1867 Deer Hills Tr? Rv'J1CTIMATEb FOR DECK 6/86 CITY OF EAGAN I" ? ?? ?
, ? t ?. ??
•-. .- ' 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHON E: 454-8100
sU1LDING PERMIT Reu;pt #
Te w wd iw Est. Volue , Date 19
Site Addresa Erect ?.. Occupancy
Lot Block Sec/Sub. Remodel ? Zoning
Parcel No. Repair ? Type of Const.
AddRion ? No. Stories
W f Move ? Length
W Name Demolish ? Depth
? Address 94 ' Int.lmpr. ? Sq. Ft.
City ?L m Phone Install ?
t? Name Addreas
F City Phone _
Name _
Phone
Assessment Permlt Y ?s
Woter 8 Sew. Surcherge ?•?
Police Plan Review
Firo SAC
Enp. Water Conn.
Plonner Water Meter
Council Road Unit
Bldg. Off, Tc PL
APC Parks
Var. Date
I hereby acknowledpa tFat I haw reod this opplicotion ond srote that
the information is Correct ond agree fo comply with oll applicable
Stcte of Minnesoto Stotutes and City of Eo9an Ordinances.
?
Sipnoturc of Permittee
,.
sholl
Is issued ro: '
done in xcordonce wifh oll upplicoble Stote of Minnesoto
Copies
Total
on the expross condition thoi
and City of Eopon Ordinonces.
Pwmh No. PKmk Holder Dab Tslephone #k
Pl??i? •-? _ ?, l t(_ IK q 5), IS&a-
H.VA.c.
E?vic. $ I7 ?I o? >
s?.?.. ?
IrtWection Dab Insp. Other
Footlnqa I
Footings 11 ? -? C,2 ,B
Foundatlon
Frsminy
Roofing
RoYph Plby. , .
Rouyh Hty.
Insul.
Finplace
Telt f ? { & OV ?
lsCs? IL!- 7- AO IP s--'
Ffnal Htg.
Final Plby f?- O -/ 6 .
Rnal
oqtvocc.
Z'
3
?ater Doscribe Locsti n:
WNI
Sewsr
Pr. DIsP.
CITY OF
3830 Pi1ot Knob Road, P.O. B
PHONE:,
BUILDING PERMIT
Value $a, 000
Eagan, MN 55121 12 0 n 2
Receipt#
:
SiteAddress 1867' l)r:ER HILLS 2'R Erect ? Occupancy
Lot?L Block 1 Sec/5ub. S» -t•T ?•' 42YI Remodel ? Zoning
Parcel Na. Repair ? Type oi Const.
Addition ? No. Stories
W SAi?riil?;L i?C? Z Z{? Move ? Length
Name Oemolish ? Depth
; Address SE Int. Impr. ? Sq. Ft.
° Ciry Phone Q52`?? `? 3 ? ?nstall CXK
= o Name S 'RtF;
0 Q Address
? r.in, Phnnc
Phone
I hereby acknowledge that I have read this appiication and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee F
A Building Permit is issued to: ''AIIUEL KO`l..Z0
all work shall be done in accordance with all applicable State of Minnesc
Building dfficial
Assessment
Water & Sew.
Police
Fire
Planner
Council
BIdg.Off. 6/9j86
Var. Date
Permit ,?sl . Du
Surcharge 1.00
Plan Review
SAC
Water Conn.
Water Meter
Road Unit
Copies 1 . 00
Total S341 _ 5()
he express condition that
` ?? _,
Permfl No. Permit Holder Data Talephone k
Ptumbiny
H.V.A.C.
ElecMc
Soltener
Inspectlon Data Insp. Commants
Footings I ? . ?3
FooUngsll
Foundalbn
Framlng
1
Rooflny ?
,
Rouyh Plby.
.•
?2.
Rough Htg. ?
l
naul.
Fireplace
Finai Htg.
Final Plbg.
Bldg. FMaI
Cert. Oec.
! oo t -7"S '19
Deck Ftg.
Deck Frmy.
l 7•.t •F7 R,r. ,?,
Well Dsacribe Locatfon:
Pr. Disp.
Raaipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
FN
Fill in numberrd spacea S/C
TYPe ar Prirrf lepib/y Tot. 1. Date ' 2. Installation Cost 3. Job Address Lot Blk. Tract
4. Owner
5. Contractor Phone '
6. Address f '
7. City State Zip
8. Building Type: Residential ? Commereial ? tnstitutional O
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11.
No, Eauiument BTU - M. Ea.
Forced Air No. Equipment CFM
Air Handling:
Mfg. ?
Boilers
Mfg, Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
' Gas. Piping Outlets
L
I
12. I hereby certify that the
comply with all ordinarn
Signed :
ation is true and correCt, and I agree to
governing this type of work.
for
--I
Receipt PLUMBING PERM17 Permit No.
CITY OF EAGAN
Fse ?
Fill in numbered spaces S/C
Type or Print /egiWy Tot. ?
1. Date ? '?-2. Installation Cost
?' .
3. Job Address Lot Blk. Tract
4. Owner
s
5. Contractor Phone '
6. Address -
7. CitY ^ State Zip
8. Building Type: Residential El Commercial O Institutional ?
9. Work Description: New O Add ? Alter O Repair 0
10. Describe
11.
No, Fixtures
Water Closet No. Fixtures
Ce
l/D
i
fi
ld
Bath tubs ra
n
sspoo
e
Se
k
ti
T
Lavatory p
c
an
f
S
Shower tner
o
W
l I
Kitchen 5ink e
Urinal/Bidet Oth
Laundry Tray er
Floor Drains
Drinking Ftn.
S(op Sink
Gas Piping Qutlets
12. 1 hereby certify that the above information is true and correct, and I agree to
comply with all oidinances 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 454-6100
PERMIT # / CITY OF EaGAN
?9 a PLUMBING PERMIT
RECEIPT # 7 454-8100
r ? MINIMUM RESIDENTIAL FEE - $10.00 + $•50
DATE MINIMUM COMMERCIAL FEE - $20.00 + $.50
"7i
1. Bldg. Type: Res Comm Inst 2. New Add _
3. Total Bid Priee 4. Job Address
Lot ? Block .-? Sec 5.
6. ContractorMtft,cJ .-,?,xt!1.. ?t.4
(Name) / ? ? _ ? ? n fJ (Street)
7. Contractor Phone # ?J ^?'f'
NO. FIXTURES NO. FIXTURES
-Water Closet - $3.00
-Bath Tubs - $3.00
-Lavatory - $3.00
-Shawer - $3.00
-Kitchen Sink - $3.00
____Urinal/Bidet - $3.00
-Laundry Tray - $3.00
-Flovr Drains - $1.54
-Water Heater - $1.50
-Whirlpool - $3.00
Gas Piping Outlets - $1.50
1 Softener - $5.00
FEE S ?
sic
TOTAL
Alter
NO. FIXTURES
-Well - $10.00
-Private Disp Syst - $10.00
-Rough Openings w/o
Fixtures - $1.50
COMM./IND. RATE - 1% TOT BID PRiCE PLUS $.50 STATE SURCHARGE FOR EACH $1,000 OF FEE.
Signed: '`' for
Approved Inspections: Date Rough Insp. Date Final Insp.
CITY OF EAGAN Remarks
Addition SUN CLIFF FOURTH Lot 3 Rlk
owner Street 1867 Deer Hills 'IY'all
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. 1995 303•92 20•2 15 0 O//SaPS 3/s ?d
STREET RESTOR. 0
GRADING
1986 ee, ?/? /?.?
SAN SEW TRUNK
? j f
SEWER LATERAL ? op 3AS IY(
/ Q 4- 8 S?
WATERMAIN YtZ a • S S? f I
WATER LATERAL
WATER AREA 1973 58.78 3.93 15
,?
L??//Sm2 S
3 S (?
STORM SEW TRK .E cs'cn /fS2S 3
STORM SEW LAT 1985 8.08 2 571 tf ee -j/s /,F/?
E'l-3 f
C R & GUTTER '
SIDEWALK
STREET LIGHT
Road Unit 280.00 57513 11 14 85
/0-; 2 CO / !! ..i'
WATER CONN. 500.00
6UILDING PER.
11262
SAC 929-00
PARK
INS
! CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
,IIPa ? i 1 I i t f II
' PERMIT SUBTYPE:
TYPE OF WORK:
Itl "t k(!' 1 f uN
F
?
OFF'A]'Ft
(`?IIl3N6)
ON RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
i. ir r ws
y; fi7 63
A4 /A6/`+6
90" " io- *{ APPLICANT:
.j Ei I. r? r. F? : i
i,r, ?, i, i; ?1 i c ? i? ri f•I 1 r•1 ( th I,? 1 7:' I ?:r ti ?' ki
Permit NO. Permit Holder Date Telephona #
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I I
BSMT FINAL
OECK FfG
DECK FlNAL
?
CITY OF EAGAN WATER SERYICE PERMIT
3830 Pflo2 Knob Road 6 97 5
P. P. Box 211E9 vERM1T NO.:
Eagan, MN 55ia1 '2 ? DNTE: " J`
Zonlrq: - ? es ey No. of Unlts:
?.?ns .
Owner:
Addneaa:
$i?f AddreSS: _ .>11T, _
PlUfllbef;
Meter No.: .3 lo -? /3- 7 D • p
S1ze: 4L?-?e#Or?-vr?it?M+?o `?Id?IttBS 15 . i7l?p('
RQOdRf ?.: /o ?9Q(D SYTrirnHnur JPeMft--rnc Lln
I qr» h aespll wilh 11M Cly of %ge¦ 5urcho . 50 p d
o.d...a.. REC?'Jf??? l? apM-m ?r
Total: P BY f Dote Rold:
Oote of Insp.: Insp,;
CITY OF EAGAN SEWER SERVICE PERMR
383U Pilot Knob Road
P. O. Box 211" PERMIT NO.:
Eac.an, A!N 55121 D^TE: .
2oring: - No. of Units:
Ow?Nr.
lldd?ess:
57te Address: - 1 °67 Dc- ;1 r i I '^r 7 ; 7,: "u - i ±t f 4t11
-
Plurnber. _ "bi7'Ti i`
.r
100.003prl
1sDme fe ao+wwy rrMb 1M Cih of Mpm Cor?rwcFlan O+anp: -'? 5 ??(1T„'.
ONlreaL ,,ccov,t Deposit: ." ,
Wrmit Fee:
5urcFwrpr.
By Misc. Choryes:
Dote of Imp.: Total:
Insp" Dott Pold:
N 7 3 5 L 8
Request Date ?
' F'ne Nc Raugh- psectbn Requiretl
(You rrl'ust call ina cwr when read )
PB Y ection OMer Than Raugn-In
Ready Now ? Will NotHy InspECtor
? Yes No Date Read
IVicensed contractor D owner hereby request inspection of above electrical work at:
Job Adtlress IStr lox or Rout i
I ??
4
Secb
on No. Township Name or No. c-
Occ
uDant(PRINr, _
?
Phone o.
,/
Power Supplier qtlaress
Electncal Conlractor iCompan Name) Convactor+s L?cense No.
E ` ^ e6
Mahnq Adore :Comractor or Owner M4ing InStdll2hOn)
Autnonzed Sgnaiu•e ?Co^.t ciorOwne• a??cn, ' Pnone Numbe,
MINNESOTA STATE BOARD OF ELECTiiICRY THtS INSPECTION REOUEST WILL NOT
Griggs-Midway BIOg. - qoom S-173 gE ACCEPTED BY THE STATE BOAFD
1821 Unfversity Ave., St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (612) 642-0800 ENCLOSED
g??/?? ? REQUEST FOR ELECTRICAL INSPECTION ??,-qa
a
See mslructions for completing this lorm on baeN o1 yellow Copy. 4 ?-1:
N 7 3 8 5 3 `X 8elow Work Covered by This Request ?. -?y?
ew Add Rep.' 7ypeof8uilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater EleCtriC H886ng
Apt. Building Dryer Load Management
Comm./lndustrial Furnace Other (Spec'rfy)
Farm Alr Conditioner
Other (speaty) n radors Remarks,
Compute Inspectron Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps Above 100 Amps
SignS , inspectas Use Ony: TOTAL
Irrigation Booms
Jv
Special Inspection j
Alarm/Communication THIS INSTALLATION MAY BE DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby
certify that the above inspection has
been made. Rojgh-ir
Finai r Date
Date •, 7/• y f
?
OFFICE USE ONLV
This request voa 7B months from
CITY OF EAGAN p
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N0- 12082
PHOINE: 454-8100
?0 7 ?>
BUILDING PERMIT Receiptp
To be uaed tor POOL Est. Value +',2 ,000 Date JUNE 9-119 86
SiteAddress 1867 OEER HILLS TR Erect ? Occupancy
Lot 3 Block 1 Sec/Sub. SUN CLIE'F 4TH
ParCel No.
a Name SAMUEL ROZZO
?
;
Address
SAME
° Cily Phone 452-6538.
o Name SAME
=
0 ? Atldress
? City Phone
a
W Name
F
Address
z
a w Ciry Phone
I hereby acknowledge that I have reatl this application and state thatthe
information is correct an agree to comply with all applicable State of
Minnesota Statutes an i of Eagan Ordina Es.
. Signature of Permitte
A Building Permit is iss e . SAMUEL RO O
all work shall be done in accordance with all applicable §1al ofAinnesc
Building Oflicial
Remodel 0 Zoning .
Repair ? Type of Const.
Addition ? No. Stories
Move ? Length
Demollsh ? Depth
Int. Impr. ? Sq. Ft
Insiall [NX
Assessment
Water 8, Sew.
Police
Fire _
Eng.
Planner
Council
sid9. orr. 6/9/86
APC
Var. Date
Permit Y?c.?v
Surcharge 1.00
Plan Review
Water Conn.
Water Meter
Road Unit
rr. PI.
Copie= 1.00
Total $34_50
-on the express condition that
?t rdinances.
CiTY OF EAGAN N°_ 'I 'I P 6 Z
3830 Pilot Knob Road, P.O. Box 27•199, Eagan, MN 55121
PHON E: 454-8100
BUILDINC PERMIT Recelpt
Te M wed fer SF DWG/GAR Est. Volue +581 ,000 pate NOVEMSER 8 1985
Sitenddreu 1867 DEER HILLS TR Erect Ot occupancy R3
3 1
Lot Block s SUNCLIFF
eclSub 4TH Remodel ? 2oning Rl
Parcel Na . Repeir ? Type of Const. V
. Addition ? No. Stories
WESLEY CONSTRUCTION Move ? Length 45
W Name l
h ?
Z
9401 XYLON SO Demo
is Depth 30
Address Int lmpr
? g
F
?
BLMTN
944-70 2 . q.
t.
City phone Instell ?
? App/orah Fees
to Name - SAME
su Addresa
? City Phone
Name _
Address
City Phone
I hereby ocknowledge that i have reod this opplication and state thot
fhe inlormotion iz torrect ond ogree to comply with oli apPlicoble
Stote of Minnesoto $tatutes a?nJd 1 /of E{ar rdinances.
Sipnoture of Pem.ittee - -° ?'GLr ^ ?"? -?
n eutiding vemir is i:sued ro: WESL AY CONSTRUCTION
all work sholl be done in uccordance with oll qgAicq6TI State of Mi n
Azsessment _
Water 8 Sew.
Police -
Fire
Enq.
Plcnner _
Council _
Bldg. Off. 11 / 4/ S 5
APC
Var. Date
Permit :;. -37'67 00
suronaree 40.50
PlanReview 188.00
sac 525.00
waterconn. 500-00
WaterMeter _63,00
RoadUnit ?RO _ 00
Tr. PI. 132.00
Perks
Copies
I 7otel $2.104. SO
_ on the exprcss condinon ihm
ond City af Eoqon Ordimnces.
Buildinp Officlol
Thiz reauest voiC
ir8 nwn(hs fmm
ia - iq•gS
cun I
?Ready Nuw i Notity, InsOec-
No tm hen Readv
t5,LicenseA ElecVical Convactor ? I hereb y raqueat inspection ot above
? Owner elechicel work installed at
Svee[ Add(ress. Boa or( H?oute Na. s
?J
?
l/
' Ci[y/
?
'
/
?t /
LL?£
!l ?D /
J / i'Yl. - :. r?
?
LiC
er.tion o. TownshiD Name or No. RanBe No. County /
f
G-,
/>C•< KC?
OcwUant IPRINTI i-'?
?
?
l hono No.
P9
?-
.?
? - 7&1 a
Y
Pow r Supplier -
?/
- Atltlress
-
tC,.
c_ , ?-
Elecvi I ConVactor ICOmpany Namel Cuntractnr's License No.
Mailin8 Atldress tCOnLar.[or or Owner Meking Instailalinn)
4:
?
Z 7 I
J Gyu rtv
AuthoriDed Signature IC nvactodOwner Ma np I tallatioN Phone Number
?
?
?
?,
i ?
.-1
•. y Cl G ? L? .
( V
MINNESOTA STATE 1364G6F ELECTftIGITY / THIS INSPECTION REQUEST WILI NOT
Griggs-Midway 61tlg. -oom N-197 / gE ACCEPTEO 6Y THE STATE eOAND
1821 University Ave., §t. Paul, MN 55106 ? VNLESS PqOPEH INSPECTION FEE IS
Phona (612) 297-2111 ENCLOSED.
_.eutST FOR ELECTRICAL INSPECTION Es-00001.04
I See instructiens far completinB this form an beck o/ yellow cnpY.
'? opfl 8 "J(" Below Work Covered by This Request I d I?'?
N F Fep. Type ot BuiltlingT- qppliancns Y:ised Equipmenl Wired?
I A-/nVi 1I uuplex I I Wa[er Heater I I Liqhtinu Fiztures I
o Unlo
Ik Milk
• Fee ServiceEntrBnceSi:a k Fee Faeders/SUOfeeders N Fne^ Circuits -
0 to 200 qm s 0 to 30 qm s
v 0 to 30 Am s
Ahove 200 qm>s 31 to 100 qmps U 31 to 100 Am s
Swinming ol
Po A6ove 100_Amps Above 100_Amps
Transtormers Irrigation Booms ? Partial%OthevPee\
i I"'y"° I 1.peciai inspecuon
L $
rru3
Re.ks :??f ' TOTAL FEE ?
? ??a ?
RouBh-in DHle
? BeetQcal?
I y
? Inspactor, heroby
Final - certilv that the above
'11e ? ins0ection hes been
Thls repuest voiE 18 moniRa fro.
t
PLEASE NO'PE: THE CITY WILL PROVIDE ONE COPY OF SEWER ANID WATER PERMITS
I PERSONS REQ['IRZNG ADDITIONAL COPIES WILL BE CHAE2GED A$2D.00 FEE TO COInj
CITY OF EAGAN
APPLICATION FOR PERMIT SEWER AND/OR WATIIt CONNFCTION
1) PROPERTY ADDRESS: //
LEVAL DESCRIPTION: L-? ,c/, ?Gv?
(Lot Block Subctivision or
IF EXISTING STRL'CTURE, DATE OF ORIGINAL B[JILD2NGG PERNffT ISSL?ANCE:
PRESENT ZONING/PROPOSID USE:
(IEnth Year)
R-1 SINGLE FAMILY
R-2 DLPLEX (Two Onits)
R-3 'IOWNiOr'SE (Three + Lnits)
R-4 APAI2TMENP/CONDOMINIC'M
CONMERCIAL/RETAIL/OFFICE
INIDL'STR3AL
INSTI'IVTIONAL/GOVII2I?
( Units)
( Dnits)
2) ?
MAME:
?
ADoxEss: lfl0/ XJ/ld? /?c
CITY, STATE, ZIP:
PHONE:
3) • r?•
annREss:
CITY, STATE, ZIP:
PHONE:
?7- MASTER LICIIVSE
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
For Citv-Use
ve
Recorc
PHONE:
5) 0• - • ?
?CONNECTION TO CITY SEWER j!rCONNECTION TO CITY WATEE2
0 OTHII2 (Please Describe)
6)
? PLEASE HOLD APPROVID PERMIT FOR PICK-L?P BY ONE OF ABOVE
? PLEFvSE MAIL APPROVID PEE2MIT TO 1, 2, 6? 4, ABOVE
(Circle one)
7>
F O R
PERMIT °: ISSUED
I T Y U S E O N L Y
FEEs: $
$ - ,/6-Su
$ ?p
S
S
$
S Sr?
$
$
S?vcl.od
$ SaS= uU
$
$
$
S
$
$
?
SE:^iER nERt1T'i (INCLUDL JU?a?.C :a?.CG)
WAT£c2 PERAIIT (INCL'uDE SliRCHARGn)
WATER METER/COPPERHORN/OUTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SE;dER TAP
a_..=R
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUyK WATER ASSESS:SE:dT
TRli:IK SESdER aSSE55AiE:IT
LATEP.AL BENEFZT/TRUNK SE::TER
LATERrIL BE?QEFIT/TRU:IK SaAT°R
WATER TREATMENT PLANT SIIRCHARGE
OTHER:
TOTAL
AhIOL':IT PAIDjRECEI?T #_07},?
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RiGiiT OF WAY?
0 YES IF YES, THEN P. "PERMIT FOR WORK WITHZN
PCIBLIC ROADWAY" MUST BE ISSUED BY THE
C_] Na ENGINEERING DIVZSION. LIST AS A CONDI-
TIOIV.
SUBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
i
TITLE: DATE : a J ?O?
O
RECORD OF COMPL6INT
DATE: IL) ? _ gt
COMPLAINT TAKEN BY: Jc)c NI`'cHAk
NAME: R O G L, J2 T1? 1J
Z, : - d - J
?-
ADDRESS:
PHONE NO.:..?wor2?? Ga3- 3 ZZ°- GS? - G
COMPLAINT: LUATEQ 1 N 13 /*--'sL1*'4 t=NT ? D/ N/ NG .-Q
_ Ow',L^?? :;i S_ oN
AC:ZCY TSKEi:: I met with Shirley on November 1; 1988 to look at the water problems.
_In my opinion, the moisture problems arePar[ially caused from joints in the building
sidinQ;which is a thin masonite-tvpe sidinQ with 1/2" styrofoam glued to it. I
noticed apQroximately five to six such joints onthe kitchen wall above the sliding
glass doox.which also has a moisture nroblem! To compound the problem, a roof
CONASENTS: .
va tev o of the g?rage drops water onto the ki[chen wall 12" - 18" from the
sliding elasss door. Lookin? around the house I noticed many open 'oints in the
sidinQ along with cracks at the corners, doors, and windows. It looks like a
m3intenancg_p?oblem!t
TYPE OF HUILDING: -11/n]/88 rD __ ___
LEGAL DESCRIPTZON:
I
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED MfITH THE CITY OF EAGAN
COt4MERCIAL SINGLE FAMILY DHELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL INCLUDE 2 SETS OF PLANS
& STRUCTURAL PLANS, 1 SET OF 3 CERTIFICATES OF SURVEY
SPECIFICATIONS AND 7 SET OF 1 SET OE ENERGY CALCULATIONS
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
To Be Used For: 5?DWla.?C-tA(Z. Valuation: g(,CoCJ Date:
Site Address m ??-OFFICE USE ONL
Lot _,3 Block
Parcel/Sub "PYy?C-/
"ju?
Owner
Address
City/Zip Code SSy
Phone
r
Contractor
Address
City/Zip Code
Phone
Arch,/Engr.
Address
City/Zip Code
Phone #
Erect y-
Remodel ,
Repair ,
Addition ?
Move
Demolish
Int,Impr. "
Install '
APPROVALS
Occupancy
Zoning
Type of Const
# of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer Sureharge
Police ' Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off li b QS Treatment Pl
APC Parks
Variance Copies
TOTAL
(a
4
r'? 4
S U
\
{
2(? ??8 = 7 2g x s? = 4-2224
2c? x 26,- ?go x(2 = 57 coo
Z(o n 28 = 728 x4,q- ' 32C"32
SO bl(Z'
FORs_1,7ESLEX,CQNSTRUCTION, INC.
NOTE:
o Denotes Wooden Stake
Proposed Garage Floor E1.=9051
(9o5.G) Denotes Proposed
Finished Ground E1.
-e--- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1925
dinage
? cty,1
K
t
Z
?
?
?
? N,w
10
n 6
,
A1 0 ?.`
O 30
' al
, N
?O 1
-A 1M'
t?
p ^.QQ
? '?,
1 J
? V!ilify
2$ N .D
0
o ?
C
C ? ?
,
CL--
? w
;p 9
?sp4.y,N
?
C. R. WINDEN i ASSOCIATES, iNC.
IAND suRvEroes t.t $se•asss
13411 lUSTIS ST., ST. MUI, MINN, 60106
SCale: 1"-30'
• Denotes Iron
Monument
Bearings Are Assumed
eroenf
E? ? 1 inQ?.3?
a
?
? ? ?
? G?
-?'- q
? ?
ON
m ? ?-
'-?? v ' ?
? .
? ??? /
i.-? `
/ ?9p1.0)
??3?•• E
Lot 3, B1oCk 1, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE MERE{Y CERTIi1r TNAT TMtS IS A TRUE AND CORRECT REfRESENTATION Of A SURVEY OF THE
iOUNDARIES Of THE LAND A60VE OESCRI6ED AND Of THE IOCATION Of AlL 6UIlDiNGS, If ANY,
TNEREON, AND All VISISIF ENCROACMMENTS, If ANY, fROM OR ON SAIO IAND.
Dgred thi6 e j dar ofM94)4 A.D. I11085 C R. WINDEN i ASSOCIATES, INC.
Revisied 9-Pl?=-B5 ?
`Y -
Sur.wer. Minn*sefa 11o9inrotion Ne.7726
Mntl*
l ._ w
exreRioR
04lNER ?0/lN P y'}>,??
SITE ADURESS
CONTRACTOR /i'fs"Lee
?
AVERAGE "U" COt•IPUTATION
?._ /1 U? 2 G' •
DA7E r%15- 4f- PFIONE 7?79Z, -
Determine working square footage of each.
1. Total exposed wall area ...... ?093 sq. ft. x?L =Ep.2`j I
,
2. Total roof/ceiling area ....... '`_Y2 sq. ft. x_-o26_
Total exposed wall area above floor = 19-3.2
a. Total wall window area ........................... //D•?14
b. Total door area ................................. -' 3 7,57 7
c. Total sliding glass door area ...................
-?? --
d. Total fireplace wall area..................:.... -
' -- ----
e. Total wall framing area (average 10%)............ p
f. Total net wall area above floor -Z;WL23
g. Total rim joist area ............................ /99
Total ezposed foundation area = ?z
h. Total foundation window area ..................... /. 726 i. Toal net foundation area abcve grade ............
Determine "U" value cf each tqall segment.
a. /Jp. 6 g ?lull ;S.c, _ $7.?
b. x "u.i , 12?
c. X fouli
a. - x „u„
e. X "U" .B? _ /..?•&?
f. /f6o,?3 z ,.u,l ,?y = s?.ell/
s. /e; x lsull 2. 4s
h. /,?e x lluii .55
i. 70-2,21 % toull ,/
3 . ................................. .Total - /7G-96
If item p3 is the same as, or less than item h,'1, you have met the intent
of SBC 6006(c)2.
:;
Construction R-Yalue
1. ior 6
1. Pf1 Y_4'
3, ':57, i.nches soft laood G. f'
4. -! Td Z";?'Ar'' .? . Cti.
Q
5. 4-ff"Il1J,I X1!Jll0714p 5.0
6. Exterior air film = 0.17
Total /6 , 2y
SIGL
Pc-? ia
FRAl1L WA4L
/
1.
2.
3.
4.
5.
6.
1. Interior air film 0.68
2. cII
3. ri''P
4. ? ?? ? 'g
5. 1 7 D//YC c" ?p
6. Exterior air film 0.17
Total ?v, ?9
'?? - , OS
FOO.:JaTICN
LIA_LL
1. Interior air film 0.68
2. r Cf,-,r
• 3. ?U •4Wfrrt1?i ?.2G
• 4.
5.
' G. Exterior air film 0.17
Total
SLAB ON GRADE
????? ?? ,? s' • ? r? ' . " `? ? 4 `•
?/( V l •i^` ' • ??? ?
= / ° , • - r
/ti : • - . . _.
?
FIG. N4 f(l
' (l/ /l f ? lf f _c !il ?
NOTE: Indicate type, "n" value, denth and
placenent of insulation.
. '. . ". 1
WALL 56Y:TZCk1S _ NnTE: oSe.lyg of opaque wall area Por
frame construction
o?, ^ ' .,. . . - . . . .
Total exposed roof/ceiling area = 7?Z
J. Total skylight area ............ ....... ... . `
k. Total roof/ceiling framing area (average 10%)...-7 -' Z
1. Total net insulated roof/ceiling area........... 6 6 7 B
Oetermine "U" value for each roof/ceiling segment.
X liuit - s _
?-
k. X„uot , OzG
t?: 6??S X °u° ozz = ,-5,67
4 ..................................Tota1
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)l.
Alternate Building Envelope Oesign
.. To utilize the total envelope system mzthod, the values established by the
sum of items #3 and p4 shall not 6e greater than the sum of items 111 and #2.
7 . ? -V?23 + z. 5z
s. i 7G a? + a. .21
l.:J' ,
/c, a f?
1986 BIIILDING PEEIFIIT APPLICATIOA - CITY OF SAGAN
NOYS: ALI.
MQST BS LICEASED WITH THE CITY OF EAGAN
SIBGLS FAMIILY DWEI,LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLE DiiSLLIAGS - HESIDSBTIAL
INCLUDE 2 SETS OF PLANS, CER
1 SET OF ENERGY CALCULATIONS
RENT9L IIdITS F08 SALS IINTTS
OF SQRVEY - CHECg WITH BLDG. DSPT.,
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFICATIONS AND 1
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
f'
To Be Used For: ?f pp I r
?
& STRUCTURAL PLANS,
SET OE
Site Address ?&I C kr r7i ffS I ?^ .
3L /
Lot
Blo ek
?
Pareel/Su6 -A
?^ Owner c?/tM,l9 -
el 2-7-v
Address /AR Ceer N 1115 ?/?'R t)
City/Zip Code Ll?pn7 L~7.?/07.0?
Phone
Contractor S/ 6 1(4 v2?
Address /Ao-] !?ber HillS //' .
City/Zip Code f,t}CJqiv
Phone (p,1 •3p
Arch./Engr.
Address
City/Zip Code
Phone fF
Ereet ? Oceupaney
Remodel Zoning
Repair Type of Const
Addition ll of Stor3es
Move _ Length
Demolish _ Depth
Int.Impr. Sq Ft
Install
APPROVAIS FESS
Assessments Permit
^
Water/Sewer Surcharge ]
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Couneil Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TpT9L S U
NOTE: ADDRESSSS FOR CORNER LOTS - CONTRACTOA/HOMEOiiNER MQST DESIGN9iS WHICH 9DDRESS
IS DESIBED. NO CBANGES WILL BE ALLOWED ONCE BQILDING PSHNIIT IS ISSQED.
L? '? ??-' ??Z. X v- ???c
PERMIT
CITY OF EAGAN
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan, Minnesota 55122-1897 Permit Number: 0 2 8 7 6 3
(612) 681-4675 Date Issued: 0 9 J 0 5/ 4 6
SITE ADDRESS:
1867 DEER HILLS 7R
LOT: 3 BLOCK: 1
SUN CLIFF 4TH
P.I.N.: 10-72978-030-01 .
DESCRIPTION:
(SIDING)
Buil.dinj,..Permit Type
Builtling Oo,rk Type
G @[D5.U6_ G:O d.Er ??1...
. _ .. .. - r';?
w-,
r
SF (MISC.)
REPAIR
434 ALT. RESTDEN7IAL
r?=s
REMARKS:
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
$112.25
$3.00
$115.25
$6,000
CONTRACTOR: - qpplicant - sT. LzC.OWNER:
PANELCRAFT pF MN INC 17216628 0002179 TAN ROGER
3118 SNELLING AVE S 1867 DEER HILLS TR
MINNEAPOLIS MN 55406 ? EAGAN MN 55122
(612) 721-6628 (612)681-8420
I
I here6y aeknowledge that I have read this application and state that the
infiormation is correct and agree ta comply with all applicable State ofi Mn.
L Statutes end City of Eagan,Ordznances.
APPLICANT/PERMITEE SIGNA7URE
ISSUED B SIG ATURE I
J
X ?
J i
C:; tv Or- r::nr,Ara
Cr.s:;H.ce::R! _; ir.-.r:rtTNjr-?L Nri: B3
*.,lA-i F a n':): 0.`:i/.`.)6 'Y:I:MI?:' 9.::i r..':? l^'r°c!
m;;
N n,-i i_:: PPrdrt...r.i;Ar r c,r nr.!
Tt,!.r.,
,r...t
?;-•:f..: , 9001
1l.367 ?iF:E:l4: H:[I.._I.J3 9.12,2.5
055 900i. 1867 L1L:.Ic:Pt I-17:L.L4i '?„!:lO
'.rrh,;:.t:l. Pir:rcei.p+, Amoux3i;z 1.1.`i.25
Ci'i:06:39E3:i
us:;k: i; :r.r_? i NAncv
?%k:kXt'??(Y?kkt?:k:YFXtk.r.ktvF??M:?k?;?kYF?k7kW. ?IF 1F7K:MM #%k:??f Xs??k?k
G CITY OF EAGAN ? ( I J,t. z?
3830 PILOT KNOB RD - 55122
? 1996 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
New Canstrudion Reaufremenls
RemodeVReoair Reauirements
? 3 2gistered sita surveys ? 2 copiea of plan
? 2 eopies of plans (InGude beem & window sizes; poured fnd. design; elc.) ? 2 site surveys (ezterlor addkions & decks)
? 7 energy plculetions ? 1 energy caleulations tor healed addilions
? 3copfes of hee preservetion plen H lot platled afler 7/7193
required: _ Ves No
DATE: 4I S IQ CO CONSTRUCTION COST:
DESCRIPTION OF WORY
STREET ADDRESS:
LOT ?5 BLOCK
PROPERTY
OWNER
CONTRACTOR
Name: I A11 I'S?Q?II Phone#: (?2 g/' 91-12-0
Street Address- D erehil l Tro-, ?
City: F-- aqCY?/? State: nn_ Zip:
Company: -PQ i7P lr2.Ff °F M N Phone #: ?a 1" Z?
So b Street Address: 309 J/1P.1 1 i I')G1 As License #: 9 1 -719
# 13(10S City: ?1 i Yl Y12GLP01 i S State: M Nzip: 554 0('0
ARCHITECTI Company: Phone #:
ENGINEER
Name: Registration #:
Street Address*
City: State: Zip:
Sewer 8 water licensed piumber:
change are requested once permit is issued.
Penalty applies when address change and lot
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.
Signature of Applicant:
.---
OFFICE USE ONLY
Certificates of Survey Received _ Yes No
-----?----°----
Tree Preservation Plan Received Yes No
_j_ suso.iP.i.o. #: Aun X;4 ltc
//.' DO
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUII2ED FOR EACH UN1T.
NEW CONSTRUCTION
/ AT,L'-^vN A/^,
ADD-ON FURNACE
FIREPLACE INSERT
DATE I., :n - (? L'i
FEES
HVAC: 0-100 M BTU $ 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS (MINIMCTM 1 @ $3.00 EACH)
ADD-ON/REMODEL (ExISTING CoNSTRUCi'ION) $ 20.00
STATE SURCHARGE .50
TOTAL
100 -b.wA k.d4 rJ
srrE ADDREss: I"ti„ n-ft&wv
OWNER NAME: 2:?j? TELEPHONE #: b 61- S?? a0
INSTAI.I.ER:?igpnus "' ^ "'v rnuffRIONING CO
410 WEST LAKE STREET
ADDRESS: wwgaPOUS. MN 5540&2888
CIT'Y: STAT'E: ZIP CODE:
TELEPHONE #:
6/?
SIGNATURE OF PERMITTEE
r-1-r;et 40
1994 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
LOT: J BLOCK: ? SUBD./P.I.D#: v\1 l X,tiY_.t LI??
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122 L ? . ?
651-681-4675 -- ?
New Construction Requirements
? 3 regfstered site surveys showfng sq. ft. of lot, sq. ff. of house
and all roofed areas (20%, maximum lot coveroae allowed)
? 2 copies ot plans (show beam 8 window sizes; poured fnd. design; etc.)
? 1 set of energy calculations
? 3 copies of hee preservation plan H lot platted a(fer 7/1 /93
? Rim Jols1 Detail OpHons selectlon sheef (butidlnas wtlh 3 or lesz unitsl
`1 pzer NiI ls Trd i
DATE: N?v&^he r1`I , 2,060 _ 60NCON CO? ?? 000
f.? ?
DESCRIPTION Of WORK: F1ni5 h a?-F hq1 Fo? ° u`^"ff muMf-family bldg., how many unih?
STREET ADDRESS:
PROPERTY
OWNER
CONTRACTOR
ARCHITEC7/
ENGINEER
J/
Name: S61114+0FF 6fal
Last First
Street Address: I8vi aEZr I'fl ilS
I1? 5I-4 541-4 9SYl TV'1'
I-060 -cv2-1 -3SZy kr
EMaI ? C?a?qS @. wy.?
J
?Vb-t. Cww? ? !5? r
City ??? State: ivi^/ Zip:
Company: Phone #:
(area code)
S?-I 'LZ
Su?ia
Street Address: License # Exp.
CMy
Telephone A: ( )
State:
Name:
Zip:
Sheet Address: ReglshWion #:
Cily
I 1- I'?,- ?- v
Remodel/Repair Reauirements
2 coptes ot plan
1 sef of energy calculations for heated addltians
1 site survey for exterlor addHions 8 decks
Stafe:
Sewer/water licensed plumber (if installina sewer/water): Phone #:
Zip:
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.
Signature of Applicanf: ?/??1 ?O'?^'6flN I
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
n!Ql/ 'i .' 2-UuO
OFFICE USE ONLY
O 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ ple x 0 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) 0 33 Ext. Alt - SF
? 04 02•piex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex O 11 10-plex )l019 Lower level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
0 31 New ? 35 Int Improvement ? 42 Demolish (Foundation) ? 45 Fire Repair
? 32 Addition ? 36 Move Bldg. ? 43 Reroof ? 46 Windows/Doors
? 33 Alteration ? 37 Demolish (Bldg)• ? 44 Siding
? 34 Replacement ? 38 Demolish (Interior)
' Demol ition (Entire Bldg only) permit - Give PCA handout to applicant
VALUATION a, ('pU, Occupancy -3_ MC/ES System
Census Code eI3y Zoning P- D City Water
SAC Units LIP l Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr. of Bldgs / Length Fire Sprinklered
Type of Const S-? Width
INSPECTIONS REQUIRED
_ Foorings: New B(dg Insulation _ Windows - new/replacement
_ Footings: Deck FinaUC.O. _ Siding
_ Footings: Addition -?g FinallNo C.O. _ Stucco/Stone
Foundation Fveplace: _ r.i. _ air test fina] Roof: _ ice & water _ fmal
_,)o Framing Pool: _ frgs _ air/gas tests _ fmal
APPROVALS
Planning
Building 6ag - Engineering
Variance
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Park Dedication
Trails Dedication
License Search
Copies
Other
Totat:
' () O
??.Sv
410' City of Eapn
3830 Pilot Knob Road
Eagan MN 55722
Phone:(651)675-5675
Fax: (651) 675-5694
?-----------------?
I F„or'Oifice.Us'?/e ?
Pertnit#:
I Pertnit Fee: ? i
1
? Date Received: ?
I ?
i ?
I Staff: ?
I
------------------ 2009 RESIDENTIAL BUILDING PERMIT APPLICATION
? 15 °, SiteAddress:
Date:
Suite #:
Tenant:
?i? Saa-?o?? Phone: 6Sl-Y}b-ISYI
RESIDENT l OWNER Name:
AddresslCirylZip: IstO-) 9 Q,Mr
Applicant is: x Owner _ Contrador
ORK tion of work: FZ e foo?,?
ri
D
TYPE OF W p
esc
Construction Cost 41 -7 b6 D Multi-Family Building: (Yes _ I No ?
CONTRACTOR Name: License #:
:
Add
ress
City: State: ZiP
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 _ Minnesota Rules 7672
y Code Worksheet
New
Energy Code • Residential Ventilation Category 1 Worksheet ?
ubm tted
S
Category submitted
• Energy Envelope Calculations Submitted
Submission type)
In the last 72 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes VNo If yes, date and address of master plan:
Licensed Plumber: PhOne:
Mechanical Contractor: Phone:
Sewer 8 Water Contractor: Phone:
NOTE: Plans and suppoting documenfs that you submit are considered to be public informaSon. Portions of
fhe information may be classfied as non-public if you provide specific reasons that would permit the City to
,_
'conciude that the are fradesecrets.
f
I hereby acknowledge that this information is complete and accurate; that the work will be in confortnance with the ordinances and codes of the ity o
Eagan; that I understand this is not a permit, but only an application for a permil, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
X
X ???saa-??r-? ?
ApplicanYs rinted Name ApplicanY Signature Page 1 of 3
J
i?
1
e
0
ry) •
W ??r
.z
?
? T?fOU_S E
L
?
nt
. _ -_ .'"_ _ , ., _ .?--?'._ .m??_..-, - . " • ' _ _
$? // n .,e(
' ----
l Db7CC_2o?f_Grouua
o ?
`
n
9--? /
?
P \
/
26--
,
f d---?
r
12
_ D_E_cK_ Sft, Abov?E_
G ro u,?:r.1_..
? i
i '
? - ,
--
f
?ir Z/ ??
. ;
-E----- -
i
I For Office Use
Permit f f I
City of Eaau I Permit Fee:C
d I n~
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I Staff:
Fax: (651) 675-5694 1
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
i 001 Site Address:
Date:
Suite
Tenant:
c tc S aAPhone:
RESIDENT/ OWNER Name:
Address / City / Zip: ~G pie! ~l S i
Applicant is: X Owner Contractor
TYPE OF WORK Description of work: 2.e fvoF~~`
Construction Cost: 1 t'6 Multi-Family Building: (Yes / No
CONTRACTOR Name: License
Address:
City: State: Zip:
Phone: Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
('I submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
__Yes V No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Phone:
Sewer & Water Contractor:
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.
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
X am1 'i 1 X
Applicant's Printed Name Applicant' Signature
Page 1 of 3
Date:
City of Eapli
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Y .i 9 Lin
i
r
Use BLUE or BLACK Ink
For Office Use G
Permit #: 1 t a q 1
Permit Fee:
Date*ceived:
Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit #:
Name: L 0.01u-exa
Applicant is:
Phone: (A2- L{.2t}-ft4
t(a)col Imo. , �►� ���2�
Owner Contractor
Description of work: '('%‘<-
Construction Cost 0O
/ No )
Company: Contact:
Address: City:
State:
Zip:
Phone:
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
VD 1016
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:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
Phone:
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
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
or -
App ' ant's rinted Name
x 0.01 rxe�i L.0
Applicant's Signature
Page 1 of 3
SUB TYPES
Foundation
Single Family
Multi
01 of _ Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25% 100%_z(
/8G'7 Ote.r/if/% Tr(
DO NOT WRITE BELOW THIS LINE
Fireplace
Garage
Deck
Lower Level
Interior Improvement
Move Building
Fire Repair
Repair
Census Code
4,341
# of Units /
# of Buildings
Type of Construction
1
REQUIRED INSPECTIONS
Footings (New Building)
4f_ Footings (Deck)
Footings (Addition)
Foundation
Drain Tile
Roof: Ice & Water Final
Framing
Fireplace: Rough In Air Test
Insulation
Sheathing
Sheetrock
Reviewed By:
Porch (3 -Season)
Porch (4 -Season)
Porch (Screen/Gazebo/Pergola)
Pool
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Final
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Siding
Reroof
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
Demolish Building*
Demolish Interior
Windows Demolish Foundation
Egress Window Water Damage
*Demolition of entire building — give PCA handout to applicant
%ZG MCES System —
,2007 SAC Units
%p 0 City Water
Booster Pump
37:0 PRV
JQ Fire Sprinklers
37-7
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Other:
Pool: _Footings Air/Gas Tests _
Siding: Stucco Lath _Stone Lath
Windows
Retaining Wall: Footings Backfill Final
Radon Control
Erosion Control
, Building Inspector
Final
Brick
3 ?Tie /5-
/31- -
FO 012—
Page 2 of 3
*J8G7 /OW
FOR: _WE S LEY , CONSTRUCTION , INC
D".TE•
NOTE:
0 Denotes Wooden Stake
Proposed Garage Floor E1.= 905.9
(905.4.) Denotes Proposed
Finished Ground El.
--f- Denotes Direction
Of Surface Drainage
Vertical Datum - N.G.V.D. 1929
C. R. WINDEN i ASSOCIATES, INC.
LAND SURVEYORS 181 848- 311411
1381 EUSTIS SL, ST. PAUL, MINN. 5810S
RECEIVED
JUN 107013
EAGAN
D
r/3 Scale: 1'-30'
)NS DIVISIOND Denotes Iron
Monument
Bearings Are Assumed
Lot 3, Block 1, SUN CLIFF FOURTH ADDITION,
Dakota County, Minnesota.
WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION QF A SURVEY OF
IOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL SUILDINGS, IF
THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND.
Detail His .....day •1 Ilty
Revised
A.D. 1985 C. R. WINDEN 1 ASSOCIATES, INC.
w
Svrveyer, Mitteosoto Rpistretion No. 7724
THE
ANY,
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121100
Date Issued:03/13/2014
Permit Category:ePermit
Site Address: 1867 Deer Hills Tr
Lot:3 Block: 1 Addition: Sun Cliff 4th
PID:10-72978-01-030
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 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 -
Craig M Saethoff
1867 Deer Hills Tr
Eagan MN 55122
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature