSPfIONAL/GOVEWENr
? R-1 SINGLE FAMILY '
Q R -? D(IF?LEX (7.WO Units)
? R-3 7UWNiOUSE (Three + Units) ( Units)
q R-4 APARTMENP/COMDOMINILTI ( Units )
Z) "' j. /
[?ME: G. , ? ? . C
ADDRESS: MURR PLUMBIMG, INC.
czTY, srATE, zIP: /t1 e oRrve
PxoNE:_ Y.(_y -?n AAENDOfA kk`IGNTS. MN 55120 .
3) . i: ?,• For City Use .
NAmE; MURR PLUMBING, INC. Plimbers t,icense:
ADDRFSS: Active ..-
- SUffg °M Expired
CITSC, STATE, ZIP: MENpQRA HQGHTS. MPI 55720 - Not recorded
PFiONE: MASTIIt LICENSE# -al
4) ?• • ??-
NnrE: ?jea H' r Leke .! .
ADDRESS: ' .
CITY. STATE, ZIP:
' PHONE: 7.53---?C9f • _
•5) u a• •?• : o • as - a?
' tZ[-CONNEGTION TO' CITY SEF7ER 1?I CONNECPI0N M CITY WATII2 OTAER '. .'
Sa-
6)
'• ' •?• ? PLEASE HOLD APPROVED PERMIT FC)R PICK-PP BY ONE OF ABOVE
/n PLEFISE MAIL APPROVID PERMIT TO 1. 2. 3 4. ABOVE ..
r (Circle one)
*iarF: rAnME.nrr aF FEE AT xIM oF
aPriscrTIoN ooFS Nom CCNSTITU32
APPROVAL OF PERMLT.
Dasrncriorr oF MM nrro/ox vATER
xNs-rArLATIorrs waa. Nar EE sa-IEo-
ULID UNl'iL PERNffT HAS BEEN
APPROVID.
7)
r? u• ?.? y?,. r. i i ?;_,! ? ??rla a?(?
_fOR :CITY USE ONLY
PERMIT # ISSUED
Pd w/Bldg. Permit FEES:
$ $
$ $ /C7 • ?'J
$ ?7' 0 D
$
$ $
$ $
S $ A5- • c*-C'
$ $ ?.5 L' -d
s $
S ? •SO ' Lrv $
$ $
$ n .'??:±t • ({? >??J: ?=v.
..?.?•+, . ? i. ..
- df: /!VtA ?
$ ,. '? •, ..?''' ?'??i?y,L'!f,t`.:?:i,?i
$ $
$ ?c ,64-? $
$ N '/
R
E ?
EC
IPT RE CEIPT #
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERMIT (INCLUDE SLTRCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
AC:COUNT DEPOSIT - SEWER
ACCOLNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
-, :} . . .. ''. r('. ..,,
WATER'TREAfl'T51ENT PLANT SURCHARGE
,
OTHER.e:?
TOTAL
DOES UTILITY CONNECTION REQOIRE EXCAVATIO[V IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUSLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE :
SIJRVEYOR'S CERTIFICATE LIFE STYLE HOMES
?1? ` g•'??O
?.?. /
,
10 I
3 i
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o j
2
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?
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lo
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i
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N?
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g' ? •
3
O ^ 4? 10
,
,
`
"
?35• 80
1-
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?8.46? 1
S J00 20'23 11 5p?
W.
Nft
{--- DENQTES PROPOSED SURFACE DRAINAGE
''. O' ' DENOTES IRON MONUMENT SET
• DENOTES IRON MONUMENT FOUND
< =: X000.0`DENOTES EXISTING ELEVATION
. (000.0) DENOTES PROPOSED ELEVATION
.
.
210
?.i
EAGAN
REb1EWED
eY ?DM
TE
:s
u ?
\ p0 r
? Na
? ? •, ,•
? y \QV ??,,
?? \
i
7
/1O
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/
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ap o? ?J
ry
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:,;;-?.;•: ?
w
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By
-''t'.(;AN 1-1,1'+ICii;V?1,1'
' SCALE: 1 INCH - 30
PROPOSED GARAGE FLOOR - 909.8
PROPOSED,LOWESTFLOOR - q02.1
PROPOSED'TOP OF BLOCK- 910.2
it"4,?: r'
•
FEET
FEET
FEET
FEET
WE HEREBY CERTIFY TO LI FE STYLE HOMES THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE 80UNDARIES OF:
Lot20..'61ock 4, THE WOODLANDS, according to the recorded
-'plai thereof, Dakota County, Minnesota.
IT DOES N07 PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SuttVtYtu aY ivic un 'vivucR iv'i?1? viiiE?? r? ;S ^n'?:1 n^?1?? J`??- ? I Z y?rSIGNED:
BY:
m ? T ?n N.? n -1 ??
? ? ?0 o ?
- m y N'a < Z
? o Z
m ?? ? v
cn D . o
? N:m
? . D z
c
' 0 r
n 'OD
= <
, . ? Z
INC.
HAFiOLQ C. PETERSON, LAND SURVE'
MINNESOTA LICEN5E NUMBER 72294
?« •i •
JaMV,es ?R:H??? inc.
PLANNERS / ENGINEERS / SURVEYORS
' :.,? ..
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 * 612-884-3029
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1539D
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SUAVEYp 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTR9CTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDRESS
IS DESIAED. NO CHANGES WILL HE ALLOWED ONCE BOILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IJNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMPIERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS ?
SFDIGA R C C'1
To Be Used For: SP 5 Valuation: Date: Zv
Site Address ?a I? r b a r Gf /6 y OFFICE USE ONLY
or?-
Lot aa Block ? On site sewage Occupaney -3 M-I
MWCC system ? Zoning -
Pareel/Sub Wo)dd a y, J5 On site well Actual Const V-N
A City water r/ Allowable V-N
Qwner p,( Nlj/o mdS.TwG PRV required _ 0 of stories
H°oster Pump Length
Address
9 D'/ -SfYa ?or' `
? Depth
S.F. Total
City/Zip Code Y1 Ud+K, GYc,'? Footprint S.F.
Phone Li APPROVALS FEES
Contraetor SA {M e Engr/Assess Permit 82 00
Planner Surcharge 8 Z,00
Address -' Couneil
- Plan Review f'No
Bldg. Off. t!Z2 Zl, SAC, City IOO,oo
City/Zip Code `-' Variance SAC, MWCC 3'0.00
Water Conn o0
Phone Water Meter 6rj, 00
Road Unit 1125,00
Arch./Engr. S4 lnh. O Treatment Pl o.oa
Parks
Address ? Copies
TOTAL
? 3 osf-oa
City/Zip Code
Phone U
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
1988 BUILDTNG PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLING3
1 5:3 M
INCLUDE 2 BETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTORJHOMEOWNER MUST DESTGNATE WHICH ADDRESS
IS DESIREU. NO CHANGES WILL BE ALLOWED QNCE BUILDING FERMIT IS ISS?JED.
MULTIPLE DWELLINGS RENTAL tJNITS 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 FLANS,
1 SET OF SPECIFTCATIONS AND 1 SET
r
? OF ENERGY CALCULATIONS
,SF-P/GA R REC'0 JU L 2 1?
To Be Used For: Valuat ion: 7p_ Date: - 2, cl ?Y1P
Site Address IA r b Q r G? ow , OFFICE USE ONLY
Lot Ila Block ? On site sewage Oacupancy :3 M-I
d MWCC system ? Zoning -l
Parcel/Sub Wt) '
i,?( v? ( S On site Well Aetual Gonst y/-N
City water r/ Allowable V-N
Owner ; p.s t; &M pRy required # of stories
p Booster Pump Length 17 S"
Address Depth 34'
City/Zip Code Me r1 &-+'t S.F. Total
Footprint S.F
.
s`s! e
Phone _ ? !-;7 T- R 2 (i ? APPROVALS FEES
Contraetor _ S;/? ,en e Erigr/Assess Fermit $Z OcJ
Planner 3urcharge
Address " Couneil ? Plan Reeiew
Fll-
Hld
Off
SAC
Cit
/Zf ',o
i Op
oo
g.
.
II p
,
y ,
CityfZ3p Code Sfariance SAC, MWCC .?.oo
Water Conn o0
Phone Water Meter -6f], oO
Road Unit 325100
Areh./Engr. Sa (h, ig Treatment P1 Zoq,ao
Parks
Address ? Copies
?.., ?
TOTAL ? 3 b sj, ob
City/Zip Code .
Phone #
VAL u A-\1a N
, .
I2x2?. 3?? ;
I 9 X 3a =- s 70
9/g x ly-- I2JS2
?covk
L?5 ?` 3 `? = I 3sv
----
13Sz x ?z = S/56g4
1 Z. X ?2 _ Ny
J
ly2 x`??=
? Nr--> T7L??D
SG (?v
3 ? X 36 = 11 L) n
yX?s^ ?o
? J 5 003 OJ
163b/(o
,.
E:? I
??
1a,i ( i • :,.
' '•OU+
p u+
'I'°U+
IiJ•IlU-r
U •UU+
ij (j +
-7•uu+
.;.OUT
. ? ??.U lj+
i:?l •CI?J?
n
' Total Exposed Roof/Ceiling Area 'j ?JW-,G17
j. Total skylight area . .
k. Total flat roof/ceiling framing area
1. Total net inslted flat roof/ceiling area . j2qr2,Co 2:-
m. Total vault roof/ceiling framing area-10$ -,
n. Total net inslted vault roof/ceiling area
Determine "U" value for each roof/ceiling segment.
j. - x 'lull
k. x"v" - , 02 = 1. 3
_? 5-,-(c y _ x lull __ , a?- -_ _ ?• ?
1 . 12
m. -- x "0" - _ ^
n. - x "U" -
5
TOTAL
If item #5 is the same as, or less than item #2,
intent of SBC 6006 (c) 1.
Total Exposed Floor/Cant. Areas
L---t-'-1--
you have met the
o. Total floor/cant. framing area (avrg. 10%)
p. Total net insulated loor/cant. area ...
Determine "U" value for each floor/cant. segment.
o. x "U" _
p . -- --- X tfut,
6. TOTAL = F ?
If total of #6 is the same as, or less than ¥3, you have met the
intent of SBC 6006 (c) 3.
ALTERNATE BUILDING ENVELOPE DESIGN
To utilize ttie total envelope system method, the values established
by the sum of items fl4, #5 and #6 shall not be greater than the sum
of items A1, #z and R3.
1. 3?, (,lv(o
a. 30G°Z
a. 3 r2j3
5. 21W'j'
3. -'
6.
_ ?-` . .
Prepared By
Da te 7/7 vG!
u,)a I k-pO-t'
l d
Tota Exporse
Wall Area Above Floor
a. Total wall window area . . . . . . . . . .
b. Total door area . . . . . . . . . . . . . - ?
c. Total sliding glass door area . . . . . .
d. Total fireplace wall area . . . . . . . . -
e. Total wall framing area (avrg. 108) . .. 3>? 315
f. Total net Wall area above floor . . . . .
? . ?-"'
g. Total rim joist area . . . . . . . . . _
. . __;2G' ?
Total Exposed Foundation Area
Total Foundation Window Area '
Total Net Foundation Area Above Grade
Determine "U" value of each wall segment.
a. ---?4 `+ r2 -- X 1. U., --`-2--- _ -- 1 ?2-" r
b. - x "U" - _ '_
c - --?D ?---- x ?? ? ?f -- =,;E _ `zQ? e?L--
d X grull
e x "U l. --?-?-
f - -??1?'--- x
g. X
h. - x
i . ?'ic' X 1.U 11 --=?-- _ _-?.
SUBTOTAL = ?? ? ? ?
1P
? Total Exposed Wall Area Above Floor
a. Total wall aindow area . . . . . . . . . .
b. Total door area . . . . . . . . . . . . .
C. Total sliding glass door area ... ... --
d. Total fireplace wall area .. • ...
J
e. Total vall framing area (avrg. 108) ... ?
, ?
f. Total net Wall area above floor
g. Total rim joist area . . . . . . . . . . .
Total Exposed Foundation Area --
Total Foundation Window Area
Total Net Foundation Area Above Grade -'
Determine "U" value of each wall segment.
a. - 0 ? ??-- X "Ut. ---
b. - x "U"
c . x "ul. -- _, -- _ -
d. x 11 u --
e. x
f. --
9• .OO x "U" ?C = 7
h. x "U"
i. ? _ --- X plU t, ` -- _
SUBTOTAL
!
t
. ?
SINGLE F6MILY DWELLIAGS
2 3EPS OF PLINS
3 REGISTERED SITE SIIRVEYS
l SET OF EBEEGY CALCS.
1989 BUII.DffiG PERMIT IPPLICATION
CITY OF EAGAN
1971q(7,
M[TLTIPLE D1iELLINGS
2 3ETS OF PLlN3
REGI3TERED SITE SQR9EY3 -
ccHEcg Wrra ai.nc niv.>
1 SEf OF ENLRGY C9LCS.
COl4MERCI6L
2 SETS OF ABCHTlECTURAL
# 3TEOCTIIRAL PLANS
1 SET OF 3PECIFICATIONS
1 SfiT OF ENERGY CALCS.
MtJLTIPLfi DWELLINGS RENTAL IIWTTS FOR SALE IIDIITS i OF 09ITS
HOTEs ADDRESSFS FOE CORNSR LOTS - COATRACTOR/HOMEOWNER MOST DESIGN9Tfi TiHICH ADDBFSS
ZS DESIRED. NO CAANGES WII.L BE ALLOi7ED ONCE BIIILDING PERMIT I3 ISSIIED..
3EWER 6 iiATER PERMIT FEES 9ND ACCOQNT DEP0.SIT FEES WILL BE INCLIIDED iTITH THE HUILDING
PERMIT FEE. PROCES3ING TIME FOR SEWER AND WATEA PERMITS IS TWO DAYS ONCE A PERMIT HAS
BEEN COMPLETED INDICATING A LICENSED PLUMBER.
PENALTY 6PPLIFS WHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT ZS REQIISSTED.
LOT CHANGE IS HEQUE3TED ONCE PERMIT IS ISSIIED.
To Be IIsed For: /?ucer,,.ee.¢ 1laluation: ----?? Date:
Site Address f5a/ /?v&" d _ OFFICE OSE
Lot ?C Bloek _?
Parcel/Sub vNc"(hc??0(5
Owner La IV.? G-o( E„
Address 9'?'/ AV1J Qu c?
CSty/Z1p Code iae.kh $ S/ Z.?
Phone tl" V )!7
Contraetor Le' TA s t y?N ??°i"n c?t .?
Oceupaney
Zoning
Aetual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage
On site well _
MWCC System _
, /? City water
??i ? 'afi 7`v?'k ?cX PRV required _
Address Sf
n t` ? Booster Pump _
City/Zip Code
APPROVAIS
Phone `t ?C( Planner _
Couneil
Arch./Engr. SJ-}/'h ? Bldg. Off. ?/Z$
Variance
9ddress
City/Zip Code
2 5 1989
FEES
Bldg. Permit 56,00
0
Surcharge 1.0
Plan Review
SACt City
SAC, MWCC
Aater Conn
Water Meter
Acet. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies S'D
3IIBTOTAL
Penalty
TOT9I.
Phone #
, . ?
u
?
?? ?g1J3?? J 6- 0 Ui
1 ' 0 U .r
p•>U?.
37-:)U>?
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NO. FIXTURES EACH TOTAL
SHOWER ? 3•00
? WATER CLOSET 3•00
BATH TUB 3.00
LAVATORY
J 3•00
_
l KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3•00
FLOOR DRAIN 3.00
GAS PIPING OUTLET • minimum - t 3.00
ROUGH OPENINGS 1.50
WATER SOFI'ENER 5•00
PRIVATE DISP. • DakCty. lic. 15.00
U.G. SPRINKI,ER • 6ome under eonst. 3•00
,---AETE??R?A?TIONS • w aosting 15.00 / S• d?
gR "T AR I1D 15.00
STATE SURCHARGE / s .50
TOTAL: . S 4
STTE ADDRESS: A'/- ???" L-7`'
OWNER NAME: ( ?--cJ 115t 1-7
INSTALLER:
ADDRESS: /
CITY: /?77'/Z?, STATE: ZIP CODE:
PHONE #: (G 12) C/, 3 3- 27l 7
_ a=
STGN TURE O PERMITTEE
1993 PLUMBING PERNIIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COMMERCIAI.)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR ALL COMAERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUILDINGS WHEN SEPARATE PERMTTS ARE NOT REQUIltED FOR EACH
DWELLING UNIT.
_ NEW CONSTRUCfION
ADD ON
REPAIR
WORK DESCRIP7'ION:
CONTRAGT PRICE:
FEE: 1% OF CONTRACT FEE.
STATE SURCHARGE: $.50 FOR EACft $1,000 OF p?j?' FEE.
MINIMUM FEE $ 25.00 ., ,
CONTRACT PRICE X 1%
STATESURCHARGE
TOTAL
SITE ADDRESS:
$
$
TENANT NAME: STE. #
OWNER NAME:
W STALLER:
ADDRESS:
CITY: STATE:
PHONE #:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
INSPECTION RECORD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
l6121681-4675
SITE ADDRESS:
.;'.'l A ftE(JR
I'i.; WUliDt.flP!D'3
PERMIT SUBTYPE:
E;a',? rqErlT FtP!l',rl
PERMIT TYPE
Permit Number:
Date Issued:
APPLICANT:
i,or: 'o aLr,cr:: ?a
CT LCFt'_TVLE HQiIES .IIdC
(hai) 45$-781;6
TYPE OF WORK:
n!ew
BL1IlU1fVG
NZA32G
0 2 ; 1=/93
?
.,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 6804675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
C'q G (/7S7
,2/,,C-
,
Buri.ol-rd,r
0 ?0 3Zb
0 2 r'12/4 S
SITE ADDRESS:
P I.H.e 10-15815-200-e14
;ij nRenR Ci
i 0 r 20 vi nr,r: 11
THK WuoOt nNoS
DESCRIPTION:
8uilding %erm;.C ryp°
{iuilefi.ng 6Jurk fyp__
UBC Occupancy
8A',SLMcNT PTOTSN
pii'IJ
P - :i
f
..1
, , _..,?•??•??'_.?!. ._
.',I, 104
REMARKS:
FEE SUMMARY:
saw,u ; Ge ls-..00
Sur nh,, pq,- -----?--. ?? -' ?'.
?? o?t,a I F?? _ ?; s 01)
CONTRACTOR: - A p pi i < <- n : (OWNER: LrrrGiY'Le HoMes zNc tiasAIeE;h OHHi: Rv 60Lr,N Lnrirv
J dil^ I_NF'F PFlRV Cllt 821 AHF,(7R Cl"
Ef13APd MIN 55922 CAGAN MN 55123
:61?1 •Iw1-l666 (6I0)6S7-9=17`.S
Z hereby acknculedga that T t+nve read this appl'zcatiors end state that thz
inturmatiun .f.r•, norrurC nrrd <agr..ee T,,,a cumpl.y w.'rth all op('?J.ice.+blv Si.ate of Mn.
5L'aLuT.cs and City oi' Eaqan brc'iri3nces.
? -
?
?hk
APPLICANT/PERMI E IGNATURE ISSUED Y: SIGNA E'
REACTIVATE
PERMIT # r
260-satt
CITY OF EAGAN ?3? ??
1593 BUILDING PERMIT APPLICATION
681-4675
avs? a r e??
SINGLE & MULTI-fAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structurat 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 F Valuation of work
Site Address:pal .?r bur
STREET SUITE Y
Tenant Name: (commercial only)
LfJT ? BIACK ? SIIBD.V"/dJc?Iq„?c?s P.I.D. M
Descri tion of work:
The applicant is: 0 Owner ?Contractnr ? Other (Desoribe)
z/? S
y Phone ?
Name ?'?K) /ah LcLrr
Property ?
LAST FIRST
Owner
-
Address Arho r cS14-
STREET STE N
City Laoa-n State /yij/ Zip s"/2 s-
Company Phone
Contractor Address Pz.k c irCZP License #?f? ? Exp. 3
City 4J, 0.o 2State Zip s?7 2 Z-
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber S ci rJ 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
carrect and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
J;!?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation
? 02 SF Dwg.
? 03 SF Addition
O 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
E3 10 Multi. Add'1.
WORK TYPE
0 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
. _ :.,
o,
?
? 11 Apt./Lodging ? ?? Finish
? 12 Multi. Misc. ? 17 5wim Pool
? 13 Garage/Accessory ? 18 Comn./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
O 15 Deck ? 20 Public facility
? 21 Miscellaneous
? 35 Tenant Finish O 37 Demolish
? 36 Move
Const. (Actual) Basement sq. ft. MWCC System
(Allowable) lst F1. sq. ft. City Water
UBC Occupancy 3KE5 2nd F1. sq. ft. PRY Required
Zoning Sq. Ft. total Booster Pump
# of 5tories Footprint Sq. ft. Fire Sprinkler
Length
On-site well ?
Census Code
Depth On-site sewage SAC Code
G1041
APPROVALS C~$40
Planning Building Assessments
Engineering Variance
REQUIRED IN SPECTIONS PAR.TIAL J&qa&-Me.KT F?N?sH
O 5ite ? Footing f2KFraming ? Insulation
O Wallboard N(final ? Draintile ? Fireplace
Permit Fee vatwt;on:
Surcharge '?$7?
Plan Review
License
MWCL SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Tatal:
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SAC %
SAC Units
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RESIDENTIAL
BUILDING PERMIT APPLICATION
CI7Y OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
NewConstruatian Reaulremenh
• 3 registerad sRe surveys showing sq. ft. of lol, sq. R af house; and all roofed areas
(20% maximum lot coverage allowed)
. 2 wpies of plan showing beam & windax sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan rf lot platted after 711/93
. Rim Joist Detail Oplions selection sheet (bldgs wBh 3 or less unBs)
DATE ,-- oZ. I - b ?
RemodellRaoair Reauiremenh
. 2 wpies of plan
. 1 set of Enertgy Calculations for heated additions
• 1sAesurveyforexterioradditions8decks
. Indicate if hame served hy septic system Por addiEons
VALUATION I,,?, 9??1 _' '7
SITE ADDRESS 8a ? Ar?? 60i„r--- ' MULTI-FAMILY BLDG _ Y X N
TYPE OF WORK -ff/til 0 f?7 1-- ?tv-ao_C FIREPLACE(S) _ 0 _ 1_ 2
APPLICANT r1 t-kd CO r?
STREETADDRESS %a? CITY "A ''? STATE?'?" ZIP?la3
TELEPHONE # _T =-EELL PHONE FAX # I[A JY yti
= °,sa j L[tijS
PROPERTYOWNER ?M1l?fOl .? Je?l?rrn?.? TELEPHONE# 65-I
--°--°---------- -°-----------------------------------------------------°-------°----------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'1'A RULES 7670 CATEGORY 1 117?
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • FM"2 e s
• Energy Envelope Calwlations Submitted 3 2002
r
Plumbing Contractor: Phone # B ?
Plumbing system includes: Watcr Softener _ I.awn Sprinklcr Fcc: $f
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Rccovery System
Phone #
Phone #
Fee: $70.00
------°-----------------------------------°-----°----------------------------°--------°----------°------------------
I hereby acknowledge that I have read ihis application, state ihat the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. 1 1
Sfgnature of Applicant
OFFICE USE ONLY
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
0 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 07 05-plex ? 13 16-p!ex
? 08 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 ?ool
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Acc:essory Bidg
? 31 6ct. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement "Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. cf E31dgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addition) _ Plumbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool
Ftgs
Air/Gas Tests Final
_ Framing _
_ _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wal]
Approved By
Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
`-r o`),RESIDENTIALBUILDING
Permit Application
Ciry Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
gS-9 7' L?
,,a,A 7/?flf`ila:
New Constructian Reauirements RemodeVReoair Reauirements Offce Use OnN
3 registered site surveys showmg sq, ft. of IoL sq. ft. of house, and all rooted areas 2 copies of pWn _ Cert of Survey Recd
(20% maximum lotcoverege allowed) 1 set of Eneryy Calalatlons for heated addiVOns _Tree P25 Plan Recd
2 copies of plan shawing beam & window sizes; poured found design, etc. 1 site suNey lor additions & decks Tree Pres Not Reqd
t set of Eneqy Calculafions Adddion - indicafe Honsde sep6c system _ On-site Septic System
3 copies ot Tree Preservation Plan if lot platted after 711/93
Rim Joist Detail Options selectbn sheet (bldgs with 3 or less units
Date -l-/
Site Address 03 Construction Co.00o
Arebar- CO?(z7 UniUSte #
Description of Work SQMbNAyZl140V Q?//`-Fa'-°'w
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 2
Property Owner RQr) JS i ('. U i 4e rM 4NA) Telephone #
Contractor 0-04 34 Caf
-
? 5e`J1&-5
Address ?50y
S[ate /YL T?- Q. i W Po - Ci[y p c%!`/1S614.
Zip S337 Telephone #(6!?-) y9Q'570y
COMPLETE THIS AREA ONLV IF CONSTRUCTING A NEW BUILDING
Minneso?t Rules 7672
Energy Code Category Minnesota Rules 7670 Cateeorv 1 Fri 11
• Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitted Suhm itted
. Energy Envelope Calculahons Su6mitted
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
_ Telepho?( )
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 confoanance with the ordinances and codes of the City of Eagan and the State of MN
3tatutes; 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 ork which requires a review and
approval of plans. /? n
L:?i/
?w•./ ?2/?'L ?T Z ??
Applic Ys Printed Name Appl a Signatur
OFF[CE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
x 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 PorchJAddn. (4-sea.) ? 33 Ext. Alt - SF
? 44 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
?< 33 AlteraGon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement ' •Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy - MC/ES System
Census Code
-? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addicion)
_ Foundation
Drain Tile
Roof Ice & Water Final
? Framing
Fireplace _ R.I. _ Air Test _ Final
?C Iasulation
REQUIRED INSPECTIONS
_ FinaUC.O.
? FinaVNo C.O.
Plumbing
? HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Smcco Stone
_ Windows (new/replacemenY)
_ Retaining Wall
Approved By; 7, , Building Inspector
Base Fee
Surcharge
Plan Review MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
?o?!'i'?OLdJri L
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O?
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??/ ?V V
r?., PLUMBING (RESIDENTIAL)
Z'f-' Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please complete for: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date-2! /r?, /Q?
? hz??P- ? v u h ? U
Sit
Add it#
ress
e n
PraperTy Owner Telephone # ( )
Contrac[or ?[Y G(.e C? l G'
i
ff-(
? a 0 P'
t
a C
ty
Address
State - Zip c )d Telephone #
Grc
The Applicant is _ Owner -Y--Contractor _ Other
Septic System New _ Refurbished Submit 2 seLs of plans and MPC Iicense $ 100.00
Includes County fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including
? Adding fxtures to lower levels or room additions, excluding water softener and water heater $ 50.00
_ Abandonment of septic system
_ Water tumaround (+ 518" meter
-$121.00)
ine
ed
ed
?
p
.?
?
Other.
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system ? C
\
Water softener
Water heater
_
_ $ 15.00
_ replacement _ additional
\
U
e g?
State Surchar
$
.50
g
S-0 ?,n
To[al $
I hereby apply for a Residential Plumbing 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 with the Plumbing Codes; that I understand this is not a
pernut, but only an applicarion for a permit, and work is not to start without a pertnit; that the work will be in accordance with the
approved plan in the case of work wluch requires a review and approval of plans.
0/4/( 0 (-C{ ate C.C!:::)
Applicant's Printed Name Applicant's Si ature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA106725
Date Issued:09/07/2012
Permit Category:ePermit
Site Address: 821 Arbor Ct
Lot:20 Block: 4 Addition: The Woodlands
PID:10-75875-04-200
Use:
Description:
Sub Type:e - Water Softener
Work Type:New
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Kris Oien
3670 Dodd Rd
Eagan, mn 55123
651-365-1340
Fee Summary:PL - Permit Fee (WS &/or WH)$55.00 0801.4087
Surcharge-Fixed $5.00 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 -
JAMES K WALDRON
821 Arbor Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA132178
Date Issued:07/29/2015
Permit Category:ePermit
Site Address: 821 Arbor Ct
Lot:20 Block: 4 Addition: The Woodlands
PID:10-75875-04-200
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 within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
James K Waldron
821 Arbor Ct
Eagan MN 55123
(651) 357-6104
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
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PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA143559
Date Issued:06/20/2017
Permit Category:ePermit
Site Address: 821 Arbor Ct
Lot:20 Block: 4 Addition: The Woodlands
PID:10-75875-04-200
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
James K Waldron
821 Arbor Ct
Eagan MN 55123
Bonfe's Plumbing & Heating
505 Randolph Ave
St Paul MN 55102
(651) 228-9071
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA150042
Date Issued:06/19/2018
Permit Category:ePermit
Site Address: 821 Arbor Ct
Lot:20 Block: 4 Addition: The Woodlands
PID:10-75875-04-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
James K Waldron
821 Arbor Ct
Eagan MN 55123
(651) 636-1451
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163454
Date Issued:09/01/2020
Permit Category:ePermit
Site Address: 821 Arbor Ct
Lot:20 Block: 4 Addition: The Woodlands
PID:10-75875-04-200
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Robert Borrelli
821 Arbor Ct
Eagan MN 55123
Ashco Exteriors Inc
11164 Zealand Ave N
Champlin MN 55316
(763) 225-8333
Applicant/Permitee: Signature Issued By: Signature