2090 Cliffhill Lane`?'• CITY OF EAGAN
3796 Pifot Knob Rood Eagon, MN 56122
PHONE: 454-8100
BUILDING PERMIT Recetpt #
Site Address
Lot 81ock Sec/Sub.
Porcel #
1% Name
W
3 Addren
O
Ci Phone
? Nome
o
?? Address
~ Ci Phone
? W Name
i hereby acknowledge that I hove recd this applicotion and state thct
the information is correct und agree to comply with ull opplicable
State of Minnesota Statutes and City of Eagcn Ordinances.
N4 6091
Ered p Occupancy
Alter 0 Zoning
Repair ? Fire Zone
Enlarge ? Type of Const.
Move ? # Stories
Demolish ? Front ft.
Grnde ? Deptfi ft.
Aoorovala Fees
Water & Sew.
Police
Fire
Eng.
Planner
Council
Bidg. Off. _
APC
Permit
5urcharge
Plan check
SAC
Water Conn.
Woter Meter
Rood Unit
Total
Signoture of Permittee I
A Building Permit is issued to: on the express condition that
all work shail be done in cccordonce with oll opplicoble State of Minnesoto Stotutes and City of Eagan Ordinances.
Building Officiol
,•.
remM # Dale h@Nd reraMtN
Plumbing
Mechonical
z-1?751?? a y
INSPECTtONS DATE INSP. Rough-In Final
FDOtings Dote Intp. Dota Insp.
Foundation Plumbing -?---
Fmme/ins.
/U C
Mechanicol
1
Final /` ?:. -
Remorks:
C?erti.firate of (Orrupttnry
Citp of (Cagan
Eepttr#menf nf Buithing 3nspprtimt
Tbis Certr f icate issucd purluant to tht requlrcmentJ o f Scction 3116 o f thc Up:i fmm Building
Code certi f ying that at the time o f issuance tbir ttructurt wua in com pliance with the variori.r
ordinunce.r o f the City rrgulating building con.rtructron or use. For the follawing:
?Cialdficaton SFI}WG,/GAR Bldg. Permit No. bOgl
O-P-Y TyPe R3 '1)'Pe Cootuuction V Fire Zone 3 Zooing District Rl
Owne,of B,udin4 Zachman Homes ,,,?reu 7760 Mitchell Rd,Eden Pr.
Br
n.te: 10-17-$(]
?T IM A GONOlICVOUB rLwC[
cirr oF EAG,?N
3745 Pilot Knob Reod
. Ea9aw, Minnewta 55122
No. Phone: 454-8100
" PERMIT
Date:
Sfte Address:
5-28-80
2090 ciiffhiii Ln.
Lot 81ock Sub/Sec. ?eder C11.' I
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
5ingle
Residential
Multi Res., Comm./Ind. I
Nome 1-"chma1 ==one8 IriC. New/Alter
lRepoir
`E '
.
.
; ^ddress '77?)r) hlitChell :'3. Cost of Installation
O
'c',.,; Prair' City Phone: Permit Fee
Name °3.;T :i . ?r?lt,???' , `• ^' ? :O. Surcharge '
.
$
Address 37 ChjCEtgo ^ '4 f: .
City Phone: Total
This Permit is issued on the express condition thot oll work sholl be done in uccordonce with all applicable Stote of
Minnesoto Stotufes and City of Eagan Ordinances.
Building Officiol
CITY OF EAGAN
9795 Pilo! Knob Roed
6ogen, Mlnneaota 551?
No. Phone: 454-8100
PERMIT
Date:
Site Address: ) +o `'ij rf'kiil ?
Lot , BI«k Sub/Sec. ,'=`Ir '"-iff
Name Anhinan ?r,.sas InC.
.
e° Address ' ` - -
?
City rni r! r, . Phone: -' 37-95.' ,
Nome
.
?
? Address
e
s
City ,.. Phone:
This Permit is issued on the express condition thot oll work shull be
Minnesota Statutes ond City of Eogan Ordinonces.
INSPECTOR NOTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Receipt No.:
Single I
Residentiol
Multi Res., Comm./Ind. I
New/Alter./Repair
Cost of Instollation
-
Permit Fee
Surcharge
Torul
done in occordonce with all applicable State of
Building Officiol
CITY OF EAGAN Remarks
Addition Cedar C11ffAddit3nn L ot 17 eik 1; Parcel 910 16600 120 05
owner street 209Q Cliffhill Lane State Eagan., NIIV 55122
Improvement Date Amount Annual Years Payment Receipt Date
STREETSURF. /- ? 1982 1496.30 299.27 5 14 E.30 C007197 9-2-51
STREET RESTOR.
GRADING 541.38 005806 10 15 80
SAN SEW TRUNK 1973 _ 06 „ 7 15 42.26 A009665 11-17-80
* SEWER LATERAL
WATERMAIN
* WATER LATERAL
WATER AREA 1975 94 - 6
33 1 50.66 A009665 11-17-80
- .
STORM 5EW TRK 405.09 C005806 10 15 80
* STORM SEW LAT 198
CURB & GUTTER
SIDEWALK
STREET LIGHT
Rd UNIT 1
WATER CONN. 305.00
BUILDING PER.
sAC 525.00 20452 8 15 80
PARK
ITY OF EAGAN PERMIT TYPE: 1 Hr+
30 Pilot Knob Road Permit Number: y i 3 f, fi ?+
Eagan, Minnesota 55122-1897 Date Issued: i ?? •?? %?? ?.
(612) 681-4675
SITEADDRESS: APPLICANT:
? 4 1 f
l i. I.ANh
? , -?V F •:. T .U. ti RE R110V F{E7lI',F ANt? 0AtrR441*
r
-
C38
PERMIT SUBTYPE: TYPE OF WORK:
.. .. ;;
Ill .? f' I s• ? s ??pl I.? t, P;: F'ii?il
Permlt Holder Date Telephone #
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
[7
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
ME7ER
FLUSH
MAINS
CONDUCTtVITY
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
, DECK FINAL
---
?IT`? OF EAGAN PERMIT TYPE:
38
30 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued: ?' ? • ` ? `` ' ` `{
(612) 681-4675
1? . r-? r? y5 I ll i S7 -??
SITE ADDRESS: +i tj ,?t i. , APPLICANT:
i i I i, i. 11 W IIh ????? ,, ?. i? r•?!i; i;t
i1 0,I; i i I!`1 ._N1i (a-,t;') ?:,kti: ti3
PERMIT SUBTYPE:
;
:jj F
L
TYPE OF WORK:
i rr V nrrON
?
J
[yf Sf_k IS'T10N f1FRt1ttf
Permit Holder Date Telephone #
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING ?l
ROUGH
PLUMBING
PLBG
AIR TEST
--
ROUGH -
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLQG FINAL
DOMESTIC
M ETEA
IRRIGATION
METEF
FLUSH
MAINS
coNOUCTivirv
TEST
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
? DECK FINAI.
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CITY OF FAGAN
3795 Pilot Knob Road
Eagon, MN 55122
7,,.,.
Owner: '
Address:
Site Address:
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WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
Reader No.:
I aqroe to eomply with the City of Eagon
Ordinanees.
Meter No.:
Size:
R..
Dote of Insp.:
Connection Charge: I
Acwunt Deposit:
Permit Fee:
$urchorge:
Misc. Chorges:
Total:
Date Poid:
I nsp.:
? ? •ov
This request void 18 months from C ? C-
'\ :R 97482
Date of this Request `
I, as O Licensed Elect c Contp ctor ? O er, do hareby request inspection of the above electri-
cal wiring installed at: `
Street Address or Route ?. C
Section Township Range County ? ?
VYhich is occupied by
Is a roughin inspection required on this job?
.
Ready Now ? Will Call 0
Power Supplier Address
Electrical Contractor Contractor' icense No.
Mailing Address
Authorized
STATE BOARD COPY This inspection request will not ba accepted by the
Stau Board unless propar inspection fee is enclosed.
19'
Home
Duplex
Api. Bldg.
Commercial Bldg.
inesota State Board of Electricity
Ave., St. Paul, Minn. 55104-Phone 646-7703 ?
' FOR ELECTRICAL INSPECTION
Range v
Water Heater ?
Dryer ?
Fumace ?
Air Conditioner 0
482
Lighting Fixtures u
Electric Heating
Silo Unloader O
Bulk Milk Tank ?
List
rs?
th
. o
?
CUMYU 1 C IIVJYC.I. 111J14 C GC+ D GLV vv
s&Subfcedera:
?
Fee Circuits:
#
F
5eivice Entrance Size:
0 to 100 Am s. ? 30 Am res 0 to 30 Am res
lOl to 200 Am s. T 100 Amperes 31 to 100 Am res
Above 200 Amps. 100 Amps. Above 100 Am s.
Transformers Remot
e Control Circ.
s tion
ll
ee
Paztial or other f
Minimum fee SS.00
n
Signs
Rema6% - 09% If TOTAL FEE
I,
r
6, tha
m
t4
n has been made p'+?/1cf0
Date d
(Final) This request
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
r 3830 PILOT KNOB RD - 55122 ?.
651-681-4675 I + 3 - 75'
New Construction Reauirements RamodallRaoair Reaulremenls
• 3 registered site surveys shovnng sq. ft of lot sµ 1 of Muse; andMg raofed areas • 2 copies ot plan
(20%manimumbtwverageallovrcd) • lsetolEnergyCakulafionsforhealedaddNOns
• 2 copies of plan showing beam & windax sizes: pourad famd desgn, etc.) . 1 sfle survey (or ezlerior additions 8 decks
• 7 sel af Energy Calculatiom • Indicate if home served by septic system for addilions
. 3 wpies of Tree Preservation Plan it lot platted after 717/93
• Rim Joist Detail Options seleciion sheet (Wdgs vnfh 3 ar less unds)
DATE '715-/ d1 VALUATION !_L2O2-'
JOB SITE ADDRESS A9o C? ??ti? ?l ?dH e tA6Aa-0' /-.v SS/z'L
IF MULTI-FAMILY BUILDING. HOW MANY UNITS?
PROPERTYOWNER a_04a d ZbfrA+b LZ4553160
TYPEOF WORK S:d'ti Reg?l ?e f.1, :?.dwc ?booLS 6Z?/acP FIREPLACE(S) -L--'O _ 1_ 2
APPLICANT ?ti? J kd f!d ssd 1?6 PHONE#
ADDRESS '205o CC•"??.'?? ?a?? ZtPCODE ?'rl2z
PAGER #
CELL PHONE #v11' - z-Z? 3 FAX #
NEW RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
Energy Code Category
(check one)
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
MINNESOTA RULES 7672
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Contractor. _
Mechanical System Includes:
Sewer/Water Conhactor:
? Air Conditioning
? Heat Recovery System
Phone #
Fee: $70.00
Phone #
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this applicotion, state that the information is?y?.l? t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eaga rdinan ?
Signature of Applicant
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
. Updated 1701
- New Energy Code Worksheet Submitted
Phone #:
_ Wazer Softener _ Iawn Sprinkler Fee: $90.00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
BUILDING PERMIT APPLICATION
N° 6091
Receipt #
To be aaed for SF/GAR Est. Volue 41,000 Dore 8-15 , 19-8-0-
Slte Address 2090 Cliffhill Ln. Erect g]c Occupancy R3
Lot 12 Block 5 Sec/Sub. Cedar Cliff Alter ? Zoning Rl
Porcel #
? Name Zachman Homes Ine.
z 7760 Mitchell Rd.
3 Address -
o ,.-- "--_ W _ ,? .,'" 1.11
a Ncme _
f
?? Addres
Name _
Address
I hereby ackrrowledge that I have read this application ond state that
the informution is correct and agree to comply with all opplicGble
State of Minnewta Statutes ond City of Eagon Ordinances.
Signature of Permittee
Repoir ? Fire Zone 3-
Enlarge ? Type of Const. V
Move ? # Stories
Demolish ? Front 56 fr.
Grode ? Oepth 26 fr.
Aeerorala Fees
Water & Sew.
Polite -
Fire Erg.
Pianrrer -
Council _
Bldg. Off. _
APC
Permit ?4V.lV
$urchorge 21•00
Plan check 60.25
snc 525.00
Water Conn. 03 5.00
Water Meter 60.00
Road Unit 185.00
Tmai 1,276.75
A Building Permit is issued to: Rarhman HnmQp., Tno on the axpreu condition that
oll work sholl be done in acco nce with o/ll? pl?iwb-le
Building Stote of M/innewta Statutes and City of Eogan Ordinances.
Official ri ¢i< <' -? ?.J ?oo-
CITY OF EAGAN
3795 Pilot Knob Raad Eugan, MN 55142
PHONE: 454-8100
CITY OF EP,GAN Include 2 sets of plans,
f 1 site plan w/elevations &
f BUILDING PERMffT ppPLICATION _1-se{-pf?y-caiculations.
1b Be Used For,: aluation Date /?
Site Pddress:
P ] OFFICE USE ODII,Y
Lot 1? Block ? Sec.
ub (??
()^' Erect Occupancy ?- 3
Parcel #: Alter Z°mng p- ?
Renair Fire Zone ?
?
Owner: ??e _ TYfe of Const. Y
Move # Stories
Pddress:\-?"2(nh Deolish Front S°'E ft.
City/Zip Code:
Grade
Depth a? ft.
Phone # : qacj 'q APP%7UAIS gEES
?
Contractor: Assessments Y i Perntit
J ?
[? , <C'°''U
Address: Water/Sewer Surcharge
?*f 4 Q
Police Plan Checlc G A ,g'
Gity/2ip Cocle: Fire SAC ,s-l s o O
PhOne #: Eri3. Water Conn. .3 o s, c c+
Planner Water !Keter tro, at?
Arch./ESng.: Council Road Lfiit
Sldg. Off.
Pddress: p,pC - ?r--
City/Zip Cade: fc
Phone #:
? 2005 RESIDENTIAL BUII.DING PERNIIT APPLICATION
?^{? City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
d? ?
Telephone # 651-675-5675 FAX # 651-675-5694
?
c?
New Construction Reauiremenfs RemodeUReoair Reauirements Otfice Use OnN
3 2gistered sfle surveys shmving sq, ft. of lot sq. ft of house; and all raofed areas ? 2 copies of plan Cert of Survey Recd _ Y_ N
(20% maximum lot covemge allowed) 1 set of Eneqy Calculallons for heafed addRbns Tree Pres Plen Recd Y_ N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site 5urvey for addltfons & decks Tree Pres Required S+? _ Y_ N
1 sel of Eneyy Calculatbns Add'kion - irMkate 'rf arsde seAtic system Onstte Seplic System ' _ Y_ N
3 copies al Tree Preserval'wn Plan if lot plaHed after 711193
Rim Joist Defail OpGore selecGon sheet (6uildings with 3 or less unRs)
Date _5 I ZY lo Construction Cost l?5_00 '
SiteAddress ';?O90 C(.?M:t( t--dNe_ UniUSte #
?i2 6,4 u 7If Al ST z`L
Description of Work
Multi-Family Bldg _ Y_ N Fireplace(s) _ 01 _ 2
PropertyOwner '{?<t?a...?/ fl) V?sS'7«o Telephone#(6f/ ) ?152-1Zo V
Contractor ?y S'e
E-
Address ?Av-t c.r
City? c?n ?4 n
State Zip
-.J
2
TeleP neti/kQ j,
.. ??D
/l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
. Residential Ventilation Category 1 Worksheet
(4 submissiontype) Suhmitted
• Energy Envelope Calculations Submilted
Have you previously constructed a building in Eagan with a similar plan2
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
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 5tate 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 ork hich requires a review and
a roval of plans. ?
Minnesota Rules 7672
• New Energy Code Worksheet
Submitted
ApplicanYs Printed Name Appiicant's Signature
OFFICE USE ONLY &
,
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06plex ? 96 Fireplace ? 27 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.)
? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch(screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? OB 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New
'K 32 Addition
? 33 Alteration
? 34 Replacement
Valuation gjxz)
Census Code
SAC Units '-
# of Units
# of Bldgs -
Type of Const
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Multi Misc.
O 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ?' 45 Fire Repair
? 37 Demolish Building` ? 43 Reroof ? 46 Windaws/Doors
'Demolition (Entire Bldg) - Give PCA handout to applicant
Occupancy % '3 MCES System ---
zoning p(1 City water "-'
Stories Booster Pump -'
Sq. Ft. 4? 32y PRV
Length /2 Fire Sprinklered ?
Width -20 iF
Foatings (new bldg)
? Footings(deck)
_ Footings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
Approved By:
Base Fee v ? 70 ?
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
REQUIRED INSPECTIONS
FinaUC.O.
34 FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Re[aining Wall
Building Inspector
Other
Total
• ?IN H. HEDLUND 9609 Girard Avanue Soufh
Bloominqton,Minnesota 55431
surveyor Civli Enqineer Phone:889-2080
surveyor?s G'ert?,?zcate Tnal
JOB NO.
SURVEY FOR: Zachman Homes
DESGRIBED A5: Lot 12, Hlock 5, CEADAR CLIFF, City of Eagan, Dakota County,
Minnesota, and reserving easements of record.
I
9 0 3.1 I9o4.o
30
W
7
IA
W
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U
/
902.5 ?
= o
F-
OC
o :
?---------- -----7 z-
? -- - ?
I ?
1 ?
I
P,q9S ? .
ol Top o-4' Foundstion ° 901.7
3 +?? ? Basement Floor=896•5
6 ? Gara9e Flooe° 901.3
? ?y. 5 C \ ?Nex ZO`? ?
Proposed EI¢vations O
AK`j
_
-
1 - ? , ??E4E? EXis1-in ElevaftonS ?
Denote 9 Drai ne9a -?
I ? Zca"+ o? 10?? S+Jkes
M ?
DRIvE ? n
30 ``!
?
?898.3
o ' \
cn \
?
M
GLI FF HILL 0
898.7 LA?? 898.c
I hereby certify ihaT on 7-3j - gp I surveyed the property described above and ihoi
•he above plat is a correct representotion of said survey
Calvin H. Hedlund, Minn. Reg No. 5942
D
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
FERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
BUILUIN6
033689
10/15/98
SITE ADDRESS:
2090 CLIFFHILL LANE
LOT: 12 BLOCKa 5
CEpAR CLIFP
P,I.N,e 10-16600-120-05
DESCRIPTION:
--?? T.O. s ReROOF
BD'ildino•?,Permit 7ype SF (MISC.)
?uildin;g Woq,?_ Type REPf-17R
Census Cada 434 ALT. RESIDENTIAL
i
/
-? ?yl`•.
REMARKS:
T.O. & REROOF HOUSE AND GARAGE.
FEE SUMMARY:
VALURTTON $2,090
Base Fee $62.25
Surcharqe _ ?,_00
Total Fee $63.25
CONTRACTOR:
?
OWNER: - qpplicant -
VASSflLLO RICHARD
2090 CLIFFHILL IRNE
EAGAN MN 55122
(651)452-8744
? . 1
, I -hareby acknowledge th.at I h:a`y,eread this -iapP1iaab3Qn and state that t'he
, S.n-Farmatzon is aorrect`end' aqree to oomply tia3th all appl3.ca61e State of Mn.
Statutes and City of Eagan Ordinances.
L
APPLICANT/PERMITEE SIGNATURE
o?, C" ( :?c ISSUED BY: SIGNA UR? E -
. 1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
' CITY OF EAGAN
3830 PII.OT KNOB RD - SS122
l0 681-4675
New Construdion Requirements
? 3 registered sRe surveys
? 2 copies oT Dlans (inGude beam & window s¢es; poured fiC. design; etc.)
? 7 energy calculationa
• 3 copies af tree Dresenation plan H IM platted after 711/93
required: _ Yes _ No
DATE: ?0 I ? S I `+8
RemodeURecair Reauirements
10-lS- l?S
? 2 copies of plan
? 2 site surveys (exterior addkions 3 decks)
? 1 energy alculations for heated addRions
`?--
CONSTRUCTION COST;
DESCRIPTION OF WORK: Tcwt Of 7 r??o-y Nuvse ? Gana2e
STREETADDRESS: 20« C/? ???•?/ Ld?e ?Z?C?'? `l?ti' 5-3-i?z?
LOT: BLOCK: ? SUBD.lP.I.D.
PROPERTY
OWNER
Name: WS5a mu Phone #: L/ s-a -37 L/L
Last Fint
Street Address: 20 9 o C/ I-v?- 61- '( b" e
City LAcl State: Zip: f?-/ZZ .
Company: Phone #:
CONTRACTOR
Sueet
City
ARCHITECT/
ENGINEER Comp
Name
Street
City
Sewer & water licensed plumber (new construction only):
and lot change is requested once permit is issued.
Zip:
Penalty applies when address chang
I hereby acknowledge that I have read this application and sfate that the infortnation is cortect and agree to compty wich all applicabl
State of Minnesota Statutes and Ciry of Eagan Ordinances. Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
License #
State: Zip:
Phone
Registration
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
O 02 SF Dweiling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-piex
? 05 SF Misc. ? 10 _-plex
WORK TYPE
? 31 New ? 33 Alterations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowabie)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging ?
? 12 Muiti RepaidRem. E3
? 73 Garage/Accessory ?
? 14 Fireplace ?
0 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft,
sq. ft.
sq. ft.
Footprint sq. ft.
Planning Building
Engineering
Variance
Permit Fee 0,7: a S Valuation:
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Pertnit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
Total: (v 3•a5
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
s aM4`
% SAC
SAC Units
CAI,.VIN H. HEDLUND 9609 Gfrard Avenus South
' Bloominqton,Minnesota 55431
..n0 Surveyor Civll Enqinser Phone:888-2080
surver?or?s G'ert?, f "?cate
JOB NO.
SURVEY FOR: Zachman FIomes
DESGRIBED AS: Lot 12, Block 5, CEADAR CLIFF, City of Eagan, Dakota County,
Minneaota, and reserving easementa of record.
903.1
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? Top af Foondetion ° 901.7
? Basemenf Floor=898•6
? F Gara9e Floor = 901.3
? Proposed EI¢Vations O
? EXistiny Elevaflons ._-
Denotes Draine9a -+
i IO'Q s}akes
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'898.3
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GLIFFH ILL
898.7 LAN`? 69a.c
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I hereby certify that on 7-51 _ gp I surveyed the property described above and that
•he obave plat is a correct representation of safd survey.
n
Gafvin H. Hedlund, Minn. Req. No. 5942