1063 Duckwood Dr CITY OF EAGAN
3830 Pilot Knob Raad, P.O. Box 21-189, Ea an, MN 55121
9 ? ?? • ?
PHONE:454-8100 .
' BUILDING PERMIT Receipt # i
To be used tor = , •'• Est. Value ?i 7 7 H, U U U Date ' Li`l 1'? .19 ;? 6
Site Address Erect ?.n Occupancy
Lot ? Block '- Sec/Sub. r'1:, l Remodel ? Zoning .c?i
Parcel No Repair ? Type ot Const. 1
. Addition ? No. Stories
¢ Name Move
li
h
D ?
? Length 175
D
th
Z
o Address emo
s
Int Impr. ? ep
Sq. Ft
City ' , Phone 54 4-- !
S 33 Install
? ?
o Name livf : Approvals Fees '.
'r
0 0
?¢ Address
G
Assessment .on
Permit I
City Phone Water 8 Sew. Surcharge
? .
. Police Plan Review.1CS06's' • ?0
LU W Name
z Fire 4 SAC? 1200.00
Address
? Eng. ' Water Conn. ?•? 1 l, . ?! u ?
=
? W City ' Phone Planner Water Meter
Council RoadUnit_3 , 7t2.00 ?
I hereby acknowled
information is corr?j ,ge thati have read this application and state thatthe
ct and a
ree to com
with all
l
li
bl
St
t
f Bldg
. Off. ?/1 `?/? .`?
i
Tr, PI. Z a Q0O. 0?1
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app
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Minnesota Statutes and City of Eagan Ordinences. APC Parks /A
Signature ot Permitt
ee
`
Var. Date ?
Copies ___
Total $24,893.0
A Building Permit is iss ued to: on the express conditlon that
all work shall be done in accordance with all applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official
I I PKmlt No. I Pomnll HoldW I Da% I TWhphoM N '
t/
b-
Plbp-
Dhp.
PERMIT # _
? PLUMBING PERMIT RECEIPT # _
j„ CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE
Site Addr ss
Lot _ Block
m Name
? Addre
c City _
L Name
3 Address
O City ? Phone -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMi1M - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
FOR: CITY OF EAGAN
TYPE WORK DESCRIPTION
"I Res. New ?"
Muit ' Add-on
Comm. Repair
Other
NO. FIXTURES TOTAL
Water Closet - $3.00 ?
? Bath Tubs - $3.00 ?
? Lavatory - $3.00
, Shower - $3.00
r 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
Softener - $5.00
WeN - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL: ?J ?
, • PERMIT #
- MECHANICAL PERMIT RECEIPT # -?
3830 PILOT CITY OF EAGAN
EAGAN
MN 55121 DATE
KNOB ROAD
' ,
,
CONTRACT PRICE: PHONE: 454-8100
Site Ad ess /119
? 1?-J-a
t ?, TypE WORK DESCRIPTION
L Block S
eclSub •
? -
.
?? ?y?
?]
? ? /? C/J
-07 ?
R
N
m
Name ?`
<?'? es.
ew
lt ?- Add
M
-on
u
? Address, R
f
C
, omm.
epa
r
c City 1 l?,' ? S Phone U Oth
er
Name U? i c?l - • D?YjL? FEES
c Addr RES. HVAC 0-100 M BTU - $24.00
p City ? Phone ` ADDITIONAL 50 M BTU - 6.00
" ADD-ON AIR COND. 0-24 BTU - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
SS c°?`? SS?y ' GAS OUTLETS - 1.50 EA.
Forced Air ? M 6TU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.00
Air Cond. M BTU STATE SURCHARGE PER PERMIT - .50
(ADD $50 S/C IF PERMIT PRICE GOES
Vent
Pi
G
i
O CFM
H Sci ,,.
- BEYOND $1,000.00)
as
p
ng
utlets #
Other
FEE
S/C:' SIONA RE OF PERMITTEE
G'
TOTAI: ?lP
?w
FOR: CITY OF EAGAN ?
PERMIT #
PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE J'?? ?? ,
m Name , I . ., : : . A
? Address ? ? ,_ -• , - ? .
c City , Phone
? Name _
3 Address
p CitY -
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMM/IND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
OF PERMITTEE
FOR CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. x New X
Muft Add-on
Comm. Fiepair
Other
NO. FiXTURES TOTAL
Water Closet - $3.00 $
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
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL• r --- '?
c
, SITE ADDRESS 1063 DUCKWOOD bR Unit N 100 Permit #
11978
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE#
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING 7
ROUGH PLBG.
- a- X?AA
ROUGH HTG. gh
A G
INSUL ? ?,F
FIREPLACE ?? c
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTlOCC Q_? _ ? ??/, O'`?2?'?y C•?•
SITE ADDRESS 1063 DUCKWOOD DR Unit 0 101 Permit # 1197$
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE M
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING ?
ROUGH PLBG.
^ a, ? -.r-
ROUGH HTG.
INSUL 7s (? 'i
FIREPLACE ?
• ?
461
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC
SITE ADDRESS 1063 DUCKWOOD DR Unit M 102 PeRnit # 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSP TOR OTHER
FRAMING
ROUGH PLBG.
ROUGH HTG.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG Z2
UNIT FINAL ??ti A
CERT/OCC a44
SITE ADDRESS 1063 DUCKWOOD DR Unit # 103 Permit 0 11978
TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONE#
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECT R OTHER
FRAMING ? a
ROUGH PLBG.
_ ? -.r- -?
ROUGH HTG.
INSUL
FIREPLACE ?.2
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC ?Q-Z4-d6 A,z4
SITE ADDRESS 1063 DUCKWOOD DR Unit # 104 Pertnit # 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE I SPECT R OTHER
FRAMING ? /.iz
ROUGH PL6G. -2
C?
ROU6H HTG. p / B
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTIOCC D ? l?c( - ??p ?/(?( . •2?'" ? ?'V, . Q O • -
SITE ADDRESS 1063 DUCKWOOD DR Unit # 105 permit # 11978
TYPE PERMIT M PERMIT CONTRACTOR DATE TELEPHONE M
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE IN PECTO OTHER
FRAMING
ROUGH PLBG. C, -
ROUGH HTG. Q'
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC SAt ?. ,
. -7?
SITE ADDRESS 1063 DUCKWOOD DR Unit 1i 106 permit # 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE NSPECTOR OTHER
FRAMING
y,2
4&
ROUGH PLBG. r
,
;7_ ->o _
ROUGH HT6.
INSUL
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL A
,
A,,
CERT/OCC D Wt , . Z?jr' 4 py p
? • D •
SITEADDRESS lOb3 DUCKWOOD DR UnitN 107 Pertnit#
11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE?F
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOH OTHER
FRAMING ? ?
ROUGH PLBG.
_ d _ ? L.
ROUGH HTG. '
g / p ? 9- L ?
INSUL ?/? ?
FIREPLACE 7?d ? l?B
FINAL HTG
FINAL PLBG _/C _ ` '
UNIT FINAL , ??-? ? ?,
CERT/OCC t D `ZK - ? (P ?l?(. - 2? '
,
SITE AODRESS 1063 DUCKWOOD DR Unit # 200 Permit #
11978
TYPE PERMIT# PERMIT CONTRACTOR DATE TELEPHONEM
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING
ZLI?l
ROUGH PLBG.
ROUGH HTG.
7/2 3 Ailw
7/it/t4_
INSUL 712 ,? /QF 10f/
FIREPLACE
FINAL HTG
FINAL PLBG ?
UNIT FINAL i'L {-
GERTlOCC
? ? ??i9
16
?,
• 2? ? ? ?
SITE ADDRESS ia63 ?[IcKwooo IIR Unit # 201_ Permit # 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
N.V.A.C.
ELECTRIC
INSPECTION DATE INSPECT R OTHER
FRAMING
hz-
ROUGH PLBG.
_ C?
_1 _a 1SaqL
ROUGH HTG. /p
INSUL 7/y3
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
,
CERT/OCC
SITE ADDRESS 1063 DUCKWOOD DR Unit 202 Permit # 1197$
TYPE PERMIT 1F PERMIT CONTRACTOR DATE TELEPHONE 0
PLUMBING
H.V.A,C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHEH
FRAMING 121AZ
ROUGH PLBG.
- p•?C L -
7-/J-?G -G 1//Sl(41-
ROUGH HTG.
AP ?F rc
INSUL 7 Z ?
FIREPLACE
FINAL HTG
FINAL PLBG
91- _
UNIT FINAL q ..2,<- ?j X ,
CERTlOCC ?-4- <i6 AA ?? Z?" ? 1?imp 0.0t
SITE ADDRESS 1063 DUCKWOOD DR Unit # 203 Permit # 11978
TYPE PERMIT #f PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPEC OR OTHER
FRAMING 7 Zo I
/w,
ROUGH PLBG. f .
ROUGH HTG. 1-1, ?
INSUL !'?? o `° ? ' - ?S" ?G ??• a?
FIREPLACE Zo ?
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC 12
SITE ADDRESS 1063 DUCKWOOD DR Unit # 204 Permit #
11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE#
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE IWECTOP. OTHER
FRAMING ,
ROUGH PLBG. C- -
ROUGH HT6. S3 Y
INSUL 46 !t
FIREPLACE
FINAL HTG
FINAL PLBG
UNIT FINAL
CERTlOCC
? SITEADDRESS 1063 DUCKWOOD DR Unit# 205 Pertnit# 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE #
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECTOR OTHER
FRAMING O?Az A
ROUGH PLBG. .,7 Cj?? ? _ 7_f
ROUGH HTG. oll, - 9- < < • 1717 7/"t !r. ?es- o !1 ? R
INSUL (/W -d• ?
FIREPLACE ?.,e
FINAL HTG
FINAL PLBG ry-/C
UNIT FINAL 1? S ^ ?(• •
CERT/OCC O - 34-
?'? ?,
q . Z-Al
SITEADDRESS 1063 DUCRWOOD DR Unit# 206 Pennit# 11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE N
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE IN ECTO OTHER
FRAMING
ROUGH PLBG. ?
.129 7 I -r,, 'A t/iS L
ROUGH HTG. ?-y- ?L - / 7 iF/p4
INSUL
FIREPLACE 6
FINAL HTG
FINAL PLBG
UNIT FINAL
CERT/OCC
>
` '.r
SITE ADDRESS 1063 DUCKWOOD DR Unit # 207 Permit N
11978
TYPE PERMIT # PERMIT CONTRACTOR DATE TELEPHONE?
PLUMBING
H.V.A.C.
ELECTRIC
INSPECTION DATE INSPECT OTHER
FRAMING
ROUGH PLBG.
_ _ G C
7 ?7 ?G _ U? .
ROUGH HTG.
7 Z? ?p
??? `- y' G- - 7,7 1,s-Ar 7// i/f4 4! ?
I
INSUL 7_0SW ?*,. k,4AA4
FIREPLACE 7?2 ?
FINAL HTG
FINAL PLBG 9- L-
UNIT FINAL , Z<?
CERT/OCC 16.??? ,&, ', ? . u ? ? ,
CITY OF EAGAN Remarks /??? ' ?-*??s • ?-???'-S71L?
Addition LEXINGTON PLACE SECOND Lot 1 sik 1 Parcel 10 4?5051 10 0?3
5treet 1063 D?ekweed D1iv.e-- 5tate
? A ? ( • //? luri,?
Improvement Date Amount Annuai Years Payment Receipt Date
STREETSUR .
STREET RESTOR.
GRADING
W AT lO1T 1986 1967, j 5
SAN SEW TRUNK
* SEWER LATERAL $ 7 ';4, 0 ] 1 646 . HQ
SERVICES 101?. 1986 p 5
WATERMAIN , '?..•/,S7D
WATER LATERAL 1012 1986 7 8 2 -'- ? f 5 6 5.? 5 5 07,
WATER AREA j p 6
WAT LAT BAR 1013• 1986 2 g 5
STORM SEW TRK td- yAf
* STORM 5EW LAT
STORM 5EW LAT 6 198 2151 .52 430.30 5
CURB & GUTTER
SIDEWALK '
STREET UkMT
WATER CONN.
BUILDING PER.
SAC
PARK
Road 2-1 (o?Z fWATER SERVICE PERMIT
^?RMIT NO.: -
I Di1TE:
P1a. of Units: '
I ?a... eo eo.Ob wm +h.
OFAMllpL
$YrCf1 O?ge:
Misc. Chorpes: ?''!? . ?)rn; ?•-?
By . Totol:
Date of I^sP•. Doft pbld: -
I
?_ 3 ? ? ? rop.:
? CITY OF EAGAN
sEWN 5ER
I
? 3830 Pilot Knob Road V
CE PERM
? P. O. Box 21199
? PERMtT NO.:
? Eagan, MN 55121 or
pATE:
ZO"i"g: R4 No. of Units: 16 L<r, ?.t s
? Ownsr: Tllom Son ';Om!'_s
` Address:
Site Address: 1063 :)ucicwoad !:Tiv, T pL i eYir }? on ijI II ?
Piumber: 10hs SOri Plu?t+i.tto '?
i peoo h esmplp wft fw Cthr of 16960 s,011
Connsction ChoMe: 7
OrdiMSea. 1
AcoOUnt DepoNt:
Pennft Fes:
Surcharpe:
BY Misc. <]arpea:
Date of Insp.: Tataf:
Irnp.: Date Paid:
TY OF EAGAN
30 Pilat Knob Road
0. Box21199
gan. MN 55121
No.:
M oasplr wllb !IN CMr ef la9aa
WATER SERVICE PERMR
PERMlT NQ.:
DATE:
No. of Units:
Connection Chor9e:
Account Depos{t:
Pertnit Fee:
Su?charge:
Mlsc. Gwryes:
Totnl:
Date Poid:
This reQUest void c--?
18 reonihs from
C 10326 ?
C?a?a C:'
-1 l a7Cv
fienuast Date Fire Np. Roueh-m Insuec on
Requ red?
[-]Rendy NowtWill Notify Inspeo-
. ?Yas ?No
I
?or When Reatly
KLiceised Elec[ncal ConVector I hereby request ins0ection of aEOVe
? Owner electricel work instellad at
Street AdOress, Bax or Route No. , City
1663 , rr
ection o. Townshi0 Name or No. Ranye No, owHy
?
OccuOantIPRINT? hone No.
73?3
Power S
u
pplier Atldress ?
/
?
G(?k../-? CX&eZ..I; -,?
ctrical ConVactor ICompany Namel -
`d Cnnlractor's License N.
D2
? .
p Ad ess ICOnt ctor or Owner aking Instailati
1
L/0-Y 63?3 &g
7516
Authorized Signature lContractodOwner Making Installalionl Phone Number
M111NES0TA STATE BOARD OF E C ITY THIS INSPECTION PEQUEST WILL NOT
Griggs-Midwey 91dg. - floom N BE ACCEPTED BY THE STqTE BOAND
UNLESS PXOPEfl INSPECTION FEE IS
MN 551
1821 UniversitY Ave.. SL Pe , 04
Phone (612) 297.2111 ENCLOSED.
{?/? REQUEST FOR ELECTRICAL INSPECTION ee-ouwt-oa
5"I SJ', ?.7??? 0 See inslmclions br comDletin9 fts form on back oi yetlow coOY.
c1 0"3 `z 6 X" BeJow Work Cavered by 7his Request 7? -3
AAd ReD. 7Vpe of Builtling Appliances Wirod EQUiyment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Pixtures
Apt. BuilAing Dryer Electric Hp2Un
Cortmiercial Bldy. Furnace Silo Unloader.
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Other SVeu v .tnorlSnr.cifv)
1 er Ucci y ther Other
Compute /nspection Fee Below j Lti u.tP?i?au.l%,
p Fee ServicaEnVaneeSize u Fee FexdeFs/Subteedera M jigo Circuits
204. no 0 to200qm s Oto30qm s Otn30Am s
Above 200 qmps 'I 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100_Am s Above 100_/>mUs
Transiormers I rngation 8ooms PurtiaLOther F.ea
. Signs Special Inspection
S /
TOT
f)
Aemarks - • /27LA AL FEE
I
i w
HouBh-in Oa[r
0
t ?j .
I. the Ele ical
J> Insoactoq hareby
wrtily thet tha above
Final Dny inypectien hes Geen
l moee.
Thin reoueal voiE 18 monllu from
,51y$y .
ihis request void tp
18 mon ins from °4-
C. 21305
b3'4
Request Dale` Fire No. qoqghedn,lnspeclion ?Ready Now Will Notifv, InsPer
-? ?es ?No ?or When Reedy
Licensed Electrical ConVactor I hareby request inspection oi above
Owner eleclricai work installed et:
Streei/AddressBox or Hoate No.
?CSCOJ Ci
actmn o. Township Name or No. flange No. Count
O counnt IPflINT Phone No. .
Power Su plier Adtlress
? .
i? dd G
?•
E{I ?
tr
ical Convactor (ComDanv Na ) Convauor' s Li nse No.
?
/
? /J
, LA?r/..??
Mailinq Addre 4IContract or Own?e/r/fy?aking Inglailat
142 L !i Y' -'???
Au ori ed Signat e Con[ractor Owner Makiny Ins[allation) Phone N
mbe
u
r
/
/ '
/
MIN SOTq STATE BOAPD OP CTRICITY THIS INSPECTION MEQUEST WIIL NOT
Gri09s•Midwev BItlB. - Aoom 91 BE ACCEPTED BY THE STATE BpqN?
1821 UniversitV Ave., St. Peul. MN 65104 UNLE55 PROPER INSPECTION FEE IS
Phone (612? 297-2771 ENCLOSED.
REQUEST FON ELECTRICAL INSPtGnurv - '?
Ir Sae instructions tor complaiinw lhis form on baek of Vellow copy. ' 3 b7L.?
?
"X" Below Work Covered by This Request b'3 4
13 O 5 b
rF? .o w„ee ?
N AAd Rep. TYCe ot BuilEing ApOlinnces Wnea Service
' Home ge
Duplex ter Heater ixtures
. Building
Apt
yer
aun
d
der
N
Commercial Bldg. mace
f
Industrial Bldg. Conditioner ank
:ifv?
Farm er oeci v
t ar ueci v er
I.Om Nule 11u Neo11w1 r cc ?o.-
Faeders/SUbiaedars
? -
Fxe Circults
p Fee SetviceEntranca5ize tt Fea 0 to 30 Am s
0 to 200 Am s 0 to 30 Am s 31 to 700 A '
Above 200 Amps 31 to 100 Ainps
A Above 100._Amps
winuning Pool
S mps
Above 100_ '
Irngation Boorrs
Other Fee
.
Pertial
Transtormers
SignS SUecial ifispecUOn 7pTA EE
??
Nemerks ' ?
,Dnte the E al
I
Rough-in ,
Inspactor. heleby
certilY Ihet the above
D't in s0ection has been
Final ? ? ?
? m¢de.
?
Tnis repuestvoia 18 montha irom ?
? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N o 11978
PHONE: 454-8100
BUILDING PERMIT rteceiptp
Tobeusedfor 16 UNIT M.D. Est.value $778.000 pate MAY 19
19 86
1063
Site Address DUCKWOOD DR
Erect
? R1
Occupancy
l:of 1 Block 1 Sec/Sub. LEXINGTON PL 2 Remodel ? Zoning R4
Parcel No. Repair ? Type of Const. V
Addition ? No. Stories
s Name ORRIN THOMPSON HOMES Move ? Length
?
3 1712
Address HOPKINS CROSSROAD Demolish ? Depth 175
°
ci?, MTKA Phone 544-7333 Int. lm
InstallPr ?
? S Ft.
9
i o I Name SAME $ ? Address
? Ciry Phone
a
F W Name
? ? Address
:
<w City Phone
Assessment
water & Sew.
Police
Fire
Planner
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe Councilgldg. Off. S/19/86
in(ormation is correct and agre to comply with all appli ble State of
Minnesota Statutes antl Ciry ag ces. APC
n d? - 11 Var. Date
Signature of Permittee
A Building Permit is issued to: ORRIN THOMPSON HOMES
all work shall 6e done in accordance with all applicabl e of innesoW S
Building OffiCial ?'
Feea
Permit 2,128.00
Surcharge 389-00
Plan Review 1, 064.00
snc 4,2nn 00
water Conn. 6, 4 0 0. 00
Water Meter N A
Road Unit 3, 712 . 00
Tr. Pl.' 2. 000_. 00
Parks N/A
Copies-
Totai- $ 2 4. 893 . 01
- on the express condition that
of Eagan Ordigances.
_Zf
l:HJ1Y Fitl;tlY1
? CITY OF EAGAN ?
^ 3795 PILOT KNOB ROAD
EAGAN, MI N S TA 55122
?
oare f?z f? 19
RECEIVEO
FROM ?-.-??/j?I ?Z ? . • .t Al? ?9
AMOUNT I$
_oo??wws
ioo
? CA5H CHECK
OR 9
w
/ .?
FUND COOE YMOYNT
-3 v u
-? o
/ %
o ?
o ?c
Thank You
N_ 63142
White-Peyers Copy
Yellow-Posting Copy
Pink-File Copy
J,
-- ----------II
I For Offce Use
I
? Pertnit#: z,-x,!5' I
I n ?
? Permit Fee:
I ?
? Date Received: ?
I ?
I ?
? Staff:
L -----------------I
2008 RESIDEfVZIAL PLUMBING PERMIT APPLtCATION
Date: 19 `J 2'0 O Site Address: /d 4, 3 T?uwxCod J/r y
Tenant: /4QriGl f- ,-,tttA??e-uAH+ Suite #:
RESIDENT 1 OWNER Name: Phone:
. Address l City / Zip:
CONTRACTOR Name:
License #: ??Z? ??`flp,?•
O'Connor's One Hour
Addre: 1904 Vermillion St.
Hastings, MN 55033
City: State: Zip:
Phone: Contacf Person:
TYPE OF WORK _ New ? Replacement Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description ofwork: ej2f ?
PERMITTYPE RES(DENTIAL
l WaterHeater WaterSoftener
Lawn Irrigation Add Plumbing FiMures
RPZ !_ PVB) ? Main _ Lower Level)
SepticSystem _WaterTurnaround
New
Abandonment
RES/DENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (inciudes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround` (includes $.50 State Surcharge)
`Water Turnaround (add $136.00 if a 5/8" meter is required)
$100.50 Septit System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES CD5Z?
Ihereby acknowledge that Ihis iniormation is complete and accurale; Nat the wcrk wiil be in conformance wkh the ordinances ?
Eagan; that I untlerstand [his is not a permit, but only 2n application for a permit, and work is not to start without a permit:
accordance with the approved plan in the case of work which requires a review and approval of p ns. ?
X d?? Tob,^?1,L- X - ? D
Applicant*,}'rinted Name Applicant's i nature F
of the Ciry
? ll T T
2,5 1 08
FOR OFFICE USE
Required Inspections:.:.:: _U,nder;C
-----------------,
j Permit#: t1C??s ? I
I ?
? Permit Fee: ?
I
I ?
? Date Received: ?
I ?
? Stafi: ?
2008 MECHANICAL PERMIT APPLICATION
oace: c--?? 1`a C' g' Site Address: JY>G7 ? 17ue1c0 1,1 d -DP /o ¢
Tenant: ? KF ri CJ rc . L? 4`d 2' 11 _ Suite #:
: D
??S
N
5?lufWCL?p¢-hj Ph
/VCY ?) e
F
RESIDENT/OWNER ,
ame:
one
l
-
Address / City I Zip: ?T'J 3 I.t ?
Li
u:
N
C)GOr
r'S 01
E
CONTRACTOR 7
cense
ame:
.
)
Address: ?'i , /
City: 1 State, 0?w Zip: .ss d 3?
'q 3 7-4?l I7
P
Phone:
Contact
erson:
TYPEOFWORK -New Y, Replacement _Additional _Alteration _Demolition
Description of work:
;+;
NO,T?.38oth roof maunted and ground mountedmgchamcal eqi??pment'lsireX?fllCadto
,
screenerl by Crty Code. Pfease contact the Mechanicatlnspector or one o6 x?rA
Plannersfpr,informationon rmitted'Sereenin` itjettiods,*.;; '
RESIDENTlAL COMMERCIAL
PERMIT TYPE New Construction _ Interior Improvement
Y Furnace _
Air Contlitioner _ Instali Piping Processed
Air Exchanger _ Gas _ Exteriot HVAC Unit
'
_ HVAC units must 6e screened
_ Heat Pump Undel' / AbOVe ground Tank i Install/_ Remove)
Oiher " When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbin Ins ector
RESIDENTlAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90,50 FIf2 f@polf (replace burned out appliances, ductwork, etc.) (inCludes $.50 State SurCharge)
y?
?? TO AL FEE
SU
?
$
COMMERClAL FEES:
$70.50 Underground tank installation/removal OR Contrect Value $ x 1%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Permi Fee is less than $1,000, surcharge is $.50.
- It Permit Fee is >$1,000, surcharge increases by $S0 for each =$ State SufChafge
$1,000 Permit Fee (i.e. a$1,001-$2,000 Permit Fee requires a$1.00 surcharge).
. $ TOTALFEE
I hereby acknowledge that ihis information is complete and accurate; that the work will be in conformance wi[h the
I understand this is not a permit, but only an application for a permit, and work is not ro start without a permit; that 1
plan in re case of work whlch requires a review and approval of plans. /
brv,
Printed Name
nature
2 5 2008
USE
80 q i ?
2007 RESIDENTIAL MECHANICAL PERMIT API'LICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Pleasc complete for. single family dwellings & townhomes/condos when permits are required for each unit
4 50 . scD
c,1_Q_JV_
Date ?(,4 / le) / J 7
SiteAddress jQ ? ?I K((?d(Je) a/de Unitti /vJ
Prope: ty Qwne- ?g Ri eK 17c /lJ Te,e,>hone
Contractor kri- U/AhN G
Street Address Cit
l ° o I {q C) Wv2 // //?"?? •
y
4
State V-4 {N , Zip LIQJ_ Telephone N
Bond#: ?Q(p (9' 7 / p1 Expires: Z5 '??- ?0
The Applicant is _ Owner _Az"Contractor _ Other
Fire repair (replace 6urned out appliances, duchvork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteration to existing dwelling unit S 50.00
? furnace _Additional J/Replacement _ New
air exchanger
? air conditioner
heat pump
other
StateSurcharge
Dl ? .JO
??
?
Total $
•-
1 hereby apply for a Residential Mechanical Permil and acknowledge Uiati the information is complete and accurate; that the work will
be in confonnance with the ordinaiices and codes of Uhe Ciry of Eagaii and with tlie Meclianical Codes; that I understand this is not a
pemiit, but only aii application for a permit, aiid work is not to stari without a permit; tliat the work will be in ace ance with the
approved plan in th?e c/ase of work whlch requires a review and approval of plaiiAp
W GL76r'(, I2, _-- ? %
Applicant's PrinYed Name pLcanPs Signature
2007 RESIDENTIAL PLUMBING PeRnnir APPLicarioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dweilings.
Date &_ / n 7
Site Street Address KRISTA STANTON Q? Unit #
1063 Duckwood Drive
Eagan, MN 55123
Property Owner 6514543081 ? ( )
Contractor /?a/Z!Dm P(l.?bt9?/N9 Telephone# (G12) M-4033
Address 2qOs ly.wfirIal ' City / ol State? Zip ?l yOg
The Appiicant is: _ Owner ? Cantractor _Other
Refurbished Submit 2 sets of plans and MPC license
Septic System
New Inciudes County fee
_
_ $ 100.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
Alterations to existing dwelling $ 50:00
_ Add plumbing fixtures. This fee incfudes installation of a water softener andlor water
heater at the same time. ff you are instaflrng only a water soffetter and/or wafer
heater, do not complete this section; move to the next secYion and chECk ihe
appliance(s) you are installing.
Septic System Abandonment
_WaterTurnaround (add $136.00 if a 5/8" meter is required)
Other:
Water Softener ? Water Heater ? 15.00
_ new ? replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
p G ???IS
State Surcharge D
$ .50.
,
Total
$?.sD
I hereby apply for a Residential Plumbing Permit and acknowledge that the inforrnation is complete and accurate; that the
work will be in conformance with tFze ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a p it, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is ;plic!a!::n?f to be revi a d approved.
J?? ,varbJo„?,
ApplicanYS Printed Name s Si gnature
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single Family dwellings & townhomes/condos when permits aze required for each unit
,F3?.?
Date 15 / 0'?b / 65
Site Address_ K)U,25 ? C.UC_Mil A)CSb Unit #
Property Owner Telephone # ( )
Contractor O'Connor -?
PlumWng, Heating 8i Cooling
StreM Address 1904 Yermillion St. City
Nastings, MN 55033 I
State Telephone # ( )
Bond #: Expires:
Thc Applicant is _ Owner _ Contractor _ Other
Addon or alteration to existing dwelling unit $ 30.00
fumace _Additional _Replacement
air exchanger
? airconditioner _New A-Replacement
other
State Surcharge $ 50
Total $ r_ls?D
I hereby apply for a Residential Mechanical Permit and aclmowledge that the informaUOn is complete and accurate; that the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; tYtat I unders[and this is not a
petmit, but only an applicaUOn for a permit, and work is not to start without a permit; that the work will be in accordance with [he
approved plan in ihe case of work wlrich requires a review and approval of plans.
" . a? U?j tz, 12Q C?>?
ApplicanYs Printed a e Applic tlT% Sig ture
2005 COMNIERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knoh Road, Eagan MN 55122
Telephone # 651-675-5675
Please wmplete for: commerciaUindustrial btildings
multi-faznily bufldings when separate pemiits aze not requved for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if appticabte) Previous Tenant Name
Property Owner Telephone # ( )
Cantractor
Street Address City
State Zip Telephone # ( )
Boud #: Eapires:
The App6cant is _ Owner _ Contrac[or _ Other
Work Type
New Construction _ Underground Tank _ Inscall _Remove *`see below
Interiorlmprovement _ Install Piping _ Processed _Gas
Nature of Woric:
*'"When insta!ling/removing underground tank, call for lnspection by Fire Marshal and Plumbing fnspector
PCI'Nit FCC9: $70.50 Undergroundtank ins[allaziodremoval .
$50.50 Minimxm (includea Slate Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If R?rnut fee is $1,000 or less, add $.50 => $ State Swcharge
If oermit fee is over S1,000, add $.50 for
every $1,000 nermit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; that I understand t}us is
not a pernut, but only an applicafion for a pemtit, and work is not to sfar[ without a permit; that the work will be in accordance with
the apprwed plan in the case of work which requires a review and approval of plans.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector
M-7 /
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New ConsWCtion Reauirements
3 registered site surveys showirg sq. R of lat, sq. ft. of house; and all roofed areas
(20°h maximum Iot coverage allowed)
2 capies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculatlons
3 copies of Tree Preservation Plan if lot platted after 111193
Rim Joist Delail Options selection sheet (buildings with 3 or less unils)
RemadeUReoair Reauiremenis ORce Use Onlr
2 cropies of plan Cerl of Survey Recd _ Y_ N
1 sel of Energy Calculatbns for healed addNions Tree Pres.Plan Recd _ Y_ N
1 site survey firadditions & decks Tree Pres Required _Y _N
Add"Aion-iMicafeHaticdesepficsysfem OnsBeSeptkSyslem _Y _N
Date 1c)/?/ QCj Construction Cost 3, a a5 00
Site Address IOb3 UniVSte # ? Qq
Description of Work '?\ W`Qk(A, Wl. N-! 1X' G M aq=fmi CCn .
Multi-Family Bldg Z Y _ N Fireplace(s) _ 0_ 1 _ 2
PropertyOwner (Up ?Y1C?Q.. SkU'CA'CUQY\ 3C Telephone#((p51)UVO?da$S
Renewal By Andersen
Contractor
1920 County Rd. "C" West
Address Roseville, MN 55113 City
State 651-264-4777 _ Telephone # ( )
License 420130983
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
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitled
Have you previously constructed a building in Eagan with a similar plan? _ 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. L??IiiApplicant's Printed Name ApplicanYs Signature ;'
`OFP7CE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 18 Fireplace 0 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck O 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'DemoliUOn (Entlre Bldg) - G ive PCA handout 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
_ Footings (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
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
Final/C.O.
FinalMo C.O.
Plumbing
HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
Siding _ Stucco _ Stone _ Brick ,
W indows
_ Retaining Wall
Building Inspector
.•v. vs, sv.y iuu u. ov y•
rnn roa att ?gao tt?Pt??(h!, ??drtUtstc?tsc! ,
re
. rune zoor - - - City of Eam -
3836 PiIuf Knob goad - '
F-agan, MN 55122 • - cr
. To Whom k May Coitcern:
EIder 7ones is authorizcd to phII hIIiIding Pernoifs forReaewa3 by Aadaisea Pieasa alIow
Etder 7oncs to proyide this scrvicc for us in $s?an, `tttitt authatizatidn is valid foT sn •
to date thebcyouCity- c! 6l6101; aatil a?`enawa! by Anden crs maz? ?F?stY revakes it in av Iciag
I rcquest this sutIiorizatian bc accepftg-wcpedirjously, ' .
ovr baildinS Pm-anit, anY fiuRficr. Plcasc call mc if thcm ero aa ?8Y in the prpt??? ?f
? coutacted aL 763-SU2-47U5- -- Y?eu[ona., I can bn
Your 3mmgdiate attcntion to this mattcr is e?}arnA_ 9 -SinCaialy.
-R Rau
ossati n Managtr
Ranowal by Auderscn Corpotation
Karn-F.ides 7nnec .
*MyD720ra _._..___ - -I
T •
wuu
Received Time Jun. 1. 1'01Pfd
A
.
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
? R-1 SINGLE FAMILY
? R-2 DLPLEX (Zt,o C?nits)
? R-3 TOWNEi0U5E (Three + Units) ( Units)
7? R-4 APARTMEAIT/CODIDOMINICM. (Units)
PleaseI Print
? 1) PROPERTY ADDRESSe eer7l-ii7i
i
LEGAS. DESCRIPTION:
. (Lot/B1ock7Subdivision or Tax Parcel ID )
IF EXISTING SlRC{.ZL?RE, DATE OF ORIGINAL BL'ILDING PERMIT ISSL'ANCE: . _-
PRFSIIJf 7ANING/PROPOSID LSE: Mon Year
q ca+MEacIAL/xErAxLioFFIcs
? IDIDCTSTRIAL
? INSTIIL;TIONAL/GpVERIZEW
2) ?
NAME:
ADDR.EgS:
CITY. S'PATE, ZIP:
PHONE:
3) u i: ?•
NAME:
ADDRESS:
r-ITY. STATE, ZIP:
PHONE:
4)
••• • • i?+•
NAME:
ADDRFSS:
CITY, $TATE, ZIP:
PHONE:
•5) ? a r i a: •?• : o • a• a. a?
CONNECfION T0 CITY SEWII2 Mt CpNNE[,TION To CITY WATER Q (YP[M?
6) Cl PLEASE FIOLD APPROVID PIItMIT F'OR PICK-j BY ONE OF ABOVE
WPLEASE MAIL APPRCIVID PERMIT Zl7 1• 2, R;, 4, ABOVE
?? Q Q (Circle one)
MASTER LICENSE#
`7, rl---
*KYPS: PAYMENP' OE FEE AT TII•fE pg
APPLIcATIorr noFS Nom ooNs-rIzcrrE
APPROVAL OF PEE2MiT.
irrsrncizort oF sEWER r,rro/ox wasM
TNlS^7'A77.nTTQN$ yTj.T. NO'j' BF, $(?HED-
or.ID orrr.u. PERMIT tAs BEErr
ArPizwFn.
- riimioers Lacense:
Active
E7cpired
Not recorded
Sta f-Initial
.e '.
FOR CITY USE ONLY
PERMIT # ISSUED
/ s /_2- 4 -13 d // (,
Pd w/Bldg. Permit FEES:
$ $ /G-.0
$ $ /l ?
$ $
$ $
$ $
S $
$ $ •
$ qOC? -07I v
$ S
$ $
$ $
$
) 0
i i
s ? << 's
$ $
SEWER PERMIT (INCLUDE SLRCHARGE)
WATER PERMIT (INCLLDE SC'RCHARGE)
WATER METER/COPPERHORN/OCTSIDE READER
WATER TAP (INCLUDE CORPORATION STOP)
SEWER TAP
ACCOUNT DEPOSIT - SEWER
ACCOL'NT DEPOSIT - WATER
WAC
SAC
TRONK WATER ASSESSMENT
TRL'NK SEWER ASSESSMENT
LATERAL BENEFIT/TRC'NK SEWER
LATERAL BENEFIT/TRL'NK WATER
WATER TREATMENT PLANT SLRCHARGE
OTHER:
$ $ O?o TOTAL
y- 62-836 ?3/?L?-
R CEIPT ? ??_r RECEIPT
7"
DOES UTILITY CONNECTION REQLIRE EXCAVATION IIV PPBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q ROADWAY" MUST BE ISSC'ED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SUBJECT TO THE FOLLOWING CONDITIONS:
r
APPROVED BY:
r
TITLE:
DATE : _ :2/? d ?6??
?
?/ r/? 7
Date:
1986 BQILDING PERHIT APPLICATION - CITY OF EAG9N
NOTE: gLI. CONTRACTORS MOST BE LIC?'.'ISED S1ITH THE CITY OF EAGAN
SffiGLE F9MIILY DHELLINGS
INCLODE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVBY, 1 SET OF ENERGY CALCULATIONS
MOLTSPLE DNELLINGS - AESIDENTIAL RENTAL DNTTS FOR SALE IINITS x
I,ICLUDE 2 SETS OF PLANS, CERTZFICATE OF SIIRVEY - CHECg iiITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
C014lERCIAL
INCLUDE 2 SETS OF aRCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
To Be Used For: l4e,'yCAiT Valuation: 77$itoo,,_
_ n -
Site a
Lot _
Parcel
Owner
Addres
City/2
Phone
Contr2
Addre;
City/i
Phone
Aren.,
Addre:
ddress
? Block
s
ip Code
LctorxJ? Q.YI ?Ch?
:ip Code
,5N-
13?.
'Engr.
as
City/Zip Code
Phone 1k
Erect Occupancy ?
Remodel Zoning R ??!
Repair _ Type of Const ?
Addition # oi Stories
-
Move Length 777
Demolish ` Depth
Int.Impr. _ Sq Ft
Install
BPPROVAIS ??
Assessments - Permit
'dater/Sewer Surenarge
Police Plan Review
Fire SAC ?t
Engr Water Conn
Planner Water Meter
Council Road Unit )C
Bldg Off S ZD k Treatment P1?
APC Parks
Variance Copies
TOTAL
8Ga
?2g
304
123Z
C?4-GUL-?161"? ?C1s?M (°?F?S
,4DD('?oN? ?CES oF?123Z
NOTE: ADDRESSES rOR CORNER LOTS - CCNTRACTOR/HOMEOftNER MOST DESIG.IATE SiHICH ADDAESS
IS DESIRED. 10 CHANGES SIILL BE 9LLONED ONCE BUILDING PERMIT ZS ZSSIIED. "
..
;
'?-QzM 17-
?-
l ov,oov 4 33
L`16,ocJ 6o78rr 2 - S
?b9 S
2i
c (-?(??
I?x 575 =
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t?x ? -
ZIZ.g =2 ` (0co4
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& 4cz)
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KPY, Z3Z 3?12
?-
lC? x I Z5" Zcoo
z (-z.a
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,
CLAKK+?F.?VC'iINEERING CLY'1YANY • Ztll? WAYLA"1'A t%l1UGV? • ?'ut??vLAYVy1J? r¢r • rnvnG: J/4-414U ?
CERTIFICATE OF SURVEY FOR: ?
ORRfN THOMPSON HOMES
A Division of U.S. Home Corporatidn
9n4,0
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- - 5B9° zl' 54" E 295.35 Scale: 1" _3n'
I 4043
sbs.s ??
i • Iron monumeiat found
0 o Spike or wood stake set
.300.0 Existing spot elevation
I oa. proposed spot elevation
Drainage direction
?,asb v`?i nia.sx N
p3 n 24.5 N 23.5 'h 35,42 N 11.67
tl
16 UNIT
2 STORY COND01\Atv11uM BUILDING
FIRST FLODR EL.= 908.1 a
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Lot 1, Block 1,
LEXINGTON PLACE SECOND ADDITION
Dakota County, Minnesota
I hereCy eer[iCy that thtn ia e truc and correcC repreecn[ation of a sucvey o[ the
bourdariea of the land above desccibed and of [Ae lxa[ion of all buildincj3, i[ any,
Chereon, and all visible enccoachmen[s, if any, Lcom or on said land. I(urtAer
cer!!fy Uwt [his survey vae pcepaced by me o: under my direc[ superviaim and tha[ I
am a dul//y ??Regta[eced Lend Sucveyor under the leva of Che SCe[e of ninnewle_ tN Reg. No. Glz7 DaCe ?? _FJ'O4
? 1• ' 1)REV.r 5"5'86...20' SET6ACKToUi0.80N OVtKweop 9RiVE.
Pcoposed House.2-k As-euili nouse._ uravn Dy •? rrojecc no. w?
CITY USF ONLY
PERMIT #{: RECEIPT DATP: G ?^U?
MIDENTIAL liECHAR1CA1. PERM1T Af'PLICATION
crrYoF E,tsM
3830 Pnor xxoa ftn
gf18AF Mft 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 5 -cR`j - (D I
SITE ADDRESS: tb(Q:? Z)C.IL(.ofY'YSl.: _CNr -_4 tOCL'
OWNER NAME: Y? I( ? S?O.? Sl(N?-?O`ru TELEPHONE #: C93< <IS1I- 309I
(AREA CODE)
INSTALLER NAME: ZvH v'ISVl LLfL IA 4 CA ?"i n A °I' 61C TELEPHONE #: SoZ Sr1 ?I -0ObS
(AREA CODE)
STREETADDRESS: \aT5k '\410CCSL kS, "CQ. S.
CITY: SCl_x? STATE: ZIP: 553? ?
Place a check mark next to the ermit work t e
New residential dwelling unit under constructionand not ownerloccupied $ 70.00
? Add-on, modification or alteration to existin dwelling unit ? 50.00
• furnace replacement
• air exchanqer
?
• other
Nature of work: Kt-tL
?
State Surchar e $ 50
Total $ J?. S
Renrinder: Ca[I for inspections.
SIGKATURE OF PERMITTLE
Updmed I;OI
r
PERMIT #:
APPROVED BY:
CITY USE ONLY
INSPECTOR
RECEIPT DATE:
COMMEtCIlkI. MECHANICAL PERMIT APPLICATION
C1TY OF f.AeLE1V
3$30 P1LOT KNOS ftD
EAsM, Mv ssi as
651-6$1-4675
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DA1'E:
SITE ADDRESS:
OWNER NAME: PHONE #:
(AREA CODF)
TENANT NAME (IMPROVEMENTS ONLY):
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
ADDRESS:
CITY:
PHOiVE #: -
(AREA CODE)
STATE: ZIP:
WORK TYPE: _ New conshuction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tanl:
_ Processed Piping
Specify Narare of Work
When iustalling/removittg underground tank, cal! 651-681-4675 for inspection by Fire Marshal and
Plumbing Iinspectnr.
Fees: ]% of contract price OR $50.00 minimum fee, whichever is greater.
Underground tank removaVinstallation = minunum Fee
Conffactprice: $ xl%=$ (BaseFee)
State surcharge calculate at $.50 for each $1,000 Base Fee
TOTAL $
SIGNATURE OF PERMIT7EE
.
Updated 1/O]
7),ll-+
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX 9 651-675-5694
New Consiruction Reouirements
3 regisfered site surveys showing sq. ft. of lot, sq. fl of house; and ali moted areas
(20% maeimum lol coverage allowed)
2 copies of plan showing beam & window sizes; poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan'rf bt platled after 71`1193
Rim Joisl Delal Options selection sheet (buildings with 3 orless un'ds)
Minnegasco mechanical ventilation fortn
RemodellRepair Reauirements
2 copies of plan showing tootirigs, beams, joists
1 set W Energy Calculations for heated additions
1 site survey for additlons & decks
Adddion - indicate ilon-sRe septic sysfem
qq$1_5
OHice Use Onlv
CertofSurveyReM _Y _N
Tree Pres P1an Recd _Y _N.
Tree Pres Required _ Y_ N
On-site Septic System _ Y_ N
Date Construction Cost
?
Site Address L i.J o UniUSte tl
Description of Work lC??? (??y f ,jL
Multi-Family Bldg ? Y_ N Fireplace(s) _ 0 2
Property Owner Telephone # ( )
i ?
Contractor /;?z ? ??.?
? ? ??
•
- • ,r
,
Address U, , , 7 ?// G?• ?T i?^,L ?
`
City
St
t Zip • Telephone #
e
a
'', ' 1 . ,
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
?
Minnesota Rutes 7670 Cateeorv 1 -- Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submiried Submitfed
• 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 Coniractor
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
perxnit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
1i/ _,??,??? /?? ?-?????
Applicant's Printed Name
? ?'' ,?
?/ i.//?/:?/7 ?17 .? %!,A ?
Applicant's Signature ?
DO NOT WRITE BELOW THIS LINE
Su6 Tvues
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Mulii
? 03 01 of _ piex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) O 33 Ext. Alt - SF
? 04 02-plex ? 10 08-piex ? 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 ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demotish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demotish Building' O 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demalitlon (Entire Bldg) - Give PCA handout to applicant
D05CYIptloll: WaterUamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
_ Footings (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
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
REQUIRED INSPECTIONS
_ Sheetrock
_ FinallC.O.
_ FinaVNo C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ Windows
_ Retaining Wall
Building Inspector