949 Coneflower CtAddress 44q mxMrx,ER r.cxmr Zip 55123_
I.ot 22 Blk t Sub ?'?r PoBVrE sgt
?
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: 01/26/94 Yes No Inspector.
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas ?
Sod/Seeded grass
TraiUcurb damage
Porch ?
Basement finish f
Deck
Please verify with the builder the removal of roof test caps from the plum6ing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 6814645 before working in right-of-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
INSPECTION RECORv
/CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(651) 681-4675
? r'• ? :: ;? . ?y t
SITE ADDRESS:
t(JNf' f I nta? I? ? t
f Nl. I sttt ?•ii f N 11 .1111
PERMIT SUBTYPE:
rtvsy,.;
I I ' ;; t
nq-t i. e
P! iAA
071N
-." ' .r - r" ? APPLICANT:
TYPE OF WORK:
, ? ? i ?,;.• ?.i=A'.;nN
r V aM r NI-,
? I n t? ?F V rFWt'D 0 Y wnY W rai I 1 1'1' -
AI 1 44ti :840 R17sAt1I1IN1, f I i ( ]?tlf/11 {'{-RMI ( AMl1 lN`;Pf'f CTf)i
F
? ? J
PertnR Holder Oate Telephorre #
SEWER/
WATER
PLUMBING
HVAC
Inspection Date Inap. Commants
FOOTINGS
FOUND
FRAMING D ?
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
OHSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
CONDUCTIVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?CITY OF EAGAN
3830 Pitot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: J„ l
+ ,??t ? i r??.lt?a
? ? i ?r??,??;? i?1Nll rtlH
, i !
PERMIT SUBTYPE:
rsi I I I I
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
riui?i1 rti+,
N.'n.'rt4
wEt/0 .' 1t) 4
? APPLICANT:
( ti ! .' y t ?'.• q2y?.??
TYPE OF WORK:
NI tl
Ofl l INti' - I I I I iI
?
J
Permit No. Pe?mit HoWe? Dats Telephone M
SIW
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspectfon Date Insp. Canmereta
Footings t
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Noti(y Plumber
Const. Meter
Engr.lPian
Bidg. Final '
Deck Ftg. 410,
Deck Final
Well
Pr. Disp.
CiTY OF EAGAN
3830 Pifot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?Tc?rJ , .,'4JE {
` PERAAIT SUBTYPE:
TYPE OF WORK:
INSPECTION ., . .•
? I J I 1 ?
aN REcoRn
PERMIT TYPE:
Permit Number:
Date Issued:
>-? 131 APPLfCANT:
i , f ?t .: 1 ?1!.?? •? I
.`, p 1rl t' 1 It k t; 1!1 V!'. I+t 1+{ F 1
Permit No. Permit Holde? Date Telephone M
S/W
PLUMBING
HVAC
ELECTAJC --
ELECTRIC
Inspection Uate insp. Comments
Footings I p?
?3h,?
Foundation ?1.2.ttl? 3
Framrng 06
Roofing
Rough Plbg.
Rough Htg.
r
[5ul. a7-?3
Fireplace
Fnal Htg.
Orsat Test
Fina, Plbg. PJbg. Inspector- Notify Plumber
Const. Meter
Engr,/Plan
Bldg. Final ? AV
Deck Ftg.
Deck Final
Well
Pr. Disp.
?? ? - ,It " ts. 9 3
1998 BUILDING
3H 3 L4
New Canstru ion Requirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
RemodeURepair Repuirements
? 3 registered site surveys ? 2 capies of plan
? 2 capies of plans (include beam 8 window sizes; poured fntl. design; atc.) ? 2 site surveys (exterior add'Rions 8 decks)
? 1 energy calculations ? 1 energy wlwlations for heated addRions
? 3 copies of Vee preservation plan 'rf lot platted after 7!1/93
_/
Q!
required: _Yes _ No ??r
DATE: r-,;L a4Ir-itS CONSTRUCTION COST; -4 /6;0 - Uc-)
DESCRIPTION OF WORK: 3'seuso,, Aorcti
STREET ADDRESS: 95/? ( Oye- ?(ow cr
LOT: BLOCK: SUBD./P.I.D. #: L-`e.)6 r, 41, - t2Yt?
Name: T/I ? e r? eHlv Phone #:
PROPERTY Lu? F"5
OWNER
Street Address: E7Pouj c f
City 6?T4n State: ?.v Zip: S.S`/yy
Company: NAsS e)troS ?`?ws?i'• C c?Phone #: l936 -?0-?,
corrrxncrox 3/.3 " IV
Street Address: Lxense
Ciry e/ fDA 'J State: 9?.? Zip:
ARCHITECT/
ENGINEER Company: ?.vF Phone #:
Registration #:
Street
City State:
Sewer 8 water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address char
I hereby acknowledge that I have read this appiication and state that the information is cortect and agree to comply with all applica
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received - Yes - No
Tree Preservation Plan Received - Yes - No _ Not Required ?
? 4 1
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex
? 02 SF Dwelling ? 07 4-plex
0 03 SF Addition ? 08 8-plex
?Ef 04 SF Porch ? 09 12-plex
0 05 SF Misc. ? 10 = plex
WORK TYPE
*31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) V /
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
q. ft.
sq. ft.
Footprint sq. ft.
Building
Permit Fee `l 3
Surcharge
Pian Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
ToWI:
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code o/
Census Bldg o/
Census Unit /'9
l/u/ Engineering Variance
Valuation: $
J??ui?(=;;?7
% SAC
SAC Units
. ?:
? CITY OF EAGAN
3830 Pilot Knob Road
Fagan, Minnesota 55122-1897
(651) 681-4675
SITE ADDRESS:
I'.l,H .. L4"r-4:Vi<32-?120 -0 1
PERMIT
PERMITTYPE: e, u,rL nTi.!c
Permit Number: 0 ? 4 3^t !I
Date Issued0 2 l H 3/ C) 3
={S°: i;1.) h4F' FlOWFH CI
LOT: =2 8 I1ICK: 1
I_EX'lf•;(il"OPI °fj7.1d7'E L;TH
DESCRIPTION:
?? ? S. f' A _; u N
R ^'i3 dlnq;_F'rsr-mi t. Typc
FJUi.Cdir+c LJd^,rk 't v??e
Q
r"?Bnsus Gqde?,`l
w?. ?sl??s f
S 1 F0R CFI
iV F.l.l
434 AL7. RESSt7FN71AL
" '-F t r . .. ? i ..
i-.
REMARKS:
Ni rsr;
CAtL 445-'';?qG.rL6iaRDZPdG ;.I Lii:tL PF? Rh[ I l" i, IdSI IN &PECTIOPIS.
FEE SUMMARY:
Vhl 11ra7r011 °w0 ,0 0 +n
Bac,e Feti ,T.1?:. r ,_!,
SLi rc'ric, rc)g 9,.i.:>Z
lot_?1 ?.,,v C014TRACTOR: -- ApP!iGalll. - Sr? ?I C• OWNER:
HHG?F'P, 0 ;. 0 n15(R11?11'(1rJ 109G11934 4 TiITESEN C, Rft1'
owkt3 ?0 0 1", A 1,rr ? uQ=a CON£PL06JER C7
F'F1UL PiN 551,1? ?:llGf1Pi P4N 55122
f:>YF'1 h3h-4f?;;4
I heretaY acknawl.edqp Chat 7 have r•ead Gthis
intormati.oei is correct ai7d aqr ^c, tro cc,mpl.v
,STat?.T.es and City ofi Eaoan (Jr,iirlarices.
?
APPLICANT/PERMITEE SIGNATt1RE
applieatiQn and state that the
with a.tl apPliaable Stia#:e of M+io
-1
I ED BY SIGNATURE
? CITY CfF EAGAN
3830 Pilot Knob Road
-Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT TYPE:
Permit Number:
Date Issued:
949 CONEFI.OWER CT
LOT: 22 BLOCK: 1
LEXINGTON POINTE 8TH
P.I.N.: 10-45092-220-01
Base Fee $30.00
5urcharge $.50
Total Fee $30.50
DESCRIPTION:
B'uilding-Permit Type DECK
Building Wo,r_k \ Type NEW
?%
<
/
i
?? -
? C? ( {=? t
Q-., CJL1Lt I?
REMARKS:
1
FEE SUMMARY:
CONTRACTOR:
?
OWNER: - Applicant
THEISEN GARY
949 CONEFLOWER
EAGAN MN
(612)335-4892
Cft.301l§
BUILDING
024284
08/02/94
CT
55123
I hereby acknowledge that I have read this
infiormation is correct and agree to comply
Statutes and City of Eagan Ordinances.
1411 a.; _
LI /PERMIT E S R
PERMIT
application and state that the
with all applicable State of Mn.
is u*U B . tU e
I
GITY CiF EAGAN
14,14 1994 BUILDING PERMIT APPLICATION 4,50..f 0
681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered sit su_'r;u,eys%81 t?o
p
y o energy
?
?
calcs.
COMMERCIAL 2 sets of architectural & structural p a , -'
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date -7 / a8 94/ Valuation of work
Site Address: 9y9 GoAc?'lo,.,,er C4-
STREET SUITE #
Tenant Name: (commercial only)
LOT BLOCK I SUBD. G°-'«^ '1OK P.I.D. #
Descri tion of work: e L?
The applicant is: Ig Owner ? Contractor ? Other (Describe)
Name 1 e?se? Gai-.i Phone 6P6 -70p9
Property LAST FIRST
335-ySqZ
Owner ?
pddress `/?y9 Concrjawer Ga-
STREET STE #
City State /11w Zip 55'1a3
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Arch itect/
Engineer yame Registration #
. Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
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. r
Signature of Applicant: ? ?
SURVEYOR'S CERTIFICATE
I
BENCH
?TOP OP P?IPLK
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?h 'h,Z _: ?f .+..' SJR•F?JR. 'r£ SUITABLL:r ?r.
S0:1_.: C-U?m?: THE SPS7:FIC H6'1:5c PFCPCSErJ ,S
NG: ._ ??5?ONSi91Ll:Y 0F TFIE SURYcYOR.
•
? _ENCTES PROPCSED SURFACE DRAINAG'"c
G DENOTES IRQN MUNUMENT Sc'
• DENGTES IFON MQNUMENT FOUNC
XOOC 0 DENOTES EXISTING ELE'JA'ION
I000-C) DENOTES PROPOScD ELEVATION
0
C
2
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I
vC'E ?'JIL:?!tiG JIMcNSICNS SHOWN aRQ
FOa ?CRIZONTAL 9 `+ERT1C?.L L''JC-
A?iCN u^F STaUC7URE ONLY. SE2
apC4ll'cCtUAt PLAN$ FCR 8U14DING
8 FCUNDATION DIMENSIONS.
SCALE t INCH - 30 PEET
PROPOSED GARAGE FLOOR - gy ;• A FEET
PROPOSED I.OWEST FLUOR -- Ft>z•?_ FEET
PROPOSED TOP OF BL.OCK FEET
WE HEREBY CERTfFY TO MITTtLSTAEDT BROS CQNST THAT THlS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNCARIES OF.
Lct 22,910:K I, LEXINGTON FOINTE EIGH`H AGOIT!UiJ, cccof0inq to the reccrae^
pla' tlic;eof, DakGta CUUn1y,Minne5otU.
IT OOES NOT PURPORT TG SHpW IMPHUVEMENTS OR ENCROACHMEN7S, EXCEPT AS SHOWN AS
SUR`?E'YED oY tv1E OR UNDER MY DIRECT SUPERVISION THIS .'.RD DA`/ OF PdOV. , 1993.
PAr,'os---n aRaoes SHIJwrv wERE roKEN SIGNEp JAMES ft HIL!, WG
RESIDENTIAL
^ BUILDING PERMIT APPLICATION ?
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681•4675
NewConatruction Reaulrements
• 3 registered sile surveys shawing sq. fl. of la4 sq• IL of house; arM all roofed areas
(20% mazimum lot cove2ge allowed)
. 2 copies af plan showing beam & windaw sizes; poured faund desgn, etc.)
• 1 set of Energy Calculations
• 3 capies of Tree Preservation Plan if IM platted aRer 711/93
• Rim Joist Detatl ODtians selection sheel (bldgs with 3 or less unils) DATE q-oZ Q, 0 9
RemodellReoair Reauiraments
. 1 copies of plan
. i sel of Energy Calculations for heated add'Aions
• 1 site survey for enterior addNOrrs & decks
. Indicate'rf home served 6y 5eptx system for additions
VALUATION
30??0000
SITEADDRESS CM l one"C(OW2_ CDut-Y MULTI-FAMILYBLDG _Y ?ZN
TYPE OF WORK ,?)i.
APPLICANT
STREETADDRESS '5730 CITYPyU P STATEZIWZIP SS?a
TELEPHONE #41e2-AiQWl CELL PHONE # 95z-29z- y658 FAX # qs?-ssa-99a6
PROPERTYOWNER Gc??/'f ?hG ?`iPiSP? TELEPHONE# I?57-6k- 20?Z
(
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNFSO`1'A RULES 7670 CAT'EGORY 1
(J submission type) • Residential Ventllation Category 1 Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Confractor: -
Plumbing system includes:
Mechanical Conhactor.
Mechanical system includes:
Sewer/Water Contractor.
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
.- ---- ,- ?'
`[. 7 nr??
- ? Fee: $90.06J
?
i,,, --- - ?
I hereby acknowledge that I have read ihis application, state that the information is correct
with all applicable State of Minnesota Statutes and City of Eagan Ordir?r?C? ?
• / il - / 7
' Signature of Appl(canf
Fee: $70.00
agree to comply
OFFICE USE ONLY
_ Water Softener
Water Heater
_ No. of Baths
FIREPLACE(S) _ 0 _ 7 _ 2
MIIYNESOTA RULE:S 7675
• New Energy Code Worksheet Submitted
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updafed 4102
PERMIT
h CITY OF EAGAN PERMIT TYPE: BUILDING
3830 Pilot Knob Road
Eagan, Minnesota 55123 PermitNumber: 022529
(612) 681-4675 Date Issued: 11 J 16 / 9 3
SITE ADDRESS:
949 CONEFLOWER CT 3 `,?Z
LOT: 22 BLpCK: 1 jv1??N
LEXINGTON POSNTE 8TH
P.I.N.: 10-45092-220-01
DESCRIPTION:
BuildingiPermit Type SF DWG
Buildin Work T e
?? NEW
OBC Occupenc R-3 M-1
Construction 71pe V-N
Zoning PD R-1
Build3ng Length 1 59
Building Width ? 62
J
i. I
tS'-
???
REMARKS:
S& W PLBR - KLUVER MECH
?? ???U W
FEE SUMMARY:
VALUATION
$125,000
Base Fee
Plan Review
Surcharge
SHC
SAC ?
SAC Units
5ubtotal
$727.00
$472.55
$62.50
$750.00
100
$2,012.05
MISCELLANEOUS $1,744.50
Total Fee $3,756.55
CONTRACTOR: - ApPlzcant - sr. Lzc. OWNER:
MITTEL3TAEDT BROTHERS 14569125 0003443 MIT7ELSTAEDT BROS
785 SUNSE7 ?R 785 SUNSET DR
EAGAN MN 55123 EAGAN MN 55123
(612) 456-9125 (612)456-9125
S hereby acknowledge that S have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
L -
y? ^ tff ,r, R 11?
G?NATUR
APPLICAM/PER EESINATURE ISUEDe:51 1
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: LoT: 22 BIOCK: 1 APPLICANT:
949 CONEFLOWER CT MITTELS7AEDT BROTHERS
LEXINGTON POZNTE 8TH (612) 456-9125
PERMIT SUBTYPE: TYPE OF WORK:
SF OWG
NEW
BUILDING
022529
11/16/93
INSPECTION
FOOTINGS .A .
FOUNDATION
.A
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S& W PLBR - KLUVER MECH
?
L
30tlld SfIOfYJIdSNOO tl NI1SOd
i?!?yoRome?e ? ? _.
h6/9Z/ 10
FIIS SIHIOd I?IIxEI ' I fi`ZZ'I 7a3006 b+m
t1?N? '}I(I d.1SNOS 58L?PPv 'SSId70 'S02iH .Ttr,ivfc?r,[r.rg? ?"'??!"e?°'a"^o
NA isuoD ad.cl 1N/Qd "wn°sNn°L fY1/0 '°S1A.aanvo
6ZSZZ oN nuu?d SV?9 8MQ tiS :uom?y?ss.? xn
: Xwmopof ayr+og -asn io uouau'rvaa Sveplmq 8ur1vin8ar 410 ayjfo saawuqpro
rno»vn ayt t(kia+ a?verduro.? v: svm ainp+uts rryl a3uvnrsi fo aunJ ay1 Ia my1 BvpCfi"a.?
apoD 8uppljng wjojiu/2 ayl jo stvamawnbai ayt ot 7uonsand panssr ama?;iuaa siql
u"t
wait@uc 6a!Rll?? ? 3aaw?wka?
ttvovio
.
?- 4
' . . . , . r r
?
I
h u %'? L`? it IL ?
REAC IVATE
PERMI i 0
CITY OF EAGAN
1993 BUILDIIdG PERMIT APPLICATION
681-0675
rr.•?.?rP! Il-I`
SINGLE S MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last workiog day of month.
uested once permit
e is re
t
h
l
q
ang
o
c
in which request is made, 2) address is changed or 3)
is issued.
Oate Yaluation of work ??
Site Address: gia? 9 (_,ga.1f-
fiREET fUITE I
Tenant Name: (commercial only)
lAT ? BLACK ? !'v
SUBD.
z:b' P.I.D. w
-
.5
Descri tion of work:
The applicant is: O Owner CCContractor ? Other coesoribe>
Name Phone
Property LA5T FIRST
Owner pddress
SiREET fiE N
City State ZiP
Company Phone `fSG>iO`<
C011t1'BCtOf Address License # 3,'/4'3 Exp.
State
Zf ZiP??S
-,
City
Company Phone
Archftect/
Name Registration i
Engineer
Address
City State ZiP
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
ll d this b7
iStatenofnMinnesotah5tatutesnandmCitynofs
ll
i
ykd
ca e
app
th a
to comply w
correct and agree
Eagan Ordinances.
5ignature of Applicant: `
OFFICE U5E ONLY ?
BUILOING PERMIT TYPE
? 01 Foundation 0 06 Duplex ?]1 Apt./Lodging ? 16?Basement Finish
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ' 0 17 Swi"m Pool
? 03 SF Addition ? OB 8-Plex 0 13 Garage/Accessory ? 1B Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 Sf Misc. ? 10 Multi. Add'1. O 15 Deck O 20 Public facility
? 21 Miscellaneous
WORK TYPE
2(31 New ? 33 Alterations 0 35 Tenant Finish ? 37 Demolish
O 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Canst. (Actual) V-N Basement sq. ft. MWCL System ?
(Allowable) y-N lst F1. sq. ft. City Water yG?5
UBC Occupancy -?I 2nd fl. sq. ft. PRY Required
2oning pD Q-% Sq. ft. total Booster PumP
`/ of Stories Footprint Sq. ft. Fire Sprinkler
tength -T On-site well Census Code ?
Depth S? On-s9te sewage SAC Code nr
APPROVALS 7
Planning Building Assessments
Engineering Variance
REDUIRED INSPECTIONS
0 Site
? Wallboard
? Footing
? Final
? framing
? Draintile
O Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAL
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/M Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
snc x I o0
SAC Units I_
rilutim: S I4S4 O00 ?
GARAbrci oPD X2z = C/?/0
= -?aa
/b X 210
X /b=
1S'-
Lou,er (.e&1,i;
,73rhX 54--
u^nF NtSh ?A l
3?iS'? X aa =
Lt??? Lst., eL ,
/o, lyy
gl d yn
39, N 7?-
?n?q ov?
?y 3 a?l
SURVEYOR'S CERTIFICATE
TAED7 BFiOS. CUNSI"RUCTION, INC.
r
r
977.6;
?O?
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NOTE: NO $PECFIC SOiLS INVES7IGATION H0.5 BEZN COMPLETED
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ON YniS LOT B7 TM@ SURVEYUR. THE SUITa911-IT.r UF
OPOtED IS
P
P NOTE: 6VILDING qMENS10N5 SHOWN qRE,
SOIL.S 70 SUPFORT THE S
R
EGFIC HWSE FOR HORIZON7AL d VEHTICAL LOC-
NOT THE RESPONSIBILI7Y OF THE SURVEYOR. AFION OF STRUCTUREiONLY. SEE
o ARCHII'tCl'VAL PCAN$'fOR Bl1ILDING
+----- DENOTES PROPOSED SURFACE DRAINAGE e FOUNpATION pIMENSIQNS.
O DEIVOTES IRON MONUMENI SEl' SCALE: 1.INCH - 30 FEET
0 DENOTES IRON MONUMENT FOUND PROPOSED GARAGE fLOpR -- S-7 9. A FEET
X000.0 QENOTES EXISTING ELEVATION hfiOPOSFD LOWEST FLOOR - SR7z•2?. FEET
(000-0) DENOTES PR4POSED ELEVATION PROPOSEQ 70P OF BLOCK = FEET
WE HEFiEBY CERTIFY 70 MITTtLSTAEDT BROS. CONST. THAT THlS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES flF:
Lot 22,BIock I, LEXINGTON POINTE EIGH7H ADDI710N, accorQing to ihe feCOrded
plat ihcieof, Dakc}a GounTy,Minnesotu:
IT OOES NO7 PURPQRT TO SHQW IMPHOVkMENTS OR ENCRbACHMENTS, EXCEPT qS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVi510N 7HIS 3RD DAY OF NOV. 1993.
PROPOSEO ORAOES ShV WN WERE TAKEN
:+oM THE 6RADING Pl-AN FDR LEXINGTON
?•GINTII EIGHTN ADDITION PREPARED BY
TRI-LAND SVRVEYI7JG ANP LAST DATEp
10 - l9^ 92.
SIGNEp: JAMES HILIL, INC. N
flY:
GARY R. H RIS, LRND SURVEYOR
MINNESOTA LICENSE NUMBER 10943
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James R. Hili, inc.
PLANNERS / ENGINEERS ! SURVEYORS
2500 w. C7Y. RU. 42 *BURNSVILLE, MN'68337 6 612-890-6044
.
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IAT BIIRnEY
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FOR RESIDENTIAL
Date of 8urvey:
pOCIIMENT BTANDARDB 14-cr-
• Registered Land Surveyor signature and company
• Building Permit Applicant '
• Leqal description
• Address
• North azrow and bar scale
• House type (rambler, walkout, split w/o, Bplit entry,
lookout, etc.)
• Directional drainage arrows with slope/qzadient $.
• Proposed/existing sewer and water services
• Street name
• Driveway
Existina
D 0"? 0 • Sewer service
6' 0 ? • Lot corners
cr ? ? • Top of curb at the driveway
0,-,0 13 • Elevations of any existing adjacent homes
Proposed
0 • Garage floor
? C • First floor
?O ? ? • Lowest exposed elevation (walkout/window)
(?? 0 : Property corners
U? 0 Front and rear of home at the foundation
PONDING AR£A3 Lif aoolieablel
? ?0 • Easement line
0 0?0 • NwL
? MK0 • HwL
? D-` ?? • Pond # designation
D ly O • Emergency Overflow Elevation
.
D ?
.
?' o o •
2-'? ? •
10 ? ? •
? 711/0 •
DIMENSIONS
Lot lines
Right-of-way and street width (to back of curb)
Proposed home dimensions including any proposed decks,
overhangs greater than 2', porches, etc. (i.e. all
structures requiring permanent footings)
Show all easements of record and any City utilities within
those easements
Setbacks of proposed structure and setback of adjacent
exi
Ret
Reviewed
October 1992
1 NE LRKE Hi =t-D
CITY OF LAKEVILLE
BUILDING INSPECTION DEPARTMENT
20195 HOLYOKE AVENUE, P.O. BOX 957
LAKEVILLE, MINNESOTA 55044
612-469-4431
This form is only applicable to detached one-and-two family dwellings. The
requirements herein are based on amended Section 502.2.1.7 in lieu of the
criteria apecifled in Sections 502.2.1.1, .2 and .3.
Building Address: Fz/F
Contractor or Owner: /n?-r-rF??Trr?1r L? ,rrwP S C&l.?rnucr,tb'i
ent "R" Values Area fsv ft1 % of Ext.Walls
Ceilings
Walls* (exterior),
Floors*
(overheated spaces)
Windows**
Foundation Walls
Slab-on-grade
floors
Doors
Footnotes•
Design-?& Required 38
Design-23Required 22
9 5-? 3
(without foundation)
Design,W-Required 20
Design ,17Required _2
2)90 R,?0 'z
DesiqnlZ{e Required 5
(when insulating full depth of foundation wall)
Design_Required 12
(when insulating only to frost depth & footings
extend below)
Design9.Required 83
Designlw Required 3
* For the insulated cavity of opaque walls, floors, and rim joists.
** Maximum window area must not exceed 12 percent of the area of
exterior walls, not including foundation walls.
CERTIFICATZON
Z hereby certify that I have completed the above information and that it
complies with t Minnesota state Energy Code.
Signature ?t00" ?' -?-----_.--?- Date: ?/ /al?
_,d, ?i I
?
/L/ %d'
7 2 7 ? ??
°7°`?C' ? ?
`
?F
--
Fi e No Rougn-in Inspectmn
Requas aie
^ ? . ?? eq red9
C Reatly Now l Notdy Inspg?r j
Wil?° adyY?
I
D5 _ es ?: NO
??-_ -
I licensed contractor ] owner hereby reques inspection of ve electricai work at?
Jae Atltlress ISireet B x ar FoWe o ? ? I
q ? q ?ore?i csw er ??' ,- Ciry -•?",
Seclion No Township Name or No Range No Counq
OccupaAm (,?PRINT)
?V L i d s-"l r'O't"?t Phon No
-9 I a5
PowerS pher
aK.o? -le? Atltlress
rrn('n ?rt?
?
Eiecmcal Contracmr (COmOany Namel
T--Yl C? onlr9dork License No
C? 60(a
MadmgAtlcress fContraclor o, Owner Making Inslallationt
I 5 55 5?1-a,rn4'?h )-r2 AV"?-? Pr i br ??, ?? M
AulnorizetlSIGoO?(dctorvOw?Maki?stalletion?
Affif
AC? P?[oJng N/umber
/
MINNESOTA STATE BOAPD OF ELECTRICITV THIS INSPECi ION REOUEST WILL NOT
Grlggs-Midway BIEg. - Room 5-173 BE AGGEPTED BV THE STATE 90AR0
1821 UnrversHy Ave..56 Paul MN 55100 UNLE55 PROPER INSPECTION FEE IS
Phone(612) 662-0800 ENCLOSED
REOUEST FOR ELECTRICAL INSPECTION Ee-ooom-oe
. See ms,mctions fo, comPlelm9 lhis form on bsck of Yellaw coPY.
L? '7 1 7 1-7 "X" Below Work Covered by Thrs Request
TypeofBuilding AppliancesWVed EqmpmenlWire d
me
lex Range
Water Heater Temporary Service
Electnc Heating
Bwlding
7 mm /Industriat
m Av Conditwner
r(suecJy) Conhaclor§ Femarks
on Fee Below:
?C?ompute
# Other Fee
# ServiceEnlrance5rze Fee # CircwtsiFeeders Pee
Swimming Pool 0 to 200 Amps _ 0 to 100 Amps
Transtormars Above200Amps Abovel-Amps
Sgns I inspectorsUSeDnry' TOT L
IfflJa?l011 BDOmS
Speciallnspecnon TUTAL
•
Alarm/Communication NOT
THIS INSTAILATION MAY BE D DI CQNNE D"IF
?
Other Fee COMPLETED WITHIN 18 S.
I, the Electricai Inspectoc hereby Rough?in .? ' fa ???.?
certify ihat the above inspechon has
been made. pinal ? oa?e _a? ?
OFFICE lISE ONLV
This requesl voitl 18 monNS Irom .
1993 MECHANICAL PERMIT (RESIDEWTIAL)
CITY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNI-IOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UNTT.
_.jZNEW CONSTRUCTION
ADD-ON A/C
ADD-ON FL7RNACE
DATE /,.),I I d/ "
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS? ?LETS (MINIt?UM 1@$3.00 EACH)\ 3
( ? c? -.A r e r 4- .Fp?
ADD-ON/REMOD?L (EXI?NG CoNSTRUCTIOx)
STATE SURCHARGE
TOTAL
SITE
FEES
_$ 24.00
... 6.00
g. Oa
$ 15.00
OWNER NAME: Inr TELEPHONE #: ?? "° 91Q'S-
INSTALLER: Rurncvilla !-IaatinTP. A,/r Inr '
12481 Rhode island Ave. So.
ADDRESS: Gavaga, nnrv
894•8665
CTTY: STATE: ZIP CODE:
TELEPHONE #:
?PGNATbl`RE OF PERMTTTEE
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UNIT.
10. FIXTURE5 EACH TaT?
?L ?
WA R CLOSET 3•00 ?
BATN TUB 3.00 .?
4( LAVATORY 3•00
-
! KITCNEN SINK 3•00 3
?- LAUNDRY TRAY 3.00 3
? NOT TUB/5PA 3.? •?
WATER HEATER 3.00 ?
/ FLOOR DRAIN 3•00
f GAS PIPING OUTLET • minimum - t 3.00 -3
ROUGH OPENINGS 1.50
WATER SOFTENER 5.00
PRIVATE DISP. • oex.ay. lK. 15.00
U.G. $PRINKLER • nome unacr const. 3•00
ALTERATIONS • w aosun8 15.00
WATER TURN AROUND 15.00
STATESURCHARGE 50
TOTAL: SITE
OW?
INST
ADDRESS: T,,,A .I1/l2dAeM2Zp /-/ -
CITY: ZCI w?? STATE _ZIP CODE:
PHONE #:?'/?.
SI TURE OF ?ERMITTEE-
1993 PLLTMBING PERMIT (RESIDENT7AL) .
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
? RESIDENTIAL
5 a3 ?° BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651-681-4675
New CaneVUCtbn Reauhamams
• 3 registeretl sae surveys showirpg sq. tl. of bt sq. M. of house; and gp roole0 areas
(20°/a ma)imum bt cove2ge albwedJ
• 2 copies of plan showing beam 8 whdow sizes; pouretl tound design, ek.)
. 1 set ol Energy Calalatbns
• 3 coDies of Tree Preservatbn Phan B bt platletl afler 7/1193
. Rim JoU Deteil Optbns seled'an sheet (hidps wnh 3 or less unas)
DATE L' a(0- 02-
SITE ADC
NPE OF
APPLICANT
STREETADDRESS 10`,911/ /UG(iD//t"il /YYG
TELEPHONE # qJa `707-6'9T/ CELL PHONE #
RemafeVHeoah Reoulrememe
. 2 coPies of plen
• 1 set of Enerqy Cakulatbns for heated addilions
• lsitesurveyforeMerbradd'Abns&tlecks
• Indicate M home served Oy septk system for addMbns
15
VALUATION `/ ? ?I 6yJ` ' -1 u
AULTI-FAMILY BLDG _ Y X N
FIREPLACE(S) _ 0 _ 1 _ 2
iq&STATEJMZIP ?J-7
FAx # 9f2 --VDf ? F d'y6
PROPERN OWNER / I II / l?°i /-/7/1G //I (i1S? iELEPHONE #?SI 6Bp ? ZD?I
-?
COMPLETE THIS SECTION FOR -NEWa RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1
(4 submission type) • Residemial Ventilation Category 1 Worksheet Submitted
• Energy Envelope Celculations Submkted
Plumbing Contractor:
Plumbing system includes:
MechanlCal Conhactor. _
Mechazrical system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, stote that me informaTion is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordlnanc
Signalure of Applicanf ? ? e???' `^"'?^
.... ------•°-°..°--...... _._-°...... -----°----.....?......s.
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Tawn Sprinkler
No. of R.I. Baths
-?5`?I(?
c
'14:? o
2006 RESIDENTIAL BUILDING rExMiT arrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 9 651-675-5694
New Consiruclion Requirements
3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20% maximum lot wverage allowed)
2 copies of plan showing beam & window sizes; poured (ound design, eto.
i set of Energy Calculations
3 copies of Tree Preservation Plan if bt platted afler711193
Rim Joist Detail Options seleclion sheet (6uildings with 3 or less unifs)
Minnegasco mechanical ventilation form
Remodelrttenair Reauirements
2 copies of plan showing footings, beams, joisls
1 set oi Energy CalculaGons for heated additions
1 sife survey foraddAions & decks
Add'dion - mdicefe'rfarsite septic system
Office Use Onlv
CedofSurveyRecd _Y _N
TreaPresPlanRecd _Y _N.
Tree Pres Required _ Y"_ N
On-siteSepticSyslem _Y _N
Date2f'?/ }4`7IO
Site Address ?
? / Z?rN?
9
qn
? r?•'?'?? (?r? ?''1S ?[t
Construction Cost
?i?, UniUSte #
1
Description of Work
d ?
Multi-Family Bldg _ Y N Fireplace(s) _ 0 _ 1 _ 2
Property Owner ?r 1 att?r.?? Telephone #(
Contractor
Address City
State Zip 5 j%/?- Telephone #(G? Gf?34?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 ' nesota Rules 7672
Energy Code Category Residential Ventilation Category 1 Worksheet iSE n de Worksheet
(Jsubmissiontype) Submitted n I'Ip/
•
• Energy Envelope Calculations Submdted p ? ?
9 p
n a master plan'??&
In the last 12 months, has the City of Eagan issued a permit for a similar plan base¢? D
_ Y _ N If yes, date and address of master plan: lLicensed Plumber
Mechanical Coniractor
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 confonnance with the ordinances and codes of the City of Eagan and the State of MN
5tatutes; 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 ofplans. ?
?rn -? r Gl???te.,/Jey2 l 't ?s '
Applicant's Printed Name Applicant's Signature
,1I Li CIA
2007RESIDENTIAL BUILDING rExMrT nrrLrcnTiorr
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NeW Cons[ruciion Reamrements
3 registered site surveys showing sq h. of Id, sq ft of house; and all roofed areas
(20%maximum lot coverage ailowetl)
1 Soiis Repod if proposetl buildinq is to be placetl on disturbed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 set of Eneryy CalculaUons
3 copies of Tree Preservation Plan If lot platted after 711193
Rim Joist Detail Ophons selection sheet (buildings wiN 3 orless uni4s)
Atinnegasco mechanical venttlation foim
?
RemodellRePair Reawremenis Dfice Use Onlv
2copiesofplanshowingfoodngs,beams,Joists Cert ofSurveyRecd _Y _N
lselofEnergyCalculahonsforheatedaddtlions SoilsReport _Y _N
1 sile survey for additions 8 decks Tree Pres Plan Recd _Y _ N,
AddN'on-mdcafedon-sifesepticsysfem TreePresRequued _Y _N
On-site5epticSystem _Y _N
?
Date
/
? 7
C Gy
Construction Cost ? V 5`/ 2
n/?
Site Address [ y`/ ? Unit/Ste #
?i??r , ? ? ? Z
60 ? -
Description of Worlc 7
'Z L1
Multi-Family Bldg _ .!.
Y_ N
Fireplace( _ 0
i
2
PropertyOwner f s L•rn¢.i Telephone#45-/)
Con[ractor . r
/ ?
Address ? - J
/ /' City c
State Zip .Sj Teleplione # ( (O:47
-?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A PIEW BUILDIPIG
- Minnesota Rules 7670 Cateeorv I _ Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissionlype) Submitted Submitted
• Energy Envelope Calculations Submitted
In ihe lasi 12 monfhs, has The City of Eagan issued a permiT for a similar plan based on a masTer plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contraclor
SewerlWater Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby appiy for a Residential Building Permit and aclmowledge 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 undersfand this is not a permi[, but only an application for a permit, and work is not to start witltout a
permit; that the worl< will be in accordance with the approved plan in the case of work which requires a review and
approval of plans. ?
e ' r-e Z?
Applicant's Printed Name ApplicanPs Signature
--
?SIODENTiAL MECHANIC'AI, pExMaT arrLicAT[nx
c.:y 0? Eagar.
3830 Pilot Kno6 Road, Eagan MN 55122
Telephone # 651-675-5675
L ?
Please complete for: single family dwellings & k?wnhomes/condos when permits are roquired for each unit
Sl). :5
Date 0-7 -°
Sitc Address Unit # .
PropertyOwner Telephune#(h?V) 7?-6^S71r
4
0
11
Contractur 7
1
0
D
St
tAdd N-L??
3
??A4zz'
ree
ress . City
'
State /4/1/ Zip 56Telephone # ( (9' / ) 770- 06 0 3
Bond #: Eapires:
4
The Applicant is _ pwner 1- ontractor _ OthtT
Fire repair (replace bumed out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechan ical repairs are made to a buiiding.
Add?° or alterntiou to caisting dwelling unit $ 50 00
v furnace e _Additional _Replacement _ New
? air exchanger
air conditioner
heat pump
other
State Surcharge ° L' D
$ .50
MAY 2 3 7007
52), SO
Total $
I hereby npply for a Residentml Meclianical Permit and acknowledge that the infortna is wmplete and accurate; that the work will
be in conformance with the ordmances and coties of the City of Eagan and with ihe hanical es; tLat I understand Hvs is not a
permit, but only an applicaAon for a pamrt, and work is not to stact without a pe it that the rk will be iyac?ordance with the
approved plan in the case of woiic wluch reyu'ves a review aad approval of pla?s. / ?,?
ApplicanYs Printed Name "'?'? A^ppk6anYs Si`fnature
5 ? ?%
MITTELS
'S CERTIFICA7E
3
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p°,
0°
^ REMAFi Cl ?i?'? `StS QS
. . .s.; oG
? 0
FEE SUA Xs».u J+ ?
?
BdbE
Plan
Surc
SAC
Si
St
Subtc
MIiTELSI"I
785
EFlGAN
(fi1.2) 456
I her,
infori
Statu
//
aROPOSEU GRAUES SHOWN WERE TAKEN
•.OI,: THE ORAD!NG PIAN FOR LEXINCiTUN
,GtNTE EIGNTM ADDITIUN PREPAREDBY
TRI-I.AND SVRVEYINGANDLASTDATEp
10- 19^92.
EAC?AT1
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NOTE: BVII.DING DIMENSIONS SHOWN ARE ,
FOR HOHIZON7AL a VF3tTICAL LOC-
ATION OF STRUC7URE: ONLY. SEE
ARGHII'tCIVAI PIANSFOft BUILDING
8 FOUNDATION PIMENSIONS.
SCALE: 1 INCH - 30
pfiOPOSED GARAGE f-LOOR ^ 9"7 %, ?
nROPOSED LOWEST FLUOR ° R>z•2
PROPOSED 70P OF 6LOCK =
THAT 7HIS IS A TRUE
REPRESENTAT ON OF A SURVEY OF THE BOUNDAalE5 pp; AND CORRECT
Lot 22,61vck i, LEXMG70N PUINTE EIGHTH ADDITION, according to the recorded
plat Tltcieol, DakotO County,MinnesoTa.
ISURVEYED 8Y ME OR UNDER M DIRECT SUPERVIS ON TH S?U3RD H DAY bF ?x NOV. AS SHO 99
SIGNEP: JAMES . NILL, INC.
BY: ?
GAAY R. H RIS, LAND SURVEYOR
MINNE50TA LICENSE NUMBER 10943
James R. Hill, inc.
PLANNERS I ENGINEERS I SUR'v
•?
25rjq y./ C'TY kU 42 4 BURt75ViLLE. MN. 55337
?P OF PIPC
LCV. w979.88
127, 94 ,
f ':..iz.ai et
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BROS. GUNSTRUGTIUIJ, IIJC.
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90612311 E ..~?.?I
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979.9 Ea ?FJ'`e 25?
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. ..__ ` 12.Q7
4 45.00
C 6ENCH AMFK
TuP or rir[
ELEV..980.03
. ' F.TJV.V
N89° 06' 23 "E
iL_??
N07E: NO 5?ECFIC SDILS iNVE57GA71UN HA5 9EEN COMPL-ETED
ON 7h11S LOT B'f THE SURVEYbR '(FE SUITABI4II'! UF
ITSTHE RES ?NS191LI7Y OFF . THESU?YO?$?D 'S
NO
.f--- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MUNUMEN'f SET
0 l7ENOTES IRON MONUMENT FOUND
I X000.0 DENdTES EXISTING ELEVATION
(000.0) DENOTES PROPOSED ELEVATION
,l
- z"?,sv,??"?' • ?r,h?
c,?.r
For Office Use
City of Eataft Permit .
Permit Fee:
3830 Pilot Knob Road Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675.5694 -Staff--------------
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
"t"1•"1 I l a rd~~
Dale: Site Address:
Tenant: Suite
RESIDENT I OWNER Name: ` Phone:
Address / City /Zip: AI ` t 1 CC \ J"- 1
CONTRACTOR Name:
Address:
City: c A~ StateCip:
Phone: Contact Person:
TYPE OF WORK -New LReplacement `Repair -Rebuild _ModifySpace WorkinR.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater - Water Softener
Lawn Irrigation Add Plumbing Fixtures
C_ RPZ PVB) (_Main Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
'Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) ~T 1
TOTAL FEES $ `J Jy
I hereby acknowledge that this information is complete and accurate: that the work will 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 in
accordance with a appr ved plan in the case of w which requires a review and approval of plans.
X X
App (cant's Printed Name App ant's Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Y_-,Under Ground ____Rough-In ___Air Test .___._Gas Test -Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA161834
Date Issued:06/15/2020
Permit Category:ePermit
Site Address: 949 Coneflower Ct
Lot:22 Block: 1 Addition: Lexington Pointe 8th
PID:10-45092-01-220
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
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 -
David A Berthiaume
949 Coneflower Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature