4284 Augusta LaneCITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. @ox 211J9 ' PERMIT NO.:
Eagan, MN 55121 p,,TE; 1
Zonirg: U No. of Units:
p,,,,ner. _ Joseph T:iiler
r?dd?a: !4*
ite qddre : 4 ? .?• P-tane 12 R2 Sunset lst
{: ?E Of8 i?C ?,?o: u?IiiI12S
'
eter No.TELEPi'IOI`rE • tLL?! f?lC • ?ir'?$ ?i?`r?onnection Charpe• `?•'`'?)F?d
%A'ize: lu?
?157k r i^a ? a r e. .t ? n?? ? a n?ppUnL D2pO51t. . 15.00 p d
Reader No.: ? Permit Fee: 1 1 • 00 pd
1 oame !o oom* wilh !he ¢itp af Eeqs¦ Surchorge:
?i3.00 me+.: ? T
Orliw?ap?. ?0'4 e ?) Misc. Cf?orfles: p
B Total:
r
y Date Paid:
Dare of insp.: ? / 7 F ? i?,sp.:
3 3 9 9 8 9 0 0 ,..
q?, a,? $4 L 6 ;?0 3 3
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Roed
P. O. Box 21199 . PERMIT NO.:
Eagan, MN 55121L , DATE: 7 `
Zoning: r i _ No. of Unirs:
Owner, ,TGS?r, . ?.. ------ -
Addross:
Site Addres
Plumber.
Meter No..
Size:
Reoder No.:
1sgrw te canolp wilb the pty of Eagsn
Ordineaow
By
Date of Insp.:
15. 00 -
Acwunt Deposit: p
Permit Fee: " p
Surchcrge: 50 p
?'
Misc. CFwrpes: 63.00 e
Totol:
Date Paid: _
CITY OF EAGAN SEWER SERVICE PERMIT
i 3830 Pilot Knob Road
I P. O. Box 21199 '
PERMIT NO.: ;
Eagan, MN 55121' '
II pATE;
, Zoninp: ,12 No. of Unih:
? awrwr, Joeeph Mf:ller.
Address:
' Site ,hddress: 423 Augusta Lane L2 27 Sunset st
Plumber. Xcru re _•!ec,rI
7-3^-- . 100.00. D.
I Mm to ee-plp wieb Nu Gry ef logo¦ Ca,nsct+on aoroe: 425.00 ri
Ordfnnnea. Acaount Depo:it: 15.0 pd
' Permlt Fee: 10.00 pd
? Surcharge:
' BY Mtsc. Charpe::
? Dote of Insp.: Total:
'I lnsp.:
? Dote Pald:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100
BUILDING PERMIT Receipt
T_ " -J A__ SF DWG/GAR $ 5 7, 0 0 0 ,,?_
Site Ad e
Lot ? elock ?/sub. SUNSET ST
Parcel No.
? Name - - - " - ---- ?
? Addr _
C ity Phone
A Name _
?? Address
F Citv -
?W Name
?? Address
? W City Phone
1 hereby ocknowladge thot I have reod this applicotion ond stote thot
the intormotion is torrect and ogree to comply with oll opplicobla
State of Minnesota Stotutes ond Ciry of Eoqan Ordinonces.
i?Tfo 9348
?-
i0 ._ 84
Erect ;E1 Occupency R3
Remodel ? Zon{ng R
Repair ? Type of Contt. V
Enlarge ? No. Stori?
Move ? Length
Demoliah ? Depih 37
Grade ? Sq. Ft.
Appro vals fees
Assessment
Woter & Sew.
Police
Firo
Enp.
Plonner
Councfl
Bldg. Off.
APC
Var. Date
Permit 304..00
Surchorps 28.50
Plon check 152.00
sAc 525.00
Water Conn. 470.00
Woter Meter 63.00
Rood Unit 260.00
Parks O
'
Total ?
A Bullding Permit Is issued to: tJvJ 1"L11jLL,Y't %.vNO1- on the expreu condiNon fhot
oll work sholl be done in occordance with oll opplicoble Stote of Minnosoto Statutes and Ciry of Eoflon Ordinoncee.
Buildinp Officiol -
Permit No. Permit Holder Date
Plumbinq y c? 5 Q. mc 'g y
H.VA.C. y S 3 ??
Electric
Softensr
Ir?spection Date nsp,
Othar
Footinps ?
Foundation l
Freminq
Rouqh Plby. ? LL{`?Y ? 1- h t
' 1' 4
Rouyh HVAC
Inwlation
Final Plbp.
. i . ?
Finsl HVAC
Final ?G
Grt/Oac. '
Wa"r Doscribe Location:
Vllsll
Sevar
Pr. Disp.
Receipt MECHANICAL PERMit Permit No.
CITY OF EAGAN
Fee
Fill in numbered spaces S/C
Type or Prinr /egib/y Tot.
1. Date 2. Insta,lation Cost
? Lo't 't- 81k. :7-? Tract t-
3. Job Address ?
-- ?-
4. Owner t
1 `,? - - -
5. Contractor Phone ' 4
.
6. Address
?
7. City J State Zip
8. Building Type: Resident'ial E3' Commercial ? Institutional ?
9. Work Description: New(b --Add ? Alter ? Repair ?
10. Describe Fuel Type ? -'r 11.
No.
v Eauion ent STU - M. Ea.
Forced Air No. EQUiament CFM
Air Handling:
Mf9•
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I 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
Ro gh Final
Inspections: Date Insp. Date Insp.
This is your permit wheq numbered and approved.
Approved CITY OF EAGAN 454-8100
,
Receipt PLUMBING PERMIT
r, ,• CITY OF EAGAN
, ? • ' ? ?/
Fi1l in numbered spaces
Type or Prinf legibly
AL'G 3 i' ,_
1. Date ? 2. (nstallation Cost
3. Job Address 4284 p-ugu8t2. Lot 2 Bik.
cZI7e
4. Owner Jc? T'iller Constructicn
Permit No.
Fee ?
S/C ?
Tot. - - --?
.?--
,,
? Tract
5. Contracto;•CF. u i r c ' : c' 1- ? ;. c ; 1 Phone 4< <` -- ^ O ?
6. Address P
7. City I,akeville State
Zip 55•044
8. Building Type: Residential 10? Commercial O Institutional 0
9. Work Description: New P" Add ? Alter ? Repair ?
10. Describe
11.
No,
? Fixtures
Water Closet No. Fixtures
CesspaaUDrainfield
? Bath tubs Septic Tank
- Lavatory Softner
' Shower well
( Kitchen Sink
Urinal/Bidet Other
Laundry Tray
? Floor Drains
Drinking Ftn.
Slop 5ink
? Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with a1F ordinances and codes governing this type of work.
Signed: for
/ Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt PLUMBING PERMiT • Parmit No.
CITY OF EAGAN -
Fee
Fill in numb=spaces S/C
Type or PriTot.
?
1. Date ? 2. Installation Cast
?
3. Job Address Ldt?TBlk. ' Tract
4. Owner
5. Contractor Phone - '
? r r
6. Address 7. City State A-1 • ? ! % Zip
8. Building 7ype: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add O Alter t}' Repair ?
10. Describe
'? 11.
No.
Fixtures
Water Closet
No. -----,
Fixtures
Cesspool/Drainfield I
Bath tubs Septic Tank
Lavatory ? $oftner
Shower Well
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
J-
Slop Sink
Gas Piping Outlets
12. I 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 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN Remarks
Addition SUNSET FIRST ADDITION Lot 2 Rlk Z Paccel 10 72985 020 02
Owner Street 4284 Augusta Lane state Eagan, MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK ^5 1 1 1 134.89 A014621 9-28-84
SEWER LATERAL
WATERMA I N
WATER LATERAL
WATER AREA 134.89 014 21 9-28-84
STORM SEW TRK- ' 1
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit 260.00
WATER CONN. 470.00
BUILDING PER.
SAC 525-00
s?
tt
PAR K
This request vDid `4
18 monthtl_(rom W
A 066174
5t,_. __x I
,Z') ') v ( a Y
13 Y . S-Z)
Request Date Fire No. R
o
uh
n
nsoeamn
?
q
e?
? CqyaAy Now Will NoufV Insoar-
?
Yas ? N. tor When Ready
__KL,censed lec[rical ConVactor
I hereby repuest insDectian of above
Owner electncal work mstalletl et
Stree Addross, 8ox or Raute No. Crty
ecuon Towns iD am ur No. onge No. C
Occ PFINT) ? Phone Nu.
- ?
5
r Sup her Acltlr
&A U,) t
Electr al Contra to ICOmpan Nam on[ractor's License No.
Mai in ddress Contrnctor or Ow er Making Instaii tioN
7
9
22
Aut onz S?B m e I ct dOwne akin0 hg'WIlu ion P one
ber
h.K.
MINNESOTA STATE BOARD OF ELEC R ITY THIS 1 SPECTION XEQUEST WIIL NOT
Griggs•Mitlwey Bldg. - Room N-191 BE ACCEPTED eY THE STATE BOAflD
1821 University Ave., St. Peul. MN 56704 UNLESS PNOPEP INSPECTION FEE IS
e1___ m11? eo, 111. ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi.oa
'
/? See instruetiona for completin9 this form on back ot yellow copv.
"X" Below-Yixk Covered by This Request
p
066174
AAd flBp. Typa 01 Builtling APPIiOnceB W,reC Equipm0nl WirBd
At Home Range Temporary Service
. Duplex Water Heater Vg Uny F?xtures
Apt. Buildmq Dryer Electnc Heatin
Commercial Bldg. geffia Silo Unloader
Industrial BIAg. Air Conditioner 8ulk Milk 7ank
FaYm [he.r Den y Oiher ISUer.?fyl
T e, ueci y iher Oiher
Comaute Insnectron fee Below
p Fee ServicaEnhenceSdze N Fee Feetlars/$ubieeders N Fee Cvcui[s
0 to 200 A s 0 to 30 Am s SL2 S 0 to 30 Am
Above 200 qm ps 31 to 100 Amps 37 to 100 Amps
Swimming Pool Above 100_Am s Ahove 100_Amps
Trensrormers Irngation Booms Partial."Other Fee
Signs Special InspecUOn S
-<
F
To A
Hemarks
I l
EE
.e L rr
Hough-in ? Date - cne
? M napector, heraby
cert iv «t the above
FinBl u"!e? / Ac-n hes been KJ" QP de.
TNe mauast voiC 18 monlla irom
?'RI-LAND INC. Certificate of Survey for :
• SURVEYING JOE MI LLE R CON STRUCT IOllf
SERVICES
Eagan. Minnesota 55121
,
.?i
?I
25
Z
?
Q
r
?
?
?
?
4
Zs?
89-yb'- os"E
- -,S
W
?.0I?
w _
I >I O
,?
I m a
N
_ ' '` I
LE6AL DESCRIPTION
LOT2,6LOCK2, SUNSET FIiiST ADO_
92.0' DENOTES PROPOSED FINISMEp 6RAOE
(-TJV DEN07E5 PRoDOSED GARAGE FLOOR ELEv
I hereby certify thot This survey, plan
or reporl was prepared by me or under
my direct supervision and fhof I am a
duly Registered Land Surveyor under the
Laws of the State of Minnesota.
B rad ley .. wenson Mn. Req No. 15235
Date:
N't
SCA1.4' 1"=30'
' NBq=46-o5 E
? I 40.9 ti
o -?-- - ? - - - - --- - ---
?'0
77
I Lo.? 2 .
N
? I
? I
or I
.O 1
1
1
CITYOFEAGAN N00 9348
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
" PHONE: 4548100
BUILDING PERMIT Receipt # _
Te M wed fer SF DWG/GAR Esr. Volue $57,000 Date JULY 30 19 84
SiteAddress 4284 AUGUSTA LN Erect $I Occupancy R3
Lot z Block z sec/sub. SUNSET 1ST Remodal ? Zoning Rl
.Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stori 5?_
? Name JOS MILLER CONST Move ? Length
Z Address 18133 CEDAR AVE oemolish ? Depth 37
9 City FARMINGTONphone 454-4753 Grede ? Sq. Ft.
S?E Approrals Fees
o Name
?? Address
? City Phone
Fw Nsme
z? Address
tw ' City Phone
I hercby acknowiedge thof i have tead this opplication ond stote that
Ithe informotion is correct and ogree to comply with all opplicable
Stote of Minnawta Stotutes and City of Eagan Ordirwnces.
Signoture of Pertnittee
A Bu1lding Permit Is issued m: JOS MILLER CONST
cll work shall be done in accordance wit oll oP 'wble State of ri
Assessmenf
Water & Sew.
Police
Fi.e
Enp.
Plcnner
Council
Bldg. Off.
APC
Var. Date
Permir * 304.00
Surchorge 2 8- 5 0
Plan check 152.00
SAC 52'S.00
Woter Conn. 470.00
Water Meter.63.00
Road Unit260-O0
Parks
Total $T,802' O
S
_ on tMe express conditlon Ihat
and City of Eogon Ordinances.
Buildinp Officfol
yOraF Ow ?.?? p?.
i?.st. ?/sy a.
? ?se o? .+ex+9?r
?j
wrING MeeT
` s p, P w G ?U,n?. APPLICATIQI . _ ? - .
.• V?luetion ? S7,Gt7a Daes -St30??
Rb He Ueed For L .? ? N C?lDCS S? C?
sioe naaress: dfi • ' ?-3
toc oZ sioak a se?./s+,b. I-? x
]?lter ____._ zonitq
Paroe11: ?°?'_ ?
? -? ? tl4esM s - _
OMrMrt Del?osa? ?? ? 3'1 rs" '.
?!!M t Crd? r
City/Zip Qode:
Phow #:
oontsaictc
Address:
(XtY/ZiP
Phare t:
Arch, /E1V . .
AP'P?S " •.
vacmit
AMMwnonts
1Paber/8amer pLn aleck
I 52, °?
Polioe _________--
rire
, 4-10;=
gM , ? rleter ?3 ?
Plartnez ?--?-
il lbad Mit 2-61°.'
Counc
Bldg. Ofr--
APC
Ar]dt+ess s .
CitY/Zip CoBe: ? Spl7W
phaw ! s
,.;
. ` ,.,_ .
!o??Og
New Construc6on ReQui2menfs
3 reguste,red site surveys shoWi?9 Sq ry, Of lot, sq. R of house; and all roofed areas
(20°k marimum lotcoverage allaxed)
2 copies Of plan showfng 6eam & window sizes; poured found design, etc.
7setofEnergyCalculatlons .
3 copies Of Tree Preserration PFan iflotplatted after7/1/g3
Rim Joist Detail Optlons selecflon sheet (bldgs wifh 3 or less unifs
Date 9 / -1 /QLj
Site Address 2-4 ')
Descripiion of Work t? ? ryQ ?? ?
Multi-Famity Bldg _ y X N
Property Owner
Contractor Renewal By Andersen
- 1920 County Rd. "C" West
Address _ Roseville, MN 55113
State 651-264-4777
License # 20130983
?
oft
Construction Cast t
.=f Unit/Ste #
Firep[ace(s) _ 0 _ 1 U 2
Telephone # (igJl ) 4!1-0 -closg
City
Telephone # (
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Enecgy Code Category '- M'nnesota Rules 7670 Cate o 1 Minnesota Rules 7672
(J submission type) ' Re,sidential Ventilation Category 1 Worksheet
Su6mifted . • New Energy Code Worksheet
• Energy Envelope Calculations Submitted Submitted
Have you previously constructed a buiiding in Eagan with a similar plan? y
fee applies. _ N
-
Licensed Plumber
Telephone # [
Mechanical Conhactor
Sewer/Water Contrpctor
ielephone #(
Telephone #(
If so, 25% plan review
SEP
T
I hereby apply, for a Residential Building permit and acknowledge that fhe information is complete and accurat ;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Stahxtes; I undersfand 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 lan in the case of work which requires a review and
approval ofplans.
Applicant's rinted Name Apphcant s Sigaature
RemodeUReoair Reauirements
2 copies of plan
t set of Energy Calculations for heated addftions
1 site survey for additions & decks
Add"dion - rndreate if on,Oe sepfic system
2004 RESIDENTIAL Bi7i7',DTNG PERNIIT AppT,ICATION
City O#'Eagan
3830 Pilot Yvnob Road, Eagan MN 55122
-- - -Telephone#,651-675-5675---_-FAX #-651-675 5694----
OFFICE LTSE ONLY
Sub Types
?- 01 Foundatiorc- - - 0- 07 05=plez- -- 0- 13- -16=pfex----- ---- 20 Poof---- --- 0- 30 Accessory Bldg -
? 02 SF Dwelling ? 08 06-pfex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of_ plex ? 09 07-plex 0. 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 6ct. Aft - SF
? 04. 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc:
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex' Pibg_Yor_ N ? 25 Miscelianeous
Work Types
? 31 New ? 35 Int Improvement • ? 38 Demolish Interior
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation
? 33 Alteration • ? 37 Demolish Building* ? 43 Reroof
? 34 Replacement `Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units ' Stories Baoster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Pootings (new bldg)
_ Foorings(deck)
Foorings (addition) _
Foundation ' ` '
Drain Tile
Roof Ice&V?ater•'-• Final
_ Fraaiing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
ApproOed By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge ,
S&W Permit & Surcharge
Treatment Plant
License Search
Gopies
Other
Total
REQUIRED INSPECTIONS
0 44 Siding
? 45 Fire Repair
? 46 WindowslDoors
FinallC.O.
FinaUNo C.O.
Plumbing.: ... . , . -
- • ? I3VAC'-
Other
P,ooL Ftgs _ Air/GasTests Final
_ Sidirig _ Stucco _ Stone _ Brick"
Windows
Retaining Wall°
Building Inspector
vv/vdibV'/1 1S1V 1.6.JV (?na ??? D!d -g4?ya ???y y? 4 1? y??{??
•?WW?t3L 3g?ait??i]1WUy?
- r '
?e al -
.M
June 7 2001 ' .
City a;FEagan '
3836 i?i;crt guob Road Ea8an. MN 55122 To Whom It May Concern:
Fjdcr r nGS to authOdzed to puII buiIdinb Permits forRcrtewal }ry Andezsen. Piease atiow thU date beyond 6/6 Ol! uutil a?? cc for ue in ?. qhia euthotizatirni is vaiid for any
to the City_ wal bY Aaclersan munager 6XPre%lY revokes it ln wiitEng
I request this authozization bc a- -
ovr bnilding Pcanits aay farthcr.Plc=c .?P?dottsly. as tq not delay in chn prpcessirig of
contactcd at'763-SO?r47Q6. . c? mc If tficto arc nny qncst[ona.. I can lxi
_ 1,
r
Y'our 3mmpiiabr, aftcntiot2 to ttiLs matter i3 a?ei?iarxi 9
Sinoeialy,
ymond R. &-Pm
ostallarion Managcr
Ranewal by Andarsen Cetporativn
C'.c.: Kma-F.1de.rSnne? -
„ a?t i ? ??
r Y p?c
, urE?n.zt?7 ..
- - - -- - - - - - -- ? -- - - -- I
Received Time Juo. 7. 1'07pM
i?
IMIR)
2004 RESIDENTIAL BUILDING PERNIIT APPLICATION
f City Of Eagan
3830 Pilot ICnob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
s, r-I C) -CIO
New ConsWdion Reauirements RemodeVReoair Reaui2menfs ?Jf?"ce„ ?" i
43
3 registered srte surveys showing sq. k. of l04 sq. ft. of house; and all roofed areas 2 copies of plan '?r"^
-nr?t •:?:,
(20% maximum Wt wveroge allowed) 1 set of Energy CalculaGons for heated addiYrons °' ?' H
??..,
2 copies of plan showing beam & window saes; poured found design, etc. 1 site survey for addiUOns 8 decks T Pryl'?"'es; 'J "-
1 sel of Energy CaIcuW6ons Addrtron - indicate lionstte septic system „{t?.?ep??ki??s`?m??;Y?`+? a
3 copies of Tree P2serva6on Plan if lot platfed afler 717193
Rim Joist Defail OpBOns selection sheet (bldgs wiN 3 or less unAS ,
Date
Site Address Coustruction Cost
UniUSte #
Description of Work X M ?D gyQp ? o? Ov[ill?n
Mul[i-Family Bldg _ Y_ N Fireplace(s) _ 0 10 1 _ 2 _zl?
Property Owner 00 &0 Pn l0 nI11 9'Y? Telephone # ((p5
Contractor
Address
Sta[e M{'1 /0 CitY GY?
Z'rp SS3 ? l0 Telephone #(T](o3 ? 5a
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1" _ Minnesota Rules 7672
Energy Code CategOry . Residential Ventilafion Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted ? Submiked
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a simiiar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
N If so, 25% plan review
,G v OG., t O/In
I hereby apply for a Residential Building Permit and acknowledge that the information is comple ?accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to star[ 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.
`?(` C P?C.v?r??e?o?ti7 T /W.L Illnlorrr??rr?
ApplicanYs Printed Name Applicant's Signature
A \9?6
0?(-
7 ? ??1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NawConsWction ReauiremeMs
• 3 registered site surveys showing sq. R. W IoL sq. ft. of house; and all roofed areas
(20% maxunum lot caverage allowed)
• 2 copies of plan showiig beam & wiMow saes; poured found design, etc.)
• isetofEnergyCalculalions
• 3 copies oF Tree P2servalion Poan If lot platted after 711193
• Rim Joist Defail Options selectian sheet (bldgs with 3 ar less units)
DATE
SITE ADC
TYPE OF
5?2G-bZ.
APPLICANT Coft V8II9Y EXwim, a1C,
wnMll ?b_.d_-_.
?ULTI-FAMILY BIDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
STREET AdDRESS C+DiN? flepld8. MN 55493
TELEPHONE #?IG:?Y?-?iELL PHONE #
PROPERTY
TELEPHONE#(n5I^ `?"?a -q -63q
?
---------------------------------°-°-------------------------------------------°-----°-----
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Cate9orY - MINNESOTA RULES 7670 CATEGORY l MINNL'SOTA RULES 7672
(J submission type) • Residential Ventilation Category 7 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: ____
Plumbing system includes:
Mechanical Confracfor.
Mechanical system includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovcry System
p MAY 3 0 2002
P? ne #
$70.00
-----° ?-----'? -------------------
-- ° -- ° -------- °--------------° ---- ° -----------------------°------
I hereby acknowledge that I have read this application, state that th information is ;40ect, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga O in nces.
Signature of Applica?
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
P}lonC # .
I.awn Sprinklcr
No. of R.I. Baths
RerwdellRepair ReauiremeMs
• 2 copies of plan
• 1 set of Energy Calculatiorvs for healed additions
. 1 site suNey iw eAenur addilions & decks
• Indicate if home served by septk Syslem for additions
VALUATION
STATE_ZIP ?.?
FAX
Fec: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
iy
2/84
CITY OF EAGAN
APPLICATION FOR PERMZT
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPERTY ADDRESS: 4284 Auqusta Lane
LEGnr• DESCRIPTION: Lot 2 Block 2
(Lot/Block/Subclz.vi.sion or Tax Parcel I.D. Nwnber)
IF EKIST24 Sl'RIJCZURE, DA?E C° CP.IGIbIAL BUILpII1CG PEFu%ffT ISSJANCE:
(tiior.v`?/`lear)
PRESE.^7T 7C`„SL?Y:/PR0POSID L'SE: ? R-1 S.INGIE FAMI:,Y
? R-2 DUPLEX (2W0 UNITS)
13 R-3 2ONM0USE (TFII2EE + UNITS)( (TN2TS)
? R-4 AYAR'i14Etvfi/C'oiZaARiIUM ? UNTTS)
? COMMERCIAL/RETAIL/OFFICE
p IIvDUSTRTAL
q INSTI2UTIOfII?.L/GOVERZIENTI'
Z) AppLICANT (PLEASE PRINT)
NA`E: _.7na R'i l 1 Pr ('onctrLCt i on
ADDRESS: 18133 Cedar aVe SO.
CITY# STATEr 7'IP= Farminn}nn, T"inn 55024 =
PHONE= 431-2001
3) PLUvHER PLEpSE PRINT
' FOR CITY USE ONLY
?`
?? rgr[:ui,-e nsechanical Services, Inc.
P. 0. BOx 239
?D??' PLUNBERS LICENSE:
, Active
?
CTTY, STATE, ZIP: s,akeville. f"inn. 55014 Expired
0 Nat of Recor
P?: 461-4?`88 PLUMBER IICENSE (J 0027511:7 a ni xa
q) ar-LpANr/OwNER NAME: (PLEASE PRIHT)
A,DDRESS: '
CITY, STATE, ZIP:
PEiONE:
5) IIVDICATE WHICH PERMIT IS BEING RDQUFSTED;
XGtONA=ON RO CITY SEYlII2
iR?CONVwPIIXN TO CITY WATER
? arHER (FiEA--? DESCRZSE)
6) INDICATE ONEc
E] PLEASE HOILI APPR(NID PERMIT FOR PICfC-UP BY ONE OF AHOJE
? PLFASE MAIL APPROVID PERMTT 'IC) 1, 2, a 4 ABCNE
(Circle one)
?) SICN1'I[JRE: DATE: - a -
.
?
-- _ ??
'"? ?e!?i!d!u??!!?.ir ? rrem?.?rrr Mrtt?w:•a,ai?,?i??i?i inl ?+Irhii?hihfthrt?l N? fhf ?4±! M? M?IMErFi4°'??--.?-.==u =;
F 0 R C I T Y U S E O N L Y ' ."
PERMIT # ISSUED
FEES : $ /0. !5 t?
$ ?D SU
- $
r?3-vv
S
$
$ /5-00
$ ??OU
$ qZO -r)U
$ 5L5. of.?
S
. $
$
$
$ .
SEWER PERMIT (INCLUDE SURCHARGE)
WATER PERP4IT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCI.t?DF' !'O`-.PGnA'1ION STOP)
SEWER TAP
ACCOUNT BEPOSIT - SEWER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRUNK S°WER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRUNK WATER
OTHER
:..... ..... .... $ -
TOTAL
AMOUNT PAID/RECEIPi #
DOES UTILITY CONNECTZON REQUZRE EXCAVATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLZC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TIQN.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ?-
.4 s.w "400 xa?j" sus at??e ? ?rwe?ia? !'u'? !fr!1!!'4'!!rts? nr?! !r?!?qr? s? !'7! !r?'?I!"4 ?sc !'?
0
0
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Conshuction ReauiremenS
3 registered site surveys showing sq ft of lot, sq it of house; antl all mofed areas
(20% maximum lot coverage allowed)
2 copies of plan showing 6eam & window sizes; poured found deSign, etc.
1 setoiEnergyCalculahons
3 mpies of Tree Preservalion Plan A lot platted after 711193
Rim Joist Deqil Options selectian sheet (buildings with 3 or less uniGs)
Minnegascn mechamcal ventAatron form
RemodeUReoair Reouirements 01flee?UsednN
2 copies of plan showing footings, beams, joists G2if ?if.Sur'iey R'e`ed?.i..?: ;Y=','_N
lsetofEnergyCalculationsiorheatedadditions TreeP_resPlan;Re, Ws,:;
1 site survey for addiUons & decks Tree Pr`ss Rgquired ?'
"Addifion - indicateifon-sdesepficsysfem OmsiteS@jNicSystej
Date ? l1? l p?P Coustruction Cost r OCd.
/?
SiteAddress l?IFy J}vAvoSTc,_ /-ti?p Unit/Ste #
Description of Work J/,_C' Gk
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
PropertyOwner r0q je r sa rl cjy /tz-Tels0?1 Telephone # (451 ) y''o7- < 03 cI
', 1
Contractor W en Zd 6?oSTI"v LT? G?? ?n L
?'^ ?C?Se ???( °?(Q'?p-?
Address
State /PJiE/ zip .5^SO-;2Y City /:4?..+ 7'pY
Telephone #(/GS! ) y q 7-?9(?3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mitted
In the lasi 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in 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 peimit, 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 of plans.
?
Applicant's Printed Name Applicant's Signature ?Z? __.0,
DO NOT WRITE BELOW THIS LINE
Suh Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling 0 OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.)
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gaze6o)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
p 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
/1! ? 32 Addition
? 33 Alteration
? 34 Replacement
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 Ex[. AIt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
`Demolition (Entire Bldg) - Give PCA handout to applicant
DESCI'iqtion: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# ot Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
Footrngs(new bldg)
?X Footings(deck)
_ Foohngs(addition)
Foundation
Dcain Tile
Roof Ice & Water Final
_ Fraxning
_ Fireplace _ R.I. _ Air Test _ Final
_ Insularion
REQUIRED INSPECTTONS
_ Sheetrock
FinaUC.O.
? FinaUNo C.O.
HVAC
Othe:
Pool Ftgs Au/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
0 6`k,
? ? ? ?
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4284 Augusta Lane
Lot: 2 Block: 2 Addition: Sunset 01st
PID:10- 72985- 020 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Meter Size Meter Type
Comments:
Fee Summary:
Contractor:
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365 -1340
e - Water Heater
New
Water Heater
Kris Oien
3670 Dodd Rd
Eagan, mn 55123
Manufacturer
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Dale B Peterson
4284 Augusta Lane
Eagan MN 55123
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA091774
10/26/2009
ePermit
Line Size
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA147109
Date Issued:12/11/2017
Permit Category:ePermit
Site Address: 4284 Augusta Lane
Lot:2 Block: 2 Addition: Sunset 1st
PID:10-72985-02-020
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
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 -
Dale B Peterson
4284 Augusta Lane
Eagan MN 55123
(651) 452-9039
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature