553 Atlantic Hill Dr' CITY OF EAGAN
•., 830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHON E: 454-8100
BUILDING PERMIT Receipt #
, To be used for Est. Value Date ,19
Lot Block
Parcel No. '
rc
W
= Name L ?
Address
L
C
Ym
L
? '`4
L
.
City
Name sk4t
? q Address
? City
?¢
"W
W y?
Name
F
= Z
Address
OFFICE USE ONLY
B5TA 4., pn 5ite Sewage Occupancy
-?
MWCC System
Zoning
On Site Well Type of Const
City Water ? (ActuaQ
? - (Allowable)
# of 5tories
Length
Depth
F
Total
S
.
.
Footprint S.F.
Phone
I hereby acknowledge that I have read this application and state
that the information is correct and agree to comply with all applicable
State of Minnesota Statutes and City of Eagan Ordinances.
Slgnature of Permittee
e
A Building Permit is issued to:
all work shall be done in accordance with all applicable State of h
APPROVALS
Assessments
Water/5ewer
Police
Fire
Engr.
Pianner
Council
Bldg. Off.
APC
Variance
FEES
_ Permit
_ Surcharge
_ Plen Review
_ $14C, CIty
_ snc, Mwcc
_ WaterConn.
_ Water Meter
_ Road Unit
_ Treatment Pi
_ Parks
Copies
TOTAL
1113
?
?
?-
$ Q7`i.50
-46.0-rJ
?
?-737. 75
l ?. 4' • iJ?
??. 0
on the express condition that
i City of Eagan Ordinances.
•- Permit No. Permit Holder Dsh Telephona s
Plambing
H.V.A.C.
E!ectric 1(s'•wqo 117-7
Softener "E ,'..,_,'C%
Inspsction Data Insp. Commenta
Footings I r
Footi
ngs II
Foundation
Framing F
Roofing
Rough Plbg.
Rough Htg. /f
?,
Isul. I ?* /64,60 9 7 /
Fireplace
Final Htg. ?, ?_Y ? ?
Final Plbg.
Bldg. Final /D ' ,?L '7 CS
Cert Occ. -?v_r7 E?• TtYp / ? crf 4-1
Temp. LP
Deck Ftg. _y
Deck Frmg.
Well
Pr. Disp.
??
: • ' MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN r .. _
, 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
Site Address l ' ?•'
Lot Biock ? Sec/5ub BLDG. TYPE WORK DESCRIPTION
?
! Res.
New
Mult Add-on
m Name
Add Comm. Repair
c ress
City Phone
?
Other
FEES
Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
O C?tY !?. Phone (RES. HVAC WCLUDES A/C ON NEW
CONSTRUCTION)
A
G
S OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA. .
TYPE OF WORK COMM/IND FEE - 1% aF CONTRACT FEE
Forced Air • ?? M BTU '1
Z?i• APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. ? M BTU s MINIMUM COMMERCIAL FEE - 20.00
Vent CFM ? STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # BEYOND $1,000)
Other . .
FEE
S/C: SIGNATURE OF PbRMfTTEE
TOTAL: ?
FOR: CITY OF EAGAN
Site Addre
Lot
? Name -?
? Address
. .
c City .' .?; -?- PIT?S"Fie
? Name ` ? -
3 Address
p City ? E ( Phone,?'. _ - ,
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.OU
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
-..r ? .. . . . _ .. .. .. ,. . _•, . . . . . . . .-.. . . .- ,
. • PERMIT # •x ?' y ?'?
, . PLUMBING PEFiMIT ? -? ( ( _• CITY OF EAGAN RECEIPT t?
" 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
T PRICE: PHONE: 454-8100 ss ? ??____;_? BLDG. TYPE WaRK DESCRIPTION
Block ? Sec/Sub Res. New ,
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TO7AL
"! Water Closet - $3.00 $ ` t
' Bath Tubs - $3.00
Lavatory - $3.00
? ?
?Shower - $3.00
Ki!chen Sink - $3.00
Urinal/Bidet - $3.00
-Laundry Tray - $3.00
? Floor Drains - $1.50
' Water Heater - $1 50 ?
Whtrlpool - $3.00
1 Gas Piping Outlets - $1.50
? • ' ,
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/C:
' ? L
GRAND TOTAL•
r
, ? i ? a •
(Itrttftra#t of Mrrupanrg
titp of (Eagan
EPpal'tltPltt of l1tflbTttg JttSpPtttDtt
This CerWficate issued pursuant to the requtremenu af Sectton 306 o,f the Unifarm Buelding
Code certifying thar at the Fime of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the folloiving.•
trx c?t??auo, ' ?ICAR ewe. tamic rw. -
?
OccuP+-Y TYPe ? Zorong Distiict Type Const.
ON"I1Gi Of BWMUIg AddR55
', b ' '? ( 1 ?Yl! T)
y
BUIld11Ig Add7CS5 Lo
Ci
Dak:
Huildiag Ofriciel
POST IN A CONSPICUOUS PLACE
CASH RECEIPT
r
-`f CITY QF EAGAN }
3830 PILOY KNOB ROAD EAGAN, MINNESOTA 55122
DATE 19
R<Ct1 V 6D
RROM
AMOUNT $ I
Ac DOLLARf
seo
? CASH Q CHECK
FOR
f
PUNG GODE AMOUNT
Thank Yau ?
BY ?.? `t-W?
. _, ... ,..
White-Payert CoPY
Yellow-Posting Copy
Pink-Fite Copy
BLDG. PERMIT N0. C y1?.4. j
`_!,
01-3210 Bldg,. ?Permi ?
01-3422 Plan Check ?
01-3445 Surch./Adm. ?
01-3446 SAC/Adm. ?
01-2155 Surcharge
U-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permi
20-3743 5ewer Permi
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL
CASH RECEIPT CITY OF EAGAN
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
D A T E 19 'Y i
R6C EI V CD
FROM ? i7 I S (' 'I
AMOUNT $ I DOLLARS
1ee
[:] CASH Fl CHECK
ROR ? lJ;i ! . fl'I r
r
wuNO cooE wMourit
• c,
S L ? '
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Permit No: `-925 Date: 8•-4-31
3830 Pilot Knob Road Meaer No: Size:
P.O. Box 21199 Reader Na Date:
Eagan, MN 55121 •
n,...,.,.. 3 t 'L ='rdp
Site Address: 553?At, I ants j,1,,2$ lip I j< ? } l F-' O-9?eie T3?E
Plumber Star
Conn. Chg: s sttl Zoning:
Aeet Dep: 1`'i Qn No. 01 Units: I
Permit Fee: 11) _ Q1
Surcharge: SO I agree to comply with the City of Eagan
Tr. Plant ? 00 Ordinances.
Meter. - Y .+A -
Misc.: By
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road
P.O. Box 21199
Eaqan, MN 55121 ,
Zoning: Q 1 +
SEWER SERVICE PERMIT
PERMIT NO.: 10077 -
DATE: 8-4-67
No. of Units: S
Owner. B 6 L Pron
Address:
SiteAddress: 553 AtlsaL clIills T?r .16 A1 TakPair3e "nt
Plumber: Star Plbg
BPR?75559 7114/?7 I00.00
I ayree to comply wNh the City of Eagan Connection Charge: 5125.._ ^?-
OMinances. Aecount Deposit: 13, ge
Permit Fee: }.4)TkgP
Surcharge: r50
By Misc. Charges:
Date oi Insp.: Total:
Insp.: Date I
REQUEST FOR ELECTRICAL INSPECTION 0 EB-011001-05
See inatructions tor completinp thia form on back o( yellow eoay. i
???'? C? 5 ?"J!"" BeJow Work Covered by This Request ?
Add Plep. Type o/ Building Appliences Wired Equipment Wired
Home Range Temporary Service
Duplex Water.Heater Li htin Fixtures
Api. Building Dry er Electric Heatin
Commercial Bldg. Furnace Silo Unloader ,
Industrial Bldg. Air Conditioner 9ulk Milk Tank
Ferm Other Peci v ther (Suecify)
t r poci y Ot cr Other
l Lompute rnspectlon fee tfeiow p Fea ServiceEntranCeSizs #' Fee Faeders/Subfeeders N Fea Circuits
0 to200qm s 0 to30Am s Otc) 30Am
Above 200 Am s 31 to 100 Amps 31 to 100 Artl
5winunin Pool Above 100_Am s Above 100-Am
Transformers Irri tion Booms Partial%Other Fee
Signs Special Inspection $ ?
?
emarks
l
?
THIS REUUEST FOR fNSPI
60AR0 OFFICE ON ORIG
SHAlL BE F1LED ON ALL
?C 69995, .
I v ' u
Licensed ElectrFbal
? Owner
G ?,
MINNESOTA STATE AR
Gripps-Midwav BId9. ?
1821 UniversitY Ave., St.
P-hone (612) 642-tklQO
18 MONTHS FROM
NEW REdUEST FC
WORK.
TOTAL FEE
1, the Electrleal
Inspector, heraby
certify thet the above
inspeetipn has been
made.
:IVED BY STq
%PPLIGA9LE F
--- --- ..__a.. ... ...___?.....
Req ired? QReady Now
Yes ? No
?-
tor 1 hereby request inspection ot qbove
' electrical work installed at:
?
II Nolify, Inspec- I ?
' When Ready
Street dd_ress, 8ox or Route No. C?tv
ecUOn o. Township Name or No. Range o.' County
Occupant(PRtNT) Phqne Nn.
Power Supptier
? !!?d
? Address
' Z
??1
?? ? f??
??
Z
/ /
/V
.
t"/
Z'
Ele?tr ai Contrac or ?Company Namel Contractor's License No.
Mailinp Address lContrai:tor or Owner Making Installation!
1-t-''
1?
1
??
;7
6 037
; 76
;- 4 4?7i?
Authorize ign re (Con cto w Phone mher
THIS INSPECTION NEQUEST WILL NOT
BE ACCEPTEfl BY THE STATE BOARD
,. UNLESS PROVER INSPECTION FEE IS
ENCCOSED.-
CITY OF EAGAN Remarks Sold for Taxes
Addition Lakeside Estates, Lot 16 Rik 1 Parcel 10 44300 160 01
Owner treet 553 At,Zat1t7.C H3.uS Dr. State Eagan,MN 55123
Improvement Date Amount Annual Years ? Payment Receipt Date
STREET SURF. JQ ? ,; 1
STREET RESTOR. 1981 1409.71 70.49 20 / a`], '
GRADING
SAN SEW TRUNK s'b ".l 1981 280.00 14 . 00 20
*SEWERLATERAL S43 19$1 5161.39 258.07 20
WATERMAIN
*WATERLATERAL 1981
WATER AREA _Ir jgHl 280.00 14.00 20
, lJ
STORM SEW TRK 1985 711.00 47.40 15
*STORM SEW LAT 1981
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
6UILDING PER.
SAC
PARK
CITY OF EqC.aAMA,
3830 Pllot Knob Rosd
P.O. Box 21199
Eagan, MN 55121,
.
Slte Address:
Conn. Chg:
Acct Dep:_
Permit Fee:
Surchargec
Tr. Plant_
Meter. _
Permit No: ' Date:
Meter Na +'?3 Size: '' G
Reader No: Date:
pr:
1a-C LL?
n, ' ? ?Q??ttit?? ? 1
C
- -.? ri [T`T4ZTi, •
with the C&rr4Eagan
PERMIT
,A?_ -
? -Q ?2eQ
/
. _?
This reauest void
18 mon[hs fmm 6-111115 '
'
C 69990,u&
7?z If 61 y
?V51 °--D
Raquest Date ?
Q
I Fir¢ No. Rouph-in Inspeclion
flequired?
?peady Nuw!?W?11 Notify InsPec
-
?
(p ? ? ?J ?'es ?NO lor When ReaEy
glLicensetl Electrical Contracmr 1 hereby repueat insoection ot above
? Owner elecirical work installed aC
Street Address, Boa or Route No. -
6-5-3 A-T? City
?
ecLOn o. Townshi0 Name or No. flange o. County
D$KOI->?-
Occupant IPNINTI
l*-/- WAVY4 cS Phone Nc+.
3z- 8Iff-
Power $upplier
4076 AtlGress
ao
Electn I Contractor ICOmpany Namel Convacmr's license No.
?'Z--?L o VL z/
Mailin0 AdJress lContrector or Owner Making Instailation)
Aulhorized Si ature ( nhactor Ow r Maki B ?nstallationl
I
Pho e Number
z - bS?P
---
MINNESOTp STATE BO OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
G?igpa-Midwey BIOU. - om N•191 BE ACCEPTED 9Y THE STATE BOARD
18Yi Universitv Ave.. St. Veol, MN 66104 UNLESS PROPEN INSPECTION FEE IS
Phone(677) 842-0800 ENCLOSED.
(0/?1 /?' REQUEST FOR ELECTRICAL INSPECTION ee-aoooi-os
( , Sae instructions for camDleting thls lorm on back o1 Vellow copY. w 7X?&9
C,Gqq(1 n "X" Below Work Covered by This Request - Ada neo. Tvoe oi auiiaine Aooliaocea Wued Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixwres
Apt. Building Dryer Electric Heaun
Commercial Bldg. Fumace Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
farm otner oeo v tnFr ISper.iivl
t uocify Other Othir
ompute lnspection fee Below p Fee ServiceEMranceSi¢e # Fee Fexdeos/Subfeeders # Fae Circuite
? Z.0 U to 200 qm s D to 30 qm s
40
0 to 30 Am
Above 200
Amps 37 to t DO qmps 31 to 100 s
A
Po
Swimming ol
Above 100-Am s
.
-/> s
m
Abave 700
TransiormerS Irngation Booms Partial,`Other Fee
Signs -- Special ?nspection SC"i TpTA
Reme.ks E
???(q Rouph-in te ,
i, Ihe E 7
Inspa«or, hereby
car?ify thet the above
Final te` inspection has beae
. ?de.
Rtln fBpuest vola 18 monlhs Irom
s re4uest voitl 1`2 ^/1?'F Jr.5z
78 rtnnths 7mm ? T 4
69999
Hequest Data Fire No. Rough-inInsVecUOn
r?y7 Requ red? ?lieady Nuw Q Will Nolily, Inspec-
? ? Yes ?NO lor When qeatly
?Licensed Elecuical Contractor I hereby request inspac[ion of above
? Owner electricel work instelled et:
Streat Address, Box or Route No.
3 ZI /C ?ficL D% City
ecuon a. Township Name or No. Hanee o. County
? AKV
(PRINT' ? Phone N'` ?/ ?
G
Power SupOIier Ad re5s
W-7-1- ? SY-- ?^(f/
Elecvical Cnntracmr (COmpany Name)
?? ? ?- L? Contrar.tor's License Nvo.
? Q
Jing AdJress (Contrac[or or. ner king Insteilationl
?
J
-
'?
c.G%?i?
rr
C ?
?.
0
uthorized Si ture ( mr r Ow r Maki nstallationl Pho Namber?
MINNESOTA STIyrE goqND Of ELECTRICITY TMIS INSPECTION flEQUEST WILL NOi
Oripps-Mitlwey B/d5 Room N•197 BE ACCEPTED BY THE STATE BOAXD
7821 UnWeraitv Ava..Bt. Yeul, MN 65104 UNIESS PPOPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED.
,2/?.3/&) REQUEST FOfl ELECTRICAL INSPECTION: dillillb, es-ooopoi-oLs/
' Sea instruct{ons lor completing this form on beck of Yellow copy. J(a?(? (a (a "" - '"X'- 8elow Work Covered by This Request
Ne+ANddI peo.l Tyoe ol BuilEfna 1 Aoolianeea N'ireE 1 Equiymenl Wired I
CE
k Fee Se(viceEnbinceSi:e N Fee Feadere/Subfeaders N FSe. Circulta
0 to 200 Am s 0 to 30 qm s 0 to 30 Am s
Above 200 qmpy 31 to 700 Amps 31 to 100 A s
Swimmin Pool Above 700_Amps Above 100_Am s
Transiormers Irngation Booms Partial.'Other Fee
Signs Special Inspection $/
Hemarks TOTAL67-ov
i, the E tr'
Inspectar, hereby
Final r Dale certifv thetthe ebpva
inspectian hae been
?/-17Y? metla.
• CITY OF EAGAN N! 13 914
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PH ONE: 454-8100 ?7.e°g
BUILDING PERMIT Receipt# ? e? J
To be used for SF DWG/GAR ESt. Value $92, 000 Date 1ULY 14 19 87
Site Address
Lot 16 E
Parcel No. _
553 ATLANTIC HILL DR
1 Sec/Sub. LAKESIDE ESTATES
a Name B & L..PR!JPERTIES.ING= Address 7587 GPPER 167TH ST
° City LAKEVILLE phone 432-8185 (CONNIE
,p Name SAME
? 4 Address
? City
?
W w
W
Name
f Address
aw City
I hereby acknowledge that I have read this
that the informatiort is cortect and agree to coi
State of Minnesota Statutes and-Citv of Eaa
Signature of Permittee
A Building Permit is issued to: - "-
all work shall be done in accordance with all
Building Official
432-6414
OFFICE USE ONLY
On Site Sewage _ Occupancy R3
MWCCSystem X Zoning R1
On Site Wall Type of Const
City Water X (ACtuaq
(Allowable) v
# of stories
Length 5$
Depth 30
S.F. Total
Footprint S.F.
- APPROVALS FEES
- Assessments ? Permit $ 475.50
water/Sewer _ Surcharge 46.00
Police _ Plan Review 237, 75
- Fire sac, ciey i nn _ np
- Engc _ SAC, MWCC 57 5_ flQ
Planner _ WaterConn 52,5, 0
Council _ Water Meter 67 _ 00
te BIdg.Oft _ RoadUnit 305_00
ible APC _ Treatment P7 IRn ?0
Variance _ Parks
Copies
TO
TAL
ZS
INC
on the express condition that
of MirVgsota §?aWtes and City of Eagan Ordinances
,
-71?1,!"7 REQUEST FOR ELECTRtCAL-INSPECTION JV% Es-00001-05
j/
, See imtruetions lor tompleting thia fwm on baek of yellow cooy. 7.5
"X" Below Work Covered by lhrs Request
t Fdtl ReD. Typa of BuilOing- Apoliaocea Wired Equipmen? Wirad
(?T Home Ranqe Temoorarv,Servlce
Dner
p Fee ServiceE trancaSixe 11 Fee- Fanders/SUbleeders N Fee ' Circuits
I'Z 0 to 200 qqi 5 0[0 30 Am s mo-'01 0 tn 30 Am s
Above 200_?,_qmps 37 to 100 qmps 31 to 700 Amps
Swimmin Poo Above 100 Am s Above 100_Am '
Transiormers Irngation ms Partfa?•`Other Fee
apeciai in$Vection
TOTAL FEE
I, the Electrical
Inspectoq hereDy
cerlily thet tha above
inspection hes Gaen
"aa.
n
This rxauesi void'
is montns f.om
C 69995///,
Repuest Da?e ' Fire No. flough-in In ection
Repmred?
Aeady Nuw Will Notify InsPec-
?
_ ?? ? y es btl_ tor When PeatlV
SLicensed Electrical Contracto/ I herebv repu t insoection of ebove
Owner / electricalwork'nsfelledat:
Street Address, eox or Hout No. CitY
ection o. Townsh7 Name or No. Range o. oun?y
?/-/51
Occupnnt(PqlNT) Phon No.
Powe SuDVlier ? Address
?? /
???
?
Y`
/G" `
i
i
(.
/.
?C ?.
4141
Elechical Contractor ICOmpany Namel Comractor's icense Na,
Mai ine A.ddress IConvactor or Owner Making Installationl
Authorizetl ?B? re ICont?actor wnar Makine ? lallationl Phone mb
r \
e
?
/
MINNESOTA STqTE BPAR ?'-F ELECTRIGTY THIS INSPECTION NEQUEST WILL NOT
Grig9a-Mitlwey Bldg. -- om N491 BE ACCEPTED BY THE STATE BOAND
1831 Univeraitv Ave.. Sf. Paul, MN 66104 UNLESS PflOPEP INSPECTION FEE IS
Phone (872) 642-0800 ENCLOSED.
. ' • ? ?
1987 BDILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLZNGS
INCLODE 2 SETS OF PLANS, 3 CfiRTIFICAiES OF SQRVEY, 1 SET OF ENERGY CALCOLATIOHS
NOTE: ADDRESSES FOR COENER LOTS - CONTRACTOR/HOMEOFiNER MQST DESIGHATH RHICH ADDRESS
IS DESIRED. NO CHANGES HILL BE ALLOiIED ONCE BOILDING PERHIT IS ISSQED.
MOLTIPLE DWELLINGS - AESIDENTIAL
INCLUDE 2 SETS OF PLANS, CE8
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
RE9TAL [JNITS FOR SALE UB6ITS
OF SQRYEY - CFIECK WITH BLDG. DEPT.,
INCLUDE 2 SETS OF ARCHITECTURAL & STRDCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: Sin&r1e Familv Valuation: 9 2, pOd Date: h_ 18_g7
Site Address
Lot 16 Bloek 1
Parcel/Sub Lakeside 2states-Faffan
Owner B& L Prop2rties Inc.
Address 7587 U-oper 167th St.
City/Zip Code LakPville, Mn 55044
,?flNc
Phon 432-8 i 85 or 432-6414?
Contractor S3me
Address Sam-,
City/Zip Code
Phone aasie
:,ame
Areh./Engr. Todd 'i!,rlcksen
Address
City/Zip Code
Phone # 739-3344
On Site Sewage
MWCC System ?
On Site Well
City Water ?
APPROVAIS
Assessments
Water/Sewer
Police
Fire
Engr
Planner
Council
B1dg Off
APC
Variance Ioi5S5
Occupancy
Zoning
Type of Const
(Actual)
(Allowable)
4l of Stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
R3
2? I
-z
_:S7__
'
Permit 4-1 S.?
Sureharge 4(0.
Plan Review 2?57 SAC, City ti00.
SAC, MWCC r_, ZS.
Water Conn 57E;-
Water Meter io7.
Road Unit 30 .
Treatment Pl I 6?5p •
Parks
Copies
TOT9L ?
ls?
?
34- x 3c? =(0 2o
20 C)
I (o ?- 34- ? ? 4-4 r- 4 a- ? 2-3 c-t 3 ?
b ?- g = ? a r- 4?-- ?- 2 s tCo
vw?
.r
?c(o -7 z
_._,....__
?-? Companles 6875 1lighmny 65 N.E. PO. Bax 32308 MinneapoHa, MN 55432 f6121 571-6066
SUBURBRN ENGIAIEER?NG. /NL. 12203 Nkollel Aue. So. Durnaullle, MN 55337 (612) 890b510
Cloll, MonMpal 6 Enulronmmlaf Englnee.ing 0 Lond wutying 0 Lend Vlanning ? Soll Ti,lmg
Certiticate oi l9urveq for ?/9`k //oDeriies
?
Beerings Shown Are Aasumed ; •
o Denotes Iron Nonument
a Denotes Founde[ion Corner OfEseG 5[ake. PROPOSED II.EYATXONS
z Denotes Exieting Eleva[ion
O Denotea Ptoposed Elevetion , Top of Block 9 Z/,3
I Deno[es Direction of 'Surface Drainage Lovest F1oor f 3.0
----'-`- Denotea Drainage end Utility Eesement Gacage Floor Z p ,
Easf /00, o
O
n
H
N
o.nd utili9
5
?y
O
O
J
N
Men
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Lot 16, Block 1
LAKESIDE ESTATES
Dakota County Minnesota
Subject to easements of record
I hereby certify [hat [his survey, plen or report vas prePared by me or under my direct
supecvision and that I am a duly licensed Land Surveyor under the laws of the State of "
Minneso[a /?. Signed [his aay of ' A.D., 19'r
(?
y/pV ,11 S?? ?'JbL tVU?c I_„rlD_lN \_ `y I,? , `y8,.r -?SUBOR AN ENGlNEERING. IN[.
1\ "'??
Nat puUllshed: All rlghts resened
Cop7H0ht 1987 SE Compenies, Subur6an Engineering, tnc. '?oberl E.SFrmmsky ? Hint1..GiCense No r693
•`Y? 11
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921,yy
S87335/ 117Y3
' ? DATE - -S EXTEItIOR ENVELOPB AVERlIGE "U" COttPUTATION
OWNi1t L; B & L Propert.ies Inc.
SITe ADDAESS. 553 :ltlantic Hill llr. ;agan I+In 55123
..
CONTRACTOfl B & L .Properties Inc. -
ADDRESS 7587 UpDer 367th ;i'P. PIIOf1E 4.32-E3185
DETERMINE WORKIT?G SQUARE FOOTAGE OF EACH
1. Total exposed wall area .., 210¢ sq, ft, x..11
_ ?.. _
2. Tatal roof/ceiling area .... 1124 sq. ft. x:0?6 = 29.2
Total exposed wall area above floor a 2104
a. Total wall window area .................... . 154
b. Total door area .... ........................... --4U -
c. Total aliding glass door area .................. --Tz)-
d. Total fireplace wall area ...................... -?)6
e. Total wall framin -
g area (average 10%) ,,,,,,,,,, ---T7
f. Total net wall area above floor ................ -T5T2r--
9. Total rim joist area ........................... --7TU-
Total exposed foundation area a 50
h. Total foundation window area ..... . na
i. Total net foundation area above grade......
.... ?-
Determine "U" value of each wall segment.
a. 154 x "U" .3 = 46.2
b. 40 x "v" .139 n 5.5
C. 60 x IlU,f .3 18.00
a. 96 R ?TUft .026 e 2.5
e, 210 g ltpto .12 e 25.2
f. 1544 g ItUff .042 a 64.8
g. 210 g ,VO ,05 s 10.5
h. x Ifvll s
t. 50 x "v" .4 e 20
3. ............................... Total a .... 192.7
If item #3 is the same as, or less than item OL, you have met [he intent
of SBC 6006 (c)2.
-1-
rage c oz c
Total exposed roof/ceiling area = 1124
J. Total akylight area .................'.........
k. Total roof/ceiling framing area (average 10Y)..??-
1. Total net insulated roof/ceiling area ...... ...?-
Determine "U" value for each roof/ceiling segment.
J. x nU"
?
k. 112 x llUll .035 3:9
. 1. 191 ? gIfvll .02 = 20.2
4 ..........................................Tota1 = 24.1
If total of (t4 is the same as, or less than p2, you have me[ the intent
of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope syetem method, the values established by
the sum of items A3 and 04 shall not be greater than the sum of items
111 and 112.
1.
+ 2.
+ 4.
n
3
t4aterials :
Exterior Air
Siding
Sheathing
Insulation
Sheetrock
Interior Air
Studs
Rim
Concrete B7.ock
.17
.45
2.06
19.00
.45
.68
6.58
1.88
1.28
-2-
s
i
.
?
• ? DATE - -?
ERTERIOR ENVELOPE AVERAGE "U" COFiPUTATION
. ,
oWNLR B' & 1i PTOperties Inc.
SITB ADOnESS. 553 ltlantic Hill llr. 5,,igan fsn 55123
.•
CONTRACTOfl B& I, Properties Inc. -
ADDRE5s 7587 Upper •167th ST. PuopE 432-£3185
- DETERMINE WORKING SQUARE FOOTAGE OF EACH
1. Total exposed wall area .... 2104 sq, ft..x ,.11 = 3•4 I
?- -
2. Total roof/ceiling area .... 1124 sq, ft, z_.026 = 29.2
Total exposed wall area above floor n 2104
a. Total wall window area ................... 154
b. Total door area .... .........................• 4U -
c. Total sliding glasa doar area ............. ---GU -
d. Tatal fireplace wall area ...................... --76 -
e. Total wall framing area (average LO%) ,,,,,,,,,, ---27U
-
f. Total net wall area above floor ................ J?
g. Total rim joist area ........................... ....-
Total exposed foundation area = 50
h. Total foundation windaw area .... na
............
i. Total net foundation area above grade ...........
.. ?
Determine "U" value of each wall segment.
a. 154
b. 40
c. 60
a. 96
e. 210
f. 1544
g, 210
h.
t. 50
x "U" .3 46.2
x "v" .139 e 5.5
x "v" .3 18.00
K iturt .026 2.5
n tl t1U11 .12 a 25.2
x "u" .042 e 64.8
x "U" •05 fl 10.5
x flUff
a
x "u" .4 e 20
3. ...............................TOt81 0 .
If item #3 is the eame as, or leea than item O1, you have met the intent
of SBC 6006 (c)2.
-1-
rage c oi c
a w
. ,
Total exposed roof/ceiling area = 112¢
J. Total skylight area ...........................
k. Total 'roof/ceiling framing area (average lOX)..?
1. Total net inaulated roof/ceiling area .........
Determine "V" value for each roof/ceiling segment.
j , x rrUlr s
k. 112 g flUff .035 3.9
_ 1. 1e1;? X "U'r .02 ° 20.2
4 ..........................................Tota1 = 24.1
If total of 04 is the same as, or leas than 02, you have met the intent
of SBC 6006 (c)1.
Alternate Building Envelope Design
Y
To utilize the total envelope syatem method, the values established by
the sum of items #3 and #4 shall not be greater than the sum of items
O1 and f12. .
1. + 2.
+ 4
Materials:
Exterior Air ,17
Siding .45
Sheathing 2.06
Insulation 19.00
Sheetrock .45
Interior Air .68
Studs 6.58
Rim 1.88
Concrete Block 1,28
?
-2-
,
CLAIM VOUCHER - REFiJND REQUEST
CITY OF EAGAN
CLAIMANT HAWI? F.i.F.CTRTC
ADDRESS 7623 170TH STREET
LtLKEVTLLE MN 55044 -
Location
Receipt No./Date
Reason for Refund
553 ATLANTIC HILL DRIVE
L16, Bl, LAKESIDE ESTATES
75834-7/23/87
DUPLICATE PERMIT
Type of Refund Electrical Pennit 01-3211 . $ 52.00
Plumbing Permit 01-3212 $
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743
Account Deposit 20-2252 $
Utility Account Over-payment 20-2250 $
Other: $
$
TOTAL 52.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
T[Ii.Y 24 1987
Signature Date
. CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS: _ 1.5 ,'S
LEGAI, DESCRIPTION:
:*IOTR: PAYMRNP OF FEE AT 1ZME OF
: arriscATzorr noFS rxrr CMSETITUTE
; P,rrxovat oF PERrmr.
` T*SpE-r?ora oF SDM AND/ox W-Tm
; irsrArLATzONS wnr. rcyr i3E scfED-
: ULID UNTIL PIItPIIT HAS BEESI
: APPROVID.
i?VLinlocxi?upaivision or ?rax Parcel iD #)
,
IF EXISTING STRL'C!S]RE, DATE OF ORIGINAL BL'ILDING pERMZT ISSL'ANCE: '
(hbn Year ..
PRFSENT ZONING/PROPOSID USE:
q corMrtcuL/xErpsr,/oFFice
Q IAID[.'STRIAL
INSTI'IL'TIONAL/G0VII2bAg,'NT
2)
NAME:
ADDRESS:
CITY, STAZ'E. ZIP:
. PHONE:
3) • . ?• NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
4) ?a • ia•
NAN1E:
ADDRFSS:
CITY, STATE, ZIP:
PHONE:
,
R-1 SINGLE FAMILY "
? R-2 DOPLEX (Ttvo Units)
? R-3 TOWNHOUSE (Three + Units) ( Units)
R-4 APARTMENT/CONIDOMIDII[,M ( Units)
a? Plusnbers License:
Active
F?tpired
. /2z ` ? -? Sy?c9 Not recorded
NPISTEt LICINSE# Staff Initial
5) ?? a• ?• : o a ?'
0--CONNECrION DD CITY SEWER NI?IDCrION TU CITY WATII2 0 OTFIERft '.-
6) ? • • r Q PLEASE HOI,D APPROVID PERMIT FY)R PICK-UP BY ONE OF P.BOVE --- -- '-
(?PLEASE APPROVID PERMIT 10 1. 2r 3? 4, ABOVE i.'
(Circ e one)
7) M=an - .. - ,?. .?.? 0?..3 -- ? ?
FOR ,CITY USE ONLY
PERMIT # TSSUED ,
gp
Pd w/Bldg. Permit FEES:
$ $ lU SEWER PERMIT (INCLUDE SURCHARGE)
$ a
$ fD
WATER
PERMIT (INCLUDE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OOTSIDE READER
$ $ WATER TAP (INCLODE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSST - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ $
WAC
$ $ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRDNK SEWER
$ $ LATERAL BENEFIT/TRONK WATER
7
$
WATER
TREATMENT PLANT SURCHARGE
$ $ OTHER:
d C`
$ X5 /7 T -7 $ 54 ? ° TOTAL
'--;76 IZ3
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
ED YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSLED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : 9L
a
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118109
Date Issued:10/28/2013
Permit Category:ePermit
Site Address: 553 Atlantic Hill Dr
Lot:16 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-160
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 .
Kathleen Myrman
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 -
Daniel W Haldorson
553 Atlantic Hill Dr
Eagan MN 55123--204
Apex Roofing & Siding
944 Oriole Dr
Apple Valley MN 55124-0000
(952) 891-1919
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA132349
Date Issued:08/10/2015
Permit Category:ePermit
Site Address: 553 Atlantic Hill Dr
Lot:16 Block: 1 Addition: Lakeside Estates
PID:10-44300-01-160
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater & Water Softener
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 -
Daniel W Haldorson
553 Atlantic Hill Dr
Eagan MN 55123--204
(612) 290-7309
Benjamin Franklin Plumbing
5720 International Parkway
New Hope MN 55428
(612) 604-4285 X61
Applicant/Permitee: Signature Issued By: Signature