1661 Donald Ct
Use BLUE or BLACK Ink
r
For Office Use
Permit ing City of EaEd!1 I Permit Fee: f~ ~f O I
3830 Pilot Knob Road I c '/O 1 I
Eagan MN 55122 Date Received:
-~t`~- I
Phone: (651) 675-5675 l I I
Staff:
Fax: (651) 675-5694
2011 RESIDENTIAL BUILDING PERMIT APPLICATIO
CA_
to l 11ctU 1 ~ o
Date: Site Address: x* ` Unit
Name: t-V Tart L Phone: Coo a` 3 1 - Sl \ 3
RESIDENT /
OWNER Address/City/Zip: \\o X. \ 'Lw"Q
Applicant is: Owner ~C Contractor
TYPE OF WORK Description of work: 1~g!'~~e-ten eF Qw a Z~ooz 01.3 C>P la-vi Ckr wc~~~ s
Construction Cost: \,OSI> Multi-Family Building: (Yes /No Y )
Company: \~ra~.Dym~n L Contact: u~ t,_tUi-
CONTRACTOR Address: OS-1 I W L_"N,ot- S& City: htAa-i`\ #-I uas
State: ML_*_ Zip: SSA 33 Phone: 4-L-t -
License o~ u a ~c"l 3 3 4 Lead Certificate M
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
L bu"..r \,-Grt tz__ ka-1 !E)
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:
(VOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orcl
I hereby acknowledge that this information is complete and accurate; that the work I be in rmance with the dinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, d work is n to start witho 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 1 `r`u~~ ZSZ_ r
Applicant's Printed Name Applicant's Sigpatu
Page 1 of 3
This request vold ({ -' [ C)
18 rtpnths /rom
W096270
L7.ly,3?, 5? Ii
3`t S'?a 3
C0.1vt?'.1-G ??b w!? / pb , o O
Request Uate
' Fire No. Itouph-in Inspectio.
Heduued?
[]Ready Now 12 Will Notify, Inspem
November 1983 JJO&•es ?No tor Wheo qeadv
licensed Electrical Contractor I hereby request inspection at ebove
? Owner electriml work i.telled ai:
Sireet AdAress, Box iz- Route No. Ciry
1661-1663 Donald Court Eagan
ecuon o. 7ownship Name or No. Raipe No. Couniy
Dakota
OccuOant IPRINTI Rione No.
Cameron Develo me0t 647-6900
Power $upplier Address
NSP Red Rock 3000 Maxwell, Newport, MN 55055
Elechical Cantrecior ICompanv Namel Conuactor's License No.
Hillcrest Electric Co. A-40?71
Mailing Atldress ICOntractor or Owncer NWking Insfaila[ionl
20SO Be r venue St. Paul MN 5 109
Authorized ' n omra /Owner MakIrts?alla?ionl
Mone Nwnber
v 777-8186
1
MINOTA STqTE BOARdOF ElECT11fCITY V THIS INSPECTION flEQUEST WILL NOT
Gri s-Mitlwav Bldg. - Room N•181 BE ACCEPTED BY THE STATE BpppD
7821 Universitv Ave., St. Paul, NN 56104 UNIESS PROPER INSPECTION FEE IS
PMnw 16121 297-2N1 ENCLOSEO_
REQUEST FOR ELECTRICAL INSPECTION
0992, See70i?truetids ta wmpletilg this fam m heck of yellow coOY. ?
"X" Be7ow Work Covered by 7his Request
Ns? Atltl Nep. Type o1 BuilGine Awliames Wired Equioment Wired
Home Range Temporary Service
Duplex Wa[er Heater - Lighting Flxtures
Apt Buiidfng Dryer Elecvic Heatln
Commercial Bldy. Furnace Si!o Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
Farm oanr, vec4 me, Isue.:;ryi
- - -TTt&zr . pecify ther Other
Compute lnspection Fee Below M Fae ServicaEntranceSize p Fee Feeders/Subteeders u Fee Circuits
QQ U to 200 Am s 0 to 30 A 0 to 30 Am s
Above 200 q 37 ro 100 Artq?s Q 1 to 100 A
Swinvning Pool
1 4 ?? Above 100_ Anips, Above 700_E1m s
Transformers Irtigation Boorrs artiai:'Other Fee
Si g?5 $pecial 1?pectfon
$
T
Hemarks 100.50 ??E
/ • \ &?, J
HouBh-in ?F ?? ?,'
??? .
, the acVical
Inspectoq herehy
certi(y thet the nbove
Final ? oection has boen
rtede.
This ieauest voitl 18 montln trom
.• -_ CITY OF EAGAN
' ? H4O?I
N
3795 Pilet Rnob Rmd Ee9on, MN 53122 •
B
ILDIN PHONEi 434-8100
PERMI
U
G T Receipt
T. M wad Mr 1/2 DUPLEX & GAR Esr. Volue $50,000 Dore August 22
Sita Addreu 1663 Donald Court erecr Occupancy R-3
Lot 32 Block 1 Sec/Sub. Cameron Court Alter ? Zontnq R-Z
parcel # 10 16300 320 Ol Repair ? Fire Zone NA
E
l Vn
T
f
n
orge ? ype o
Conn.
s Name Cameron Development Co. Move ? # Srories Z
z Addreu 1759 Selby Ave. pemolish ? Length 24
ci St. Paul 55104phone 647-6900 6rode ? Depth 40 Sq. Ft._
rc N OWtler AvVrorab Fees
o c^a -
?
?u Address
F r:...
Nome _
Address
I hereby ackrwwledge fhot I have read this ap0lication and state thaf
the inlormation is wrrett and agree to comply with all opplicable
Slote of Minnewta $tatutes ond City of Eagan Ordirwnces.
SiOnofure of PermiMee edffier
A Building Vermit Is issued to:
all work sMall be done in accordance with all
Buildirg OfNciol
Assessment Permit ?U?•uv
Wofer 8 Sew. Surcharge 25.00
Police Plon check 141.50
Fire SAC 525.00
Enp. Water Conn. 450.00
Glonner Woter Meter
-
Council 0
Road Unit Z 0•0
Bidg. Oft.
APC Totol •SO
? on the express cordition Ihn+
utes and Ciry of Eagan Ordinances.
?L.-i 091 . •
,,, CITY OF EAGAN
?7
? p c
40
4793 Pibt KnoE Raad Ea9an, MN 55122 lr V
0
. 1 PHONFi 454-8100 2
BUILDING
PERMIT
Receipt # ,5141
Te bs uud 4oe1/2 DUPLEX & GAR Est, Volue $50,000 pate Au gust 22 _ 19 83
Site Address 1661 Donald Court E
t O R-3
rec
gg ccuponcy
Lot 31 Block 1 5ec/Sub. Cameron Court qlter p Zontng R'z
Porcel # 10 16300 $10 Ol Repair ? Fire Zone NA
Vn
Enlaroe ? Type of Const.
rc Name Cameron Development Co. Move p # Srories 2
? Address
i 1759 Selby Ave. pemollsh ? Length 24
citySt. Paul 55104pho. 647-6900 Grade ? Depth 44 Sq. Ft.-
rc OWIICT ADDrovab Fea
o0
u
u?
f
Name _
Address
Name _
Address
1 hereby ocknowledge thot I have read this apDlicotion ond state thaf
the information is corred ond ogree to camply with all opDlicoble
State of Minnetoto Stalutes and City of Eogan Ordirwnces.
$ignature of Pertnittee
A Bullding Permif Is issued to: Came
oll work shall be done in accordonce with all
Building Officiol
Assessment -
Water 8 Sew.
Police ?
Firo
Eng.
Plonner _
Council _
Bldg. Off. _
APC
Permit GBJ.UU
$urChorge 25.00
Plan check 141.50
SAC 525.00
Water Conn. 450.00
Water Meter 60.-0.0
Road Unit 250.00
Totol $1734.50
on tha express condition thni
y of Eogan Ordinances.
?? t, ct(Ip i CITY OF EAGAN , Include 2 sets of plans,
???(? v 1 site plan w/elevatians &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
To Be Usecl For z Durp ? E* Y(o etc- Valuation Date ?'"r(1 4-?
site Paaress
1(aUl 1>oRal? Au- rN- i7
Wt Blocx 1 sec./sub.eax,teroAeoLtr4
-Erxt x
Parcel #: 15 I t0 30 0 3O0 O( Alter
O4mer: 00-w-U` U?? ??U @ IoPM f n`? C?O
Address: 1-i S ? ?1€ ( '-C?' /Tv ?- ,
City/Zip Code: ? LA- ? sS 16 g- -
Phone #: bq DO
Contractor: nu:)Vl.Ej-
Address:
City/Zip Cocle:
Phone #:
Arch./Eng..
Address •
City/Zip Code:
Phone #:
Repa,r
rEn].arge _
Nbve
Demolish
Grade
OFFICE USE ONLY
ixcupancy 3
Zoning
Fire Zone /?--
Type of Const. h
# Stories Z-
Frvnt p, ft.
Depth ft.
APPROVAIS FEES
Assessments Permi.t Z F3
Water/Sewer Surcharge
Police Plan Check L?? .Se
Fire SAC os
Eng. Water Conn. cl?z)
Planner Water Meter / e
Council Road Unit
Bldg. Off.
P.PC
TOTAL h' 1 `t 3? ('50
::??'L??,? CITY OF EAGAN Include 2 sets of plans,
1 site plan w/elevations &
BUILDING PERMIT APPLICATION 1 set of energy calculations.
Tb Be Used Fbr i b u???- X -4- GCLIV- valuation Date
site paaress IkO bov4jL ( eL do OFFICE USE. ONLY
Int j?ot, Elock sec./sub.&wt@roti &,c,lA Erect x OccuPancY
Parcel #: 1 C> I(0 3 6 b 3? O o l Alter Zoning k-- Z
/?? Repair Fire Zone
Owner: l_`'??IA&Y`oar\_ 'k, F_u @1aD Lvl @vl?- 06, EnlazSe _ TYAe of Const. n
Address: ?? # stories
? DEnnolish Front 2 £t
City/Zip Code: --4• Q0'.u t SS/ O Q( Grade Depth ft
Phone #: &q 7 - Cpq d b
Contractor: ?? ?81-
Address:
City/Zip Code:
Phone #:
Arch./IItg. .
Address:
City/Zip Code:
Phone #:
APPROVALS FEES
Assessments Permit Z
faater/Sewer Surcharge ??.--
Police Plan Check SR
Fire SAC
g1q. Wates Conn. T SO
Planner Water Meter 6 0
Council Road Unit
Bldg. Off.
APC
? ? S?
RCYI'AL l 1
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
wsceiveo
FROM
AMOUNT $ I
A? DOLLARS
?oo
? CASH ? CHECK ,
ROR •
i ,
FUNO CODE AfA OUNT
J1.
// ?/d ?,. I.•' (?
Tha You ? . SY
/ White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
Cities Digital Qualitv Control
The following image represents the best
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Every effort was made to capture the content
from the original page.
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3795 Pilet Knob Roed Eogan, MN 55122
PHONE: 454-8100
BUILDING PERMIT ' Receiar #
To bs ussd fer]./': !'>UPTUX & GAIR Est. Vciue $50,000 Date Au;
S4ff
;•,
22 n 83
Site Address 1. "".i ,.,Uunia k_vur L
Lor -;1 Bfock 1 Sec/Sub. Ca,'neron Court
Parcel # `.71E.390 31o G1
cc Nome ar,?eron eve opment o.
10
= Address 1759 Selby Ave.
? Ci `_;t. Faul 55104 Phorke 647-6900 Erect
Alter
Repoir
Enlarye
Meve
perr,clirh
Grade 50
p
Q
0
p
p
p Occupancy P`- 3
Zoning r-2
Fire Ione -'•4
Type of Consf.
.# Srories ^
Length Z`F `
Depth 40 Sq. Ft.
waer
°C N
n AParoxals Fees
ar
e
o~ Add Assessme nt Permit l '
ress
ul Wnter & Sew. Surchorge 25.00
Cit p?? Police Plan check 141.50
?W Nome Fire SAC 525.00
Address Enp. Water Conn.450. 0 0
iW Ci phora Vlanner Water Meter 60•00
Council Road Unif 250.00
I hereby acknowledge fhat I hove reod this applicotion and stote that B{dg. Offi.
the informetion is correct and agree ro comply with oll applicable $1734.50
5fate of Minrtesot4 Sfotutes ond Cify of Eagan Ordinances. APC Totol
Signature of Permittee
, x r eV OPtftCtl Co.
/1 8uilding Pertnit is issued to: on the express conditlon thm
oli work sholl be done in atcordance with oll opplicoble State of Min nesota Staty tes-on d'City of Eoflon Ordinoncea
Buildinfl Officiol ?
Psrmit No. Permit Holder Misc. Permit No. Holder
Plum6ing a "75C 1 - g-?-?
H.V.A.C.
weu
D
isp.
ft
r
Electric
Inspection Date Insp. Other
Footings gb?;'- ? 4111
Foundation
Framinp ?L?
Rouph Plba. - 3 ?
Rough HVA
Insulation 6A'
Final Plby. j
Finel HVAC
Final
Water Dsuxibe Location:
YVall _
Sewer ?
Pr. Disp. ,
- , -- ? cirr oF EaGAN
3793 Pilet Knob Rood Eogon, MN 55122 •• '
PHOMEs 454-8100
BUILDING PERMIT Receiar
Te be wed for I/= D1JF'LL:; n C.:1?'. Est. Voiue i 50,000 Dare A ugu3 t22 _ 1983
Site Address 1663 DQna a our t
Ere
t ?
Oc
u
n ;?_.3
?
1 c c
pa
cy
`
Lot See/5ub Cameron Court
Block qlter p Zo,,;n9 R_.2
Parcel # 10 163Q?? 320 01
Repoir ?
Fire Zone ?vA
E
l
T
f C
t Vn
Gameron Development Co. n
orge ? ype o
ons
. ?
? Na? Move ? # Stor?e
? 1759 Selby ?,ve. ?
j Rddr,ess Demolish p Length
?
City-t , Paul 55104 Phone 647-6900 Grode ? Depth Sq. Ft.
a
O Ncme ??er Approvcls Fees
f-
?l Address
Nome
Address
I hereby acknowledge that I I
the information is torrect ai
Stote of Minnesota Statutes
5ignoture of Permittee
C:a
A Building Permit Is issued to:
otf work shoif be done in accordance with a!!
Buildinq Official
Assessmeni
Woter & Sew.
Police
Firo
Eny.
Pionner
Council
81dg. Off.
APC
Permit --'.--25.00
Surchorge
Pfan check?
SAC 525.00
Water Conn. 450. DO
Water Meter 6
Rood Unit
•
TOCOI Y
on the express wnc4itlon tl,ni
ond City of Eogan Ordinances.
=-?
Permit No. Permit Holder Misc. Permit No. Holder
Plumbin9 3-7 S :;L- D ?et vAo
?? G? -?' ?'3
H.V.A.C.
w.u
wat.r
Disp.
Sewar 4
-
Eleceric wOQG Z-16
Inapection Date Insp. Other
Footings Y--xS4; ?le
Foundation
Freminy
Rough Plbg.
Rouph HVAC
Insulation
Final PI6g.
Final HVAC
Final ? -
Watar Describe Location:
VYall ? t
Sewer
a .
Pr. Disp.
Reoeipt
I '?(
PLUMBING PERMIT Permit No. r-7"' •'
CITY OF EAGAN
Fee "
Fill in numbered spaces S/C
,
Type or Prin[ legibly -
Tot. r-
1. Date 2. Installation Cost
?
3. Job Address l2 Lot .?3? Blk. ? Tract '
?
4. Owner ?
5. Contractor l/y ._ Phone • f ? ?, ?;?C
6. Address
?
7. City //r State /N ?!' V Zip ?-'^/ /-?
8. Building Type: Residential 13 Commercial ? Institutional O
9. Work Description: New El Add ? Alter ? Repair ?
10. Describe
11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
/ Bath tubs Septic Tank
2 Lavatory Softner
1 Shower Well
? Kitchen Sink
Urinal/Bidet Other
% Laundry Tray
! Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with;all prdinances and codes governing this type of work.
Signed: for
Rough Final
Inspections: Date Insp. Date Insp.
This is your ';? rmit when numbered and approved.
Approved CITY OF EAGAN 464-8100
Receipt PLUMBING PERMIT Permit No.
CITY aF EAGAN
, Fee .
(
fill in numbered spaces S/C
Type or Print legibly
Tot. -1. Date ,/. ./, J 2. Installation Cost
3. JobAddress Lot Blk. 1 Tract
4. Owner
?
5. Contractor 'v,,, Phone .??? l?/?` c
r ? ?-
6. Address /
7. CitY ...4.: / ? State V Zip
8. Building Type: Residential 13 Commercial O Institutional ?
9. Work Description: New 0 Add ? Alter O Repair ?
; 10. Describe
! 11.
No.
2 Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
Shower Well
r Kiichen Sink
Urinal/Bidet Other
? Laundry Tray
Floor Drains
Drinking Ftn.
Slop Sink
Gas Piping Outlets
i
12. I hereby certify that the above information is true and correct, and I agree to
comply with ail ordinances and codes governing this type of work.
Signed i? for
Roug4 Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved _,?,. CITY OF EAGAN 454-8100
CITY OF EAGAN
Addition_?,,ATuiFR(???OI-IR-'j' Lot ?.} Bik-?
Owner a'' •Street 1661 Donal d Cc> >rt
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR. ? ?.
GRADING
,.S 208.48 C008836 1-30-84
SAN SEW TRUNK 3e0 11.79 C008835 1-30-84
* SEWERLATERAL Zia?? 1 -) 57.05 C00$$36 1-30-84
** /-? `' 25.97 23.91 C008836 1-30-84
** WATER4A#*# La iS'9
* WATER LATERAL ? g Ij 1974 19
WATER AREA
* * ia 9 1974
+t* STOFM SEW TRK iy 1974 12
STORM 5E1AfW# Trk i 7" 1974 35.15 1 7.07 C008836 1-30-84
821.31 C008836 1-30-84
URB & G TER ' '
51DEWAlK
STREET LIGHT
ROAD UNIT 250.00 38161 8-22-83
WATER CONN. 450.00
BUILDING PER. 8406
SAC 525.00
PARK
CITY OF EAGAN Remarks
Addition ???pabi C-()IIRT Lot 3?a Blk ? Parcel 23e 36300 32 .
Owner C0 11'r street 7 F+63 Donal d(:oiirt State f3agan, hiN. 55121
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1975 p p 1 12 O
STREET RESTOR. 1975 66.41 6.64 10
GRADING
S ,.S 208.48 008836 1-30-84
SAN SEW TRUNK 1974 26.92 .87 ? 24 11.79 008836 1-30-84
* SEWERLATERAL .? 1974 142.49 12 57.05 008836 1-30-84
** Sew Lateral i.2 ? 1974 358.09 PREgN 19 23.91 008836 1-30-84
** wArEIA"#v Lat S' q 1974 12
* WATERLATERAL ? 1974 19
WATER AREA 1973 PAID UN RORIGINAL P RCEL
** Storm Sew Lat /-v? 1974 19
* STpRM SEW TRK i Q 1974 IZ
STORMSEW#W# Trk,,/ 1974 35.15 29a 14 7.07 C008836 1-30-84
21.31 C008836 1-30-84
CURB & GUTTER
51DEWALK
STREET LIGHT
ROAD UNIT 250.00 38161 8-22-83
WATER CONN. 00.00
BUILDING PER. 407
SAC
PARK
CITY AF EAGAN WATER SERVICE PERMIT
353f.'Pnot Knob Road
P. O. Box 21189 PERMIT NO.:
Eagan, MN 5121 DATE: - '
Zi.r?infl: {" No. of Units: '-i t1? ex
Owner: Cameron :1:;v
Address:
Stt, llddress: 1661 D-onalcl C: L31 '.I Car.ercri Co*Ax--
Plumber. - Map 1 ewooci S & !ti
1'?? ?-
Meter No.: Connection Chorye: ``" '• '.: u
Size: AocouM Deposit;
eoder No..
sow te cowoyr wNb tIM Ciey oF Eayan
Pem,ir Fee: 10.00
. .`.
Surcharge: .50
Mlac. CFarpes: f) •
Totol:
Date Paid:
Inap.:
of Insp..
. . ..V cnutlry
Pilot Knob Road WATER SERUICE PERMIT
I30
0. Box 21199 PERMtT NO.:
?gan, MN 55121 DATE:
;Z ,
m'^g' No. of Units: !# dupli
No..
" 60m* wkh !he CIlv of Ee"a
ConnedFon Chorye:
/lccourM Deposit: _
Permit Fee:
Surchorye:
Misc. Chorpas: -
Totoi:
Doft Paid:
CITY OF EAGAN SEWER SERVICE PERMIT
3830 Pilot K:iob Raad
P. O. Box 21199 PERMIT NO.: 614t:
Eagan, MN 551,21, DATE: 2-8-84
Zoninp: No. of Units: Y up QX
Ow.wr: l,utII62'Ori Dev
Address:
Site Address• Ibba `;)ci;:;tlu Ccnl7-.- . .. . -zl-lez'on "'c"_,t.•
Plumber.
I a9m* M eomoFp wilb !M Citi af Eops
Ordiaenees.
By
Dote of 1 nsp.:
Co„rwdion C„rg,: 425.00 vd
ACCOtx+t DepOSit:
Permk Fw: 10 _ 00 ' d
Suroharye: • 50
Misc. Chorpm
?ElTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMITTYPE: aunozNs
Permit Number: 031900
Date Issued: 0 A/ 3 0/ 9 8
1661 DONRLD C7
LOT: 31 BLOCK: 1
CAMERON COURT
P.I.N.: 10-16300-310-01
DESCRIPTION:
( R 0 0 F I N G)
,Ou,3lcling-,p.ermit Type
"
!Build3ng Wb-rk Type
Census Codg
- ??-
*?
MULTI. (MISC.)
REPAIR
434 ALT. RESIDENTIAL
??t L T'
REMARKS:
INCLUDES 1663 OONALD CT (LOT 32)
FEE SUMMARY:
VALUATIqN
Base Fee
Surcharge
Total Fee
$87.25
$2.00
$89.25
$4,000
CONTRACTOR: _ Applicant - 5T. LIC .OWNER:
BER6LUND/JOHN50'N CONST 12219170 2000625 CAMERON COURT ASSOCSATItlN
4860 MINNEAPOLIS AVE DONALD COURT
MINNETRISTA MN 55436 EAGAN MN
(612) 221-9170
I here,by acknow3siige that j,'M4ve Yead ttvis applic=ationanti states thafig'the °-infor7nation 3`s cprreot ancl argre,e to campky.?L?tF?, plicable Stat.e= af-Mn
? SCatutes and ¢ity of Eagan _ ,Qrdinanaes,:.
APPLIGANT/PERMITEE SIGNATURE I UE B. IGN!(I'UFtE ?
??- ; = 1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
?? (`? ? 3830 PILOT KNOB RD - 55122 ? ?
651-681•4675
New Consiruclion Reaulremenh
Remodel/RenairReauhements? -9 - ` /
? 3 registered sfle surveys showing sq. fl. oI lot, sq, tt. of house 2 copies ol plan
antl ?II roofed areas (20% maximum lot eoveraae allowed) 1 set of energy calculatlons lor heated oddMlons
? 2 coples of plana (show beam 3 window slzea: poured fnd. design; etc.) 7 sBe auney for exTerior addBions a decks
? 1 aet of energy calculalions
Y 3 coples of hee preservafion plan N lot plaffed aHer 7/1/93
DATE: JLI.NE o29 I9ri-q CONSTRUCTIONCOST:
DESCRIPTION Of WORK: f\,Ef1Ll,f Wl ?70EC*,
STREET ADDRESS: I Lo Ln? ? I?l1N A Ll? l T
LOT: ?„a BLOCK: I_ SUBD./P.I.D. #:
PROPERTY
OWNER
CONTRACTOR
ARCHITEC7/
ENGINEER
C't
Name:_ 'SCI-lLl,LT7_ titi\C`.?flP.? Phone #: (o5l qr'jQ- -QLo0(o
ian Fo-sr
Street Address: I Lo (03 L1)n mf3a 0-T"
City CpGm State: Zip:
Company: Phone #:
(area eode)
Street Address: License #
Ctty
State:
Company: Name:
Telephone #: area code (
Sireefi Address: Registration #:
City
Sewer 8 water Iicensed plumber (reauired for new conslruc}lon onlvl:
State:
Penalty appltes when address change and lot change fs requesfed once permit Is issued.
Zip:
Zip:
+ I herehy acknowledge that I have read this appllcaNon, stafe that fhe fnformaNon fs correct, and agree to comply wRh all applicabl
? Sfofe of Minnesota Statutes and Cly of Eagan Ordinances.
Sfgnature of AppltcaM: ,y-
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
- Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
T' ` A.
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-piex ? 17 Garage O 22 Porch/Addn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex 18 Deck ? 23 Porch (screened)
? 04 2-plex O 09 7-plex ? 14 Apartments 19 Lower Level ? 24 5torm Damage
? 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Aiteration ? 37 Demolish Bidg.• ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual) Basement sq. ft. Census Code u3N
(Allowable) Main level sq. ft. SAC Code O/
UBC Occupancy sq. ft. No. of Units ?
Zoning sq. ft. No. of Bldgs
# of Stories sq. ft. MClES System
Length sq. ft. City Water
Width Footprint sq. ft. Booster Pump
PRV
Fire Sprinklered
APPROVALS
Planning Building /?-- - Engineering Variance
Permit Fee Valuation: C=A`•;H1:E?? 5 I'ERMSNAI_ N0: 603
Surcharge DATEc 07/09/93 T:rrs.r:.: 15:55:24
Plan Review ID
License ,.
?
MC/ES SAC nAMFr RZCNInRn L. ,,rfiuLrz
I
City SAC
?321.0 9001. 1663 DoNALD f.;r I
e0.00
WaterConn. ?MI5 9001 ib„3 noNaLD cT 0.50
Water Meter
I ,
,
Acct. Deposit ?
S/W Permit
S/W 5urcharge
Treatment PL I '
Park Ded.
Trails Ded. j
Other '
Copies '1'u'I:a]. Receipt Artinunt:
? 61) 50
CR9.13006
I i.1SFR SLi: NFlN!;V ?
Total: i
I
SAC Units
% SAC
From : Jim & Rlyce Benson
612 469 4109
PHONE No. : 612 469 4109
? 9? gy
Su1.09 1999 9:41AM P01 ,,,?`
J? ?l?j N'I F?o.II/ 2?' f?D/? ?./?a ?
4095
09m ??AAI
?
?j/6ep eiQv i /e 6C) .
0
,)AT /*R
? ??
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5z,?:):.,
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t
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reauirements RemodeVReoair Reauiremenk Office Use Oniv
3 registered site surveys showirg sq. ff. of IoL sq. ft. of house; and L11 roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20% maximum lot coverage allmvetl) 1 set of Energy Calculations for heated addNOns Tree Pres Plan Recd _Y _ N.
2 copies of plan showing beam & window s¢es; paured foufM design, etc. 1 sRe survey for additions & decks Tree Pres Required _ Y _ N
i set of Energy Calculations Add'dion - indicate if on-site sepUc system On-sRe SepF?c Syslem _ Y _ N
3 coples of Tree Preservation Plan if lot platted after7M/93
Rim Joist Detail OpUons selectlon sheet (bldgs with 3 or less unils
Date l l,k % l v? ConstructionCost srCl?C/?s
SiteAddress a2a2&d C? LgZ?W f?J//J ? /Unit/Ste #
67
Description of Work
Multi-Family Bldg _ Y X N Fireplace(s) X 0 _ 1 _ 2
Property Owner Telep6one # (/P, j/) [p
Contractor t ? .li•
Address L( City E?f}/u
State /,M Zip Telephone # (6/* ?g25?U
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(dsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submittetl
Have you previously constructed a building in Eagan with a similar planZ _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name
??`"/L/f2..
pA plicant's Si
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Att - SF
? 04 02-plex ? 10 OS-plex 0 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_ N? 25 Miscellaneous
Work Types
? 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
? 34 ReplaCement `DemoliUOn (Entire Bldg) - Give PCA handaut to applicant •
Valuation 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) _ Final/C.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ W indows
_ Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
1998
3 R00 BUILDING
New ConstrUCtion Reauirements
PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAGAN
3830 PII.OT KNOB RD - 55122
681-4675
? 3 registered site surveys
? 2 copies of plans (inWude beam 8 window sizes; pou2d fnA. design; etc.)
? 1 energy calculations
? 3 copies of tree preservation plan H lot platted after 7f1193
required: _ Yes yo
DATE: ?
DESCRIPTION OF WORK:
/Cyc
7?
STREET ADDRESS: _ 16 (o I ^' 1 &6 3 /UA'L Z) C O C.) T-
LOT: ?IJ)L BLOCK: J_ SUBD./P.I.D. #: LU oIYrI U61at
PROPERTY
OWNER
Name:
LaSt
Street Address:
City
RemodeUReoair Requirements
? 2 copies of plan
? 2 sfte surveys (exterior addkions & decks)
? 1 energy celwlations for heated adddions
CONSTRUCTION COST; 3 300, State:
Zip:
Company:?.? SO!5 /-) Phone #:
CONTRACTOR
7 Pj// ? Street Address: (pl? ? / %wPLS f? License # a-CJ0 0
ARCHITECTI
ENGINEER
Phone #:
Phone #:
Name: Registration #:
Street Address:
Ciry State: Zip:
Sewer & water licensed plumber (new construction only): . Penalty applies when address chang
and lot change is requested once permit is issued.
I hereby acknowledge that I have read this application and state that the infortnation is conect and agree to co?npl II appiicabl
State of Minnesota Statutes and City of Eagan Ordinances. ? A? ?
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
City M6/V111? ?15'7^Z State:'11A ! Zip: '55 36 '/
First
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
? 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Variance
Permit Fee 87 as
Surcharge ?• 0(2
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: sa. a5
?
Valuation: $ y40t)
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinkiered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
% sa,c
5AC Units
2000 BUILDING PERMIT APPLICATION (RESIDENTIAL) qk&o
arr oF FAcau
3830 PILOT KNOB RD - 55122
851-681-4875 161
New ConshucHOn Reaulremenh -? RenwCel/Reoa?r Reauiremenh • ?
n 3 reylsteretl We wrvays ahowlnp aq. fl. of bt, sq. x. a nouse s copies or pian CAllCd V12'00
and gq rooletl areaa 14076 maximum bt coveraae albwe? 1 set of energy cdculatlons for haated addHlons
? 2 coples of plana (show beam & wlndow sixes; poured 1nd. design; efc.) 1 site surveY lor exleNOr additbna & dacks
a 1 aet of energy calculallona
> 3 copiea W hee presenaflon plan If lot plaRed after 7/1/93 DArE: ?Le4 ? Zooo
Name: r"R Q? ?aKe S Phone u: C5 t rog 8C?.6`'t6
lutf First
SheetAddress: D
ciri state: M? zip: SS[ Z I
DESCRIPTION OF WORK: _/?-C?
STREET ADDRESS:
Company: ?flf Phone q:
(area code)
LOT: -A_ BLOCIC ? SUBD.IP.I.D. #f: l QYY1Cr011 ?T
PROPERTY
OWNER
CONiRACTOR
ARCHITECT/
ENGINEER
CONSTRUCTION C05f: /,2oO
Sheet Address: tlcense t ExP•
CNy
State:
Zip:
Company: Name:
Telephone #: (
Streef Addreas: Regishaflon #:
CMy
State:
Zip:
Sewer/water licensed plumber (ff irkstalflna sewer/watarl: Phone #:
I hereby aeknowledye lhat I have read Ihls applkoNon, state IhW 1he Infortnatbn is cortecF, and agree fo comply wilh a0 appQwble StatE
of Minnesota Stahites and Cily of Eagan Ordinances. ?
Signafure of Apptcanh ?
OFPICE USE ONLY
Certificates of Survey Received _ Yes _ No ' MAY - 5 r
Tree Preservation Plan Received _ Yes _ No _ Not Required ?1
??•-
OFFICE USE ONLY
?
,
BUILDING PERMIT SUBTYPES
? 01 Foundatian ? 07 OS-plex ? 13 16-plex ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 08 06-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 01 of _ plex ? 09 07-plex *'18 Deck ? 23 Porch (screened)
? 04 02-plex ? 10 08-plex ? 19 Lower Level ? 24 Storm Damage
? 05 03-plex ? 11 10-piex Pio9 V or_ N? 25 Miscellaneous
? 06 04-plex ? 12 12-plex ? 20 Pool ? 30 Accessory Bldg.
WORK TYPE
W'31 New ? 36 Move Bldg. ? 43 Reroof
? 32 Addition ? 37 Demolish (Bldg)' ? 44 Siding
? 33 Alteration ? 38 Demoiish (Interior) ? 45 Fire Repair
? 34 Repair ? 42 Demolish (Foundation) ? 46 Windows/Doors
• Give PCA handout to applicant for demolitlon permit
GENERAL INFORMATION
SAC Code o% # of Stories sq. ft.
No. of Units o Length 9,14 sq. ft.
No. of Buildings I Width 12- Footprint sq. ft.
Const. (Actual) Basement sq. ft. Census Code
(Allowable) Main level sq. ft. MC/ES System
UBC Occupancy sq. ft. City Water
Zoning sq. ft. Booster Pump
PRV
Fire Sprinklered
MISCELLANEOUS INSPECTIONS
? Stucco/Stone
APPROVALS
Planning Building ? G Engineering Variance
PermitFee 6D.50 Valuation: $ ?, 1uo
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies • 5'0
Total: ?61.OPi
? 31 Ext Alt - Muw
O 33 Ext. Ait - S F
? 36 Mufti
N3y
SAC Units
% SAC
6124694109
05/12/2000 07:21 6124694109 JIM AND ALYCE BENSON PAGE 01/01
May 5, 2000
TO: City of Eagan
FROM: Jim $enson.
SUB7: Building of deck at 1661 Donaid Court
Jim Barrittgcr, 1661 Donald Couzt, Eagan, MN, has the Cameron CouR HOA approval co build a
replacement deck on his property, in accordance with the building codes of the city of Eagan•
President of Cazneron Court HOA
952-469-2161 Voice
952-469-4109 Fax
612-812-1324 Cell
G?b^r? ^!? aR?a.
?a? ???
,
":1 ?
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~RAWING NttM1 DRAWING Nl1MS)M :
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use 7
Permit
City of Ea I ~~Sa
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: Z
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: /t ~ / tl-,L i,2, 7 A re Phone: h Ly _ 713
RESIDENT / ~ F-)
OWNER Address / City / Zip: L
Applicant is: Owner Contractor
TYPE OF WORK Description of work: w^V►U ~c~ d- -b01)2 h pe,,e4k
Construction Cost: Multi-Family Building: (Yes / No )
Company: LrA)mQ u Pei n2 m 40'0ConLta'S
:x ~ S4/'~Ci ~/le.d-4W_e
CONTRACTOR Address: 76 g Wtst' 2o44w
State: 44 ~J Zip: Phone: 5-1' 702 ° 7 7
License _020 D Lead Certificate
If the project is exempt from lead certification, please explain why: (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 specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
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 ,ooff permit issuance.
X / t ~/T L/), 9 7 x L/
Applicant's Printed Name Applicant's Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
I
For Office Use X}
- --
Permit#: /� o�-
'*" City of Eag,all Permit Fee: /05-- -
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: V'E%Ak7f` 1 G� Phone: „
Resident/ ,\ "�T`i a (�
Owner ` Address/City/Zip: ` _ " G
i i a
E. , , , Applicant is: Owner Contractor '
t Description of work:1 d,
Type of Work
Construction Cost: Multi-Family Building: (Yes /No )
Company\�1 I(WOt (h fl Contact: Int C'L
L +'(S t\ \��� - -�
I Address: City:
Contractor /+,State: Zip. S't3Phone:U`�. q71'
mail: A6,�/v6(dlL 5--��� g "Q c4'\
License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression Contractor: Phone:
NOTE:Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City'to
conclude that they trade secrets. __
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecali.orq
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.t .
0
x__Ck.S\A
„,)
x • 1 0
/(9._ii'V—.
Applicants Printed ame 1-1 Applicant's Signature
Page 1 of 3
r For Office Use �/�
t r ¢ /5 36(
,,# EAGAN
�,a ; e +�s Permit#:
- Permit Fee.
flECEIvEJDate Received: l/O� 7
3830 PILOT KNOB ROAD i EAGAN, MN 55122-1810 OCT
(651)675-5675 i TDD: (651)454-8535 I FAX: (651)675-56 17 2019Staff: vim
buiidinginspectionsCdtcityofeagan„com
BY-
2019 RESIDENTIAL BUILDING PER T APPLICATION
Date: 10/17/19 Site Address: 1661 Donald Ct Unit#:
iaz 4-1� "A.,}tx HcrI Keith & Lynette Tate612-387-5713
fist i ) j , 1 f tlt1 Name: y Phone:
i1((tt y .,,° t
ti -1-4.' 1661 Donald Ct, Eagan, MN 55121
: 4,., , ,, . Address I City!Zip:
✓ A - CArnwon c�
Applicant is: Owner Contractor
„:1.114 t> 1ff to,�� Description of work: Bathroom Remodel See Site Plan For Details
",'0.44� ;t ., 7000
i}iiii ill t4 Construction Cost: Multi-Family Building: (Yes /No )
�tttt 1 �g,
j j if� e / Great Lakes Window & Siding Contact: Derek
1S Company:
Al., 11,'
iiiiit'''''t' Address: 14690 Galaxie Ave City: Apple Valley
t�' &¢ 1,4tt t state: MN Zip 55124 Phone: 952-891-34t Email: derek.glwsco gmail.com
aF ; i1- i t lel 4BC060427 NAT-23297-2
;- License#. Lead Certificate#. ,
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months,has the City of Eagan issued a permit fora 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:
Fire Suppression Contractor: Phone:
41
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You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.citvofeaaan.com/subscribe.
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.
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.orq
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 ofplans.
x Derek Brouillet x �
Applicant's Printed Name Applicant'gnature
DO NOT WRITE BELOW THIS LINE /66 / 004,a of, / -(ci-
aUB TYPES
Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
Multi — Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
01 of Plex Lower Level Pool 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
__Q__L_ `s Occupancy MCES System
Plan Review Code Edition ` ti;a A
t*- --- —te SAC Units
(25%_ 100%f.) Zoning .1� City Water
Census CodeStories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction — Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final I C.O. Required
Footings(Addition) i.„ Final I No C.O. Required
Foundation Foundation Before Backfill HVAC_Service Test Gas Line Air Test_Hood
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing 30 Minutes 1 Hour Drain Tile
Fireplace: _Rough In _Air Test _Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
y.., Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed By: 'cal/ , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge /1/2 Ki Fli el i ,
Plan Review '
MCES SACI ty 01°tv''''
e
City SAC I
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
01'0\1
Radio Meter Read 2 0 C"
Copies1/0 (
TOTAL
Page 2 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA159024
Date Issued:11/18/2019
Permit Category:ePermit
Site Address: 1661 Donald Ct
Lot:31 Block: 01 Addition: Cameron Court
PID:10-16300-01-310
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Brent Tstes M Tate
7374 Devin Lane
Shakopee MN 55379
(612) 387-5713
Scherer Plumbing
15548 Red Oaks Rd SE
Prior Lake MN 55372
(952) 447-6734
Applicant/Permitee: Signature Issued By: Signature