765 Cougar Dr• tl CITY OF EAGAN r??j
J • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
BUILDIMG PERMIT Receipt
2 DUP & GAR
7,000
Site Adckeas 765 COUGA2 LN Erect ?J Occupency R3
Lot 12 Block 1 Sec/Sub. OAKWOOD HTS 2 Remodel ? Zoning
Parcel No. Repair ? Type of Const. V
Enlarge ? No. Stories
? Name SUNSHINF CONST Move 0 Lenyth 6
-
Add 5985 TH ST Demolish ? Depth ?T
?
res s
3 `2 00
APPLE VAL Grade ? Sq, Ft.
City phone
g
? Name
A
0
P
•
u? Address ssessment ermit
r
,
City Phone Woter b 5ew. Surchorge 152
0
JAl'1ES R. HILL INC Police .
Plon check
525.00
? N?e Fim ?C
i
x? 200 HUMBOL7T
Address
Enp. 470.00
Woter Conn.
? W City BLI?ITN phone 884- 3 0 2 9 pianner Woter Meter ??' 3• 00
260
00
Council .
Road Unit
I hereby acknowledge that I have rend this opplicotion and state that Bidg. Off. 10/5/84 parks
the informafion is correct ond ogree to Comply with oll cpplicoble APC Totel ,
State of Minnesoto Stotutes and Ciry of Eagon/Or4#694-
Var. Date
Sipnoturc of Permittea
FRONT SuTBACI
A 8uilding Permit is Issued to: SUNSfiINE C4NST on tht axpress conditlon iha+
oll work sholl be done in accordonce wifh oll opplicable Stat1 of Minnesoto $totutes ond City of Eoflon Ordinances.
Buildinp Offkiol
Permit No. Psrmit Holder Dste
Plumbing
H.v.a,.c. 5 t? p b m r.e.ti.?? I I- c Y-ty 9-34-o CIS"
Ekctrie ?
Softsner
Inapection Date Insp. Othsr
Footings
Foundation
Framing F
i?lv
Rough Ping. /;,v
Rough HVAC
Inwlation
Final Plbg • 6
Final HVAC A r?
A:.
Final dg . a
Cert/Occ. ?----_ -
Water Descri ocation: ", ???
Well 7i/
Sewer ?
Pr. Disp.
Receipt
MECHANICAL PERMIT
CITYOF EAGAN
Fill in numbered spaces
Type or Prini leg/bly
Permit No.
Fee
S/C
Tot.
1. Date /?l y/py 2. Installation Cost 3. Job Addr ?? C?OUGA*C LoL Blk. ? TraCi
4. Owner
5. ContractoryRO/l1Eit/S //T6 Phone ?3y-49s'?'j
6. Address ( t '78)/ ?-/Z-
r
7. CityEUEk) State Zip mw?
8. Building Type: Residential 19' Commercial ? Institutional O
9. Work Description: New 8`?' Add ? Alter ? Repair ?
10. Describe Fuel Type y(O?f
I 11.
No.
? E,quinment BTU - M. Ea.
Forced Air No. EQUiament CFM
Air Handlin
:
Mfg. g
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mf9• Other
? Air Cond.
Mfg.
? Gas, Piping Outlets
12. I hereby certify tfiat the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : "2 ? ,yrt.?-} for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
?•_
Receipt PLUMBING PERMIT
Permit No. ' i
CITY OF EAGAN
Fee '
' FrII in numbered spaces S/C
Type or Print legibty -
Tot
.
1. Date ' 2. Installation Cost
l T
? r
k.
3. Job Address Lot - B ract
i
4. Owner ' 77-
5. Contractor Phon e
6. Address
7. City ' State Zip
8. Building Type: Residential IU Commercial ? Institutional ?
9. Work Description: New 0 Add O Alter ? Repair ?
1 10. Describe
1 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
Lavatory Softner
Shower Wel I
_L Kitchen Sink
Urinal/Bidet Other
i Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Ges Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
CITY OF EAGAN y , 951"F
3830 Pilot Knob Road P.O. Box 21-199 Eagan MN 55121
PH ON E : 454-8100 ?
Receipt # '
DUP & GAR c- 557.000 ,-_ OCTOBER 9 ,., 84
Site Addresa 767 COLTGAR LN Erect At] Occupancy R3
Lot 12 Block 1 Sec/Sub. flAKWO OD HTS 2 Remodel ? Zoning
Percel No. Repair ? Type of Const. V
Enlarge ? No. Storigs
ft Name SUNSRIP]E CGLVST Move ? Length 4
-
---
z 5985 1257'H S'' Demolish ? 4
oeptn
Addre
t ss
AFPLE VAL
31-2 200 Grade ? Sq, Ft.
City phone
Zg Name S1l14E
Address
? City Phone
Assessment
Water & Sew.
Pol ice
Firo
Eny.
Plonner
Council
I hereby acknowledge that I hove read this cpplication and state that Bldg. Off. 1U S 8$
the informafion is torrect or?d ogree to tomply w'th oll npplicable APC
St t f M S d C' f d
Permit T ?" ? _ • ? O
Surchorpe '
Plon checkO
SI1C O
Wcter Conn. .??O
Water Meter ??0
Rood Unir
Parks
Total '
a e o innesoto totutes on o t j0qnCAAL- Var. Date 5111841
•
Sipnoture of Permittee FRONT SETBAC
SUN--111NL;'
Building Permif is Issued to: on tMs expross condition thoi
oll work sholl be done in acoordarxe with ell opplitabla 5tate of Minnesota Statutes ond City of Eogon Ordinonces.
Buildinp Officiol T_ 3.,_ l_ I -_-
•BUILDING PERMIT
, , .,
Psrmit No. Psrmit Holdsr Date
Plumbiop
H. V.A.C. V) V`?' ? iJ YO
ElecSric
5ofter?er
Irnpection Date Insp. Othar
Footings
Foundation
Framing ?
Rough Plbg.
Rough HVAC
Inwlation ?
Final Plbg. . d
Final HVAC
Final ?
cw,occ.
Water Describe Loeation:
VUell
Sewe?
Pr. Disp.
Receipt PLUMBING PERMIT ` Permit No. I.(
CITY OF EAGAN .
Fee
Fill in numbered spaces S/C
Type or Print legi6ly Tot.
1. Date !%' 2. Installation Cost
3. Job Address / '. Lot ` Blk. Tract
4. Owner
5. Contractor ° Phone
6. Address '
7. City State Zip I
8. Building Type: Residential 0
9. Work Description: New b
1 10. Describe
I 11.
Commercial ? Institutional O
Add ? Alter U Repair ?
No. Fixtures
Water Closei No. Fixtures
ool/Drainfield
Cess
Bath tubs p
Septic Tank
Lavatory Softner
Shower We I I
Kitchen Sink
Urinal/Bidet Other
Laundry Tray
Floor Drains
Drinking Ftn.
% Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed: for
Rough F i nal
Inspections: Date Insp. Date Insp.
I This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
Receipt MECHANICAL PERMIT Parmit No. ? - i
CITY OF EAGAN
? Fea
Fill in numbered speces S/C
Type or Prinf /egibly Tot.
1. Date 2. Installation Cost
'76
3. Job Address ? L Lot ? Blk. ? Tract ?
r / '
4. Owner (D•tJ f%
5. Contractor [X6Ve.4J(; fr/G Phone 9?y d 9sr
6. Address Clef?Atva
7. City ?ihi?l.?_ State /Z?N Zip s? 3 y
8. Building Type: Residential 8 Commercial ? Institutional ?
9. Work Description: New 9"' Add ?
10. Describe
11.
Alter O Repair ?
_Fuel Type AAI;;' 6/1 r
No.
Ll Eguioment BTU - M. Ea.
Forced Air No. Equipment CFM
Ai
dli
H
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
? Air Cond.
Mfg,
?
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply wiV all or inancey'and codes governing this type of work.
Signed : yv,r /?kZ17J/,C for
Rough Flnal
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _ CITY OF EAGAN 464-8100
CITY OF EAGAN Remarks
Addition QAx?? ??? = ADDN
Owner
Street
stace EAGAN MN 55123
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF, 1984 395.40 39.54 10 355.86 A 013791 4-26-84 I
STREET RESTOR.
GRADING 5 -t) 36.42
T 25.19
SAN SEW TRUNK 75- 1991 213.15 I70.55
SEWER LATERAL 19.57
WATERMAIN
-
WATER LATERAL
37
73
q
36.35
WATER AREA 57 1981 170.55
' 21.08
STORM SEW TRK e53 qrS& 1 1 669. 39 tr 11
STORM SEW LAT
8 35.36 10 318.23
CURB & GUTTER
SIDEWALK
STREET LIGHT
Road Unit
WATER CONN, 940.00 11 "
9UILQING PER,
11
1?
SAC
PAR K
30 Pilot Knob Road 5771
0. Box 21199 PERMIT NO.:
gan, idlN 55121 DATE: ?U
?ing: KI - No. of Units: 1 /?
BYYIIQf. S! 1 '.- "F n _ ", ?r-
?
11Q AddrlSS: ' 6
Plumber: `, taT
Metar No.: ? ??;
uon
r
i
i;:1
•
J.
7
?-?
Siu• ?/P ??
? `` ? r?'?.' Z?iplFdbsit. .
l
?n
7 r,
Reader No.: D g? 6 3 S Y 2, Permit Fes:
1esm !o eowwlp wi1h tl» Gfp oF Eawn Surchorpe: ,5") r.1
OrdingwoM. \ . M(sc. CFwrpes. 63.00 Fro
Patd:
3830 Pilot Kno6 Road 6961
P. O. Box 21149 PERI+AIT NQ.:
Eagan, MN 55121 DATE: _ uF ex
?ing; Xf. No. of Units:
OwMr: Sunshine Const
Addrcss:
F
Sits Addi
Plumber:
1 pm te oae* wNh NM CiM of a0as
O41..na&
By
Dote cf Insp.:
Cpnnectlon Charpe: 4??•W pa
Aaount DepWt: 15.00 Ed
P*m* FN: 17.00 pd
.50 pa
Surd+oroe:
Misc. CFarpes:
Total:
Irup.: Dott Pold:
CITY (?`F EAGAN WATER SERVIC E PERIVIIT
383(, i';iat ;° :ob Road
F. O. Box 21199 PERMIT NO.:
Esgan, MN 55121 DATE:
,iilpi
eY
??ihg: _ No. of Units:
r:
bwnd
s --
Addresc
?Ite
? Plumber. `;=, '- ;.' ????1•.x ?
?' f?r.,
( )Ij
?cl
: 3 S/ 4?l ?
No
M
t a yZ??`? Con?mct[,Qn p+arw:
.
e
er -b4; ' - " ., i.
r
Siu: sit:
%Ctouid -,. ?
ReaderNo.: ? g L- 6' .3 B' ?/ 8 Pennit Fee:
• .
P('
I?w h oaw?Plp ??MU dM Ci?p of Ep?• SureFwrge:
? Mfac. Charyes:
' Totol:
BY Date Poid:
CITY OF EAGAN
3830 Pilot Knob Road WATER SERVICE PERMR
?
i
377
P. O. 8ox 21199 PERMIT NO.:
l?
?`
?
Eagan, MN 55121 DATE: - '"
Zoning: !` No. of Units: •f dup eX
Bunshir_e Const
Address:
S1M llddrcss: 7'>7 Co:tgsr Lane L 2 B1 ?lakwuocl !iats .
Plumber. ? Lar PlbgXKKKYXlC1tIQ[
{ . Q pG
Meter No.: Connection Chorge:
Size: Ac?count Deposit: ' P
Reader No.: Permit Fee: • P
i aam !o eMPy wNb the Citi of bOsn Surcharge:
Orli.enar. Misc. Chor9ss: r3.nrV pd meter
Totol:
Bv Dab Puid:
Oote of I nsp.:
RESIDENTIAL
-w BUILDING PERMIT APPLICATION S-
CITY OF EAGAN
L? 3830 PILOT KNOB RD - 55122
? 651-6814675
New ConsW ction Reaufrements
• 3 registered sRe surveys showiig sq. R, of lot, sq. ft of house; and all roofed areas
(20°k maximum lot coverage allowed)
• 2 mpies of plan showing beam & w(indmv sizas; poured found design, etc.)
• i set of EnergY Calalations
• 3 apies ot Tree Preservation Plan if lol platted aRer 7l1193
• Rim Joist Defail OpGons sdectan sheet (61dgs with 3 or less units)
DATE 9 ^ ). 'K D r
!OB SITE ADDRfSS 5 ?
IF MULTI-FAMILY BUILDING, HOW MANY U ITS?
PROPERTY OWNER ? P.e'lu--ba
TYPEOF WORK
APPLICANT F-rS ?56-?-e
ADDRESS q44 f C() • ?6?? ?
PAGER # CELL PHONE #
i
v?-
RemodellReoair ReauiremeMs
. 2 copies of plan
. 1 set af Energy Calculations far heated additlons
. 7 site survey for ezteriar additions & decks
. Indicate i( home served by septic system for additions
VALUATION 'qlPsg,00
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE# 9Sd - M- ?}? ?
ZIP CODE 5500
FAX# 93,;) -Sb'J-'"TaO?''J
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Su6mitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Plumbing System Includes:
Mechanical Contractor:
Mechanical System Inclucles:
Sewer/Water Contractor:
Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee:
$70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the informatio ' co ct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Or ' nces.
Stgnature of Applicant
_ Water Softener
Water Heater
No. of Baths
Phone #:
lawn Sprinkler Fee: $90.00
No. of R.I. Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1lOt
CITY OF EAGAN N9 9576
383 P'
0 ilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
PHON E: 454•8100 /
BUILDING PERMIT Receipt a
# Sp
Te M wed fer 1/2 DUP & GAR Est. Value $57,000 pete OCTOBER 9 19 84
SiteAddress 767 COUGAR LN Erect ?+ Occupancy R3
Lot 12 Block 1 Sec/Sub. OAKWOOD HTS 2 Remodel ? 2oning Rl
Parcel No. Repair ? Type of Conn. V
Enlarge ? No. Stori
?
Name SUNSHINE CONST
Move ? 4 S
Length _
z 5985 125TH ST
Addres oamoiisn ? oePtn 46
? s
City APPLE VAL phone 431-2200 Grade ? Sq. Ft.
A Name SAME ^••._._..
o Address Assessment -
? Woter & Sew
? City Phone .
Palice -
ww JAMES R HILL INC
Name Fire
iZ HUMBO DT AVE SO
Address E
^6
?
BLMTN •
?W City phone Plonner _
Countil
I hereby ackmwledge thot 1 have read this opvlico[ion ond stote thaf gldg. Off. Z O/ 5/8Q
fhe inlormotion is corrett o d,9gree to comply w'th all applicoble APC
Sfota of Minnesoto Sfotut d! Ci of . di ce
va.. oaca 4
Slpnmure of Permittea , FRONT SETBAC:
SUNSHIN C NS
Fees
Permil r .•••' • ••••
Su.cMrye 2 $ - 5 0
Plan fieck 15 Z. 00
SqC 525.00
worer Conn. 4 7 0. 0 0
WaterMeter 63.00
2ooe unlr 260.00
Parks
Total -51-, FU2750
A Building Permif is issued to: E O T on tha expresa tondiflon Ihat
all work sholi be done in acwrdance with piF-pppliwble Styte of Minnesoto Stotutez and Ctry ofi Eopan Ordirwncea.
8ulldirg Officiol
CITY OF EAGAN N? 9575
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUIIDIMG PERMIT PHONE: 454-8100 tteceior # `•Td / `j y.a4
Te N wed Iw 1/2 DUP & GAR Est. Voiue $57, 000 pete OCTOBER 9_ 1 q 84
Sitenddress 765 COUGAR LN Erect & Occupancy R3
Lot 12 Block 1 Sec/5ub. OAKWOOD HTS 2 Remodel ? 2oning RI-
Percel No. Repair ? Type of Const. V
Enlarge ? No. Stories
W Name SUNSHINE CONST Move ? Lengtn 69-
? Address 5985 125TH ST Damolish ? oePtn 25
Citv APPLE VAL Phone 431-2200 Grede ? Sq. Ft.
SAME ADProvols Feef
o Name
Du Addmg Assessment Permit • O
u? City Phone Water & Sew. SurcFarpe z$• 50
Polite Plan check 152 .00
Fw Name JAMES R. HILL INC Fim SAC 525.00
?? Address 8200 HUMSOLDT Eno• Water Conn. 470.00
iW City BLMTN phone 884-3029 Plonner WaterMeter 63.00
Council Rood Unit 260.00
1 hereby ocknowledge fhot I hove raud fhis applicofion and state that Bldg. Off. 1 O/S/SQ parks
fhe intormotion is correct ond grr? to wr9 ly with all opplicable
?? APC $0Z
SO
Taal )
$rofe of Minnemta Stafute Ci
of 6 `rQf?
Var. Date 1 4 .
-?
/
Sipnmure of Permittes FRONT SETBAC
A Building Vermit Is issued to: SUNSHINE CONST on the express cadirion thoi
all work shall be done in occordonce wi o pplicubl of Minnesota Statutes and City of Eagan Ordinoncea.
BuHdinq pfficlal
, . . .
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE Q SETS OF PLANS,
CERTIFICATES OF SURVEY
TWw1? oM j(ap,p?caC , Q SET OF ENERGY CALCULATIONS
To Be Used For: E,,Z_IL ,/I 4,'/ Valuation: 5T000. ? Date: Gc/- / f,,e-fl
Site Address: ? -?
765 ( ? ?it?inv ?tir /w?h?iuk,e
?A'aT%z oF ;T-
Lot:? Block:j Sect/Sub:(? Erect: ?
Parcel #: MW Remodel:
Repair:
Owner: / ?/ ?/ Enlarge:
_ ?1NS?1/H C CONSI?'c.C 17e:' Move:
Address: S 9A'S /L_> fl -'? 1)-rcf" Demolish:
City/Zip Code: /1• j/• ,4
?S / z. ?
Phone # : /-?3 / - Z ZOO
Contractor. P
Address:
City/Zip Code:
Phone #:
Arch./En9= ?G !-w-S g /? // J?C.
Address: pl,-Op /4 , 6ej,/f
City/Zip Code: eec?.,
Phnno$• Vv ^
Grade:
Occupancy_
Zoninc: I
Type Of Const: ??-# Stories:
Length: (00
Depth: 'LS
Sq. Ft.:
Assessments:
Water/Sewer:
Police:
Eire:
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
?
Permit: ?j04.?
Surcharge : 243 .?!
Plan Rev.: 1C22:-`
SAC: Gj25.?
Water Conn:
Water Meter (03.°?
Road Unit: 2(00.-
fo- Parks:
Variance: 5 ?
FROtJT SeTfii.CK
1/?o-? 'Sd
?
? ALL CONTRACTORS MUST BE LICENSED WITH THE CITY OF EAGAN
?EST
INCLUDE Q SETS OF PLANS,
CERTIFICATES
%ZT1-4 INi-IoMEIC SET OF ENERGY CALCULATIONS
? To Be Osed For: _ c.. _ Valuation: ° Date: 0CI`
Site Address: '?? J ????c?? (,nY ?w',u?L,,,? ? •
Lot F(L Block: j ?-
Sect/Sub: (,},tu,,q /f6 zkQErect: x
Occupancy:
R-3
Parcel #: Remodel: Zoning: (Z-?
Repair: Type Of Const: --%Z:
Owner: scii
s/
i? Enlarge:
? ?cMS?-
?'?• # Stories:
I
1 u
.?
Move: Length: 45
Address: Demolish: Depth: ?
City/Zip Code: / {,U. S,S12-y Grade: Sq. Ft.:
Phone #: Lf3/ '2-2-c,n
Contractor : -Sej't,,05 0Z-(,'L, e
Address:
City/Zip Code:
Phone #=
Arch. /Eng c ??-
Address: fLoc)
City/Zip Code:
Phone#: Rr L?"??LZ _
Assessments-
Water/Sewer:
Police:
Fire-
Engr.:
Planner:
Council:
Bldg. Off.:
APC:
Permit:
Surcharge: Zb.`-j
Plan Rev. : 1,52.°'
SAG 5151 '"
Water Conn: 4'10.'?
Water Meter 495,°
Road Unit: Zf?O, e
Parks:
Variance:
FP-o?r ?re?c?
/i koa - so
This re9uest wiA
monchs from 1
Q
10 6 4
Nrvuest Dale Fiie No_ Nauph-in Insper.?fan
Bequired? DReatlv Nmv?Ql l Notify
IorWhenfleaJy eC
A'/f-?.?-fC? ?Yes ?No
? Licerised FlecViwl ConVactor 1 hereby request inspection of above
? Owner electriral work imwlled aL
Sireet Address, Boa or RouM No. CitY
ecvo? TowO,,h ame No_ ?npe No. Cwnry
Occuuenl (NiINT) Pbone No_
Power plia Address
Eleclncal omractor ICwrganY Namel CtlofFactor s Lfcense No.
6 0
it-.c
i_
Mailinp Addrrss 1 ractar aOwne? Yakinp Ire ? tioM ^
.Au r?z S?g?ature (Co trdMw Oxncr W4i Irts Ilationl ?one Number
?s
MINNESOTA STpTE BOAM OF EIECT111CM
Grigqs-YiAwev BIAg. - R. N-191
18121 University Ave.. St Paul, YN W101
Phone (612) 2972111
THIS INSPECTiON REQUEST WILL NOT
BE ACCEPfED BY THE STATE BppRD
UNLE55 PROPEN INSPECTION FEE IS
ENCLOSED.
4?, y IEQUEST FOR B.ECTI?CAI INSPECTION 0 E??,-fl4
n fl `?° i??^«?s ??1aK?'?his Tvm m bnck of vellow coov. ?`? `
0 1 li 5 4 8e/pr?Work Covered b This R 1 y?/i y
y equest
R Fee ServiceEnlranee5iza k Fee F p Fee Clrcwts
Oto200 Oto30An?
A?ve Z? Artqs 31 to 100 A
Swming ool
Trainformers .y :J Partial/Other Fee
fleLrks TOTA?,FjEiy+l
IbupRin • Oa?e
?
` Inspeefor. bereby
L
Fiiul nifV that tlc
.
? Uate inspection hes been
? '? J 5 ) vaAe.
This re ues[ witl
18 "pnt s o
M ? ? ? ,1 i 1 '1 /1 iti.
Re9oest Daie ? ? ?.
Firr. No. -? •• •• ???: u
qoug?-in Inscection ? r ) L. ?J
-
? Repuiretl? ?qEatlY Now ?Will NotilY Inspec-
.? I i.-?nvnA ne s ?NO lor Wh¢n q¢adY
Owner Aereby request fnspection of above
?
SVee[ AAtl?ess, 8oz ^Houte No.
/4? / lA!C P•N
ecbon o. Township Na or No. qange No. Cit,
Count
Y
OccuOant I INT7
PA
om No.
Power $ Plis •?-• AAdrass
4Nli^- "
Elr.cviral ontractor IConpany Namel Coniracto??s License No
c? ' ?,/tA_-1 r. .
G1aniap Address nVactor or Owner Makin nstaila[ion)
.1 iJ . ?i.:Y.?.
A1?? SiBnamre ICqhhac[or Own Making Installaiion) pho? ry?r
?rw
Wuucc??? ..
rca. ? ?un qEpUFS
n a.ne`
G??ges-NiGwey Bldg. - Room N-191 T y?ILL NOT
BE ACCEPrED BY THE STA1E BOARD
1621 University Ava., S1. Paul, YN 55104 UNLESS PpppEH INSPECTION FEE IS
Phone 1612) 2972117 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION Ee-00001-04
See instruecions?or complaiirg this torm m Enck oi Veliwv copy.
? 1063 ,.X.. Be/?iir?Covered bv This RPn,...sti
BouBh-in lJ ?
Oate
ri ? he triwl
?spactor
Mro6
Final .
y
Dnte qWl(Y tMt the ab?e
? 7 ^' J insP?tim Aas Eeen
?.ade-
711w nyuest voitl 18 moMle fmm
I
z/aa
CITY OF EAGAN
APPLZCATZON FOR PEFLNIT
SEWER AND/OR WATER CONNECTIO.T
(PLEASE P9INT)
1) PY.JPE.T2'i'Y ADDRESS: 710$? ? 76 `Ou4
Cs
+
2
4
c
a?
T.Ff:yI, DESG4IPTICJ"N: 4.e f /Z ?Sloc? ? OalCwecCt lT/??1 c -
(Lot/Block/Subdivision or Ta< Parcel I.D. Nwber)
i: !::G STRL'CP'ZE, DAT GF ORIGi 1AL ZiiII.CI.`iG PEF_..Im r---_.-
I PP::--=.-- ?
R- -S.u?GL,z ^pu!ILy • ._. --. __?.
?
8'R-2 GUPLEX ('IAO UNITS)
? R-3 'IC7.dNEiCL'SE (THI2F" + i].NTITS) ( UNI'^S)
? R-a ApAR'I":^F`:T/C.^,NIDQ?LLNM--m ( U:IITSi
? CQ-+..CIAL/RETAII?OFFICE
? LMU5TRT3L
? INSTITL'TIONAL/GOVERIZIET1T
2)
.
e-pPL7C:N7 (PLEASE PI7INT)
NAME: Sv
h?1KQ `-r""LST
.
s
ADDRESS: S7?.
CrI^!, sTAT-P, zZP: Q rak)
PHOVE: 31 -Z2.c9c7
3) P=,IB= ?^-}-?1 fASE PH1Ni)
?
? FOR CITY USE OHLY
NA?
tE:
V !.r 12- ' ?
ADDRESS: d '
' PLII° EFS LICE4SE:
i
? l Acti•+e
CIT'!, STATE, ZIP: Ezpired
A'?ic.
PHOi?1E: rrf}f '/ PLUMBER LICENSE N?? [? Hot oi Recard
?
?.lt'
ltl?l
q? OCC?,.PaNT/Cr,,j?Ljm (PLEASE PAfNt)
NAf+E: 4' l Q?mo ue.
ADDF2ESS:
CITY, STATE, ZIP:
PHO:IG:
5) INDZG,'PE WI-IICti PEPa%lIT IS BEIh`G REQ[IrSTEp:
? CON+TIECI'ION 'IO CITY SETrlEFt
? CO^2iVECTIGN 'IO CITY KATER
? C7I'I'.ER (PLI•'ASE DESCRIPE)
5) ?:DIG,' ?' C:LL.:
PI.r,`,.SE Ii9LD t1PPf20VF]? PER`tIT fOR PICi?-UP BY ON£ OF I1W,a
?°LEASE .•*AIL APP 'Ep PFIZ-tIT 'Ib 1 4 AHOVE
(Cirne)
i 7) srcZYM7,E: DaTe:
4
!?! A:wiitJO }w3r 1! !???! ? ii I:R ??a:l? .1? r q? a:s?:a ta? a?! 1! fJ?:AtY?:?:ti s? R s! ?f-Sgit f+e
F 0 R C I T Y U S E O N L Y
PE?.MIT = ISSUED
FE7S: $ ?> /- ?'
S ca?' / . c-_e
$
?
S
$
$
q .%lcs ?-o
$
s
$
S
S
$
SEi'iE^ nr. va1r i(I`iCL:JD: SCRC?I: : ??)
WATER PERf1IT (IIQCLUDE SURCHARGE)
WATER METEP,/COPPERHORN/OUTSIDv- REnULR
waT::p TaP (i,rcLooE CORPORATioN sTc?)
SE:`]Ep TT.P
ACCOUNT DLPOSIT - SEi•:ER
ACCOUNT DEPOSIT - WATEB
wac
sac
T4UNK ?4ATER ASS°SSi•SE:IT
TRliNK SESQER ASSESSMENT
LATE°,AL BENEI'IT/TRUNK SEWER
LATERAL BENEFIT/TRUNiC WATER
OTHER
S
$ ? -7 0 7. ?--a
TOTAL
AM0UNT PAID/RECEIPT # ,Z 6 9 d G
DOcS UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGiiT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SGIIJECT TO TIIE FOLLO6IING CONDITIONS:
APPi?OVED BY:
T I T L c:_/,ov?
D.aTE:
?a fl? "efm fowia.cw ac rmim mesa wtwlF.wfe wi! wf+ w40rtM w IMJM44HM w.a MWs! f:r+ w.a 0c10w wr w?
URVEYOR'S CERTIFICATE
-r- DENOTES PROPOSED SURFACE DRAINAGE
O DENOTES IRON MDNUMENT SET -SCALE_ 1 INLH = 30 FEE
6 DENOTES IRON MONUPIENT FOUND PROPOSEO GARAGE FLOOR = 9 03.7 FEE
X000.0 DENOTES EXISTING ELEVAT101! PROPOSED LOWEST FLOOR - $q6•3 . FEE
(000.0) DEilOTES PROPOSED ELEYATIOH PROPOSED TOP OF BLOLK = 904.b fEE
r. .
I HEREBY CERTIFY TO SUNSHINE CONSTRUCTION COMPRNY THAT 7HIS IS A TRUE AND CORRELT
REPRESENTATION OF A SURVEY OF THE BOUNUARIES OF:
Lot 12, Block 1, DAK4700D HEIGHTS 2ND ADDITION, according to the recorded plat
thereof, Dakota County, Minnesota. ,
AND OF THE LOCATION OF A PROPOSED BUILOING. IT DOES NOT PURPDRT TO SHOW IMPROYEMEkT'
OR ENCRDACHMENTS. IF ANY, THEREON. AS SURYEYEO BY ME,-OR UNUER-MY UIRECT SUPERYISID!
THI530TH DAY OF M4RCH . 1984.
PROPOSED ELEVATIONS k'ERE TAKEN FP.DM
TNE GRADING AND DEVELOPMENT PLAN FOR
OAKW000 HEIGHTS 2ND ADDITION BY
PROBE ENGINEERING C01!PANY, INC., IAST
UATED 6-1-83.
SHEET l OF 2
PROJECT HO. I BOOK / PAGE
84559
SIGNED: JAHES R. HILL, INC.
BY.
HAROLD C. PETERSON, LAND SURYEYOR
MINNESOTA LICENSE N0. 12294
SUNSHINE CONSTRUCTION LOMPANY
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
8200 Humboldt Arenue 6outA
6bominptoA, MR 65431 012-884-3029
FILE NO. 70170
3 FOLDER
...7 1• g ?1.. . . .... .. .? . '
&Pepepc- Wau.
9.34 X ?4o+4o+Z4-)
7. o o X 40
q.oo K Z
, (o7 X (q0+40+_74)
7 = &3.00
K?m >ols-r. 13Z.1D8 ?
•W X (4o+4ot-z4) _
it
= 97J. 3 (v
= Zg0:oo
13r? 3 ? ?-
(09.108*
WwDowS
f?x3? = 4, o
Zo x48 = 6•7
Z4 ? 48 = 8. o
Z4 x z4 = q. o
xz=
x7,
xi =
g, oa
1(v.9a
48. o0
4-00
???-s
Zg t17L• SeRwe.E
STL. F+zor.1T
Lo° PI+Tro
lOl?.9a -i-
Z/, o0
z/•00
4Z.oo
g4.oo?.
Koo F24X 40 = 9?0?
? ?? ,)A?
6Ross klAL-C- J,-s l?•3lv
LESS Codc, 13z• /o$
RiM 0 .(o 8
WDw'S /0&•4o -393.Z(o
u AdoI?S 84•00
9z1. 1o4-
C I T Y OF 11 ;h BUILDING DEPARTMENT
EXTF.RIOR ENVELOPE AVERAGE "Ull COMPUTATION
(Tn be submitted with building permit application)
Oae or Two Family Dwelling
All Other
contractor ?u?o-1E &4114 484-114 __
TvJ7A- 4omE
Owaer
Site Address
Date 3-28? Phone
LIi:3AL : EET oF
E:t'OSED l'IALL ?EtF f.l,oF?Y, ft. above grade = ) •
TUTAL EXPOSED 4VALL ARr,A SQ. FT.
0_„QUE 'ill.LL COnTSTRU"TI02+: "U" Value x Area
Detail ZAk",C_? 'IUII .043 x Sa.
Cor(C, "U" . J¢o X SR.
re:erence liUlt .oq-o x SQ.
from IrUll x SQ.
attached liUll X SQ.
s'ieets IiUlt X SQ.
7,1I1DOSYS: "Utt Value x Area
FT. ZI•JD M(A)
FT. 13Z.O8 = (U) (A)
FT. (09.(08= 2. (U)(A)
FT. _ (U) (A)
FT. _ (U)(A)
FT. _ (U) (A)
t•ia'.te & Type )?SV(_, asiy,T 'i(po 57- x SQ. FT. lO(c•Ro = 5.5•5$ (U)(A)
11 u nUn x SQ. FT. _ (U)(A)
n u nUn x SQ. FT. _ M(A)
" " itUll x SQ. FT. _ (U)(A)
A70RS: "Ull Value x Area
?,ia:;e & Ty_oe _rer7L. lVSOL• "Ult .14 x SQ.
FA-r lo "u'l .47 x SR.
n n nUu x SQ.
" " iiUtt x SQ
.
TOTALS 1314'•3& SQ.
AVERAGE "U"
TOT/.L (U)(A) VAI,UES
DIVIDED BY ?OTAI. '?JALL kRrA 13?4.?i(p ?-
? i ?
AVLRAGr; ??Ut?t5 qr less for 1&2 family dwellings
P.OOF/CEILING :-?
TOTAL AREA:
FT. 2.00 _ SS8 (U) (A)
FT. 42.00 =19. Z!?_(U)(A)
FT. _ (U) (A)
FT. - (U) (A)
r*T. 142•l7 (U) (A)
Detail reference IIUII 10Z5 x SQ. FT. 960 - ZZ•01a (U)(A)
from itUll x SQ. FT. ? M(A)
attacned sheets. ifUll x SQ. FT. _ (U)(A)
Describe onenings IIUtt x 50,. FT. _ M(A)
:n roof, IIUII x SQ. FT. _ (U)(A)
TJiAL M(A) VALUES DIVIDED BY ZZ.Og _ T7"AcLS (oll ZZ.o$ CUr,A.?
.G.RI, R00VCEI;,;G .`u;EA 9(00 , O23 ?
AV'r;RAGE "U" .025 tor ventile.ted roofa. ?-
??
--WALL SECTIOH--
Deteradning 14U't values at Roof, Wall, Rimo and Conc. Block
ROOF/CEILINCi
1.) Interior Air r'ilm
2.) 5/81, Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(sTZLL)
(R) VALUE
0.61
.56
4p. 00
.67
nII" = 1/R= .OZ3 iOTAL (R)= 11•78
WALL
6.) Interior Air Film
7.1 1" GYp. Bd.
8.) Insulation
9. ) Zs3z.'' f3u1??- f?iTE
10.) Masonite Siding
11.) Exterior Air Film
(R) VAI,UE
0.68
.45
l9.00
2?64
.17
fluti = i/a= , a43 Tomai, (a)= 23. o!
RIM
12.) Interior Air tilm
13.) Insulation
74.) 2'l Fir Rim Joist
15.) zs??3VrCT- ?'?TE'
16.) Masonite Siding
t?.) Exterior Air Film
(R) VALUE
0.68
19•00
1.88
Z.64
.17
nUll = 1/R= .OgO TOTAL (R)=Z?Q?'
?
?-
FOUNDATION
78.) Interior Air Film
19.)
20.)
21.) 12" Concrete Block
22. ) I ?' *rop./?
23.) Exterior Air Film
(R) VALUE
0.68
1.28
nUn = 1IR= TOTAL (R)= 7. 1 7;>'
?1
-
CITY OF to; /2 arh BUILDING DEPARTNIENT
, EXTERIOR ENVaOPE AVERAGE "Ull COMPUTATION
(To be suhmitted with building permit application)
One or Two Family Dwelling Owner
All Other Sfte Address
Date 3-Z5- Phone
Lli?EAL .EET OF
EXPOSED FdALL l(,o' j5;f4EE-r ft. above grade = > •
TOTAL c}L°OSED 4VALL ARr.A SQ. FT.
0?AQUE I:E:LL COPSTRUCTIOiv : "U'l Value x Area
Detail T"`?Wfr-:_ "Ull .0¢3 x sQ.
. 14o x Sq.
re:erence liUll •040 x SQ.
from iIUII x SQ.
attached ifUll
x SQ.
sheets nUl' x SQ.
:.ITdDO'NS: "Ull Value x Area
FT. LI40 . 39,G0 W(A)
FT. 7'524o = 19, 9 7 (U) (A)
FT. (09.(08= Z. (U)(A)
FT. _ (U) ({B)
FT. _ (U) (A)
FT. _ (U)(A)
Aia'.te & Type 11?SU(_• Cs-KfIT "U,, .SL x SQ. FT. Wo-90 = 5s•5g (U)(A)
" " itUll x SQ. FT. _ (U)(A)
" " IIUlr x SQ. FT, - (U) (A)
11 upn x SQ. FT. _ (U)(A)
IlJORS: "Ull Value x Area
'ia::e & Tyne 47L. IASOL. flU" .14 x SQ.
" " PATrn °u,t .47 x SR
.
11 ,t liU,l x SQ.
n n iiUn X gQ
.
TOTaI.S l314•3!o SQ.
AVERA(3E "U"
TOTkL (U)(A) VAI,UES 142•17
DIVIDED BY 70T? 1kLL AREA IS ?
AVLRAGc;IfU? :??g less for 1&2 family dwe ings
P.OOF/CEILIN
TOTAL AREA: C)f (oC)
.r,ontractor LA?;f4gE ?OnlQ,S? ?84-114
TwliA- 4ome
FT. 2,00 _ Sgg (U) (A)
FT. Q2•G0 =/7- (U) (A)
FT. - (U)(A)
FT. - (U) (A)
r'T. ,(4Z•17 (U)(A)
Detail reference ifUtt 1OZ5 x SQ. FT. 960 = ZZ.00 (U)(A)
from flUll x SQ. FT, . (U) (A)
attacned sheets. flUff x SQ. FT. _ (U)(A)
Describe onenings flUit
x
SQ.
FT. -
(U)(A)
:n roof. rrUll x SQ. F.T. - (II)(A)
AV?;RAGi 9 ?? .025 Eor ventileted roofs.
TOiAL (U)(A) VALUES DIVTDliD BY TT'4?'4j 90? `?Q,f( ZZ•o$ CV(?j?
ZZ,pB
:?:'SL R00?/yEI;?T,\?.'G :1;3A
/ ? ? 9(00 . aZ3 ?
?---^
--wu.L sECTiox--
Determining "Ulf values at Roof, Wall, Rimt and Conc. Block
ROOF/CEILIN(3
1.) Interior Air r'ilm
2.) 5/8ft Gyp. Bd.
3.) Insulation
4.)
5.) Exterior Air Film
(STILL)
(R) VALUE
0.61
• 56
40.00
.6t
uUu = 1/R= .OZ3 'iOTAL (R)= 11•7Fj
WALL
6.) Interior Air Film
7.) 1" GYP. Bd.
8.) Insulatlon
9.) Z ?3z." $v1LT- ?jTE
10,) Masonite Siding
11.) Exterior Air Film
R VAI,UE
0.68
.45
f9•DO
2 64
.17
f,Uit _ I /s= , 04-3 ToTai, (a)= 23. o!
RIM
12.) Interior Air Film
13.) Insulation
14.) 211 Fir Rim Joist
15.) Zs!&, Bvic.T- -?7"E'
16.) Masonite Siding
17.) Exterior Air Film
(R) VALUE
o.68
19•00
1.88
Z. 04
.67
.17
nUn = 1/R= .O?fb TOTAL (R)=Z7?'
?
?-
FOUNDATION
18.) Interior Air Film
19.)
20.)
21,) 12" Concrete Block
22. ) 11, '•/?(?
23.) Exterior Air Film
(R) VALUE
0.68
1.28
$• 00
.77
nun = 1/g= ,?¢O TOTAL (R)=
?-
.?-
11 .Vd94. -'VEST "
47pcx7sl Exfc, .,b wAuC..
9.34 x C4o+4o+2-4-) _
7. o o X 40 =
y.ov K Z =
CoAo-.
. (o7 X 040+4on-4)
_
`j.oa X 7 =
R1m Sors-r.
•?7 x (90+4ot-z4) _
971•3(o
ZSv.oo
(03. o0
?-
&9.(Og
4,3.00
l3Z.lv8 4
W11?DowS
1(ox3l? = `?• o X Z= g.oD
Zo x48 = 6•7 K 7= 16.90
z4 x 48 = 8• o x?= 48. o0
Z4 X 24 = q. o x 1 = 4, o0
l01?.90 -?-
??r.s
zg ?7L• S?RW?E Z/.ov
3 = io-'fL. F,e.odT 2 J .OD
Co= PATro 4z.oo
g ?f . o O I.
Ilvo'F
z4X 40 = 9?0?
?E-T -LiA
6Ross
LESS
ir
u
Lk= ?
W,q
Corle ,
Kirl
WDw'S
Aoo,eS
/3Z• ?g
?9•l?8
l0?0•90
84. o0
- 393.Z (o
9z1. lo+
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 -9?
651•681-4675
New Conshuction Reauirement
> 3 registered s%e surveys showfng sq. fl. ot lot, sq. R. of house
and all roofed areas (207. maximum lot coveraae allowed)
? 2 copies ot plans (show beam 8 wfndow slzes; poured fnd. tleslgn; etc.)
: 1 set of energy calculafions
> 3 copfes of tree preservaHon plan If lot platfed aRer 7/1/93
DATE: Z/-G v" % l
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT: 1 -2 ? BLOCK:
Name: ( ?" i/'?p }? ? ??? Phone #:
PROPERTY ?on Ftrst
OWNER
Street
? G?-
City Siate: I/1/1 ??- Zip:
Company: Phone #:
(area code)
CONTRACTOR
Street Address: c`- /75- License # 7`7 ? X Exp.-'5-
City ---F, (.k i- ?t °?! ) ? 1I 1° State: v,'.( 1q- Zip: 55- -S22
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code ( )
Street
City
Sewer 8 water Iicensed plumber (reaufred for new consfructlon oniv):
Stafe:
Penalty applies when address change and lot change Is requesfed once permif is issued.
I hereby acknowledge that I have read this application, state that the Informatlon ts
State of Minnesota Sfatutes and City of Eagan Ordinances. _
Signafure of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Remodel/Reoair ReauIremeMs
2 copiea of plan
i set of energy calculations lor heated addRions
t sBe survey for exfer(or addRions 8 decks
Registration #:
Zip:
and ree to compl
. r??!/'
U•, ?- ?.
i?-
?? L?
I ' ?-
i. _
all applicable
I SUBD./P.I.D. #: UC??Uv0-0 CS k-? f i ?'??' " "?'
.
s
SURVEYOR'S CERTIFICATE
I .
i1
?
f ? ?? 63 g2
,y?pVl ?
56?
0?
\
LOT
N
N \: ,
0 \
c_? m \
-'?
OOy i
?
0
?F Q9i
9\ qGt?
/? F'pT a
I(?
\pFq`r???T ??
\ 3
\
\ \
N
/"° 30
PROPoS£D HWSE
I N
0 ? sa.n
Fl 20.00
•? ? 9??? 09.0 o pq-p ,,? ;c
? N I a iu
GAR
, n w\ w $? ? ??-o
? 20.33 9? / :I A
?-----
904.00
?0969 o b Z101 97.49
o xsss.t
5Ra187,01
, .? : .
.???SG??.1 X9W'?\
,
Nyk°k 25 00 4 R \\
OOGP
C
SHEET 2 OF 2
PHOJECT NO. BOOK / PAGE
84559
I?pW
FILE NO. 70170
FOLDER
(A O fl
I qWA;?
I3 N VJ
I ?
S?i!
`Ao
JAMES R. HILL, INC.
Planners / Engineers / Surveyors
6200 HumDoldt Arenue 8outp
Bloominyton, Ma 55431 612-884-9029
, s-
??3_2 7
2007 RESIDENTIAL PLUMBING PERMiY aPPUCarIoN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675,5675
Please complete for modifications to existing residential dwellings.
Is; sb
Date Brett Wagner
Site Street Address 767 Cougar Drive Unit #
Eagan, MN 55123
Property Owner 6514056823 hone # ( )
Telephone # (G 12 ) 827-4033
Contractor /l/L,4lOr11 ?lUktl?/dq
?
Address 2pOS (?-svfit? - City ///' ozi StateN44/ Zip rJ'k10T
The Applicant is: _ Owner ? Contractor _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System
New InGudes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) , $ 90.00
Alterations to existing dwelling $ 50:00
_ Add piumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. If you are insta!ling only a wafer softener and/or water
heater, do not complete this section; move to the next. secfion and check the
appliance(s) you are installing.
Septic System Abandonment
_Water Tumaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
SWte Surcharge $ 50.
Total $ 1S SD
I hereby apply for a Residential Plu[nbing Permit and acknowledge that the inforrnation is complete and accurate; that the
work will be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand ihis is not a permit, but only an application for a p t, work is not to start without a permit and work wiil be in
accordance with the approved plan in the event a plan is rei d o be reviewed and approved.
JcCT A/arbinv?
ApplicanYs Printed Name 0'lica??nrs Signature
? 2005 RESIDENTIAL BUILDING PERMI'f APPLICATION
City Of Eagan
taq9 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConshucGon Reauiremenls RemodeUReoair Reauiremenis OHice Use Onlv
3 registered site surveys showing sq. ft of lot, sq. ft of hause; and all roofed a2as 2 copies of plan CeA of Survey Recd _ Y. _ N
`
(20°k maximum lot coverage allowed) 7 set ot Eneigy Cakulations for heated additions Tree P2s Plan Recd _Y _ N.
2 copies of plan showing beam 8 window sizes; poured found design, etc. 1 site survey far additions 8 decks Tree Pres Required _ Y_ N
isetofEnergyCalwlafions Adddion-iMicetei(on-aResepticsysfem On-slleSeptlcSystem _Y _N.
3 copies of Tree Presenalion Plan'rf lot platted after 7103
Rim Joist Detail Opfions selection sheet (buildings with 3 or less untls)
Date ?115_ / 0? Construction Cost 03?17o J
?
Site Address ?,r?7 CG?3 /N/J ? n
Unit/Ste #
i
Description o[ Work //tj 571-4' 645 !-(?-'????
Multi-Family Bldg AY _ N Fireplace(s) _ 02k 1 _ 2
Property Owner 6107? Telephone # (6 V ) zJ'
Contractor ??&A-?_
I
Address 3e>3D W. o.i`i 13 City 1?
v?L(.C
State f(•?'?? Zip ,J?{? Telep6one #( gff,) ?t?'d7?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheef • New Energy Code Worksheel
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculalions Su6mitted
-% -70 cv
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in th case of I11 ' h re uires a review and
approval of lans. 1?
I j L 2 0 20 0.5
IuIJ
Applicant's rinted Name Appli ant's Synature
r
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
NewConsWCtion ReauiremeMs
• 3 regis[ered sRe surveys showing sq. ft. of lot, sq. fl of house; and all mofetl areas
(20% mazimum lot coverage allowed)
• 2 cropies ot plan showing beam & vrindow saes; poured found design, elc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation Plan d lot platted after 7/1193
• Rim Joist Detail Oplions selecfion sheet (bldgs with 3 or less unils)
DATE b -0
JOB SITE
IF MULTI-FAMILY
PROPERTY OWNI
TYPE OF WORK ?
APPLICANT fU
ADDRESS
PAGER #
UNITS?
CELL PHONE #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNES01'A RULES 7670 CA'PLC;ORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RLJLES 7672
- New Energy Code Worksheet Submitted
Plumbing Contractor:
Pluinbing SysLem Includes:
Mechanical Contractor:
Mcchanical Systcm Inclucles:
Sewer/Water Contractor.
Air Condilioning
_ HeaC Recovery System
All above information must be submitted prior to processing of application.
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE# 65/' 7S q_J6 %
ZIP CODE 'Jr?a 1 ?
FAX #? 51-78' 3-?Po 5 6
L-4 14. R ':?r
Pce: $90.00
Phone #
r_mq;? . 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 Eaga dinan s. `
Signafure of Applicant ?
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Water Softener
Water Heatcr
No. of Balhs
RemodetlReoair Reauiremenls
. 2 co0ies of plan
• 1 set of Energy Calculatbns for heated additions
. 1 sAe survey for exterior addilians & decks
. Indicate if home served by seplic system for addilions
VALUATION i 54
Phone #:
Lawn Sprinklcr
No. oF R.I. Baths
?-(U-U?
RESIDENTIAL
BUILDING PERMIT APPLICATION
l?- CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
New Construclion Reauirementa
. 3 regislered sfle surveys showirg sq. fl. of lot, sq. ft. of house; and all roofed areas
(20°h mauimum lol coverage allowed)
• 2 copies of plan showing beam & window sizes; pau2d found design, etc.)
• lsetofEnergyCalculations
• 3 copies of Tree Preservation Plan if lol plaHed afler 711/93
• Rim Joist Oetail OpNons selection sheet (bidgs with 3 or less unfls)
DATE 5- ? -O O'
JOB SITE ADDRESS_ 5 Y!R4M A
IF MULTI-FAMILY BUILDING, HOW MA Y UNITS2
PROPERTY OWNER Ag .1 p'in QQ 0LO_Q[?Ti
TYPE OP WORK ,
APPLICANT
ADDRESS ?
PAGER # CELL PHONE #
RemadeVReoair Reauirementa
• 2 copies of plan
• 1 set of Energy Calculations for healed additions
• 1 sitesurveyforexterloradd'rtions8decks
• Indicate if home served 6y septic system foradd'Aions
VALUATION n. J l O.D?
- t A y,s
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category _ MINNESOTA RULES 7670 CA'PEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code Worksheet Su6mitted
Plumbing Contractor: _
Plumbing Systctn Includes:
Mechanical Contractor: '
Mcch:uiical Systcm Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery SysCCm
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the
with all applicable State of Minnesota Statutes and City of Eagan O?
Signaiure of Applicant
Wafer Soflencr _
Water I-Ieater
No. of Balhe
Phone #:
I.awn Sprinklcr
No. oFR.l. Baths
FIREPLACE(S) _ 0 _ 1 _ 2
_ PHONE#
ZIP CODE 6,5 0 1 ?
FAX# (?y(l?S?`COh D
Phone #
Pec: $90.00
Pee: $70.00
MAY 0 q 2002
is correct, and agreelto comply
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construcfion Reauirements RemodeVReoair Reauirements
3 registered sRe surveys showing sq. ft of lot, sq. ft of house; and an roofed areas 2 copies of plan
(20% mauimum bt coverage allowed) 1 set of Energy Cakulations for heated addNbns
2 copies of plan showhg beam 8 window saes; poured found design, eta 1 sile survey for addilions 8 decks
1 sel of Energy Calcula6ore Addifion - indkate il on-sfle seAhc system
3 copies of Tree Presarvafion Plan'rf bt platted after 711133
Rim Joist Detail Oplbns selection sheet (buildirigs wiN 3 or less unils)
/
C?a,4??Wa
o?um- 819
CeROfSuneyRBCd _Y _N
Tiee Pres Plan Recd _ Y_ N,
TreePresRequired _Y _N
On-sNeSepGcSystem _Y _N
Date ? /2-7 /
Site Address 7 67 d\r ConstructionCost 4 JrooO "
UnitlSte #
Description of Work 1vfieK
Multi-Family Bldg _ Y f Fireplace(s) _ 0_ 1 _ 2
PropertyOwner Lv,y6-N,5,t, Telephone #((.// 44 73
Contractar ,lfi?C 1 2igGA' f L--° Co >a? c•
Address 6 c/DD
State City Aa!'Git- " tt,i-Y
ZipV ?/ Z? Telephone #('??)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Vantilation Category 1 Worksheet • New Energy Code WoACSheet
(Jsubmissionrype) Submitted Submitted
. Energy Envelope Calculations Su6mitted
Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone # (
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work wluch re uires a review and
approval of plans. [1- ? `,?
,'?A-'? ?j?y??,?,svz,y ? JUI_ 2 7 2005
Applicant's Printed Name Applicant's Signat i ? I
i?
OFFICE USE ONLY
Sub Types
0 01 Foundation O 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.)
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Poroh(screenlgazebo)
? 05 03-plex ? 11 10-plex ? 19 LowerLevel O 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
?,(' 31 New
(O? 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code ?
SAC Units
# of Units
# of Bldgs
Type of Const
_ Footings (new bldg)
7)C Footings (deck)
_ Footings (addition)
_ Foundation
_ Drain Tile
Roof _ Ice&Water _ Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Width
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
? 44 Siding
? 45 Fire Repair
? 46 WindowsJDoors
REQUIRED INSPECTIONS
FinaVC.O.
Y FinaVNo C.O.
?` Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 35 Int Improvement ? 38 Demolish Interior
? 36 Move Building ? 42 Demolish Foundation
? 37 Demolish Building` ? 43 Reroof
`Demolitlon (Entire 81d g) - Give PCA handout to applicant
Occupancy MCES System
Zoning City Water
Stories Booster Pump' '
Sq. Ft. PRV
length Fire, Sprinklered
s??
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?
- , ?-
SURVEYOR'S CERTIFICATE ' ,
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SNEET 2 OF 2
PHOJECT NO. 800K / PAGE
84559
FILE NO. 70170
FOLDER
JAMES R. HILL, INC.
Planners / Engineers / Surveyors I
8200 HumboMt Avenuo Boulb
86oom4nplon, Me, 55431 E72-681-3029
?
`_lD44(
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
oate Y ! ;;7_ 3 ! /i
Site Street Address 7 a 7 Unit #
Property Owner - ;f 1`Y(?f d /L e,* Z Telephone # (arj •,1/L'S = (? ?..t
?,
Contractor /?%?/? LL/i?/eic CC-S Telephone # (15'A " -
Address ?PZ2i S City State,& t% Zip
The Applicant is: _ Owner ? Contractor _Other
Alteretions to existing dwelling $ 50.00
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is required)
Other:
X_ Water Softener _ Water Heater $ 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
ToWI $ ?
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved, .
c?? )4 c, v
ApplicanYs Printe Nam6 A pli ant's gn tu , r•' ??' ?? ?? ry`? [? r,
?.u a ? 9 2009
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA146503
Date Issued:10/30/2017
Permit Category:ePermit
Site Address: 765 Cougar Dr
Lot:122 Block: 01 Addition: Oakwood Heights 2nd
PID:10-53801-01-122
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christopher N Hirsch
765 Cougar Dr
Eagan MN 55123
(651) 274-6548
Boys Mechanical Inc
490 Villaume Ave, Suite 300
South St. Paul MN 55075
(651) 340-5956
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA179271
Date Issued:09/27/2022
Permit Category:ePermit
Site Address: 765 Cougar Dr
Lot:122 Block: 01 Addition: Oakwood Heights 2nd
PID:10-53801-01-122
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Curtis Ojanpera
765 Cougar Dr
Eagan MN 55123
(651) 485-3911
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature