3888 Cinnabar DrC(TY OF EAGAN
3795 Pilot Knab Road
Eagon, Minnesofo 55122
Phone: 454-8100
Date:
Y7A't'EI2 SOFTE*7ER
PERMIT
No. -
!ptember 20, 1977
'8 Cinnanar f?rivr-
5ite Address:
Lot
Block j ?
Sub/5ec. U-01A't
Nume
; Address
O
City Phone:
-
ame -
CqlltOY'71 2t3 St. L'i. F.
? Address
e
?
'
'
. 5 5 r
- 2.
.
City Phone:
This Permit is issued on the express condition that ull work shall be
Minnesota Statutes and City of Eagan Ordinances,
Receipt No
$ingle
Residential
Multi Res., Comm./Ind. ?
New /Alter. /Repair
II Cost of Installation
Permit Fee
.5?
Surcharge
17
Tota I
done in accordnnce with all applicnble Stute of
Building Official
?CITY OF EAGAN Remarks rUn K f iD1n t-2Q Y'Ce? 32?9 "1 1
Addition CEDAR GROVE #9 Lot 1 BIk 1 Parcel 10 16708 010 Ol
Ow,nner screet 3888 Cinnab3r Drive State ?g?• I"1N 55122
Y'?? i ?
Improvement Date Amount Annual Years Payment Receipt Date
STFEETSURF. 37 1978 1035.45 103.55 10 1042.35 003478 8-25-77
STREET RESTOR.
GRADING
SAN SEW TRUNK -i0 1968 55.16 1.83 30
* SEWER LATERAI 1975 1,289.38 2257.87
- - 5
* 1975
WATERMAIN
WATER LATERAL
WATER AREA
STORM SEW TRK j( 1976 279.12 55.82 5
STORM SEW LAT
CURB & GUTTER
SIQEWALK
STREET LIGHT
WATER CONN.
BUILOING PER.
SAC , pO
PAR K
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-687-4675
.
NewConstructionReauirements RemodeUReoairReouirema s
. 3 regislered site surveys showing sq. ft. af lot, sq. ft, of house; and all roofed areas • 2 copies o( plan -c)
(20% mazimum lot coverage allowed) . 1 set of Energy Calculalions for heated additions
• 2 copies ot plan showing beam & window sizes; poured found desgn, etc.) . 1 sRe survey tor exterior additbns & decks
• 1 set o( Energy Calculations . Indicate if home served 6y septic system for additions
• 3 copies of Tree Preservation Poan if lot platted after 7N/93
• Rim Joist Delail Options selection sheet (bldgs vrith 3 or less unils)
DATE
VALUATION /G/ oC)U
JOB SITE ADDRESS Za
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTYOWNER0-k?b L.qs5` 11
TYPE OF WO
RK I-t?J?s? A??-/t? FIREPLACE(S) )? 0_ 1_ 2
?
APPLICANT PHONE#
ADDRESS 6a 7/1 ur-vf- le-
PAGER #
6?__'c 0-9 Y2>
CELLPHONE# 6S/-985- `1136
[IPCODE
# 5--5''g- 79?5
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor:
Mcehanical System Includes:
Sewer/Water Contractor:
Phone #
Phone #
Fee: $90.00
Fcc: $70.00
?n ^'Ii N OJ 2-4? ???.
All above information must be submitted prior to processing of application. II ?rre ? I hereby acknowledge that I have read this application, state that the information is cct, and agree
co 1 mply
with all applicable State of Minnesota Statutes and City of Eaga rdinances.
Signature of Applicant '
_ MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULFS 7672
- New Energy Code Worksheet Submitted
Phone #:
_ Water Softener _ Lawn Sprinkler
Water Heater No. of R.I. Badis
No. of Baths
Air Conditioning
Heat Recovery Syslem
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 1101
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
? 05 03-plex
? 06 04-plex
? 31 New
)1- 32 Addition
? 33 Alteration
? 34 Replacement
? 20 Pool
? 21 Porch (3-sea.)
)< 22 Porch/Addn. (4-sea.)
? 23 Porch (screened)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)` ? 43 Reroof ? 46 WindowslDoors
'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation J?4 ? Occupancy OC. ? '
Census Code q &N Zoning ?
SAC Units Stories
Nbr. of Units Sq. Ft. ?
Nbr. of Bldgs d Length
Type of Const Width ?
?
+
MCIES System
City Water
Booster Pump
PRV
Fire Sprinklered
Other
_ Pool _ Ftgs _ AirlGas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
Approved By ]_ ?- , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Piant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Footings (new bldg)
Footings (deck) FinaVNo C.O.
Footings (addition) Plumbing
Foundation HVAC
Drain Tile
Roof Ice & Water Final
Framing
Fueplace _ R.I. _ Air Test _ Final
Insulation
? 07 05-plex ? 13 16-plex
? OS 06-plex ? 16 Fireplace
? 09 07-plex ? 17 Garage
? 10 08-plex ? 18 Deck
? 11 10-plex ? 19 Lower Level
? 12 12-plex Plbg_Y or_ N
1, 0 ? .? . .- - le
FinallC.O.
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD • 55922
? ?S'1-RR1-ati7S
New Construction Reouiremenis
• 3 registered site surveys showmg sq. ft. of IoL sq. h. of house, an?ll roofed areas
(20% mazimum lot coverage al6wed)
• 2 copies of plan showing beam S window sizes; poured found design, etc.)
• 1 set of Energy CalculaUOns
• 3 copies of Tree Preservation Plan if lol platted after711193
. Rim Joist Delail Op6ons selec6on sheet (bldgs wiN 3 or less units)
DATE ?C'? f t ro ?`Zop ? VALUAiON
JOB SITE ADDRESS 3??g GraJtib4(3A? ?CL
IF MULTI-FAMILY BUILDING, HOW MANY UNITS? _
PROPERTY OWNER GK-a-r S 1- Jf2--Q ?
TYPE OP WOR
?C? L..5
N 5r)
APPUCANT D?? r0 F t c? Conis^DA rTtnP IONE# -3272
ADDRESS 2- f-7 t G fZt GCG ,qJE- ZI;P CODE ?(,? 2
PAGER # CELL PHONE #?i2? FAX #? 2 - 2
NEW RESIDENTIAL BUILDING ONLY- PILL OUT COMPLETELY
Energy Code Category MINNESOTA RiJLES 7670 CA1'EGORY_1 - _
(check one) - Residential Ventilation Category 1 Works &fSubmitt ed ?
- Energy Envelope Calculations Submittedi
MINNLSOTA RULLS 7672 Zoo1
;
- New Energy Code Worksheet Submitted 1:r?
Plumbing Contractor:
Plumbing Systcm Includes:
Mechanical Contractor:
Vtechanical Systein Inclu(Ics:
Sewer/Water Contractor:
Phone #
Phone #
LI
?
Fee: $90.00
P'ec: $70.00
All a6ove information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct„ d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinance
<_?
Signature of Applicant
Water Sof[ener
_ Water Heater ?
_ No. of Baths
RemodellReoairReq u irements
• 2copiesofplan ?C) 1
. 1 set of Energy CalculaGons for heated adtlitions
• 1 site survey for extenor adddions 8 decks
• Indicate if home served by sepUC system foradditions
: r..
Phone #:
Lawn Sprinkler
No. ot' R.I. Baths
Air Conditionina
Hcat Rccovcry Systcm
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updated 1lOt
OFFICE USE ONLY
x 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4•sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 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
7
V
l
i
dU0
-
3
a
uat
on
/ Occupancy : MC/ES System
Census Code Zoning g- ( City Water
SAC Units r" Stories Booster Pump
Nbr, of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const ? Width
?
X
X
x
_ Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (new/replacement)
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
REQUIRED INSPECTIONS
Foohngs (new bldg)
Foo[ings (deck) FinallNo C.O.
Footings(addition)
Foundarion
Drain Tile
Roof Ice & VVa[er Final
Framing
Fireplace _ R.I. _ Air Test _ Final
Insulation
Building Inspector
C 2,?4w l. S p/dc-'? ?X C/? VA't7G ?t/
Mf?T vAJFN1,I'l&.Sj
?fs y s? sl 1.? ?` G& la 00
, 1 -7 ?'
FinaUC.O.
_ Plumbing
HVAC
/
Datc: cJ.
?
i?1;7li'IPIC-PEF.MIT,APPI,ICAT70N
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/51)PRl'.`;S
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blote: 7nclu<le si!.c plr,o, t:vi:dinq plans, anr?eneryy calculations with t;his
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CITY GF F;?G:LN C:
3795 Pliot ?Lr:ob Road •
Eagan, i+iinnesota 55122
PERMIIT NO,; 8 32
The City of Eagan hereby grants to Fredrickson Heating & A/C Co.
of 4030 Beau d'Rue Drive
Tollefaon Builder
g, HF.ATING Permit for: (Owner) Marich Construction
3888 Cinnabar Drive &
at pursuant to application dated 11/29/76
Pee Paid: 540.00 dated this 8 day of December , 19 76 .
1.00 s/c
Building Inspector
Mechanical Permits:
Bid Total:
CITY OF EAGAN
3795'Pilot Knob Road
Easan, Mi.nnesota 55122
oa 11,70t
G6 ?
PERIvaT N0. • 764
The City of Eagan hereby grants to Genz-Ryan Plbg. & Htg. Co. _
of Rosemount
a PLUMP.iidc Permit for: (Owner)_---_ _- l].e£son Bldrs.
-'ro
at 3333 Cinnabar Dr. ? pursuant to applieation dated 12/16/76
Fee Paid: $20.00 _ dated.this 20 day of nec• 9 19 75 ,
.5o s/c
Building Inspectar
Meehanical Permits:
Eid Totuls
CITY of EAGAN
BUILDING PERMIT
Ownes ELLIOT IiISMP.AjT..........
Address (Preceni) .................................
TOLLE.
. F.S.ON. ...
. S. L. . R. .. .... Z.N.C ...
.
.
.
HuSldex ... .......................'.........................................
Addreu .... 1848 Turuoise Trail
................. ......._....................................
DESCRIPTION
. :.
N° _.4123
3785 Pilot Knob Aoad
Eagaa. MinnesoYa 55122
454-8100
Dets ............................
5tories
- To Be Uaed For Fron!
-- Depih Heigh! Esi. Cos! m!! Fsa Aemarln
S/F Dwelling
fi4'
27'
38,000 1110,501
19.00 c
LOCATION =?iq,SU
Sireef, Aoad or ol6er DescripYion of Loeafion I Lo! oek Additioa or Trac!
3888 CITINABAR DRIVE 1 1 I CG #9
This permit does not auShorize the use of siceets, roada. alleys or eidewalks nor does it give the ownsr or hk agent
the rfgh! Yo create anp s[tuation which is a nuisanee os which presents a hazaed !o the hen]!h, eefelp, tonveaiencs and
ganeeal welfare !o anyone in the eommunily.
THIS PERMST MUST BE REPT ON THE PREMISE WHILE THE WORK IS IN PAOGRESS.
This is !o eertiip, !hal.T o 11 e.f s o n B 1 r s. I n c. has permiasion !o ereci a........._S ZF Dw e 11 i n g y n
..............................................
the above descri /pJremise subjeci to the pxovisions of all applicable ' ce f the ' p o Eagan. -•-.• ..•.•.•'
......... . . ..... .l.i:-: ---.................................... Per ......... ... . ..._.. .._............._'?'.."................. A
? Mayor C ? SuildinQ ImPsctos
?
DOLAN, BANiSTER & ASSOC@ATES
900 WEST 128TH STREET, BURNSVILLE, MINNESOTA 55337
CONSULiING ENGINEERS PHONE (612) 890-1272
CERTIFICATE OF SURVEY FOR CARL TOLLEFSON
? 5? DRAiNAGE q-
- ?
/j
UriLiTY EhSZ7MENT
,
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N89'39???
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?ts?`?.IPTION
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rE :aA.R CaM` Q1/f` Nn. C)
N 37°02'3,3"W
SCA L.F
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ALl ?f•:f?FtltK?S A5Sl.1Mf'U
. L:i..oy ccInty [e:aL this suec•cy, plan or
rcporc was prepared by me or under my direce
supzrvision and chat I am a duly Registered
Land S veyor under the lawa of the State
ot Mmnc ta. ,?'??''?
?
-AD?ac ' Z.7 ; .. Reg. No?-•-===-°?
• Associated with Koehnlein, Lighrowler, Jahnson, lnc. - Architects & Engineers •
4
MASTER CARD
LOCATION 3888 CINNABAR DRIVE L1 B1k 1 CG #9
OWNER RLLIOT LIBMAN
STRUCTURE P,ND S/F DWellin
LAND USED AS 9
Permit
No.
Issued Issued Ta
Contractor Owner
BUILDING 4123 11/2/76 ollefson Bldrs. ? nc.
PLUMBING 7Gy /?-S
« ?S_. 2/
???
CESSPOOL - SEPTIC TANK o
WELL
ELECTRICAL I
HEATING 8 .4 20?
GAS INSTALLING
SANITARY SEWER I
OTHER I
OTHER I
Items Approved
(Initial)
Date Remarks
Disfance From Well
FOOTING SEPTIC
FOUNDATION CESSPOOL
FRAMING
FINAL
ELECTRICAL
? -? TILE FIELD FT.
HEATING
GAS INSTALLATION DEPTH
OF WELL
SEPTIC TANK
CESSPOOI
DRAINFIELD
PLUMBWG 2J/O "7 ?
WELL
SANITARY SEWER
r
e-7 Oa(l
'
Violations Noted
on Back
COMMENTS:
'p'?na?.6?W?i j
??F?1.q
49_? 1y?'??
_? ciiy of eagan
MEMO
TO: DIANE DOWNS, UTILITY BILLING CLERK
FROM: ED KIRSCHT, SR. ENGINEERING TECHNICIAN
DATE: AUGUST 23, 1993
SUBJECT: STREETLIGHT ENERGY COSTS-CEDAR GROVE NO. 9(18 LOTS)
This memo is to inform your department to begin to invoice the energy costs at the single
family rate effective August 1, 1993 to the property owners in Cedar Grove No. 9 Addition.
Block 1, Lots 1-13 13
Block 2, Lots 1-5 5
18
The City is currently being billed by Dakota Electric for streetlighting in the above listed
subdivision.
t/7l
Edward J. Kirscht
Sr. Engineering Technician
cc: Mike Foertsch
EJK/je
' CITY USE ONLY
L I BL a RECEIPT#:
SUBD. ?, rvu r Gra Yc, ? I RECEIPT DATE: I?? II ^!/ D
PERMIT# "Lq)-_
2000 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EaGAN, hIN 55122
651-661-4675
Please compiete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
D backflow preventer for underground sprinkler system
Alterations to existing dwelling - minimum fee
Describe:
30.00
$
Bath tub $ 3.00 x = $
Floor drain 3.00 x = $
Gas piping outlet ' minimum - 1 3.00 x = $
Hot tub/spa 3.00 x = $
Kitchen sink 3.00 x = $
Laundry tray 3.00 x = $
Lavato 3.00 x = $
Septic System new/refur6ished " requires MPC lic. 75.00 X = $
Septic System abandonment 3D.00 x = $
RpZ new installatioNrepaidrebuild 30.00 x = $
Rough opening 1.50 x = $
Shower 3.00 x = $
Underground sprinkler if dwelling is under cronstruction 3.00 x = $
Undergroundsprinkler ifezistingdwelling
Water closet 30.00
3.00 x
x =
= $
$
Water heater 3.00 x = S ?
Water softener if dwelling under construction 5.00 X = $
Water softener if ezisting dwelling 30.00 X = $
Waterturnaround 30.00 x --- _ $
State Surcharge
TOt81 50
--> --?
--' -->
--' -->
-°-? $ .50
$ 0 . SO
CIYTIIQC!
EACN l/
TOTAL
Reminder. Call for inspections of alterations, i.e. water heaters, water softeners, etc.
- -
--- ----- -- --- ------- • -- ------- --------------------- ---------------- ------ ------------ -- -----------------
- Eagan -
- ordinances.
I hereby adcnowledge that I have read this application,-state that the infortn-ation- - is - correct, - and - agree - to - compry - with - all - applicable - City of -
It is the applicanPS responsibility to nohfy the property owner that the City of Eagan assumes no liability for any damages caused by the City during its
normal operational and mwinrenance-act[yftle514..Ihe.fdciliGes colLSltyOe n er this pertnit within City propertylright-of-wayleasement.
SITE ADDRESS:
LASSWELL, JENNIFER
3888 CINNABAFi DRIVE
EAGAN, MN 55122
(651) 688-8872
TELEPHONE #'
(AREA
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
TELEPHONE #:
z
CITY: v+a csaetrmw nvc. ava? n STATE:
SIGNATURE OF PERMITTEE
Jab Site Address:
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
city
oF eagen
INSTRUCTIONS: This alternative may 6e used for one- and two-Family dwellings 6uilt ro meet the Category 1 requiremenu uf
blinnesota Rules, Chapter 7670. Complete Parts A, B, and C. Cleazly mazk plans with: insulation R-values; window and skylight U-
values; size and type of equipment; equipment controls; and loca[ion of vapor retarder and windwash bazners. More detailed
information can be found in the Minnesot¢ Energy Code summary sheets available from the Minnesota Departrnen[ of Commerce.
Part A. BUILDING ENVELOPE
____..?.__.._s...._.._..?__._._..._..e.n__.._.__.o__._
Check proposed envelopejoin[ sealiog option 4 ? Presenptive (caulking, gaskets, etc.) ? Pefformance (test per 7670.0470 subp. 7.C.)
Check thertnal energy calculation option used ? ?"Cookbook" (complete worksheet below) O MnCheck method (attach reporc)
? Perf'ormance (attach U-value calculations) ? Systems Malysis method (attach
"Cookbook" Worksheet
LNSTRUCTIONS
Step L Check item(s) that design meets on Minimum Requmemenu list
co the right. Must meet all items to use "Cookbook" opuon.
Step 2. Indicate proposed wall cype on table below.
Step 3. Indicate Window [I•value and source.
Step 4. Verify total window (mcluding azea of all foundanon windows)
and door azea is equal or less than allowable percentage.
. MINIMUMREQUII2EMENTS
for "Cookboak" option only)
Ceiling Insulation: Minimum R-38 with 7%:' energy heel; or
Minunum R144 with low vuss heel; or
Muumum R-38 with R-5 sheathin when no attic.
? Entry Doors: Mac U-value of 030 or 1%1' solid wood with storm
? Rim Joist Insuladon: Minunum R-l9
Flooxs over uncondrtioned s aces: Minimum R-24
? Foundation Insulation: ibfinimum R-l0
? Foundacion windows: %z" insulared ass, wood or vin 1&ame
' TABLE FOR DETERMINING MAXIM[JM WiNDOW AND DOOR AREA '
Maacimum Allowable Total Window and Door Area as .
aPercenca eofEx ed Wa[t --? 12% 14%, 16% ' , 18% 20%? 22% 24% 26% . '2i
Wal] T e Standazd Frantin : Maximum Ave ' e Window U-value exce t foundaROn windows :
? 2x4, R-13 msulacion, R-7 sheathin 0.55 0.47 0.41 036 0.33 030 0.27 0.25 0.23
? 2x4, Rd5 msulation, R-5 sheatlvn . 0.52 0.45 0.39 035 031 0.28 02fi 0.24 • 032
216, 119 insulahon, <R-5 sheathin 0.48 - ORl 0.36 032 029 026 0.24 0.22 . 021 :
? 2x6, R•19 insulation, R-5 sheathing 0.56 0.48 0A2 037 0.34 031 028 0.26 024' :
? 2x6, R•21 insulation, <R-5 sheathin OSl . 0.43 038 0.34 030 0.28 025 023 0.22 ,
? 2x6, R-21 insulation, R-5 sheathin 0.58 0.50 0.44 039 035 032 0.29 0.27'. 0.25
Wall Type Advgnced Fcamin • Maximum Avera Window U-value exce t foundafion windows :
? 2x6, R-19 msulauon, <R-5 sheathin 0.52 0.45 '. 034 035 ' 0.31 . 0.28 0.26 D24 :.. Q22 g`.
? 2x6, R-19 uisulation, R-5 sheathin 0.58' ' 0.50 0.44 0.39 035 0.32 0.29 027 0.25 ?z
? 2x6, R-21 msulation, <R-5 sheathin 0.55 0.47 0.41 0.36 033 030 027 . 0.25 023 ..
? 2x6, R-21 msulatioq R-5 sheathin 0.60 0:52 0.46 0.41 036 0.33 030 0.28 ' 0.26 ?
I Window U-vaiue: Source: ? ? NFRC ? ASHR.4E 1993 Handbook J
100 x 7Sl 33? ??° < a? °
window & door area gross exposed wall area DESIGN AI.LOWABLE (trom table above)
MINNESOTA ENERGY CODE - WHrcH Ruces Ma r I Use ?
TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES
Detached R-3 occupancy 1- and 2-family dwellings Chapter 7672; or -
Exam les: sin le famil , nvin homes, d lexes Cha ter 7670 "Cate o I" wi[h statuto de ressurvation and ventilauon re uirements
Attached R-3 occupanry dwellings Chapter 7674; or "
Exam les: tri lex townhouses a¢d row houses Cha ter 7670 with either "Cate o I" or "Cate o 2" rovisions
R-1 occupancy buitdings of 3 srories or lesa Ctiapter 7674; or . ,.
Exam les: condominiums or a aRments Cha rer 7670 with either "Cate o P" or "Cate o 2" rovisions
R-1 occupancy buildings over 3 stodes hlgh Chaprer 7676 „
Eacam les: hi rise condos or a ents
h, !V 14AP/k-
/ i
j?-Z6_a? !gSl 551- 75?.5
n....u..a..t InNnf nnmPl Si¢nature DHte Telephone Number
DOLAN, BANISTER & ASSOCIATES
900 WEST 128TH STREET, BURNSVILLE, MINNESOTA 55337
CONSULTWG ENGINEERS PHONE (612) 890-1272
CERTIFICATE OF SURVEY FOR CARL TOLLEFSON
! 5? ORAIt3ACaE 9- ?
-
/{
l1TILITY EASCMENT
?
1
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I O IN?IGATES IF241J
Au be,a[a11<25 A,5S0rt1;7ti
pESCRIP"i-ON
L-oT I , t3Lo cK (
CEpAR 6h',AVr No. ua
p;•,KOTr? C4Uf+TY MiNNE-54?'.4
. l,<uby uttiiy t,:aL t6is surv,Y, plan ur
: rporc was prepared by me oT under my direcc
supercision and chat I am a duly ftegistered
Land S veyor under the lawa oE the State
of Minnc ta. j. ....._ n
?
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f
at / Z7 !' `" geg, No.
0 Associated with Koehnlein, Lightowler, Johnson, Inc. - Architects & Engineers 0
PERMIT# ? R?r
RECEIPT DATE:
Please complete for:
SITE ADDRESS:
8008 iin1DERTIAL PLIJMBINfi PEiiMiT Af'PLICATIOR
crrY oF sws,tx
3$30 PILOT KNOB $D
E48AA, MR 5518E
e51-661-4675
p ? ? ?
single family dwellings, townhomes and condos when permits are required for y?j?R 1 2 p002
backflow preventer for irrigation system ^
/y? ??
K A'7 !c6!c ? U1`? vL By _ ?
OWNER NAME: : T?==• GrSS4x.L( TELEPHONE #: -
(AREA CODE)
INSTALLERNAME: TELEPHONE#: 49.-;2^?`,yd
STREET ADDRESS: (AREA CODE)
Z_/GO S L<< ri
CITY: T?--d.- .--- STATE: /tt? ZIP:
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license)
includes $40.00 County fee $ 100.00
Note: Additional consultant fees may apply
. MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
Adding fixtures to lower levels or room additions, excluding water softeners and water heaters. $ 50.00
_ Abandonment of septic system.
_ Water turnaround - ebsting dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ iawn irrigation system
ReplacemenUadditional: _ water softener _ water heater $ 15.00
State Surcharge $ .50
Total $ 56. so
I hereby acknowledge that I have read this appliation, state ihatthe information is correct, and agree W complywith all applicable City of Eagan ordinances. It
is the applicanPs responsibility to notlfythe property ovmer that ihe Ciry of Eagan assumes no Iiabiliry for any damages caused by fhe City dunn9 its normal
operalional and maintenance actlvities to the facilities constructed under this permit within City pr /right-of-way/easement.
SIGNATURE OF PERMITTEE' 7/02
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
O ? ? 3830 PILOT KNOB RD - 55122 S`? U o ?
651-681-4675
New Conatruction Reaulrements RemodeUReoair Reauiremente?
• 3 registered site surveys showing sq. N. of lot, sq. ft of house, and all roofed areas • 2 copies o( plan
(20°k mazimum lot coverage allowed) . 1 set of Energy Calculafions for heated additions
• 2 coples of plan showing beam 6 window s¢es; paured (ound design, etc.) • 1 site survey far ezterior addiUans & decks
• 1 set of Energy Calculafions . IMicate'rf home served by septic system for addNons
• 3 copies of Tree Preservation Plan d bt platled after 7M193
• Rim Joist Dehail Dptians seledion sheet (bldgs with 3 or less units)
DATE 2-12712?02 VALUATION
JOB SITE ADDRESS ',:?q!reP
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY
TYPE OF WORK P,574t-?t -_?P4 FIREPLACE(S) _ 0_ 1_ 2
APPLICANT c?vt? SceFu,?.rc?J- Ccn,NSI PHONE#(11s2) L'(69-322?
ADDRESS ZIP CODE yJ?`_r 11
PAGER # CELL PHONE # FAX # C?CJ? '-f6n7
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COM LM
Energy Code Catagory MINNESOTA RULES 7670 CATEGORY 1 FEB "2 7 2002
(check one) - Residential Ventilation Category 1 Worksheet Su ed?
- Energy Envelope Calculations Submitted
By-._--
_ MINNESOTA RULES 7672
New Energy Code Worksheet Submitted
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor.
Mechanical SysLem Includes:
Sewer/Water Contractor:
Water 5oftener _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Phone #
Fee: $90.00
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correc , d agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordi _
Slgnature of Applicanf
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Phone #:
Iawn Sprinkler
No. of R.I. Baths
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 6ct. Alt - Multi
? 03 01 of _ plex O 09 07-plex ? 17 Garage O 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex X 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Y or _ N ? 25 Miscellaneous
? 31 New X 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 OU Occupancy MC/ES System
Census Code Zoning Ciry Water
SAC Units - Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs ? Length Fire Sprinklered
?-
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinallC.O.
_ Footings (deck) FinaUNo 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 (newJreplacement)
Insulation _
_ Retaini?nu 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
Building Inspector
,{?t ?j'1 ?,?,1- ?c Nr l!?
?A/
? ??GG G? L/?v?T?G-?J
Total
RESIDENTIAL
???D BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
851•681-4675
Naw Construction Reuuiremenb
• 3 registered sile surveys showirg sq. ft. of lot, sq• ft. of house; and all roofed areas
(20%mazrcnumlotcoverageallowed) ,
• 2 copies oi plan showirig 6eam & vnrMmv sizes; poured found design, etc.)
• 1 set M Energy Calcutations
• 3 copies of Tree Preservation Plan i( lot platted aRer 711/93
• Rim Joist Oelad Options selection sheet (61dgs wilh 3 or less units)
DATE q/a s??
FIREPLACE(S) _ 0 _ 1 _ 2
SIiE ADDRESS 'Wd &Z bL1-Ad lk- G/v MULTI-FAMILY BLDG _ Y x N
TYPE OF
APPUCANT
STREET ADDRE55 laa ?'(:7AAA? CIN26STATE 7AWZIP 55V3
TELEPHONE #0lZ &11-??1i CELL PHONE #AM- 9?I? a 7/?9 FAX #
PROPERTYOWNER L?I,? lZ9S9wd/,? TELEPHONE# iW_i06 _ WT42
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNES01'A RULES 7670 CA1'EGORY 1 MINNESOTA RULES 7672
(q suhmission type) . Residantial Ventilation Category 1 Worksheet Submitted ? • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor: _
Plumbing system includes:
_ Water Softener
_ Water Heater
_ No. of Baths
_ Phone # ,
Lawn Sprinkler
No. of R.I. Baths
Mechanical Contractor: 4M 4?L?Ated
Mechanical system includes: Ai Conditioning
? Heat Recovery System
Sewer/Water Contractor.
?
??.
Fee: $90.00
Phone # A0?_3
P l? n
Phone
I hereby acknowledge that I have read this application, state that the informoiion P?eKeEfi;,andag`ree't?c'omply
with all applicable State of Minnesota Statutes and City of Eagan Ordin s.
i
Slgnature ofApplicard ?,il/J _-
._._...-----___._....___...-'----..__.•-----_.......?._
OFFICE USE ONLY
Certificates of Survey Received , Tree Preservation Plan Received _ Not Required _
Upda[ad 4102
RamodaUReoair Reauiremenb -
• 2 copies of qan
• 1 sel of Energy Calculatiorx for liealed additions
• 1 site survey (or extenor addihons 8 decks
• Indicate if home served by septic system far addkions
VALUATION
(P3013 2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ? rl0 . v?
NewConsUUClionReauirements RemodeVRenairReouirements
3 registered sde surveys shaving sq. ft of lot sq. fl of house; and all roofed areas 2 copies of plan ber3pf,6u`_?:Recd?
(20°k maximumlotcoveregeellOwed) lsetofEneyyCalculationsforheatedadditions Tiee?sP rtAecii-w;+°=Y°_p.
2 apies of plan showing beam & window sizes; poured fowd desgn, etc. 7 site survey (ar addNons & decks Tree?2s Required Y _N
1 set of Energy Calculetions Addifion -lndicafe if on-site sepfic system
3 copies of Tree Preservation Plan H bt platted after 717193
Rim Joist Defail Optlons selection sheet (bidgs wilh 3 or less uni4s
Date z / 7 / / Construction Cost
Site Address (7 1 NNl+?/? Unit/Ste #
E/t !? A /?/
Description of Work )2r^'?U ?'f dA c= S'a'^'L'' ?/'^"
Multi-Family Bldg _ Y ? Fireplace(s) _ 0 2
Property Owner Zy? 13 l A S 5 w?< ? Telep6one #((ys ?) Cs ?"? '?? ?Z
Contractor JP?/ Q GG??SonJ
Address 16e O IZA.AA ?, gt v C'itY
State 2GGM t...G 7 6-L) Zip SSH 3 ? Telephone #?J?L Z2
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Mimmesota Rules 7672
Energy Code Category , Residential Ventilation Cate9ory 1 Worksheet • New Ener9y Code Worksheet
(4 submission type) Submitted Submitted
. Energy Envelope Calculations Submitted
Have you previousiy constructed a building in Eagan with a similar plan8
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
N If so, 25% plan review
Telephone #(
Telephone # (
i'
#
i ,,?;, ,-.
C ? 'GUU4 I'
I hereby apply for a Residentia] Building Permit and aclrnowledge that the informationcomplete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
J io z I f-r56,?
Applican's Printed Name
?
ApplicanYs Signature
U,? o q 3
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.
XjS <°
Date - ? I 0 e? I 6 ?/?
SiteStreetAddress K? l .l,-.11??-.'?`J?x?.1?`PZ , Unit#
Propeity Owner Telephone # [.o51) O(, LA
Contractom4 Q?,-F 1 I'?l e?'F? l? Telephone #"(?\S) K QD
Address'' ?? City ??l dC???YI StateLk?A_ Zip `-?
The Applicant is: _ Owner ? Contractor _Other
Alterations to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 518" meter is required)
Other: $ 50.00
-yWater Softener _ Water Heater
_ new replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $J? 5)
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. _
ApplicanYs Printed Name li anYs 5ig? n?a?ure
MAR 0 2 2005
?g lt?
2005 RESIDENTIAL BUILDING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
,g'70: C-1°
New CansWdion Requirements RemodeVReoair Reauiremen4s INfice Use Onlv
3 2gistered stte surveys showing sq. ft. af lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y_ N
(20°h max"unum lot coverage allowed) 1 set of Energy Calculations tor heeteA add'Aions Tree Pres Plan Recd YN
2 copies of plan showing beam & window saes; poured found design, etc. 1 sile survey for adddions & decks Tree Pres Required Y _N
7 set of Energy Calculations Add'rtian - indicete rf on•sde septic system Onsite Septic System _ Y_ N
3 copies of Tree Preservation Plan'rf lot platted aRer 7/1193
Rim Joist Detail Options selection sheet (buGdings with 3 orless unks)
Date Y / 02 7 / Of Coostruction Cost ;? 56
SiteAddress JJ'9W ?s?^?'4"?r ?l'??e UniUSte #
S / Z Z
Description of Work NeW kc)?-
Multi-Family Bldg _ Y X N Fireplace(s) _ 0 ZC 1 _ 2
Property Owner 94rY _J_r-?tiy ? SScv? GJ Telephooe #( (v,('1)
Cootractor
Address ?l76 ,EX•?(?i'V 1(VeN(.?'? City ?a}vefl
State Zip SS?AQ Telephone k ( K2 )
-76
%
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building 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 State of MN
Statutes; 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.
-
ApplicanYs Printed Name Applicant's Signature
?6 1?5
2007 RESIDENTIAL BUILDING rExlvnT nrrLicnTroN
City Of Eagan
3830 Pifot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cons W ctipn ReauiremenLs
3 registered sife surveys showing sq. tt. of lot, sq. tt. of house; afM all roofed areas
(20% maximum lot coverage allowed)
1 Soils RepoR A proposed building is lo be placed on dlsNr6ed sdl
2 copies of plan shrnxing heam 8 window sizes; poured found design, etc.
1 set of Ener9y Calwlations
3 copies of Tree PreservaGon Plan it lot platted after 711793
Rim Joist Defail Optlons selection sheel (6uldmgs with 3 Or less units)
Mnnegasco mechaniwl ventila6on fom
96. o d
RenodeVReoair ReauiremenLS Offce Use Onlv
2copiesofplanshaxingfooUngs,6eams,joisis CeAofSurveyRecd _Y _N
isetNEnergyCalalationsfaheatedaddi6ons SoilsRepoR _Y _N
f sRe survey iar addi6ons 8 decks Trce Pres Plan Recd - Y _ N.
Addition-ind(cateifoo-sifesepScsysfem TreePrasRequired _ _Y _N
Oo-siteSepticSyslem _ Y _N
Plnne nra rnncirlcraati nnhlir_ inf?rin,arinn unlPSS vou state thev are trade secret and the reason.
. ._.._ _.- --.._._-•-- ---- --
Date {l 0
Site Address 3$?16S GIM a ---------- - -- -
Construction Cos
, A !I MiJ SS/-/ Z Unit/Ste #
Description of Work
Mul[i-Famity Bldg _ YL\ N Fireplace(s) _ 0 _ 1 _ 2
Property Owner f./lA r( S ?(A. 5 S GJP" Telephone #( )
Contractor .
-?
--
Address SS
State /? tJ h
P A-) CitY ? «? ?-
Zip 5?? K 3 Telephone #(`? ?dL> -??7 ZL
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv l _ Minnesota Rules 7672
Energy Code Category . Residential Ventilalion Category 1 Worksheel • New Energy Code Worksheet
(dsubmissiontype) Submitletl Submitted
. 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?
_ Y _ N If yes, date and address af masTer plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
apply for a Residential Building Permit and acknowledge that the information is complete and accural
e;
that the work will be in conformance with the ordinances and codes oi rne ury or Fagan ana me mate oi iviN
Statutes; I understand this is not a permit, buY 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.
?
? w-e-P 9- _Z) rbSK
Applicant's Printed Name
????
plicanYs Sign ture
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation
X 02 SF Dwelling
? 03 01 of_ plex
? 04 02-plex
? OS 03-plex
? 06 04plex
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
? 13 16-plex
? 16 Fireplace
? 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool ? 30 Accessory Bldg
? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 24 Storm Damage
? 25 Miscellaneous ,
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof X 46 WindowslDoors
•Demolition (Entire Bldg) - Give PCA hantlout to applicant
DBSCI'Iption: Water Damage _ Yes
Valuation 4pe'r
Plan Review IV?4 100% or _ 25%
Census Code ? 3?t
SAC Units
# af Units
# of Bldgs
Type of Const
Occupancy ^;G dlc _s MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addirion)
Foundation
Drain Tile
Roof Ice& Wa[er Fina1
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Totaf
? 07 05-plex
? 08 06-plex
O 09 07-plex
? 10 OB-plex
? 11 10-plex
? 12 12-plex
REQUII2ED INSPECTIONS
_ Sheetrock
_ FinaUC.O.
_ Final/No C.O.
HVAC
Other
_ Pool Ftgs _ Air/Gas Tests Final
Siding _ Stucco Lath _ Stone Lath _Brick
4t, Windows
_ Retaining Wall
Building Inspector
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VILLAGE OF EAGAN WATER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Eagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
Meter No.• Connection Charge:
Size: Account Deposit:
Reader No.• Permit Fee:
I agree to comply with the Village of Eagan Surcharge:
Ordinances. Misc. Charges:
Total:
By � 4 -Date Paid:
^7
Date of Insp.• �� 7 / Insp.:
VILLAGE OF EAGAN SEWER SERVICE PERMIT
3795 Pilot Knob Road PERMIT NO.:
Pagan, MN 55122 DATE:
Zoning: No. of Units:
Owner:
Address:
Site Address:
Plumber:
I agree to comply with the Village of Eagan Connection Charge:
Ordinances. Account Deposit:
Permit Fee:
Surcharge:
By: Misc. Charges:
Date of Insp.: Total:
Insp.: Date Paid:
Sep 6 2013 2:11PM BAUER RESTORATION No 0599 P. 2
Use BLUE or BLACK ink
For Office Use I
I
City of Eap ; Permit C)
3830 Pilot Knob Road I rmit Fee:
mot, I
Eagan MN 55122 Date Received: J
Phone: (651) 675-5675 I 1
Fax: (651) 675.5694 1 Staff I
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2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: S C,4,4ek t.r Pf- Unit Name: LL5 -in {-t r QsS w
Ran Won. J Phone: 6 SJ- 6-v8- 997
.:0lil+tl er Address i City / Zip: C;hnr-ba r r. E I'h _!rSJ_;2
Applicant Is: _ OWner Contractor
Description of Work: Q rfN
Type of ~Vorx ~ ~s s, N~si~yi
Construction Cost; d Multi-Family Building: (Yes / No
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Company- d/ u~0✓I Contact:
Address: b .
Contractor Cny= -
State: Zip; 562-1 Phone: Sall -
License #gG I Lead Certificate -I-
It U9
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:
Mechanleal Contractor: Phone:
Sewer & Water Contractor: Phone:
NtSrE Plans and supporf]t.jg da um ats that j~ousubml~!ore considered'fb'be p'dbilc'flhfor►no on, PortioAs.-
'he infonttatloq may be classified! as non : Lb/ic if you provide specifk reasons thaf tom: ape It tlae Ctiy: to
cane/tiple .that;the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. C211 4^o hours
before you intend to dig to recebe locates of underground utilities, w . o ersta amecall.or
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 r u,~. x
Applicant's Printed Name App 's Signa
Page 1 of 3
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA173003
Date Issued:10/25/2021
Permit Category:ePermit
Site Address: 3888 Cinnabar Dr
Lot:1 Block: 1 Addition: Cedar Grove 9th
PID:10-16708-01-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
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 -
Christopher J Lasswell
3888 Cinnabar Dr
Saint Paul MN 55122--161
(651) 895-4824
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature