4296 Eagle Crest DrCITY OF EAGAN
Addition SUN CLIFF LTITTUTL[ Lot ? Blk 3 Parcel 10 4Q7 XQ M
Owner Street -42.96 RAg1 P Crest. Drive State Eagan, MlV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1995 30392 20.26 5
STREET RESTOR. ?'v l
GRADING
3S'
5 o r1 Col/ r WIe- d
SAN SEW TRUNK 1,41, 1970 42-52- 1-.70--- 25
SEWER LATERAL
Wafer Latprnj I 98f E;
8 -2 /A 6 UA 14Q
WATERMAIN Cdr 1 ,
WATER LATERAL
WATER AREA 1973 58-78 3.93
or s 1971 185.27 9.27 20
STORM SEW TRK 19 5 O3 6.41
STORM SEW LAT
1, 1965 78.
,
73 , t'G D r t
CURB & GUTTER
SIDEWALK
STREET LIGHT
sprvirpq D3
2
1986
599-15,
10
5 23
1
WATER CONN. 500.00
n
n
BUILDING PER, 11416
SAC US -
PARK
Permit No. Permit Holder Date Telephone M
lumbkrg
IP JQ l ac e /Q
M.A.C. 6slU D
mechic b
Softener
Inspection onto Insp. Comments
Footings 1 j Ld
Footings 11
Foundation
Framing
Roofing
Rough Plbg. f gG Z 11-8?? 1-2
Rough Htg. L ? l 2 l ??
Insul.
Fireplace
Final Htg.
Final Plbg. Z
Bldg- Final z -?
Cert. Oee.
AIFf
Deck Fig.
Deck Frmg.
WON
Pr. Dlep.
' CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt M
To be used for ST 7P1G/(;AR Est Value $67,000 Date AidUt'u:Y 6 19_8_6
Site Address 4296 EAGLE CREST DR Erect 121 Occupancy R3
Lot 7 Block 3 Sec/Sub. SUN CLIFF 4 Remodel ? Zoning R I
t
Parcel No. Repair ? Type of Const y
Addition ? No. Stories
Name KEYLAND HOMES Move C3 Length 4
z Demolish ? Depth 48-
03 Address 3471 r.4 173RD Int.lmpr. ? Sq. Ft
City JORDA*hone 435-3323 Install ?
is SAME Approvals
i o Name
Address Assessment
~ City Phone Water 8 Sew.
Fire
Phone 831-1875
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 Eag4n Ordinan985
/ F ?
Signature of Permittee 14 rrNC_
A Building Permit is issued to: KF.YL,%- ND HOMES
all work shall be done in accordance with all applicable State of Minnesc
Planner
Council
Bldg. Off. 143486
APC
Var. Date
Permit $ 334.00
Surcharge 33.50
Plan Review 167.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 280.00
Tr. PI. 132.00
Parks
Copies
on the express condition that
and City of Eagan Ordinances.
Building
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
77,77
ROUGH
HEATING
GAS SVC
TEST
INSUL 7? .
u
GYP BOARD Y/
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT 8.1.
BSMT FINAL
DECK FTG
!
J -
DEC, FI^J;,!
1A11)7 /j A77
gi-4t mil/ rm
d o srfl.Yf Ar, 4771h/," </",o/10Qi?
W
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: '
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: I i +
(612) 681-4675
SITE ADDRESS: I. N 10 7.11:11H 0i o N
I If 1 t Irl ,?? ?
• ,rl I I if t I11PERMIT SUBTYPE:
APPLICANT:
.ill ? j (' ?a1?Ii ?•?f? t; l .' a s+ to H ?; 1 ? ? (.QL ni?v? /?Jm?p,
TYPE OF WORK:
V I I I I I I N1,1.
F
L
I INAI
JI II
' CITY OF EAGAN WATER SERVICE PERW
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ,
Eagan. MN 55I.Al DATE:
Zoning: _ No. of Units:
?'}' Snu C ?t S
Owner:
Address:
Site Address: € e Great ., Su.-',
Plumber. ec u is _.
Meter No.: ?o ?? J? ?e nedion Charge: i ' P
Size: sz-y, I R?tL n. t.
Reader No.: QL
1 epee to own*
By
kF Dote of Insp.: 3
F?_ ?/O r
CITY OF FAGAN
3831j Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Owner:
Address:
11?
Site Address:
Plumber: "e
1' P
.?,p'i
des: 2'. p
., 1. me er
Date Paid:
SEWER SER
PERMIT NO.. VICE PERMIT
DATE:
No. of Units:
1 ?M dent* wia t6 an„ of 5a00w
By
Dote of Insp.:
Connection chow: 4 '
Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges:
Total:
Dote Paid:
CITY OF EAGAN N2 11416
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT ReceiptN
To be used for SF DWG/GAR Est Value $67,000 Date JANUARY 6 1986
Site Address 4296 EAGLE CREST DR Erect 6 Occupancy R3
Lot 7 Block 3 Sec/Sub. SUN CLIFF Remodel C] Zoning R1
Parcel No Repair ? Type of Const. V
. Addition ? No. Stories
KEYLAND HOMES Move El Length 42
i Name d R
3471 W 173RD Demolish 1:1 Depth
o Address Int. Impr. ? Sq. Ft
City JORDANPhone 435-3323 Install ?
o Name SAME
z
00 < Address
City Phone
uW HALLQUIST
MW Name
=u Address
iw City BLMTN Phone 831-1875
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 it of/EEn Or n
Signature of Permittee,24•
A Building Permit is issued to: KEYLAND HOMES
all work shall be done in accordance with al) = le State of inner
building Official i 2r-/'e-
Assessment
Water 8 Sew.
Police
Fire
Planner
Council
Bldg. Off. 1 / 3 / 8 6
APC
Var. Date
Permit t
Surcharge 33.50
Plan Review 167.00
SAC 575.00
Water Conn. 500.00
Water Meter 63.50
Road Unit 280.00
Tr. PI. 132.00
Copies
Total $2,085.00
on the express condition that
and City of Eagan Ordinances.
AbL-
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 6755675
Fax: (651) 675-5694
flDIECEMED
JUiI ? 2 2008
__ -___-_
I Fpr Once ?? I I
j Permit #: J --J o 6-
Permit Fee: ? - f
Date Received: (0-6-
Staff: OZ . I
y
-----------------
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION Cdl'u
Date:
Tenant:
Suite #:
RESIDENT! OWNER Name: ' ?A12(c ettid Nw J MA,?er=.. s Phone:
Address / City / Zip: Cl Z46 KA&I c C.rs Dr ?e _
A
li
t i
O
C
t
t
pp
can
s:
wner _
on
rac
or
TYPE OF WORK tE.l VeP5 T)e (cr, .) R-Ly r`r' a r r- g
Description of work: "4'?
4
I Z, a c' °' Multi-Family Building: (Yes _ / No
Construction Cost:
CONTRACTOR ^/
Name: C,4, roz. ' av 9,' Id{-,S License #: Z0,5-75'4
Address: bl Y I I t? e4?V fr N
ate: M't/ Zip:
City: t-4'-#J4 11 S
t
Phone: Z?l-•5-Z?'Z Contact Person: '13,C
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code. Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
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 yaiu snbmit'are considered to be public informationPortions of "
the information maybe classed .as_non`-public if you provide specific reasons that would permit the City to
m conclude that the are irade.,secrets.
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.
x j3"E ?Aw? s x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Site Address:
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation ? 05-plex ? 16-plex ? Accessory Building ? Pool
? Single Family ? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 01 of - Plex ? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt. - SF
? 02-PIex ? 08-plex -9 Deck ? Porch (screen/gazebo/pergola) ? Multi Misc.
? 03-PIex ? 10-plex ? Lower Level ? Storm Damage
? 04-PIex ? 12-plex ? Miscellaneous
WORK TYPES
? New ? Interior Improvement ? Siding ? Demolish Building'
? Addition ? Move Building ? Reroof ? Demolish Interior
? Alteration ? Fire Repair ? Windows ? Demolish Foundation
4& Replacement ? Egress Window ? Water Damage
Demolition (entire building) - give PCA handout to applicant
DESCRIPTION:
Valuation Occupancy MCES System
Plan Review Code Edition zi M'"^ SAC Units
(25%_ 100% ? Zoning City Water
Census Code _ Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Const. Width
REQUIRED INSPECTIONS
_ Footings (new bldg) Sheetrock Meter Size:
Footings (deck) Final/C.O.
_ Footings (addition) -io Final/No C.O.
Foundation HVAC
_
Drain Tile Other:
_
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
_
_ Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: _R.I. _AirTest -Final Windows
_
_ Insulation Retaining Wall
y?
Reviewed By4m?n h j_t?-_, Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Total
Page 2 of 3
bq 3sq
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date 5 / 31 / OS
Site Street Address 44dRCD 6iLAiC &WtA -0 ,(garY Unit#
Property Owner ff1? k e,Y us Telephone # ( X051) (PM- 9004/
Contractor .porno. '-o3t Telephone# (m4S)aV33- tl`)5 4
Address ,90 I (OO )Au"''- klvc JJUJ city 1SCn. Lc-lc,, State aVW Zip s`S2
The Applicant is: _ Owner Y Contractor -Other
Alterations to existing dwelling $ 50.00
Add plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. If You are installing only a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
-Septic System Abandonment
-Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
Water Softener Water Heater $ 15.00
- new _ replacement
X Lawn Irrigation _RPZ X _PVB new _repair -rebuild $ 30.00
State Surcharge $ .50
Total $ O, S6
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the 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 accordance with the approved plan in
the event a plan is required to be reviewed and approved.
Sao Y\ Y4zLQ -A a rt ¢? F_n.as
Applicant's Printed Name Applicant's Signature
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
?o v 651-681-4675
Now Construction Requirements
• 3 registered site surveys showing sq. ft of lot, sq. R of house; and all mofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window saes; poured found design, etc.)
I set of Energy Calculations
• 3 copies of Tree Preservation Plan if lot platted after VIM
• Rim Joist Detail options selection sheet (bldgs with 3 or less units)
DATE
SITE ADDRESS
TYPE OF WO
APPLICANT
2 - oz
MULTI-FAMILY BLDG Y N
- FIREPLACE(S) _ 0 )< 1 _ 2
STREET ADDRESS 970?-f 12-j-+4 A./ E r- CITY wt t+l STATErJ!J ZIP S
TELEPHONE 7(03 513 bl(n CELL PHONE # FAX #
PROPERTY OWNER / 2C r ? / ryf-VAELEPHONE fe"S 83'9oC
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'T'A RULES 7670 CATEGORY 1 _
(J submission type) • Residential ventilation Category 1 Worksheet Submitted
Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor. _
Mechanical system includes:
Sewer/Water Contractor.
-----------------------------------------------------------------------
I hereby acknowledge that I have read this application, state that
with all applicable State of Minnesota Statutes and City of Eagag
Signature of
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
VALUATION /' ?u
RemodellReoair Requirements
• 2 copies of plan
I set of Energy Calculations for heated additions
• 1 site survey for exterior additions & decks /y n r
Indicate if home served by septic system for additions V11 `? ,J
Phone #
Lawn Sprinkler
No. of R.I. Baths
- Air Conditioning
- Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
to comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of - plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or - N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units . Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
Footings (addition) _ Plumbing
_ Foundation _ HVAC
_ Drain Tile Other
Roof - Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding _ Stucco _ Stone
_ Fireplace _ R.I. - Air Test - Final _ Windows (new/replacement)
Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
,
/' rq I?
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 - luation: 3e -- Date:
Site Address: ? f? 1,coo
:tTO74 ?../y y
OFFICE
USE ONLY
Lot: 7 Block Sect/Sub Erect x Occupancy
Remodel Zoning
Parcel 4 Repair Type of Const
Enlarge # of Stories
Owner Move Length
Demolish Depth
Address Grade Sq Ft
City/Zip Code ----------- ---------------
Phone :! Zj- S j 3 APPROVALS
Contractor "f v74 ? Assessments Permit
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone p P
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off/- - Parks
APC Treatment P1
Variance
TOTAL
K-3
9.1
42
48
3-4
t3._
Ib7.
280"
13/Z,
? U S
2? x 4U = c:> 4o x 5th = foC) -5 ?-o
26x22 - 44° x « S28o
?J6 Vo - oo !? 8 boo
co 4CO
? c
J
t
EXTERIOR ENVELOPE AVERAGE "II" COMI11
OWNER: DA 1'r
SITE ADDRESS: _ P110r
CONTRACTOR:_??? f 1?N`irS-
Determine working square footage of each
1. Total exposed wall area ..... j11q -- sq. ft. x .11 7 f/,
2. Total roof/ceiling area..... foq sq. ft. x .026 7 -1
Total exposed wall area allove 1*1oor=
a,
b. Total
Total wall window area .........................
door ................. . -_?
c.
Total area...... ..,. .
sliding glass door area ............
d.
Total ..
fireplace wall area..........
D
e. Total wall framing area (average 101M) .......... ....
f.-
Total
rim joist area
.. .
g.
net
wall area above floor ............ _
h. .......
wall area above floor.. ..... .. !?_
i. wall area above floor...
. ....**" *
J. .
frame wall area at foundation ................. ... ........... .
Total exposed foundation area=
k. Total foundation window area
1.
Total ...................
net foundation area above grade .......... .... ?-
....
Determine "u" value of each wall
(e
i
d
d segment
.g. w
n
ow,
oor, each separate wall section)
a X ., 0., = 7?
b. 38 x ,.u.,
.31 1/.1
?
C. 40 X ..0..
e. X77 - X 0.. . O
f. X .,u„
h. X IV. _
X 11 U..
J. X „0,. _
Oul, k' X If item N] is the sam
as, or less than item
1
X "?" _ R AI, you have. met.the
Intent of SDC.0006 (o
ez ?rior Envelopo Average "U" ComputaLion Page 2 of 4
Total exposed roof/ceiling area
r
m. Total skylight area
n. 'Total roof/ceiling framing area (average lot) ...
o. Total net insulated roof•/cuiling urea ...........q
Determine "U" value for each roof/ceiling segment
m. V X ,.U„
n. -IQJ X „U,,
o. q3? X "U., oL /q n
a, ........... ......... Total 21.Z
If total 'of 44 is -the same as, or less than 112, you have met the intent of
SBC.60L16 ,(c) 1.
Alternate Building Envelope Desiqn ,
'lb :utilize the total envelope 'system method, the values established by tle sum of
items 113 and 04 shall not be greater than the sum of items Al and 112.
+ 2. Z..7 Z37,.
I. - + 4.
0 UNEA L FT, EXPOSED
SLOG k-?,I, Ztn+9
e-WEE. l 132
'-uLL I ii'
=uLL2
21M:I
! 32
'E
? 3 zr
t3LOcIC
V-rJ EE
W 0
PUL LII
F
u LLiI
F, P1
PLAW * 332!'
WALL_
Sy,P50Sr-b WA LL M,-EA
3i K
-3 -L- X
x
OIL
k
S = G (go
8 =.
8 - 1 o sCp
l3LK? ^132
. T07?4L. = I ? I?
•;SQ,Ft, F-KP05t=D GEILIIJC! LGxgD = ?0 0
ICI g
r 'WDW15 I!7 ¦ Doo25
e
3? l't?N i, 4v Z r 39
Z?q n i s
MOO !1 i Z S S 1PATI o DitS ,
28Qq 10
f3sH4 uui+s
A
6
.1
:k\kh":K9f:X:i:i?.ti.:$.lY?{:?t.'#h'iYiYn?Y?k:i;ik:k?r;:it.M, ak?K>'F>X?k>X?"nk<%#XtW.$tMAY
CITY OF EAGAN
CASI-TERe S TERMINAL NO, 1`39
DATE: 09/18 /96 TIME: 15e0505
ID.
NAME SLPI ER' BROS CONST
3210 9001 4296 EAGLE GREf 45.00
205 9001 4296 EAGLE CRES 0.50
3430 9001 4296 EAGLE ORES 5.00
3430 9000 4296 EAGLE CRES 1.50
Total Receipt Amount:: 51.00
0;0645 ?
USER TD: NANCY
?R?n ?F:%k ?F>k ?iC #t?X ?k ?YF7KA' ?>}?%tYFh.'?h'%?Y*in>K1k?t?k 1tM?Y N:?:k ?'FPF M>X ?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4296 EAGLE CREST OR
LOT: 7 BLOCK: 3
SUN CLIFF 4TH
P.I.N.: 10-72978-070-03
BUILDI
N
028855
09/18/96
DESCRIPTION:
Bui1'dng Permit Type
Buildi;n:g-,.Work Type
Census Co
X
DECK
NEW
434 ALT. RESIDENTIAL
'??'J E>:, '? d? '?..%? `l 1 4' qj
REMARKS:
FEE SUMMARY-
Base Fee
Surcharge
Lic. Search Fee
Subtotal
$45.00
$.50
$5.00
$50.50
COPY $.50
Total Fee $51.00
CONTRACTOR: - Applicant - ST. Q RJER:
SUTTER BROS CONST 18604175 000 135 MAJERUS MARC
4280 EAGLE CREST DR 4296 EAGLE CREST OR
EAGAN MN 55122 EAGAN MN 55122
(612) 860-4175 (612)681-9003
I hereby acknowledge that I have read this application and state that the
information is"correct and agree to comply with all applic-able State of Mn
Statutes,and City of Eagan Ordinances.
APPLIGANTIPERMITEE SIGNATURE ISSUED }: SIONATURE
3830 PILOT CITY OF B EAGAN
kk .
RD - 55122
1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Construction Requirements Remodel/Repair Reauirements
? 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)
? 1 energy calculations ? 1 energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1193
required: _ Yes _ No
DATE: ??11t /9lo CONSTRUCTION COST: 7, coo so
DESCRIPTION OF WORK: (JE;rc + P.9 r/o
STREET ADDRESS: J y?9Co Ei9G&E C)eZjr DR.
LOT 7 BLOCK 3 SUBD./P.I.D. #: ?u?' OFF 7 jDL?'r/e `J
PROPERTY Name: /,/A-T-CeaS IlA kC Phone#: (??/-90D?
OWNER 1.7
Street Address: Y290 G? psi
CRC17-
OE'
A??
City: ??
. State: zip:
CONTRACTOR p
(
?
Company: FR ekes. / C ,OA4 7-. Phone #:
?
y
? 'T D #:
Li
Street Address:
?
0 > l R cense
City: 1?4e/91t/ State: In"Ll Zip:
ARCHITECT/ Company: I<ieArr*44f-ro w Phone #:
ENGINEER
Name: Registration #:
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 of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: l
OFFICE USE ONLY R E CEN E
Certificates of Survey Received _ Yes _ No SEP ; 6 1996
Tree Preservation Plan Received Yes No - - - - - - - - -
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
0' 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
,or' 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
"421
r
4
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code. -• :: 4f3y
SAC Code
ld or
g'
Census B
.
Census Unit
Engineering Variance,
Permit Fee
Surcharge
Plan Review
License
MCMS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
1
% SAC
SAC Units
City of Eap
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
2008 RESIDENTIAL BUILDING PERMIT
Date: L 1 I.08 Site Address: l
Tenant:
-----------------
j Permit #:
(j GD
Permit Fee: `I
Date Received:
I ?Trp? I
Staff_
RESIDENT 1 OWNER I Name:
Phone:
(Ms Y s 2008
Suite #:
Address / City / Zip: _41( ;.11 & ( L'y ( li xw U
Applicant is: _ Owner -k Contractor
TYPE OF WORK Description of work
Construction Cost: j el ?D p ao Multi-Family Building: (Yes_ / No
CONTRACTOR Name: HO A10 FA4+ F' -k r) f License #: %011 % Lo a, lo
Address:,d).1`fI) UY W. J
City: I/1}I (it Na j? State: m_ Zip: 5 51 I D
Phoned 6 r? -315 ° MA DContact Person: ?E f I IV
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(J submission type) • Energy Envelope Calculations Submitted
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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.
x?wrenc??
APplicant'a Printed Name
x-K01?!l,l u%n0
Applicant's Signature
Page 1 of 3
X296
fe C-rtsf Dy-i Ve ; ._
e (Q C. R. WINDEN i ASSOCIATES, INC.
V LAND SURVEYORS iiL 645.1646
1351 EUSTIS St., St. PAUL, MINN. 55106
LORI KEY-LAND HOMES
REVIEA D
NOTE : Vv - -??
O Denotes Wooden Stake (Q 1? e?B-30:
Proposed Garage Floor E1.: 9rs.$DATE; rS /? 6 Denotes Iron
(915.1 ) Denotes Proposed ?UILDIftIG IfVSPECYlOR1? ument
Finished Ground El. DW*dflgs Are Assumed
---- Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
W I Droino9e ?' Uli;i/y Eosloinent
N
(V N 125.00
91 .1.3 Lw o (q12
LLQ 10 ?- _
t.' 90
p ? ?_ 2L.9 ? 10
m
n
0 s- U d
QN 01
O O[U
lQ 2 2 A ; k6
?W 30 W° Z'?/ ?? ?N
L,_L_ 10 22 N 2 5.7 l ' -?-r r? Z
LJ Q Vl I (914.4) N to
?oJ
(9
vI d 6 125.ood
N 876 to-
well
pe?l? "01??4
l_1_ evja ?Iq
f
W
Lot 7, Block 3, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ASOVE DESCRIBED AND OF THE LOCATION OF ALL SUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND,
Deled /lri,?dey of Ocfober A. D. 1185 C. R. WINDEN i ASSOCIATES INC.
Surveyor, Mineesere ReSialrelien Ne. 772 L
i1 C 760 r-ry? a -r w • r. , VC .i %i..
C. R. WINDEN i ASSOCIATES, INC.
LAND SURVEYORS Tot 648.3646
1361 EUSTIS $T., ST. PAUL$ MINN. 68106
]PORT KEY-LAND HOMES
NOTE:
a Denotes Wooden Stake
Proposed Garage Floor E1.=9ls•4
(915. ) Denotes Proposed
Finished Ground E1.
-aa---- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
W
LL
Q
W
f?
V
W
J
Q9
Q
W
I (912.3
90
r o ? 10 Ill
--} I V N
I W (V
1 ??-r r7 Z
L_?J 1 /J 10
to ,0191)
M 1225.OOa
N 670 3o' 29" w I
Lot 7, Block 3, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF All BUILDINGS, IF ANY,
THEREON, AND All VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Dsld this 7th day of Ocfobe/ A.D. 14P85 C• R. WINDEN & ASSOCIATES, INC.
Surveyor, MierNMg RNiuroli" No. 77L L
Scale: 10=301
e Denotes Iron
Monument
Bearings Are Assumed
NI ?Droino9P Er Uli,My Eoseinenf
7
N
F N
9
10
L-
22.
N 25.'7
R. WINDEN i ASSOCIATES, INC.
LAND SutvErOeS VOL sas•ias•
1341 EUSTIS SL, ST. PAUL, MINN. &8100
tORs KEY-LAND HOMES
NOTE:
G Denotes Wooden Stake
Proposed Garage Floor E1.- 9rs•4
(9154 ) Denotes Proposed
Finished Ground E1.
---a-- Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
W
N1
?L
n
W
(LLB
V
W
I
Q9
W
Scale: 18m30'
e Denotes Iron
Monument
Bearings Are Assumed
I D?Dino9P ?'? UI?;i/y EosEinehf
N
? „ 125.00 _
4
1
0
0 I ° N
?y 2 2
30 a
10
N,
I(C)11-3)
?6. 3 10 W
N -b 2 i. 7 1 .-r• r
i]
e 125.00a
N 87* .to- 29-- w
j 01" 1
001
0
*
N
Z
(91,•1)
Lot 7, Block 3, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE
BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY,
THEREON, AND ALL VISIBLE ENCROACHMENTS. IF ANY, FROM OR ON SAID LAND.
Date %,& 7th day a1 OG'fobEf A.D. 1185 C. R. WINOEN R ASSOCIATES, INC.
.Y el _&?
SwrreMr, Miftaswe RNiunli" Ne. 77L L
Use BLUE or BLACK Ink
r-----------------i
For Office Use
I I
Permit
City of Eakan
I Permit Fee.
3830 Pilot Knob Road I I
Eagan MN 55122 I
I Date Received: 1
Phone: (651) 675.5675 1
Fax: (651) 675-5694 Staff: I
L- --------------J
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /d 3 Site Address: 6-el e- Unit
Name:1111 CA) / (/4 Gltc.S Phone:
Resident/ ~/Q U
Owner ) Address/ City /Zip: s
Applicant is: Owner ✓Contractor
Type of WorkY Description of work:
Construction Cost: Multi-Family Building: (Yes / No )
Company: ,L l~tl'Y GX1~+LOJhrS Contact:.Stex* e4ra-
Contractor Address: ~3D / (6tJh yr . ~ City: ~cl r~Or1
State: ~L Zip Phone: Z;zq b g44
License B6 1"Mol l' Lead Certificate Nl+l- 4116 ~ f
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:
Sewer & Water Contractor: _ Phone:
NOTE: plans and supporting documen s that you submit are cpnsidered 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 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 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 1 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'.
x 6~ x
Applicant's Printed Name Appiica s Sig ure
Page 1 of 3
Use BLUE or BLACK Ink
r-----------------
For Office Use
I I
City 01 1 n Permit Ea ~(](!jl I I
I Permit Fee: 01• ,1
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: Z7-11-161 / j
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff: 1)11 C I
I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /y Site Address: yog CrtNf: 0-i'v'Ot Unit
Name: _ tit. ,f In "A is ~ C4-&A- S. Phone:
Resident/
AI
a Owner ?Address /City /Zip:
N
ri ~dC
- € Applicant is: Owner Contractor
Type of Work Description of work: _G 0 dL Lt pAe
Construction Cost: 41S $D . o 0
Multi-Family Building: (Yes /No
p I Company: At t-
QN1101
Contact:
i Address: 330 ~~h ~d~ city:
I~Oa~c l~I v1
Contractor State: 5Q- Zip: P07 Phone: (d/S) 4*C9C1-4o q 0
1 License &1 7P06 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:
Sewer & Water Contractor: _ Phone:
i 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
rc m.~a _P M~.~..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.oopherstateonecall 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 must be completed within 180
days of permit issuance.
X 6tatf-
x
Applicant's Printed Name App ' ant's ignatu
Page 1 of 3
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