973 Coneflower CtCity of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 973 Coneflower Ct
Lot: 28 Block: 1 Addition: Lexington Pointe 8th
PID:10- 45092- 280 -01
Use:
Description:
Sub Type: e - Air Conditioner
Work Type: New
Description: Air Conditioner
Comments: Questions regarding electrical perm
952- 445 -2840.
Fee Summary:
Total:
Contractor:
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431 -4328
ME - Permit Fee (Replacements)
Surcharge -Fixed
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
equirements should be directed to Mark Anderson, State Electrical Inspector,
Owner:
Jeffrey Preimesberger
973 Coneflower Ct
Eagan MN 55123
$50.00 0801.4088
$0.50 9001.2195
$50.50
Issued By: Signature
Mechanical
EA085009
08/06/2008
ePermit
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
?
N
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: , 1; i
E,Nr f 1 f,t.Jt 1, 1 t
w, ; i-,-; ,1 I ht rF Ef tN
PERMIT SUBTYPE:
i I i (107 ) N[1s
?
PERMIT TYPE:
Permit Number:
Date Issued:
ta i c?+? ? . ? APPLICANT:
r ?. 1 .• ? ?,rt?, !.;i1,
TYPE OF WORK: Nf w
F )Nril
f,ii t 1 1) Fwn
?
?J
??...
?ermk No. Permft Holtler Date Telephone k
ELECTRIC
PLUMBING
HVAC
Inspectlon Date Inap. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOAFD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSM7 FINAL
-
OECK FfG 73?? -
! -- -
DECK F1rW! A,/?,rJ
N l? !
-
IN
-C11"Y OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
I SITE ADDRESS:
I ii1'J l f 1
. iti:l td I ?INif NfN
PERMIT SUBTYPE:
:,.
?PECTIQN REC4RD
PERMIT TYPE:
Permit Number: 0
Date Issued:
APPLICANT:
f IlI rt. .i i Pj 11 1 1 m ? ?, f;l; { l?r? I
(fr9:') A!-?4,0 r,4t4
; fTYPE; O,F WORK: 0I: w
INSPECTION .. . ..
t?`I'.11I A 1 1 ItI'd
I I; IAAt? k' 'i :`:, 'iN W PI IH R
?
f:AY NAE:Ii f'1 F3ii
?
J
Permit No. Permit Holder Date 7elephone #
S/W
PLUMBING ? ? ?GG~
HVAC
ELECTRIC --
ELECTRIC
Inapection Date Insp. Comments
Footings I
T
Foundation
Framing ?
i
Roofing
Rough Plbg. ?
Rough Htg.
a
Isul.
Fireplace
Final Htg.
7
Orsai Test
?
Final Plbg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan
BIdg.Final ?,2,r')3 DS
Deck Ftg.
Deck Final
well
Pr. Disp.
?i
? CITY OF•EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
rle-'q?
7?a??oALoxNG
021296
07/02/93
SITE ADDRESS:
973 CONEFLOWER CT
LOT: 28 BLOCK: 1
IEXINGTON POINTE BTH
P.I.N.: 10-45092-280-01
DESCRIPTION:
B,uildinql_Permit Type
Building Work Type
--'UBC Occupency?
' Construction Type
?J Zoning
% Building Length
Building Width ?.
p l
\ vli
5& W PLBR - RAV HAEG PLBG
?1"? ?:2?L1Li Ll
REMARKS:
FEE SUMMARY:
VALUATIOM $95,000
Base Fee $617.00 MISCELLANEOUS
Plan Review $401.05 Total Fee
Surcharge $47.50
SAC $750.00
SAC ? 100
SAC UniCS 1
Subtotal $11815.55
SF DWG
NEW
R-3 M-1
V-N
PD R-1
60
35
$1,744.50
$3,560.05
CONTRACTOR: - Appricant - sT. LIC. OWNER:
THORSON HOMES BRIAN L 14540644 0001317 THORSON HOMES INC
4466 WE06EWOOD DR 4466 WEDGWOOD DR
EAGAN MN 55123 EAGAN MN 55123
(612) 454-0644 (612)454-0644
?
I hereby aaknowledge that I have read this application and state that the
information is correot and agree to comply with all appiicable State of Mn.
5tatutes and City ofi Eagan Ordinancas. ?
64 'li'?"?1. r„?,•a?
APPLICANT/PERMITEE SIGNATURE
Ble UED 9V?C?NAE \
"Cate of Cccupancv I
IKit4 of Cpagan
ZaWxtmeut of 6aUbiag auowiion ? . i
? .
, ..
I
I ,.
?
? ..
?
This Certificate issued pursuant to the requiremerus of the Uniforne Building Code
ceRifying that at the time af issuance lhis structure was in compliance with the various
orriinances of the City regreloling bui/ding conslruction or use. For the following:
UseClassifi?.on: SF DW, 212%
? Bldg. Prnni[ No co?
Ow?erM Buiiding qm7?/yy??8 ?? . ???^^°' ? '?-- ,.
/ Bg_AdA?ess/'? ""' n oMn LOCyaY L28, B],
05 'b
o._.. -- . , e? °?:
DST IN A CONSPICUOUS PLACE
?
Address 973 GREFiowErt com Zip 5512 3
T.ot '' 28 Blk i Sub LF.FaNY,'117N POINTE 8TH
THESE IT'EMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECI'ION.
Date: Yes No Inspector. ?
Final grade (6" from siding) ,
Permanent steps (garage) ? `
Permanent steps (main entry) ?
Permanent driveway ?
Permanent gas
Sod/Seeded grass ?
Trai]/cutb damage
s
Porch
Basement finisL ?
I!
Deck ?
•, ? ?; nease venTy with the builder the temoval of roof test raps from the pWmbing system and the shuboff of water supply to
the outside lawn faucet before freeze potential exists.
ContaM engineering division a[ 681-4645 before wnrking in righ[of-way or instslling underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
?f•A
l?i)
REACTIYATE _ RECEWED CITY OF EAGAN ^t(,"
PEitMIT 4 1993 BUILDING PERMIT APPLICATION
J U iV 2 3 1993 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
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 Yaluation of work
Site Address:
SiREET SU1TE N
Tenant Name: (commercial only)
IAT a? BIACK ? SUBD. / .?-
T
/ P.I.D. 1?
,C t?.r ?.?<fD.?
11L
'
Descri tion of work: nEcci
The applicant is: ? Owner ontractor ? Other (Deaeribe)
Name Phone
Property LAST F,RST
Owner
Address
STREEi STE i
City State ZiP
rr,es l?e Phone
Company La.E'--"J 4? ?
Contraetor Address License # cuoi?i7 Exp..3 3i .
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State ZiP
Sewer & water licensed plumber ? a p ,?ltim •?? . Processing time for
sewer & water permits is .two days o' e area has been appr ed.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all app icable State of Minnesota Statutes and City of
Eagan Orriinances.
Z
V_41?
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging
EX 02 SF Dwg. ? 07 4-Plex 0 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex 0 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck
WORK TYPE
P 31 New ? 33 Alterations ? 35 Tenant finish
O 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
? ,?
? i?Ba Rgj4tF'?nt„4
? 17 SwTm Pool
? 18 Comn./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
Canst. (Actual) V-N Basement sq. ft. MWCC System ye_>
(Allowable) v_,j lst F1. sq. ft. Lity Water YdE5
UBC Occupancy R-Z M-I 2nd F1. sq. ft. PRY Required
Zoning Pil) R.k Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length -90-r On-site well Census Code !6L
Depth -35, On-site sewage 5AC Code ?
APPROVALS ?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
0 Site
? Wallboard
? footing
? Final
? Framing
? Draintile
O Insulation
? Fireplace
Permit Fee v.iu.s;a,: $ C?S9 cOc»
Surcharge
Plan Review GAYtA6-E', ZZXZoX
-
1= 70q0
License ---
MWCC SAC 35 = 560
City SAC '
Water Conn. ?yyt 243= 6'72
Water Meter
Acct. Deposit
12?? k fs'= l? y}?u
S/W Permit ?-
5/W Surcharge 6s*1` 23 2-
Treatment Pl.
Road Unit
Park Ded. xlx5
Z
Trails Ded. I'?ZKI2y3?-
Copies
Other ?295xSy? ?9?3?jo
Total:
sac % loo I 9`!, 9/ ?
SAC Units =
.?? LOT SURVEY CHECRLIST FOR RESIDENTIAL
BUILDIN6 PERMIT APP ICATION
W < PROPERTY LEGAL•
? ? m ?//GK F Date of Burvey:
pOCUMENT BTANDARDS
0? ? 0 • Registered Land Surveyor signature and company
p' p? • Building Permit Applicant
0" ??1 ? • Legal description
C? Q ? • Address
C?p ? • North arrow and bar scale
p?? ? • House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
C? ? 0 • Directional drainage arrows with slope/gradient $.
?0 0 • Proposed/existing sewer and water services
0%F] D : Street name
D/ ? ? Driveway
ELEVATIONB
Existing
? G/ 0 • Sewer service
0r ? 1) • Lot corners
pr p 0 • Top of curb at the driveway
E3? 0 0 • Elevations of any existing adjacent homes
Prouosed
C? 0 0 • Garage floor
1) • First floor
[J? Q ? • Lowest exposed elevation (walkaut/window)
0
/0 0 • Property corners
-
LT 0 0 D • £ront and rear of home at the foundation
BoNDINCi AREAS (if applicable)
0 Q../' ? • Easement line
0 L7 0 • NWL
0 0' o • HWL
0 K 0 • Pond # designation
? V ? • Emergency Overflow Elevation
DIMEN6ION8
?
/D ? • Lot lines
_
0
' ? • Right-of-way and street width (to back of curb)
Ld
0 ? • Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e., all
-/ structures requiring permanent footings)
L? 0 11 • Show all easements of record and any City utilities within
those easements
D 0 • Setbacks of proposed structure and setback of adjacent
/ existing homes
? ?f ? • Retainin ents, if any
Reviewed• -3
Name / te
October 1992
:,..,.
I 9 i?-?9 3/
6 91 7,Ccf 8 1- `le
Repuesl Fire No ough-In InOSecimn Reqw?etl
(VOU must call ?nspec[ar w n ready) Inspe[tion Other Than R M1-In
0 Ready Now ' Will Natily InsOector
? Ves ?o Date FeaOy
I censed contracior ? owner hereby request inspec4on of above electncal work at:
Job Aaarese istrcet eox or Fame No I C"Y
?T!\l
?? J
Secpon N. Township Name or No Range No County
Occupant?PpINT???y?J
G PM1one No
PuwerSupplier Adorass
Elecincal Go?Vactor fCOmpany Name) GontrecYOr§ Lreense No
H7GHLAND EL?CTRTC. INC CA7
Mailing HtlOress (Comremor or Ownee Makmg InsiallaLOn)
2030 ST CLATR AVE., ST PAUL, MN 55105
Awbonzetl Si Wre iGonLaNOnOwrer Making Instali n?
?yz Phona Number
690-1551
MINNESOT 5 OA F ELEC RICITV THIS INSPECTIGN 9EOUEST WILL NOT
Gnggs-MIO? g- Room 5473 BE ACCEPtED BV THE ST/+TE BOARD
1821 University Ave.. St Paul. MN 55106 l1NLES5 PROPBR INSPECTION FEE IS
Phone (612) 642-0800 ENGLOSEO
REQUEST FOR EIECTRICAL INSPEC710N
/ ? See mslmtlions ior completing Inis lorm on back ol yellaw copy
0 Ej 9 1 U f ? `X" 8elow Work Covered by This Request
ew _Ada ep Typeof8uilding AppliancesWired EqmpmentWiretl
Home Ranqe Temporary Service
Duplex Water Heater Electric Heating
Apt Bwldmg Dryer Load Management
I Comm rindustnal Furnace Other (Specity)
, IFarm AirConditioner
Oiher(syecity) ConVeo+.or5 Remarks
A.'.5;!527-
Compute Inspechon Fee Below'
u Other Pee # ServiceEnlranceSize Fee # CircwtsiFeeders Fee
Sw?mming Paol D to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps AQoye 1oo _ Amps
Siqns , insoecmr's Use only / ?I TOTAL
' Irrigahon eooms
Speaal Inspechon
AlarmrCommunwatwn THIS INSTALLATION MAY BE OR E ISCONNECTED IF NOT
Other Fee COMPLETEO WITHIN 18 MONTIiS.
I, the Electncal Inspector, hereby AD1'gh'" Da?e
f
certrfy ihat Ihe above inspection has
been made F,,,ai
?
OFFICE IISE JNLY
This repuesl voitl 18 momhs Irom
a
' ` E12-474-G_15^ ; L'i'MFih-J EXCELS I UI? 'r'ARD 422 F'01
JUfJ 18' 92 1 r: 47
'yI. 1,?hN??V1A ??1?{V Y Y Y? vJ4 VIlVYVLn?Il?
•
•
BASE O?Y i', A
TEN OF T
MOVEL ERCY aD DL7IOtt_.„_f•f'
_,. A4op:lvn F(f*Ctlv lJl/ 4
,
?. .
Iwncr _
'Cfir p.g OL'nIIX ` ? Phpne
1 te Addres s Ln.T 2S I 1?.
oneraccor ?^?ie.? ? phone
uilding Cla sslfication: Type A1 (51n41c Fasfly 6 Ouptex), _ V Type AZ (Residmtlal
(3
sCOriQS or ess
(Other) (qver 1 storieS)
._--
=NERAL INfORl1HTION
Bullding Perlmeter_ ft.
uail height (ground W eave) N3c. ft.
z 'r¢,?? _ ??3 z
1. x 2. (abova) gross wall dprA \CQ ft. C` 10
Building dimensions (C)A?{ x
ft. roof S floor area
Sqvare fcot arca of rim jotst _ Ftoar Jatst stxe {z x la ? ) Z
t,,7?, x Perimeter • Rim o st area (?7=ft
. Door; - Ar!# ?`( - '
Th1CTcaess «
c
tor _ p(,q
TYPR of ConSt
t 4n?
?. ?aPerimaCer j ?
? +
? ft
Hawfacturer
„
_ ?
.
.
.
Tatai doar's perimeter ft _
WindoWs: llanufacturer??, $tate approvcd
U fattor_
TYPE SIZE AREA (F:,z) !rUMBER OF 70TA(, FEE7 Z
EACH
ls? UNI75
--
o C>%. G?_'z 1 C7 9 4>
d
- n. 1=?
ar..
-?-Yj?? • b?O X C'-\ Ve. ^? (? ? ? ??]. ?
, ro[e] fc.2 Glass -2,
'•fireplace area: Nidth x heiqht + ?•_ x ? . _?, Fi.2
. Exposed foundntlon: Nelght x Perimeter , 9 x o Ft.Z
'lETION OF T11i5 FOltti I5 RECJUIREO FOR ALL NEW COtI$TAUCTIO'J. H1tJOR RE110DELIttG ANq DUIIDT'tG5 QEII
D NFIERE ENERGY, 07HER TlA,y TtIF FliNTmA!_ CnnF A!r nLslrorr re ticerv
i
?/9
G ??
? g 5
?
$ /3971! ?//?a3?
?' ?
0
.
9 `
Pequas D -- Fve No Roug -in Inspec?mn
Re retl'+
? Ready Now Will Notify erJe{??
Wh
F
Ves G No en
e Q?
4 0 -1
/ -
I y licensed contractor ? owner hereby request inspection of above electric work al.
Job ares (3 et Box Route No ) City
?
Setlion No Township Name or N. Range No Coun
Occ ntfPql TI Pho a I
` ?.
Power SuOPb Addrass
Elem a onvactor Company Namei Co eotor icen
• •
MeJinq tl re s ICo Ir to or wner kmg Installetion)
Au?M1O?rz Sgnature areolon0 er aking insteliaLory
oQ ?I , m /I,.__ e N er
MINNESOTA ypTE`B0AP0 OF ELECTflICITV
TNIS INSPECTIpN REOUEST WILL NOT ?
Ew
Grlqgs-Mley Bltlg. - qoom 3-1T3 BE ACCEPTEV BV THE STATE 80ARD
1821 UNVenlty Ave SL Paul, MN $5100 UNLESS PROPEF INSPECTION FEE IS
Phone(812)1644-p800 ENCLOSED
/ REQUEST FOR ELECTRICAL INSPECTION ee-ooom-oa
I See insimclions lor completmg this iorm on back o1 yellow copy
? C 7 7 tl f1 ?"X' Below Work Covered bv This Request 7 6
ew dd Fp TypeofBUdding AppliancesWued EquipmentWired
Home Range Temporary Service
Cuple: Water Heater Electnc Heatinq
Apt. Building D yer Other (Specify)
Comm.llndustrial iFurnace
? ? Farm AirCondihoner
I Other [specifyl Contrac!or5 Remerks
Campufe Inspecnon Fee Below
# Other Fee # Service Entrance Size Fee # Circmts/Feeders Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
9gn5 Inspecror's Use Ony TOT ?
hrigation Booms
Speaal Inspection r •- ?. , a
AlarmlCommunication THIS INSTALLATION MAY BE ORDERED DISCONNE?E??F NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rou9nl oate??
certify that the above inspection has
been made. F,,,ai e?e
OFFICEUSE'JNLY 7 ?
This reques[ vmd 18 monihs irom
612-4 i 4-0677 LYh1faN EYCELS I OF2 1'RRD 422 P02 JUN 18' 92 17: 48
frnming area - 10% of gress Ha71 area. `
Gross wall areb Q f!.Z _
z
W1n0ar+ area A _ Z--r,\ .\? ft. i: NlndowS +A7? J x A- ?Oa?. °l(ea
pin)oist area A 4a? _rti.Z U rim joist ¦ 0?- U x A+ 4.4
?
pocr area A `l _Pt.? ' 'J doar area .- U x• A•
Fireplaca area A --t-E?i"` f-,z
,
Exposed foundation A -Z% -O f±.-
Framinq area A -z' C. ft.`
Ret wall area A ?412\p_4Vc.
U iirCpl3CE ? -C?)- U x A ¦ -E3--
U foundation ¦ «\ U x A• ?S.q3
:1 franing area •?O U x A??,,,,
9 WL l 1 V x A 0\
(119; ,-% ... . . . . . . . . U x A
Gross .raTl area x 0.11 (A-1 single family 5 d6;.;=x • allokable UA A/Code
(]J. above) =;f'
x 0.23 (A-2 other resiCenCta:;
x .23 ;7Cher building=%
ic s$ (Over 3 star;es) .
;!ust be larger than
? x t! 4¢e. ¦ ZMLZ , 136 3bave
_ R?
Ca;ling framing area (Af) equals 10: nf cs;lijg area or the same as)
Gross ceiting area ¦(L) ?I x(f? 9 C 16; ?T.(c-,Q tt.2
Joist ared .(At) ¦ 10; ceiling area ]ft.Z
Ye: ceiling ared (AG) (15A » 158) • \ ` `? ?. ft,z
U cei 1 f no x A ?¦ -_ ? O'?.\ ?, xi??"??_ , "?? ?•-t -?
U framing x A f+ (D -r-..??_ -Z1 3
reraL u x p . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . .. . .. . . . . . cik_) . o
?-----;_
Ce111n9 area ()yA) x 0.025 (A-1 single family S duplex - code dilo:vable U x A
x 0.033 (A-2 other rqSid2^tfal)
x O.C6 (other)
Bo H Must be larger Chan 15D (abave)
A???a? ???!? x j?(c°delc_.O F (or the same as)
r--
NOTE: Use U and a vatue: obtained f,•om nps 1, 3 and 4.
- PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B u s ? o z N c
PermitNumber. 028286
Eagan, Minnesota 55122-1897 0 7/ 19 / 9 6
• (612) 681-4675 Datelssued:
SITE ADDRESS:
P.T.N.: 10-45092-280-01
DESCRIPTION:
973 CONEFLOWER CT
LOT: 28 BLOCK: 1
LEXINGTON POIN7E 87M
Permit Type pECK
blark Type NEW
ct-if:'A; 434 AL7. RESIDENTIAL ?° _
;o-
01" ?a YaI ?v?.
? °. • .
d k"
?
.?5?°-'?•qid"a;iR'd`i?. -?? si°5c• w'?a
'si ? d4" Ns i? q E* rv
'm'v41aR bft 51&A 'ry'ye'P v+?§I?? Ei9 "A?ld!°Ib ?:1±? Ei3 ???+u ffi5 ?4`i?&yr ?,`3 .e.M
REMARKS:
FEE SUMMARY:
Base Fee $45.00
Surcharge $.50
Total Fee $45.50
CONTRACTOR:
? _ ?I?heeeby ackt?c?wla?tl.g? tMaC,=I ?
>
khfai-inA ta on??s
5tatu'te? ariil4 ?xty. ci`F 'Oin EOr
L
Z APPLICANT/ flMITEE SIGNATURE
OWNER: - qPPllcanc -
ROBERTSON LANCE
973 CONEFLOWER CT
EAGAN MN
(612)686-7589
sta'ta tha C.;:the -. I
f.?o,.cysmpiy a6?p?tcab:le.,Stat0 -ai` Mn,,_..
arnces, r;- i %
4
ISSUED BV: SI URE
CITY OF EAGAN
?7) C2? ? 3830 PILOT KNOB RD - 55122
9996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675 ?
New Canslrudion Reauirements R madei/Ra???ements
?
? 3 registered site sorveys ' ? 2 copies of plan ? 2 copies ot plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions 8 decks)
? 1 energy calculations ? 1 energy calculations toi heated addilions
? 3 eopies ot tree preservaHon plan if lot piatted aRer 711/93
requlred: Yes No 2
_
DATE: -7- &-l- -9 6 CONSTRUCTION COST: ? )00
DESCRIPTION OF WORK: LLL
STREET ADDRESS: Q-73 6nJt Ol.[A'(' COuv-f -? aC-,?ct4?
LOT Z ? BLOCK
PigM wk-* 33F??J/S?
PROPERTY Name: I<? 1"5brl ?J2 nCe Phone.#: 0&2"-7565
UWNER rinsi
Street Address, I I -? vr ,c, 1 112% „en ?.?...A? .
City: Fti n State: mA Zip: _55( a 3
CoNTw?cTOR , Company: Phone #: VON=
Street Address: ? Lk ?y) 'L. License
City; State: Zip-
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #*
Street Address,
City_ State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that 1 have read this application and state that the information ' correct and re to comply with all
applipble State of Minnesota Statutes and City of Eagan Ordinances. .'Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes No
_ Yes _ Na
p.. OFFICE USE ONLY ?
•` . .
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition o OS S-plex
? 04 SF Porch o 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
'0!31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actuai) v n1
(Allawable) v N
UBC Occupancy ?-3
Zoning 2 i
# of Stories
Length
Depth
APPROVALS
Planning
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
? 11 Apt./Lodging . ?
? 12 Multi Repair/Rem. ?
? 13 Garage/Accessory ?
? 14 Fireplace 0
5
C Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscelianeous
MCMlS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code ?
Census Bidg 1
Census Unit 0
Building -wg Engineering
Valuation: $
/ --5 C)
.
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
NEW CONSTRUCTION
ADD-ON A/C '
ADD-ON FURNACE
? FIREPLACE WSERT
DATE 7- x5- Q 7
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTiETS (iviiNiiviliivi i w $3.00 EHCH)
ADD-ON/REMODEL (EXISTING CONSTRUCTION) $ 20.00
STATESURCHARGE
TOTAL
.50
e9 6. 0
SITE ADDRESS:
U
OWNER NAME: n
.r,n o?/?i1.mofn. TELEPHONE #: ?A - 74 G? e-
INSTALLER: aj L,'k a o??1
ADDRESS: -,09 r ? i,.,c.??e.`.
CIT'Y: A2(§??¢ .c ,c_c ?(A STATE: ZIP CODE:
TELEPHONE #:_(, _? w- . Y-Z Y-5_
?
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
NO. FIXTURES EACH TOTAL
I SHOWER 3•00 :3-
WATEEt CLUSET 3.00 _3. -
BAT'H TUB 3.00 3. -
? LAVATORY 3•00 '-' -
.
? KITCHEN SINK 3•00 ' • -
LAUNDRY TRAY 3.00 ? -
HOT TUB/SPA 3•00
WATER HEATER 3.00 3- -
FLOOR DRAIN 3•00 3 -
GAS PIPING OUTI.ET • minimum - i 3.00 ra, -
ROUGH OPENINGS
?9 1.50 N-.5D
_
WATER SOFTENER 5•00
PRIVATE DISP. • Dak.Cry. lic. 15.00
U.G. SPRINKI..ER • home under const. 3•00
ALTERATIONS • to existin8 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE .50
TOTAL:
SITE ADDRESS: "I"/ 7 -
OWNER
INST.
ADDRESS: ??-? - C"C"- A'( SD
CTTI': STATE: ? ?- ZIP CODE: 5-G42,3
PHONE #: ( ) ?(oco -(00?° Lvu? , ?jA:!4(?
SIGN URE OF PERMITTE
1993 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTf.
X NEW CONSTRUCI'ION
ADD-ON A/C
ABD-ON FURNACE
DATE July 9, 1993
FEES
HVAC: 0-100 M BTU $ 24.00X
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMUM 1 C$3.00 EACH) ;2 G?eirwr?j_, ?. - x
U
ADD-ON/REMODEL (ExisTtNG CoNS'1'RUGTtorr) $ 15.00
STATE SURCHARGE .50 X
TOTAL AM.50
SITE ADDRESS: 973 Coneflower Court
OWNER NAME: Brian Thorson Homes 'f'Ej,EPHONE #; 454-0644
INs'I'Aj,1,ER: Kleve Heating & Air Conditioning, Inc.
ADDRESS 13075 Pioneer Trail
Clry: Eden Prairie STATE: "'N ZIP CODE: 55347
TELEPHONE #: 941-4211
SIGNAT'CJRE OF PERMITTEE
1993 MECHANICAL PERIVIIT (RESIDEiV1TAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN NIIV 55122
(612) 6814675
RESIDENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122 !
651-681-4675 ?? ? , -1 vj
New Constructioa Reauiremenb
. 3 registered sde surveys showiig sq. k, of lot sq. fl. of house; and all roofed a2as
(20% maaimum lot coverage allowed)
• 2 copies ot plan showing beam 8 window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies ot Tree Preservahon Plan if bt plaped aRer 717193
• Rim Joist Detad Options selectbn sheat (bldgs wiN 3 or less unrts)
DATE -) - 1) - O d-
RemodellReoair Reauirements
. 2 copies of plan
• 1 set of Eneryy CalCUlafions for heated additions
• 1 site survey far euterioradditions 8 decks
• Indicate if hane served by septic syslem for additans
VALUATION 10 1 3 ?Z G
SITEADDRESS A D J C d--) t-C I ,uw•ert C? . MULTI-FAMILYBLDG _Y _N
TYPE OF WORK?j -Ga?' `C) ZC4 /_L r'oc) F FIREPLACE(S) _ 0_ 1 _ 2
APPLICANT
eO?) S I fUL'h ?Gh
STREET ADDRESS V1 (U5 U HL'? a c-,'h ?31 l
TELEPHONE # 65+- )7 I •d"9 ?d CELL PHONE #
PROPERTY
r-
TELEPHONE#6 ySCI" S)S I
--------------------------------- ----------- -....... ------------ ---..................... -......
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIN?.?'ESOTA RULES 7670 CATEGORY 1 MINNESOTA RliLES 7672
(4 submission type) . Residential Ventilalion Category 1 Worksheet Submitted • New Energy Code Worksheet Su6mitted
. Energy Envelope Calculations Submitted
Plumbing Conhactor:
Plumbing sys[em includes:
Mechanical Conhactor:
Mechanical sys•tent includes:
Sewer/Water Contractor:
_ Air Con(litioning
_ Heat Recovery System
Phone #
Fee: $90.00
Fee: $70.00
Phone # '
-----------------------°----------------•---------------------------°-------------------------°------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances. _-1
Signature of Applicanl
OFFICE USE ONLY
_ Water Softener _
_ Wa[cr Heater _
No. of Baths
_ Phone #
Lawn Spiinklcr
No. of R.I. Baths
S5-lU6
3j S -') `7 (S- FAX#
Certificates of Survey Received _ Tree Preservation Plan Received _ Not ReqUife-fc '_
Updated 4/02
Clty of EapIl
3830 Pilot Kno6 Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
?-----------------
i For;Offcg?4se I
? Permit#:
? Permit Fee: vo I
I / I
? Date Received:
i Staff: i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: o /Al / °
Site Address: % 7 3 i
)IZc w LSRr2Ge-
Floti-E-/L CT
Tenant:
suite #:
2
'
?
RESIDENT I OWNER 1
r ?r^r5
d??1-G/c? Phone:
Name: aFjfi- 1
Address / City/ Zip: `/ 73 dCsti,a t1 r'wr12- G% '
Applicant is: _ Owner ? Contractor
TYPE OF WORK Description of work: W?.t-Q Uu- 5 5/?'?C s i Z L
Construction Cost: ?S GGG ? Multi-Famity Building: (Yes _ I No ?
CONTRACTOR Name:F0L ??YS?i? g1LriS• ?k? ?RiaRS??License#: ady?G?C? /
Address: log67U /Ud)?AAN.DkL? ry L ?1171G y
City; /20_049?- State: Zip: -<? 3 1
Ph
9 ? Z Z 2- IS- C
P
one:
ontad
erson:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
C2t¢gory Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a pertnit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
; NOTE: Plans and supporting docdments,that you sutiniit` aie considered to;be pubfic information.,'Portions,of '.
-
the mform'ation may be clas`sified asrnon-public ffyoa proWde spec+fic reasons fhat would permit the City to<. ;
s -?!_?conclad`ethatthe 'are_tra0e3ecrets,w'>,: I hereby acknowledge that this informa6on is complete and accurete; that the work will be in contormance 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 permd; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans. ,
X S? X
ApplicanYs rinted Name ApplicanYs Signature
Page 1 of 3
TRl-LAND C0.
L, SURVEYING
?
SERVICES
S I T E P LAN FoR : gRIAN THORSQN HOMES
LEGAL DESCRIPTION: LoT28, BLOCKJ-, LEXINGTON POINTE 8TH
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY, MINNESOTA
AD DR ESS: 37;SQNEFLQVYERSQtJRT
N 89°06' 23" E o
10 I- --
- 85.00' ---is
I
Zb I
o
?
IQ
I ?
I ?
z C
0
0
?
I
28
Ie
°
w o_ I I ?
'
0 16.00' y,
a 16. ? o l ^
?
? `
? w 24.00' 20.00' 5
I ? N
o HSE GAR o
l 0
1101 20.00' S
24.00'
'
?
.} .....,
..20? ..
........ . ?
?c17b.8\ ...........
v ..
I ? 3
>?
°
M
' o
3 ? o
`rb`• g1?'' 0 70.00' o
s?off N 89°06' 23" E
y
O
?
9 ?
9
CONEFLOWER COUR
U
0
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
978 DENOTES EXISTING SPOT
ELE VAT I O N
(97$\OENOTES PROPOSEO S°OT
ELEVATiON
? DENOTES DRAINAGE DIRECTION
4-LEVtL- f0oN kw.Ikout
I haeby csrtify tAat thia survsy,plan or
rsport was prepared by ms or undsr my
Girect supervision ond That I am a duly
Reqistarsd Land Surv*yor undsr ihs
Lows ot ihe State oi Minnesota.
? 73.00'
al
C;I
W
V
"I
m?
I L.I
?
?I
$I
O
? Scale 1 "=30'
?
??1-----
73.00'
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION ???
PROPOSED FIRST FLOOR ELEVATION
PROPOSED BASEMENT FLOOR = ?•
ELEVATION
NOTE VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLAIdS
Bradley J. Swlffson, Me. Rsq. No. 15235
Date • 6-14-93
n RI -LAND C0.
SURVEYING
SERVICES
SITE PLAN FoR : BRIAN THORSON HOMES
LEGAL DESCRIPTION: LoT28 , BLOCKJ-, LEXINGTON POINTE 8TH
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
ADDRESS: 37; r1aNEFLCLR rO[JRT
N 89°06'23" E
Z
0
0
0
(n
W
W
V
::E
0
CONEFLOWER COU
?
o n
?
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
97e DENO7E5 EXISTING SPO7
ELEVATION
(97a\DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
I4-LZV?L- NoN ?lkoot
I hMeby cartify that this aurvey,plon or
rsport wos prepored by me or under my
diract supervision and that I am a duly
Repictered Lond 5urveyor under tAe
Laws of the State of Minnesota.
Bradley J. Swlffson, Mn. Req. No. 15235
Date • 6-14-93
u?
10 I
20
?
?
1
,I
N I
?
oi
0
101
N
- ---? ---
85.00'- - - I 5 ? - - 73.00'
yl
10
?
I 9. o
l?a° ?,I
° t?
l
iw V
"I
28
16.04, O? 171i.8? O
O
N 24.00' 20.00,
N
o HSE GAR o
+ o
0 20.00'
?? ?I
? I
2;
Im
?
rt ?
'5 J$i ?
? SCala 1 "=30'
?
?
y-----
73.00'
20
a
2? ">
.`ss• q?%?' --
0 ---
70.00' ?
? Off N 89°06' 23" E
?IAGAN glil6I1VEElaIA1G DEpT
INVERT ELEVATION AT SERVICE EXTENSION= 65,Yo
PROPOSED GARAGE FLOOR ELEVATION ?
PROPOSED FIRST F100R ELEVATION= 3S
PROPOSED BASEMENT FLOOR = ELEVATION
NOTE_ VERIFY ALL FLOOR HEIGH7S WITH
FINAL HaUSE PLANS
Use BLUE or BLACK Ink
i For Office Use
Permit
low I
City of Ea
I Permit Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: l ✓Z ( j
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
I _T I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -yn Site Address: ! v`° C- Unit
Name: ~ Phon .
Resident/ 6713 L CT
Owner Address / City / Zip:
Applicant is: Owner Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building: (Yes No
Company: Contact:
Contractor Address: City: State Zip: Phone:' 4s
License Y/ Lead Certificate Lootr
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
Qr PI'Vt e-eA-~2 ~P*4r
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets. _
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accor with the approved plan in the case of work which requires a review and approval of plans.
xterior wo k authorized by a building permit issued in accordance with the M' es a State Building Code must be completed within 180
days of p it issuance. _
x
plicant's Printed Name plicant's Signature
Page 1 of 3
!"
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12
City of Eaaau
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
12:14:31 p.m. 06-02-2016 1 /3
use bLU! or I3LAGK InK
1
For Office Use
Permit #:
Permit Fee: CU -00
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: 10- off' 1 Site Address: et n 7 3 CO r e. C (,..1 e r C 4 •
Tenant: Suite #:
ResidentlOwner
Contractor
Type of Work
Permit Type
Name: 3t?cc p relm es b
Address / CCity�/ Zip: C173 Cb R. buzet' C4 .
f�,U
Name: +O 4 e rF
Address: 14-5 30 - A tre
State: Zip: 55-4/1-/-7
Contact: r t (v Gz1 l�
Pho
Email:
Phone: to 5 r•' 1454/ = 19
License #: ? rrt O 6 11 no 1
City:
ne:163-5/ 390-7
I ®£ SC_CG IYi
New X( Replacement _ Repair
Description of work: k �P t r C e ? V B
RESIDENTIAL
Water Heater
Lawn Irrigation ( RPZ /1 PVB)
Septic System
New
_ Abandonment
_ Rebuild _ Modify Space _ Work in R.O.W.
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Tumaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 If a 3/4" meter Is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES$ 6O•0U
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 4540002 for protection against underground utility damage.
CaII 48 hours before you intend to dig to receive locates of underground utilities.
I hereby acknowledge that this information is complete and accurate; that the work will be In conformance with the ordinances', and codes of the City of
Eagan; that I understand thls 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
accorearce w"th the pp ed plan in the case of work which requires a review and app of y an
x �/ I,d
App cant's Printetd Name . . hcant's ilanature
FOR OFFICE USE
Required Inspections: Under Ground Rough -In Air Test Gas Test Final
Meter Related Items: Meter Size Radio Read Manometer Staff:
Reviewed By: Date: