4402 Cinnamon Ridge Tra..r 1
(gtrti#iratt of (Orrupanry
titp of (Cagan
EpparbnpttY 0f ludbWU J11.apP['tiDlt
This Ceriiftcate issued pursuant to 1he requirements ojSection 306 ojthe Uniform Building
Code certifying that at llee time of issuance this structure was in compliance weth the various
ordinances ojthe City reguJating building conrtruction or use. For the following.•
un a.ss;fic.tioa ? 12 ATP & G1i< sw Pam rb. 15114
O-WaY TypN R3/t1 I Zonin; Diurict PD .IYPe Coost. 5A1
OwnerofBuildin
8
? ? ?l?s?. ?i' .,
Bltildieg Add(ess ?i.. . .''.? . `,? - -..... _ rii1.'•,? ?hty
' n.k, _'?-P:.r' 2' ? aE$
Bwam offi;.i
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob'Road, P.O. Box 21-199 Ea
, gan, MN 55121
PH ON E: 454•8100
BUILDING PERMIT Receipt ?
To be used for Esk Value Date ? Site Address • ?
Lot Block ' Sec/Sub. -'
i1?hON R I Dt; EO'I'I
c Name
z Address
° City Phone `-? 7'`g
¢
,o
Name_
? ` Address
' ? City_
0-
" W W
FW
Name _
Address
Signature of Permittee .
A Building Permit is issu
Buiiding Official
4 P ? 1 a
19
OFFI CE USE ONLY
On Slte 3ewage Occupancy j
MWCC System Zoning !
On Site Well (Actual) Const -
City Water ? (Allowable) - '
PRV Required # of Stories
Booster Pump Length • L ?
Depth r`4'
S.F. Total 1
Footprint S.F. ?
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge o0
-77
Plan Review ' ?
SAC, City 1 10' (N.!
SAC,MWCC
Water Conn.
Water Meter
Road Unit '
Treatment P1 t
Parrc? . ?' ? ? i e a
??
TOTAL ? ? ?
, Permit No. Permit Holder Date Telephons *
Plumbing ?-j'•!? y _f''? ??"'
?
H.V.A.C. ?D QU G 4'??1P ?
Electric
Softener
Inspsction Date Insp. Comments
Footings I ? ad?
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?l-
Rough Htg.
Isul.
Fireplace
Final Htg.
Final Plbg. '
Bldg. Final
Cert occ. g ?
Temp. LP
Deck Ftg.
Deck Final
Weil
Pr. Disp.
PERMIT #
' ? • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PIIOT KNOB ROAD, EAGAN, MN 55122 DATE ?'?`sr
ITRACT PRICE $ 2500. 00 PHONE: 4544100
m Name ?+? euaaoie neacx ana A/ S.
? Address 2619 Caon Ra tds B1v.
c Ciry Coon Rapids Phone 757-5040
Name 1-8chman }tomes
c W
iI04
462
Address th St. r
0
'
p C;ty Edina Phone gy -
-,
TYPE OF WOq K - -
Forced Air 75, 000 M BTU 24 0"
Boiler M BTU $
Unit Heater M BTU 4t !I
I
Air Cond. M BTU R
Vent I b4&hL faa CFM
Gas Piping OuUets # vaeter io f.urnaceg 1.5('
Other $
l
FEE: `5 '
S/C: I
TOTAL• 20.,
BLDG. TYPE
Res. ?
Mult
Comm.
Other
WORK DESCRIPTION
New
Add-on
Repair
FEES
M BTU
1/C ON NEW
- 1 PER PEftn
- $24.00
- 6.00
1.50 EA.
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
SIGNATURE OF PERMITTEE
MINIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
FOR: CITY OF EAGAN
PERMIT #
•' ? PIUMBING PERMIT RECEIPT ti
CITY OF EAGAN ,.,
3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE: 1 CONTRACT PRICE PHONE: 454-8100
Site Address ndili0n Ridge 1"i!
~
Lot
Block ? ? . SeclSub
S
? Name Y artd K Htj an R y, Ir1C.
1 L
?
k Rd
60?
? onC
a
Address
'
C c;ry Rockfor'd Phone 477-5505
? Name ZacFunan
S
104
4
20 W
7 h$
; 6
. 7
i te
t
Address
o City Edina. Phone 893=0755
FEES
COMM/IND FEE - 1°r6 OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPIIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHAfiGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
,
SIGNATURE OF PERMITTEE
t i
FOR: CITY OF EAGAN
BLDG. TYPE WORK Q?SCRIPTtON
X lo
? i tS Add
-on
Mult.
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING: ?
NO. FIXTURES TOTAL
? Water Closet - $3.00 $
-?
? Bath Tubs - $3.00
? Lavatory -$3.00 -
Shower - $3.00
1 Ki?chen Sink - S3.00 5 ?
Urinal/Bidet - S3.00 ?
Laundry Tray - S3.00 ,y
E
Floor Drains - $1.50
? Water Heater - $1.50 ?
Whiripool - $3.00 ?
J-Gas Piping Outlets - $1.50 +
' .?
(MINIMUM - 1 PER PERMI
n r
?
Softener - $5.00
Well - $10.00 "
Private Disp. - $10A0
Rough Openings - $1.50
FEE: ? -
STATE S/C:
GRAND TOTAL: ? '
'RACT PRICE: 3830
MECHANiCAL PERMIT
?
m Name
?
? Address Fi
c City •?,V Phone
Name Z
?
? Address
p Ciry Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU ?"-
Vent CFM
Gas Piping Outlets #
FEE:
S/C:
TOTAL•
PERMIT #
RECEIPT #
EAGA41
DATE:
D, EAGAN, MN 55122
54.8100 For Office Use Only: ?
BLDG. TYPE WORK DESCRIPTiON ?
Res. New ?
Mult Add-on j
Comm. Repair ?
Other
?
FEES ,
?
RES. HVAC 0-100 M BTU - 324.00 i
ADDITIONAL 50 M BTU - 8.00 ?
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION) .?
?
GAS OUTLETS (MINIMUM -1 PER PERMIT) - 1.50 EA.
COMM/IND FEE - 1% 4F CONTRACT FEE `I
APT. BLDGS. - COMM. RATE APPUES ?
TOWNHOUSE & CONDOS - RES. RATE APPLIES ?
MlN4MUM RES4DENTVAL FEE - Att ADD-ON &
REMODELS - 12.00 ?
MINIMUM COMMERCIAL FEE - 20.00
STA7E SURCHARGE PER PERMIT - .50
?
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000) 9
OF EAGAN
?
9// g? /G/, e A/
lig-? r
Ter#tfira#e uf COrrupttnry
titp of eagan
lirpartmm# of Butlbing 3Wpriion
This Cerlifuate rssued pursuant ta the requiremenls af Section 306 of The ilniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinunees of the City regulating building eonstruction or use. For the following.
use ClaW&MW ? ?:'- • ?' Bdg. ltrroit No.
Occupancy Type ???'"i • Tnnieg District '(?pe comt VF2
&VIM4 IMMERS . . , ,: U w 77r H S. , rDM
Mchng ,? !? • 6, _.. ?I„y i.?z,, a i , c.?° t?...: 6UI
.7t1LY ')8, 19W
Huild;ng o?idel
POST IN A CONSPICUOUS PLACE
3830 Pilot
BUtLD(NG PERMiT
To be used for ?' °
? EAGAN
3ox 21 •199, Eagan, MN 55121
454-8100
Rece'rpt
Est. Value ,'A•00()
Lot z Block 1 Sec/Sub. CIN1iA" ltli'.`CE 6T
Ciry Phone
I hereby acknowledge that I have
information is correct and agree
Minnesota Statutes and City of E
Signature of Permittee
P
On Sfte Sewage Occupancy
MWCC System ? Zoning ? j
On Site Well (Actual) Const
City Water (Allowable) t
PRV Required # of Stories
Boosler Pump Length
Depth
S. F. Total
Faotprint S.F.
APPROYALS FEES ?
Engr./Assess.
Permit ?
3
?;•,Ct!
?'s'LG? ?
Planner 5urcharge 1?q?? I
Council Ptan Review
Bldg.Off.
SAC,City '
`
Variance SAC, MWCC '
Water Conn. ?
Water Meter
Road Unit
Treatment P1
Paiks, opie" , ?,..
6' ` ? ?
TOTAL
- Permit No. Permit Holder Data Telephone it
Plurnbing 9646
H.V.A.C.
Electric
Softener
Inspection Date Insp. Commertts
Footings I
Footings II
Foundation
Framing
?
Roofing
Rough Plbg.
Rough Htg. ?r-
Isuf. ?
Fireplace
Final Htg.
Final Plbg.
Bldg. Final
Cert.Occ. ?
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
. . . . . . . . . .. . . . . . . . . . /
, PERMIT #
MECHANICAL PERMIT
CITY OF EAGAN RECEIPT # " -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: T'-irP 1=?• ?-`14?'
CONTRACT PRICE: PHONE: 454-8100
m Name _
m Address
c City _
-I
TYPE OF WORK
Forced Air 75.00 0 M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent ] ba[ i fan CFM
Gas Piping Outlets # meter to :urnai
Other
I
FEE:
sic:
TOTAL•
BLDG. TYPE WORK DESCRIPTION
Res. R New ^
M ult Add-on
Comm. Repair
Other
FEES
RES. HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU ` - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PEkMIn - 1.50 EA.
COMM/IND FEE - 1% aF CONTRACT FEE
APT BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPUES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
n
,._
PERMIT #
PLUM8ING PERMIT
CITY OF EAGAN RECEIPT #
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site
m Name N U e, nLU a r 1k
AddresjfAi Lone aak Rd
C city Roc'<.fut^d Pnone 471-5005
,. Name ZachRen
c Address 462'.'! 14. 77th St SUite 204
o Ciry ??i n?i Pnone ?3? 3-?755
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMMIIND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BIDG. T1f?PE WORK DSCRIPTIOM
Res. rNew ^
X 2 uili'tS
Mult.
Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWIMG:
NO. FIXTURES : TOTAL
I Water Closet - $3.00 $
I Bath Tubs - $3.00
` Lavatory - $3.00
Shower - $3.00
? Kitchen Sink - $3.00
Urinal/Bidet - $3.00
` Laundry Tray - $3.00
' Floor Drains - $1.50
Water Heater - $1.50
Whirlpoal - $3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
-..." Rough Openings - $1.50
FEE: `
STATE S/C:
GRAND TOTAL:
CITY OF EAGAN Permit No: u 7ha 7 - t ' Of EAGAN Permit No: u? b? Date: ??t? 3830 PJlot Knob•?Road Meter No: ?o 3! 38 ?. Date: 51,9 OC
i pilot Knob Road Meter No: 1-3 -S Size: s?? `? OC P.O,.'Baz 2118y Size:
Reader No: 11n P U 7 S S 3 Date: r? --_
Box 21199 Reader No: y 7 8 sy Date: Hayan, MN 55121
on, MN 55121
Owner. -
ier. ' Arh ar BiQS. Site Address:
Address: ''/'04 C'itmariotl. ^idQe Tr L2 B1 C f-i:n Rdg 6±! . _ Plumber.
Conn. Chg: L.5n nn.,,l
Acct. Dep: 15 (1:pa
Permit Fee:
Surcharge: . Tr. Plant ;??'-•?
Meter. .
K 21199
MN 55121
2oning: ?
No. of Units: 1
I ayree to comply with the Clty of Eaqan ?
Ordinances.
By a r_'?
WATER SERVICE PERMIT il
PermitNo: !W?14 Date: 7-12-9"
8/P No: S430C! Date: 5_.3._83 _
Addres,q:
k & R P1unhin •.
nber.
CC: : , `' . O4Pa Zoning. i?3 •
Ch
: iof7.Oc±c! No. of Units: 1
g 15
00
G Dep: ,p?
.
" I agree to comply wlth the Clty ol Eagan
nit Fee: ss
di
O
, p .
nanc
r
:harge:
B
,,.. Y
SEWER SERVICE PERMIT
nn. Chg: ,
ct Dep:
Plant Zoning:
rmit Fee: _10.00Q8
rcharge:
No. of Units: '•
1 agree to comply with the City ol Eayan
Ordinances.
. r er??-,,? `
WATER SERYICE PERMIT
CITY OF EAGAN Permit N
3830 Pl.loi Knoti Road B/P No:
P.O. 3ox 21199
Eagan, MN 55121
Site Address:
Date: 7,
Date: c-
EI Cina BdA 6tt,
MWCC: r 50 ,n0 2?- Zoning•
City Chg: 100•oopd No. of Units: ?
Dep:
Acct 15. 00pd
. 1??. I agree to comply with the City of Eagan
Permit Fee:
Ordlnances.
Surcharge: '
Misc.: BY
SEWE R SERVICE PERMIT
10913
4? 300
This rrquest void /? L?C, ?j>
18 months from ?L?Y /? rj
E 4221
Request Oate fire No. Rough-?n Insper.t n
Requtred? OReady Nuw)&Will Notify Inspec-
.6 es ?No [or When Ready
L-censed Electrical Contractor 1 here6y request inspection of above
? Owner electricel work inslalled at:
Street Address, Box or Route No. City
d z- e",W OAM g, 10 '_? _ !L Lfn
ection o. Township Name or No. 7 nge No. County
Occupant (PRINT) Phone Na.
2-A-_ Q / ?075?
Pnwer SupRlier Address
bAP?, C' L / /CJ
Electrical Contractor (Company Name) Contractor's License No.
M.#51"&2- c Ae-t o 0 4/F 3
MailinA Address IContractor or Owner M
,P44 aking Instailation!
Authorized Signa e(Contractor Owner Makeng In tallafio 1 Phone Number
C .. .? -
neINNESOj{I STATE 80ARD OF ELECt#CITY
Grigpa-Midway Bldq. - Room N-191
1821 Universitv Ave.. St. Paul, MN 56104
Phone (612) 642-0800
iHIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLESS PFOPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-ooooi-os
1 See instruclloos lor completing Ih,s fwm on back of ysllow copy.
E 4221 "X" Below Work Covered by Thrs Request
Now AAd Rep• 7ype of Building Appliontee 1Mirsd Equepment Wired
Home Range Temporary Service
Duplex Water Heater Liyhhn,y Fixtuies
Apt. Building Dryer Electric Heatin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldg. Air Conditioner Bulk MiIk Tank
Farm tnrr pecify Isro?,:,tyl
17roeci y t er Other
(=mmmutv lncnPCljnn taa Kalnw
k Fee ServiceEntrente5ize b Fee Feeders/Subleeders i1 Fee Circuits
0 to200 Am 5 0 to30Am s - 0 tn30Am s
Above 200 Am ps 37 to 100 Amps - 31 to 100 Am s
Swinvning Pool Above 100-Am s Above 1f10_AmpS
Transformers Irngation Booms Partial, Other Fee
Si gns Spec ia l Inspect ion
$
TOTA
Rerrrarks ??2 .0r4
- v
Rough-In teI, Inspectot, Aereby
rtify that the above
Final ?
27 inspection has baen
r . - .
This rspuasl void /B months trom
CASH RECEIPT ?
CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
lr/
DATE - ?
19 `
AMOUNT $ ?
O CASH
?
r CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
/ - , onTE ty i .?
_ ?
AMOUNT
?
& oai.nRS ? a oou.aRs
,o' ,oo
6(CHECK ? CASH ?1 CHECK
?
i
MR
.-
? I
AMOUNT
?
I
?
FlJND OBJECT AMOUNT
? ?2 oI O? ?G.CJ O?
?
d ?
G l ?
?; y-
Thank You ?---= LeY
yers Copy
)gmv copY
COPY
LL?
O
D
r
;N
- IV V N N
rg 8 V O O O ooz? ?
C
N 0 ? ? ? ? O
OO OD VA V N V
?
tn T C ? W W N ? OD CT CJ? V ? 0 Lri
0 C11 N O ?-V
??.m
33
?- D o c y c
o m m m ? c?o m n Q? D??p
a
o ? m ;o m ? ? a D ? ?
3 V1
CD
? 1 ? (v
. . . . . _ ?. ?
4
\
This request void
18 months trom / O O ?j
E 3961.? ?3l
Request pate Fire No. Rouph-?n Ins ecti
Requlred? aNuw Q Will Nnufy InsPec:-
Z Z ?? ?Yes a lor When Ready
lcensed Electncal Contractor I hereby request inspection of abova
? Owner electricel work inalalled wt-
Street Address, Box or Rou e No. City ?
ecuon o. Township Nam or o. ange o. County
Occuuantl INTI
.-/ P? Phone N
?9 ? 7 9?3
Power Supplier Address
Electrical Contractor ( ompany Namel
5'71ec Contractor's License No.
zs s
Mailing dress IContr ctor or Owner Making Instailation)
Authorized Sign ture (Contractor Owner a king Installation) Phone Number
7
MINNESflTA STATE BOARD ELECTAICtTY THIS INSPECTION REQUEST WILL NOT
G,i99s•Midway BId9• - Room N-191 BE ACCEPTED BY THE STATE BOARp
1821 Universitv Ave.. St. Paul, MN 55104 UNLESS PROPEIi INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED.
REQUEST FOR CLECTRIGAL INSPECTION . Ee-ooaoi -os .
? See instructions for completin4 this form on back of vellow copy. ?F
"X" Below Work Covered bv Th, c Rp.,uos.
396
iW. AAd Reo. Type ol BuiIding
Hom@ Applioncea 1Mirad
?n
Equipmant Yyired
Duplex ge
Water Heater Temporary Service
Apt. Building
Dryer Lighhn,y Fixtures
Commercial Bldy.
Fumace Electnc Heatin
Industrial Bldg.
Air Conditioner 5??o Unlo;?der
F Bulk Milk Tenk
arm
t
r
i Other peci y .iher I9n,,;,ty1
.
y
Ucc Iher Othur
01I 1D1/I B /nc na?finn C,.,,
. CITY OF EAGAN
' (v2 151 14
•
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55 721
i
PHONE: 454-8100 (#L /s Q D
BUILDING PERMIT Receipt# 0 T
Tobeusedfor (1 of 2)? DUP Est.Value $56,000 Date JUNE 3 108
Site Address 4402 P.INNAMON RID E TR OFFICE USE ONLY
Lot Z Block 1 Sec/Sub.CINNAMON RIDGE 6T OnSiteSewage _ Occupancy R-3 M-1
MWCC System X Zoning PD
Parcel No.
V-N
On Site Well _ (Actuap Const
x Name ZACHMAN BROTHERS Cirywater _X- (Allowable) V-N
w
z
4620 W 77TH ST #104
Address PRV Requlfed
- # of Stories
? _
City EDINA Phone- 893-0755 BoasterPUmp _ Length 24'
Depth 54+'
¢
o Name SAME S.F.7otal
.
? Q Address Footprint S.F.
¢ City Phone ppppOVALS FEES
1-a Engc/Assess _ Permit 398.00
w Name 28
0
_ i Planner Surchatge .0
i -
a? Address
Council
PlanReview
199.00
w
a Cit Phone
Y
Bldg. OH.
SAC, Cily
100.00
?
I hereby acknowledge that I have pplication and;[atp Ihat the Variance SAC, MWCC 550.00
mformation is corred and ary e to comp wit Crable State ot
r Water Conn 550.00
Minnesota Statutes and Cjfqof Ean in
e
Water Meter
67.00
Signature of Permittee Road Unit
O
325.0
A Bwlding Permit is issued to: ZACHPSAN SROTHERS Treatment P7 204.00
ontheexpresswndrtionihatallworkshallbedoneinaccordancewithall peok-Xpp105 1.00
apphcable State ot Minnesota Statutes and City of Eagan Ordinances Z 422 00
TOTAL ?
Bwlding Ofhcial
r
T
1 OF 2
CITY OF EAGAN N° 15115
.
` 3830 Pilot Knob Road, P.O. Box 21 -199, Eagan, MN 551 21
.
14
PH ON E: 454-8100
,
/
?
?
BUILDING PERMIT Receipt # 8
B
.7
"T
Tobeusedfor 1/2 DUP Est.Value $56,000 Date .TUNE 3 ,1988
Site Address 4404 CINNAMON RIDGE TR OFFICE U5E ONLY
CINNAMON RIDGE 6T
Lot 2 Block 1 Sec/Sub on Site Sewage _ Occupancy R-3 M-1
. MWCCSystem X 2oning PD
ParcelNO. V-N
OnSiteWell _ (ActuapConst
a Name ZACHPfAN BROTNERS Ciry Water X (Allowable) V-N
z Address 4620 W 77TH ST ?/104 PRV (iequired - # of 5[ories
a City EDINA phone 893-0755 eooster Pump _ Length Z'
Depth 541
o Name SAME S.F Totel
,
oa Address FootprintS.F.
0,
-
City Phone
pppROVALS
FEES
?a Engr./ASSess. Permit 398.00
Name
28
00
? W
z Planner Surcharge .
i
,, Address Council Plan Review 199.00
a W City Phone
Bidg. OH.
SAC, City
100.00
I hereby acknowledge ihat I have read this application and state that the Variance SAC, M WCC 550.00
mformation is correct and agree to co II a le ate of Water Conn. 5$0.00
Minnesota Statutes antl City of Ea Ordinance .
Water Me1er 67.00
Signature of Permitlee Road Unit _ 325.00
A Budding Permit is issued to. ?ACH 0 S'?S Treatment Pt 264.00
ontheezpressconditionthatallworkshallbedoneinaccordancewithall pafnfCopies 1.00
applicable State of
Minne
so[a StaNtes antl Gty ot Eagan Ordinances. 422.00
2
?
p
?
J
?
? TOTAL e
1 1 Ml?t__ f,
,_I
y
.
Building Official_
r- i
1988 BTIILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMZLY DWELLINGS ? ? ? • ?
ZNCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE UNITS li OE UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONAERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATZONS
To Be Osed For:??s_
Valuation: Date:
Site Address aT?t,rrr, S(O OFFICE USE ONLY
Lot -?-- Block On site/sOVp?ewage_ Occupancy -3 M-I
Parcel/Sub
&/ A'
Owner
Address
4 c,1 4-/0V
City/Zip Code t"(l',r ??, 161?ti S7Y?`?
Phone \ 1 ? 7 - 7)-7
Contraetor 45 /)W?
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone II
MWCC system
? Zoning AD
On site well Aetual Const y- rl
City water ? Allowable Y- N
PRV required # of stories
Booster Pump _ Length
Depth SH- O"
S.E. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 398.00
Planner Surcharge 2 S,00
Council Plan Review 199,00
Bldg. Off. ?G/j SAC, City I 00•00
Variance SAC, MWCC ?5 ,00
Water Conn .55p, 0
Water Meter 6'7•0?
Road Unit 325,00
Treatment P1 Z,OU,aU
Parks
Copies D D
TOTAL
K 1077, 2
8/?319?-,CD?,' 4?,
Fequesi Date Fre No Rough-in Inspectio
Re9uiretl,
?d'?ady Now, 7- WiII NoMY Inspector
?ves o WhanReatly'
Iffhcensed contractor D owner hereby request inspection of above electncal work at:
Job Atltlre?s.s(?S,tre[el? 8ox or Roufe No )
o ^ A Qry
/?'?U
Seclion No TownsM1ip Name or No Range No Counly
Occupant(PFINT)
.? _.? K?? 5 Phone No
P wer SupPlier Atldress
?/
//?
Elaclncal ConVector (COmpany Name) ContrdcWr5 License No
?3(t&?'d
?v--?, ?r u?
MaiM1nq A V or or Ow?er Making Insallallon)
Y ...-: ai?h3{'J92?t
q-,'r 1 PNl-
Autnoraetl '.dwner MBkmg Inslallation) Pnone Nomber
y'+
W14M
MINNESOTA S?ATE B flD Oi ELECTPICITY THIS INSPECTION REOUEST WILL NDT
Gnggs-MiGway Bltlg. - Roam 5473 BE ACCEPTED 6V THE STATE BOARD
1811 Universi[y Ave., St Peul. MN 55104 UNLESS PPOPEP INSPECTION FEE IS
Phuae (612) 642-OBUU ENClOSED
REDUEST FOR ELECTRICAL INSPECTION ?y? ee-oonm-oe
0- See Insirucllons fm complenng Mis torm on beck ol yeAOw copy s?10772 "X" Below Work Covered by This Request I?
ew Add Rep' TypeoBwlding ApplianceSWired EqwpmentWued
Home Range Temporary Serwce
Duplex Water Heater Elecinc Heating
Apt. BUlldmg Oryer Other (SpeCity)
Comm /Industnal Furnace
Farm Air Conditioner
Other(spemly) ConVaotor5 Ramarks ?_
Compute lnspecfion Fee Below. ??
A Other Fee # ServiceEntrance5¢e Fee S Crtcmts/Feetlers Fee
Swimminq Pool 0 ta 200 Amps 0 to 700 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS InspectorS Use Only I TOTAL
Irngahon Booms
Speciallnspection ?
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above mspection has
been made. Ro°qn-'" ,
Fhai ? oale
oat ?
OFFICE USE ?NLY ?
TNS request wm0 18 mamhs trom
J
ihis request void?., ???? ?
18 ??n[hs f?om
E 422L ?4/
JF,ne u: `? 2.?'? quest Gate No. FouPh-in I sue,G n
FeOwretlI ?Neady Now Will Nouly Inspec
? Yes ? No «?r When Fendy
(NLLicensed Elec[ncal ConVactor 1 hareby request mspectmn of ebov¢
? Owner eleclncal work installetl at
Street AAdress. 8az or Foute No. C"y
?!?'!'??c,J i ?' " . ?'?/}/L
ect!-,.
.
To
wnsh?p Name or Nn.
qange No.
Counry
?ka77F
Occupanc (PqINT) Phone No.
?A?- ,?a 2S
93 -D 7s ?
Y
Power Supulier Adtlress
? W."j ?
Electncai Convacmr (Companv Name) Comracmr's License No.
/`?.esv?2? ?Er v?"
_
df?o 7,1"
Mailin9 AdJress IConbarm? oir Owner Makine Instailanon)
?
Authonced 5i9iia
lConvactor/Owner Making In tallatron) Phone Nomber
a'3 5S
MINNESOTq STqTE BOAXD OFELECTA(CITV
Gnggs-Midway Bldg. - Floom N491
1821 Umverstiv /1ve.. SL Paul. MN 55104
Phone (612? 642-0800
TNIS INSPECTION qEQUEST WILL NOT
BE ACCEPIED BY THE STATE 90Afl0
UNLESS PflOVER INSPECTIDN FEE IS
ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
2 1 See instmctwns lor comole<ing this form on back of yellow copy. 'SWr1/
tS 4 L 2 2 ".X " Be/ow Work Covered by Thts Request
l+dd Hep. &BBldg.. APOliancea WrteC E9u,umenl Wired
HoRange Temporaiy Service
DuWater Heater Lighbny Fixtures
ApDryer Electnc Heahn
CoFumace Silo llnionder
inqir Conditioner Bulk Milk Tank
FaOmrr peo,rv _mc? 15ne.,fyi
M Fae Serv,ceEnve?ce5ize ft Fee Feetlers/5ubfeaders # Fee Cvcwts
- U to 200 qmps
Above 200 q?????y 0 to 30 qm s
31 to 100 Amps 7 1 ?-
? - 0 to 30 Am s
31 to 100 qm s
Swimming Pool Above 100_Amps A6ove 100_Amps
Transformers
c IrnyaLOn Booms Parbal, Oth
oycwai inspecuon
Remarks
r
S y3 50-
TOTAL F
flough-in
me ElecVm
Inspector, hereby
Fnal e erLfy thxt the above
, ?i
7 mspection hes been
ina da.
Th?e repuest voi41B monthe tram
Bon NrnEgtlr-8
Associataa, Inc.
r
8a80 wallace RoaE ?.?
'tlen Aairie, Minneso[a 55344
--`
_ (812) 9304262 - IIIeeee ;.
CERTIFICATE
_ .' OF
SURVEY
= --Engineering
. " -- ' Land S6rveying
- - 7: Landsoape Arcbitecture
, . '- -. Planning
Survey for:. ZAL.NWIXI?S $Q-i0S . GOfJST. I Job No. SZ3'?( I Bk. Y27p9. 67 I
D ?eK??pcc?
?IL
I
;
,o.0
, l
t ?
rp z1
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N9 °
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I
,y.5 I i
N
I?
W I
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o ,I 1
r _ q D)
D2RkNikL>EAupu'c«I'rY
5 1 ?AaSEw??.p.]?"5
,?o Pq2p'?3
?
-- 92!•5
T ?
?
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l?
?
I
I
140)
?bE
Iq2fA? ---.?
I I qZa 9
1
I 5
?
"?'• 13.24'
,O.?oPOSEO ELEI/A7/oNS XXX - oENoTES EXIST/NG ELEVAT/oN
LOyVEST FLG27.2- ?J/S •S U???Fy ?XXX? - OENOTE 5 P/ZOPOSEO E(dYf1T/o/?
c5aARA6yE Flao,e- OENoTES D/RECT/o/J c,- FLoW
TO.° oF fouNOAT/oN- 9 2/.$ oP Su9Ff16E " 02A/N/aCae •
IHEREBYCERTIFYTHATTHIBISATRUEANDCORRECTREPRESENTATIONOFTHE80UNDARIESOF LoT2 ,BLOGk i
GIt?L?.1Arv?cN R%OGE 4?'L A.ODITION ??OTP`- COU 7Y,MINNESOTA.
f?
SURVEYED BY ME THIS DAY OF
R NALD L. KRUEGER
STATE REGISTRATION NO.iC370
_ ?19$
??J!
rt r9 2r y
?
1 ?
? ?AR O
0
. ?
eaDPNoV ?
w
?
0
a
1988 ffi)ILDING PERMIT $PPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1511y
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE HIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL ONITS FOR SALE UNITS ?OF UNIT3
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CONIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
_ VZ _
To Be Used For: I (d t.n 6A,l6
Site Address >
Lot 1-- Block
Parcel/Sub ?
Owner V;
Address x) l.
ncc4
& STRUCTURAL PLANS,
SET. OF ENERGY CALCULATIONS
Valuation: Date:4
City/Zip Code r((??JY P? / V/u
Phone ?? ? -- ?)7.S6?
Contractor 45 /?yGj[JU?•
Address
City/2ip Code
Phone
Arch./Engr. ?-&42_ AS gV&LrLc
Address
City/Zip Code
Phone S
S? OFF:
On site sewage
NE+TCC system _
On site well
City water
PRV required _
Booster Pump _
Occupancy R-3/M-I
Zoning P p
Actual Const Y-N
Allowable Y-N
0 of stories
Length
Depth Sy?_ CD?r
S.F. Total
Footprint S.F.
APPRODALS FEES
Engr/Assess Permit 39F3,00
Planner Surcharge 2g,Op
Council Plan Review ) q9., AO
Bldg. Off. 4?-k1c?3 SAC, City O
Variance SAC, MWCC 550,
Water Conn SSD. 00
Water Meter ?
Aoad Unit .3 2y , °o
Treatment P1 ?oo
Parks
Copies /. DO
TOTAL
Vq%-tA ,,-n stiJ , . ` :
GA RAG c
)6 X 20= 3G0 x1y= SoKLD
f 3 ?'.??nErsr
zz Y 3y =
tix s?rL ? ? 2
...?--
??ox 13: ?ooro
Housf-
? 3 ??i X ?y = `19 9
`1 ?c S%2 = z2
?--
$Z1 xL?°?=}OZ29
652 '?9
? '
.• ? l? ?. _ %? / ?-'•'?
E}:TtiRI9R E:dVL':.OPE i+VCRNGE "U" CG`:PU77.TI0.7
0::l:ER
SITI: I.DoIcESS '4 'A INN F 1fllr? 7reA 1t--
coU:MAcroR zpcN/qRN IY /toS Dnz? 3?8? PHotrE 8' 93 - 0 75- 5-
Determine wor.king squarc footage of each.
1. Total er.poscd v.all area . . . . . I f-Z 3 • 37 sq. ft. X
..... Z/sq. ft. X•
2. Total roof/ceiling area g
p. Total wall windo:a azea ......................... 9-7, j
S`
B. Total ooor area ................................ 3 71
C. Total sli.ding glass door area .................. -
D. Total fi_-.eplace wall area ...................... -
E. 9'otal wall framiny area (average lOR) ....... ..'..
F. Total Rim joist arca.............. ••••••••• /IL*" 9
G: Total Nct toall area above iloor. • • • • • • • • • " "" -f Is?
Gz " " c?tnlT ¢o. r
Total ex?oseo foundation area
H. Total fcur.3ation tiir.dox arca ....................
1. Total r.et £outidation area above grade...........
Detercaine "U" value of each wall se,:nent.
a. $7, s x ?,u,l • ¢7 = P /•a 3
b. 3 7- s' x"u^ •(? 7 = S, / 7
c. X "U" _
d. X "U"
e. X foudi
f. /¢?•97 x "U„
g. 9/5"ZI x °u^
a
?
, oS ? g.f3
.?!-1?i a ?j''T` •
, d?77 = ¢ 3 • ?S
,p7j/ s / 2S
3 ............... r..2'3. ..7.........Tota1 ° ? 3 • 'C /5 4?,- 57
.
IC itrm k3 is t!le smua ns, nr less thail iCem 1l1, yc:u l,ave mot the intent- oi
: IsC 600t: (c) 2.
Total exposed roof/cciliag arca = $ 2/
Tocal skyliylit area ............................... s? 9 S
Total ioof/ccilir.g frami.n, a:ca (average 101)..... $/ • S6 _
Toial net in5UlaCed root/ceilinq area .............. '7 33- SS
Determinr_ "U" value for each roof/ceilin, s;:qm•±nt.
j• x ,Iu,I
k. >: .,,,.,
i. ? 3 3, ss_ X°0°
z.97-
,aZ3 = l 's-7
o2C _?•?o)
a ..............
. .xotal
....... .............
= Z 3 ,
9 Z ?7
2 / ' 3 54
If total of 44 is the same as, or less than #2, you have r:et the intent of
S3C h.:0U6 (c) i.
Tlternate Bui:clir.q Envelopa Design
To utilizc the total en:+eloyc system r.:ethod, thc valuPs ^stabiishr3 ?!
sula ot i.etu n3 ar_n x4 shn11 7.OL be grcater tha-n t}ie sun of : i ai1d tL2.
1._ ts? , sZ + 2. 2 ? • 3 ? ? ? 2 7. 9/ 't
s. ? //3• 7 +a. z3-9y = l37•Gs
?
ii
l
?
F;};TLRT9R E:iVtiLOPE i+\'CR1GE "U" CG::PUiiTIG:I
O::I:LR
siTr t,oDRcss Lq yoL) c,R,c1,E IVZ??/ 1.-
coJa.NACTOR 2,A eNHig N lY fL oS Dn7 PI30t7E 75- 5-
Determine working square footage of each.
1. Total er.posed r:all area ..... /f23•37 sg. ft. X '//
2. Total roof/ceiling area ..... $ 2? sg. ft. X•G 2 C -1 2- -:?=`-_J
A. Total wall windo:a area ................. ........
A. Total ovor area ........................ ........
C. Total sli.ding glass door area .......... ........ -
D. Total fireplace wall area .............. ........ -
E. Total wa11 framiny area (average lOR).. .......'.. /o/• G 9
.•-••• •••••••• 114" 77
F. Total Rim joist area ............
• •••••• "
?
L
G'. Total Net wall area above iloor.•••••• -?-
-?-
G 1 ' ' " e fin/T
Total exposed foundat ion area - 9 S- 7
H. Total f0u;3ation wir.•do•a arca ................... _
I. 2ota1 t:et °_ounBation area above gr.:de........... y s"
Detei-ni.ne "U" value of each wall sec;_nent.
a. $ 7. 3 X "U" , ¢ 7 = 4- /, o 3
b. 37- g x°uff -197 S,/7
C. X nUa =
d. X nun ?
e. l 4/ • Gy x.,U" , o S' = g.13
f. ? T t? • 77 X "Un . O
g. q/S 2J g.,U.. , d`f77
x „U- 3/
X .-U,. , G 83G
3 .... ....?4.23'?7 .....Tot1i = lSG-5/
.,
....... ........... ,
IL itom h3 is thc sa11:0 as, or lecs than icem 1l1, yau La%'c mot t:hc intent oi
'_'.
SItC GUaf (a)
Total c>:posed roof/ccilin9 aroa = g?
j. Totsl skyliytit arca ............................... S- 9 S
k. Tott:l roof/ccilir.g framinq a:ca (average 10°)...... $/• S 6
1. Toial nct insulaced roof/ceiling area .............. -7 3). SS
Determinc "U" value for each roof/ceilin, sc!?Jm?-nt.
? i. 5-- X.,u„ z. ?
k. gr ? „u„
?. 733x"U„ oZc =?•_o)
4 ............................ .......Total = Z?j • 9 Z J 2 ?" 3/
If total of 414 is the same as, or less than #2, you have met the intent of
SBC 6006(c)i.
Alternate Builclir.g Envelopa Design
To u'ilizc thc total enve.lopc system r.:etliod, the 1%31ll?S CSt1li115}?0d I-; •_t'._
suci oi iter.u n3 ar_d E-i ;h%.li r,ot be grcater thao the sun of !-t--:s ,-;i ancl e2.
0'?L
3. ? ii3• ? +4. z3-yZ =-.i?•?s
-,; . . . .
• /ci,tI.i::c
nted
FIG. n5
11caC flow
Up
.
1'.eat :loU vp ventrd
, •
• FIG. 66 • ?
rO3--- o@ F<D n
/? ? LJ 1 1 l-?•.J 7}
f-
?
/
?
ro::-?•;.::r?o
' • t?r,?1C •
' ??.... ....
Conr.Lruclion ([Jne fo[ Itcm L) J:=V:t ]lic
l Inlcr.ior air film
2. ,
3. ?? 2 ?? Ce?TuZose 4, T:>:lcrior .tir filn
- 0.61
--?
?on?. - - - ---?^-- -•
o.Z?l?
Tncal
U = ?oZ?
CT.G.
1. FRAMlNC([ise
Interior rir for Itcm K) '
film_
0.61
2. 5/8" GZ'P, Bnard .69
3. Incli^s soft wood 3 z° 4•38
9, 7nches insul above framing .`-Z-
5. nir Film Ll
1.
Snterior air
film
U- 7 , ct 9 _
?JZC -
0.61 "
2. . .
3.
4. Exterior air film (still) 0.61
, Total
? i
1.' InsSdc air film O.G1
2. . ------
:i.
5. OuU;ide air [il:n _0•17
.--- • Tci:ai
L-ional ::hccts if mi?r.e ?j'•::c i:,
V ?:??c:l?:l inr drt.?il:: ?ud c.?lcn???Ciun.^•.
v ?
- '. . I????.?r .•? ? 1 t? ._?
. 1;.?. 1,?? ??1 c•???.?u^ ?:.)11 ai'ca fOt
fr.:5^ co?sciruction
_---- l ? 1--1 11 /.l
IC
LL•.
.
FIG. 1?
FIG. $2
IS, :.C??
ie=a1
L
x??1r
y
1 . .T? J 1:;9 OF
r•rsute r;nLz
? '_____- ? __-•-.-----?
? ?i --------a
fl
. ti o .. .
r• c?'•:
JC
' ! - ? `?--•.
l^?,
-----? ?
-r
Crni ::triich ion 3:-Vnluc
1. ?li?'c•? ior :?ir film
r
-
-- O.GII
2, c
?
2Gvp. Boa
3. 3z" inct:cs ?oft. ?.•nc+.l .3$
q. 3/41, Thermax Sheathin .00
, S. 71 ff" Hardboard Siding .67
6. ExLcrior iir film : 0.17
• 4'utal 1z.35
U = .08
1. Intcrior air film 0.68
2. Z-" Gvp, &bard _ .4$
3. R- 13 Fiber lass Patts 13.00
q, 311 Thermax SheatliinR 6.00
5. 7% 16" Fa rdboard Sidine .6Z
6. E.?tcrior. air filn 0-77
Total 20.97
U = .0477
/
• 1. 7nterior air filn O.Gfi
2, R- 13 Fiberglass Batts 13_00
3_ Rim Jst. Sofftwood 1.88
?
? '. 31-4" Thermax Sheathing .00
5_ 7 1" Hardboard Siding
' .67
L1 0. £r.terior air Tilm 0•17
7btE1 22.40
? u = . 0446
? 1, Intcrior air film
- 0_69
Z, Thermax Sheathing 10.00
v ?• . 3. Conc. 1.11
?? . ' 4.
5. -
• G. Extcrior air film 0.17
Tctal 11.96
. . . • • u = -?
--
----
.0836
SLAII ON GPMDE
83 ? ?rr • . '
• -- /!?
Y
_:?------^
.
• , !!( I=t ? , LV ? ' a • • • " `!1 i =
? . ? • • ? ???
r7c. 04 1IC R• '` • °
•-- ? •._ • ?
? ? -? -?•--i ?.C_' ,? ?!?
• (!? - _ ---- _
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
. . ., .. . ... .
.
x NOTE: PAYN]fS7P OF M AT 1`IME OF .
,
? APMICAzaN ooES rzrr croN- ;
? SCi1i71E APPRaJAL OF PF72bIIT. :
?
i I[1SPHCIION OF SEWER ADD/OR M7Flt •
t
i I[1S'TALiATIIX1S WIId. NOT HE S'cnnrcn ?
i IRTPIL PIItNQT HAS H@I APPROVID.
?s++er??xar++?rrt+?i???*t+??:?.:+ywww++
dty OF Cceqan
(PLEASE PRINT
1) PROPII2TY ADDRFSS: 1?rc? elNNarrjOw F? 1 1 P.
7•FY;AT• DESQtIPTION; Lot B oc S ivision or Tax Parcel ID
IF EXISTING STRL'CTURE, DATE OF ORIGINAL B[!ILDING PIItMIT ISSOANCE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q COMNIERCIAL/RETAIL/OFFICE ,_I R-1 SINGI,E FAMILY
Q INDC'STRIAL R-2 DDPLEX (3WO C'nits)
a INSTITUTIONAL/GOVERNMENT ? R-3 TOWNHODSE (Three + Onits) ( Lnits)
Q R-4 APARTMENT/CONIDOMINIUM ( L'nits)
2) ? NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) i:?• NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE: 4?-7 MASTER LICENSE # 2p2g_
I? Active
Expired
Not recordec
St Initia
4) ?? ?•
ru,rE:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
F,:INDIcFYP !C'WHIC
? CONNECTION 'In CITY SEWER [p CONNECTION TO CITY WATER O OTIM
6) ?
*****:r********t*****:?******,?*:r**???**+*************,t***,t*****??*****?*?+*+**?**?****?**+?****,c?*:r?xy
*'1YIE GOID COPY OF 7HE PERNIIT WILL BE SENP DZRELTLY TO PUffi,IC WDRKS 70 FACILITATE MEPER PICK-IIP. .'f
?*. PLEASE ALI.OW ZwO WURKING DAYS FOR PROCESSING. SOmIDONE FROM TfE CITY WILL CONi'A(.T YOL? IF 7gIERE +
* ARE ANY PROBLENS. +
?r*?*****??********,e**?,t*********?******,r*r*,r**«**?*+*******,r??*+****,t****?*?**,?*****?+****:r****?***;
F'OR CITY USE ONLY
PERMIT # ISSCED
/ ?7?"C7
Pd w/Bldg. Permit FEES:
$ $ /D , 5-Z SEWER PERMIT ( INCLODE SC'RCHARGE)
$ $ /D WATER PERMIT (INCLUDE SL'RCHARGE )
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLC'DE CORPORATION STOP)
$ $ SEWER TAP
$ $ ?5,6 ACCOUNT DEPOSIT - SEWER
$ $ ACCOONT DEPOSIT - WATER
$ WAC
$ SAC
$ $ TRLNK WATER ASSESSMENT
$ $ TR[!NK SEWER ASSESSMENT
$ $ LATERA L BENEFIT/TRL'NK SEWER
$ $ LATERA L BEN°FIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SORCHARGE
$ $ OTHER:
$ $ , /' D CJ TOTAL
?-o 0 Za?7f
RECEIPT RECEIPT
DOES L'TILITY CONNECTION REQDIRE EXCAVATION IN PC'BLIC RIGHT OF WAY?
E-1 YES IF YES, THE[V A"PERMIT FOR WORK S9ITHIN PC'BLIC
Q ROADWAY" MUST BE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
- ,
141% ?
APFLICATION FOR PERMIT
SEWER AND/QR WATER CONNECTION
.. ... ..,
.
.*` NOTE: PASGffIdf OF FEE AT TSME OF *
; nrriaCATIo¢a oots Nar car ;
; srxTUTE AerxcVnr, oF PearnT. ;
. .
; icseEcrxaa os sfzaM nrn/Ot wr+xER ;
; irisruurxorts wUL Nar se scmurm ;
t UNPIL Pf7iMIT HAS B@7 NppROVID.
?iffY4tYYf?f1##?f 4#?if?fri#1tft4Yt'MRfi1(Ye
OF eagCon
(PLEASE PRINT
1) PROPERTY ADDRESS: 44?? C???!lf5.t? el ? ap
T'FY:AT' DFSCRIPTION; - /
Lot B ock S vision or Tax Parcel ID
IF EXISTING STRL'CTC?RE, DATE (
PRESENT ZONING/PROPOSID DSE:
Q CONA1E2CIAL/RETAIL/OFFICE
Q zrmcsTRiat.
Q INSTIZS)TIONAL/GOVERAIINENT
)F ORIGINAL B[)ILDING PERMIT ISSLANCE:
Nbnt Year
IJ R-1 SINGLE FAMILY
? R-2 DL?PLEX (Tt,ro Cnits)
? R-3 TOWNHOC'SE (Three + Dnits) ( Lnits)
Q R-4 APARTMENT/CONIDOMINILM ( Lnits )
2) ? nAM: r C'-cP.-f, s r'L
-Ag
i-f
AnnxEss: b ?-otie
CITY, STATE. ZIP: k,t,jc
PHONE: 'V7 .-5^cq?
For City Use
3) ? NAME; Pl rs L,icense:
Active
ADDRESS: I?
Expired
CZTY, STATE, ZIP: Not recorded
PHONE: MASTII2 LICENSE # !?,O 9? St Znitial
? " • ia?•
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) 0) (1 , a . DI.
0 CONNECTION TO CITY SEWER [M CONNECTION TO CITY WATII2 O OTHII2
6)
*+,r:*******+**.?+,****?****?*?******,:******??**********?*****?********:r*****+******+**?*************?
?
* THE GO1D COPY OF TfE PIIiMIT WILL BE SENP DIRDCPLY T0 PUBLIC WORKS 1O FACILITATE MEPER PICK-OP. ?
* PLEASE AiSAW TWO WORKING DAYS FOR PROCESSING. SOMEONE FROM TfM CITY WILL CONfACT YOU IF THEE2E
* ARE ANY PROBIIW. +
?********?***?*****+*******+«r*?*+**?****+***********+****,r*****+**«***,r**?*?,r***+,r**+??**+??**?***y
F'OR CITY USE ONLY
JI&.
.{
PERMIT # ISSCED ?.
1r2]e- 2 .
Pd w/Bldg. Permit FEES: .
$ $ __ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLIIDE SL'RCHARGE)
$ $ WATER METER/COPPERHORN/0[]TSIDE READER
$ $ WATER TAP (I[VCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ Z 4-1 Ls 6 ACCOUNT DEPOSIT - SEWER
$ /=57-??
$ ACCO[JNT DEPOSIT - WATER
_
$ U-a $ WAC
S ?l.SrG? •C? -o $ SAC
$ $ TRONK WATER ASSESSMENT '
$ $ TRL'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $
WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ $ ??• ?rZ1 TOTAL
F
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PDBLIC RIGHT OF WAY?
a YES IF YES, THE[V A"PERMIT FOR WORK 6VITHIN PUBLIC
Q
[VO ROADWAY" MDST BE ISSUED BY THE ENGINEERING
DIVISIO
N. LIST AS A CONDITION.
SU BJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE : ;2
/ ? d ?'
5r' ? /_.f 4tS RESIDENTIAL BUII.DING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWction Reauiremenfs RemodeVReoair Reauiremenfs Offce Use OnN
3 registered site surveys showirg sq. ft of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert W Survey Recd
(20% maximum lot mverage allowed) 1 ut of Energy CalcuWtions tor heated additions Tree Pres Plan Recd
2 mpies of plan showing beam & window s'aes; poured found design, etc. t sde survey for adtlitlons & decks Tree Pres Not Reqd
1 set of Enefgy Calalations AddiGon - indicete if on-site sepNc system _ On-site Septic Syslem
3 copies of Tree Preservatbn Plan'rf lot plafled aRer 711/93
Rim Joisl Detail Options selecAOn shcel (bldgs wifh 3 or less unds
Date f / -,P-/ '3 ^
5iteAddress ?-?(0`? ?.\K+n0?111¢M ? Construction Cost 3367
UniUSte #
Description of Work V^Q - \1\0CA
Multi-Family Bldg ? Y_ N F7replace(s) _ 0 _ 1 _ 2
? ?_, •
Property Owner \To I01 L?Nw4? Telephone # (6 ) t) ?9'Z
Contractor l Vc.Jk S
Address ! 26 2 (q W\?A ?
State ?.? ?VL7.\?` l-P Cih' Q
Zip 1?.3 Telephone # (> )",t) 06f
0,7q- O-S--
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catesorv I Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
I hereby apply for a Residential Building Permit and aclrnowledge that the informarion 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
pernut; that t#e wiAk will be in accordance with the approved plan in the case of work which requires a review and
app al 'f 1 s.
. R, L?'
A plicanYs Prin ed Name Applicant's Signature
? (7 RESIDENTIAL MECHAIVICAL
d Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675
Please complete for: Single Family Dwellings & Townhomes and Condos when permits are required for each unit
lt3uSe-
Dete g / 30 ? -03-
Site Address Uni, #
T
Property Owner Telephone # &S/ ) HC -6(,b D
Contractor
urnsville Heating & A/C, Inc.
Street Address 12481 Rhode island Ave. So. C;ty
avage, MN 55378-1122
State Zip Telephone #
Bond #: M03a)-cs Expires:
The Applicant is _ Owner -)(- Contractor _ Other
Add-on, modification or alteration to existing dwelling unit $ 30.00
? furnace replacement
air exchanger
air conditioner _ New _ Replacement
other
State Surcharge $ .50
Totel IID- ?L? ? ?p
OCT 0 2 2C03 j
-1 1
I hereby apply for a Residential Mechanical Pernrit and aclrnowledge that the infdAnarion is complete and-accurate; that the work will
be in wnformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
pemut, but only an applicarion 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 p
Applicant's Printed Name Applic St i
san?' gnature