4313 Eagle Crest DrCASH RECEIPT '-'
' CITY OF EAGAN'
P. O. BOX 21-199
EAGAN, MINNESOTA 55121
DATE
19
RECEIVED
PROM
AMOUNT
? CASH ? CHECK
DOLLARS
loo
FUND CODE AMOUNT
Thank You
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
CITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH t 17 sik 2 P cel 10 72978 170 02
Owner Street 473 %-je Crest Drive State Eat' MN 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 19 5 303.92 20.26 1 3.?v GO / r? ?,(
STREET RESTOR. /03 1986 1622.2 324.44 5 1424 .dd 16
GRADING
San Sew Lat 103,41? 86 502.5 100.52 5 S . 00
SAN SEW TRUNK L2zz
19,70 i.yu
;e5
/3
SEWER LATERAL 1985 Z187?.
Wafpr Lateral /la.?C- 198 582.46 1 .49 l
WATERMAIN 1985 57 .95 3 - 67 15 o ,r j'"
WATER LATERAL
WATER AREA so/ 1973 58-78 ). v /( 11 f r
,f /C"5 71 185-27 7 20 -1
STORM SEW TRK Qn 198 9b.03 6.41 15--- 3, 3 f
STORM SEW LAT
1965 '78. u8 '7
47 4? 1!7 1
11
Storm Sew Lat J 03 1986 739.56 147.91 5 /#.;k I& 17TT
CURB & GUTTER
SIDEWALK
STREET LIGHT
qprvinpq 1986 929.15 05.83
Road Unit -- CAO
TER CONK-._ 0 06 57338 11/7A5
SUILDING.PER.
SAO
PARK
5-00 n n
MECHANICAL PERMIT
I
' RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: ?o /& 7
CONTRACT PRICE: PHONE: 454-8100
Site.Acidress BLDG. TYPE WORK DESCRIPTION
Lot Block Sec/Sub ,
X
Res
N
.
ew
Mult
Add-on
<
Name .
_
c Address t
City
Phone Comm. Repair
Other
Name ? 1 ifs ; FEES
RES
H
.
VAC 0-100 M BTU -$24.00
'4 ja i
Address
t
ADDITIONAL 50 M BTU - 6
00
p City F r1 r4n i ' Phone .
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA. .
TYPE OF WORK COMMAND FEE - 1% OF CONTRACT FEE ?
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE & CONDOS - RES. RATE APPLIES d
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
Vent.
CFM STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # $ BEYOND $1,000)
O
ther
FEE:
S/C: _ SIGNATURE OF PERMITTEE
TOTAL
FOR: CITY OF EAGAN
MECHANICAL PERMIT
CITY OF EAGAN
fill In numbemd spaces
Type or Print legibly
Permit No.
Fee
S/C T`
Tot.
1. Date 2. Installation Cost
3. Job Address ` ` Lot Blk, Tract
4. Owner
5. Contractor ', !, i Phone '1
S. Address
7. City State Zip '
8. Building Type: Residential ? Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe . Fuel Type
11.
No. Equipment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
R 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
_A
Receipt PLUMBING PERMIT Permit No.
CITY OF EAGAN
Fes ..
i fill in numbered spaces S/C , ..-
Type or Print legibly Tot. '
1. Date . f ' . 2. Installation Cost
r
L
3. Job AddrewL? - ??ot Blk. Tract dnG
4. Owner tr `?/?. /;,c'. '?, '?? 7-,
5. Contractor 'R'hone
?-
6. Address
7. City State Zip
8. Building Type: Residential Commercial ? Institutional ?
9. Work Description: New R Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Sof,ner
Shower Well
f Kitchen Sink
Urinal/Bidet Other
r Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
1
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
BUILDING PERMIT
To Le no" for
"64,000
Site Address
Lot Block --sec/Sub,
Parcel No.
Receipt *
"'n 91252
"7
v
Erect Q Occupancy
Remodel ? Zoning
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length 36
Name Demolish ? Depth `, 2
Address
City Phone
Name
Address
Name _
Address
575 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 4548100
Phone
1 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.
Int Impr. ? Sq. Ft.
Install ?
Approvals Fees
Assessment _
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bldg. Off.
APC
Permit
Surcharge
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Tr. Pl.
Parks
Var. Date Copies
Signature of Permittee I _. ){
Total 1
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
Permit No. Permit Holder Date Telephone #
Plumbing
H.V.A.C.
Electric /5, atin
VA Sb
Softener
Impaction Date Insp. Other
Footings I '?? -
Footings II
Foundation
Framing ?9
Roofing
Rough Pibg. .??
Rough Htg. it, L
Insul.
Fireplace
yv77
-- A, y G ow
Final Mg.
Final Plbg. - $
Final -?
CwvOcc.
Water Describe Location.
Well
Sewer
Pr. Disp.
CITY 6F EAGAN
:.830
Site Address: 4 1
Plumber.
Meter No. ??
Size: 'r
Reader No.: J'Q in
I some to eowrplp wili? lire. •
"MMU ,Ciep of 169.¦
arBy t?gzl!24'
Dote of Insp.:
a '6 - 7,6
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Permit Fee: .
Surcharge: _
Misc. Charges:
Total:
Date Paid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55121 DATE:
Zoning:.T?. No. of Units:
Owner: Bra i -
Address:
Site Addrm:
Plumber: ___
Meter No.:
Size:
Reader No.:
Drive LI7 B2 Sun
I N? M aoi * W16 as City of Eooew
Onrliwenew
By
' Pilot Knob Road
P. O. Box 21199
- -
Eagan, MN 5512
.1
Zoning:
Owner; aclunan Bros.
Address: !aA
Dote of 1 nsp.:
CITY OF EAGAN
3830 Pilot Knob Road
P. O. Box 21199
Eagan, MN 55121
Zoning:
Permit Fee:
Surcharge: ; [°
Misc. Chorges:
Total: a -r
Dote Paid:
SEWER SERVICE PERMIT
PERMIT NO.:
DATE-
No of Units:
Owner.
Address:
Site Address:
'Plumber:
I o!m to essay with dw City of Islas Connection Charge: _ '. ^ 5 T? ?a
OM' Account Deposit: ' 00
Permit Fee: nr
B Surcharge:
y Misc. Charges:
Dote of Insp.: Total: _
Insp.: Date Paid:
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21.199, Eagan, MN 55121
PHONE: 4548100
BUILDING PERMIT Receipt #
To be used for SF DWG/GAR FN_ val„e $64,000 Site Address 4313 EAGLE CREST DR
Lot 17 Block 2 Sec/Sub. SUN CLIFF 4TH
Parcel No.
W Name ZACHMAN BROS CONSTRUCTION I
Z
2 Address 4620 W 77TH ST., STE 104
6 City EDINA Phone 893-0755
o Name SAME
zq
u` Address
City Phone
Name _
Address
City
I hereby acknowledge that ove EE ate
is COrrec and a p'
fhe inlormotion
Stole of Minnesota Stot es and Signature of Permittee
A Building Permit Is !as CO
all work shall be done in accordance with all opoficoyre State of
N_ 11252
.15- 7 3 301?'`
Erect (R occupancy R3
Remodel ? Zoning R1
Repair ? Type of Const. V
Addition ? No. Stories
0move ? Length 36
Demolish ? Depth 52
Int Impr. ? Sq. Ft.
Install ?
Approvals Fees
Assessment Permit $ 325.0(
WoterB Sew. Surcharge 32.OC
Police Plan Review 162 5C
Fire SAC 525.OC
Eng. Water Conn. 500 OC
Planner Water Meter 63.0(
Council Road Unit 280.OC
Bldg.Off. 10 /23 8 5Tr.pl. 132.OC
-*P Parks
Var. Date Copies
Total $2,019.5(
RUCTION C O
on the express condition that
iesot Statutes and City of Eagan Ordmonces.
Building Official
0 a REQUEST FOR ELECTRICAL INSPECTION ES-00001-04
O a
See instructions for completing this form on back of Yellow cop y.
o 0888 '"X'" Below Work Covered by This Request
Nava ?,&j Rep. Type of Building Appliancae-WrreA_ Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Building Dryer Electric Heating
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg, Air Conditioner Bulk Milk Tank
Farm they peel y Other ISwe,.H l
t er pe[:1 Y Other Other
Compute Inspection Fee Below
4 Fee - Service Entrance Size 4 Fee Feeders rSubfeeders Y Fee Circuits
L 0 to 200 Amps O to 30 Amps ,R.2- 0 to 30 Am
Above 200 Amps 31 to 100 Amps C 31 to 100 Amps
Swimming Pool Above 100Am s Above 100_Amps
Transformers Irrigation Booms Partial 'Other Fee
Signs Special Inspection $ L? TOTA
Remarks "3 Rough-in C Dat?/? I, th Ele cal
nape. or. hereby
L?s Fi erea that the above
Final inspection has been
r
made.
Thle request void 18 months from •-"
This request void (J -) I P _ ? \ - ? -5-
" th s from - L?'P rL
088813 1-1 -) 13 1,tjdA '/ ya
Request Da Fire No. Roooh-in Inspec
=' Requ-red? Ready Now,Fd Will Notify Inspec-
11 C es ?NO / motor When Ready
,kticeneed Electrical Contractor I hereby request inspection of above
] Owner electrical work installed at:
Street Address, Box or Route No. City
913 94 le_
C%L?e
<<? Cum
ecuon No. Townshi Name or No. ange No. county
e; Z
Occup (((PRINT Phone No.
/
Z V 1 Wu
Power Supplier
V a.'e&' Address
Electrical Contract., }?9mpd nV
n a e1 Contractor's License No.
?
/
Mailing dress IContractor .,,Owner Making Instailan )
? ??
?NI
I
.
G
Authorized
8ture I ontractor/Owoer Making Installation) Phone Number
n ??. _35 -5
MINNESOTA STATE 804D OF ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Bldg. - Room N-191 BE ACCEPTED BY THE STATE BOARD
1821 University Ave-, St. Paul, MN 55106 UNLESS PROPER INSPECTION FEE IS
Phone (612) 297-2111 ENCLOSED.
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
Cn4, cxx?
To Be Used For:_-' Valuation: Date: 10-?q- ?S
Site Address; .;2)? 2 Gt4 I P- j,?? ?r(y OFFICE USE ONLY
Lot: 19 Block Z Sect/Sub ?(f Erect D? Occupancy (Z 3
Remodel Zoning R•I
Parcel # Repair Type of Const
Addition # of Stories
n
Owner Z?t??r ?-;'OS. 0C?n,S f_
S-k 00 Move Length 3&
Demolish Depth !7
Address SVK& Int.Impr. Sq Ft
`` ?
Install
City/ZipCode S-C k &x --------------- --------------------
Phone APPROVALS FEES
Contractor
Address Cx
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Assessments Permit 32j .
Water/Sewer Surcharge 32,
Police Plan Review 1102.$°
Fire SAC SZS.
Engr Water Conn _
Planner Water Meter (03.
Council Road Unit 2Qp
Bldg Off/p? reatment Pl
APC Parks
Variance Copies
TOTAL a o i. 5 p
Phone 8
Ce-A -
r. >
'ZOKZ?
lOC?g x 58 = ??4?4
4 80 ?c 12 = sza0
(o ? 14-q-
r
L';L.-IGY• ?I.QL'I?,I:,-' TS t, - c, IN/
I
ihls fc°I'm to be cc: plated id s': ??Lil tt!'d wlth building p[•i t a?pllla t10n5
EX71-RIOR ENVELOPE AVERAGE "U" CO;1PUiATION
SITE ADDRESS
CONTRACTOR Lu-/- i <.r GATE 7/9/?S PHONE r y' O%???
----- - ---- -- ---- '--- 1.
Determine v.,orking square footage of each.
1. Total exposed wall area s ft. x 0.11 = /95?
2. Total roof/ceiling area ..... ?12 sq- ft. x 0.026
Total exposed wall area above floor
a- Total 1•;all window area ........................... i G 9, iS
b. Total door area
c. Total sliding glass door area
d. Total fireplace all area ..... .:.................
e. Total all framing area (average 10%
) .............
-
f. Total net wall area above floor _
- -
g. Total rim joist area ............................. /E -
Total exposed foundation area
h. Total foundation window area .....................
i. Total net foundation area above grade ............ ? 3
Determine "U" value of each wall segment.
a.
b. fG,0
G,
d. _
e.
f.
9-
h.
i.
l 3S,G/
x „u„ o. ? 7 = r/, 3 t
x „U., o, /3 7=
X , u„ ?. ss = z z
x "U" _
X -U- O.G?? _ /G3
x , u l
x "u"
X "U" _
3 .......... ............ ...................... Total
If item n3 is the sa as, or less than item PI, you have met the intent of
7 i.rnn 1 cnnr 1A 11
lll-
-/
-- '7' e. p.scd roof/ceiling area = - / ?L_-._---
j. Total s':vli_ht area ................................ - -O - -
Y.. To.nl roof/ceiling fr-rinc area (average 10?)......---/,z------
1. local net insulated roof/ceiling area ................ Q
Detenmine "u" vi-lue for each roof/ceiling segn•_nt.
a 6
4 . ................ .... .. .. .......Total = C? %./ y
If total of ;'A is the sa:.-:e as, or less th:n 32, you have .et -1he intent of
Sac 6000(c)l.
T:ltcrnote 312ilair.g Enve7.ope Design
To utilise Hie 7.0te1 e;_--:a10p2 systmethod, the :lue.s cstabliS..ed _Y
sum of :`:_...., =s am 9 ...,al. i r,ot b.e greater tha*; Y_he sum of s .:I znd ;-2
s.--- /75:/8---- + G - --z3.`?`?- - - --/ 91, e- ---
i
1>
• i • • •.• r • e • s ia• n r 07• m-
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATER CONNECTION
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
(Lot/Block/5ubcll.visim or 'Pax Parcel 1-.D.) NU
IF EXISTING STRUCTURE, DATE OF ORIGINAL BUILDING PERMIT ISSUANCE:
PRESENT ZONING/PROPOSED USE:
(MonthYear)
R-1 SINGLE FAMILY
R-2 DUPLEX (Two Units)
R-3 TOWNHOUSE (Three + Units)
R-4 APARTMENT/CONDOMINIUM
COMMERCIAL/RETAIL/OFFICE
INDUSTRIAL
INSTITUTIONAL/GOVERNMENT
( Units)
( Units)
2) NAME: !Y ??/ y wry
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) m?
ADDRESS:
CITY, STATE, ZIP:
PHONE:
6?OCJ??Or C? ®O //rJn ????
72- SSO? MASTER LICENSE # ap?
NAME: ?J-`YI?f tJ ?` dS C c?a?S
ADDRESS:
CITY, STATE, ZIP:
PHONE:
For City Use
Plumbers Licens(
-Active
-CS E) r ted
C - Not Recw
5) n •a a• ?a
--CONNECTION TO CITY SEWER 21-CONNECTION TO CITY WATER
Q OTHER (Please Describe)
6) u •
? PLEASE HOLD APPROVED PERMIT FOR PICK-UP BY ONE OF ABOVE
C7 PLEASE MAIL APPROVED PERMIT TO 1, 2, (!D 4, ABOVE
?_ (Circle one) )
O R C I T Y U S E
PER.MTT °- ISSUED
FEES: $ k..S[%
$ /o- yo
$ G-?
S
$
$ 45_. UQ
$ /\.C c,
$ Sl'u d c
$ Sa S-u C,
$
$
$
N L Y
rr.:,,? rP PERMIT (INICL==E JUR.C.c;.Aar^
.,G)
WATER PERftIT (INCLUDE SURCHARGE)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SET,:ER TIP
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESS-1EN-T
TRUNK SEINER ASSESS TENT
LATERAL BENEFIT/TRUNK SE-=R
LA=AL BENEFIT/TRUNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
TOTAL
AMOUNT PAID;/RECEIPT n s ?j3?
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
Q NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
f
f/
HEAT LOSS CALCULATION ° TEMP. RIFF.
Custornar Name _ -/_ 21 Type Construction
City - Windows Storm Sash
Dakr Name. Dependable Heating A. C. Walk . Ins,
Strom 2514__CkQn_2ap1ds Blvd. Coiling Ins.
City Cann Rapjrlcr_ Mn 55431 Floor
Winnows and Doors-Gackage and Ara
No W SOT
n Pene NnOM
of P no No. PI 1 L~ It,
Li ft j: of c c aw
q. It.
CIO -4Y- 4=qy:?
Coat. Btu
Infiltration
R
Glass iE
Exp. wall
Net exp. wall
Int, wall
Ceiling
F loor
Length A Width -/ Ho'g_Itt
Windows and Doors-Gackage and Ara
NO. WMth
of M INlant
OI eM NO. Of
L " L~ ft.
Of ¦
•nN
q.l
Coal. Btu
_
Infiltration
Glees
Exp. wall
Not exp. wall
Int. wall
Ceiling
Floor
Total Btu. 11 Total Btu. _
FIB 1 Room ILe h Width f Height ' FQ RoomlL h Width Height
Windows and Doors-Crackage and Ara
No w'etn Nuynl
OI eM OI M No. o/
tt
L fOrI IL
o Of L . 14. 1
q.
Coe}. Btu
Inf iteration
Glass
Exp. wall
Net exp. wall
Int, wall
Ceiling
F loot Windows and Doors-Crack ags aid in
Ar
No. WIOM
of Nelanl
el Mo. of
'Oh" LIMN N.
of nOOx •ree
. N.
n
Coaf. Btu
Infiltrat'
Glare
Exp. wal
Net ex 1
Int. wall
Ceiling
Floor
Total Btu. Total Btu.
Ft.I Room ILength Width Q Hoi tt FI,? Room ILength Width t
Wlnxfnws and Doors-Crackaa and Ara Windows and Doors- Gadtagt and Ara
Nn W"Im N.MM NO. 01
nl L.M nl M^. L h 411r01 N.
el nqx MM
p. It.
ny rX,
CoN. Btu
Infiltration
Glass
_
E xp. wal I _
Net exp. wall Yv
Int. wall
Ceiling 6 00
Floor
Total Btu K/ ?5 6
Nn. a/'Mn O,eNlet Le. el efLfexN, • N.
' GMf. Btu
Inf iteration R) 5 41
Glen
Exp. wall
Net exp. wall
Int. well
Coiling
Floor
Total Btu. 13 /o Q 1
HEAT LOSS CALCULATION
Customs Name
City --
Deals Name.
Street
city _
(? Room (Length / Wi
and Doors-Crackage and Arm
No l a?n
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Btu
° TEMP. DIFF..
Type Construction
Windows Storm Sash
Walls . Ins.
Ceiling Ins.
Floor
Length Width FlaioM
Windows and Doors-Craekage and Ara
Ne. *b h
of M N.ian1
O/ M Ne, of
L h LIM.1 N.
./.I.CY A,N
p. 11.
Coef. Btu
Infiltration
Gins
_
Exp. wall
Net exp, wall
Int. wall
Ceiling
Floor
Total Btu. 12 /n f Total Btu. I
FI.I Room ILength Width Height FI.I Room ILength Width Height
_
W indnws and Doors-Craekam and A; T
No W.n1n N.i.nl
of !?! el .M No. of
L h oLintitil f n.
of e1NY
p. It.
;
4
.5/
7
Coat. Btu
Infiltration
Glass
Exp. wall
Net cap. wall
Int. wall
Ceiling
F IOM
Total Btu. IQ ?
F11 RoomI Length Width Height
W.ndnws and Doors-Crackam and Arm
Nn W Wn H.ghl NO. !1
n1 Iw,r nl pin! L N LnYI 1.
at pNY AIN
1
M.
Coat. Btu
Infiltration
Glass _
Exp. wall
-
Nat exp. wall
70
Int. wall
Ceiling
F ....-,-.-Ts
Total Btu 11?17 7rKaC
Windows and Doors-Craduge and Area
No. Width
01 M
p1 ft.. of
L N
of IINY
94, 11,
Coef. Btu
Infiltration
Glass
Exp. wall
Nat exp, wall
Int. wall
Ceiling
Flow
Total Btu. I
FI.I Room I Length Width Height
Windows and Doors-Cwadtaoa and Area
Nn. owlmini. n1 ie of a?iea rw11.
Coef. Btu
Inf ihratbn
Glue
Exp. wall
Net exp. well
Int. wall
Ceiling
Floor
Total Btu. I
4061 { ?L RESIDENTIAL
`J BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reeuiremenfs
• 3 registered site surveys stowing sq. ft. of lot, sq. ft of house; and as roofed areas
(20% maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan r lot platted after 7/1/93
• Rirn Joist Detail Options selection sheet (bldgs with 3 or less units)
DATE (Q
SITE ADDRESS 14 3 (3 ?o u e C
TYPE 0 YORK tl? oo f
APPLICANT
_ FIREPLACE(S) _ 0 _ I _ 2
Cuti1 ?cxJurS
L
STREET ADDRESS I D Q `(*7 K) r c- O (li e 1 lave S CITY fit,. ti 5 (fie STATE MN ZIP 5 S s -3
TELEPHONE# 952 -1QD-69561 CELL PHONE # FAX# q 5a-go?- 29Y6,
PROPERTY OWNER B P Lo L h a TELEPHONE # G 51- H 5,? - 5'/3 3
COMPLETE THIS SECTION FOR uNEWr• RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 _ MINNESOTA RULES 7672
0 submission type) • Residential Ventilation Category 1 Worksheet Submitted New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Air Conditioning
Heat Recovery System
Phone #
Sewer/Water Contractor: Phone #
o AUG 2 1 2002
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I hereby acknowledge that I have read this application, 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?wf?? ?I?:pt l??
...........
OFFICE USE ONLY
Water Softener
Water Heater
No. of Baths
_ Phone #
Lawn Sprinkler
No, of R.I. Baths
RemodeMeoair peaulrements / / 2. 7J
<
• 2 copies of plan ,J
• l set of Energy Calculations for heated additions
• l site survey for exterior additions &decks
• Indicate it home served by septic system for additions
VALUATION ?S_000-6?%
DC- MULTI-FAMILY BLDG _Y '7t, N
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
------------------
l For Office Use
j Permit #: c-i? ?? I j
I
Permit Fee:
? Date Received:
I I
I Staff: I
-----------------'
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: y 3 i 3 '?EA?LE_ C lc-ES ; f ,4.
Tenant:
Suite #:
RESIDENT / OWNER Name: V 41 1 1_Zjp p 1 1) 0AAA r`3 Phone: 7- 3gXjr
?? 13 7 Lam. C.S' ?;
Address/ City/Zip:
Applicant is: - Owner -NContract
or
TYPE OF WORK /
JAN j^ l?'31 S
Description of work: ? r14D UE- 1 gtR f AL r_
/
Multi-Family Building: (Yes 1 No ?J.
Construction Cost:
CONTRACTOR Name: !_ \/ t-_(?A_4 'E?S License #::;k C7 ?;_ 7 3 t SS?
Address: I 3 94 `O L O 9A0 0 ,4yj?_ 5 -
City: S A VA `f 7- State: Zip: SS 3? 7,?
Phone: I0 - L4 8 / 9 q-7 Contact Person: I C 4Ae p ,?/ r`? lam.)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1
Minnesota Rules 7672
_
Energy Code . Residential Ventilation Category 1 Worksheel New Energy Code Worksheet
Category Submitted Submitted
(4 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 documentsthat 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.
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 pl ns.
Applicant's Printed Name Applica is Sign re
Page 1 of 3
?+?13 Eagle CresfPr?vt' ,
FOR: ZACHMAN HOMES
r
NOTE:
o Denotes Wooden Stake
Proposed Garage Floor E1.=4/8.G
(918.3) Denotes Proposed
Finished Ground E1.
- a---- Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
961,0
19D?¢?1
C. R. WINDEN 6 ASSOCIATES, INC.
LAND SURVEYORS Td 646.3646
1361 EUSTIS St, ST. FAULT MINN. 66106
Scale: 10-30'
e Denotes Iron
Monument
Bearings Are Assumed
Drainog? ?Ufi/icy EOSemen/
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125:00
(9\? N 870 30. 29" W
0',
11
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611
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Lot 17, Block 2, SUN CLIFF FOURTH ADDITION,
Dakota Countyr 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.
Dotod this 18'6 if6 fob6r A.D. I108S C. R. ?QWIIN-DENN_6 ASSOCICIIATES, INC.
S"yor, Min"wte Ro6i,tmtion NO 7726
u 19
?+?13 Eagle CresfPr?vt' ,
FOR: ZACHMAN HOMES
r
NOTE:
o Denotes Wooden Stake
Proposed Garage Floor E1.=4/8.G
(918.3) Denotes Proposed
Finished Ground E1.
- a---- Denotes Direction
of Surface Drainage
Vertical Datum - N.G.V.D. 1929
961,0
19D?¢?1
C. R. WINDEN 6 ASSOCIATES, INC.
LAND SURVEYORS Td 646.3646
1361 EUSTIS St, ST. FAULT MINN. 66106
Scale: 10-30'
e Denotes Iron
Monument
Bearings Are Assumed
Drainog? ?Ufi/icy EOSemen/
_ ? 91??-_ 125.Op
IO k ?-
F
y
?4,
(" ze
a, ov
o ?
I
L
I
)
_
`
0
I ,
?? n - -
+,:
N P H
4-e
i
_J10
125:00
(9\? N 870 30. 29" W
0',
11
V9
?
w
W
l9N ?
z U
611
X00.
W
l:1
Q
W
Lot 17, Block 2, SUN CLIFF FOURTH ADDITION,
Dakota Countyr 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.
Dotod this 18'6 if6 fob6r A.D. I108S C. R. ?QWIIN-DENN_6 ASSOCICIIATES, INC.
S"yor, Min"wte Ro6i,tmtion NO 7726
u 19
Use BLUE or BLACK Ink
For Office Use I
Eajan 1 109 is Citt ty o I Permit
I
3830 Pilot Knob Road Permit Fee:
Eagan MN 55122
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694 I I
~ Staff: I
-----------J
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 4/19/13 Site Address: 4313 Eagle Crest Drive
Tenant: Suite
Name: Phil Plowman Phone: 612-867-3936
Resident/Owner
Address /City /zip: 4313 Eagle Crest Drive
Name: K&S Heating, Air Conditioning & Plumbing License 0153
Address: 4205 Hwy 14 W City: Rochester
Contractor
State: MN zip: 55901 Phone: 507-282-4328
Contact: Heidi Brown Email: hbrown(a-,ksheating.com
New XX Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
t RESIDENTIAL COMMERCIAL
XX Furnace - New Construction - Interior Improvement
I
Permit Type XX Air Conditioner Install Piping Processed
i ~ - - -
_Air Exchanger Gas -Exterior HVAC Unit
Heat Pump _ Under / Above ground Tank Install Remove)
_ Other
RESIDENTIAL FEES:
$60.00 Minimum Add-on or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Fire repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) = $ 60.00 TOTAL FEE
COMMERCIAL FEES:
$76.00 Underground tank installation/removal (includes $5.00 State Surcharge) OR Contract Value $ x1%
$60.00 Minimum (includes State Surcharge) Permit Fee
*If the project valuation is over $1 million, please call for Surcharge 5.00 Surcharge*
TOTAL FEE
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.ciooherstateonecall.orc
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 Rick Keehn x &C
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
Use BLUE or BLACK Ink
r------------------.
I For Office Use 4110~ Permit#: 1057
j
City of EaEd~ I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: a'
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
12013 RESIDENTIAzL/ BUILDING PERMIT APPLICATION
Date: - [ Site Address: J l G`e Unit
Name: ' V t' 10(A) Phone:
Resident/ ZZ ~',,,o
Owner Address / City / Zip: ytl `e `~rL
Applicant is: Owner Contractor
Type of Work Description of work: /y'ew zzo~
Construction Cost: v Multi-Family Building: (Yes / No )
Company: Contact:
Address:? b l5 f U W City: -kw
Contractor 7
State: Zip: e5,373 7.)- Phone: OW-- 117T
License G [ c U Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMP ETE 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 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.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 of rmit issuance.
X_ x
Appli nt's rinted Name Applicant's Signature
Page 1 of 3