3575 Coachman Rd... ... f. . r+.. . . . ., fi . _ .. {:, _ . _ . .
CITY OF EAGAN
1A2631
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used tor SF DWG/GAR Est Value .`?' S6 , 000 Date SEPTEMBER 16 19 236
SiteAddress 3575 COACHMAAI RD Erect L'T Occupancy Rj
Lot 17 BIoCk 4 Sec/Sub. HAMPTON HT5 Remodel O Zoning PD
Parcel No Repair ? Type of Const. 1TI1,
.
Addition
?
No. Stories
o? FRUNTZER lriIDWEST HOMES Move ? Length 48
Z Name
3 9 0 S I BLEY MEM HWY Demolish ? Depth 36
o Address Int. Impr. ? Sq. Ft
,A?a
City EAG Pnone 454-0433 Install ?
Z o Name SA?ME
? ¢ Address
Ciry Phone -
W W Name
? z
Address
z
a W City Phone -
I hereby acknowledge that I have re;
information is correct and aXAe to
Minnesota Statutes and Cey of Eac
r ->
Signature of Permittee 1'-/C-.
A Building Permit is issued to:
all work shail be done in accc
Building Official
Asse`ssment Permit 301.00
,
'
Water & Sew. Surcharge 28•00
'
Police Plan Review
'
150.50
Fire SAC
I
575.00
Eng. Water Conn. _ 50 u • du I
Planner Water Meter 63•36`
Council Road Unit 290. 00
;9Idg. Off. 9/12/86 Tr. PI. 156.00
APC Parks
Var--Rate Copie ? ?
T.,fol , _
FRONTIER MIDWEST HOMS5
on the express condition that
and City of Eagan Ordinances.
Permlt No. Psrmli Holdw Date TNsphone M
Plumbfng
H.V.A.C.
Electric 4Z Oc)
Softsnsr
Inapecfbn Date Insp. Commenb
FooUngs I
Footlngs 11
FoundaUon
Framing d "
Rooffny
Rouyh Plby.
Rouyh Hfq.
Insul. ,
Fircplace
Final Htg. -047 49-6(
Flnal Plbg.
Bldp. Final
Cert.Ooc.
.? .
Dack Ftq.
Deck Frmy.
WNI
Pr. Disp.
?
?-
Site Address
Lot
m Name
? Addr?
c City _
? Name
3 Addre
O City -
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
PHONE 454-8100
Sec/Sub
Phone
FEES
COMM/IND FEE - 196 OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYDND $1,000.00)
11
OF
FaR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New -
Mult Add-on
Comm. Repair
Other
NO, FIXTURES TOTAL
' Water Closet - $3.00 $
_7?Bath Tubs - $3.00
7 Lavatory - $3.00
Shower - $3.00
-TKitchen Sink - $3.00
UrinaUBidei - $3.00
-7-Laundry Tray - $3.00
?Floor Drains - $1.50
=Water Heater - $1.50
Whirlpool - $3.00
-7-Gas Piping Outleb - $1.50
'
Softener - $5.00
Well - $10.00
__TPrivate Disp. - $10.00
-.2_Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL: '' y `
. ' ? -. . . . 3-, ? i: + ,,} ?- . . . . . . . . . . .,
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
RACT PRICE •^ i 5 G U. U C. PHONE: 454-8100
f Site Address
f l.ot i' Biock
m Name _
? Address
c City -
BLDG. 7YPE WORK DESCRIPTION
Res. New - `'
Mult Add-on
Comm. Repair
? Name
? Address
O CitY
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping Outlets #
Other
FEE
S/C:
TOTAL:
3(),ODU M BTU
M BTU
M BTU
M BTU
CFM
;2b. GU11
Other
FEES
RES. HVAC 0-1 UO M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL fi M BTU - 8.00
GAS OUTLETS - 1.50 EA
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - 10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
TY OFf14GAN
30 PAot Knob Rosd WATER SERVICE PERMIT
• P.O: Box 2118& . PERMIT NO.: 84&s
i Eagan, MN 55121 DATE: 11]-20-E6
2oning: P, i No. of Unlts: 1
Owner: - - Prentd4V
i
? Address:
i
? Site Addess: ?
, Plumber v
! Meter No.: -S d '
Size: " oc e p
m N4?wcu
??"Q• ??F?TF14plT? .,
aq, (? (?n?
t3unt.D
Reader No.: ? •.
i
1 agree to comply w?h me C rcharge:
Ordlnancss. Misc. Charges:
156.00vd
? 63.50pd
? Date Paid:
i Date of Insp.: Insp :
Jz IS-?6
CITY OF EAGAN SEIAIER SERVECE PERMR
3830 Pilot Knob Road
P. O. Box 21199 PERMIT NO.: ,-
Eagsn, MN 55121 DA7'E; - ?
Zo^i^0: No. of Units:
Ownwr.
Addrcas:
Site Address:
Pltxnber
? "Pee ft evow1 wah the Cky of IMMS COflMCHp1 C)10fW: 7 S
OrdhMwCN. /+COp1N1t QOpodf: I r
Prm+if FN: 1 {, lfip"!
su.da?p.: 5 nr?
BY Misc. Chorpss;
Dote of Irnp.: Total:
Insw: Dob Poid:
0
• - a?n ?. ?. ?, r.r?•r; c?? ?a
?.a i. e ? a?? • . r• ?
u,till AI't'1 lur
lt?im•: i:con:.t rLCI lun
??? e.1\q-
l V.I l u.;
_.,_....._ ??_- -. ,? -----??? l. Ul','J ''.'? 1q?? A?"I?'? . _ .. .._._.. , ?. ' ?
?- 4-N
.?.11?a.?? . A w?n.? ?.... . . ??a I
t:r.tI.- r.i „r
._....+---
i - _0 3• L°t
_
FIC. M 1 TC1l'YIFZ,1 OF ?
? FIV1tlS {tl1f.J, . It?l'r:rlc?t• 7ir .?il;n .. _... f).htl
: , 3. ?..? {??._ ?1 ? _._ «-'-•---_.Z'i-?
. , _ ..--'- i ' S • lD+?VA?1._ S?l?4. ...-- --- :_? .?.. .?,_S?U
? G. F.xt•.orior.• tit' :', t? '_. ._ ._..... . . ,0
FIG. 12 --? ._?._..._?.. Tul.al" ?.?. 1
- -----? 3
i u roi r. t' 1 in
2. ??.t??/?1.. . . _.. ?? ,. _?. _.._._. ?'_,??8
? ,:?? ? -- -{? ? 3• _??!-!S?'?? . ? ? ---._.. A..oo
l ScA L'rA
?? i ?l ? '`• ??? ? - .??.Ls?rn? _.?.?S7tti.Gc.__.___ ..`-? ? l
'•2.1 ??M ? ? 6. };? (•rt??r Rit I i.Ir.?T
?"? :,?_T`: . .?? ----.- `? • ? -??o?::?L -Z9'. 3 ?
' r.`. ,- r) v ?•, ' 1 ?? .??
=n ? ----•_-__..--0 1. .I ". ?????r r t t ?. _ 0. Gn
A ....°?1. ----•-----{3 ?. ?' --???. ?l.M4•;C 8'A.---._?-- .aSS. -?
.L ? ? `?'• ___... , ?a? s. _, 1'_ S?ILo .. . _.. S.-.G.. ._ --?--
<< • 'o? ??-_ .._.....-0 . a. .P?.,rc?_t?+C.. Qp??uRp. ---?
` ? p . ??1 ?f?}?C ? . _ ..._.. _.._ _. .. _. . ._. ... .._.
G. )::ctL! v io c• .??'k r , i?,.,
_J?,? %l. . . . ...._._. __._---- •-•- -'_ ',?•ol:?l • ?i• 7
%A= . 1s
sr.ntl nri GicAuE
: `.
• ?: • ? .
-? • . . .• < <ri ,
4?? ?? ? ' •`' 7T
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G. 13
; ? • ? ?.
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; . ? o • , ` <
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' ???.i?:ri?,:•?C. ??! .,.:?t!.??_in:?.
?•-
""'"""'?" .?
CASH RECEIPT ? -,
CITY QF EAGAN
3830 PILOT KNOB ROAD ?
EAGAN, MINNESOTA 55122
d sr.. E t 9
? RECEIVQD ' -
FROM
AMpUNT $ E
Thank You
BY
- ? F. .
YVhite-PaYers CoPY
Yellow-Postinp CoPY
Pink-File Copy
!' .
BLDG. PERMIT N0.
? .
, .? ?-:?
r
01-3210- Bldg 12 t i
`
. Pe
rmit -
01-3422 Plan Check
01-3445 Surch. /Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
I7-3860 Road Unit
20-2275 SAC -="
20-3865 Water Conn. < <.
20-3868 Water Trmt. ;'-..
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit r-
20-3743 Sewer Permit .? " <_ .•
79-3866 Sewer Conn.
11-3855 Park Ded.
y t'
8 DOLLARt
ieo
? CASH _.Q CHECK
?v t Zo?v?1 t?es t4+J •
[OR EPIVELOPE AVFR/1GE
• ? ' --- - . .. . .
•1
2
a
b
c
e
f
h
i
J
OWNER;
SITE AOORESS:
CONTRACTOR; ????T%M
COMFuT/l ? iCtJ
. _X*. t s? ??l?Li..
nnTr :
PHONE:
Determine working square Footage of each
Total exposed wall area..... sq. ft, x.11 = L
'
Total roof/ceilin
9 area ..... 660 sq. ft. x.026 = Z
$
.
Total expa;ed wall area abovr floar=_' +,51
Total wall window ar-ea.....
......................................
Total door area..........
Total sliding glass door area....
Total fireplace wall area....... ? ??????????"
Tota] waTT framing area (average 10"p) . . . . .. . . " '
Total rim joist area......... , ...........................
net wall area above floor.t,`f..,. ,
wall area above floor,...,.,., ?????? ????????? " " " " " '
wall area a6ove floor..... . . . . . . . . " " "
frame wall area at foundation ...................................
Total exposed faundation area= G Q,'Z g
k.. Tota1 foundation window area. , .?...._
l. Total net foundation area above grade,,,,,,,,,,,
Determine "u" value of each wall segment
(e.g. window, door, each separate waTl section)
a. It3 z
b • x
c. 14 `20 x
d. A & x
e._L,B5• 7 xu ,, oa = i 4. 85
.
f._ t 2a.S X U„ .0 3 = 5
.
xr_ , 0 o r
h. ? X loull
- a
I
i
X oUn
k, Xloull
?. . Z g x.,U„
3. ................................. Total
„u „
? ?v•??
loull 64 S
.o
„ul, . 4
5 = Zz. ?
3P
.
r'.
If item #3 is
as, or less t
11, You have
intent of SSC
22 RESIDENTIAL
? BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New ConsW elion Reuuiremanta
• 3 registered sRe surveys shovnrg sry R of lot, sq. R. of house, and all roofed areas
(20°k maximum bl coverage allawed)
• 2 copies ol plan showing 6eam & window s¢es; poured Mund desgn, etc )
• 1 set of Energy Calculations
. 3 copies of 7ree Preservatian Plen if lot platted afler 111193
• Rim Joist Detail Ophons selection sheet (bld9s wAh 3 or less units)
DATE
T
SITE ADDRESS 3 5-7 S CU A c, In v?L a ?-n
TYPE OF
Q? - Op'
?
APPLICANT
tki
0-t2
RemodeVRaoair Reauiremenb
. 2 copies of plan
. 1 set of Eneyy Calculations Por heated additions
• 1 site survey for exterwr additlons & decks
. Indicate if home served by septic system tor addiUons
VALUATION
'?? 14 ?-?
D b 0
MULTI-fAMILY BLDG _Y _N
_ FIREPLACE(5) _ 0 _ 1 _ 2
SY cl Y :'(
7_-
STREETADDRESS _?01y A1 ?3f" _CITY STATE_ZIP
TELEPHONE # A&Z- le/ 3 54 CELL PHONE #-7_ 2 FAX # Z Z 2
PROPERTYOWNER S 4f/l't YC14--e-T'`; 74? TELEPHONE#
.......... ------ -........................... °---........ ------------- -........................
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIIvTINESO"1:A RULES 7670 C.KfEGORY I -MI.VNk:SO"I':\ RtiLES 7672
(J submission type) • Residential Vendlation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor: __
Plumbirtg system includes:
Mechanical Contractor:
Mcctianical systcm includes:
Sewer/Waler Contractor.
:1ir Condiuoning
Heal Recovery System
Phone #
Fcc: $70.00
p)? g ?_ 0 d?
Phone
---°-------°-°---------------°---------°-------°---------°--- -°----- - -
I hereby acknowledge ihat I have read this application, state t t the informati
with all applicable State of Minnesota Statutes and City of Eag Ordinances.
SignatureofAppllcant ?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener
_ Water Heater
_ No. of Baths
Phone #
_ Lawn Sprinkler
No. of R.I. Baths
and
Not Required _
Fcc: $90.00
Updated 4102
HP17--TFOM
? --#
1986 BOILDIAG PERMIT APPLICATIOH - CITY OF EAG9P
HOTE: AL[. CONTRACYORS MOST BE LICENSBD ?iITH THE CITY OF EAGAN
SINGLE F9NIILY DAELISNGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiiE[.LINGS - RffiIDSNTIAL RENTAL i1NZTS F08 SALS ONITS
INCLUDE 2 SETS OF PLANS, CE@TIFIC9TE OF SQRYSY - CHSCB fiITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE HOND
? py
To Be Used For• L Valuation:qWW Date:
Site Address ??• ? OFFICS IISE ONLY
Lot / 7 Block
Pareel/Sub
Owner
Address =2"//C??!/
City/Zip Code
Phone 070 `CV 17 Z
Address
City/Zip Code
???Ss/ zl
Phone ?--['`S Zlr0 4Z-3
Arch./Engr. _
Address
City/Z1p Code
Phone #
Ereet LS Oecupaney if-9_
Remodel Zoning FL7
_
Repair _ Type of Const ?
Addition U of Stories
Move Length ?
_
Demolish _ Depth
Int.Impr. . Sq Ft
Install
APPAOVAIS FEFS
Assessments Permit
Water/Sewer Surcharge ?
Poliee Plan Review _?59, 50
F1re SAC ?75
Engr Water Conn ?
Planner Water Meter
Council Road Unit 2?0
Bldg OfF ./y_ Treatment P1 =
APC Parks
Variance Copies
TOTAL ?
NOTS: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOiiNER MD3T DESIGNATS WHICH ADDRESS
IS DESIRED. NO CHANGS3 WILL HE ALLOiIED OHCB BDILDING PERMIT IS ISSOSD.
ft
CITY OF EAGAN
_
3830 Pilot Knob Roi3d, P.O. Box 21-199, Eagan, MN 55121 NB
PHONE: 454-8100
BUILDING PERMIT ReceiptN
Tobeusedtor SF DWG/GAR EstValue $56,000 oate SEPTEMBER 16
12631
?
i9 86
SiteAddress 3575 COACHMAN RD Erect C? Occupancy R3
Lot 17 Block 4 Sec/Sub. HAMPTON HTS Remodel ? Zoning PD
Repair ? 7ype ot Const V_A
Parcel No. Addition ? No. Stories
FRONTIER MI DWEST HOMES Move ? Length 48
a Name
W 3908 SIBLEY MEM HWY Demolish ? Depth 36
o Address Int Impr. ? Sq. Ft
ciry EAGAN Pnone 454-0433 Install ?
a
o SAME
Name Approvals Fees
i
? ¢
Address
Assessment
Permit +S 301.00
? City PhOne Water & Sew. Surcharge Z 8-00
a
F W Name
? E5 Address
a W Ciry Phone
Police _
Fire -
Eng.-
Planner
Council
Iherebyacknowledgethatlhavereadthisapplicationandsta atthe d9
information is correct and agr to comply with all appli le tat
Minnesota Statutes and Ci Eaaar?rdiwgncae. APC
Signature o(
A euilding Permit is issued to: FRONTIER MIDWEST HOMES
all work shall be done in accordance with all applica.hle State of Minnesota U
Plan Feview 150.50
SAC 575.00
Water Conn. 5 0 0. 0 0
WaterMeter _63 50•I
Road Unit 290.00
Tr. PI. 156.00
Copies
Total 2. 6 4. 00
on the ezpress condition that
and City of Eagan Ordinances.
Buildmg Official ?/?R y.-c ?/J N A./?
. PxLvr:or Envnlopa Avnraqe "U" Comq)utnl:ion PugQ 2 oP q
Tol•al cxposed roof/cciling Arca
m. 7bta1 skyli,lit arca ............................
n. Total =ooF/ccilin, framinq arr_a (nvcrayc lOR)... ?
o. Total net insulatcd :oof/ceiling :irea........... 7 O S _
-f?-?-
. Determine "U" value for each roof/ceiling segntent
, M. X "U"
n. ?a ? „U?? ,Q ? •?- Z. ? r
o. X „Ul.
4 ........................... 'Ibtal ??
If total of ;;4 is the same as, or less Lhan 42, you have met the intent of
SbC 60Q6 (c) 1.
A.Ltetnatc Duildinq Envelope Desiqn
'ib uY.ilize the total envelopesystem method, the va1
items 43 and 44 shall not be greater than the sLUn oP
7dy- +
3. +4.
aes estaUlished by the s:un of
items I;1 and R2.
= z .r = t?9 .?-0?2
_a .
This requesl vo.d
,e mo?ins ?rom
Q 62089
Peqy¢t Da? I? /L Fire
/ L.{.
yWlcensed E ecVwal Contractor
] Owner
?o !
pecLOn
?Feaey Nuw [?.WRrO?ify InsOec-
?No [or When Reatly
I hereby raQUest inspecbon ot ebove
REQUES7 FOR ELEC7RICAL INSPECTION
Il' See instructions f" complet?nq this I.I. on back o/ yellow copy,
6? 89 '"X" 8elow Work Covered by 7hls Reques7
-?
0 e e-ooooi -os
(? ,C'
-7
inI5 iNSPECTION NBQUEST WJLL NOT
?+??9BS-Gidwey Bldg• - Room N•191
1821 Uni BE ACCEPTED 6Y THE STATE 80AND
versity Aye.. St. Peul, MN 55104 UNLESS PpOPEN INSPF,C7ION FEE IS
Ghone (612) 602-0800 ENCLOSED.
' . " xcor/cEi?i:+c
I? in ?ii ( `?
?,:.. .
?
40?m?%?
?n??.?'?? ??-
9 •
? 1?ecc flov vp •
. ? . Fsc_ ?6.' . _. • .
siCed Nea? flow
up
• •
.? .
PZC. G5
r.. r_ .?.,-?'.v i:'?.`.S' ?.K_ r.an,-•-.=_w?n tt'?a ? t.1 .
- -- -- -? ?
v
. • . . .?' • : -' .
• bQ:i-ST"...'17? ? .
' . • HeaL ' '
. , - ilov up ? - • ?
. ... ' • • '
7I ._ t7 ? . .. t• .
j•vented
Constrvction R-Valtic
l. Intcrior air film .O.G1 2. y3 l'?Y F3p • , ?R
a. _ lusoc. • 44.00
4. Extcrzor air filn (stxll)_ O.G
t Total 2 4s8o
? ?. %
FR•a+?r ? 1. Interlor air film 0.61
Z- _ G_I Rp
s. 38.35
4_ Extr_cio: ait tiln lstil .
S°tat 2: = qo.,S
? U
C?.t?ST??GT/ m
S. Outsidc air, fil:n 0.17
------------
7,_ Tnside air. filin 0.61
3.
4.
.?'.C ?•-? E' . .
I. Insidc air Eiltn Total
' . •
0.61
2. .
3_
4_
5_ Qutsidc air fi2:a 0.17
2_
Xnside air film TOtal
0.51
2_
3_
4_
5. Cut--idc air film 0?.17
TOtal
1Potc: Usc additional sheets if more space
needecl foz details and calcu?atians.
1 ?
e: uc??L?,t ui Otl,,ljun wa11 n?ren fat•
frnm?; uw?r?? ruct. tun
i
,1f.I.?l?,..j ..
' FIG. . I
? .
,1.ilCli
i
,.
?-•r%?
I?.1??1• ?l'nl1 ? -`??}'K;M,;???
G_V.tlii.; ,i?r"•a, ,;'?.
...,. - ... ..... . :-
?• (
_itf I ? I Ilq _ _ ?
1".'1
l ??
. ._ ??_tb+0 • ?
y
a
_.. - . _ ..... . .??
4, ,_ AIR.?Y?!G?. .. _ _.._.... . ... ..l08
s. .!?GE.B?LSLt<.
G. F.r:tcl ik,r nI? U.17
..
-- -- ----. .._ . .. .. .__.___ . _.._..._. _n._ ..
1. TOt ["I ol' .llf ?I1III O.(ili ' •
?.
4. •
G. ExCcrioc ;?ir tili,1.? _.0_17
^ .
1
-•-----•- ?I'vt.al ?,?ssyr
-
'
1.
2.
J?
4.
5.
6.
1.
2.
3.
?.
5.
G.
2iiIr.tioC air filnt 0.G!1 , -
. ?. .??.
.
... .
? ?...? ?•??
?
?
. •
?9. N.'?'•
:K..? %? .
-
'
---••---- ---._. ..__ ....__------_._.. ,
---_.__ . ,? ... .
:
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.:
, ,
------•-
•-
---...... _. _..?.--
-'-- _ _
...
- ,:...;t.
%''
-?'-'--'
};xc?,rlor - ..
nir • -• ??-•--..
film r;
:.v
----- ?.._ •
?
? ---- -- ..:,,
'aoe:iL • . -
' " ^i!•;`-7:.P
InCrii?,c ,tr rfi"! 0
G
A
_ _ _
_
-
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•--?------? --•- --• . . ---._....._...._ ...- ? -?
- =?Y
.
-. ..__ . _'_'? :
...._?. ._.. ... ... ._....»_. .. .?
'
- ••_..._-- ---• -- .._. ..._?_ --------•-• -°--- ,..: .._;.
-
'rola l
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CITY OF EAGAN
APPUCATION FOR PERMIT
SEUIiER AND/OR WATER CONNECTION
* xsssxsxx:xrxxxrrxxrxxrxxxrxwxxx:I
y*. *10'PF: PA3Mir OF FEE AT TIME pg
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P ease Print
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF E7QSTIIVG STRL'GZSIRE, DATE OF ORIGINAL B[]ILDING PERMIT ISSCANCE: -
? (Mon ear
. PRESIIW ZONING/PROPOSID LSE:
? CCN41E[tCIAL/REPAIL/OFFICE
Q IPIDLTSTRIAI,
n INSTI'IS)TIONAL/GOVERNMENT
2) ?
? R-1 SINGZ,E F1IMILY
? R-2 DL'PLEX (24,o t?nits)
R-3 TOWNIIIOL?SE (Three + Uni.ts) ( Units)
? R-4 APARTMELVT/COfIDOM21VICT1 ( Units )
IVP,P7E: FRONTIER MIDWEST HOMES CORPORATION
? ADDftFSS: 3908 Sibley Memorial Highway Bldg. E
CITY, STATE, ZIP: Eagan, MN. 55122
• PHONE: 454-0433
3) ' u?:?• NAME: STAR PLIIMBING
ADDRESS: 1018 Mound Springs Terrace
? CITX. STATE, ZIP: Bloomington, MN. 55420
PHONE: 884-4149 Ng15TER LIC,ENSE# 3329
4)
NAb1E:
ADDRESS:
QTY. STATE. ZIP:
PHONE:
Active
ExPired
Not recorded '
tS aff ?7iut3al
-5) ? ? r• - ?M• •a?• :a • • - ?? .. .. '
' [X CONDIDCTION TO CITY SEF7ECt ? OONN17CPI0N ZO CITY WATER 13 OTEIER ' .
6) " M' • r ? PLEASE HOLD APPROVID PII2MIT FM PIQC-IIP BY OI? OF ABOVE ---" ---
C3 PI.EASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, P,BDVE
• (Circle one) 7)
r.,. • .y- - ?
. tic • r r ? . . • ? • r •? • ? - a ?• , n • y?• . p. . a?s • a• • ? ?
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M•P •tla? 1 - -•-
11
FOR CITY USE ONLY
PERMIT # ISSDED
U?
Pd w/Bldg. Permit FEES:
$ $
$ $
$ $
$ $
$ $
$ •f)? $
$ 5oz,, $
$ J 7S. D7? $
$ $
$ S
S S
$ $
$ $
I
SEWER PERMIT (INCLUDE SCRCAARGE)
WATER PERMIT (INCLODE SURCHARGE)
WATER METER/COPPERHORN/OLTTSIDE READER
WATER TAP (INCLL'DE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOONT DEPOSIT - WATER
WAC
SAC
TRUNK WATER ASSESSMENT
TRC'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRUNK SEWER
LATERAL BENEFIT/TRLNK WATER
WATER TREATMENT PLANT SURCHARGE
OTHER:
S VS,So S
TOTAL
- - 0`
R C IPT • RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMZT FOR WORK WITHIN PUBLIC
Q
ROADWAY" MUST SE ISSUED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
- -- `
APPROVED SY:
? TITLE:
' DATE : fU
. '
810MA
SURVEYING
8EAVICEB
3908 Sibley Memorial Highwey
` Eagan. Minnesola 55122
Phone: (612) 452-3077
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CERTIFICATE FOR;
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? j?' DRAiNAG??
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'I T
WAYNE D.
CORDES
- 14675 -
; LEGEND ?
O Llsnotes Ircn MarLnisnt
so Denotes Mad Nub Set
071,6 qenotes Exisfirg Spot Elevatian
(„ :wW?) (krafes Proposed Spot Elevafion
1,?--O1en0te3 Drainage Direction
_PADPER?Y OESCRIPfIUI-
LOT 11, BLGCK 4._
HAMPTON fiEIGHTS
xcordirg fo the rsccrded plat ihereol,
Dakota Cq,nty, Mimesota
MODEL: HARTFORD
1..yK i J?
1
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N83°43'4411
R9
NoMe eun neHe
? LANOpEVELOPFAS
* NEAtfUNS
?A COMPANIES
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PROPOSED GARA6E FLOOR ELEVATION= $iZ'C)
PIdOPO5E0 lop of 81ock ELEVATION- SlZ.3
PROFOSED SASC-#£NT fL00R ELEVATlON= 864.3
NOTE. Verify all floor heights with Fina! House Plara.
qUNEYaRS LIR'fIFIC4TI
1 hereby cerfify tiat this survey, plan or report
Nas prepered by me or w+der my direct supervisim
arrf tlat 1 am e duly Re9istered Lani Sw'veYor
under the laws of ihe State of Minnesota.
Da te: `rq 1SV?
Wayne D. Cordes, winn. Reg. Na. 14575