4233 Daniel DrINSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SI7E ADDRESS: APPLICANT:
I ; x[NGroN atf. AtlI)i.l*s t t. t:' ) c,'t??"?--r ?sA :;
I PERMIT SUBTYPE:
1• 1)C?7 I tdii.'
TYPE OF 1NORK:
{ CNNI
ra r 1,
Rk'MllV10. `.: ',.VK'R(IA S?l't:Hi'4 { 1"., WV41111 f+f. tf i=f) 14 RNY f# 41, 1 i3 1 i- fY1. 4R P, ! 11P1VC 1 Ni; l,ijl}:r.
Permlt No. Permit Holder Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inapection Date insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR 7EST
AOUGH
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 - -
f 41 /Cr
ON
CITY OF EAGAN
3830 Pilot Knob Road
EagaR, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
? ?? ?
11ANI I I ItH
1.I? I1fIt1lvr
! PERMIT SUBTYPE:
i r:, .. :,!: ;- i r! 1, tt
PERMIT TYPE:
Permit Number:
Date Issued:
.7 4n t7 Cli7 i' f
, f<<u? ` , APPLICANT:
t
TYPE OF WORK:
ftfl ( l s+ t kr?
11
A?, 1 14
Hf, /7ii /tffs
A1 11 14R f IWit
f
INSPECTION ., . .•
I.,i?llr,(I I11 ? I:i !
I
? F2f11Ailh?. i f•nkfilt Yi'.R MtlIc;:tli1t?Ii It?V AN1• 1 lt+ (k14 AI (IR i'IIJMBiM+i Ui?Nk
A
x ti :!
fr.a?
, i.... ? ._ ' .._ .
. . . ;. .. ,.., . . _ .. ... .. . ..,.
, ? ? . . ? ? ... . . . _, .. ,. ,.. ..?: .. . .. . . . ... ? . _... . . . - . . ?? -. ?
Permlt No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspectfon Date Inap. Commants
FOOTINGS
FOUND
FRAMING
FiO0FINd
ROUGH
PLUMBING
. s
PLBG
AIR TEST
ROUGH
HEATING
?
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL .
. , .;
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122
(612) 681-4675
SITE ADDRESS:
. Il;M f t I
PERMIT SUBTYPE:
I l i
? ??l r? HI u?.i
l?ft
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? APPLICANT:
? t, f z / dI f .' / i. N !
TYPE OF WORK:
N i. 41
INSPECTION ¦ATE INSPTR. INSPECTION TYPE DA
i E;nM trl,,
I f 14 A l 1'I 111,
I Iih
t. W 1' L 13it f 1.•Vi: ', 1 Hft F' L.is6
? F
I
?i
Permit No. PermR Holder Dete Telephona #
SNV
PLUMBING P f+D
HVAC
ELECTRIC 00
ELECTRIC
Inapection Date Insp. Comments
Footings I
l
Foundation ?? Z 3
Framing ? ?y y
s/
Roofing
Rough Plbg.
Rouqh Htg. 4/
[5ul. 1 ?
???ace ?
Final Htg.
o?" T-t VIle
Final Plbg. ? ?Ac
?v Plbg. Inspector - Natify Piumber
Const. Meter
EngrlPlan
Bldg. Final
Deck Ftg.
Deck Fnal
Well
Pr. Disp.
lbl-Z n-??- ?
I ? - - PERMIT
X f% ITV f1C CAt'-" A AI
Pilot Knob Road PERMIT TYPE:
n, Minnesota 55123 Permit Number:
681-4675 Date Issued:
SITE
P.T.N.: 10-45030-060-01
4233 DANIEL DR
LOT: 6 BLOCK: 1
LEXINGTON MEADOWS
I
Zoning
Building
Building
ermit Type
ork Type
Lengt
Width
S F DWG
NEW
R-3 M-1
V-N
PD R-1
68
33
2
1,696
AV oF tzt1gC111
S& W PLBR - FIVE STAR PLBG
I FEE SUMMARY:
VALUATION $137,000
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
5ubtotal
$769.00
$499.85
$68.50
$800.00
100
1
$2,137.35
MSSCELLANEOUS ,$1z828.50
Total Fee $3,965.85
CONTRACTOR: - A p p 1 i c a n t - 5 T. l. I C. OWNER:
MCDONALD CONST INC 14327601 0002376 MCDONALD CONST INC
7601 145TH ST W 7601 145TH ST W
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 432-7601 (612)432-7601
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 Mn.
L 5tatutes and City af Eagan Ordinances.
?
?
APPLICANTIPER ITEE SIGNATURE ISSUED B: SIGNATURE ?1c
11/21/
?0q4
2005 RESIDENTIAL MECAAHICAL PERMTT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc wmplete far: single family dwellings & townhomes/condos when permits aze required for each unit
Date q / aa / n
SiteAddress 1--Ra-3 Lno 1(2 ? F-)r I ot-? Unit#
PropertyOwner ?AP?'?'('L.1 p p Y`,?
?.J Telephone#((a5?
Contractor
Street Address City ?
State }?YV Zip ? Telephone # (00' (00c-)a
Bond #: Eapires:
The Applicant is _ Owner ? Contractor _ Other
Add-on or alteration to easting dweRiug unit
? furnace _Additional
? Replacement $ 30.00
air exchanger
airconditioner _New _ Replacement
other
State Surcharge $ 50
Total $ 30 -.5D
I hereby apply for a ResidenUal Mechanical Permi[ and aclmowledge that the mformation is complete and accurate; that the work will
be in wnformance with the ordinances and codes of the Ciry of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, 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 pl ?
1 1 1, / i
C??1U l?\I? ?Tt?r I
Applicant'sP' edName A ?t's "g re
i
?
i
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
C?t.???? I( ?!
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site s rmcE&ko,?D nergy
calcs.
t"
a
s
s
4
COMMERCIAL 2 sets of architectural & structural pl
n
, 1
e
f
O
specifications, 1 copy of energy ca cs---------
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request 9s made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date // /14_ /_q? Valuation of work f(`t, SBO
Site Address: 41,? 33 ?aNiE? Q
STREET SUITE #
Tenant Name: (commercial only)
LOT• BLOCK ? SUBD. P.I.D. #
Descri tion of work: u v.> FqnLLg e
The applicant is: fY-Owner I5 Contractor ? Other (Describe)
Name Phone
Property LAST FIRST
Owner
Address
STREET , STE #
City State Zip
Company CoH, Phone N31
Contractor Address76,o f/IS?4` J `WesT License #*oo2376 Exp. 4`S
City t1oPlLL?i State Z i p S5/
-r . /
Campany Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber fiLle 5 k 2 2 2Qa ` M.L . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this apPlication and state that the information is
correct and agree to comply wi h all applicable State of Minnesata Statutes and City of
Eagan Ordinances. ?
Signature of Applicant: d Gt??/ ?su
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
10 02 Sf Dwg. 0 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. ? 15 Deck
WORK TYPE
9 31 New ? 33 Alterations O 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
1:1 21 Miscellaneous
? 37 Demolish
Const. (Actual) ? Basement sq. ft. /,b?z MWCC System cr
(Allowable) ,v lst F1. sq. ft. 10610 City Water
19(
UBC Occupancy 2-? 2nd F1. sq. ft. 9166 _
PRY Required
Zoning po 2-i Sq. Ft. total ?a+? Booster Pump
# of Stories z i,„,, footprint Sq. ft . go c°"j Fire Sprinkler
Length On-site well ? Census Code
Depth 33 On-site sewage SAC Code
C
nd
APPROVALS ensus U
i
Planning Building Assessments
Engineering Variance
REGIUIRED IN SPECTIONS
?.Site L?Footi ng Fai Framing a Insulation
11 Wallboard ? Final ? Draintile ? Fireplace
Permit Fee vai„acsa,: g / 3 7, ooc? •
Surcharge f,
Plan Review °-License Z6r 3? v qe6 4 "7,2.+aL
MWCC SAC qX S• ?L ZoX ?, : 600
City SAC
Water Conn. loGO .rsy =/S??s'o> zX ig ? 3S
Water Meter ?----? <
Acct. Deposit
S/W Permit 2? • .31F a? z
S/W Surcharge
Treatment Pl. Z? r 3? = F&? rri? ?3, 3sz j (pz?l
Road Unit
Park Ded. C
Trails Ded. ?smT•
CoPies ?/,o(b
Other
TOtal: 2r6 -_ /- T? ' ?tl/ .
J %
$AC % 7L
SAC Units
?
. ?
6?p 0
?IJ- 0
PD 0
? 0
?
D' 0 0
LOT 80RVEY CSECRLIBT FOR REBIDENTIAL
EIIIL
pROPERTY LEGAL!
Dat• of 8urveps (j/ / 'fY
DoctrMExT BTANDARns y
• Registered Land Surveyor siqnnture and company
• Huilding Permit Apglicant
• Leqal description
• Address
• North azrow and bar scale
• House type (rambler, walkout, eplit w/o, split entry,
lookout, etc.)
• Directional drainaqe arrows with slope/gradient t.
•• Pzoposed/existiag sewer and water servicea
• Street name
• DriveWay
LT? 0 • Sewer service
1'l,00 • Lot corners
[?[?,? ?6 • Top of curb at the driveway
t?"?3' 0 • Elevations of any existing adjacent homes
F -- Proposee
0 • Garage floor
0 • First floor
0 • Lowest exposed elevation
0 • Property corners
P13 [3 • Front and rear of home at
0 0
91 13 a M
Vb
?D 0
0
D'D D
d'0 0
0 0' p
(walkout/window)
the foundation
DONDINO ]1REA8 lit atiolieablel
• Easement line
• NWL
• HWI,,
• Pond # desiqnetion
• Emergency Ovezflow Elavetion
• I.ot lines
• Riqht-of-way and street width (to back of curb)
• Bropoaed home dimensions includinq any proposed decks,
overhnngs greatez thnn 20, porches, etc. (i.e. all
structures requiring permanent footings)
• 6how sll easements of record nr?d nny City utilities within
those easements
• Setbncks of proposed structure an8 setback of adjncent
existiny homes
• Ret
Reviewed
Oetober 1992
0 ? O 3
?3 9
Rea est Daie Fre No ough-In I n qwhmretl
(YOU mu ? oall mspe r en reatly) Inspection Oiher Than Rough-In
[] Reatly Now Will ottly Inspeotor
X
-5" Yes ? No IJ
oate Rea
I9? censed contractor ? owner here6y request inspe?o f above ele at: I
Jab Atltlress S[reet, ar Roule No 1 ?b ?
? .
Section No i
" 61 wnship Name cr No Range No Co
v\ V
Occupant(PRINn
?- O N \.F ? ' Phone o C?
? ?J O 3 (c ?
Pa}w?erSUppue`r
i-/ V?-?"" W • Atltlre/?s?
!?/ •
Elect Conhacmr (COmpany Name)
k- Comr cmr's Lmense No
Maili? J ng Atltlre ?s (COnhactor or er Making Installedon) •
u O" ???k • " ?-
Au[horrzetl SignaWre (ConuaatodOwner Makmg Inslellalion)
A Nittl .. `-W/lk . { ?V )? _ Phone Number
A?3 cA d 0.3&
MINNESOTA STATE BOARU OF ELECTflICITV THIS IM1SPECTION flEQUEST WILL NOT
Griggs-MiEway Bltlg - Foom 5128 BE ACGEPTED BY THE STATE BOARD
1821 qnrverslly Ave., St. Paul, MN 55104 II II ? II I? ( I I I II III UNLESS PROPER INSPECTION FEE IS
Phone(612) 642-0800 ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION a1dKI? ee-oooai -as
N
.O? See msfmcimns for mmpleung this form on back of yellow coOY
f )"^ "X" Below Work Covered by This Requesf
Ne
\dd
Rep-
Type of BuJding
I
Appliances Wired
Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer Load Management
Comm /Industrial Furnace Other (Specd )
Farm Air Cond.!ioner
Othei (specdy) Conlraclors Femarks
Compute Inspechon Fee Below:
F
# Other Fee # Service Entrance Size Fee ee
ders
#
1
C
Swimming Pool 0 to 200 Amps Amp5
100
0 t
Transformers Above 200-Amps
Onl
U Above 100 -Amps
? TOTAL ?
Signs y
Inspe,lars
se
? y? p?yV ?,o.
Irrigation Booms 1 r r?
rOTfjL 37 ?R'
Special Ins ection
E
Alarm/CommunicaUOn THIS INSTALLATION M BE O ERED,DISCONNE T
?7•
Other Fee COMPLETED WITHIN ONT .
the Elecincal Inspector, hereby
1 ughan ?
Po Oale
r?'?!=
`L ?
,
cedity that the above inspection has F,nai d
p
°at1 "( o?W
been made.
OFFICE USE ONLY
This reQuest voitl 18 monlhs fmm
?.
lA
. ?
r n{'•r.''?.?le
..L?..vIJV4..'..'`. r,..
OF UTI! I'i ( LOCATl.,???
.. ,
FC?
E?',^,TIOf?RS. THIS IS
? PURPOSES C;:LY Alaj, Ipa00' 00"
,,;?!t:G IT SHO?.,ILD `<'L^:"Y Tlw= 300.00
?• Z OIVTHESITE. T=26.25'
L= 52.36'
d=19.0985
PC=32+70.54
? / / PT=33+22.9p
/
/
s!
/ TURE i 1 ? -'
I F? ?2 x 6?TEE 1 3+30 11 y
PLACE SERVICES W"969 4
6" G.V. a BOX S-9FF 7
-6ol DIP 1
?BELAW STORM 591
SEWER 1 6" PLUG
X6"TEE 4+15
5+00 . H)Y-.(97/.,?y 1k-9$8:?i ?;? y?
+65 W" 968.5 95 r'
367.7 57.5 34%? ,' Sgl /
9577 • , 4 Q'
3.4 56.0'e I / t > !13.y -
MH-2,1,, i ' w e8?'?2 1105.6
24 d - ->15.9
? - -' .
1
FU
?' I ? ?;G 129 2+90
%,.14 •' I!' , , 1 G 1 W- 9 9
6.6
S-956.5
rn
o ? ? SER? 1 1 m
5 + 75
9.4 l ?1 ?? P0?
?
95
y
?..
rX ? 01.1TiAT A
DR IVE _ -?-?
?
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x
1
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MH-I
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, a60 .
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. . .. . . .. . . .. . . . ... ' i?:CN.
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..ST
y
)ESIGN FtADE EXISTWG PROFILE
; =s
MH-I
i
6 ? -- _
%
- -- - --9
69.9
---
-
-
E f5" IiCp
I?
? . ?
«
_
--.?-- 12" plP CL.52
- - ---?- - _'_..
I
. . Ex. 12 OIP i ?
?
?
• 66 - 8 PVC ?10 o -- - - - - - ----
0.43 2 .
0.4/ % ?ex. s' VC(io 0.40%
?
^
f\ • -
.w a
a' LO f. ?..: P hF u?;.3 + f
;.;?-'.: NG IT SHO:J! :. ? . - C
..-r:J?,'QN HEc'iTI-=.
oo?
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36
35
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34
R.P TRB
33
32
31
ROSENE, ANDERUK dc ASSOC., INC. I r
Cnnlnnnrc b ArrhifPrfc
III1113ESOTA 5 TBTR-Et1FM7C_.COI2E-IC8T,CULATIa11a
BASED Oti CfiAPTER 5 OF T11E
!L[LEEL-EI1ERriYCODF - 1903 eQITIQtI
Adoptlon Effective
e Date
Sita Address
contractor
Duilding Classification: Type A1 (single Family & Duplex
Type A2 (Residential, 3 stories or leee) (over 3 stories) (other)
t14TE.L CQmn1?ta--Ruges3?nd 4 firgt.
, HtiEBBL__I13MOQt78T.Lti r????it
1 ,?nl%V ?
1. Building Perimeter 4V' ?s ft.
2. Wall ttei ht "
g (qround to eave) ft.
7. 1. X 2. (above) gross wall srea jZ 24 sq.ft.
4. Buildinq dimensions (L) X(W) "? ?12oZ sq.ft.roof 6 floor area .
5. Sq. foot area of rim joist - Floor joist size (2 X'17i )
JI X 3){0 (Perimeter) _ '31(O sq.ft.
•
6. Doore - Arga V 12
?/ L
Thickness in U. fector ?? `',Type of Construction Perimeter ft.
. lfanufacturer
7. Total door's perimeter ft.
B. Windows; Nanufacturer?,bVL, I9tate approved
U factor ?-
TYPE SIZE A'RE11 (Sq.Ft.) NUMBER OF TOTAL
Si ?11?LnR.?' iHE' E,l_ I ' EAC11 Ut1i'fS SR FEET
9. Total sq. ft. Glase 4 zc??
20. Fireplaca area: Width X tleight = X eq.ft.
:1. Exposed foundation: lieight X PerimeteriO z sq.ft.
CGIfPLETI011 OF TIIIS FOR![ IS REQUIRED FOR ALL tiEW COIISTRUCTIOt1, HAJOR
REItODE[.IIiG AIID Bl1ILDINGS BEItIG FiOVED WIIERE ENERGYO OTIIER Tl1AN TIIE HIHIMAL
COUE ALLO19AlICE, IS USED.
-1-
,12. Framing areq = 10% of groae wall area.
13. Gross wall area 3z- 74 sq.ft.
Window area A sq,Et, tl windowe ? .3651 UxA =
1 S_
Rim joist area A316?_sq.ft. U rim joist= UxA = I 3
poor urea A ? S sq,ft. U door area= '14 UxA = (0
Otlier doors area A 3> sq,ft. U other doora°' `? UxA =
Exposed fndn A 1(?? aq
Et
U foundation=
A
L2l6
7 U =
.
.
,
x
1
Framing aren A3Z5xd eq. ft. U frnming erea= -09, OxA = 3 ?
Net wall aroa A? v?, (-? sq,ft, U Wall= 1013 UxA =?
(13B) TOTAL . . . . . . . . . UxA =
14. Gross wall etrea x 0.11 (A-1 einqle femily 6 duplex) = allowable UxA/Code
• (13. above )
x 0.23 (A-2 other residential)
x .27 (otlier buildinge)
x .28 (over a etories)
7 r-il (? ?? BTUit must be larqer
j
A Jl? ? x l) Code
° than or eame
,
_
F. as 13B above
15. Ceiling fraining araa (AE) equale 101 oP cflilinq erea
15A. Gross ceiling erea =(L) " x(W) _ Izoz, sg,gt,
158. Joist area (Af) = 10$ celling eYea 4 Z 0? Z sq.ft.
15C. 11et ceiling area (Ac) (15A - 15B) ? 10a (J sq.ft.
U ceiling x Ac
U framing x A f X?U1-?
151). TOTAL U x A .................. .?........... Z-166
16. Ceiling aren (15A) x o,026 (A-1 eingle family & duplex)
= allowaUle UxA/ ?ode
x 0.033 (A-2 other residential)
x 0.06 (other)
larger
0?Z(? oFUII must
A( 15A)(
x U Code
e 5p
b
an or same
_
,
e
a
o
-?i- ve
t10TE: Use t] anil A values obtained from paqes 1, 3 and 4.
QEIITiEIQATIQti: Z hereby certify tlint I have calculated the "U" fectore and
"R'I values hereln and that the buildinq liera described meets or exceeds the
State of t9lnnesota Etiergy Conaorvation Act.
Date
9lgnature
-2-
?, . . PERMIT CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 PermitNumber: 027972
(612) 681-4675 Date Issued: 0 6/ 2 0/9 6
SITE ADDRESS:
4233 DANIEL DR
LOT: 6 BLOCK: 1
IEXINGTON MEADOWS
P.I.N.: 10-45030-060-01
DESCRIPTION:
611cdi,ngr,„PermiC Type
;?sBUilding W'qx?k 7ype
Census'Cod,e
???4E
t
h
;
f
pECK
NEW
434 AL7. RESIDENTIAL
REMARKS:
SEPARATE PERMITS REQUIREO FOR ANY ELEC7RICAL OR PLUMBING WORK
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
7ota1 Fee $45.50
CONTRACTOR:
ALLIED BUILDING CONT 18847747
2334 WELLSW000 CURVE
BI.OOMIN6TON MN 55431
OWNER: -
MEYER
4233 DA
EAGAN
(612)688-7364
Applicant
JERRY
NIEL DR
MN
?
? I hereby acknowledge'tha't`?T Friive rOad -this
information is correct and agree to comply
? Statutes and City of Eagan Ordinanees.
?APPLICANT/P MITEESIGNATURE
appl3aet3on add state Ehat "the
with all applicable State of Mn.
? n{10 Rml I rY?-
ISSUE B : SIG TUR
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-46T5
?s-S0
? 3 reglstered site surveys ? 2 copies at plan
? 2 coples of plans (indude beam 8 window sizes; poured tnd. design; etc.) ? 2 site surveys (exterior addkions S decks)
? / energy calculatlons ? 1 energy calculations for heated additions
? 3 eoDies of tree preservetlon plan N lol plaUed aRer 711193
requlred: Ves No
DATE: ?7?3?? ? CONSTRUCTION COST:
?
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT _ta BLOCK ? SUBD./P.I.D. #: Ado ? S
PROPERTY Name:ines!e'*- Phone #: 62946-756V
OWNER / ?anei
br' V-12
Street Address
City: L'14 d^- State: Zip:
CONTRACTOR Company: 41- 1 Phone R?y"-77`»
Street Address: :P33q 1?iau s woa? C?,?e License # :
CItY: ("?6omia
-- h? State:
s f?^- Zip:
ARCHI7ECTl COmpany: Phone #:
ENGINEER
Name: Registratio n #-
Street Address•
City. State: Zip:
Sewer & water licensed plumber:
change are requested once permit is issued.
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State oi Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY RECEWC D
Certificates of 5urvey Received _ Yes _ No JUA `t 3 4-5aG
Tree Preservation Plan Received _ Yes _ No --°----------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
0 02 SF Dwelling o 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-piex
? 05 SF Misc. 0 10 _-piex
? 11 Apt./Lodging ?V 16 Basement Finish
? 12 Multi Repair/Rem. ? 17 Swim Pooi
? 13 Garage/Accessory ? 20 Public Facility
? 14 Fireplace ? 21 Miscellaneous
K 15 Deck
WORK TYPE
? 31 New ? 33 Alterations
? - 32 Addition ? 34 Repair
? 36 Move
0 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
APPROVALS
Planning
Building
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
°k SAC
SAC Units
. _ = PERMIT
--r CITY OF EAGAN "
3830 Pilot Knob Road PERMIT TYPE: aux LosNG
Eagan, Minnesota 55122-1897 Permit Number: 027971
(612) 681-4675 Date Issued: 0 6/ 2 0/ 9 6
SITE ADDRESS:
4233 DANTEL DR
LOT: 6 BIpGK: 1
LEXINGTON MEADOWS
P.I.N.: 10-45030-660-01
DESCRIPTION:
j'3uild,Permit Type
; BuildiMg Work 7ype
Census, Code ??.
i`
?
?
W
? f"
BASEMEN7 FINISH
ALTERATION
434 ALT. RESIDENTIAL
?
_' '
L 9
"iP ry?Kt'=:.. ??
REMARKS:
SEPARATE PERMTTS REQUIRED FtlR ANY ELEC7RICA1. OR PLUMBING WORK
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Tntal Fee $50.50
CONTRACTOR:
ALLIED BUILDING CONT 16847747
2334 WELLSWOOD CURVE
BLOOMINGTON MN 55431
OWNER: -
MEYER
4233 DA
EA6AN
(612)688-7364
ppplicant
JERRY
NIEL DR
MN
?
I hereby acknowledge that Z have read this
' information a.s correct and egree to comply
Statute•s.and City 1agan Ocd3nan6es.
APPLICANT/ RMITEE SIGNATURE
application and state that the
with all applicable State ofi Mn.
-1
IN 14 !P kAjI mj--
ISSUED B`4 SIG AT R T-
._ ? CITY OF EAGAN so S O
3830 PILOT KNOB RD - 55122
?1? (a ? ? / 1996 BUILDING PEaMIT APPLICATION (RESIDENTIAL)
OS 1 681-4675 roj
New Canstrudion Reauirements RemodeVRepair Reauhements
? 3 registered slte surveys ? 2 copies of plan 1
? 2 eopies of plans (include beam 8 window sizes; poured fnd design; atc.) ? 2 sife surveys (exterior additions & decks)
? 1 energy calculations ? 1 energy wleulatlons tor healed additlons
? 3 eopies of tree preservation plan 'rf lot plaHed after 7/1/93
required: _ Ves No
DATE: 1611 ( V51 ? ? CONSTRUCTION COST: ?
DESCRIPTION OF WORK: gG S eM & /I ?(1 i S V1
STREET ADDRESS: 4 a' 3 3 'J A ri /? L 'D I L,
LOT BLOCK ? SUBD./P.I.D. #:
PROPERTY Name: ?^- k Phone #:
OWNER `I"`T
CONTRACTOR
ARCHITECTf
ENGINEER
Street Address:
City: State: Zip:
Company: Phone #:
Street Address:
City:
Company: _
Name:
Street Address:
City:
Registration
State: Zip:
Sewer 8 water licensed plumber: . Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information is correct and agree to comply with M
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Signature oi Applicant:
UFFICE USE ONLY
Certificates of Survey Received
Yes
Tree Preservation Plan Received _ Yes
License #:
State:
Phone
Zip:
No
No
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACN UNIT.
NEW CONSTRUCTION
_ ADD-ON A/C
ADD-ON FURNACE
_ FIREPLACE INSERT
DATE / 2 - / - q
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU --6,80-_
GAS OUTLETS (MINIMUM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTiNG CoNSTxUCTION) $
STATE SURCHARGE .50
TOTAL ?l . 5t
SITE ADDRESS: y2 3l
OWNER NAME: Alc,4B,U,4LD Z'0,,t/57'• TELEPHONE #: 'y32 -760/
INSTALLER: 1_?Qn177.'oLL Eb Al2
ADDRESS: 96 I ZN° ST,
CITY: STATE: A/? ZIP CODE:
TELEPHONE #: 'XiO,Ie1J22
SIGNATUR F PERMITTEE
1994 MECHANICAL PERMTT (RESIDENTTAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQL7IRED FOR EACH UNIT.
NO. FIXTURES
I SHOWER
WATER CLOSET
? BATH TUB
LAVATORY
KITCHEN SINK
LAUNDRY TRAY
HOT TUB/SPA
WATER HEATER
FLOOR DRAIN
GAS PIPING OiTTLET • minsmum • i
ROUGH OPENINGS
WATER SOFfENER
PRIVATE DISP. • nak.cry. iic.
U.G. SPRINKI.ER • home unda const.
ALTERATIONS • io austing
WATER TURN AROUND
EACH TOTAL
3.00 ?? ,6 C).
3.00
3.00 -
3.00 ? a
3.00
3.00 ? nn
3.00
3.00 ?
3.00 O
3.00
1.50 ?
5.00
20.00
3.00
20.00
20:00
STATE SURCHARGE
TOTAL:
STI'E
.50
OWNER NAME: c, P T-Tv
INSTALLER: ?lV C ?,Q (` l[.l mp
CTTY: ( /B TI d d F' t7r0 V(l. STA
ZIP CODE: S_?,S ai
PHONE #: ?U I a-) l ? "
. 4
SIGNA RE OF PERMITTEE
L/ 1994 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
CITY USE ONLY
L ?L BL ? RECEIPT #: ?O
SUBD.??- DATE:
1996 PLUMBING PERMIT (RE5IDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
w townhomes and condos whfsn permits are required for each unit
FIXTURES EACH N-Q. IQIA?
Shower 3.00 x = =
Water Closet 3.00 x ?
Bath Tub 3.00 x _?
Lavatory 3.00 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3.00 :< _
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Ftoor Drain 3.00
Gas Piping Outlet minimum - 1 3.00 x =
Rough Openings 1.50 :< _
Water SoRener 5.00 x =
Private Disposal • Dakota Cty. Iicense 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations " to extsting 20.00 = z7.on
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ?fl --'?fi
SITE ADDRESS: GI Z ? ? 0??
OWNER
INSTALLI
STREET
CITY: _,S7 . A/1STATE: ?`/?V ZIP: 5/y?
,
PHONE #: ( lr/Z ) 7? / -'/??Z C
? l>
OFFICE USE ONLY
L _ BL _ RECEIPT #:
SUBD.
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please compiete for: ? all cammercial/industrial buildings.
? multi-family buildings when separate permits are = required for each dwelling
unit.
DATE: -7- 5?e; CONTRACT PRICE: 600
WORK TYPE: _ NEW CONSTRUCTION )< AOD ON _ REPAIR
yI? i
DESCRIPTION OF WORK: '1('?•X'R/!lCS '
IS WATER METER REQUIRED7 _ YES AO. IF SO, PLEASE PRO\ADE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER:i TO BE INSTALLED7 YES ^ NO.
FAILURE TO PROVIDE THIS INFORMATION WILL RESULI' IN A DELAY OF METER ISSUANCE.
WILL YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES ?-NO.
IF SO, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY(LER PERMIT.
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge oi $.50 per
$1,000 of pg ni fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: _
cirv:
PHONE #:
DATE:
STE. #
STATE: ZIP:
SIGNATURF:
APPLICANT
OFFICE USE ONLY
METER SIZE: " DATE: INSPECTOR:
L 6e BL / CITY USE ONLY RECEIPT #: VI
SUB . DATE: a'q 9 ?O
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(672) 681-4675
Please complete for. ? single family dwellings
? townhomes and condos when permits are required for each unit
New construction !4dd-on fumace
? Adld-on air conditioning Add-on air exchanger, i.e. Vanee systam, etc.
Date: ? 17 Ce L ?v
? Minimum Fee: Add-oNRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.00
Additional 50 M BTU 8.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL Zo` ?U
F;[#?
SITE
OWNER
PHONE #: ICLL-23 7
, -- - - -- .
INSTALLER NAME_ preferred heating & air
STREET ADDRESS:_ 7643 Logan Avenue South
Richfield, MN 55423
i Bus:866-7611 Fax:866-0125 ZIP:
Cil'Y: , PHONE #: ( )
? (oe.l,hEP,UF"F?f Ii?EL
?
?
L (p B I
SUBD,--?
NEW RECEIPT 11 44,&OJr3
RECEIPT DATE??
TO
JOB
Oti1 N
D?T'i /-/?- ?1?1
YLEASE BE ADVISED TNAT TtERE IS A FEE SHORTAGE ON THE ABOVE
ELECTRIGL IISTALLATION IN THE AMOUNT OF Z ?O• ??
SHORTACE NLST BE PAID YHITHIN 14 DkYS.
REl1ARI6
?/DD • °p
i?Q 0 [0 30 amp. circuits=
? 31 to 100 amp. circuits= ?• ?D
0 to 100 amo service=
d?
101 to 200 amp. service=
TOTAL FEE DUE= ? 02/ 7- ?
LESS FEE RECIEVEDD 7??r
TOTAi. FFp SHORTAGE DUE
PE?,MITII m r/d.?,-PU3 '" -7-
ORIG. RECEIPTIf 3,fIVJ•Z.
RECEIPT DATE A 3
RETURN A COPY OF THIS FORM WITH REMITTANCE.
7?? 4(1 ?
2006 RESIDENTIAL PLUMBING PeRMiTaPPUCaTioN
- '?
CITY OF EAGAN
3830 PILOT_KNOB_ROAD, EAGAN MN.55122-____;___
651-675-5675
Please compiete for modifications to existing residential dwellings.
Date ? I ? I ?
SiteStreetAddress Dr, Unit#
Property Owner f Telephone #(,(05 1 )tOti 0'
L? ? Telephone #((fil )?"(? G
Contractor D
Qp.I.??U
TI
t'
r-?
1
2
' ^
Address Jlv Il,f F Cit_y ^GLC' State,44 ? Zip ?1.13
The Applicant is: _ Owner ?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alteratlons to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a wffier softener and/or water
heater at the same time. If you are installing onlv a water sokener and/or wafer
heater, do not complete this sedion; move to the next section and check the
appliance(s) you are installing.
-?V
_Septic System Abandonment
_Water Turnaround (add $130.00 if a 5/8" meter is required) ? I l ?
N 1 9 C007
Other:
_ Water Softener ? /Water Heater $ 15.00
_ new _ replacement
Lawn Irrlgation _RPZ _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50
Total
I hereby apply for a Residential Plumbing Permit and acknowledge that the mtormation is compiece ana accurace; ulai ule
work will be in confortnance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordlnce with the approved plan in the event a plan is require?d tp be reviewed and approved.
ApYs Printed Name Applibanfs Signsture
K
P.01
2422 Fntnrpriee Driva
• ** ?? Mendoto Hcights, MN 55120
*112110? w?o suRVCroa9 . aN? waruate (612) 681-1914 FAX: 681--9488
*? p0 ? u?w a?AUUCns. ?enosc?re um??rea?a 825 Highw4y 10 N.E.
* * * * 8loine. MN 55434
(812) 783-1880 F'AX:783-1883
Certificate of Survey for: MCDONALD CONST
4233 DANIEL DR,
9416 N 89°52' t I" W t$?? .?)
??-
5
a?
M?
9Z2.98
?
973.
?
lbd? I
?.p O
?i4c,
C Py ?
9s. ? o
?o
X6 1
.?
?'?? ? ?'
?Np?Rl?j??
'? 9724 973.D /
x .
7
?di-G d 1 v C, f?C.-y-
Ad' ? C.Ll
972.54
?TV PER
7RNS
E A G A N
6iEbIEbMEp
?
UA7E
5?.....
raapoSm tAtAOes mbwM rdt cRAOwn n.M etr:
ND7E: Bt19D1N6 pYfll410NS 91016N ARE FGF NOIMd1TAl MID WA7ICAL
LOCA110N CF S7MID7lAn ONLY. SFE ARCiq7HCNAL WaNS pOR BUAANe
,wo eaWoAnaN otMe+sIata.
ND7E COlIi1tACTOR INST VERIfY OPoYENWY OESIpL
?,p140 1PPaR 1NE
&? Sa?TO s ?
? ?ptVEYOR. 7F IE ?AU ?
SplOIFlO HW6E PROPCBP.D IS MOY 7M[ RiSiON99R17Y tlF THE 2JRVEY?R.
x aaaoo Denotea Exiattng Elevntlon
( oao.oo ) Denotes Pwposed Ebvatlon
Denotee Drainaqe dt Utiiity Etlsement
Denotea Oratnage Flow Direation
---rF Danotea Nonument
.---:T Oonotee Offaet Hub
i
BEQtPJC11oF PiPE $ ?
?LEVe972.Y5?,ti
TEIE. 8 TY PFAS.
REV13EO I1a6-94 EICIS7 ELEV'S
rI u-tB_44 - GG u"?• 6cJU.
Lawast Floor devotton: i4 1 • 1
Top of Block Eievatlon: D?Z•
1• 7
aaroga swn aevotlon: 22-
, WOW O1M?R?7HiV! ICAN fNG6L?CwN ON TN& ?WROfD RA?T•?7S
I
?Ar TMIS IS A TRUE AND CQRftEC7
TIOF A SURVEY OF 7HE CONST,
BWNDAR?ES OF:
REPRESENAT?l
LOT s, BLOCK I , LEXINC+'TON MEaooM
DQKOTA COUNN. MINNESOTA
17 DOES N07 PURPORT 70 SHOW IMPROVEMENTS OR ENCFIROACHMEPITS, EXCEPT AS SNOYVN, As
SURVEYEO BY M6 tlR UNOER MY DIREC7 SUPFRVISION 7HIS 2r NO OAY OF NOV. . 1994.
5CALE : 1 INCH = AO FEET
BEMMM aSOYIi ARE MS1IIIFD
PIONEER ENI? P.A.
94157.01 96% 11-21-94 02:01PM P001 #10
Use BLUE or BLACK Ink
r
For Office Use
Permit 0 7 7
City of Eapan Q
Permit Fee: l 0
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675 -5675 staff:
Fax: (651) 675 -5694
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (7 (1/Dr Site Address: A3 3 Pet Q f Pr( fe_ E q", 423
Tenant: Suite
RESIDENT OWNER Name: Jet D t r l e e Phone: p 5Y 6, 71‘
(o2/ re( A/ y
Address City Zip: Q h, �/"r f v� E r y /oZ3
Applicant is: Owner Contractor
Rffro meo B.1( 2 f 11 a t 1 1 Ce r 4 C E-
TYPE OF WORK Description of work:
Construction Cost: Multi- Family Building: (Yes No
CONTRACTOR Name: 5?? 14 License
Address:
City: State: Zip:
Phone: Contact Person:
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 docur»ents that you submit are considered to be public information Portions
the information may be classified as non- public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x r 0 )n e ms x Z r 2,74_
Applicants Printed Name !cants Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119000
Date Issued:11/13/2013
Permit Category:ePermit
Site Address: 4233 Daniel Dr
Lot:6 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-060
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 .
Lisa Nyberg
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerome E Meyer
4233 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA119528
Date Issued:12/04/2013
Permit Category:ePermit
Site Address: 4233 Daniel Dr
Lot:6 Block: 1 Addition: Lexington Meadows
PID:10-45030-01-060
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, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jerome E Meyer
4233 Daniel Dr
Eagan MN 55123
Property Claim Solutions Llc
2005 Pin Oak Dr
Eagan MN 55122
(651) 994-2028
Applicant/Permitee: Signature Issued By: Signature