3664 Cardinal Way
Use BLUE or BLACK Ink
For Office Use e~
j Permit ® / T j
p
City of Eaan
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: 07 f 7 l~ j
Phone: (651) 675-5675 i staff: /rlL. i
Fax: (651) 675-5694 1 I
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Phoneto(2~ 103 _ &5u
RESIDENT /
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
4~~ ins F~ '
Company: S
~•S • j Contact: i~ U)
CONTRACTOR Address: - City: c4yw_a~
State: Zip: Phone: tGt)ZZ ^ 6 T
License C.2.b.)_6 :~.3 ~ I Lead Certificate
Does this project require Lead Remediation . ❑ Yes No (see Page 3 for additional information)
If no, please explain: 1-1
COM LETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aoi)herstateonecall.org
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 an of plans.
x I~.-.--
x L'
Applicant's Printed Name App cant's Signature
Page 1 of 3
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 111 1, N(-i
4 3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
3,, :I !~i; 1' f idd+) ilri r t' i I•' K : 1~ t' J'i :l I S'7+.
I
PERMIT SUBTYPE: TYPE OF WORK:
INSPECTION INSPECTION TYPE DATE INSPTR.
,'pl~l,:fl I!i I
(IMIi f ht;, I.IsI(•: ~
Permit No. Penult Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks
Addition Lexington Place South Lot 16 Blk 5 Parcel 10 45060 160 05
Owner Street 3664 Cardinal Way State Eagan, MN
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. o 3 g 1q97 /D ,C/ S- 1 1'1279-7 eO -2
STREET RESTOR.
GRADING
SAN SEW TRUNK 1985 247.64 16.51 15
f~/ S -=2 -
Q:; L
SEWER LATERAL 1 0 1 1986 1631-00
326.20
Services 1015 198 .39. 145.87
-
WATERMAIN 1985 65.81 _ 13.15 5 &s $ 7,12 1
4'a Z IS
WATER LATERAL 101-1- 1986 873 4 1 7. 4. 6 8
WATER AREA 1014- 48. 74
WAT LAT BEN 101 1986 111,98 22-39
STORM SEW TRK 1011 1986 426.54 85.30
STORM SEW LAT 101¢r 1986 803.34 160.66
CURB & GUTTER
SIDEWALK
STREET LIGHT
WATER CQN rt()r) 00
BUILDING PER.
SAC 575.00
PARK
CITY OF BAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O: Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning: , No. of Units:
Owner:
Address:
Site Address: ' < r ► rs`~ A ,t~ j. Y 7~r :R _ %a
Plumber: Star
Meter No.. Connection Charge:
Size: Account Deposit:
Reader No.. Permit Fee: 0Cir}et
agree to eonroly with the City of Eeoe■ Surcharge:
ordinances. Mist. Charges
Total:
By Date Paid:
Date of Insp.: Insp.:
CITY OF &AGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE: i
Zoning: No. of Units:
Owner: "r r K~~ 2B: ~s i
Address:
Site Address: _ '3 r 6~s L d inal ri12 4'''
Plumber.
none to eomoy wh6 the C*y of Smogs Connection Chaw: , s)'.: t*c
Onfineeees. Account Deposit: 15.00nd
Permit Fee: 10«O2d
Surcharge:
BY Misc. Charges:
Date of Insp.: Total:
Insp.: Dote Paid:
,
4,87 .31EACTIVATED FOR DECK CITY OF EAGAN ~q ~.7
AL LEOP,OLD 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 -
45 L55 PHONE: 454-810450
SING PERMIT Receipt #
To be used for SF,-- DWG/GAR Est. Value $56,000 Date JANUARY 15 '19 8e
Site Address 3b64 CAIMNAL 6AY Erect Occupancy i`3
Lot 1flock 5 Sec/Sub. U;XINGTON PL SWmodel El Zoning R1
Parcel No. Repair ❑ Type of Const. V
Addition ❑ No. Stories
Name FRONTIER MIDWEST HOMISS Move ❑ Length 38
rc
`
z 3908 S 15-11F.M HV4 E Demolish 1:1 Depth 46
l.. o Address Int. Impr. ❑ Sq. Ft.
II City EAGAN Phone 454-0433 Install ❑
o Name. C7~i✓F; Approvals- Fees
Addres6 Assessment Permit 3 01.0 0
28
' 00
City - Phone Water & Sew. Surcharge
cc Police Plan Review 150.50
F W Name R1QHARD CHARLI.x:R Fire SAC 525.00
M Z Address 14103 GARDENVIEW C'1' Eng. Water Cann. 500.00
<W City Ay Phone 432-5492 Planner Water Meter 63.50
Road Unit 280.00
I hereby acknowledge that I have read thisapplication andstatethatthe Council ncil 1~~~56 Tr. PI. 132.00
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of ~am,Ordinancose APC Parks
' Var. Date Copies
Signature of Permittee 1 9 0.00
Total
FRONTIER,'441DWEST HUl~1ES
t. A Building Permit is issued to: on the express condition that
all work shall be done in accordance with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
4
Permit No. Permit Holder Date Telephone #
Plumbing ° - ~.,3 - y
H.V.A.C r~ !3 Sj
Electric A/L
Softener
Inspection Date Insp. Comments
Footings I
Footings II
Foundation
Framing (~,B
Roofing °rf
Rough Plbg.
Rough Htg.
Insul.
Fireplace
Final Htg.
Final Pibg. ~ ~Bldg. Final yes 1,
Cert. Occ.
Deck Ftg.0i~ K?O 6'"~ ~jle"► .
Deck Frmg. [ ~ >1-0-7 • I~~..g7 40
wen.://
Pr. Disp.
OC2
yor `
J
PERMIT # CITY OF EAGAN FEE
PLUMBING PERMIT
RECEIPT # a 454-8100 S/C
A _ . MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL 7 5
DATE / ~1C ~ ~ MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res Comm Inst 2. New Add Aiter Repair
3. Total Bid Price 4. Job Address 31 01
Lot /4' Block 5 Sec 0 LLB 'Xll - 5. Owner F77011ti PZ 011106)
6. Contractor we'tzel chan ir~zi :1600 i-mini(. e.c Dr Eagan ~51Z A
(Name) ` (Street) (City) (zip)
7. Contractor Phone
NO. FIXTURES NO. FIXTURES NO. FIXTURES
Water Closet - $3.00 __L Laundry Tray - $3.00 ____well - $10.00
Bath Tubs - $3.00 / Floor Drains - $1.50 Private Disp Syst - $10.00
--T-Lavatory - $3.00 -7-Water Heater - $1.50 _!mi-Rough Openings w/o
Shower - $3.00 Whirlpool - $3.00 Fixtures - $1.50
Kitchen Sink - $3.00 Gas Piping Outlets - $1.50
Urinal/Bidet - $3.00 -Softener - $5.00
COMM./IND, RATE - 1% OF TOTAL-BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
Approved Inspections: Date Rough Insp. Date Final Insp.
PERMIT # 3 CITY OF EAGAN FEE 21+ • 0'~
_ MECHANICAL PERMIT SIC 50
RECEIPT# 454-$100 .j
77-
MINIMUM RESIDENTIAL FEE - $10.00 + $.50 TOTAL $24.50 '
2/A/86
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
1. Bldg. Type: Res L0(Comm Inst 2. New V. Add Alter Repair
3. Total Bid Price $1700.00 4. Job Address 3664 Cardinal Way
Lot 1.5 Block 5 Sec - 5. OwnerFRONTIER COMPANIES
6. Contractor Wenzel Mechanical 3600 Kan.nebec Drive, Eagan, MN
(Name) 1+5~~7 56a (Street) (City) (Zip)
7. Contractor Phone #
RESIDENTIAL HEATING - 01-100,000 BTU's - $24.00. Each additional 50,000 BTU's or fraction - $6.00
RESIDENTIAL COOLING - 01-24,000 BTU's - $12.00. Each additional 6,000 BTU's or fraction - $6.00 j
MODIFICATIONS /ALTERATIONS -$10.00 minimum fee 1
i_ HEATING VENTILATING HOT WATER STEAM AIR COND.
-AIR PIPING PROCESSED PIPING AIR HAND. EQUIP. REFRIG. ,
RES. GAS PIPING OUTLETS - $1.50 TANKS: L.P. UNDERGROUND OTHER y
COMM./IND. RATE - 1% OF TOTAL BID PRICE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: for
I
4 Approved Inspections: Date Rough Insp. Date Final Insp.
K
JP' CITY OF EAGAN
° 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
4 PHONE:454-8100
BUM-61NG PERMIT Receipt#
To be used for Est. Value Date
Site Addresst urn ti'ri~• OFFICE USE ONLY
Lot Block 5 Sec/Sub t +r, r'>4%i~ On Site Sewage Occupancy
MWCC System Zoning
Parcel &o. On Site Well _ (Actual) Const
¢ Name ' i, r '.ti t ~ t. r.l City Water (Atlowabie)
PRV Required # of Stories
3 Address Oh4 CA ti . NA V 'P Y
D City ''AR Phone Booster Pump Length
Depth
p Name -A' S.F.Total
O Address Footprint S.F.
v
P City Phone APPROVALS FEES
"W Name Engr./Assess. Permit }
F Planner Surcharge r
_ c. Address
a z City Phone Council Plan Review
aw Bldg. Off. SAC, City
I hereby acknowledge that I have read this application and state that the Variance SAC, MWCC
information is correct and agree to comply with all applicable State of Water Conn.
Minnesota Statutes and City of Eagan Ordinances. Water Meter
Signature of Permittee Road Unit
.?rl
A Building Permit is issued to: Treatment P1
on the express condition that all workshall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances. Pdrtts
Building Official TOTAL
l i
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric
Softener
Inspection Date Insp. Comments
Footings l
Footings II
Foundation
Framing f~GL LotsG.+~G- cs a'1
Roofing a2 %~r 23
Rough Mg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
.Cert. Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob-,Road
P. O. Box 21199 PERMIT NO.: `
Eagan, MN 55121 DATE: l -1 S
Zoning:. R:L No. of Units: I.
Owner. Fror Z ier 1,1dweet
Address:
Site Address: 36,54 CarJ1nal I-Tay L16 5 Lexington Pl. So.
Plumber. Star. 1'].-irlbin~_,JkTenael ilechanical.
Meter No.: nection Charge: 5'~ . +l:~p
Size: RHM unt Deposit: ""Ed
t~.pd
1
Reader No.: fi e: 50
1 pros to empty W" t
pd
onlinoncee. ~ LVAONE• Mi es: 13 2 . 0 0 T) d TP
o ~ f 3. " 0 n d meter
BY ~u# Date Paid:
Date of I nsp.: Insp.:
Tos request
d s/8~
n hs from p
1-095253 Z- /Z Ss-, let So . d o8
1 744 Req t Dale Fire No. Rough-in Inspection
t R ad,
Require ❑Ready Now aj.Wfll "I hnspec-
❑No for When Ready
Licensed Electrical Contractor I hereb
V request inspection of above
❑ Owner electrical work installed at:
Street Address, So r Route No. City
3(p (04 (,t)
ecuon o. Township Name or No. Range Count
O pa (PRINT) Phone No.
Af,1 O _0 3
Power upplier Address
t
Electrical Contractor (Company Name) Conic' clofs License No.
Madi t b, a Insta llauon)
14,94n PENNOCK LANE
Authorizgc~$Ipgyt~e~~~tq[(~n~r ~~ir~~sfaJ{ajinnl Phone Number
MINNESOTA STATE BOARD OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Grigg ay Bldg. - Room N•191 BE ACCEPTED BY THE STATE BOARD
1821 Univarsity Ave., St. Paul. MN 66100 UNLESS PROPER INSPECTION FEE IS
Phone (812) 297-2111 ENCLOSED. ,
a/~b REQUEST FOR ELECTRICAL INSPECTION Es-ooool-na
A See instructions for completing this form on back of yellow copy. / a W
"X•" Below Work Covered by This RequeFoMpUtAd st C/J
-REp-.`Type of Building Appliances Wired Equipment Wired
Home Range Te porary Servie
Duplex Water Heater ightiny Fixtures
Apt. Building Dr er Electric Hearin
Commercial Bldg. urna ce Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm then pecifv the, Ispec,lyl
Ot er 01her
e Inspection Fee Below
# Fee Service Entrancesize # ^Fee Feeders/Subfeeders# Fee Circuits
0 to 200 Ams 0to 30 Amps 0to 30 Amps
Above 200 Am 1s 37 to 100 Amps 31 to 100 Amps
Swimming Pool Above 700_Am s Above 100_Am
Transformers Irrigation Booms Partial•'Other Fee
Signs Special Inspection
Remarks TOTAL r"'.)
Hough-in Date
I, the El tric
My Inspector" ereby
certify the, th above
Final J Dale inspection has been
made.
This request void 18 months from
CITY OF EAGAN
- 11447
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 Np
PHONE: 454-8100
BUILDING PERMIT Receiptk J'
To be used for SF. DWG/GAR Est Value $56,000 Date JANUARY 15 19 86
3664 CARDINAL WAY R3
Site Address Erect Occupancy R1
Lot 16 Block 5 Sec/Sub. LEXINGTON PL SORemodel ❑ Zoning
Parcel No. Repair ❑ Type of Const V
Addition ❑ No. Stories
W Name FRONTIER MIDWEST HOMES Move ❑ Length 3
390 SIB MEM HWY E Demolish ❑ Depth dF
o Address Int. Impr. ❑ Sq. Ft
City EAGAN Phone 454-0433 Install ❑
o Name SAME Approvals Fees
Address Assessment Permit 00
City Phone Water & Sew. Surcharge
~a Police Plan Review 150.50
Fw Name RICHARD CHARLIER Fire SAC 525.00
uZ5 Address 14103 GARDENVIEW CT Eng. Water Conn. 500.00
aw city A•V•Phone 432-5492 Planner Water Meter 63.50
Council Road Unit 280.00
I hereby acknowledge that l have read this app Ration and statethatthe Bldg. Off. 1/9/86 Tr. PI. 132.00
information is correct and agree t ompl i all applicable State of
Minnesota Statutes and Ci a 6n APC Parks
Var. Date Copies--
Signature of Permittee Total 1,980' 00
A Building Permit is issued to: FRONTIER DWEST HOMES on the express condition that
all work shall be done in accordance with all ap able State of annes t Stpatu'teg and City of Eagan Ordinances.
Building Official v
CITY OF EAGAN NP-15681
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 91 f Ir Iq
Receipt # 'Y ~t I
To be used for PORCH Est. Value *3,000 Date MAY 26 ,19 8R
Site Address 3664 CARDINAL WAY OFFICE USE ONLY
Lot 16 Block 5 Sec/Sub. LEXINGTON PLACE S On Site Sewage _ occupancy
MWCC System _ Zoning
Parcel No. On Site Well (Actual) Const
Name- ALLEN LEOPOLD City Water (Allowable)
= Address 3664 CARDINA], WAY PRV Required # of Stories
a Booster Pump Length
City FArAN Phone 452-85R7
Depth
p Name SAME S.F. Total
oQ Address Footprint S.F.
U
City Phone APPROVALS FEES
~w Engr./Assess. Permit 50.00
mw Name 1.50
Planner Surcharge
iB Address
Council Plan Review
z= City Phone
a w y Bldg. OH SAC, City
I hereby acknowledge that I have read this application a ate that the Variance SAC, MWCC
information is correct and agree to comply with all a lic ble State Water Conn
Minnesota Statutes and City I Ea di ences.
Water Meter
Signature of Parmittee Road Unit
A Building Permit is issued to: ALLEN LEOPOLD Treatment Pl
on the express condition that all work shall be done in accordan with all parksCopies 2.50
applicable State of innasota Statutes and City of Eagan Ord ences. 54.00
Building Official / I .14 L TOTAL
4 ,
CITY OF EAGAN PERMIT
PERMIT TYPE:
/ 3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 9 9 3
(612) 681-4675 Date Issued: 10/15/96
SITE ADDRESS:
3664 CARDINAL WAY
LOT: 16 BLOCK: 5
LEXINGTON PLACE S
P.I.N.: 10-45060-160-05
DESCRIPTION:
ti..- UNDER EXISTING PORCH
Biiildit Permit Type 5F ADDITION
,Bui'ldirig Obrk Type NEW
Census.Code 434 ALT. RESIDENTIAL
`hR: 4 i~ yn YY X. e `~Y ~>v f 4 i.k
REMARKS:
SEPARATE PERMITS REQUIRED FOR ANY ELECTRICAL OR PLUMBING WORK
FEE SUMMARY:
VALUATION $11,000
Base Fee $174.75
Plan Review $87.38
Surcharge $5.50
Total Fee $267.63
CONTRACTOR: - Applicant - ST. LIC OWNER:
DFOSIGN ENTERPRISES INC 17838562 0008311 BRODERS SCOTT
P 0 BOX 49637 3664 CARDINAL WAY
BLAINE MN 55449 EAGAN MN
(612) 783-8562 (612)452-7676
I hereby a.cknoiwled-g.e that -~I 'h,aVe, -r,earl"tIn i ap"i6A,tAgn acid; state that the '
informa on is correct and' agree to comply with allapplicable State of Mn.
Statu es 'and Cit Hof -I agan.Ord~n~no-es,~,.
6
ITEE SIGNATURE ISSUE BY: SIG A E
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 1
NW Construction Raauirements RemodelfReoair Requirements h
♦ 3 registered site surveys ♦ 2 copies of plan
♦ 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ♦ 2 site surveys (exterior additions & decks)
♦ i energy calculations ♦ 1 energy calculations for heated additions
♦ 3 copies of tree preservation plan If lot platted after 711/93
required'. _ Yes _ No
DATE: _%O ~CpO~NNSTRUCTION COST: 69 0 13 6
DESCRIPTION OF WORK: 31! 'e& ¢ /6(~'e/~7 %o n .a/ asr ~E~ R c
STREET ADDRESS: J ~cc Cj a !y
LOT L BLOCK SUBD./P.I.D.
PROPERTY Name: Phone
OWNER MW
Street Address: ze
City: C lL Q w State: Zip:
CONTRACTOR Company: j esl--!" L-oz~e/ i4 .Phone
Street Address: 0_'00 X /"'94"? Z License
City: 16~ "sr-L State: Zip: .3 72F°f'32" 9
ARCHITECT/ Company: Phone
ENGINEER
Name: Registration
Street Address-
City: State: Zip:
11
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the ' ormation is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes No OCT U 1 1996
Tree Preservation Plan Received Yes No
OFFICE USE ONLY.-, ,
BUILDING PERMIT TYPE
❑ 01 Foundation ❑ 06 Duplex ❑ 11 Apt./Lodging ❑ 16 Basement Finish
❑ 02 SF Dwelling ❑ 07 4-plex ❑ 12 Multi Repair/Rem. ❑ 17 Swim Pool
;11"03 SF Addition ❑ 08 8-piex ❑ 13 Garage/Accessory ❑ 20 Public Facility
❑ 04 SF Porch ❑ 09 12-plex ❑ 14 Fireplace ❑ 21 Miscellaneous
❑ 05 SF Misc. ❑ 10 = piex ❑ 15 Deck
WORK TYPE
❑ _31 New ❑ 33 Alterations ❑ 36 Move
32 Addition ❑ 34 Repair ❑ 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main level sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinkleredil
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. zi-b
Depth Footprint sq. ft. SAC Code 01
Census Bldg t
Census Unit 'i D
APPROVALS
Planning Building AAO Engineering Variance
Permit Fee Valuation: $ uj 000•
Surcharge
Plan Review
License
MCIWS SAC z u ~4 t~iL d! Sv = 34a?.
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
I'
Total:
% SAC
SAC Units
u
SIGMA
House
SUqVEYING Certl flcote
SERVICES For:
3908 Sibley Memorial Hfc ay Frontier Mid
Eagan, Minnesota 55122 W@St
Phone. 1612! 452-3077
Corporotion
MODEL . {{ARTFoRp
-N-
~cALE • 1-401
401
'10
' ,
,~vl o A2 y\ J
NAG E Q
0, UTILI
i o EP<i ' T O
fl, M
a \e 9 °o ib h 903 q 1 r
r
'YO
t 9d^x ro o^ , 1"V
A,
SAO L.0
~ ~ 0 4GF• .s°
\pfneway /2z~ r
1 ~ ~ % 1 ;10.0 G!b
LOT
7 lr
Q~
\,O`~ N tE 0
1.
R
WAYNE_ n '•?4
CORfx:6
.;-LEGEND
- LEnotes Iron Mnnunpnl PROPOSED GARAGE FLOOR ELEVATION= ,-7 w0cd PROPOSED _c~0~ Denotes Hut, Set Top of Block ELEVATION= 90.7.0
Denotes EXxIs StrT spot PROPOSED BASEMENT FLOOR ELEVATION= 10
n la 'l 4,0 w/o
Elevation
Gy nL Denotes Proposed 5pol Elevation NOTE Verify all floor heights with Final House plans.
--Denotes Drainage Direction
S(1ldfEYQRS CERT I F I! QT tnu
M1
r"ERTY DESCRIPTIpy- { hereby certify that this serve
y, plan or report
IOT_ I~ gL~K -C- was prepared by ire or under my direct supervision
LEXIPI[~SLOCK aid that I am a duly Registered Lard Surveyor
PLAC-Eezotj under the laws of the State of Minnesota.
accordr q to the recorded plat thereof,
Q4, K.p !fib - yQ ~
jP _County, Minnesota = Date
'Y6 ' f 1,9$_
waynP O Cordes, Minn. Reg No. !4575
2/84
CITY OF EAGAN
11111 / APPLICATION FOR PERIMIT .
SEWER AND/OR WATER CONNECTION
(PLEASE PRINT)
1) PROPEFrPY ADDRESS: 3664 Cardinal Way
LEGAL DESCRIPTICN: 16 / 5 Lexington Place South
(Lot/Blook/SuEdivision or Tax Parcel I.D. Nurser)
S717-,U E, DATE OF CR-TGLAL `UILDD:G IT ISSN?\CG:
PRESENT C^`7I C /p?OPCS~ PSy: X R-1 SIZ=- FAMILY
❑ R-2 DUPL. (7-.0 EMITS)
❑ 1-1-3 TUo-ZLLECUSE (TII-ti^ L=s) ( LNI^_S)
❑ R-4 A:-'A= ^TMNT/CC:DmII`IILtil ( UNITS)
❑ CU-SEY,CL=+L/REAIL/OFFICE
❑ "T\DUSiRr:L
❑ T-NSTI7,=C.112kL/GOV- ~=-r
2) APPLIC=.`,r (PLEASE PRIV)
N71E: Frontier Midwest Homes Corporation
ADDRESS: 3908 Sibley Memorial Hwy. Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
PHONE:. 454-0433
3) pLL?EE° NAME: Star Plumbing (PLE.SE PRINT) FOR CITY USE ONLY
PLUMBERS L ENSE:
ADDRESS: 1018 Mound Springs Ter. ctive
CITY, STATE, ZIP: Bloomington, MN. 55420 E=pir d
-MAH icr. f Record
PHONE: 884-4149 PLUMBER LICENSE p 3329
a r Initial
4) OCCUPANT/C!-TT (PLEASE PRINT)
NAIL: Carolyn & Allen Leopold
ADDRESS: 3904 Viewpoint Dr. 11105
CITY, STATE, ZIP: Fagan- MN 55123
PHONE: 452-8587. -
5) INDIC"TE WHICH PERi•1IT IS BEING REQUESTED:
CO?NECTION TO CITY S9-7ER Please mail gold copy to'
CCtZ=ICN TO CITY WATER Wenzel Mechanical
3600 Kennebec Dr.
❑ CnIR (PLEASE DESCPSBE) Eagan, MN. 55122
6) Di DICA=Z C.:E:
❑ PT. %.SE HOLD APPRWED PERMIT FOR PICCR-LP BY ONE OF ABOVE
PT-
mSE RAI APPROVED PEF;•iT_T TO 1,T(2/ 3, 4 ABOVE
~e`v V (Ci a one)
7) SIG TLRE: DATE:
A
R0440L lp ~ isbsM:s s/'4v>ara ofi~~ai:~aae aelaailyfiv~f~~ii~:.~~ .
F O R C I T Y U S E O N L Y
PERMIT S ISSUED
F=-
"S: $ ~USy SES;ER PERMIT (I`iCL DE SURCHARGE)
$ to -jy WATER PERMS: (INCLUDE -SURCHARGE)
$ ~-3- 5^u WATER METER/COPPERHORN/OUTSIDE READER
$ WATER TAP (INCLUDE CORPORATION STOP)
$ SEWER TAP
$ ACCOUNT DEPOSIT - WATER
$ ~a f u v SAC
$ _ TRUNK WATER ASSESS,IENT
$ TRUNK SEWER ASSESSMENT
$ LATERAL BENEFIT/TRUNK SEI-R
$ LATERAL BENEFIT/TRUNK WATER
$ WATER TREATMENT PLANT SURCHARGE
$ OTHER:
$ TOTAL
$ AMOUNT PAID/RECEIPT 4-s DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
_ YES-- IF YES, THEN A "PERMIT FOR 'AORK WITHIN
PUBLIC ROADWAY" MUST BE ISSUED BY THE
C] NO""" ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE: S
a+-~a awia 0a m sa ~n sa m a mass 0x40 an 40 w m-iq ou. ok+ pgrm w 40-pe W" 0440 Mw sa =iM A~ vtm M eats 40 as
CITY USE ONLY
L ~ BL RECEIPT
SUBD. 62a4- (2,f- DATE: 'S
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT. KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for single family dwellings
► town homes and condos when permits are required for each unit
FIXTURES EACH NQ. TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
3.00 x
H=Heater
3.00 x 3.00 x =
Gas Piping Outlet' minimum - t 3.00 x =
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 50.00 =
(new and refurbished systems)
U kler ' home under const. 3.00 =
Alterati * to existing 20.00 =
a er Tum Around 20.00
STATE SURCHARGE ~i.5,0
TOTAL - 5b
SITE ADDRESS: BRODERS MARY/SCOTT
3664 CARDINAL WRY
EAGAN , NN 55123
OWNER NAME: H 452-7678 W 683-5678 SCOTT
INSTALLER NAME: P MBIN CO.
STREET ADDRESS:L~ SOUTH
CITY: STATE: ZIP:
PHONE ( )
OF PERMITTEE
~ i
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
f`~AfzTFORD INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
5(^000
To Be Used For: Singly Famil y Valuation: &j--grM Date: 1-8-R6
Site Address: 3664 Cardinal Way OFFICE USE ONLY
Lot: 16 Block s_ Sect/Sub Erect X Occupancy 5z.5
Remodel Zoning {Z •I
Parcel B Lpxing~ton Plana Santh Repair T Type of Const 7S77s
Addition S of Stories
Owner Earn gn S A11pn T.pnpn1ei Move Length 53
Demolish Depth
Address AQUA Via nnint Dr_ #1n5 Int,Impr. Sq Ft
Install
City/Zip Code
Phone 52_R5Q7 APPROVALS FEES
Contractor _ Frontier Midwest Homes Assessments Permit 30 1.
Water/Sewer Surcharge Z L3.
Address 3908 Sibley Mpm. HWY. lIA. Police Plan Review I s 0 so
Fire SAC
City/Zip Code Fagan MN 99,29 Engr Water Conn S 00.
Planner Water Meter M712:
Phone 454-0411 Council Road Unit 28o.
Bldg Off =6Treatment Pl 132.
Arch./Engr. Firharrt Chartyyr APC Parks
Variance Copies r~~n
Address 1410'A rArApnnipw Ct_ TOTAL 3$,
City/Zip Code Annl~Vallpyy MN SS194 c Q
Phone # 432_94Q2
/jrjlrtr~C T~~+Ir C?C:b:tc~ !'a,e 1 of
s _ IOf_ PWELOPE AV; 6'."GE 'I1" _'ON:.IT,",; r
SITE A.ODRESS: fi1ONE
CONTRACTOR: °'~pJ
Determine working square footage of each
1. Total exposed wall area..... 181; 2 S sq. fL. x .11 Z 04,
2. Total roof/ceiling area..... 65= sq. ft. x .026 = Z Z,~
Total exposed wall area above floor= 1~?1,7yJ
a. Total wall window area (t 3
b. Total door area . 9. y Z
c. Total sliding glass door area
d. Total fireplace wall area - !
e. Total wall framing area (average 10":) _ 5 7
f. Total rim joist area
9. _
net wall area above floor.t.Y•l
h• wall area above floor - 4 -
i• wall area above floor
j. frame wall area at f0unciatic:n
Total exposed foundation area=_Ctg, ~ t9
k. Total foundation window area
1. Total net foundation area above grade G,Cd. Z
Determine "u" value of each wall segment
(e.g. window, door, each se?arete will section)
a. I! X U,
b._ . la. X „U , 45 _ ? ~ 7
c. 7. Y. -U., AS d. X ..U- . -7. 'Z (5
f. X
h. X U.. _
i. X r- _
j, X „U„ .
If item ;r3 is the same
k' X 1.U"_ as, or less than. item;
1 5 " (rj = f~ ~7 91, You have met;.tf 6e
X U" intent of SBC.6OW6 (c)
.........Total = t:
~}'Ext;riar Errvclane Average "U" Ca;,::ufaCinn Paige a of 4
Total exposed roof/ceilin, area
in. Total skylight area
n. Total roof/ceiling framing area (average 105)...
o. Total net insulated roof/ceiling area...........
Determine "U" value for each roof/ceiling segment
M. x ..U..
4 Total =
If total of ;4 is the same as, or less than ;,2, you have met the intent of
S»C 60QG (c) 1.
Alternate Buildinq Envelone Design
To utilize the total envelope 'system method, the values established by the sum of
items 113 and 44 shall not be greater than the stun of items !!I and 112.
1. l~~~,~1T d_ + 2. Z .
3. k-19 .07 111~
r`
f r;, pp; roN.lrb,c lUn ii u. In lu.:
11 r ~m r Lr~l a • ~ S
73
-gobawr4w "CPA" .7.
-l
LAU
•YIC. h] TOYVIEM OF ` .
FlU0% WALL ]ulrri:~f ~••ir 'llm _ (1.611
FIG. 02
I
)nteri„r air ttlin o. ,4
l .11 ~I' r 6. }:xtc'rfor n:r i I L:, 1. Yl Q
t - ~ Tolat
u1_cu p 1~ s. 1."_,5~ rymo 5.-.~?..... - -
iY .P. r G. 1:::1 rr irt' .ur ir:•: U. 17
- L.1
,t - ' - *7
1S
Sf.Ji (1N r;UUN
13
lit
1 ► t ~ ^ r ji2n,L)i rind
~,~YI';:; 1n:11,nrc l~~,r t :•,11u,!~
,
.y •O ~ ` Ia. ~ P:.1 :r•!]d9; c:l i. :.1'. .1'_Ir,:1.
• r..oo~/car ::cc .
construction A-Value
In`crior air film 0.61
Exterior air film (still) 0. 1
6
y ~IP, ~i_1_!+~ (~(l lLlll.ll/i Total (Z `fSO~
INN'
%
• ~J FR~+Vt s -
Peat °lov 1. Interior air film 0.61
znted -1 2•
"p 3• ~ t7,;5uL 38.35
Extr_Lior IIr j 'in !still)
- Total 2• = q x.15`
FZC. p5 .
CoA-9r2✓C;i my~_
,r......,-.v, -_..;,.a.•-.•.. .s,~c=. 1• 0.61
Inside nir film
f 3
7 Du is icic air. fil?n U. 17
IIIIIII1 I,11 ~ II -~1 I I' I~ Total
~ I• Inside air film C.61
2.
vented 3•
i?rnt fiov Up •
outside air fil:n 0.17
• I'IC. 96. Totes
3 r\~ v I_ Inside sir film 0.61
r~ 2-
0.17
: . r.. Cut;idC air filin
Total -
Uses additional sheets if more cFaco is
N needed for det.ils and calculations.
$cac
floe up
WAM,
E:_ .a• ~1~, O. hjiAti ll4 W1' It!, l 1~ _ ••~i.~:,.
from: cun:.Iruc:iun :..`::a:r r_.:,lu•:.... r;::;.;•...
~,rtt~.18LOG1C S"M,r(..
- _
ALL` i ~ ~ -'__-----._._..'.,l ~.,t„ z.75'
FIG. N1 TO11VITEN OF
Flul)U, WALL
G. o_I1 r). 1.1
'ivt.nl
611 .
_0
}:xtcrior niv Jm
fl.
2.
'r \
~lty~`n,(' l'." G. -a,~ri~~r ,r~~ ~,t•rt 0.1'7
'Iol.tl -
' ~ ~I) 1 / X11-.:,;"`,~.~'`;-~.-•':
' f'1C. i!d ill i d ~''J// = ~•~;:.,5=.-_:
G. !3j
_t: : ~ •i 'i r ~4
• 'it" ~•alur: (3ci)t;li and
I it: p' 1~.•~ tt,. i.t'r^ Dr
PLAN
Li tj 4 L FT. F,-CPOSE-3 WALL
~LOGk.. 7Z,-+ 4c*.ts fo, ►z8.s
7-z 4 G, S
\I y n , -
FULL (i ZL+ 4g + s = iz~
1Z i t--t : f ISO
S , rT, k~oScJ VJA LC.., r ZE-A
FULL
~a
To~L, S~.
oors s.izi-
l~lD~~1S -D
~~C:~~3
-Z Iq
SIGMA House
SURVEYING Certificate For:
SERVICES ~~®~~~~~^IdW~Sf
3908 Sibley Memorial Highway ♦r
Eagan, Minnesota 55122 ®®p~®~ 1 6®~
Phone: (612) 452-3077 Y p
tAovet HAR?FoKC
'I
-N-
hcALE: 1 -401
I OT
A
0,1
1-
\ C' ''t~ pRla l t~lpG E
i A IY(ILIf-f
ap6H T.
S~ p , ~ roy1~ . 5 A? Lam( (C/ T'~ _ i I
h 903 9 1 t
y~ ^%0 b1 A
l
1 A- '
0 1
S. I0.0
r
p LOT i7
7
\ WAYNE D.':~
CORDES '
- i -
14675 - iQl
-LEGEND _ PROPOSED GARAGE FLOOR ELEVATION= 9010,
O Denotes Iran Monument PROPOSED Top of Block ELEVATION= 20-1,0
Denotes Woad Hub Set PROPOSED BASEMENT FLOOR ELEVATION= 904.0
e
Denotes Existing Spot Elevation
NoT NOTE' Verify all floor heights with Final House Plans.
(„yry Denotes Proposed Spot Elevation
r - Denotes Drainage Direction SUW_QeO~ CERTIFICATI -
I hereby certify that this survey, plan or report
-PROPERTY DESCRIPTION- was prepared by or or order my direct supervision
LOT "0 BLOCK r7 and that I am a duly Registered Lard Surveyor
LE7CINCa'TON PLAG2 62ourH under the laws of the State of Minnesota..
according to the recorded plat thereof, Date: I yt,
Dirt TA County, Minnesota Wayne D. Cordes, Minn. Reg. No. IQ575
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS I
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTES ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For:~,&REEN ~eecFe Valuation: CK30 e0 Date: MAy 2y+ ~9
Site Address 4&q ( ~~1/VhfL L4 OFFICE USE ONLY
Lotto Block On site sewage- Occupancy
~n MWCC system Zoning
Parcel/Sub SC.Q-cc ~ On site well ~ Actual Const
City water Allowable
Owner ]~i1 PRV required # of stories
Booster Pump Length
Address 3(~nC / Ci2,~Y~1 ~IpL Depth
S.F. Total
City/Zip Code 64-G/asl /~/7 • Sg~~3_ Footprint S.F.
Phone APPROVALS FEES
Contractor (SAME) Engr/Assess Permit OO
Planner Surcharge SD
Address Council Plan Review
Bldg. Off. SAC, City
City/Zip Code Variance SAC, MWCC
Water Conn
Phone Water Meter
Road Unit
Arch./Engr. Treatment Pl
Parks
Address Copies
City/Zip Code TOTAL S V' 4V 1
Phone #
Use BLUE or BLACK Ink
I For Office Usfef I
j Permit +i 4-179?- j
C'y of EaEd~ I Permit Fee: D '5; J
3830 Pilot Knob Road I I
Eagan MN 55122 I Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 i start:
2012 RESIDEN~jTIA~niL.~ BUILDINPERMIT APPLICATION
Date. Site Address: CJ 0 ~1 ` (~kdw~~ ~ Unit
Name: 1 1 17 ~~~Q WG I.c 1? Phone: I,f u-
'RESIDENT /
OWNER Address / City / Zip: J JCOafl
Applicant is: Owner Contractor
TYPE OF WORK Description ofwork: W S,1nE 5t Yncc7,S
Construction Cost: Multi-Family Building: (Yes No )
UW C I Company: Contact: ' IL t IrA (it
;"~0 ~ ML~i p (v~
CONTRACTOR ity:
;Address:` r rT
State: Zip: Phone: ~W _ d b W ~ b~
t~
~
License "1 Lead Certificate 1nV tt-
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a pennit for a similar plan based on a master plan?
_Yes ,No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www:gopherstateonecall.org
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code m t be completed within 180
days of permit issuance.
x Alt ('I t~(J e1V Applicants Applicant's Printed Name LSignature
Page 1 of 3
City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use f�
Permit #: )%0L/6)
Permit Fee: 1 (✓� ��
Date Received:
Staff:
J
2014 RESIDENTIAL BUILDING PERMIT APPLICATION
3(,4(1 Site Address: ect4A,A0i/tA_
Name: Q4Vt4& �- 0Phone: 4 /z Z0.3 --85—C8
Date:
Resident/
Owner
Unit #:
Address / City / Zip:
3 6 b4 C.,,,„,,„.12 . Gay, i' u 5S'n-)3
Applicant is: Owner )( Contractor
Description of work:
Construction Cost: iq _
Company: S , bobr C.or►sf rJ-
Address: on -71 3p -%E4 -
t D/1 (Lc
)
Multi -Family Building: (Yes / No
Contact:
City: tiev— 4 t I S
State: P/VU Zip: ` j' j CC'1 Phone: (p It '722-- / l ft
Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days o ermit issuance.
AU; �
`�s, Pr65
Applicant's Printed Name
x
Applicant's Signature /
Page 1 of 3
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