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659 Atlantic Hill Dr Use BLUE or BLACK Ink I For Office Use I j Permit f J o( i I CitY b of 1j*R , 14ZOO I Permit Fee: 3830 Pilot Knob Road Eagan MN 55122 Date Received: ~`1 Phone: (651) 675-5675 I I Fax: (651) 675-5694 1 Staff: 2010 RESIDENTIAL BUILDING PERMIT APPLICATION e d_51 D Date: 1 Z M 0 Site Address: L& 0/1 ".P Tenant: Suite RESIDENT / OWNER Name: !D:h )d&a l rT + Phone: (D Jr-~ Address /City /Zip: la'&44J -tC [ act iJP Applicant is: Owner Contractor TYPE OF WORK Description of work: Construction Cost: tf,5'zr Multi-Family Building: (Yes / Noxi CONTRACTOR Name: -X'e Atos . License 2 05 7 6 A Address: C. y-V-4 -tie o City: CA60 >y State: Zip: ° IM Z7 Phone: (el 2-- Z41, -1 Contact: Email: Y a Q Ogma A; - . 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: Sewer & Water Contractor: Phone: NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe ciassitled as non-public N 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. ;Z11) C7-11 x D7 I'll I, i L IQ x Applicant's rinted Name( 4 Applica Signa Page 1 of 2 DO NOT WRITE BELOW THIS LINE 'SUB TYPES Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family) Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi) _ 01 of _ Plex _ Lower Level _ Pool _ Miscellaneous Accessory Building WORK TYPES New _ Interior Improvement _ Siding _ Demolish Building* Addition _ Move Building _ Reroof _ Demolish Interior _ Alteration _ Fire Repair _ Windows _ Demolish Foundation -X Replace _ Repair _ Egress Window _ Water Damage Retaining Wall *Demolition of entire building - give PCA handout to applicant DESCRIPTION Valuation 60 Occupancy MCES System Plan Review Code Edition 1~°y SAC Units (25%_ 100%4) Zoning City Water Census Code Stories Booster Pump # of Units Square Feet PRV # of Buildings Length Fire Sprinklers Type of Construction V- Width REQUIRED INSPECTIONS Footings (New Building) Sheetrock Footings (Deck) Final / C.O. Required Footings (Addition) Final / No C.O. Required Foundation HVAC Drain Tile Other: Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final Framing Siding: -Stucco Lath -Stone Lath -Brick Fireplace: -Rough In -Air Test -Final Windows Insulation Retaining Wall: _ Footings _ Backfill _ Final Meter Size: Radon Control Erosion Control Reviewed By:, Building Inspector RESIDENTIAL FEES Base Fee f11'} Surcharge Plan Review ~a"•+~/ MCES SAC 011i City SAC Utility Connection Charge S&W Permit & Surcharge Treatment Plant Copies TOTAL Page 2 of 2 \ CITY OF EAGAN Remarks Diviiion # 16238 10/85 Addition Lakeside Estates Lot 2 Bik 1 Parcel "10-44300-020-01 Owner Street 659 Atlantic Hills Drive state Eagan ICI 55123 Improvement Date Amount Annual Years Payment Receipt Date STREET SURF. SG, / 1981 1690.16 84.51 20 -2 -JON3 J'S STREET RESTOR. 5-6,S 1981 1409.05 70.45 20 ✓ ✓ GRADING SAN SEW TRUNK 1981 80.00 14.00 20 a. ~O 6 e) 9,12 / p S-~S SEWER LATERAL 909-54 20 3 O S., O WATERMAIN WATER LATERAL WATER AREA a.10.00 - / U,FSE3 - c STORM SEW TRK C 3 19,95 -ii-6o 15 # -/O 10- _S STORM SEW LAT - CURB & GUTTER SIDEWALK STREET LIGHT Rjoad Unit $qgo-on 59-790 6113/85 WATER CONN. BUILDING PER. SAC PARK CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. O. Box 21199 PERMIT NO.: Eag8n, WIN .65121 DATE: Zoning: No. of Units: 1 Owner: i i 111 Address: Site Address: B1 Lak4side f,;tates Plumber: Meter No.: y . t - Connection Charge: Sire: " Deposit: - R No.: Permit Fee: I Mm to seams wuh the City of Easaw Surcharge: Orifaeaaee, isc. Charges ` . ' 0 p Total: s.u•. 7c r1~ter B Paid: Dote of Insp.: C, I go to Insp.: Ty OF EAGAN Remarks Additi Lakes' e a Lot 2 o-toy"13 B I k 1 Parcel 10 44300 031 01 Owner-` Street 659 Atlantic Hulls Dr. State Eagan,MN 55123 Improvement Date Amount Annual Years L S Payment Receipt Date STREET SURF, wl ~y STREET RESTOR. JT(~S 2113 97 1 (A 69 20 5 GRADING 6D SAN SEW TRUNK ~lb~ 1QR1 AIQ nn 21 20 * SEWER LATERAL Oro -Q-L 70 WATERMAIN * WATER LATERAL ~r • o0 WATER AREA 3 1981 420 00 STORM SEW TRK 1103 j 11 47.40 1-5 z; 63 e- o STORM SEW LAT CURB & GUTTER SIDEWALK STREET LIGHT 9- WATER CONN. BUILDING R, SAC P K CITY OF EAGAN 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 PHONE: 454-8100 BUILDING PERMIT Receipt # Te be on" fer Est. Value Date ? 19 t i Site Address I? Erect Occupancy Lot Block SeclSub. 1' I n r. r . T Remodel 13 Zoning Repair ❑ Type of Const. L' Parcel No. Addition ❑ No. Stories 1; F a ! I , Z w 1; T Move ❑ Length ti W Name Demolish ❑ Depth 414 Address ' .10 r, C'1' Int. Impr. ❑ Sq. Ft. City Phone 5 4 -1 Install ❑ Name Approvals fees u Address Assessment Permit 3 2 2 • 0(; ~ 1 .5 C City Phone Water b Sew. Surcharge Police Plan Review i G 1. 0 0 W Name Fire SAC 525.00 13 Address Eng. Water Conn. r~ 0 • 0 G a z City Phone Planner Water Meter 6 3 • 0 Council Road Unit Z. ; 0 • G I hereby acknowledge that I have read this application and state that Bldg. Off. 6 /1318 5 Tr. Pl. 13 2 ' 0 0 the information is correct and agree to comply with all applicable APC Parka State of Minnesota Statutes and City of Eagan Ordinances. Var. Date Copies . 5 t7 Signature of Penttiftee Total Q 15 0 4 A Building Permit Is issued to: an the express condition that all work shall be done in accordance with all applicabie State of Minnesota Statutes and City W Eagan Ordinances. Building Officiol Permit No. Pond Holder Pats Telephone tt Plumbing J l S~ HAfA.C. 7 St S o l Ul o ( N., d $ gla - ~ / Electric C.A f Softener Inspection Date Insp. Other Footings 1 6/ Footings II Foundation Framing Roofing 7'~~ Rough Pibg. Z~ Rough Htg. Insul. g Fireplace Final Htg. 1 {Z Final Pibg. Final 1 S CerVOCC. C'O c I I Water Dewibs Location: Well Sewer Pr. Disp. CITY OF EAGAN WATER SERVICE PERMIT 3830 Pilot Knob Road P. 0. Box 21199 PERMIT NO.: Eagan, MN 55121 DATE: Zoning: - No. of Units: Owner: ' - Addrou: Site Address: Plumber. Meter No.: Connection Charge: Size: Account Deposit: Reader No.: Permit Fee: i agree is amply with the City of hps Surcharge: oralwoo e. Misc. Charges: Total: = i- e r By Date Paid: Date of Insp.: Insp.: CITY OF EAGAN SEINER SERVICE PERMIT 3830 Pilot Knob Road P. a. Box ' 1199 PERMIT NO.:_ Eagan, MN 55121 DATE: Zoning: R. i No. of Units: 1 Owner: Blilie Const _ Address: _ Site Address: 611 Atrlaratic Hills Drive L2 E1 akeside Estates Plumber. I pew to wm* with the Ciyr of Epees Connection Chorpe: 425.00 pd OediNnem Account Deposit: 5 Permit Fee: 1 J . 0 G Surdm pe. BY Misc. Charges: Date of Insp.: Total: Insp.: Dote Paid: I y 1 M CASH RECEIPT - JYIY ~ CITY OF EAGAN P. 0. BOX 21-199 EAGAN, MINNESOTA 55121 17 DATE 19 RKCMVKD FROM AMOUNT $ !r -ac-DOLLARSno ❑ CASH CHECK r ~ i FUND CODE AMOUNT I I Thank You 4 ~J BY White-Payers Copy Yellow-Posting Copy Pink-File Copy Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN Fee Fill in numbered spaces SIC Type or Print legibly Tot. i O. 1. Date 1 p 2. Installation Cost 3. Job Address Lot Blk. Tract 4. Owner 5. Contractor one 6. Address F c_ l F r` c 7. City State 11f,:E„ Zip 6. Building Type: Residential Commercial ❑ Institutional ❑ 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe Fuel Type 11. No. Equipment BTU - M. Ea. No. Equipment CFM y Forced Air Air Handling: Mfg. ' z. - Boilers Mfg. .c- 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved. Approved CITY OF EAGAN 454-8100 ' -i Receipt PLUMBING PERMIT Permit No. CITY OF EAGAN fee Fill in numbered spaces S/C Type or Print /agibly Tot. I q r 1. Date' 2. Installation Cost 3. Job Address Lot" Blk. ' Tract 4. Owner 1 ie <ynStiUCt7 ~iS 5. Contractor - Phone''"" - 6. Address ` 7. City State Zip S. Building Type: Residential )a Commercial ❑ Institutional ❑ i 9. Work Description: New ❑ Add ❑ Alter ❑ Repair ❑ 10. Describe 11. No, Fixtures No. Fixtures Water Closet Cesspool/Drainfield Bath tubs Septic Tank Lavatory Softner Shower Well Kitchen Sink Urinal/Bidet Other Laundry Tray Floor Drains Drinking Ftn. Slop Sink 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 Final Inspections: Date Insp. Date Insp. This is your permit when numbered and approved, Approved CITY OF EAGAN 454$100 r CITY OF EAGAN N0 10 3 9 8 3830 Pilot Knob Road, P.O. Box 21.198, Eagan, MN 55121 BUILDING PERMIT PHONE: 4548100 Receipt g S 7. .1 ~!U T. be used fee SF DWG/GAR Est. Value $63,000 Date JUNE 13 85 19 Site Address 659 ATLANTIC HILL DR Erect Occupancy 2 1 LAKESIDE EST Remodel ❑ Zoning Pot Block Sec/Sub. Repair ❑ Type of Const. V Parcel No, Addition ❑ No. Stories Name BLILIE CONST Move ❑ length -38 644 SUPERIOR CT Demolish ❑ Depth 49 Address Int Imps ❑ Sq. Ft. City EAGAN Phone 454-1438 Install ❑ Name RAMP,. Approvals Fees ri Adder Assessment Permit •O( FS City Phone Water 3 Sew. Surcharge 31.5( W Police Plan Review 161,01( Name 525.0( Fire SAC W Address Eng. Water Conn, 500.0( 63.0( iW City Phone Planner Water Meter Council Road Unit 280.0( I hereby acknowledge that I have read this application and state that Bldg. Off. 6 13 85 Tr. PI. 132.0( the information is correct and agree to comply with all applicable APC Perks State of Minnesota StatutPg4gd City of Eagan Ordiro a. •i LJGJ-,L~yr'd S Var. Date coulee .5( Signaturo of Pan.....-- BLILIE CONST Total 52.015.0( A Building Permit Is issued to. on the express condition that all work shall be done in oecordance with all a - licable ate of nne oto Statutes and City of Eagan Ordinances. Building Official This request void -/9 538 3q •~s' months froyY L d ~ L-e~~Cto i ~7. 0"t) Request Date Fire No. I Rough-in Inspection Rguieetl? ❑No []Ready Now it lRN~ni(y pec- icensed Electrical Contractor 1 hereby reeuest inspection of shove Owner electrical work installed at; Street Address, Box or Route No. t City ection Township Name or No. no. No. County 01 Oc IP cu nt RINT Me tJ o Nn. r PPIi \/T Address Elec ri al Co tractor W..gggny Na I Contractor's License No. -9r Mailing did ss IContrac or Owner Making Instailationl 13ao 33 Author taro I n actorn r Ma mg Installation) Phone Number r D-3l~-r MINNESOTA STATE BOARD OF ELECTRI TY THIS INSPECTION REQUEST WILL NOT Griggs-Midway Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD 1821 University Ave., St. Peal, MN 55104 UNLESS PROPER INSPECTION FEE IS Plane 1612) 297.2111 ENCLOSED. 0 3_T REQUEST FOR ELECTRICAL INSPECTION ER-OODe1-04 6-, 1 ' See instructions for completing this form - beck of volt. copy. B46905 °X" Below Work CovereaFby This Request d dd Rep. Type of Ruildinp Apptianeea Ill E9eiomen1 Nixed Home ,ffa nge Temporary Service Duplex Water Heater Lighting Fixtures Apt. Building 5-4,-Dryer Electric Heatm Commercial Bldg. urnace Silo Unloader Industrial Bldg. Air Conditioner Bulk Milk Tank Farm Other peci y Other (Specify) [ mr uenfy Other Other Compute Inspection Fee Below a ee Service Entrance Size N Fee Feedets/Subfeedem p ee Circuits 0 to 200 Amps 0 to 30 Amps 0 to 30 Am Above 200 Amps 31 to 100 Amps 31 to 100 Amps Swimming Pool Above 100_Amps Above 100-AnW] Transtormers Irrigation Boom Partial: Otheffee. Signs Special Inspection s TO A/j. OG1 Berra rks at 'uu( / ROUeh-in t ~qa/r/ 1_ the ! - rivet Inspector" hereby r]~ Aity that the above Final Inspection has home 47 a, il~ ( 7"I'V .redo. Nbrequestveldlamontrstroin C r `J3 1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN NOTE: ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN INCLUDE 2 SETS OF PLANS 3 CERTIFICATES OF SURVEY 1 SET OF ENERGY CALCULATIONS To Be Used For: 7 ?~kl tax4Fw- Valuation: - (~23,DGY~ Date: Site Address: 6 5 7 01 Dr. OFFICE USE ONLY Lot: .2i Block Sect/Sub LpKe, S IQR ry Erect x Occupancy R-3 Remodel Zoning R-I Parcel 11 Repair Type of Const Enlarge it of Stories Owner Move Length Demolish Depth LIB Address Grade Sq Ft City/Zip Code Phone APPROVALS Contractor 1 Assessments Permit 3ZZ. - Water/Sewer Surcharge 31.'-° Address err C t Police Plan Review Fire SAC 5 City/Zip Code Engr Water Conn 500.°' Planner Water Meter (93. Phone ~~3~ Council Road Unit Zgp,= Bldg Off Parks Arch./Engr. APC Treatment Pl 132• Variance I ~P I so Address TOTAL City/Zip Code Phone # 14x 3g' S3zK 5q-- = 2~~2g I I x 2z = Z~Zx S4 = ~3oc~8 ' - . I~ 22 ~9<P K 4C la 2-'5 2b x22 ' 44o K i~ - 484a hZ8-7 2 Cities Digital Quality 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. .'Pdt4r'I~NS LAK ~ x r pE 1.'.ST~1T~$ PLJ' PLAN' Scab- - m i I loo ~-r - - - - too to3 I 10 t- = I 99's 97. 96 7` ~ L` ; I ~ I I i. r r-17 f - . , 1 it 'r - L ~i - I I } :~~I I li I is ~ , I I - I --I - - i II l--I t -.I _I l~__. j I I.`I r L1u`t `yew loea!,on of streets, lot and proposed buildings, give lot dimensions. (LoT .crnerI are tO bu Stakeci before appraisal is requested.) 7'~ t t~'1r. JavC✓J r:. VERAGE "U" tot,jp ;TQ} 1 a ! d 5yy -t h r.' A wr, r OWN FR1 t l +''f TTF AUDRtSS ' - - ,t CONti(h,CTOR DA ~E V,2,94? PHONE ms`s...-! b 4 4~' 1"51 Determine working square footage of each. 1. Total exposed 'wall area 2,fT3 sq. ft. X, ._17 1r N 2. Total roof/ceiln9 area /<5 2- _.4sq. ft. x Total exposed wall area above floor .1 " a. Total wall window area z b. Total door area . C. Total sliding glass door area Trey d. Total fireplace wall area........... Zp e. Total wall framing area (Average ,f. Total net wall area above floor 9: Total rim joist area'.. • 1 %8 Total exposed foundation area = y q k, t h Total foundat=ion window area SS:' net foundation area above"grade ' Determine "U" value of each wall segment. x I,UII 5 x b. x IOU,, i Y.5, _ f., U C. 7/J~( x 1111 NP✓ _ f j . d. ✓4 1,111 e. l~s . a f. /3~,2 3 x 1111 x T A.aZ_ e. x 'lull h., _31 x IOU,, lull 1 3......... .....Total = [ 2,73 2] If item #3 is the-'same as, or less than item kl, you have met the interit of SBC 6006(c)2. i Y } r z is y g,: ,s; sieve u,.. .,.fem. !9 n w . t ,a # p .It •v fw.S.r Y - 1 l~i)k t P u 4 {Y} l x k u4` Conetzuction r 4 1. Interior air film 0.61 0.~ 4. ter or air.! lm (StInT vex 36 So to t Vented Vast floe ' up x. Fto. /S. t,.~..~. air film 0.61 - NIA r - - d. r r air m s ~ 9btK`l t ` -4 k 1 ~ 3 ~ N; Flo. 06'... Y Y. 3 4 ~d' 1. i r tiles 0.6E. 30 r Oatsi r film ib41~1 1tON•.VS o~ ' Use additional sheets • it more Oato 10`, seeded for dstg'ils and ,ea7.culati9011. "at floc up IPM. 07 L May 8, 1979 DEAR SIRSs I WAYNE G. KITTELSON,owner of lot # 2 -block 1 and owner of the west half of lot # 3 block 1 of SIDKf E ESTATES n EAGAN, would like to request an extra stub to be installed when the sewer service is installed int this area between lots 2 and 4. TOM WAITE, the owner of lot # 4 and the east half of lot # 3 block 1, and I are both in agreement on having an extra sewer stub installed between our lots. If you have any questions please call me at either 455-2832 or 452-3697. THANK YOU MUCH A -x--79 lie ~':~~C ♦.:e r ' We I' ~7Ca~ flOdtti~Y'g1~~ r 1 0.68 r Yy 3 " 'hlc es. soft".•urUpri • ZC 6. k~x}e°x a1s film a 0:17 r MAtd. 1bta1 /J'e /furyry FIG. ry . ~iaLi 1. torior air film 0.68, .515 . M&A ' _ iutsrlox air xlm ~0•,176. J " FIG. ♦Z, 3~oka1 °5.03 1• 0 66. 36 M2 51AAWPOW '!t CALl4( 4• drier air Li1m 0.17 • 1. kurl air film 0.68 ON . " 2. ~•A, 3, 40 r •p ;a P . 'r•~~:i"rr.• i. fittarios air tiiw OdI7 ,r ii....r a! Grus t` !(1 _ t fit lit lid. #4 !fl F Co !i lit r o . MMs Indicate tYPer "A" valuqr depth and ~laoaweat a! lasulatian. r r t 1 sy,, r n rap' Lt4 1} 3 f H, d I 1111, a a ~r LI ' f 'Ar'' YaPa ,A' L v r t 'S'!" 4 . k d + ! > sA f 1 '1~ Sr j if f ' 15 mV ' -1 r t .s r t~ i aN y wf{3, r y +6 r 4a ~ rtL'' e, f~ rr 'Y r ~u'~ Q ~ ;.a a Y y ~6N~y- 6. Y~ y try 'da ~ t fr( a + 4 + 1''t ~7 ~ s M' ~ as r, t x~ ~ ~ •,{,i ~i! d~~ ~~~{t'~2 F ~yiE~ :{~~',7 Y! Aks ~r~~ h~ 3' yp ~ T i :nk^ i r - ~ i r lC P. ,w~ ~ a¢ '14 .4 i M 11 Y r ~ i .Y ° e ~ t~~i : ~ ~i V { f 9 C a ~ ~ ~ Totci} exl3ose.~ ar,ot/ceil,ata r,'r`r h ~ 't(7 'T~t~l 5l:yli,h~ Braid Y Total ruaf/ue~itng'frlmiare.,iaver<no }ON) ~ ` rTotal Det insulatcd r0crt7.ce+ t it g 1r ea. di . tifitte►mtne 'u vai,e fctr each,roof/cei'ir I,i {II.a~ r a ' ~ f 1 I,f total of o¢ is the Sarno; at pr ,Less than.. AP. ypu have riot the ^ intent of k SK 6006(c)~ ` Alternate. Building Envelope Design Fa ut' li ,ze the total enVeYope,system method, the Values esiablis'!ied by the + Sam of- items, `3 and'd.4 shall not` be greater than the sum'.of~ ltern~~l;a~~sC'N,~ I't ,4 + U S7:Gp_ a r 3 Y r_ r1-OG.~. a Y t f` f •T .~t>"'a.,wu ;z ?la'i66xA$~?'.•'i4c'';: u. ..-u4 ,::t i,. _rr,c.s.,Fla?-.#fr`iii!in"k~4.+IY<dklFa'XA1y,t•r 2/84 CITY OF EAGAN APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION (PLEASE PRINT) 1) PROP= ADDRESS: 659 Atlantic Hill Drive LEGAL DL=- PTICN: Lot 2, Block 1, Lakeside Estate (Lot/Block/Subci1visicn or Tax Parcel I.D. NL. IF EYIST=:G Sr?L'C'^rE, DATE OFCpTTGiLPL cJILDL:G ~_ST ISS?\C C^:II2F:/PROPOS- USE: R-1 Si OGLE FAmiry R-2 DUFL= (7,%'0 U TITS) ❑ R-3 Tr...,ZZ'Cr= (Tf-C'..- + L".iTS) ( TJNT-S) ❑ R-4 APuRI"+` IT/Ca:Da-LT`mum ( UNITS) Q CCiryS❑?CLlL/RE^.'AIL✓Cc:'ICr ❑ INZ'USTRLu ❑ LISTITL'TIONAL/GG'VE:-.= 2) APPLIC7-1dT (PLEASE PRINT) NAME: Blilie Construction ADDRESS: 644 Superior Court C=Z, STATE, ZIP: Eagan, MN. 55123 PHONE: 454-1438 3) pu;r --(PLEASE PRINT) FOR CITY USE ONLY NAME: Bruckmueller Plumbing ADDRESS: 678 3rd. Ave. PLUMBERS LICENSE: Active CITY, STATE, ZIP: Mendota Heights, MN. 55118 E= Expired PHONE: A~icr. C] Not of Record 457-1582 PLUMBER LICENSE N 32.36 Farr nina 4) OCCCPASII'/C4;1`IER NAME: (PLEASE PRINT) ADDRESS: CIT'l, STATE, ZIP: PHONE: 5) INDICATE WHICH PER%1IT IS BEING REQUESTED: Ly CONNECTION To CITY SEWER 19 CONNECTION TO CITY WATER ❑ OTITER (PLEASE DESCRIBE) 6) L'1DIC7 C:W. ❑ PTUSSE HOLD APPROVED PERMIT FOR PICF{-T BY ONE OF ABOVE ❑ PLEASE :-7IL APPROVED PEFLUT TO 1, 2, 3, 4 ABOVE (Circle one) 7) SIC---%TLRE:%/ /V'~~~ DATE: -.261-U r ~!~l e1alMl6.i0liilig]vli/fA F O R C I T Y U S E O N L Y PER-MIT ISSUED F7 FEES: $ J S::':ER PERMIT (INCLUDE SURCHARGE) ) $ fD• sD WATER PERIAIT (INCLUDE SURCHARGE) $ G, WATER METER/COPPERHORN/OUTSIDE READER $ WATER TAP (INCLUDE CORPORATION STOP) $ SEIdER TAP $ ~SZ1ZJ AC.^.OUNT DEPOSIT - WATER $ ,)-n2 av WAC $ S"dS SAC $ TRUNK WATER ASSESS=NT $ TRUNK SEWER ASSE- IENT $ LATERAL BENEFIT/TRUNK SET -r $ LATERAL BENEFIT/TRUNK WATER $ o b WATER TREATMENT PLANT SURCHARGE $ OTHER: $ TOTAL J $ ~ AMOUNT PAID/RECEIPT ~ ~',3a7D DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY? YES IF YES, THEN A "PERMIT FOR WORK WITHIN PUBLIC ROADWAY" MUST BE ISSUED BY THE NO ENGINEERING DIVISION. LIST AS A CONDI- TION. SUBJECT TO THE FOLLOWING CONDITIONS: APPROVED BY: TITLE: DATE: mqw.mwmw wm,.!A ~!~4wr w~i w~-~w>+w:~R7w~wi~sit w:~i sa~~wi w:~/l www PERMIT City of Eagan Permit Type: Building 3830 Pilot Knob Rd Permit Number: EA089797 Eagan, MN 55122 . Date Issued: 06/19/2009 (651) 675-5675~~~ EPermit Category: ePermit www.ci.eagan.mn.us lflflUl tflflLLL Site Address: 659 Atlantic Hill Dr Lot: 2 Block: 1 Addition: Lakeside Estates PID 10-44300-020-01 Use Description: Sub Type: e-Windows/Doors Construction Type: Work Type: Windows/Doors-New/Replacement Description: House Census Code: 434- Occupancy: Zoning: Square Feet: 0 Comments: huprovements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing inspection. Call for final inspection after installation. Carbon monoxide detectors are required by law in ALL single family homes. Fee Summary: BL - Base Fee $3K $88.50 0801.4085 Surcharge - Based on Valuation $3K $1.50 9001.2195 Valuation: 3,000.00 Total: $90.00 Contractor: -Applicant - Owner: Renewal Andersen Darlene M Bryda 1920 County Road C West 659 Atlantic Hill Dr Roseville MN 55113 Eagan MN 55123 (651) 264-4777 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. Applicant/Permitee: Signature Issued By: Signature 4111/ City of Ea�afl 3830 Pilot Knob Road Eagan MN 55122 Phone: (651) 675-5675 Fax: (651) 675-5694 Use BLUE or BLACK Ink For Office Use /c232 Permit #: Permit Fee: 35 Date Received: 513-1/# Staff: 2014 RESIDENTIAL BUILDING PERMIT APPLICATION Date: 5'ZlZai L4 Site Address: A kyti c. U ✓1 V-43 Unit #: J Resident/ Owner Name: O J -Y' L. K iz 13 i2 ' 0 Pr Phone: (0T/ —(.86 -i9 6 Z t Address / City / Zip: 1p 6q j C t ("to___ M- LL ) r".- rApplicant Applicantis: Owner 7- Contractor Type of Work Description of work: RE t re.. -- iZ� v - Construction Cost: Multi -Family Building: (Yes I No?( ) Contractor Company: I IOD v -64- 27 u&, Contact: DOil 6 b 12. --it 0 --I foto y Address: 1 2 b Cu r IP1 ` Y2-Prt L City: E 46 Prk) State: 11\f (Zip: �j '5.--( Z zl Phone: (c 12.---21, 0 '`(G CoEinail: 0 P t vfH. v /uU I 0_ License #: 3 C s*,6:- b g Lead Certificate*. C(# -rt'• 6 j 9 ci i_ j ®r r�L ,ST If the project is exempt from lead certification, please explain why: (see Page 3 for additional information) In the last 12 months, _Yes _No If COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING has the City of Eagan issued a permit for a similar plan based on a master plan? yes, date and address of master plan: Licensed Plumber: Mechanical Contractor: Sewer & Water Contractor: Phone: Phone; Phone: NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of the information maybe classified as non-public if you provide specific reasons that would permit the City to conclude that they 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.ora 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 of permit issuance. CAS k p v` toy.+ x O Applicant's Printed Name Applicant's Signature PERMIT City of Eagan Permit Type:Building Permit Number:EA138746 Date Issued:09/19/2016 Permit Category:ePermit Site Address: 659 Atlantic Hill Dr Lot:2 Block: 1 Addition: Lakeside Estates PID:10-44300-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Replace Description:Two or More Windows/Doors 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 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 - Darlene M Bryda 659 Atlantic Hill Dr Eagan MN 55123 Renewal Andersen 1920 County Road C West Roseville MN 55113 (651) 264-4777 Applicant/Permitee: Signature Issued By: Signature PERMIT City of Eagan Permit Type:Mechanical Permit Number:EA139046 Date Issued:10/05/2016 Permit Category:ePermit Site Address: 659 Atlantic Hill Dr Lot:2 Block: 1 Addition: Lakeside Estates PID:10-44300-01-020 Use: Description: Sub Type:Residential Work Type:Replace Description:Furnace & Air Conditioner Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952) 445-2840. Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088 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 - Darlene M Bryda 659 Atlantic Hill Dr Eagan MN 55123 (651) 686-8902 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:EA163936 Date Issued:09/16/2020 Permit Category:ePermit Site Address: 659 Atlantic Hill Dr Lot:2 Block: 1 Addition: Lakeside Estates PID:10-44300-01-020 Use: Description: Sub Type:Windows/Doors Work Type:Skylight Description: Census Code:434 - Residential Additions, Alterations 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 within 10 feet of all sleeping room openings in residential homes (Minnesota State Building Code). 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 - Darlene M Bryda 659 Atlantic Hill Dr Eagan MN 55123 Tim Lemke Construction Inc 1924 Coventry Ct Mendota Hts MN 55118 (651) 602-9001 Applicant/Permitee: Signature Issued By: Signature