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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