1300 Deercliff Lane
fe
Use BLUE or BLACK Ink
For Office Use ~
7n P
ermit t. M ~l f
Eajaii
I Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 j Date Received: j
Phone: (651) 675-6675 i StaffFax: (651) 675-5694 1 t
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: _ ` Iq 1 7-fo 10 Site Address: i a O D CLt ~ 14y~
Tenant: Suite
RESIDENT I OWNER Name: D Cvv=,f,¢- fiQA& t-ir n° A t CA' ,y X i - 4 Z- €
Address I City I Zip.
Applicant is: Owner Contractor
TYPE OF WORK Description of work: K y: , LAo__e iN1-A-4_
Construction Cost i a I ~ 6 Multi-Family Building: (Yes _t No
CONTRACTOR Name: PtIony+ -1-1)e_ v6yse License
Address: 'u ;r y-j City. 1 C2 A - Z:7
State: - fA.fv Zip: 1 i Phone: (n1 L-2.1 10 -16 C
Contact ` z Email: V Y i ~Y 3 I CA a 04 5,
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:
trcensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer S Water Contractor. Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be alassited as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Cali Gopher State One Cali at (651) 4544M for protection against underground utility damage.
11 48 hours before you intend to dig to receive locates of underground utilities. www_gopherstateonecall.org
I hereby acknowledge that the information is complete and accurate; that the work will be in conformance with the ordinances and odes 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 pemat; that the work vM be in
accordance with the approved plan in the case of work which r+ejqu 'I7 ires a review and approval of plans.
X
i AS Lam L/ e
Applicant's ekinted Na A nt's igniture
MAY 1 4 2,10 Page 1 of t
J
k&4~16(K LA,
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 0 (9-j Occupancy ; MCES System
Plan Review Code Edition A40," 70- 7 SAC Units
(25%_ 100%4 Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction r Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
f Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review 69 (2 L
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL CO Page 2 of 2
INSPECTION RECURD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS:P'I•N.: 1e-8446e-020-e3 pppLICANT:
LOT: 2 BLOCK: 3
1306 DEERCLIFF LANE KNITTEL DONNA
WINDCREST (612) 725-5501
PERMIT SUBTYPE: TYPE OF WORK:
DECK NEW
?
BUILDING
026139
08/01/95
?
_.. .. -_ .. . ,., _. ?_?
(TOWNHOUSE)
_
? CITY OP EAGAN N? 1 0 21 5
• ' 3830 Pi1M Knob Road, P.O. Box 21-189, Eagan, MN 55 127
PHONE:4548100 s l Ly,Z
BU ILDING PERMIT ReceiPt #
Te M wed fm 1 OF 4 PLEX Est.yalm $56,000 Da1e MAY 15 1 y 85
SittAddrea 1306 DEERCLIFF LN Erect lR Otcupanoy R3
Lot 2 Block 3 Sec/Sub. WINDCREST Remodel ?
? Zoning Rl
'f
V
Repair ype of Comt.
Parcal No. Enlarge ? No. Stories
HOMES BEAUTIFUL Move ? Length 44
Name Oemolieh ? Depth ?4
? Addrma 3831 DENMARK AVE Grode ? So. Ft.
City EAGAN phpne 455-0986 Install ?
SAME Avwonah Fws
Neme
Q
'
?
Addreae
Assessmenf
Permit
? Water 3 Sew. $urchorga 28 _ 00
CitY Phone 150
50
Police .
Plan Review
?W Name Fira 5qC 525. 0 0
x? Addresa Enp. warerConn. 0?40
V
City
Phone Planner
WoterMeter
6 -3 .90
-
I hereby ockrawladqa thot I h
fhe inlormofion ia torrect
Stata of MinnesoM Statu ai
Sipnoturo of PertniM
A 8uilding Farmit is isswd ro:
all work sholl be done in acco
Bulidinp Offleiol
Council
this upDlication and stote thaf Bldg. Off. S 6 85
to wypty-7r II apDli^ la APC ---
lv? / s Var.Deta
Road Unir 9fln- 0
T.P. 132.00
Taai $7.979_50
nvrica DLHV1 r ui, on Me exprcu condifbn thot
with oll app le State o Min ' Seotutea ond City of Eopon Ordinancea.
.
(TOWNHOUSE)
, CITY OF EAGAN
•. 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55721
PHONE: 4548100
BUILDING PERMIT Rece+vt # -
1 OF 4 PLEX Est, y,i„e $56, 000
SiteAddrea 1304 DEERCLIFF LN Lot 1 Blxk 3 Sitc/Sub. WINDCREST
Parcel No.
W Name HOMES BEAUTIFUL
? Addm$ 3831 DENMARK AVE
c;ty EAGAN Pho„e 454-0986
ff Neme SAME
?
? Addreaa
• Ciri Phone
"?
P Name
,,
x
l Address
(9
tw City Phone
I ho this opplication ond srote thae
I heroby ockrawladqe tMt
tha inlormation is wnect e to wmDlY wirh oil uppl' le
Sraro o4 Minnewro Staru s i ot Eaq ino
Slpnoturo of PermiM
n Buildiny Perm+r Is issuad ro: OME SEAUTIFUL
all
work shol? be dons in occord witF all a
Iip?Q1 cabie Sfaro qfM
i
?C
BWldinp Offlciol ?
?,
,
A-K-+?--P C-?
N_ 10214
5 / te 4 Z
85
Erect f] Ocapanry R3
Remadel ? 2oning R 1
Repair ? Type of Conct. V
Enlerge ? No. Storiea
Move ? Length 44
Demoliah ? Depth 2¢
Grade ? Sq. Pt.
Install ?
Appovals Fees
Assesunenf
Wafer 3 $ew.
Polics
Flro
Enp.
Vlonner
Councll
Bldg. Off. 5 () $ rJ
APC
Var. Date
Permit ' 0
Surchorga 28.00
Plan Review 150.50
SqC 525.00
WaterConn. 500-D0
Water Meter 63 _ 00
Rood Unit 2RD- D 0
T.P. 132.00
Total S j.9 7 _ ZO
on fha axpress eondiflon Ihat
SfMUfes and City of Eopan Ordinances
(TOWNHOUSE)
CITY OF EAGAN N° 10 213
• 3630 Pilot Kirob Road, P.O. Box 21-199, Eagan, MN 55121
r
° PHONE: 4548100 rj ? 6 c? Z
BUILDING PERMIT Receipt #
Ts 6, uad fer 1 OF 4 PLEX Est.yalua $56,000 pOfe MAY 15 Iy 85
1302 DEERCLIFF LN Erect C]t oocupency R3
SiteAddrea
WINDCREST Remodel ?
3
3 2oninq R 1
elxk
Sec/sub.
Lot
Repair ? Type of Comt y
Parcel No. Enlarge ? No. Stories
HOMES BEAUTIFUL Move ?
Neme D
li
h ? Length
D
h 44
?
emo
s
3831 DENMARK AVE ept 24
Address
Grade ? Sq. Ft.
pity EAGAN phana 454-0986 Instau ?
Kb SAME AVOro+oIs
N hes
ame
Addresb
? Waxr S Sew.
City Phone
t Police
W
u
Name
Firo
R
„?
?? Address Enp.
?w City Phone Plonner
Countil
I hercby ockrrowledps that 1 hov ead this application and atate thut Bldg. Off. 5/ 6/ A 5
fhe inlormafion is cortect n ree fo ta Ith oll aDDlicoble APC
Srote of MinnewM Stat as rdi nca
iry of Eoq
Z Var. Data
Siprroluro of Permitf Assassment Permit 301.C
Surcharpe 28 _ 00
Plen Review. 150 _ 50
SAC 525.00
Woter Conn. ?5.00..9 0
Water Meter 6-4-? 0
Raad Unir 28II np
T_P. 132.00
Total Sl . 979 _ 50
A Buildinq Permit Is luued W: J nvr[r;5 isrsHU'1'Ion fhe axpren conditlon thoi
all work shall ba done in aecordonca with all lim?ble Stm/bFAifrne, -wM Stotutas and Ciry of Eaqan Ordimncea.
Buildirq Officiol
?
( T067tdiIOUSE )
CITY OF EAGAN No 1O 2 12
, 3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
S( L,/ Z
BUILDING PERMIT PHONE: 454-8700 Recalpt # 7
1 OF 4 PLEX
000
SiteAddrau 1300 DEERCLIFF LN Erect ($ Octupaney I23
Lot 4 WINDCREST
glwk 3 seclSub Remodei ? Zoning R1
. ReDeir ? Type of Const. ?
Pxcel No. Enlerge ? No. Stories
HOMES BEAUTIFUL Move ? length 44
? INam,
3831 DENMARK AVE
Demolish
?
Depth
24
Addras Grade ? Sp. Ft.
City EAGAN phone 454-0986 In:tau ?
? Neme SAME
$u
Addreat
r.t..
Phona
Neme
Addreas
City Phone
I hereby ocknowiedgs thot I ha this appli nd smte thot
fM inlormofian ia corre[t ree to comply it "oll applicable
Stata of Minnas a
oro Statur CiH of Eoaon nces.__/_
Assesunenr
Wcter E Sew.
PoNce
Firo
Er0•
Plonmr
Countil
Bldg. Off. s 6 85
APC
Var. Date
Pertnit 301.00
Surchorqa 28.00
Plan Review 150. S 0
SAC 525. 0
Water Conn. 500, 0
Watar Mefer - 6 3..9 0
Roud Unit 280_O0
T.P. 132.00
7ota1 ?$1.979.50
I Siprroluro of PeemiMes/?G vYv. - I
, A Bullding Pe,mit Is issued tonMF.R RF.Ai7TTFT1 . on ths express eaditlon Ihot
? ali work thall 6e dorw in acco nca with all Iqpp imbla Sta9f-DAinneao Slatutes and Ciy of Eopan Ordirances.
?Buildinp Official ?t?•Q'< <? ?L[z
I ?
cirr oF Er?cAN
3795 Pilef Kne6 Read Eogan, MN SSi'11' Np 766' 6'
PHON[s 454-8100 -
BUILDING PERMIT Reteipt
re r,1 ..?a #s. 1 of 4 PLER cN v,.i,.. $55.000 n,,.< NovemiSer 18 _ 1982
Slre Address 1304 Deercliff ane Erect ? cupancy R-3
Lot ??- Blak 3 Sec/Sub. W dcL'0s[ 18t Alter ? Zoning (?) R-3
par?l 10 84460 010 03 Repair Fire Zone ?
E
l n
t
T
f C V
n
arqe .
ype o
o
s
c Name Ditzler-Tenold Mp?e ? # Stories
Z Addreu 2001 Cape Cod Place Demo p Length 44
? Z. Mtka_ 55343 546-6721 G f7 Deoth 24 Sa. Ft..-
p Name _
?? Address
f ri...
Nome _
Addreu
1 hereby ackrwwiedge that 1 have read this opDlic
fhe inlormotion is correct ond agree fo comply
$tofe of Minnesota Stotutes and City of Eogan
Sipnature of PermiMee
A Building Fermit Is issued to: Dit2l ?
oll work 5holi be done in otcordante with. I o?i
Assessment _
Water 8 $eW.
? Enp.
Plonnar
CounNl _
and state thot Bldg. Off.
all'applicable APC _
Permit zyt1 • W
$urchorge 27•50
Plan check 149.00
SAC 525.00
Water Conn.420. on
WoterMeter 6o_nn
, Road Unit 9411 nn
?i Tma? 51719.50
_ on the exprese mndition thnt
ond City of Eagon Ordinances.
Building Officiol ' `:!t A%
CITY OF EAGAN
?
y, 3793 Piiof Kno6 Roed Eogen, MN 55122 Np 7G64
PXONE: 45M6100
BUILDING PERMIT Recelpf #
Te M wad !or 1 of 4 PLEX Fst yclue $55,000 pate November 18 1 y 82
Sue Address 13 00 Deercliff Lane E
d Q? O R-3
re ccuponcy
lot 4 ei«k 3 S,c/Sub. Windcreat lst Alter ? Zonin9 (P1 ) R-3
Parcel # 10 84460 040 03 Repalr ? Fire Zona NA
V
Enlorfle ? Type of Const.
W Name _ Di t21E!-T2IIOId Move ,O # $rories
z
Addren -- 20
01 Cap,e Cod P
lace Demolish ?
Length_44
Ci Mtks. 55343 phone 546-6723 Grade ? Depth_24-Sq. Ft.-
? Name Ow ner - Avvrovob Fee+
?? Address
nw,
Nome
I hereby acknowledge ihat I have read this opplicotion and stote that
fhe informofion is torrecf and agree fo comply wlth all opplicuble
State of Minnewfa Stotutes ond City of Eogan Ordirwnces.
Slgnature of PertniHee
A Building Permit Is issued to: D11zae?
all Iwork sholl be done in xcordonce with ail
Buildirp Offkfal L
Assessment Permit 298.00
Water & Sew. Su.chorge 27.50
Police Plon check 149.00
Fim SAC 525.00
Enp. WaterConn.42Q..0(,1_
Plonner WoterMeter 60_00
Council Road Unit 760-00
Bidg
Off
.
.
APC
Totol 1719.50
on t he express condition Ihnt
tatutes and City of Eogon Ordinoncez.
! !^ CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
A BUILDING PERNffT APPLICATIOPI 1 set of energy calculations.
To se vsea For 10 F 4 P 1t)(- Valuation ? ss , o d o nate z-
site raaress 13ag oFFzcE usE ornY
Int 'l Elorx 3- sec./sub.l.?2-,nd?ras? o(,?cy
Parcel #: 1D $4q ln U 0 1 6_ 03.
owner: p:kz\Lr' - -['F-nold
Address: .2-oo \ C&?!L ?o c? p lac8-
City/Zip Code: JVLN7k4. SS 3? 3 '
Phone #: Sq fo-(o723
Contractor: 0wmE-
Address:
City/Zip Code:
Phone #:
Arch./Ehg.
Address:
City/Zip Code:
Phone #:
_........ .._ I
Alter Zoning CPb?) Q"3
Repair Fire Zone /Vf?
Ehlarge _ 7.me of Const.
Move # Stories
Darolish Fmnt 4q fte
Grade DePth a ft.
APPROVALS FE ES
Assessments Perntit a R 8', o C?
?dater/Sewer Surcharge . 6
Police Plan Check 9. oC?
Fire SAC Sz.S? 0 6
gng, Water Conn. 420, ob
plannPr Water Meter (00. 06
Council Road Unit a oi b b
Bldg. Off. ?/-/gr yz
APC
nrr? -AV1q ISO
.?. .,.: .. .?._.?. ,
. ..... w..:,.
?. .._ .., ,. .. _ _?? ..
?.. _ _
' ,?, . r? /?, QTY OF EAGAN Include 2 sets of plans,
•? ??,1y ?{'7? 1 site plan w/elevations &
gUIiD2NG pEId-LIT APPLICATION 1 set of energy calculaticns.
Zb Be I Used Por o F ? E X Valuation ? SS , o o O Date Z
Slte AcidYeSe 130Co ?EE_ ?' ??0.???- OE'FICE USE ONLY
Int ? Block ?- Sec./ 1=rTYect Occupancy ?-3
Paroel #: O 4 lo O O Zo O 3. A1 Zoning CP b) R- 3
'r Fire Zone Nh
Owner: :kzVLr - 7Eno(? ?Je TYIe of Const.
aaaresg: .-oo \ C L ?o d l e?
r?ove
Dgnolish # stories
Front 4q ft.
aty/ziP coae: VkcL.. SS 3q 3 Grade Depth a ft.
Phone #: 54fo-t0723
Contractor: owY?E (-"
Pddress:
City/Zip Code:
Phone #:
Arch./rltg
P,ddzess:
City/Zip
Phone #:
APPFXOIALS FEES
Assessments Pernut A`l S, o C?
[aater/Se,aer Surcharge . c?
Police
c?
Plan Check _LJq,.6
Fire SAC SZS' a b
XM. Water Conn. 42_0, o 0
P anner Water Meter (00 , o r,
Co il Road Unit R O i o 6
B g. Off.
APC -
. nrrAL A llL4 , so
:z:.,.......?_.?:?.:_I.,-- ._:.-,..?. :,.__._:_.:,. • _ _ . . __ . ,...,. ...__ _ _. _--
, . ?.. . . _
I ? ; :. ., . u,. _ . ,. . .
1-, . ' ?0?.(l. CITY OF EAGAN Include 2 sets of plans.
1 site plan w/elevations &
? BL7II,pIM pE,'EHffT AppLICATION 1 set of energy calculations.
Zb Be Used For o F ? ti X
Site Pddress 3oC? U rC
Iot ? Elocx ?a. sec./
Parcel #: ?? ?V y t? o 69 ?
oaner: D'-kZxLr - -CEnol
Ac7dress: .2oDk C@?L toc
City/Zip Code: fo'xk4. S5
Phone #: SL4(o-(07-2 3
Contractnr: OwC-
Pddress:
City/Zip Code:
Phone #:
ALCh. /+r.y . .
Address:
City/Zip Ca3e:
Phaie #:
Valuation ? SS ? o o p
p- bo-nL
?-
Ehlarge _ Zype of Cons
Nbve # Stories
Demolish Fmnt µq N.
Grade Depth a ft.
Date ( l - IS ^ $ Z
' OFFICE USE OHI,Y
occu3
Er ?_ pancy
Zoning, R- 3
CP'fl
air
Fire Zone
APPROVALS ?'?
Assessments Pesnut all 8', o b
[4ater/Sewer SUIChdL'q0 A:Z . G
Police Plan Check 114 9. o 0
Fire SAC 52-
0
RW. Water Conn. 420 , o c5
Water Meter
V
7 ROdC? UI11t
B1
06.
APC
TmL -Al't 0( ? so
.;>?._,...?.. ..??.._::<.._..._.. ._.....,. ._ . :. :. ... ...... .:.... __.:...._.. ..r: _ ..._ _ . _.... _,
... . _.: :, .? ._ ?.. .....
Zb Ee used For F t K
Site I?Pddress 13 0 z L? ? C
Lot ?1-1 B1ocJc 3L Sec./Sub.
Paroel #: 10 % 4q la O b3o
Owner: t>: kz_kLt' -
Address: Aoo \ Ca
City/Zip Cade: J?kk*
Phone #: 514fo-fo i
Contractor: C)L-DPLE
0
nckct-Es\- t %`E'sect ZL
Alter
?31Y
Ehl
Move
lish
3 G de _
P,cldress:
City/Zip Code:
Phone # :
Arch./Eng.
Address:
CitY/Zip Code:
Phcne #:
QTP CF EAGAN
B[IILDII4G PEE3= APPLICATION
Valuation -V SS ? Ob O
\`C?- LAYI? :
Include 2 sets of plans,
1 site plan w/elevations &
1 set of energy calculations.
"'Date ll -IS - $ z-
[c?' USE dNLY
? Occupancy ? - 3
Zoning, CP b?) !Z - 3
Fire Zone N/f
_ Type of Const.
_ #Stor ??
? ft.
- peptlz a ft.
Fire \
Eng•
Planner
Council
Bldg. O
APC
Yezmac aK ss? U t_?'
Surcharge a L So
Plan Check 114q o G
SPG Sz-S: o a
Water Conn. 4zo, 04
WatEr Meter (00 t n cD
Road Unit ; OL o b
nrraL Al`70L , so
; • _.
...??.<?:. _ ..., . . ,. --• _ < ._ ,>... ._ _ , ,.t _.
' CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
r107a r ?
.? ?
PHONE: 454-8100
6UILDING PERMIT Re«+vt
TA V rrd iw Fd VnN? Qnfo. 19v?5
Site Add?pu - 13 ',i 6 L f+
? Erect ? Oecupsney i :.;
Lot Block
:? ? `
??ub Remodel ? toning i2 7
. Repair ? Typa of Const. ti
Parcel No
.
Enlarge
?
No. Stories
Move ? th >
Len
? ,- g
Na^Q Demolish ? Depth 24
?
Addreas Grade ? Sq. Ft.
Citv Phone Install ?
tg Nams f `
ul Addrets
0- City Phone
td
gNeme
W
?? Address
-? W City Phone
I heroby acknowiedpe
fhe inlormotion is co
State of Minnesoro 5
Sipnotu?e of Permittae
A Buildinq Pennir Is iuued to:
dl worfc sho11 be dorw in ocoo
8uiidinq Offktal
this
with all
Assessmant
Wofer 3 Sew.
Poliu
Fin
Er?p.
PlOnner
C,ouncil
Bldg. Off.
APC
Var. Dete
Permit • ?. .
Surthorqs ,
Plen Review.
SAC .
Woter Conn. '
Water Meter
Road Unit
Total , .
on fM exprtss CwAtion that
ond City of Eopan O?dinonas.
v
$• ?
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g
8 =
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CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21•199, Eagan, MN 55121
PHONE:4548100
dU1LDING rERMIT Reuiat # TA V rrA /w i. . -f T' Gef Vnl'? U?Onte 19
? I-'U 4 U F : ' t "' i, :f ? . ., . , Erect -CJ Occupaney
Sits Addrep
.r
t
L ;
Bl
k RsmodN ? 2oning -, i
o oc
ub. Repair ? Type of Contt. 'L
PwcN No.
Enlsrge ? No. Storiss
?F =! ??. ', s ? r
..•. ' ., Move ? Lsngth
w Name Ii
h
D ? th
D
7
[7
t
T
7
;, eMO
S ep
? Addres n , t
:
7,
.
•
s
5 . Grade ? Sq. Ft.
City '•:!'. 3_ ? .V
4 , 0
Phone 4 Install ?
i I Neme ,.._ T' ;
uu
3 Addresi
? Citv Phone
Nama
Addresi
City Phone
1 hercby ocknowtedpa thot 1 h
? the inlormotion is twrect on
Stute of Minnssotc Stotutes
Siqnofun of Partnifteo - "
A Buildinq Permit is isswd ro:
oll work sholt be dorw In acco
Buildinp OffiNol
this cpplication ond
ro comctly .wirh oll
with oll opplimble Stah of
Nssessrnant
Water & Sew.
Pol iu
Fin
Erq.
Plonrnr
Cow+cil
81dg. Off.
APC
Ver. Dats
Permit
Surthorye
Plan Raview-_ '
SAC „
Woter Cortn. J . ,
Woter Mater '
Road Unit
' .. 1..._ . ?. .
Tetel - t , . • -
I
on thw txp?em eadltiae? 1hot
s ond Gty of Eoqan Ordinonces.
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. ? ? CITY OF EAGAN
" 3830 Pilot Knob Ruad, P.O. Box 21-199, Eayan, MN 55121
PHONE: 4548100 / . _
eUILDING rERMIT Receivt #
e a c
) r' 4 F 1, i:' { r? v_.._ `rJ V r'• ; ?f: ?_ , tr. '.i 15
Site Addren .? T .i,'N
:t ?1{
' j- Erect
Remodal li
? Occupsney ?.
Zoning
Lot _.
,
Black SOC/Sub. Repair ? Type of Contt.
??
Parcel No. Enlarge ? No. Stories
IoEAl3'l? Move ? Length
W Na^e demolish ? Dapth
? Add?es a
? Grade ? Sq. Ft.
City •.
? Phone Install ?
?9
u
l
Name
Addrest
Assesunent
Woter 3 Sew.
Poliu
Fin
En9•
Planner
Council
Bldg. Off. 5/ 6 /'," S
APC
Var. Date
Parmit " - - - - -
Surchorys 28.00
Plen Review5Z5 . 00
SAC
Woter Conn. . O
?? Q
Woter Meter
Road Unit _G ?
i
Totel •. .!. , :r 1
Phone
Nsme
Addraas
City Phone
I heroby ockr+owledpa thot I haw''rood this opplicotion ond
the intormotion is wrrect an¢ aDree to comply .w?th all
State of Minnesoto Stotutesbnd Citv of Eoaan Ordinox
Slqrwturt of Pertnift«
, r , . . •
A Buildfnq Pertmit Is issued to: . on tM express tondition thot
oll work sholl be dorr in otoordonce with oll ppplimble Stofe of Minneaota Statutes ond Cify of Eopon O?dinontes.
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Addtess
Neme
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City Phone ? `tu
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Phone
Nams
Addross
City Phone
1 heroby ocknowledge that I haw reod this opplitAt+or+.ond state
tFe Iniormation fs correct and oyree to comply with all oppli4
Stote of Minnesota Stotutes onW Gty, of EayQn Prdinoncas,
RemodM ? Zoning
Rapair ? Type of Const.
Enlerge ? No. Stories
Mwe ? Length
Dsmolish ? Depth
Grade ? Sq. Ft.
Install ?
/lssessment
Woter b Stw.
PoHca
Fin
En0•
Plannwr
Cow?til
Bldg. Off.
APC
Var. Date
Pe?mit
Surchorye ' V
Plen Raview
SAC i0
Water Conn. JV I
Watsr Meter ? 0
Road Unit
Total
Sipnotun of Pem+ittes, ' r I
A Bulidinq Ptrtnit Is Issutd fo: _ on th* •xpnss conditlon thal
all work sFwll be done in ocaordance with nll cppliooble State of Mirneaoto SMtutes and City of Eopan Ordlnonces.
9uildlnq Offidal
Site Addrsss - - . . , . . . .
Lot BloCk Sec1Sub.
Parcel No.
C1TY OF EAGAN '?• ? ? '?
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
' PHONE: 454-8100 BUILDING rERMIT Rece+w #
Pwmft No. Pwmit Holder Dob TNe hon? #k
Plumbirq f.j () S
H.V A,C.
Ehcttia
Sohsnwr
Iropeetion Date Insp. Othar
Footinqs
Foundation
Framinq ?
i
Roofing
Rouyh Plbq.
Rough HVA
q
Inwlation
o
t
Finai Plbp. e j-??"ot
?
Final HVAC 44r
Final -?
Cart/Ooc.
Water Deteribe Loestion:
YYall
Sewar
Pr. Obp.
Rsceipt
MECHANICAL PERMiT
CITY OF EAGAN
1. Date 2. Installation Cost
Fee
Tot. •
3. Job Addreu ' Lot Blk. ? Tract ' j
4. Owner ,' ? • ? ' ` ' 1
5. Contractor Phone • ?
?
?
6. Address
7. City State Zip
?
$. Building Type: Residential ? Commerciat ? Institutional O
9. Work Description: New El Add ? Alter O Repair ?
10. Describe Fuel Type
11.
No. Equinment BTU - M. Ea.
Forced Air ? No. EQUipment CFM
Air H
ndli
:
- Mfg, ; ng
a
Boilers
Mfy. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mf9•
Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to ?
comply with all ordinances and codes governing this type of work. ?
S'igned : for ?
Rouph Finel ?
Inspections: Date Insp. Dete Insp.
This is Your permit when numbered and approved.
Approved CITY OF EAGAN 4648100
Permit No.
piPt ' MECHANICAL PERMIT Psrmit No. '
CITY OF EAGAN
, Fw
fill in numbered *eces S/C "
Type or Print /egidly Tot ,
1. Date , 2. Installation Cost •
3. Job Addreu Lot Blk. Tract
. , ?--
?
4. Owner
5. ConNactor Phone
,'? _ %,, - ,; ? ? , . •
i
6, Address
7. City Stata Zip
8. Building Type: Resideniial ? Commercial O Institutional O
9. Work Description: New O Add O Alter ? Repair ?
10. Desaibe
11.
Fuel Type
No. Eatiagafmnt 8 TU - M. Es,
Forced Air No. Eauiament CFM
:
Ai
H
dli
i- Mf9 r
an
ng
` Boilen
Mfg. Mech. Exhaust
'
Unit Flester
Mfg. Other
Air Cond.
Mfg.
Gas, P'iping Outlets
12. I hereby certify that the above informetion is true and oorrect, and I agree to
oomply with all ordinanoea and codes governing this type of work.
Signed : for
F1ou9h Final
Inspections: Date Insp. Date Insp.
This is your psrmit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Roasipt pIIECHANICAL PERMIT Penmit No.
CITY OF EA(iAN
Fes.
Fill in numbered srveces S/C °
Type or Prinr leyibly Tot. .
1. Date 2. Installation Cost
r , . .
3. Job Address -"' Lot Blk. Tract
4. Owner
5. Contractor Phone ?
s. nddre::. - - - - - - 1
,
7. City ' SLte ?? • 2ip
I
8. Building Type: Residential 13 Commercial O (nstitutional O ?
1
9. Work Descxiption: New O Add O Alter ? Repair ? ?
10. Descxibe
11.
Type
No• FqujpmBIIL BTU - M. Es.
Forced Air No. Euuipment CFM
Ai
H
dli
:
AAfg. , r
an
ng
Balen
Mfg• Mech. Exhsust
.
Unit Heeter
Mfg• Other
Afr Cond.
Mfg.
- Gat, Pipiny Outlett
12. I hereby oertify that the above informetion is true and correct, and I agree to
comply with aIl ordinances and oodes goveming this type of work.
Sign°d' for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 46"100
Y
Date 2. Installation Cost
3. Job Address 'Lot Blk. ?Tract
4. Owner •
5. Contractor Phone 6. Address
7. City State - Zip
8. Building Type: Residential 0 Commercial 13 Institutional O
9. Work Description: New 0 Add ? Alter O Repair ?
10. Describe Fuel Type
11,
No. EquiRpoeIIi BTU - M. Ea.
Forced Air ? No. Enuiament CFM
Air Handlin
:
Mfg, g
Boilers Mecfi
Exhaust
Mfg.
Unit Heater .
Mfg, Other
Air Cond.
Mfg.
Gas, Piping Outlets
12. I hereby oertify that the above information is true and correct, and I agree to
oomply with all ordinances and oodes governing this type of work.
Signed : - " for
Rough Final
Inspectiona: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
MECHANICAL PERMIT Permit No. - CITY OF EAGAN
Fee
Fill in numbered speces S/C
Type or Print /egib/y Tat
Receipt PLUMBING PERMIT
- CITY OF EAGAN
fill in numbered ;pacea
Type or Print legibly
---?
Permit Na -` J U
Fk ' j
S/C ?
?
Tot . I
1. Date 2. Installation Cost
3. Job Address ..,, Lot Blk. Tract
4. Owner
?
5. Contractor Phone ?
6. Address
7. City State , Zip '
8. Building Type: Residential 0 Commercial D Institutional O
9. Work Description: New ? Add ? Alter ? Repair 0
10. Descrihe
11.
No, Fixtures
Water Closet No. Fixtures
Ce
l/D
i
field
Bath tubs sspoo
ra
n
S
ti
T
k
Lavatory ep
c
an
Soft
er
Shower n
Well
Kitehen Sink
Urinal/Bidet Othe
Laundry Tray r
Floor Drains
Drinking Ftn.
51op 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
Rougb F inal
Inspections: Date Insp. Date tnsp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 4544100
Roceipt PLUMBING PERMIT
CITY OF EAGAN
Permit Na. - ?
FN i
fill in numbered spaces S/C ?
,
Type or Prini /egib+ly Tot
?
1. Date 2. Installation Cost ?
3. Job Address l.ot Blk. \ Tract ?
4. Owner
- I
5. Contractor 1? 41 r i; i/ V Ii Phone
6. Address
7. City State Zip ?
S. Building Type: Residential El Commercial ? Institutional ?
9. Work Description: New g] Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
l/D
t
C
i
Bath tubs ra
esspoo
n
ield
ti
k
S
T
Lavatory ep
c
an
S
f
Shower o
tner
W
l I
Kitchen Sink e
Urinal/Bidet O
h
Laundry Tray er
t
Floor Drains
Drinking Ftn.
S
lop Sink
Gas Piping Outlets
12. 1 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
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Rocsipt
PLUMBING PERMIT
CITY OF EAGAN
I Fil1 In numbered spaces I
TYne or Print /euiblv
1
Permit No: `
FN
S/C
Tot
1. Date. 2. Installation Cost
3. Job Address • ?? l.ot BIk. Tract ,
4. Owner .
5. Contractor
6. Address
7. City _ !_?1 ! :
8. Building Type: Residential ?
9. Work Description: New O
10. Describe
11.
? i
. Phone
State + Zip
Commercial ? Institutional O
Add ? Alter ? Repair ?
No. Fixtures
Water Closet No. Fixtures
Ce
l/D
i
fi
l
Bath tubs sspoo
ra
e
n
d
S
i
k
Lavatory ept
c Tan
f
S
Shower tner
o
W
ll
Kitchen Sink e
Urinal/Bidet O
h
Laundry Tray er
t
Floor Drains
Drinking Ftn.
Sl
Si
op
nk
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
oomply with all ordinances and codes.governing this type of work.
Signed : a
for
Rouyh Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464,8100
1, i"1 0 1 ,, 17
Receipt .
) -I
PLUM8ING PERMIT
CITY OF EAGAN
?.
Pamit No. '
Fes
S/C
Tot '
1. Date 2. Installation Cost ?
3. Job Address •? ?+ Lot Bik. Tract
4, Qwner
b. Contractor Phone ?
6. Address . .
7. City State Zip B. Building Type: Residential 0
9. Work Description: New
10. Describe
11.
Commercial ? Institutional ?
Add ? Alter O Repair ?
No, Fixtures
Water Closet No. Fixtures
Ces
o
l/D
fi
ld
i
Bath tubs sp
o
ra
n
e
S
i
T
k
Lavatory ept
c
an
ft
S
Shower ner
o
Well
Kitchen Sink
Urinal/Bidet Oth
Laundry Tray er
? Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. 1 hereby certify that the above information is true and correct, end I agree ta
comply with all ordinances dnd codes governing this type of work.
Signed : ' for
flouph finsl
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 464-6100
.
PERMIT # ; •
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE:
CONTRACT PRICE: PHONE: 454-8100
SiteAddress i-/
Lot-?3 Block Sec/Su ?
?
,.
Name
m
3 Address
.
c 21
City Phone
Name h -,
a?
c
Address ? r ?'•='/' ? F
O City Phone '
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMJM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BE`(OND $1,000.00)
SIGNATURE 4F PERMITTEE
FOR: CITY OF EAGAN
??G .TYPE WORK DESCRIPTION
Res. New
M ult Add-on,.--
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 s
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whirlpool - $3.00
Gas Piping Outlets - $1.50
1-Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
STATE S/G:
GRAND TOTAL•
CITY OF EACAN Remarks
Additian WINDCRF.ST DD N_ Lot 4 _glk I Rarcel 1 0 84 460 040 03
Owner ? st,eet 1300 Deer Cliff Lane srate Eagan, MN 55123
Improvement Date Amount Annuai Years Payment Receipt Oate
STREETSURF. V-,
1983
944.59
188.92
5
,8
9014,143
9-/?-V5
STREEIT RESTOR.
GRADING
SAN SEW TRUNK , `f R 0/
SEWER LATERAL V v
* San Sew Lateral 1982 1675.29 335.06 5 ,40 •? ?
WATERMAIN
*WATER LATERAL 1982
WATER AREA (f'S 1982 84.29 16.88 S 04 O .3 1,?-.FS
* SerVices 1982 5
S70RW1 SEW TRK ?S S 1982 218.82 43.76 5 ,jr 01
*S70RM SEW LAT 19$2 5 '
CURB i& GUTTER
SlDEWALK
S7REET LIGHT
J
Road'Unit 5280.00 51642 5 14?85
WATER CONN. _
500.00
13UfL01NG PER. -10215
SAC ,
PARK
CITY OF EAGAN Remarks
Addition _ WINDCREST ADDN. Lot 3 elk 3 Parcel 10 $4460 030 03
Owner Street 1302 DeeY' Cliff LaIIe 5tace Eagan, MN 55123
Improvement Date Amount Annual Years ? Payment Receipt Date
STREET SURF. 1983 944.59 188.92 5
STREET RESTOR,
GRADING
SAN SEW TRUNK
SEWER LATERAL
* San Sew Lateral
WATERMAIN
WATER LATERAL
WATER AREA 982 84.39 16.88 S
9
116
r•
?•
* Services 1982 5
STORM SEW TRK 1982 218.82 43.76 5
STORM SEW LAT
CURB & GUTTER
SIDEWALK
STREEI' LIGHT
R $280.0 51642 5/14/85_
WATER CONN. 500.00 it .
BUILDING PER. 10212-10215
SAC
PARK
CITY OF EAGAN Remarks
Addition-_WINDCREST ADDN_ Lot 1 Blk 3 Parcel 10 R4460 010 03
Owner Street 1304 DeeT Cliff LaIIe 5tate Eagan, NW 55123
Improvement Date Amount Annual Years Peyment Reoeipt Date
STREET SURF. 1983 944.59 188.92 5 ..? O/l0 6.20
STREET RESTOR.
GRADING
SAN SEW TRUNK . 19 71 107-62 _5 - AR gn
2k
SEWER LATERAL a ../ /laG
* San Sew Lateral -(c 1982 1675.29 335.06 5
WATERMAIN
* WATER LATERAL 1982
WATERAREA (p 19$2 $[}.39 16.$$ 5
* Services 1982 5
STORM SEW TRK 19$2 218.82 43.76 5
* STORM SEW LAT 19$2 S
CURB & GUTTER
SIDEWALK
STREET LIGHT
R __a280.0 51642 5/14/85
WATER CONN. 500-00 to
BUILDING PER.
SAC t? n
PARK
CITY OF EAGAN Remarks
additionJWTNpCREGT ADDN Lot 2 Rik 3 Parcel 10 84460 020 03
Owner , Street 1306 Deer Cliff Lane stete Eagan, MIlV 55123
Improvement Date Amount Annual Years ' Payment Receipi Date
STREET SURF. 1983 944.59 188.92 5 3 7.7• 6 19 0 16
STREET RES70R.
GRADING
SAN SEW TRUNK ?f
1973
107.62
5.38
90
SEWER LATERAL ? .r
* San Sew Lateral 1982 1675.29 335.06 5 O
WATERMAIN
* WATER LATERAL 14$2 5
WATER AREA & 5 y 1982 84.39 16.88 5 1,6.
* Services 1982 5
STORM SEW TRK n? s 1982 218.82 43.76 5
? STORM SEW LAT 1952 S
CURB & GIJTTER
SIDEWALK
STREET LIGHT
Ro i $280.0 5164 5/14/85
WATER CaNN.
500.00
it ?
BUILDING PER.
SAC n n
PARK
I I
Eagan, Mir
(fi12) 681-,
I SITE ADDRE:
I +
I 41I M1IEiI ??1 ?, I
PERMIT SUB'
I I? -1. t t Nr+%
U1
55122-1897
PERMIT TYPE: 'i l" ' 1' i #441
Permit Number: ?? . • +? ? : r?
Date Issued:
I(z 1? ;' fi 1 ?l l k:
(ti ! 4ti. 1 1 f 1 1 ANI
APPLICANT:
r r? I ? i i ! ????;tf•?f1
(nL.') 71f?-?,t,Hl
TYPE OF WORK:
I I f, n f
? ?--- . -?
PermH No. Permit Holder Datd Telephone N
ELECTRIC
PLUMBING
HVAC
Inspectlon DaN Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIF TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG ???/I9 r ? /O h?'? S?-+ •
DECK FINAL Z
CITY Of'Ep?GAN
3830 pile.._aob Road
P. O. Box 21199
€agen, MN 5y121
Zoniny:
Owner;
Addross:
WATER SERVICE PERMIT) ( 22Y
PERMIT NO.:
DAT%- C'. , o f -4 , { -
*40 No. of Uni
ns6n " !?Illes
Site llddress: C.L i f f I
Plumber. I' .i u 1 11:
Meft. No.. 3 ? Z
il-
Size- 319 " RO kOFi _c,
Reader No.:
1 pree to aowotp wifb Nw Citr of Eown
Ordieen
?
By
Dot of Insp.: `
Connectian Chorye: - 500. (70p?1.
ACCOUnt Depostt: 15•
Pertnit Fee: 1
SuRharge:
Misc. Chorpss:
Total: W ?
Data Paid: ?e?
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot Knob Road . . ?
P. O. Box 21199 PERMIT NO.: -
Eagan, MN 55121 DATE: '
ZoninO: R3 No. of Units: ° p e::
Owner LeRoy U. .Ioi:neon
Addrcss:
Site Address: 1306 Deer i Ln. I. F1 '.lindcres[
Plumber: '
1 p.« te esmpy wllh Na CiM ef Bap¦ Connaction Owrps: l+ 2 S. 001d
O.diNeeM. Acoount Depatt: 15.00
PlrR1iT FN: O • O o
S
urt %M. _
By Misc. Chorpes:
Qate of Insp.: Total:
I nsp.: bote Paid: _
-,13 -YT?_
6'3 . QOod
CITY OF E 4GAN SEVIIER SERVICE PERMIT
383C Pilot Knob Road
P. O. Box 21199 PERMIT NO.: '
Eagan, MN 55121 pA7E; ' -- '
Zonlrg: R3 No. of Unlts: 1 of 4''
Ownar, i,eRoy W. .Tu:tuson.
Address:
S(te /+dcli
Plumber:
I qm hveeeply wilU fM Ghr oi Eepa Con?octton Charpt: 42 5. 04pd
OnUMACM. AcoDunt Deposit: _ . ., V
. , Permk FN: - '
Surchorps:
By
Date of Insp.:
Misc. Cfnrpss:
Totol:
DoM Pa{d:
I
CITY OF EAC3AN
3830 Ns* Knob Road
P. •9. isox 21199
Eagan, MN 55121
Zoning: i
Owner, Le?O%'
Mdresa:
Sit* /1ddros:
Plumber.
Nbter No.:
Size:
1 qrw [e ee?wollr wllh MM
otznson
ey . (gfz`v i --•? ?- ? : - --
Doft of I nsp. •
CITY OF EAGAN
3830 Pilot Knob Roed
P. O. Box 21199
Eagan, MN 553 21
O?wnw. Lei:oy :v .
Add/ESS:
Site /lddress: 11-12
Plumber:
I agfN t0 OaIN* whh fn City Of t000¦
Qrlisewou.
By
Dote of Insp.:
WATER SERVICE PERMIT p
PERMiT NO.: ? I Z2? 1
DA7'E: ? - - ,
- No. of Unlts: 1 of 4 plex
DaM Poid:
CITY Or FAGAN WATER SERVICE PERMIT
3830 PiFot Knob Road
P. O. Box 21 199 PERMIT NO.:
Eaqan, MM 55121 p^TE;
Zon1nD: i'? 3 No. of Units: 1 o f 4 p 1
QWMr: T eC'J .r . ?Jill'SU
IAF? A r.. - . .
Address: ? - ?
Sita Nddrcss: 1_iJ'? llc??.????f l.ii I" fiAV4;"irrc 3t ?
Plumber.
Mettr IVo.: GS?` o A?e?.? -t?0.07pd
Slu: ?eposiY?'
CNI"o w
4-44 4
ROO? ?'?0.: ?
Pertnit Fee: t. ? ? .
? MM to eseevlf whb liw Clhr of bymm Sursharpe: . '? O ?
? Misc. Chorpas: rl t><i S/';
:er
To?al:
B Doft Poid:
Date of insp.• Irup.:
/3-9s'
SEWER SERVICE PERMIT
PERMIT Nfl.: DATE:
No. of Units: 1 o f 4:?'_ -?x
^
-,???lon Charw: `1LJ?V?I?lu ^
...??,
AcaouR+t Deposit: _' .
f
Permk Fse: '
SurCF+arpe: .
Mise. Chorpa:
Totoi: ?
Dat. Paw:
.iPBV r 1 W a 1%1VJY f1UaU 7;, ,- ,
P. O. Box 21199 PERMIT NO,:
Epan, MN 55121 DATE: ?' 7 ' , _,
?
Zo^in0: No. of Units: 1g 4 l)l ex
ayrwr: r.t'lzOV t-?. : <J?1flSU[i
Add?rSS:
Site Address: Deer (.li F` I^• L4 n3 G!indcrest
Plumber. -) P Q n 7 ' l .
1 pm M eeplr wub tM Cthr ei wpw
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ey
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Certificute o'' E•i?-vcy
for 14:Lr.or ;er.oLd
of i,ote 1-4, 31ock „ l,inucr??t ?ddl-dor
Aakota County, ;•:jnnesota
O
9 0g0 S
LANE
N 69° 34' 43"W
55.0? ?' S5
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2, 2004 RESIDENTIAL BUII,DING PERMIT APPLICATION
` City Of Eagan
I 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtioln Reauirements
3 2gistued sile surveys showiig sq. R W bL sq. fl. of house; arW all roofed areas
(20% maCimum bt coverage albwed)
2 copies of plan showing beam & window sizes; poured found desgn, etc.
1 set of Energy Calalatims
3 cop!% of Tree Presenation Ptan'rf bt platled after 711193
Rim Jasf Detafl Op6ons seledon sheet (Wdgs with 3 or less uniLa
RemodellReoafr Reauiremenh
2 copies of plan
1 set of Eneiyy Calatatlons fa heated additions
1 site survey for addifions & dedks
Addifion - indicate if on-sAe septic system
7?as
Date ?J / I --I_
Site Address (--,e r. p •? - L-C'onstr7 -tion Cost
[? .-?: ? UniUSte #
? l
Descrlptiono[Work
Multi-Family Bidg ? Y _ N ?
Fireplace(s) 0 _ 1 _ 2
PropertyOwner Telephone#(u,'a)
Coutractor
Address
State City
Zip Telephone #(L',?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tt4innesota Rules 7670 Cateeorv 1 Minnesom Rules 7672
Enefgy CAde Category • Residential Ventilation Cate
gory 1 Wwksheet • New Energy Code Worksheet
(d submission type) Su6milted Submitted
• Energy Envelope Calcuiafions Submitted
Have you previously constructed a building in Eagan with a similar plan2 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone # (
I hereby apply for a Residenrial Building Pernut and aclmowledge that the inform ? nqi??Fn9l2M Amfrate;
that the work will be in conformance with the ordinances and codes of the City agan and the St of MN
Statutes; I understand this is aot a pernut, but only an application for a permit, anwork is not to start thout a
pernut; that the work will be in accordance with the approved plan?n the case of wk ew and
approval of plans. j
Applicant's Printed Name ApphcanYs Signature
OMCE USE ONLY
Sub Types
O 01 Foundation ? 07 DS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 OB-plex ? 16 Fireplace ? 27 Porch (3-sea.) ? 37 Ext Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 0 19 Lower Level 0 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellane0us
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 AlteraUon E3 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
)k 34 ReplaCemOnt 'Demolition (Entire Bldg) • Give PCA handout to applicant
Valuatfon ?-1?% lpl7 Occupancy MCES System
Census Code ?-- . _ Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq, Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
REQUIRED INSPECTIONS
Footings (new bldg) FinaUC.O.
?J Footings (deck) ? FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
? Roof _ Ice & Water _ Final _ Pool Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation ? _ Retaining Wall
Approved By: 1 ? , Building Inspector
Base Fee
Surcharge
Plan Review ?
MC/ES SAC ? ? v r
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatrnent Plant
License Search
?
Copies
Other
Total
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PLUMBING (RESIDENTIAL)
Permit Application vs-sz
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete For: Single Family Dwellings
Townhomes and Condos when permits are required for each unit
Date
Site Address U nit #
Property Owner /YL, / 141(e Telephane #
Cantractor @_0 e-4? W ?
Address 1?? ??`-crf ? Ciy?Lf"//4 ?,s?'?B'?_T
State / r r w Zip00 77 Telephone #?g-3 yj-/
The Applicant is _ Owner Contractor _ Other
SepNc System New _ Refurbished Su6mit 2 seis of plans and MPC license $ 100.00
Includes Counry fee. Additional consultant fees may apply.
Alterations To Existing Dwelling Unit, Including $ 50.00
_ Adding f?ctures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water tumaround (+ 5/8" meter if needed -$121.00)
Other:
u
_ RPZ _ new installation _ repair _ ??uild,, rn
?,?qp.
I , ?
?T
$
30.00
L
i
i
fl
t ?
?
? ZO0
_
awn
rr
ga
on sys
em 3
? Water softener _ Water heater
??
$ 15.00
\^
? replacement _ additional
State Surcharge $ '50
f ? 5Z)
Total $
I here6y apply for a Residential Plumbing Permit and aclmowledge that the information is complete and accurate; that the work will
he in conformance with the ordinances and codes of the Ciry of Eagan and with the Plumbing Codes; that I understand this is not a
pemut, but only an application for a pemilt, and work is not to start without a pemut; that e work will be in accordance with the
approved plane?case of work which requires a review and approa{ata€-#ass-? l,
Name
COMMERCIAL
2002 BUILDING PERMIT APPLICATION
CITY OF EAGAN
? ? o (? 651-681-4675
Foundation Onl New Construction Interior Im rovement
• SWdural Plans (2) seis . ArchitecWrel Plans (2) sets • Architectural Plans (2) sets
• Civil Plans (2) • Structural Plans (2) • Code Analysis (1) "
• CeNflcate of Survey (1) . Civil Plans (2) • Project Specs (1)
• CodeMalysis (1)" • landscapingPlans (2) • KeyPlan (1)
• ProjedSpecs (1) • CodeAnalysis (1) " • MasterExilPlan (1)
• Spec. Insp. 8 Testing Schedule '• • Certifipte of Survey (1) • Energy Calculatlons (1) not always"
• Soils Report (1) . Spec. Insp. & Testlng Schedule (1) " • Elec. Power & Lighting Form (1) not always"
• Meter size must be esfablished • Meter size must be established • Meter size must be established - if applicable
• Project5pecs (1)
1 • EnergyCalculations (1) " 1
d • Eleciric Power 8 Lighting Form (1) 1
! • Master Exit Plan (1) 1
1 • Emergency Response Site Plan (1) 1
1 • Soils Report (1) 1
• MGES SAC delerminaUOn letter • MClES SAC determination let[er • MC/ES SAC detertnination letter
call 657f02-1000 call 651-602-1000 call 651-602-1000
Food & beverage or lodging facilities - submit plan to MN Department of Health. Call 651-215-0700 for details.
" Contact Building Inspections for sample.
Permitfor new buildings or additlons will not be processed without Emergency Response Site Plan. Ask 8uilding Inspections for requirements.
DATE: WpRK TYPE: _ NEW REMODEL CONSTRUCTION COST: /..? ?
SITE ADDRESS: ZY-0,2 FF
TENANTNAME: kV+i%/a1C/< s'/?/??}G,?r SUITE#:
FORMER TENANT NAME, IF APPLICABLE:
DESCRIPTION OF WORK
Name: ? /%/ ?r6,1 Phone #:
PROPERTY Last First
OWNER ?/3(/SGJ
Street Address:
City: %IP_ State: Zip:
Company: Z?Zlj ? i% S /-, Phone #: ( 741,
CONTRACTOR ?
StreetAddress: ?Z//// Zj /d ?Y/,
City: State: ?117 Zip:
ARCHITECT/
ENGINEER Company:
Phone #:
Name:
Street Address:
City:
Zip:
State:
Licensed plumber installing new sewedwater service: Phone V(- -
I hereby acknowledge that I have read this application, state that the information is correct, and agrse com y with all applicable State of
Minnesota Statutes and Ciry of Eagan Ordinances.
Signature of Applicant ?
? Updaled 7/02
WINDCREST 1ST 84460 APPROVED 10/80
PAGE 2 OF 2
PERMIT
DATE &
TYPF. I.CIT $j, AD1lRF,CC
9i82 Dtrn 130 02 3831/ DENMARK AVE
140 02 3829
4l84 DUP 1$0 02 3819/ DENMARKf1VE
160 02 3817
4186 Dur 170 02 3807/ DENMARK AVE
- 180 02 3805
---
? _.
?siss -
4-PLEX 010 03 1304 / DEERCLIFF LN
020 03 1306/
030 03 1302/
040 03 1300
i tis? 4-PLEX 050 03 1294/ DEERCLIFF LN
060 03 1296/
070 03 1292/
080 03 1290
tiisz a-PLEx 090 03 1284/ DEERCLIFF LN
100 03 1286/
110 03 1282/
120 03 1280
11i82 4-PLEX 130 03 1274/ DEERCLIFF LN
140 03 1276/
150 03 1272/
160 03 1270
9/82 a-PLEx 170 03 1264 DEERCLIFF LN
180 03 3855 DENMARK AVE
190 03 3857 DENMARK AVE
200 03 1266 DEERCLIFF LN
32
? h :.!
1985 BUILDING PERMZT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED HITH THE CIiY OF EAGAN
Tbwu ?sc
I NCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
I G?F 4 PLEFTX 1 SET OF ENERGY CAL CULATIONS
To Be Used For: Q? \t Y,.- Valuation: ? Date:
Site Address: ?FFICE USE ONLY
Lot:3-'{ Block ? Sect/SubLt?)nz,?yr77' Ereet k Occupancy F--3
Remodel Zoning CL-I
Parcel /I Repair Type of Const 7T
Enlarge Ik of Stor ies
Owner Move Length ?
_
Demolish Depth Z4-
Address 3 1 ?y A M A Xk ? Grade _ Sq Ft
City/Zip Code !?"aS.yi a 3
Phone Lfs? ?J)
Contractor??-,??s ';tu ?
Address 3 ?3
City/Zip Code ? SS f
Phone f-/J L/
:
Arch./Engr.
APPROVALS
,
Assessments Permit -?DI. ?
Water/Sewer Surcharge
Police Plan Review I50.5o
Fire SAC
Engr Water Conn 500 . °=
Planner Water Meter (0 3.=
Council Road Unit 2gp. °?
Bldg Off Parks
APC i ' Treatment Pl ?32.=
Variance
TOTAL
1/ 1z2' S o
)( y
Address
City/Zip Code
Phone N
?t
7?'1lS- 04'
CD Z!
ALZ K S ¢ " Z?S12
? Sz8 K i = z1?4?
2A x 2Z q
-
oo b
Z4 x 22 - ---
559G8
?
?
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NOST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
'S -??
To Be Used For: Valuation: Date:
Site Address: OFFICE USE ONLY
Lot: ? Block 3 Sect/Sub ect Occupancy _
Remodel Zoning
Parcel It Repair Type of Const
Enlarge Il of Stories
Owner _
Move _
Length
Address _
Demolish _
Depth
Grade _ Sq Ft _
City/Zip Code 'z . -----°------ ---------------------
Phone y?2 APPROVALS
Contractor Assessments Permit
' Water/Sewer Surcharge
Address Police P1an Review
Fire SAC
City/Zip Code Engr Water Conn
Planner Water Meter
Phone Council Road Unit
Bldg Off Parks
Arch./Engr. APC Treatment P1
Variance
Address TOTAL
City/2ip Code
Phone fl
- -?? ?aoz
1985 BUILDING PERMIT APPLICATION - CITY OF EAGAM
NOTE: ALL CONTRACTORS AUST BE LICENSED WITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: r Valuation: Date:
Site Address: I?21 OFFICE USE ONLY
Lot: ?
Parcel I/
Block ? Sect/Sub rect
Remodel
Repair
Enlarge
Owner Move
Demol i sh
Address Grade
?
City/Zip Code
' P?j T Z -? - ` -------------
Phone Gl 10 (M
l !? APPROVALS
Contractor .C?p.
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone !f
Occupancy
Zoning
Type of Const
I! of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Parks
APC Treatment P1
Variance
TOTAL
,I t
/S-
1985 BUILDING PERHIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS NUST BE LICENSED NITH THE CITY OF EAGAN
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
To Be Used For: L? Valuation: Date:
Site Address: OFFICE USE ONLY
Lot: ? Block-3 Sect/Sub"L^W??Ereet
Remodel
Parcel II Repair
Enlarge
Owner Move
Demolish
Address ,?j S Grade
X
City/Zip Code - _______,
Phone ^D Jnplj APPROVALS
Contractor 1
Address
City/2ip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone f1
Occupancy
Zoning
Type af Const
!l of Stories
Length
Depth
Sq Ft
Assessments Permit
Water/Sewer Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Parks
APC Treatment P1
Variance
TOTAL
GITY OF EAGAN PERMIT ???dw
3830 Pilot Knob Road PERMIT TYPE: B U I L D I N G
Eagan ! Minnesota 55122-1897 Permit Number: 026130
(612) 681-4675 Date Issued: 0 8/ 01 ( 9 5
SITE ADDRESS:
1306 DEERCL.IFF LANE
LOT: 2 BLOCK: 3
WINDCREST
P.I.N.: 10-84460-020-03
DESCRIPTION:
Buildingt.Permit Type DECK
8uildimg Wo'rk Type NEW
r
??..:
?
-w •,, '` ?, , _
t.
REMARKS:
FEE SUMMARY:
Base Fee $30.00
Surcharge $.50
Total Fee g30-50
CONTRACTOR:
OWNER: - Appiicant -
KNI7TEL DONNA
1306 OEERCLIFF LANE
EAGAN MN
(612)725-5501
I heraby acknowledge that S Maue read thi,s
information is correct and agree to comply
Statutes and City ofi Eagan Ordinances.
L
?
I APPLICANT/PERMI EESIGNATURE
appl,icatian and stats;"that the
with all applicabYe 5tate o'f Mn.
.. _,_.. _ _.?
`(lal,? 1?,r,?lmd--
ISSUED B SIG TURE
CITY OF EAGAN
? 3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681 -4675
State:
? 3 1lQi61lfld 6i[8 601Vey9 ? 2 copies oi plan
? 2 oopbs ot Wsns (indude beam 8 window sizas; poured tnd. design; etc.) ? 2 stte suneys (exterior add'Rions 8 decks)
? 1 energy calalationa ? t enargy celculations for heated addRions
? 3 wpka of troe piseervation plen H lot pletted efter 711193
roquired: _ Yes _ No
DATE: Z/ 7/7t* CON?..TRUCTION COST: Z-- Z SO .? O
aCMWt irrsr."Jy DseK 4( 'f;4t/'q•& Altw
DESCRIPTION OF WORK:
STREET ADDRESS: A
LOT ? BLOCK ? SUBD
IP
I
D
#: ?
?1
.
.
.
. ..
'VAy T?MA K'-4-1,?- 117 -1) u ,
PROPERTY Name: ffAl 1 7T.E4 P0 i?/Jd Phone #: ?SZ "-0 3 7/
OWNER
Street Address, ""' `°"'
13 a 6 9E??-c ?/ F
F 41
9?1?
City: _J!??Ae<i A
,?
State: MA/
Zip: ?S/ 23
CONTRACTOR Company: wn ,e K TD 8 ,o!5 P Ot-4E Phone #:
? y D vs???'?2
Street Address: License #:
City: State: Zip'
ARCHITECT/ Company: Phone #-
ENGINEER
Name: Registration #'
Street Address:
City:
Sewer & water licensed plumber:
change are requested once permit is issued.
D Si
M&f ?/-j I
Zip:
Penalty applies when address change and lot
I hereby acknowledge that I have read this application and state that the infortnation is correct and agree to comply wfth alt
applicable State of Minnesota STatutes and Ciry of Eagan Ordinances.
Signature of Applipnt:
OFFICE USE ONLY ??CEG?'?'?
Certifiqtes of Survey Received _ Yes _ No ? ? t 2 1 19?5
Tree Preservation Plan Received Yes No "--
OFFICE USE ONLY
BUILDING PERMIT TYPE
-4,
. '.
0 01 Foundation ? 06 Duplex o 11 Apt./Lodging o 16 Basement Finish
n 02 SF Dwelling o 07 4plex o 12 Multi RepaiNRem. ? 17 Swim Pool
n 03 SF Addition o 08 8-plex o 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch ? 09 12-plex ? 14 Fireplace o 21 Miscellaneous
0 05 SF Misc. 0 10 _-plex ? 15 Deck
WORK TYPE
n 31 New o 33 Afterations o 36 Move
0 32 Addition o 34 Repair .. ? 37 Demolition
GENERAL INFORMATION
Const. (Aduat)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
?_1;j]:ZeP/_1C-1
Pianning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
MCNVS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S!W Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Totai:
Valuation: $
°k SAC
SAC Units
: ' .
? Car?i.'icate of 5urvey
for 1,15egr:cr ienolc
of :,ots 1-4, Bloc;c 3, mindcr2st Addition
Ikikota Cotuity, Minnesota
60
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0
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ProP•?.d T•POf Fa.?s.? f?bn ? 8B3.7
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S? l?li??ty ?a[emer?Y IS
B01 ? - -' '.O -SSOO Z ZL
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a
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,:rc.:ac?:? ?_oc?.;,i^c ,? _ ?:• ........ . ? .?.it: , ??,:?.?; ... _ .. _. ,
v:.t•.,:u.'. ... _']!?:.11: , . , ir.r?,
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2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
vr?
(a '1,5- ab
> 3 regbtere0 Afe wrveys ahowlnp sq. fl. of bt, tq. lt. o} hause
and go roofed areas (20X maxlmum lot covaraae albwed)
? 2 coplea o1 plans (ahow beam A wlntlow slzes; poured lnd. design; etcJ
D 1 set of energy calcWadona
? 3 coples ol hee prewnaflon plan H IW plalted aNer 7/1/93
DATE: bz?" /S = Ci o
2 copte, w plan
i set of energy calcWaHons for heated addlXms
1 sire wrvey for exNdor addiflons R decks
CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: f-7
LOT: __q__ BLOCK: D SUBD./P.I.D. #:
Name: Phone #:
PROPERiN last Flrst
OWNER
Street Address: i SGCi /.)ce ,-e/,F?- /AI
CIy Sfate: /?'i/ /I Lp:
?
company: Phonex: ?/,'- -.S 4-
(area code)
CONiRACTOR
SlreetAddress: lkense9 S?y? Exp. S 3? ;r
ciri A/ srate: np:
?
ARCHITECT/
ENGINEER Comeanv: Name:
Telephone #: ( )
Sheet Address: RegishaNOn #:
citY
State:
Zip:
Sewedwater Iicensed plumber pf installina sewerfwater): Phona #:
I hereby acknowledye Ihat I have read this appikafbn, stale that ihe in(ortnafbn is oortecl, and
of Minnesota Statutes and CHy ol Eagan Ordinances. „ ,
Signature of
OFFICE USE ONL
to comply wNh a0 applleable Stafe
Certificates of Survey Received _ Yes _ No ' Jlll 15
Tree PreservaNon plan Received _ Yes _ No _ Not Required
LOT: I BLOCK: SUBD./P.I.D#: IN?nUCrtSI
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD • 55122
651-681-4675
New Construction Reauirements
? 3 registered sMe surveys showing sq. B. of lot, sq. ff. of house
and all roofed areas (20% maximum lot coveraae allowed)
? 2 copies of plcns (show beam 8 window sizes; poured fnd. design; etc.)
D 1 set of energy calcuiattons
? 3 copies of hee preservatlon plan ff lot plaHed affer 7/1 /93
? Rim Joisl Detatl Options selection sheef (buildinas with 3 or less unRsl
Remodel/Reoair Reauirements
2 copies of plan
1 sef of energy calculations for heated addHions
1 sNe survey for exterior addiHons 3 decks
DATE: i l' z-GU CONSTRUCTION COST: 9, S00
DESCRIPTION Of WORK: 7CA ?(Z o F f` Z R C ,lZCWrkuIfi.family bldg., how many unffs?
STREETADDRESS: I Zo`/ oEC2 CC_i:.j=j- CAAv4?
Name: aUJ`'C21- Phone#: GS! 10`i0 66
PROPERTY tast Ptrar
OWNER
Sheet Address: 1'S vy
City C/) <S4rj State: Zip: SS/ZS
?-?ESTtill.? CE /Ji32 Su91,fLy Phone#: -263 54/ -07c+Y
Company:
(area code)
CONTRACTOR
SheetAddress: 9-2 6"If> r3-`? r4vE License#z6Isss6e Exp.
Ci}y PC k'MVy rt> State: /L"/'-/ Zip; S S4y/
ARCHRECT/
ENGINEER Company: Name:
Telephone #: ( )
Sheet Address: Regiskatlon #:
Ciy Stafe: Zip:
Sewer/waterlicensedplumber(ifinstallinasewer/water): Phone#: (?
I hereby acknowledge that I have read this application, state that th tion is correct, and agree to
comply with all applicable State of Minnesota Statutes and City o agan Or 9ps.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
-2) 3830 PILOT KNOB RD - 55122 ? y 1?
651-681-4675
New Conshuetlon Reauiremenh Remodel/Reoair ReauiremeMs
D 8 reglifered sfle surveys showing aq. ft. of bt, sq. R. ol house
and gll rooled areas (4046 moximum lol coveraae atlowed)
D 2 copies o1 plans (show beam i window sizes; poured fMl. design; efc.)
D 1 fet of energy calculaHons
? 3 coples of hee preservalion plan 61of plalfed aHer 7/1/93
DATE: V ` 7 ` / ?
DESCRIPTION OF 1
STREET ADDRESS:
2 coples oi plan
1 se1 oi energy calculaHona for heated additions
1 iile survey for exlerior addMbns a decW
CONSTRUCTION COST:
LOT: ? BLOCK: -_3 SUBD./P.I.D. #: .? CL?
Name: Phonelk:
PROPERTY Lan FN?
OWNER '
Sheet Address: ?? 016
City 4,96 *-1'j State: /4 /?j Zip:
Compan)r 6M Phone k: 011,5 /-
. (area code)
CONTRACTOR /? ,/
Sheet Addresr. «??1? ?- License # `1-Y" / _Exp. 0 Cl
city fk"'go 6 state: N ztp: !'7'?G
ARCHITECT/
ENGINEER
Telephone #: area code (
Name:
Stree't Address: RegishaHon #:
City
Sewer S water Ifcensed plumber (reautred tor new conshueHon onNl:
StaFe:
Penaly applies when oddress change and lot change Is reqveated once permii is issued.
Zip:
I hereby acknowledge ihaf 1 have read thls applicaHon, sfafe that the Inf on Is coneet, and agree lo eomply wNh all applicabl
Sta1e of Minnesota Stafutes and CHy of Eagan Ordinances.
?
Signature of Appllcant:
OFFICE USE Y
Certificates of Survey Received _ Yes _ No -4?1 \k
Tree Preservation Plan Received _ Yes _ No - Not Required ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
0
01
Foundation
? CTTY rF t::AGAN I
epiace
13 02 SFDwelling ?I
' .i5 ri-R11CNA! No: 946 irage
O 03 1 of_plex ? naTE_? 08i1.1i99 ;ck
O 04 2-plex ?I wer Level
? 05 3-plex ?, iol
NAME:. VA1._l..E::Y IA?Vh ;TNiEN"i5 CnNSTfiUC7Tp
WORK TYPE
? 31 New ?
? 32 Addition ?
33 Alteration ?
? 34 Repair ?
321.0 FiCiO:t 823 OVEF'tl._p_jIC I'I
34M
3009.
823 _
pVERl..GOi: F'L.
?i;35 .':JO(:)1. E;r'9 f]vEi'I...
3210 9001 1'.306 DL.ERCI...]:Fp'
3430 900a. isrb: nErr,Ci_zr T
2155, 9003. :1.30f, D'c".'ERIJI..]:FF
GENERALINFORMA, ,
1. 67. i?5'
1.00
•.,5IJ
a"i. 20
o.Ps
0.60
.4
? 21 Porch (3-sea.)
? 22 Porch/Addn. (4-sea.
? 23 Porch (screened)
? 24 Storm Damage
25 Miscellaneous
? 43 Siding/Soffits/Fascia
? 44 Windows/Doors
O 45 Fire Repair
on permit
Const. (Actual)
I 7o+,,,,r r,eceir,*• Ainoun+, ?
221
80 i
:ensus Code
(Allowable) .
cR:ti.e;i.?s3 3AC Code
UBC Occupancy i usE:r•: :[r.?? j?,N Vo. of Units
Zoning No. of Bldgs
# of Stories I'k?'?*???*??????%?????rRm?>Kn?MM,??,F?M??;?? MGES System
Length ! City Water
Width I
---' _ Booster Pump
-
--PRV
Fire Sprinklered
RPPROVALS
Planning Building Engineering Variance
Permit Fee t . 2-C7 Valuation: $ ?
Surcharge _ Jo(D
Plan Review
License
MC/ES SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies - ?-?
Total: 4q q
SAC Units
% SAC
?
D
/
?
O 3
9?
? ??!_'h.!? •A?k;.,Ln?.? ?"!,1:?.. ? :. ?_ . ..
79 4
?
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y ?
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DEERCL-iFF
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z/sa
CITY Or EAGAN
4
?
1w(
APPLICATION FOR PERiMIT
SEWER AND/OR WATER CONNECTION
(PLEA ,, PRIHT) '
1) PROPERTY ADDRESS: } e ,
rFrAr DES=PTICV: L 4 03 (,l) l (1c,1 II!1
(LOt/Slock/Sutdivision or Tax Parcel I.D. N=>er)
' I"r S'?'P,?C:''? E, Dr1T:: Ot' ORIGi ]AL `uZLDl`:G ISS.;?.\;G.:
PPWS=- Z:^IZ:r,/?POPOS=-) C'S: ? R-1 SZ;GL: r"PMSLY .
? R-2 CUPI,.... (TWO [,^]IT5)
? R-3 'IC,P?1II?CY?GE (?F_p= + D`IITS ) ( [NIms)
? a-a aPART+F,:_r/cc:1)cI%!r1rM c w=s)
? cc?!VIERcL7%L/RE:AIr,ioFFiCE
? 1NDusTRL-L
? LtiS=.'[,TIONAL/GC'iVEi'u^A=?r
2) PPPI,IG!LNT' (PLEASE P INI .
NAi4E:
ADDRESS:
ZtM'
CI'r`r STn?''' ZIP: C:???I 2Z2
PHONE:
j) p117,1EER (PLC? pRINT) /?
NAME: ?I L? FOR CITY USE OHLY
P.GD7ESS: n PLUHBERS LICEYSE:
Active
CITY, STAT?.', ZIP: m l j ?-] Q Ezpired
lJr' ? ??Lr
PhO?= "/ PLUMBER LICENSE N ?L1 Q Not of Record
a nltia
4) c-?y?,n, PLEASE PRi??T)
OCCUpANTP/C!'j[•IER ?,?
'
:
/X?f
l?lX
ADDRESS:
,CTT`l, STA'PE, ZIP:
PIi(1VE:
5) IIVDSG'1'I'E .CICH PERh1IT 25 BEING RFQUESTID:
E CtC:INECTION TO CITY SETi7ER
12 CONNFX.TIO;1 'ib CITY SVATEft
? 0`7HER (PLT7ISE DESCf2IBE)
?
6) INTDIG=11. C2ZE: .
I
i . ? P=:%SE f?OID APPRCNEID PER.'4LiT FOR PICR-LJ'P BY ONE OF P.BGVE
?°LE•'+SE DP,aIL APPFtOVED PERMIT 'PJ 1. 2. C3, 4 AF,OVE
(Circle one)
7) SICII?T[.1RE: OAQ??
- An AJ DATE:
ii
?11 ?
? __ Cl
; ----
.
,
2/84
0D CITY OF EAGAN
V
I APPLICATZON FOR PE?'?1IT
SEWER AND/OR WATER CONNECTION
(P ASE PRINi)
1) PRCPEYiY ApDRESS:
r FraL, DESG2ZPTICN:
(LotBlock/Su:divisicn or TaY Parcel I.D. Nimiber)
STR[,'CPJT,'v°., DAT?.' 0° ORT_GuML r:uII.DL1:G PFR-?ST ISS::ANC?.:
P°ESL"?' --:^„IIM;/P??OPOSr--n R-1 Sz;GL: rP?SLY .
? R-2 DLiP"'Y (T,ti"J II.1ITS)
0 R-3 'LC'f.v1iII-ICLTSE (?'f?n.EE + DZIZTS) ! Wi I'_^5)
? a-4 wzTs;
? CCi-fi1ERCL1L/RE:AII,/0FFIC::
? M'CL'STRLiL
? INSTI:T,'TIOXAI,/C',GVE.R??n1E,.'?,'T
2) A?PLIC-?i?NT (PLEASE PR[NT)
NAh1E: r? / , I
ADD?2ESS: ?, , •
CTT'_'. STATE, ZIP:
PFoINE:
3) pjOcffiER
NAI-T-: (PLE?.Pq1YT) FOR CITY USE OVLY
ADDRESS: Z ? PLUHBERS LICENSE:
= Active
CITY, STATE, ZIP: [= Expired
PHONE: pLUNBER LILENSE N 2j
? Not of Record
af tnltl3
4) QCLL'OANT/C!!,NTE'i2 NA ,?. L?E PHIHf )
ADDRESS:
ICITY, STA'Ir-, 2IP:
PHONE:
5} IDIpICA'I'E SqE{ICH PERh1IT IS BEING RfQUESTID:
KE CO2'RQECPIOy 'Ib CITY Mi'E'cZ
Em CbP1NECTI0N 2b CITY ;'IATEF2
El dilIER (PISIISE DESCRIBE)
07 liJLJll11i1: U;1Y.: --
. ? PIEMSE E?OID APPRWFD PER.`4IT FOR PICF:-L'P BY ONE OF AEGUE
? PLE1SE :1ALL APPRaVp PE.F.•1IT T'J 1, 2, 3 4 A£CT7E
? (Circle o-)
7) SIG.TL'RE:
/
? ? DATE: ?
---
?
•
I
?
, 2/84
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIODT
LE PPI
NTJ
?
1)
PROPEKIR ADDRESS:
??/l I
/E?O
L?
=aL DsscF2lprTcV:
(LOt/Block/Subcu.visicn or Tax Parcel I.D. N=titierl
I"r E,`iZ?7=:G S?^'.I:CT!,'RE , DA'IT' OF ORT.Gi^.Ai, EUILDI:`:G
P.DFSL.T --:^`Irr,/P?,OPOSr"T? OS: Ql R-1 SiNGL: :': MffLY .
? R-2 GLPT= ('?:CO C,'NITS)
? cZ-3 TCir:??CYIcE ('??'_°= + L':1ZT5) ( IINI'_^S)
0 LZ'4
1,iT??
? UailT_J}
r
?
? CCS`m'f?CIAL/ R.'.AIV
,- OFFZCc:
I p INDliSTi.IaL
? L`dST=IOJLAI./G0V?-2:?LME%'T
Z) APPLIG`-:1T (PLEASE P ` ? )
NAhLF:
aDnREss:
crTY, sra:y, zrn:
PHO-NE: N,-T-5
3) PI,L,:SBE:.o
NFU"I 'E0.5E PR Ni) . FOR CLTY USE ONLY
E' H Yi
P.GDRESS: PLUHBERS LICEVSE:
Attive
CITY, STATE, ZIP: Expired
- PHO??IE:
PLIIMBEA LILE4SE k Not of Hecord
a r niti?
41 u.t.urHtvi/c7:mtt?2 NA„E:
ADDRESS:
ICI?"f, STA'IE, ZIP:
PHONE:
5) IbIDIGfI'E W[-]ICH PERh1IT IS BEING RECUESTID:
? CO:INECPION 'IO CITY SEilER
? CONNFZTIC:I TO CITY SVATE.R
? ?ER (PLLIaSE DFSCItZHE)
. ? PLEASE f?OID APPP,WFa pg2,v1IT FYJR PICi:-UP BY ONE OF AWVE
? PLFASE R*'.?1IL APP!2pVp P=LIT 'PO 1, 2, 3, 4 AFiOVE
„ (Circle one)
7) SIC2,7A'°RE:
DATE: ? / --
1
2?84
El CITY Or EAGAN
t
APPLZCATION FOR PER^?IIT
SEWER AND/O
R WATER CONNECTIOri
(PLEASE PPINT)
1) PROPERTY ApDRE55:
T_Frai. DESGRIr'PICV: L?2 6,3 (.Cl th/l /?.0
(In. t/Blocc/Su:,division or Tax rarcel I.D. Ntmber)
' I'r' F"tIS:'=:G S?^.?C= E , DA'r' 0F OiZTGi IAL u,I?.D=G ==S: ISSu?.G:
PP,=S= ?.^,:+Ti?F:/P??OPOS?J L'•S: 0 R-1 SL;GL: FPMSLY .
? R-2 CLTPi,J.`?{ (?Sti*0 L^'ITS )
? R-3 7CIi,T-ICuSE (TI?p= + L'VITS) ( Wi I•"c)
? t2-4
?
NiT..
[]
_J}
? CCIti+U?RCLAI,/RE^.AII,/OFFIC
I Q INDliST`:uAL
? LNSTI:L'TIO,iAL/(',GV?..'GSLvE..'T
2) P,PPLICaNT L ASE('PRINi)
NF4tilE: S /Ul
? i ?
.
ADL.4ESS:
CITY, STATE. ZIP:
PKONE:
3) p??BER LE,lSE PRINi) FOR CITY USE ONLY
rrrA.:
PDDRESS. _ ? ? ? ? ? PLUH9ERS LICENSE:
Active
CITY, STATE, ZIP: ?/1n?
n? 11 ;17)01?? Expired
PfiOVE: ?
??
r
I?-M
' Not of Record
pLp
N
BER
IICENSE N
?
? a r nitia
g/ c7C.L'UPPNT/C!+.:ER ?YLtAJt PHit??)
ruAr?: ?,'4 ?-
ADDRESS: J
ICITY, STA'I'r-, ZIP:
PFiO^IE :
5) INpIamm :,n{ICH PER[•lIT IS BEII%G REQUESTID:
? CO:INECPION 'IC) CZTY Sa9ER
? CONNECrI0:1 'lb CITY SvATER
? Ui'[;!ER (PLEASE D.SCRIBE)
7) SIGa'i[,'RE:
? PLE-1SE fIOID r1PPRpVID pgZ+1IT FOR PICI:-GP BY ONE OF 11BOVE
12 °LE=+SE :'.?'.IL APPROVID PEPM?IT TJ 1, 2. C4 4 AFC)VE
,) (Circle one)
DATE:4
*? 2006 RESIDENTIAL BUILDING rExMrT nPrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX # 651-675-5694
New Construction Reauirements
3 registereA s'M1e surveys showing sq. ft. of lot, sq. ft of house; and ?II roofed areas
(20% maximum bt coverage allovued)
2 copies of plan showing beam & window saes; poured found design, etc.
1 set of Energy Calculafions
3 copies of Tree Preservation Plan'rf lot plaried aNer 711193
Rim Joist Detail Options selection sheet (buildings wifh 3 or less uniLs)
Minnegasco mechanical ventilafbn fortn
RemodellReoair Reauiremen4s
2 copies of plan shaumg footings, beams, joisfs
1 sel ol Eneigy Calculations for heated add'Nons
t site survey for additions & decks
Add'dion - indicete if on-site sepfic sysfem
Telephone # (
Da[e n c? /-Lt_ / 7?LVb Construction Cost 127 pJ
Site Address ?, po apv O U-Q?- Unitl3te-11!
Description of Work r/C_p ?M'L ?) 477 5
Multi-Family Bldg _ Y _ N Fireplace(s) _ 0 _ 1 _ 2
hyl,cas ,v+?vQ2
Property Owner (,U 1 Yv-h 0Y2S'\ 10: n v,}(`;,n.o kSti• aj-..? Tetephone # ( 6V,) 415 L 2??D
Contractor
Address l t) 'rvi.? ?W Ll CitY-?s)?u
State ? Zip G?S_12- ]?__ Telephone #((? Z) Z
66 1-ct52-Oy lz
COMPLETE THIS AREA ONLY IF CONSTRUCTiNG A NEW BUILDING
- Minnesota Rules 7670 CateROrv 1 Minnesota Rules 7672
Energy Code Category . Residenlial Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) 5ubmitted Submitted
• Energy Envelope Calculatlons Submitted
In ihe last 12 monihs, has the City of Eagan issued a permiT for a similar plan based on a master plan?
_ Y _ N If yes, daTe and oddress of masier plon:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
t~j)eo
Otfic`e Use'ONv
CedoFSurveyRebi ?Y N
7reePresPfahRar?J ., 'Y =i?
TtdePreseguire9 ° Y.1?N
On=site5ephc?,System . „ ,=Y,=N
Telephone # ( )
I hereby apply for a Residential Building,Pernut 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 pertnit, 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.
Applic Ps Pnnted N?ame Appli int's Sie
DO NOT WRITE BELOW THIS LINE
Sub Tvaes
_ . ?•
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 Otof_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext,Alt - SF
? 04 02-plex ? 10 08-plex X 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 71 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Atteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg) - Give PCA handout to applicant
D65Criptlon: WaterDamage_Yes
Valuation ? Occupancy MCES System
Plan Review 100% or 25%
Census Code -Lf7nG4
r? Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const ? Width
Footings (new hldg)
}G Footings (deck)
_ Footings (addition)
_ Foundarion
_ Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ Sheetrock
FinaUC.O.
FinaUNo C.O.
? HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Approved By: , Buiiding 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
OKruC. 2oo b
I
--
? !
. UEERGL1F F
7
' o
Q,
??
?
r.; E
L F S
. v,
,e,q 1 N 89' 3443 W 9_j-. - J-1
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? 11 ?j L, I ! , U \y
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2i 3 21.3
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f_
???o,?rc.d Garn9e rob E/ev. _ 883.2 J
,
N ?
. . ° fY ep ^i : :v??f ?i•n = 883. i ? n
x„e . ,
iltrl?iy ?acc?.+e..t.
'Pdl, 1?: .?--
jrJ.l70 ' 7?J.C•??.. _. .?52 'r" _ ?-
PI ?,9, 3; v?'AJ
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2006 RESIDENTIAL MECHANICAL rEUMIT ArrLicATioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
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Please complete for:
single family dwellings & townhomes/condos when permits are requ'ved for each unit
!'-?o.,?o
DateLo / IC) /(_0
Site Address ?30L4 Ce'?_:-?^ ) t?P-F L-CIV-ye Unit #
Property Owner Telephone N{CDSI ) QG,-I - LO a91o
Contractor Atr
Street Address ,C?? F?A' )e City ?1'
State YY1 Zip 5?oa? Telephone #(C05 1)
Bond #r-ja Q-)17 CO:7 / 0"7 Expires:
The Applicant is _ Owner LZ Contractor _ Other
Add-on or aiteration to exis[ing dwelling unit $ 30.00
? furnace _Additional ?Replacement _ New
air exchanger
J? air conditioner
heat pump
other
v 1=
. -
,
State Surcharge i
J??N ? ° .,l?I??i <? s ')noi7
?ti'?
?
$ .50
Tota, - ?- $30•50
I hereby apply for a Residential Mechanical Permit and acknowledge that [he information is complete and accurate; that the work will
be in confoanance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; 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.
C. L?
Applican rmted Name Applicant ignature ?
=7 ,-i°02006 RESIDENTIAL BUILDING rExnuT nrrLicaTioN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConstruGbn Reauirements
3 regstered 5Re surveys showing sq. fl. of IW, sq. ft of house; and all roofed areas
(20% mazimum lot wverage albwed)
2 wpies of plan showing beam 6 window sizes; poured found design, etc.
1 set oi Energy Calculafions
3 copies of Trce Preservation Plan if lol phtted affer 71tl93
Rim Joist DefaO Options selection sheet (buiidings with 3 or iess un'rts)
Minne3asco mechaninlventilafionfortn
PA -?o °°
RemodeVReoair ReouiremeMs 'se 6n
2 copies of plan showing footings, beams,joists CertoiSuNeyReCd w '? Y N
7 set of Energy Cakulalions for heated additions Tree Pres P(anRecd N,
lsitesurveyforaddRions&decks ?ieeP?esReguirgd
Add'rtion • mNcafe if on-sife sepUc system On=sife Sep4c, Sy51ero „_Y _ N
Date2- n"-)(n ?
ConstructionCost ??Ir"Jr
SiteAddress Zrir.e i399Sie-4
Description of Work IZP ?I'J i Lr,2 jQro N' fi S ?Oo
Multi-Family Bldg _ Y _ N v
Fireplace(s) _ 0 _ 1 _ 2
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Address q 2o v y-?"ti cj -y?-y?l L City "( FjJ v
State 611V Zip l Z Telephone #((01 Z?
ca)' Cf SZ" 0`f l Z
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(J su6mission type) Submitted Submitted
• 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?
_ Y _ N if yes, date and address of master plan:
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 which requires a review and
approval ofplans.
Ie%7?l[?LWS ?iv??oPr}C)..?
ApplicanYs Printed Name
Qzl?'Sa-'
Applican s Signa
DO NOT WRITE BELOW THIS LINE
r .,
Sub Tvpes
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.) ? 33 Ext, Alt - SF
? 04 02-plex ? 10 08-plex /Z 16 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
O 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
)"'N 34 ReplaCement •Demolition (Entire Bldg) - Give PCA handout to applicant
DeSCriDtion: WaterDamage_Yes
Valuation 2T? Occupancy MCES System
Plan Review 100% or 25%
CensusCode ? Zoning CityWater
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
Footings(new bldg) Sheetrock
?r Footings (deck) FinaUC.O.
_ Footings (addition) ,( FinaUNo C.O.
_ Foundation 7? HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final _ Pool Ftgs Air/Gas Tesu Final
_ Framing _ Siding _ Stucco Lath _ Stone Lath Brick
_ Fueplace _ R.I. _ A'uTest _ Final Windows
_ Insularion _ Retaining Wall
Approved By: Building Inspector
--------- ---------------------------°----------------------------------
Base Fee
Surcharge
Plan Review l
MC(ES SAC ?
City SAC
Utility Connection Charge
5&W Permit & Surcharge
Treatment Piant
License Search
Copies
Other
Total
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-"7 70 2007 RESIDENTIAL BUILDING rERMiT nrrLicnTiox
City Of Eagan
3830 Pilot Knob Road, Eagan M1V 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauiremmts
3 registered site :urveys showing sq. tL of l04 sq. ft. of house; and ail roafed areas
(20%maYimum lot cwerage allowed)
i Soils Report if proposed building is to be placed on disNr6ed soil
2 copies of plan showing heam 8 window sizes; poured found design, etc.
1 secof EneFgy Calculations
3 copies of Tree Preservatian Plan if bt platted aRer 711l93
Rim Joist Detaii Options selecfion sheet (6uildings with 3 or less units)
Mnnegasco mechanical ventllafion form
RemodellRepair Reauiremenis Office Use Onlv
2 copies of pWn showing footings, 6eams, joists Cerl of Survey Recd
- 1' _ N
1 set of Energy Calwlations for heated addifions Soils Report ',
- - _ Y. _ N
1 site survey for additions & decks Tree Pres Plan RerA' - _Y _N,
Addifion?incffcafeilon-srtesepficsysfem TreePresRequired
- _Y _N
?
Oo-sile Septic Syslem _Y _ N
01.,.... ., e;ao.oa r???hlir infnrma4inn ii.,io« Vn„ state thev are trade secret and the reason.
I ,a, .? a, ?
O ?
Date ai / ? Construction Cost
Site Address /??? I 1 C??? /'
ZC I c l'T L 14"/2G UniUSte # ? -S
3oa 3 30
Description of Work I
Multi-Family Bldg ?/'Y _ N \J
Fireplace(s) _ 0 2
Propeity Owner Telephone # ( )
?
Contractor
Address City 3 ?
State Zip S'tD k Telephone #((p 1,2) 2.^?)'l - Sa oq
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minneso[a Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(d submission type) Submitletl Submitted
• Energy Envelope Calculations Su6mitled
In the last 12 months, has the CiTy of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
1 hereby apply for a Re;idential 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 o work which requires a review and
approval of plans.
2)C kv-t2v
Applicant's Printed Name Applicant's Signature
2006 RESIDENTIAL BUILDING rExMir arrLic.aTto!r
Citv Of Eagan
3830 Pilot Knob Road, Eagan MN 55123
? Telephone 4 651-675-5675 FAX # 651-675-5694
PFew Consnction P,eauiremenfs
3 2gistergd sAe surveys showine ;q. 8. of lot, sa. 8. o( house: and all mofed areas
(20% maximum lot cove2ge allowed)
2wpies of p9an showing beam & windotv sizes; poured found design, etc.
7 set oi Enemy Calwlations
3 mpies ofTree Preservation Plan fl lot plattetl after 711193
Rim Joist Demil Opiions selection sheet (buildings with 3 or Iess unrts)
Minnegasco mechanical ventilation form
RemodeUReoair Requirements
2 copies of plan showing foo6ngs, beams, joisis
1 set of Energy CalculaGons for heated additions
1 site survey for additions & decks
Addition - irm'7cefe ii on-sife sepYm system
90 ?
Office Use Onlv
CertofSurveyRecd _Y _N
Tree PresPlan Recd - Y N
Tree PresR_quired - YN
On-siteSeplicSystem _Y _N
Date Construction Cost
Site Address UniUSte # ;
?
Description of Work? -F
??j- V1/tP_ A- @JL) ?V\ GtO i,lcrj;PCi-t wL°y`ACC?f ? 0,1(Y1 -?*CU
r
Multi-Family Bldg _ Y f N A Fireplace(s) _ 0 _ 1 _ 2 !
Property Owner
` Telephone #((cfi?"? ) -'AS-9 3L
I
Contractor
Address 9'ti'0 (,, City
State rn tv vN? Zip ? Telephone #(lpq)_ _ r ?
I
COMPLETE THIS QREA ONLY IF CONSTRUCTING A NEW BUILDIN
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Cod2 Category . Residential Ventilation Category 1 Worksheet • New Energy Code Wo
submissiontype) Submitted Submitted
• Energy Envelope Calculations Su6mifted
In the last 12 monThs, has ihe City of Eagan issued a permit for a similar plan based on a master
_ Y _ N If yes, date and address of master plan: Licensed Plumber
Mechanical Contractor
Sewer/lvater Contractor
Telephone # (
Telephone # (
Telephone # (
L C?? [E f] J[E
MAY b 7 2007
I hereby apply for a Residential Building Permit and acknowledge that the infonnation is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of EaQan and th'e 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 which requires a review and
approval of plans.
,_I r\ _ „ A 117,4 1- ; n
Applic'lant's PrintedName pp ?cant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? 01 of _ Plex
? D2-Plex
? 03-Plex
? 04-Plex
WORK TYPES
? New
? Addition
? Alteration
?Replacement
? OS-plex ? 16-plex ? Accessory Building ? Pool
? 06-plex ? Fireplace ? Porch (3-season) ? Ext. Alt. - Multi
? 07-plex ? Garage ? Porch (4-season) ? Ext. Alt - SF
? 08-plex ;09? Deck ? Porch (screenlgazebo/pergola) ? Multi Misc.
? 10-plex ? Lower Level ? Storm Damage
? 12-plex ? Miscellaneous
? Interior Improvement ? Siding ? Demolish Buiiding'
? Move Building ? Reroof ? Demolish Interior
? Fire Repair ? Windows ? Demolish Foundation
? Egress Window ? Water Damage
' Demolition (entire building) - give PCA handout to appliwnt
DESCRIPTION: c/?/ ???
Valuation ?l'9
Plan Review
(25%_ 100% ?
Census Code
# of Units
# of Buildings
Type of Const. ?
Occupancy 160 MCES System
Code Edition SAC Units
Zoning City Water
Stories Booster Pump
Square Feet PRV
Length Fire Sprinklers
Width
Footings (new bldg)
? Footings (deck)
_ Footings (addition)
Foundation Drain Tile
Roof: Ice & Water Final
Framing
Fireplace:_R.I. _AirTest _Final
Insulation
Reviewed By:
Sheetrock Meter Size:
FinallC.O.
Final/No C.0
Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S8W Permit BSurcharge
Treatment Plant
Copies
Total
OPCI
HVAC
Other:
Pool: _Footings _Air/Gas Tests _Finai
tucco Lath _Stone Lath _Brick
Siding: _S
Windows
Retaining Wall
q? DO 0
Page 2 of 3
City of Eapn
---------------
I Foti)ffs?llse
? Permit #: j
I Permit Fee: ? 1 L' .CIO
? Date Received: ? ?C I
I ?
? Staff: I
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: -gin IQ? 5ite Address: ?Z D
Tenant: Suite #:
RESIDENT/OWNER Name: W i? nCvPC.t 73ac.;,,, me ?ccae?rrh? Phone: (o'5j-(62 a7M
Address / City / Zip:
Applicant is: _ Owner __)4' Contractor
TYPE OF WORK Description of work: Re ?n+ •t_D fi7es?
K
_
Construction Cost: 12,400 - Multi-Family Building: (Yes]c? / No?
CONTRACTOR Name: __Q-t-" 4AD_TA License #: Z.D$ 4i-7 48
Address: q ZO Cvvvrd i4tC
City: 2K}AAN State: MiV Zip: S'? 2^
Phone. Contact Person: L,p V r /CI YlN(? r14..+
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateporv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 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 _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supparting documents thaf=you submif are considered to be public informafFon. Portions of '
fhe information may be classHied as non-public"if you provide specHic reasons thaf would permit_the City to
`conclude.that the are trade'secrefs.
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 '1JpUGLpS P Rio?a;.--?nJ
Applicant's Printed Nam-
x?f
Applicant's igna ure
Page 1 of 3
Use ; . or BLACK Ink
For Office Use
t t~{?fr1r1 ?S ~
City of Eapn /
t Permit Fee
3834 Pilot Knob Road
Eagan MN 55122 Date Receved: 3` 3
Phone: (651) 675.5675
Fax: (651) 675-5694 1 staff. 1
1
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: ] O ID -02
~,r eta fr' tttnit
Name: jAll i i2 c`L Tc•3~--'--an`~ f~3rbr~t hone:
Resident/
Owner Address! City I zip:
Applicant is: O:<mer --tr - Contractor
Type of Work Description of work: Q --R a
Construction Cost: 119.1 y Multi-Family Building: (Yes t fro _
)
Company: U+ " T'~ A8 U C. Ii-I Contact: a f> n >
Contractor Address: 97,0 CU V ru "rte t city: A 0 &
State: --N\N( Zip:j 1 2'_ Phone:, Z { _ (Q
License= : . A S7 b 9 Lead Certificate A I gIctl I
If the project is exempt from lead certification, please explain 1why: (see Page 3 for additional information)
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 speck reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (661) 454-0002 for protection against underground util ty damage. Call 48 hours
beto e,, you intend to dig to receive locate; of underground utilities
I hereby { cknotviedge that this information is complete and accurate:. that the work will be in conformance with the ordinances and codes of the City of
t agan, that I understand this is not a permit; but only an appleration for a permit, and work is not to start wiihoul a permit that the work tt he in
accordance with the approved plan in the case of work i4,41ich 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,
Applicant's P ted Dame Applicanrs ignature
TR'" ATFD WOOD IVIIAY RRQUiRE SPFe?AL:i
s01
SUPbi.IWi i•OR MORE INFO-RMA770N.
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WALKING SURFACES GREATER THEN 30"
ABOVE AREA BELOW REQUIRE GUARDRAILS
MINIMUM 36" IN HEIGHT AND DESIGNED
SUCH THAT A 4" SPHERE WILL NOT PASS THROUGH
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Baluste Spacing = 3 3/4"
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Railing Height = 36"
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