593 Atlantic Hill DrCITY OF EAGAN Remarks
Addition Lakeside Estates Lot 12 eik 1 Parcel- 1044300 120 01 t
pwnerDa111.Id )-rNlLY,t ?Gf.l.fl!?, Street 593 Atlantic H7113 Dr. State Eagan,MN s7123
Improvement Date Amount Annual Years r Payment Receipt Date
, STREET SURF. 5 Imp.
1991
1690
16
84 51
STREET RESTOR. 1981 .
1409.71 70.49 ?
GRADING r
5AN SEW TRUNK S
981
280.00
14.00 2)nO
* SEWER LATERAL 258.07 ZO A
WATERMAIN
* WATER LATERAL 1981
WATER AREA 1981 280.00 14.00 20 . A?
STdRM SEW TRK 1985, 711.00 47.40 19
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN, 335 00 25454 6-24-81
6UILDING PER. 6743
SAC .6-24-91
PARK
ICIT.Y OE EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Roed PERMiT NO.:
Eagan, Mld 55122 DATE:
Zoning: No. of Units:
Owner, ' '-[??i 'taon
llddress:
Site Address: :.L aid is Yr:;,+xte-
Plumber:
AAeter No.: Connection Chcrge:
Size: Account Deposit;
Recder No.: Permit Fee:
1 e9ree to wmply wbh !6o City ef Wgew Surcharge:
Ordinanees. Misc
Chorges:
.
Total:
By Dcta Paid:
Dote of Insp.: Insp.:
i GTY OF EAGAN
? 3795 Pilot Kneb Rood
Eagen, MN 55122
Zoning:
Owrer:
Address:
Site Address:
i Plumber:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
:?' . . •
I egree to eanplr wil6 the Gtp of Eagaw
? Ordinanep.
BY
Date of Insp.:
Connect(on Chor+pe: -
Account DepOSit:
Permit Fee:
Surchcrpe:
Misc. Charges:
Totol:
Data Poid:
es?
CASH RECEIPT
CITY OF EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
aecerven
FRdd
AMOUNT $ I
& DOLLARg
?oo
E)CASH ? CHECK
FOR
FUND COD6 AMOUNT
ThankYou
BY
wnita-PayerS copv
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN '? ' 197 15
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '?+?
? P H O N E: 454-8100
BUILDING PERMIT Receipt #
,m., o..,.,+.,
Site Address ;q;ATLAMC 1112 iS--DaIV!
Lat 12_ 81ock i_ Sec/Sub.
Parcel No. _
W Name - DOl1 i 11AtIE SAM
; Address
0 City Phone 452-5067
, o Mame Y/11.1LY POOts li'lIC
?s Address 650 CL1" !tD
? City 1tlRR9YI1.lE Phone 594-14M
Address
C11y _
I hereby ac
intormation
Minnesota :
Signature of Permitee LF?
?
A Building Permit is issued to:
on the express condition that ,
applicable State of Minnesota
BuikJing OfiiCial -
Phone
read this application and state that the
to comply with all applicable State oi
OFFICE USE ONLY
Occupancy - FEES '
Zoning
(Actual) Const _ Bldg. Permit ?u]iQQ ;
(Allowahle) - Surcharge 5•00
# of Stories _ ?
Lenglh Plan Review
Deplh - SAG City
S.F. Total _
SAC,MCWCC
S.F. Footprints
On Site Sewage _ Water Conn
On Site Well - Water Meler
MWCC System _
City Water Acc
_ t. Deposit
PRV Required _ S/W Permit
Booster Pump - S/yy Surcharge
Treatment PI
APPROVALS Road Unit
Planner
Council - pyrk Ded.
? Off. ?
_ Copies w
?
Varfence - TOTAL
PermN No. Permit Holder Date Tebphone #
WATEF "
SEWER
PLUMBING
H.V.A.C.
ELECTR?? wg3 9a
WaWecdon Date I-V. C4D„n,«,tS
Footinys i
Foundation .
Framing
Rooting
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Ptbg. PI6g. Inspeckor - Notify Plum6er
Const. Meter d ? -
Engr./Plan - g e
Bldg. Final JG ? ? ?l !o
Dedc Ftg.
Dec:k Final
Well
Pr. Disp.
v \rITY OF EAGAN
.. ' 3793 Pilot Knob Rood Eagon, MN 55122
• PHONE: 454-8100
BUILDING PERMIT Receipt #k
N4 6743
To be used for Est. Value Date , 19
Site Address ' Erect ? Occupancy
Lot Blxk Sec/Sub. Alter ? Zoning
Repair ? Fire Zone
parce) #
E
i t
T
f C
n
orge ? .
ype o
ons
W Na? Move ? # Stories
? Address Demolish ? Front ft.
0 ru,. - 04.,,..,. Grade r1 Depth ft.
? Name _
0
?? Address
nstir+i--•_ on
Assessment -
Water & Sew.
Polite
Fire
Eng.
Plnnner
Councl I
Bldg. Off. -
APC
Name _
Address
1 hereby acknowledge that I have read this application and state that
the information is correct and ogree to comply with all opplicabie
$tote of Minnesota Statutes ond City of Eagcn Ordinonces.
Permii
Surcharge
Plan check
SAC
Woter Conn.
Woter Meter
Road Unit
Total
Signoture of Permittee I
A Building Permit is luued to: on the express condition that
all work shall be done in accordonce with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Officiol
P?nnM # Oof? hw?d ?«sIfFM
Plumbing 2?f?(C (?-2?-$2 ' (.v?"? `?- ' ?
Mechanicnl ? (Q ?- Z3?$( d?s l`/L ?
?? , t??'C_ T?R S.?C?? 7-/(?; -?'s ?- ?r?£_ ?F ?'?
INSPECTIONS DATE iNSP. Rough-In Finol
Footings ? 6' . u g Oate Insp. Date nap.
Foundution Plumbing ? - ?-8
ro e ins. ] a./-? ? Mechonical ?;?FS ?
Finol j ?/•-?
Remarks: ????-a ! ? ? /?1?'? '?^
7- z ?- y 1 ??-?-2. ?'? .?-?-?.u?-
C.a--?.e.J .
?"..`'`O ?-.??
?- ?-?? ? - - ?- ???`
??°
.? .
Receipt
1. Date
MECHANICAL PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print legib/y
2. Installation Cost
Permit No.
Fee
S/C
Tot.
3. Job Address - Lot Blk. Tract
4. Owner
5. Contractor Phone
6. Address
7. City State 2ip
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New 0 Add ? Alter ? Repair ?
10. Describe Fuel Type
I 11.
No. Equinment 8TU - M. Ea.
Forced Air No. EQUiament CFM
Ai
Handli
:
Mfg. r
ng
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12 1 hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F inal
• mspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
.Approved CITY OF EAGAN 464-8100
-.?--?- .•
Receipt PLUMBING PERMIT Permit No.
CITY UF EAGAN
Fee
Fill in numbered spaces S/C
Type nr Print legibly
Tot.
1. Date 2. Installation Cost '
3. _?_,
Job Address Lot -'- Blk. .••.
? Tract
4. ? f
Owner
5. Contractor •" ^ ? "-'1 .? '? 1-0/i Phone ' - '
6. Address
7 C
. itY State Zip
i'
8. Building Type: Residential Q'J Commercial O I nstitutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe
11
No. Fixtures
Water Closet No. Fixtures
Ce
l/Drai
field
Bath tubs sspoo
n
k
S
ti
T
Lavatory sp
c
an
Softner
Shower Wel l
Kitchen Sink
Urinal/Bidet Oth
?
Laundry Tray er
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify thatthe above informatipn is true and correct, and I agree to
comply with all orQinances and codes gpverning this type of work.
?
Sigrted : . , . r
for
Rough Final ?
fnspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8700
r
Add ress
CORRECTI4N NOTICE
Owner/Agent cLx c A f
Owner/Agent Address
Ordinance Nos. and Corrections - Correct By
For reinspection
Eagan Dept. of Inspection
3795 Pilot Knob Rd.
Eagan, Minnesota 55122
454-5 7 00
Inspector:
Dept..
DATE: Z--//
Site
Telephone
-1
5
9/
y?/ 5 ?
?/5'?0
?
0
2
p 43 9
Repvest Date ?
I
e Fire No. Rough-in Inspecti
qe ryp? /
? Ready Now ?/w+ill Notiy? Inspecmr
/
/
?
Yes L No
Wnen Reatly?
I64censed contractor ?
n
ork aC
h
t i
ti
f
l
i
ical
b
b
ow
er
ere
y reques
on o
ove e
ec
r
w
nspec
a
Job Atl0 ss (Sireet 9 x or Roule NoJ ,/ ?
Jr/`3 4/f dt?C /rl'i /S 1Jr Cily
Section No. Towns??p Name or No. Range No. County
nl
?? ?
? PhoneNO.
n
Q
?
Powar Supplier Adtlress
Elecmcai Comracior 1 ompany Namel
, C-, L1?c Comreotor§ Gcense No.
MaiLng Aodress lGOnbacror o, Owner Makpq Install ion) -?
`yQ I c ' l f ?4 n
mm?unzea Sig tvre ?Connactor wner M Insc auon?C Pno e?f?ufmber G)y? ^
( . 1 ??_ ITJJ
MINNESOT STATE BOARO OF ELECTRICITV THIS INSPECTION REOUEST WILL NOT
Griggs-Mitlway BICg. - Room 5-173 . BE ACGEPTEO 8Y THE STATE BOAFD
1821 Univemity Ave., 51. Pavl. MN 55104 ' UNLE55 PROPEF INSPEQION FEE IS
Phone 1612) 663-0800 ENCLOSED.
??9 REQUEST FOR ELECTRICAL INSPECTION ee-oaom-oe
( ? Sae insvucuons tor wpleting tNS-lorrc on baok ol yellow copg
1 -s.1i19
n deiow vvorK coverea oy i rns neyuesi ?
e p. 7ypeofBuilding AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
H Apt. 8uilding Dryer Other (Specify)
Comm./Industrial Fumace
Farm Air Conditioner
Olher?sVemlyi
Compute 7nspection Fee Below: Conteec(or's Remarks'.
# Other Fee # Service EntranceSize Fee # CircuitsiFeeders Fee
R Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
Signs Inspecmrs Use Only: TOTAI? s
Irrigation Booms C{/) . G,? T i?
Special Inspection ?
Alarm/Communication THIS INSTALLATION MAV EIE?ORDE D IS?ONNECTED IF NOT
Other Fee COMPLETED WITNIN 1 THS
I, the Electrical Inspector, hereby Rou9n-m i
certify that Ihe above inspection has
been made. Finai oaie ?
OFFICE USE ONLY
This reques[ voitl 18 montM1S tro.
71t(P Lfa2??li L9-1-'Es:dE ?sE-i S?,oo
This request void
18 months from f?- z2 SS" 33
Date of this Request_ U(,-y Fire No. ?29520
I, as,N Licensed Elec rical Contractor ? Owner, do hereby request inspection of the above electri-
cal wiring installed at:
Street Address or Route No. v/3 /47-4 A vT /C ? l i s?City?'?1
Section Township Range CountyOA?CUQa
Which is occupied by
Is a roughin inspec[ion required on this job? No ? YesA Ready Now ? Will Call-Q
Power Supplier /L UC'A CC C-C-D W Ol Address 0 /J /2A-i i.v !M P,/
Electrical Contractor C":s)w 4-,?? 741(_ Contractor's Lic`ill No6l?l
Mailing Address
_J.,
Authorized Signature / I.e a-•,,.t _/?,(1?? Phone No.
tor or owRer makln9 This Installatlon)
?( ??? This inspection request will nat 6e accepted 6y the
? State Board unless proper inspection fee is enclosed.
m?nsma aman ooaro or oecvicrty Griggs Midway Bldg. - Room N197
I p? University Ave., SL Paul, Minn. 55104 -, Phone 297-2171
REQUEST FOR ELECTRIGfAL INSPECTION
CHECK BELOW WORK COVERED BY THIS REOUEST
EB-00001-02
2553?
'? 29520 ?
Type of Building New Add. Rep. Check Appliances W'ved For Check Equipment Wired For
Nume
Duplex
Apt. Bldg.
Commercial Bldg.
?
?
? ?
?
?
? ?
?
?
? Range
Watex Heater
Dryer
Fumace
?
? Tempoiary Wiring
Lighting Fixtuies
Electric Heating
$do Unloader ?
?
?
?
Industrial Bldg. ? ? ? Air Condi[ioner ? Bulk Milk Tank ?
Other
?
1:1
El List
flthe,sl
ere Lis[ )
Others}
Here )
COMPUTE [NSPECTION FEE BELOW
Service Entiance Size: x Fce 1 1 Feeders&Subfeeders: # Fee CircuiW: # Fee?
0 to 100 Am s. 0[0 30 Am eres 0 to 30 Am eres Z
101 to 200 Amps. : GD 31 [o 100 Amperes 31 to 100 Am eres
Above 200 Amps. Abave 100 Amps. Above 100 Amps.
Transformers Remote Con Vol Circ. Pattial or othex fee
Signs Speciallnspection Minimum fee
Remazks? ? TOTAL F E s? 0(y 2
I, the ElecM Ins y ce ' [hat ovk inspection has bee rt? .?G
(Rough-in) Date . a?
(Final) ! Date /- -k ?-
This request void •
18 months from
CITY OF EAGAN
9795 Pilot Kneb Road Eagan, MN 55722 N2 6743
{ PHONE: 454-8100
7J?-_7 ?, /
BUILDING PERMIT APPUCATION Receipr #
?
$ItC Address J72 xy1Ci[141V ILLl1u Li'*
Lor 12 eiak I_ sec/sub. Lakeside Estates
Porcel fk 10 44300 120 01
w Nome mt1e7A fl R Tufa3!Y A Swrhta ; Address 235 E. Ii,0.ske11 St.
°
;«, W. St• P5U1 0L..__ 457-5946
?
o Nom _
?
?< Addre ess
m r«.
Nome _
Address
I hereby ocknowledge that I have read this aOPlicotion and state that
fhe informotion is correct ond agree to comply witM oll opplicable
State of MinnesoM Stafutes ond City of Eogan Ordirronces.
Signature of Permittee
A Building Permit is issued to: ?
oll work shall be done in accnrdance with all
Building Otficlal ?
Erect Yj Otcupancy-1i43
Alter ? Zoning RI
Repair ? Flre Zone N-A
Enlarge ? Type of Const. V
Move ? .'(k Stories
Demolish ? Front 68 ft.
Grade ? Depth -kA ft.
Approwls Fees
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council
Bldg. Off.
APC
Permit -_379-0I1-_
Surcharge 41.00
Plan check 189. 50
sAC 525.00
Water Conn335.00
Water Meter 60_00
Road Unit 185_00
Total $1714_50
_ on the expres condition Nwt
ond City of Eagan Ordinances.
BUILDING PERMNGROUND
TO b¢ uSed for SWTMMTNG $10,000
Site Address 593 ATLANTIC HILLS DRIVE
Lot _12 Block I SeGSub. LAKESIDE ESTATE
Parcel No.
w Name DON & MARIE SACHS
3 Address SAME
° City Phone 452-5067
a Name VALLEY POOLS INC
o
?a Address 651 CLIFF RD
CitY BURNSVILLE phone 894-1480
11w Name
Address
W City Phone
I hereby acknowlege 1 1? ave read this application and staie that the
information is correcl d gree to comply with all applicable State of
Minnasota Statutes d ity of Eagan Ordinances.
n
Signature of Permi[ee
A Buiiding Permit is issuetl to: VALLEY POOLS INC
on the express mndition that all work shall ba done in accordance with all
applicable Slate of Minnesota St tes and City of E an Ordinnances.
Building Oflicial ?'N
CITY OF EAGAN
3830 Pflot Knob Roatl, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
OFFICE USE ONLY
Oaupancy -
Zoning _
1Actuaq Const -
(allowa6le) -
Y of Stories
Lergth 18x41
Depth
S.F. Total
S.F. Footpnnts 694
on scta sawage -
On Site Well _
MWCC System -
cirywater _
PRV Required -
BooslerPUmp _
APPROVALS
Planner _
Council
BIdg.Oil. _
Variance _
N°_ .19715
Receipt # c- ' 5-y:7 (?
Date SEPTEMBER 20 Jy 91
Bldg. Permit
Surcharge
Plan Review
snc, cay
snc.MCwcc
W ater Conn
WeterMater
Acct. Deposit
S/W Permit
S/W Surcharge
Trealmanl PI
Road Unil
Park Ded.
Copies
TOTAL
FEES
117.00
5.00
`?J! 7 W 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWC6on ReauiremenGs RemodellReoair Reauirements
3 registered site surveys showing sq. fl. of lol, sq. R. of house; and all roofed areas 2 copies of plan
(20% maximum lot coverage allowed) 1 set of Energy Calculations for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site suney for additions & decks
1 set of Energy Calculations Addition - irMicate il onsde septic system
3 oopies of Tree Preservation Plan'rf lot platted after 711193
Rim Joist Dehail Options seledion sheel (bldgs wilh 3 or less unAs
?
70
--- JI2?
OfficeUsa n
. = N......?_ _
Ceff ofSGrveyRea7 Y
Tw.PrgsRIaQRQca' K AY ?n'N_
TreePres Required Y N
bn?-?iteSe{IticSys?m "1`_^Y N
Date ,5- l/ 3- / 0?/ Construcfion Cost 9i?w ?
Site Address 03 /?77,*/77G ?lLL-? ??/YC UnitlSte #
Description of Work ba?I`-
Multi-Faroily Bldg _ Y_ N Fireplace(s) _ 0_ 1 _ 2
ProperTy Owner PC 3f- Telephone
Contractor 41 r2?!s
Address c710430 40W /wo-
State /u/V Zip 0,372-- Ci[y .e10A 14;ve-
Telephone # (l!/2) ? l-(?G7
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
V Telephone #(
Telephone #(
elephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and ow e that the information is complete and accurate;
that the work will be in conformance with the ordinanc codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an app cation for a permit, and work is not to start without a
permit; that the wark will be in accordance with the approved plan in the case of work which requires a review and
approval ofpl
App icanYs Printed Name ApplicanYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt-SF
? 04 02-plex ? 10 OS-plex )K 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bld g) • Give PCA handout to applitant
Valuation -4-O?? Occupancy MCES System
Census Code l"?d? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const d/n/ Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice& Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaVC.O.
1r Final/No C.O.
T` Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: , 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
il.H??' ,Gf 0 ?3-a?
?. -?? --
. ` ANLEIN
:IOHNSON
I " c o w0 o w. t s o
ARCHITECTS
ENGINEERS
CER71r1CA7E oF SURVEY FOR:
MR a,MRS DoNALD SACHS
DESt R I P'f I ON
1107 W. BVNMSYLLLE PARKWAY '^T I? p1•OCn V f
RO.?Ol t1?6 w ? v?
YUHMSVILLE.MM551]7 LAKES%RE r-STATES
MqMEI{ltI Y61I12 Wp7A COlJN7Y, M1U13ES0T1?.
,
M 7
\ `\
? C
1WA?0. EI.N.
1?.? ?wa11,n61 \
,
` `
`
N
i ?
/ - ?
`
.`
0,
?(z.?
i ?
? I
;
?
?? \ ,? it2o
J ?' •
?
?
\ . I J ,
N sC AL..F- , -- ? '4 o'
o - IND1CA-ti'ES kStON bET
QQ -IHDICI.'i'ES 5Ft7T tLCy,{Ttof
All BEARINCsS ASSWrIED
5' DR,A.INA6E 4-
UTILITY EASEMENT ,
;K .
I hereby eertify that ehis suevey, plan or
report was ptepnced by me ot undet my dicecc
supeivtsion and thac 1 am • duly Registercd
Land 5urveyor unda the lacvs of [he Staa
l oE Minneaota.
/
\ ?` , r=- ??'? \ \y .
o.? Da•• Rail. N0.?
171 ?? ? (?O \
O
??J
cA? , '•.? z /' / ?
, ?• 0,0?/?
p 2 '?
/
?
_?f ? ?
199 BIIILDING PERMIT APYLICATION ?-. A? ?
CITY OF EAGAN `?"?J-- ?
?,?
SINGLE FAMILY DWELLINGS MULTIYLE DWELLINGS COPIIIERCIAL
2 SETS OF PL9NS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SUAVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATION5 (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1.SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLISS AHEN: TYPING OF PERMIT IS REQUESTED, B[TT NOT PICKED UP BY IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MiTST SHOW A LICENSED PLUMBER.
I N &A oU Wj ?
To Be Used For:? ?)'la?;., C
Site Address 573 or" .qAVZ-,, ?.?
tAC l2 slock 1
Valuation: ? Date: ol /
Parcel/SubL4t<,E??&e- fcy,?qT?S
owner On u d, YYIqS?l X-- SA'-- NS
nddress SR3A?c?,wrc? ?,11Z b2.
City/Zip Code -&yAxl 1YlJ ?5 I 23
Yhone `?iov)
Contractor \/A l bau Vov LS +Uc_
Address jnS j C?? I N
Cfty/Zip Code 024A5:h1IE nv .
Pbone -j??, ? -- I (-( ko
Arch./Engr.
Address
City/Zip Code
OFFICE USE
?/v. 0C9c7`
Occupancy 1"i "-L
Zoning
Actual Const
Allowable
# of stories '
Length /8 X 4 /
Depth
S.F. Total
Footprint S.F. 6`'1
On site sewage_
On site well
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS _
Planner _
Council
B1dg. Off.
Variance
FEES
Bldg. Permit
Surcharge -?
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL /0707.0l7
?
Phone #
Se r? ater Licensed Contr.
!t? -J? ? agrees that all work shall be done in accordance with
(Signature of Contractor)
sll applicable State of Minnesota Statutes and City of Eagan Ordinances.
,:
KOE;PINLEIN
LIGHTOWLER
JOHNSON
- w t o wP o A A t a o
ARCHITECTS
ENGINEERS
C,ERTlF"ICATE oF SURVEY FOR:
MR ? MRS DoNALD SACHS
DESCRI P'TiDN
1+ww.aunesva?nAnawAr ?pT 1Z SLOGK I
?.o. sox v'e j
.uaNSViue.rassan LAKESIOE V-STkTCS
MONE (012) W41272 ps,KOTA COUNTY, M1uKESOT1ti
a ^?
?.a a'`? ?• s N scA?E 1°. 40,
? WA?ER EI.N. \ ? i
INDICA"cES 1RON SET
\ <Ei?>-1NDICI.TES SPtff CI.CyAT1ot,
ALL BENF2INGS qbSUMED
40
?- /
/ ,-
?? ?.-
, ,
.
\
??? ??• ?
i - .
?
5' DRp.WA6E d-
UTILITY EASEMENT
I ? A
` ` `1 Q?' ? \ `(•
\ ? i li?'o ?eN
?
a,?Jy ?°???? \
O \ ?` ?D
1 hereby eemf9 ehat ehis survey, plan or
report waa prcpated by me oc under my dicacc
supervigion and [hat I am a duly Regiecercd
Land Surveqor undu the laws oE chc Swa
ot Minneeota.
Dau Reg. No. -
?
/
Zi`
?l??p ? ? ???''
1 ?•,` - z / /
4
?\ ??, - ?P ' \.?,p.?? y?
pa0,50'
1
.
'KOEHNLEIN
' LIGHTOWLER
. ?JOHNSON . .
` f n C O'.e n. O n. e i[ 0 1103 W. BURNSVILLE PARKWAY
?- ARCNITECTS P.O, eoa 1246
, BUHNSVILLE. MN 55337
( ..
. ENGINEERS ' pNOaE(efz) w41272
.
?.
CERTIrICATE oF SURVEY FOR.
MR 4 MRS DONALp SACHS
DESCR?PTioN
LoT 12 , BLOGK I
LAKES1pE SSTP.Tg:S
L1d.KOTA CoUN7Y, MI134ESOT7I,
I?
SCA?E 1 ?? • 40'
o - INDIGATES ?RpN SE'C
oao.o -INOICATES 5POT ELgyATtoN
ALL BE,4,RINC,1b. A'SSUMED
5' pRqINAGE N-
UTILITY EASEMENT
V'I/ I hcraby certify that this ourvey, plan or
tcpoR was pttpared by me or undtr my ditxt
supervieion and that I am e duly Regiateted
? Land Sarveyor unda the laws of the State
of Mlnnesoca.
? ?.
iV6 - - sa\
?'t?•? i O
0 Jt)
F$,; ` \o, o\
W?
?
-f 'l14?;
Dat? Reg. No
,\
i
/
/
\o P}V Elb O 0? o
'i
' ?P
j
?E
?
?
,
RE80LUT I Oti
C3TY OF EFGAT7
FIHEREAS, a public heazing pursuant to notice was held at a regular
meeting of the Eagan Advisory Planning Camnission on May 22, 1979
concerniag the application of Thomas Waite
for walver of subdivision requirements under Eagan Ordinaace N. covezing the
following described premises: Lots 12, 13, 14, Bloc 1, Lakeside Estates;
147HEREAS, a majarity vote of the membera of the Advisory Pianning Comission,
with a quorua be3ng preaent at the hearing, voted in favor of reecmending approval
of such appllcatioa; and,
T'IMRFAS, g rAnl,7ar IDCeting of Che ESg2[t C1tq CrnttiC11, DBkota Coinlty,
Minnesota, wae held on July 2, 1979 at the City Ha21 at 6 : 3 0 P.M.
all members being present except: none .
NOi7 THEREFORE, upaa motion of Smith , secoaded by
Egan all Council members voting in fanor except: none
it was RESOLVED that said application for waiver of subdivisiaa requirements coveriag
the above described premises be, aad it herebq is, apprwed.
DATg,D: July 2, 1979
` CITY COUCICIL - CITY OF EAGA47
EXEPTT FP.OI4 STATE 8y:
DEED TAX STAHPS Ita Mayor
C E R T I F I C A T I O N
I, A}Yse-salke , Clerk of the City of Eagan, , Dakota County,
Minnesota, do here6y certify that the foregoing is a true sad correct copq of a
RBSOLUTION adopted bp the City Council of the City of Eagan, Dak,ota Countp, Minnesota
an July 2, 1979
DRAkTED BY:
CITY OF EAGAN
3795 Pilot Knob Road
Eagan, Mittnesota 55122
d'?- X
Citq Clerk
City of Eagan
(SEAI,)
CITY OF EAGAN ` Include 2 sets of plans;
i? 1 site plan w/elevations &
? &JILDING PE13MffT APPLICATION 1 set of energy Calculations.
7b Be Used For Va ?tion Date
sit.e Aaaress 3 o11; .// ?o1?r aFFicE usE orLY
Lot ia Block Sec./Sub.Lc6r B Erect Occupancy 7 3
Parcel Alter Zoning R /
OVmer:
P.ddress
City/Zi
Phorle #: Y57-594L
Contractor:
P,ddress:
City/Zip Code:
Phone #:
ArCh./?Ei19• ?a v
Address: I? 11
City/Zip Code: 9 A\
Phone #: h q ?
Repair Fire Zone /yp
Enlarge 7ype of Const. Y
Nbve # Stories
Danolish Front ? g ft.
Grade Depth y&. ft.
P.PPIZOVALS FENS
Assessments Pezndt .a 7y, o a
?aater/Sewer Surchar4e y/,co
Police Plan Check
Fire SAC
Fhg. Water Conn. 3 36. a e
Planner Water Meter 1,4 oa
CAU71C11 - Road URlt
Bldg. Off.
APC
TC/PAL A (-1(q c Sb
03ZIl 2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
456`6??
Date o2. 1 19
Site Street Address Unit #
--
i?
Property Owner Telephone # ((?/ ) (o ? -
Contractor yN al7q ci! Li AJ , d , J_?Cc Telephone # (65-1) AI33 -3'AL7'
Address /523 City State? Zip 6W6y
The Applicant is: _ Owner _ Contractor _Other
Alterations to existing dwelling
1 Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_Water Turnaround (add $121.0`0nif a 5/8" meter is required)
? Other. $ 50.00
Water Softener _ Water Heater
_ replacement _ additional $ 15.00
Lawn Irrigation System RPZ_ new _ repair _re6uild $ 30.00
S.aze Suicharge $ 50 ?
T $ 30.5?
I hereby apply for a Residential Plumbing Permit and acknowiedge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
EL ne M. "cviC7?
Appli anYs Printed Name
'T'c3Y! .5'.1Jp,''Jl?:'"J.':t3?'-.m To Bufldln?:? Pe7°mie Appl9ct8t9o8]
'?JILDiNG AiNvD SAFEifY D£PARYjY1ENT
CITY OF i DATE:
This supplement is provided to assist the applicant in computing the EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING
OFFICIAL can determine that tha submitted plans comply wi[h the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6007). it is tfie APPLICANT'S
responsibility to accurately ard completely compute the data; reflect the proper OFSIGN
CRITERIA in the plans; submit product specification, as needed to support the ".R" and "U"
fa:tors used; and to assure that construction is accomplished perthe approved plans.
JOB LOi,ATION EmiaSL'o[ RPsiPl:G Q'
ONJNER(S) ML. u" l4U`S+ 1)Q67Q l d Sq G45 PHONE 4/6v7- S9Ya IF? `? ??92-
COIJTRACTOR l . ieleca rs,??? (r, PHONE ?JW 7-'9 70*7 f- ?o ?j>
A. Determine the Total Exposed Wall Area as follows:
1. Total wall window area
2. Total door area
3. Total slidiny glass door area
4. iotal fireplace vrall area
5. Total aiall framing area (average 10',??)
6. Total net wall area e.bove tloor
7. Total rim joist area
Subtotal: Total exposed wall area above floor
8. Total foundation window area
9. Total net foundation area above grade
56'+'0!"C+-9 Gbor /•}rea
Subtotal: Total exposed foundation area:
Z 37
'
S$
!0
a5
Fa? ? ?s w/
!
-7 'Y
Fr 4
jz pco ?
_'YO -
GRANDTOTAL EXPOSED4NALLAREA
2 698
B. Muitiply tha GRAND T07AL EXPOSED WALL AREA X,4,5? _
C. natarmine Ihe Total Exposed Roof/Ceiling Area as follows;
10. Total skylight area ? C? `
11. Total rcof/cciling framing area (AO,9 10010) ! L6• s _
?
12, l"otal net insulated roof/ceiling area 7,5
GRAND TOTAI_ EnPOSED ri00F/CEII ING AREA ?Y!kq
Iq,z
2 /6
Item I
U. hAultiply the GRAhiD l O-CAL EY.r'OSED RCOF/CtILING ARcA X,W = Item 11
????
?. D2iernrne thc--, "U" value of eacli sagment (7 -9) and multiply Lq Ih2 area as fol!ows:
,. .-?3-7_---- ---- x „u,.
2. .-- S-? ----- x .,u„
-- - a 3? _--- ----?"? ? q--
ev71
?-1,115
s. -- ` ---- X 'U' _ , 519
4.
?,.
i.
s.
ADC ? -
X 'U'
X "U„ __ , 0 73
X ,.U„ 4 c?- 3 14
,; 'lull 437
X „ul., ? -57
- a
X Ul.,
SEG^MEN a
- - 6
1 r 56 I
23 , 8 1- 1
? SsSB ? 32q
ry?yc`-7 ?'us?1
1.
2{?
Item III
F. Oeiw'mire tiie "U" value of each segment (10--12) and multipty by tiie area as follews:
10.- ?- X l.u , "(Z) `° ?_- -
71. x ,lu„ .030
_ ?r39u_
,z. x ..u.• _ o (225'
_ = 32, 9 313
ADD 10-12 FOR TOTAL ROOF/CEILING SEGA9ENTS
?
,
= Item IV
G. ff itrm No. NI is the sarne as, or less than Item No. f, you i!av2 r.?,et the intent o! State Huilding Cede R006(c) P.
H. l; itc-No. 1V is the same as, or lass than !!em Mo. !', you have met the infent ot S`ate Building Code 6006(c) 7.
?6
i. Aad icem No. 1 ?3, -7- + Item No. II 04.
J. Add Item No. II I?? ro7q + Item No. IV ?7a 3:3?_ _ 3c
K. If the sum ol ltems !N and 1V are less than ltems 1 and 11, you bave nv.t tM inten( o/ the code for lotal envefops
s ys f enr.
In addition to the above iTems you may have to add for such items as floors over unhaa:ed spaces, such
as cantileverd areas, etc.
To,arrive at "U" value divide the to?ai of ttie R values for each segm°n[ (as abcve) into 1,000. Answer
il?`/d 13 .i19 lq.)' VdlhuB IOr
Exarnple: ? total "R" of 35.08 divided into 1.000 =.028 "U"
The undersigned, as appliCant for a Building Permit, hereby
affirms the above information has been prepared and subniit-
ted by himseff or undar his direction; hereby acknowledges
the information to be correct and accurate; and heraby pre-
seny? atjy??yp?it,tl.reAls,i(ed;plans in support,of the
`,. „ _
Oata
?
2 ?7
c
EkTERIOR ENVELOPE THERMAI TRANSMITTANLE PAGE 1
STANDARO WORKSNEET
Stte Address Owner
Contractor Phone , Date ,
Building Type (cbeck one) j_}. One and Two family Dwelling ,", Other
Assembly (Describe type fram Tabte 3 or Area (A) U-Yalue U x A
show calculatlons on Pa e 2 S Ft
Tnsulated Area
Framin Area
o-
0
Sk li hts T e
?
rn
` Other descrtbe
u Other describe
******
1 Totals
2 Avera e U-Value UxA A from Line 1 *'"**** ******
?***** *?***•
3 Re uired U-Value (from text)
Insulated Area
Framin Area
WindowsT e
i
Doors T e
Rim Joist Area
F1re lace Wall
?
?
Foundation Wall (aSOVe grade)
?
v -
a F'oundation Windows, 7vpe _
?
Other (describe
G[her (describe)
Other fdescribe
**w?,r*
4 Totals
5 Avera e U-4alue, UxA / A from Line 4 ***t** ***x**
6 Re uired U-Yalue from text ****** *****#
If Line 2 is greater than line 3, or Line 5 qreater than Line 6, complete tha
I f:01owin tn determine alternatlve U-Value for total exterior envelo e.
7 Area (Lirie 1) + Area (Line 4)
+
,
c
? 8 UxA (Ltce 1) + UxA(Line 4). + ******
R 9 x
Area (Line 1) x U-Value (Line 3) ""*****
n _
? 10 x
Area (Line 4) x U-Yalue (Line 6) *****'?
_
w .._
11 "Budget", Line 9* I.ine 10 ******
.+
?
12
Alternative U-Value, Line 11/Line 7
******
If l.ine 8 is greater than L1na 11, alier assemblles as required so Line B
daes not exceed Line 11.
Cities DiLyital Oualitv 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.
EXTERIOR ENVELOPE STANDARD WORKSHEET' PAGE 2: ".
_Asse,,ihl;y 'M a'? Ff, U14I A
re :1hSJ?a ? Assemhl &` 4 ploov #
_
F?aterial descrihe _
Thickness R-Va ue Material describe Thickness R- a ue
Geda? 51o1,IHy
f?? 1=cxra+ t???xv 5(,edG? --
5' y? Ce v sl ?l a?q
r oadc at S?C'?`rfa iGt9
(??
Sy,,i
I l=; bev9lass ?Nsvl, 6--/? i/ ? q waeol
? PBl y ?ppor l3avo?,`?? a pol
y wc, tf Yz
i[nterior f-Value see 7abYe 2 ? nterior f-Value see T able 2
Exterior f-Value (see 7able 2
j 0/ Exterior f-Value see T able 2 r
_
? Total Assembly Thermal Resistance 7 Total Assembl Thermal Resistance .
i Assembly U-Value see Table 4
? Enter on Pa e 1
? 6 39 Assembly U-Value (see Table 4
Enter on Pa e 1
e073
?sembl y kA'v Le?e! Wr. !t ?kSVlG?'E ssem6l C? 'EVGevL' G??x/ ?tl6r/?1?
htaterial describe Th'ickness R-Va ue Material descrtbe Thickness R-Va ue
r?alQv
qrlo P?. _. nw 5r i ?s W
f`?CIUIt?'e «
"??
!/i'! ? py ?W
?? rc? ??? ,? w 1 n
Ci, ,??? ??
?
P01 y uQ et &dr.?ev ?
? Pol ? v /?????, - ?
D d' y L'VR lI YZ !, s y? v Y7
Interior f-Value (see Table 2 , ? Interior f-Value see Tab1e 2
[xterior f-Ualue see Table 2 . Exterior f-Value see Table 2 ..0 ?'
Total Assem6l 7hermal Resistance ?,S @ Total Assembl Thermal Resistance 2r
Asseinbly U-Value see Table 4
Enter on Pa e 1
? 0? Assembly U-Value see Tabte 4
Enter-on Pa e 1
•? 7 7
ssembly , t ::rA, v -e
Materiel describe Thickness R-Va ue ssembl ''n"?, :'?at'.? n??i i?e`a'Fn
Material describe 7hickness R- a ue
?davs?`a,1a ?-
'F?
[oa v ? e
I
? ? qa?'
s?
??ta9J o4 ?n(nE?+?"?
oa
r
-6
? tYz fy 1r e eVP B%`A
?"-
r,C6eG94ss Tasv/ ? l J ?01s7- Av eq o o/
Interior f-Velue (see Table 2 a? ri Interior f-Value see Table 2 .$
Fxterior f-Value see Table 2
Total Assembl Thermal Resistance ?. Exterior f-Value (see Table 2
Total Assembl Thermal Resistance
Assem6ly U-Value (see Table 4
Enter on Pa e 1
7• Assembly U-Value see Table 4
Enter on Pa e 1
Flssein6l Ge?rt v
hiaterial describe
a??4 h.cdaY
Thickness R-Va ue
ssembl Ce?fr / fio 4'veQ p ??
blll"
Material describe Thickness R-Va ue
5'i/5vp6vm 4s:x7YC( 5%' // ',5? -4* °/_qyCwf?tsoz"y( o.'; I
(??(y Ua?oP
IZ o
38 t?ly ?`?aa' ??&'r??`?d'
:?Y
?i t=? ,`cz r?! --?-
-g?Tr<
ii ?
139 ,
?Jo
?/ 1 p/?c( Y-?`? I A-
S b ; a, feS
Interior f-Value see
Exterior f-Value (see
Total Assemb Thermal
able 2
Table 2
Resistanr.e
aq5'
e 1
7
i .V2,°? L3t%'[ffJ?1f-yC'E+f?`
s/'% I a r e
nterior f-Value see Table 2
Exterior f-Value see Table 2
Total Assembl Thermal Resistance
t az
0
0?`7
3
Flssembly U -Value see Table 4
i Fnter on Pinr 1
a?25 Assembly U-Value (see TabTe 4
Fnter on Paae 1._ 030
_0
EXTERIOR ENVELOPE STANDARD WORKSHEET' PAGE 2
i _"?SSP.i?lt)fi1 '???"Y..y?°
_
_
-
? F',?terial describe 1'hi
c
kness R-V
ae Material describe Thickness R-Va ue
? . Gqs?ee? .?n.thr L??`daa.?esl
! ?JntF A-uglut?. MO,!
? ?,h?d'c`6d f- e1?V°br?Or
? G
?
Literior f-Ualue see 7abYe 2 nterior f-Value see Table 2
? Exterior f-Value see Table 2 Exterior f-4alue see T able 2
( Total Assembly Thermal Resistance Total Assem6l Thermal Resistance
F
I Assem6ly U-Value see 7a61e 4
Enter on Pa e 1 Assembly U-Value see Table 4
Enter on Pa e 1
37
?s'aem61 y r oY' - Rh lgvS O% ssembl
hlaterial describe Thickness R-Va ue Material describe Thickness R-Va ue
?eeG s^ ?i',e?l t?j tt7-BvPt3?I
4-Q? X?'?'(1 ?CJV ? o F' ? PG?f
'
?! ?
Interior f-Value see Table 2 Interior f-Value see Tabie 2
Exterior f-Value see 7able 2 Exterior f-Value see T able 2
Total Assemt?l Thermal Resistance Total pssembl Thermal Resistance
Assembly U-Value see Table 4
Enter on Pa e 1
• SZ 9 Assembly U-Value see Table 4
Enter on Pa e 1
ssembly ,
hiaterial describ= Thickness R-Va ue ssembl
Material descri6e Thickness R- a ue
I
Interior f-Value see Table 2 Interior f-Ualue see T able 2
Fxterior f-Value see Table 2
7ota1 Assembl Thermal Resistance Exterior f-Value see 7able 2
Total Assembl Thermal Resistance
Assembly U-Ualue see Table 4
Enter on Pa e 1 Assembly U-Value see Table 4
Enter on Pa e 1
Asseinbl
hlaterial describe Thickness R-1la ue ssembl
Material describe Thickness R-Va ue
?Interior f-Value see Table 2
Exterior f-Value see Table 2
Total Assembl Thermal Resistanr.e nterior f-Value see 7able 2
Exterior f-Value see 7able 2
Total Assembl Thermal Resistance
Assembl,y U-Value see Table 4
Fnter on Panp 1 Assembly U-Value see Table 4
f_nter on Pa9e_l _.?_-
----_.
2004 RESIDENTIAL BUII.DING PERNIIT APPLICATION
? . City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
? 3` O s Telephone # 651-675-5675 FAX # 651-675-5694
I t -a `F
New ConsWdion Reauirernents RemodeUReoair Requi2menG2 3 registe2tl site surveys showing sq. tt. of lot, sq. R. of house; and all roo(ed areas 2 copies of plan
(20% mazimum lot coverage allowed) 1 set of Energy Calculatlons for heated additions
2 copios of plan showing beam & window s¢es; poured found design, etc. 1 site survey for addNOns & decks
1 set of Energy Calculations Addrtion • indicate if on-sde sepfic system _;?(?;'?, ?y !t?-•,,,._:; -r ??
3 copies of Tree Preservation Plan'rf lot plaried after 7!1 f93 ,
Rim Joisl Detail Options selection sheet (61dgs with 3 or less units Date _2-_ /-6- / aT Construction Cost 12fJ0A l
SiteAddress 9r73 471'"T/e- A?ri?/Z /?cs UniUSte #
Description of Work ? ,$?}-?r1 fvRE/F ?CEN/ ?qT?? Rb+1pOL2 fX/5?iNQ ???"i? /Me,4
Multi-Family Bldg _ Y I)0 N
? Fireplace(s) _ 0 _ 1 ? 2
Property Owner -Pe ? YUST?? Telephone #( 40 ) l8I
Contractor 49f -`! eC-[t$TDN-- T-rl?
Address W43,0 f?a00.JlS Ayb- City Og-
State M/f Zip .S$!>72 Telephone #(i?/Z) 9 6,/ -44° 77
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential VenGlaGon Category 1 Worksheet • New Energy Code WOrksheet
(J submission type) Su6mitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? ` Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone #?
r f" ? ?
(S ?? i i, I ?? ?Telephone #(
i?
FEB i, S 1104Teieqhone #(
I hereby apply for a Residential Building Permit an ac ge- e information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a 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 which requires a review and
approval of plans.
1?J?JTJF A-'"i,ISciF
?
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
. :y
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Acces,r Bldg
10 02 SF Dwelling ? 08 06-plex ? 16 Fireplace A 27 Porch (3-sea.) ? 31 E#. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex plbg_Y or_ N? 25 Miscellaneous
Dtec1?5 CiZmw) S?oce, u ppeR LRTNR??wJ?
hISo Zt1Plupe.5 2
WorkTypes A.Ay?lG?.c?,4 v, R6mPDeI
J(?3'b'X(') Xy'b'?-?ecKS
,
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
16 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
pk 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to appliwnt
000
67 R-3
Valuation
i MCESSystem
Occupancy
Census Code Li_ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Zv Fire Sprinklered
TypeofConst Width ly 35e?ga? ?cSRL/¢
REQUIRED INSPECTIONS
_ FooCings (new bldg) FinaUC.O.
Foorings(deck) ? FinaUNo C.O.
? Footings (addition) _ Plumbing
Foundarion HVAC
Drain Tile Other
Roof _ Ice & Water Pool _ Ftgs _ Air/Gas Tests Final
Final
Framing
? _
_
Siding Stucco Stone Brick
Fireplace X R.I. _X Air Test X_ Final Z( Windows
Insulation _ Retaining Wall
Approved By: 9 Aj , 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
-?`Y
? C_?,5 -17D eD o
/7 5 WinDcxn.} ;zep +rfcP03+leAt (3) -763 pa,rc ?4 2 p X/y X yC?.oo = H, z0o-O0
C tZ? wl 5 ps ce- / elD sq /t x 6. v D:t $'#o ,'x'
?Vrhel2iDt2 i'.??v1vRe? ' S'aJboa,_
-KOEHNLE W
`, .
LICvHTOWLER
?
JOMt?SON
? n C-D e p o q w i c o 1103 W. BVNNSVILLE PqqKWAY
ARCHITECTS P.O. Box nas
_ BUFNSVILLE. MN 55137
ENGINEERS PNONE1813) 8961372
CERTfF"IGA'`E OF SURVEY FOR;
MR 4 MRS poNqLp SAcHs
pESCRIPTtON
Lor 12 , 6t-0cK I
LAKESipE SSTP.TcS
Q49,OT'A CoUNTY, MI1sn1ES0T1r
`? ? SGALE 1??? 40?
, \ ?r f
1, OS
.,WATE0. E4EV. \ 6c? ,?t 9i9.2G awx14,1981 O- INDICATES IRON SET
1 oao.o -INDICATES SFUZ' EI.SYAT1oN
AL??AU? I N GS AsSUMED
REV? WED
p
n°G
iS8 .
?DAs$E z O ?
PRAr;? al-
? UTILI"??????EC????? ???pr,
?-
?? ,
,
\,,,
?
I hereby certify that thia survey, plan or
?_??r Z?-?o ', `?\,? report was prepared by me or under my direct
superviaion and that I am a duly Registercd
Land Surveyoc under ehe lawa of the State
of Minnesosa.
D" QtS l_ -?
\
Date. Reg. No
` Z? ... i ? v? o za? \
F,O
h
?i
?a00y?4 00
o\
.. er_, .
eL I
SUBD. AQ EQT
CITY USE ONLY
RECEIPT #:
RECEIPT DATE: in-3o-no
PERMIT# 4?YI"IS
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF.EAGAN
3830 PILOT RNOB RD
EAGAN, bitt 55122
651-681-4675
Please complete for. ? single famity dwellings
? townhomes and condos when permits are required far each unit
A backflow preventer for underground sprinkler system
FIXTllRES
EACH #
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tub $ 3.00 x = $
Fioor drain 3.00 x = $
Gas piping outlet * minimum - t 3.00 x = $
Hot tublspa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System newlrefur6ished • requlres MPC lic. 75.00 x = $
Septic System ahaneonment 30.00 x = $
RPZ new installatioNrepaidrebuild 30.00 X = $
Rou h o ening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler rfdwelling is underconstruction 3.00 x = $
Underground sprinkler Hexisting dwelling 30.00 x = $
Water closet 3.00 x = $
Water heater 3.00 x = $
Water softener If dwellfng under consWCtion 5.00 x = $
Water softener if existing tlwelling 30.00 x = $
Waterturnaround 30.00 x - _ $
State Surcharge .50 -> -> -> $ 50
Total _> $ b,5D
Reminder: Call for inspections of alterations, i.e. water heaters, water softeners, etc.
-I hereby adcnowtedge that I have read tAis applicstion, state thel the infoimation is correct, and agree to compty with sll spplicsble Ciry of Eagan oidinances.
It is Ne applicant's responsibllity to notify the property owner that the Cky af Eagan assumes no lia6ility for any damages caused by the City during Its
nortnal operational and maintenance activities to the facildies constructed under this pertnit wdhin City propertylrighbof-way/easement.
SITEADDRESS: ATLA1.5T1C, ?IL•-5 OZ-•
OWNER NAME: : -T'ZfT?lL ?r,?sTY e. TELEPHONE #: lIaQ - (7&1' 4?/ I,::?L
(AREA CODE)
INSTALLERNAME: ft\'(t..Kxvt'f? TELEPHONE#:-?413-SS7-bsSS"
STREETADDRESS:i2QuCJ PEIYn9(R.3 p2 VO (AREA CODE)
cirv: -M«,na,rr4A I RECEIVEI7 I „STATE: 900 .- n ziP: SS4
SIGNATURE OF PERMITTEE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119946
Date Issued:01/06/2014
Permit Category:ePermit
Site Address: 593 Atlantic Hill Dr
Lot:12 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-120
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
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 by law in ALL single family homes .
Mark Reyer
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 -
Peter Puster
593 Atlantic Hill Dr
Eagan MN 55123
(651) 681-9112
Icc Restoration & Cleaning Services
451 Commerce Dr, Suite 800
Woodbury MN 55125-0000
(651) 739-4289
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA136308
Date Issued:05/05/2016
Permit Category:ePermit
Site Address: 593 Atlantic Hill Dr
Lot:12 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter Puster
593 Atlantic Hill Dr
Eagan MN 55123
Pronto Heating & Air Conditioning
7415 Cahill Rd
Edina MN 55439
(952) 835-7777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA136941
Date Issued:06/07/2016
Permit Category:ePermit
Site Address: 593 Atlantic Hill Dr
Lot:12 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
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: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 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 -
Peter Puster
593 Atlantic Hill Dr
Eagan MN 55123
(651) 681-9112
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
City of EaQp
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
so) 127
Use BLUE or BLACK Ink
For Office U (_
Permit #: .J U lC✓�
Permit Fee: (C)or'
Date Received: 6'1-12-4
Staff:
2016 MECHANICAL PERMIT APPLICATION
0 Please submit two (2) sets of plans with all commercial applications.
Date: 9/6/2016 site Address: 593 Atlantic Hill Drive Eagan MN 55123
Tenant: Peter Puster
Suite #:
esidentiw'n
Name: Peter Puster
Address / City / Zip: 593 Atlantic Hill Drive
Phone: 651-681-9112
.ontracto'r
Name: K & S HEATING AIRCONDITIONING & PLUMBING INC License #: 43689
Address: 4205 HWY 14 W
State: MN zip: 55901
Contact: HEIDI BROWN
City: ROCHESTER
Phone: 507-361-2332
Email: hbrown@ksheating.com
New 1 Replacement Additional Alteration
Description of work: Fumace and air conditioning replacement
NOTE `Roof mounted;
Code Please conga
Demolition
ground mounted mechanical equipmsnt )s required tobe'screened by City'
e Mechanical Inapectorforfo
inrmationkon',.;permitted screening methods-
erm 1 T�
RESIDENTIAL
Furnace
Air Conditioner
Air Exchanger
Heat Pump
Other
COMMERCIAL
New Construction _ Interior Improvement
_ Install Piping Processed
Gas _ Exterior HVAC Unit
Under/Above ground Tank ( Install / _ Remove)
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit, includes State Surcharge
$100.00 Residential New, includes State Surcharge
=$60.00
TOTAL FEE
COMMERCIAL FEES
$60.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
Surcharge = Contract Value x $0.0005
If the project valuation is over $1 million, please call for Surcharge
Contract Value $
$
_$
_$
x .01
Permit Fee
Surcharge
TOTAL FEE
I hereby acknowledge that this information Is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit. and work is not to start without a permit; that the work will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
X BRIAN KEEHN
Applicant's Printed Name
X
Applicant's Signatu
FOR OFFICE US
•Required Inspections:;
_, Underground
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171975
Date Issued:09/09/2021
Permit Category:ePermit
Site Address: 593 Atlantic Hill Dr
Lot:12 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Peter Tste Puster
593 Atlantic Hill Dr
Eagan MN 55123
(651) 815-3564
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature