1001 Cross RdCITY OF EAGAN ?
N- 12769
3830 Pilot Kno6 Road, P.O. Box 21-1 99, Eagan, MN 55127
PHONE: 454-8100
BUII.DING PERMIT Receipt #
iobeusedfor SF DWG/GAR est.value $105, 000 oate OCTOBER 15 ?g 86
SiteAddress 1001 CROSS ROAD Erect TI Occupancy R3
Lot 3 Block 4 Sec/Sub. GREENSBORO 1ST Remodel ? Zonin9 R7
Parcel No. Repair ? Type of Const. y
Addition ? No. Stories
a Name FEATURE BLDRS Move ? Length 48
z 15513 LOGARTO LN Demolish ? Depm a4
3 Address
B'VILLE
435-8443
° ci Int ImPr. ? Sq Ft
?
phone
ty Install
o Name SAME Approvals Feea
i
$? Address Assessment Permit $ 445.50
? city anone Water & Sew. Surcharge 52 . 50
Police P.IanReview Z22.75
Fire SAC 575.0
=Addre,,
Eng. 5 0 ?. 0 0
Water Conn.
Phone Planner Water Meter 63.50
Council Road Unit 290-. 00
Iherebyacknowledgethatihave Eadthisapplicationandstatethatthe lO/15/8
gldg
Off 156..00
Tr. PI
information is correct and agre to comply with all applicable State of .
. .
Minnesota Statute and Ci E gan Ordinances. APC Parks -
' Var. Date Copies
SignatureofPermiM Tot81 +52.305:25
A Buildin9 Permit is issued to: FEATURE BLDRS on the express condition thai
all work shall be done in acc rdance with all ap 6 State of Min esota a-t7u?tes and Ciry of Eagan Ordinances.
Building ORicial '- ?--c -
?? ...
CITY OF EAGAN N°_ 'I S O H H
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMW I PHONE:454-8700 Receipt # q il 1
f) `f
To be used for PORCH Est. Value $6, 000 Date MAY 27 ,198$__
Site Address 1001 CROSS RD
Lot 3 elock 4 Sec/Sub.GREENSBORO 1ST
Parcel No.
olName TIM OR KARI FRIEND I
Address 1001 Cross Road
City Eaean phone 688-0100
¢ Name_
0
oa Address
? City_
?a
U y?
w
iiy
?
x?
U
wI
a
Name _
Address
Cify_
I hereby acknowledge that I have read this application an0 s}ate that [he
information is cortect and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
??-
ABuildingPermitisissuedto: Tim or Kari Friend
on the enpress condi[ion that all work shall be done in accordance with all
applicable State of Minnesota Stafu[es and City of Eagan Ortlinances.
Building Oflicial-JOAqJL1A.d-4.Ik-l-
OFFICE USE ONLY
On Site SewaBe - Occupancy
MWCC System _ Zoning
On Site Well _ (ACtuap Const
City Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Length 1$ '
Depth 20 '
S.F. Total
Footprint S.P.
APPROVALS
Engr./Assess.
Planner
COUnCiI
eldg. Off.
Variance
FEES
Permit 74.00
surcnarge 3.00
Plan Review
SAC. City
SAC, MWCC
Water Conn.
Water Meter
Roatl Uni}
Treatmen[ P7
park?Copies .50
TOTAL 77•SO
, . CITY OF EAGAM - •
a~?' 3830 PilOt Kr10b Roed, P.O. BOx 21-199, Eagan, M14 55121
PHON E: 454-8100
BUILDING PERMIT I ' Receipt # To be used for Est Value ° Mte 7 ° ,19
Site Address Lot Block Sec/Sub,
Parcel No.
cc Name
; Address ?'?` •
0 City Phone ? ••
¢
o Name
.
U Q Address
?¢- City Phone
? W
F Name _
W
s ? Address
?
aW_ City-
a
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 Statutea and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express cond ition that al I work shal I be done in accordance with all
applicable 5tate of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
On Site Sewage OcCUp?cy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of 5tories _
Booster Puinp Length
Depth
S.F. Total
Faotprint S.P.
APPROVALS FEES
Engr./Assess. Permit i
Planner Surcharge
Council Plan Review
Bidg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
PdYks
TOTAL
Permit No. Permit Holder Date Tslephone x
Plumbing
H.V.A.C.
E lectric
Softener
Inspection Dste Insp. Comments
Footings 1
Footings II
Foundation
Framin9 ?
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
inal Plbg.
. Final p ?
Cert. Occ.
Temp. LP
Deck Ftg.
Di2ck Fined
We11
Pr. Disp.
? .. ? . ? .. . .. ? .. ? . . . . - ? ! . -. . ?.. . . . . . .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 12769
?
,,...- ----_ -----•- PHONE: 454-8100 ,
SF DWG/GAR
$105,000
86
SiteAddress IOUI CRO$S R0AD Erect #l Occupancy R3
GP,EENSBOR0
L
t 3 Bl
k 4 IST Remodel ? Zoning A1
o
oc
Sec/Sub.
Parcel No. Repair ? Type ot Const sz
Addition ? No. Stories
FEATURE BLDkZS
Move ? 46
Length
¢
_ Name
15513 L Demolish ? Depth 44
o si
Addr I
t
? S
Ft
?
?IL ? _ . Impr.
n .
q.
City Phone Install ?
x SAMF; Approvals Fees
U¢
W W
? W
-Z
v?
az
qw
Assessment
Water & Sew.
Pofice
Fire _
idthis application and statethatthe BIdg.Off. 10/15/?1
comply with all applicable State of
an Ordinances. APC
Permit ?' `"`'' • ''''
Surcharge 52.50
Plan Review 222.75
SAC -5T5 - 0 0
Water Conn. 500.00
Water Meter 63 . 50
Road Unit 290.00
Tr. PI. 156.00
Parks
Copie
Total ?
Var. Date
A Buildir
all work
Building
on the express condition that
City of Eagan Ordinances.
I I Permii No. I Pe.mit Molder I Date I TNephone N I
u Piby.
p. Final
1. Occ.
:k Ftq.
:k Frmg.
II
Dfsp.
CON1
? . . PERMIT #
MECHANICAL PERMIT RECEIPT # ?O '?j S S
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: ???'
Site Address / Ur/ /
Lot _ ?L Block
? Name ' r1 r /,,
m Addr?ss ??
_ Name
c Addre
0 City4
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond.
Vent
Gas Piping OuUets #
Other
E
Sec/Sub
1 r' Cw M BTU
M BTU
M BTU
M BTU
CFM
?
V. C O
TOTAL• `BLDG. TYPE WORK DESCRIPTION
FEE:
S/C:
Res. ?
Mult
Comm.
Other
New ?
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M 8TU - 6.00
ADD-ON AIR COND. 0-24 BTU - 12.00
ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
COMM/IND FEE - 196 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)
SIGNATURE OF PERMITTEE
FOR: CfTY OF EAGAN
PERMIT #
PLUMBING PERMR RECEIPT ;
CiTlf OF EAGAN
, 3830 PILOT KNOB ROAD, EAGAN, MN 55121 DATE: _
m Name
? Addre
c City _
? .cuiv
3 Address
O City Phone
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
MINIMUM - RESIDENTIAL FEE - $10.00
MINIMUM - COMMlIND FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000.00)
?
1
OF
FOR CITY OF EAGAN
r
? >t x
BLDG. TYPE WORK DESCRIPTION
Res. New
Muk. Add-on
Comm. Repair
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 OuUets - $1.50
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
CITY OF EAGAN
3830 Pllot Knob Roas! WATER SERYICE PERMIT
P.O. Box 21199
Eagan, MN 55121
Zoning: r1 PERMIT NO.: 8919
DATE: 1 1 7-f' E
No. of UNts: I
Owner. Feature Eldrs
Address:
Site Addess: 0 ?
Plumber, ",,•-rh,-,••, t,?r c}? ?
Meter No.:
Size: ?8 O[2 019
Reader No.: C 74 7?59? TELEP ? '?qpDiqti4E9e:
1 •
- m??e-°e.?? ' pe
d
v
I agree to comply wHh the CfiV0rlpg#6Q Fftcp#ye:i Aw r,,:i. .,j
30 Pilot Knob Road
0. BOX 21199
gan, MN 55121
..1.....
,
.sm te eewoy wMb Nu Cilp oi bp¦
Misc. Charges: 156.801,v!
Total:
Date Paid: 53.57d m
SEWER SERVlCE PERMR
?hAIT \IA .
Conroction O+oege:
Aooourrt Depodt; _
Pam-ht Fee:
Surdwrpt:
Misc. Charpea: -
Total:
Dote Poid:
Date of Insp.: Insp.:
/- Z,-? - ?;7
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G. PE$,MIT ti0.
?• ? .
01-3210 Bldg. Permi*_
01-3422 Plan Check
01-3445 Surch./Adm,
01-3446 SAC/Adm.
01-2155
17-3860
20-2275
20-3865
Zo-3s6s
20-3716
20-2252
20-3713
20-3743
79-3866
11-3855
SurchargE
Road Unit
SAC
Water Conn.
Water Trmt.
Water Meter
Acct. Dep.
Water Permil
Sewer Permil
Sewer Conn.
Park Ded.
TOTAL
REQUEST FOR ELECTRICAL INSPECTION ea-ooooi-os
. Ill See instruetiona fur completing ihis form on beck of Vellow copy.
C-63Q33 R'" Below Work Covered by This Request
NftAAddj4j-_-!z&- TVOe of Builtl+ng Aoalinacea Wired Equiumem Wirea I
M Fee Service EnbanceSixe # F?. Faxders?Subfeaders N ?. ircui
0 to 200 qm s 0 to 30 Am s 0 to 30 Am s
Above 200 Amps B 31 to 1 DO Amps V 31 to 100 A
Swinvnin Pool Above 100_Amps A6ove 100_Am s
Transformers Irrigation Booms PartiaL'Other Fee
apeciai mspecuon S ..,
ema.ks TOTAL(FEE
Bouah-in ?ate \
G ? ?? t?e -? ?. ,he Electrical
Inspacbq hereby
Final ? certity thet the Above
?? inypection has been
/ mede.
This request void
18monffistram ?I????•b ???J y-.
263033 L _3:h4,
Reouest Date
? Fir¢ No. Roueh-in Inspedion
Nequ red?
?iteady Now Will Notify InsDec-
//'/ 7 -"??? Yes ?NO lor When Rea4Y
,Ly\ucensea [seMncal Contrector I hereby reQUest inspection oi ebove
? Owner electrical work installed at:
Street Address, Box or Route No. Ciry?--J
ecuon o. Townsnip Name or No. Range No. County
Occuo^c (PHINTI
. P,hon/e No.
Pow(er Supplier `}r
`-- Address
Elect ical Contractor lCOmpany Name)
?s?/?; %C`J=c?;??:rc i???` CoMracmr's Liwnse No.
C??/i ? ?'? -LY)
Madin Address (Contractor or Owner Making Inscailation)
?-G-J _???/.???'?L?
AoMoriz -Sjgnatu e 1 onV ?Poner MakTng Installationl Pho9@ Number
MINNESOTA STATE BOAflD OF ELECTRICITY I MIS INSPECTION HEQUEST WILI NOT
Griyga-Mltlwey Bldp. - Room N497 0E ACCEPTED BV THE STA7E BOAFD
1837 UniversitvAve.. St Peul. MN 55104 UNLESS PqOPEP INSPECTION FEE IS
Phone (612) 642-0600 ENClOSE0. '
Thia ? r ?( J
18 ?
Neauea?
Licensed Electrical Contrector
? Owner
Sbeet Address, ¢ox or pou[e Na.
Contractor
iPh-in Inspection
1 ired? ?qeady Nuw Will No?itY. Insoec-
Yes ?Na _?tor When Reatly
1 here6y request ingpection o1 above
alec<rical work instellad et
Hange o.
n
G?-7/? ? .
Address
7,7,%C
akinn Insta{lati
i /
I .._...°..""__+•??"Gpniractor/OV?tar MinA Installationl
v
?J
MINNESOTA STATE BOARD OF ELECTqICITY
Gr1upa-Midwey Bltlq. - Room N-091
1821 Univeraitv Ave.. SL Paul. MN 55700
Phone (612) 642-0800
?V
??
or-s Lii,ense No.
TMIS INSPECTION qEOUESY WILL NpT
BE ACCEPTED BY THE STATE BOAFD
UNLESS PPOPEN INSPECTION FEE IS
ENCLOSEU.
tEQUEST FOR EIECTHICAL INSPECTION es-ooooi-oa
? See inshuc(iuns lor camoletinq thia torm on beck o1 vellow copy. "X" Below Work Covered by This Requesl 47OS-/
Atltl flep. TVpB oi Builtling
Home Applinnces WirBd
Range EQUiUment Wired
Temporary Service
Duplex Water Heater Li htin,y Fixtures
Apt. Building Dryer Electric Heatin
C
ommercial Bldg. Fumace Silo Unl
oader
Industrial Bldg. Air Conditioner 8ulk Milk Tank
Farm Ne. pea y 1her (5ner.iryl
.,.
.,.....
.. ?.._ t Pr ucutY
'__..__ r_ _ .. . Other Other
N Fee ServiceEntrenca5ize p fee eders p Fee Circults
? to Z00 Am s 0 to 30 Am
Above 200 qmps s 31 ta 700 q y
Swimmin Pool =00-
Am s Above 700_Am s
Transiormers ms Partial/Other -e
Signs ction
? %-
Nema.ks 5 ?,? TOTAL?FEE?,c??
' i
NouBh-in ?ate \
' I. the Elachical
I?apector, hereby
Final p 1e carli/y thet the ebove
, (? _ 3i sPact,a. hes beain
de.
Thia repueal void 16 monihe Irom
i " , 1958 BUILDING PERMIT APPLICATION - CITY OF EAGAN
?
SINGLE FAMILY DWELLINGS ? 0 67'
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT IS ISSUED.
MNLTIPLE DWELLINGS RENTAL UNITS FOR SALE UNIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECR WITH BLDG. DEPT.t
1 SET OF ENERGY CALCULATIONS
CONMERCIAL
INCLODE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
_ Se-?QGErl Ro kc,IA
_
`.
To Be Used For: E¢.'µValuation: rOODO Date: 00 MAY 2 51988
Site Address 10 0 1 unS5 U OFFICE USE ONLY
?
Lot ? Block AL
Parcel/Sub i .` 4
Owner l -Yi1 (S ? rQ-+"i
Address ? tjn
City/Zip Code
Phone Joz? - n r Q(-)
Contractor !SQ { -?-
Address
City/Zip Code
Phone
Arch./Engr, _
Address
City/Zip Code
Phone #
On site sewage __ Oceupancy
MWCC system _ Zoning
On site well _ Actual Const
City water _ Allowable
PRV required _ # of stories
Booster Pump _ Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess
Planner
Council
Bldg. Off.
Varianee
Permit
Surcharge
Plan Review
?51zfoSAC, City
S9C, MWCC
Water Conn
Water Meter
Road Unit
Treatment Pl
Parks
Copies
TOTAL
-.. /$-
ao
9y,oo
3100
?7 •Sa
?`-
?
O
.: .' , rF . _ {. ) "• . . Y U...:
. ' ?. t.nu.l ??. -c:.?l. . ?.:. .I.a.+..... ....i.?_:. . . ._..'.. I . .?.'?....1....?.C:.Jd rn.....:1GN ? fu:?-.
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DATE .7 -.ce- oa . • •---- --- -
- - `s?:
76
1986 BOILDING PSRMIT APPLICATION - CITY OF EAG9N
AOTB: ALL CONfRACfO8S MQST BE LICEAISED iiITH THB CITY OF EAG9N
32NGLE F9NIII.Y DWEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DLi6[.LING3 - EfiSIpBNTIAL gEETfAI, i)BIYS FOx SALE DNITS
lNCLUDE 2 SETS OF PLANS, CEBTIFICATE OF SDRVSY - CHECg FTITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
- ?05, oOU
To Be Used For: Valuation: ? ?-?"';1-o?cr i-' Date: Qc?_Q4 1734
Site Address /00/ Clu?'1, ",
Lot -3L Bloek 4_
Parcel/Sub j?V2Qe.Y?2?-6" 10? Ub??u.i.L4h
Owner
Address
City/Zip Code
Phone
Contractor gjtz'-?
Address / SS/ 3 -
City/Zip Code ?? 55337
Phone lf'3 S- $4 43
Areh./Engr.
Address
OFFICE DSE ONLY
Erect ? Occupaney R3
Remodel Zoning fZ•l
Repair _ Type of Const
Addition # of Stories
Move Length ?
_
Demolish ` Depth
Int.Impr. _ Sq Ft
Install _
9PPROVALS FSES
Assessments
Permit ?
445, "
Water/Sewer Surcharge 5 2.-52-
Poliee Plan Review ZZ2, ?s
Fire SAC 5 "15.
Engr Water Conn 500,
Planner Water Meter 63. S-°
Couneil Road IInit 290.
Bldg Off Treatment P1 I54o.
APC Parks
Varianee Copies
1'OTA[.
City/Zip Code
Phone #
,,,.
S`
gORE: ADDBESSES FOR CORNBB LOTS - CONTRACYOR/HOMfi0i1NfiQ MUST DESIGNaTE pHICH ADDRESS
IS DESIRED. NO CHANGFS iTII.L BE ALLOWED OHCE BOILDING PERMIT IS ISSOED.
Zf? t? 2? '(o?7(o r,- 58 = 3`? 2 a? s
l ? K 7.o Sg
?Zx 2Z - q-gqx c2.' Sg°$
(o4z-5z-
LLII V ?? v?..
. .$830 W. USIh Slfeal - - • .
Appl9 Y.:llay, MN 55120 EXTERIOR ENVELOPE f+VERAGE "U" COMPU7ATION
, - 06lNER
, SITE AODRESS _ 1 D 6!
CDNTRACTOR FEa-ru2? 1?,? .drLs. DATE pHONE
? 5-ig6C.
Determine working square footage of each.
1. Total exposed wall area ...... 2ti89•o'-1 _ sq. ft. x_ •I ?= 2?3.7
2. Total raof/ceiling area .... ?Z5`{ sq. ft. x- •0210= 32:60
Total exposed wall area above floor = Z 1 Zg
a. Total wall window area ........................... ZOO,Io
b. Total door area .................................
'
38
c. 7ota1 sliding giass door area .................... y y
d; Tatal fireplace wall area ....... .. .. ........ 14A
e.
Total
wall framing area (average 10%)...:........ -
?_
1`7
f. Total net watl area above floor ................. t(oN,0(,o
g. Total rim joist area ............................ ztO LO
Total exposed foundation area = .Oq
h. Tota1 foundation window area..................... 1p,3
1. Taal net foundation area abpve grade ............ p,A,rl y
Determine "U" value of each wall segment.
a. ZOp. lD X 'lUll 100.30
b. 3a X „u„ . ? 3y = 5 Za
C. x „u„ ?5 = zZ.
d- X „ull 1-7 ,28
e._ 1'l9,?q X loUl. 0410 = rl.2G
f. Ilol?llo(o X itu,l ?9.5?
9• ? Lo n X "U" O •91
h. tp, 3 x "U" ?^ = 3.97
i• f3$.?q g iluit 6 L= 7.28
3 ........:.......zyS Q •Oy:........... Total
If item #3 is the same as, or less than item #1, you have met the intent
of SBC 6006(c)2.
. ,
? Total exposed roof/ceiling area = ? Z 5?
? Total gross roof/ceiling area = 1 5 .
j. Total skylight area . ...................
k. Total roof/ceiling framing area ............ Z ,
1. Total net insulated roof/ceiTing area....... --??
Detennine "U" value for eacfi roof/ceiling segment.
j, z poull ?-- _ --
k. 12Z,q x"u" ? bty = 2,py
1. I IZ8,(o x"U" , 0 ZZ = 21-4 .83
4 ............................ Total
If total of #4 is the same as, or less than #2, you have met the intent of
SBC G006(c)l,
To utilized ttie total envelvpe system method, tfie values established by the
sum of items #3 and fl4 sfiall not be greater tlian the sum of itens #1 and #2.
1.
3.
MATERIALS
Ezterior Air
Siding Material
Sheathing
Insulation
Sheetrock
Inter3or Air '
Studa
Rim.
Conc. Blka.
+ Z.
+ 4.
Tlierm. Resistance "R"
.17
.45
Zef?f°
?
{?ZS
FOR -CITY USE ONLY
PERMIT # ISSOED "
Pd w/Bldq. Permit FEES:
$ $ Aj' 5 4= SEWER PERMIT (INCLUDE SDRCHARGE)
$ $ WATER PERMIT (INCLUDE SURCHARGE)
$ L?. ?• S?% $ WATER METER/COPPERHORN/0[?TSIDE READER
$ $ WATER TAP (INCLLDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ /S (00 ACCOUNT DEPOSIT - WATER
$ J h C' • O- -Z? $ WAC
$ G $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL SENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ Z) $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ y• SD $ ,-?j%, TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCAVATION IN PLSLIC RIGHT OF WAY?
F--j YES IF YES, THEN A" PERMIT FOR WORK WITHIN PDBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
Q
NO DIVISION. LIST AS A CONDITION.
SDBJECT TO THE FOL LOWING COIVDITIONS:
APPROVED BY:
I
TITLE:
DATE : // / ? o
CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*ATw3: PAYMh:NP OF FEE AT 7ZME OF
rPPLscUzoN ooES Nom CONSTITUTE
APPROVIU, oF PERMIIT.
P ease Print)
1) PROPERTY ADDRESS: 1001 Cross Road
LEGAL DESCRIPTION: L t Block 4 Greensboro lst Addition +
Lot Block Subdivision or Tax Parcel ID
IF EXISTING STRCCMRE, DATE OF ORIGINAL B[)ILPIIVG PERMZT ISSL,'ANCE:
(Month/Year}
PRESENP 7qNING/PROPOSID USE:
n CObP'IERCIAL/REfAiI,/OFFICE Q R-1 SINGLE FAMILY
n INIDitSTRIAT, ? R-2 DLPLEX (7t.o Units)
n INS'I'IT[,rt'IONAL/GOVII2NMENT ? R-3 TOWNEiOUSE (Three + Units) ( Units)
R-4 APARTb"IENT/COPIDOMINIt,fi7 ( Units)
2) ? -
NA`E: Northrup Mechanical Inc.
ADDRESS: 7640 146th Street
CZTY, STATE, 2IP: Apple Valley, MN 55124
i
PHONE: 432-0175
3) • ?:?• ? For City Use ..
?•
_ Northrup Mechanical Inc. Plumbers License:
ADDRFSS: 7640 146th Street Active
CITY.
STATE. ZIP:_
PHONE:
Apple Va11ey, MN 55124
432-0175 MASTER LICENSE# Expired
Not recorded
2443M ta In t?al
4) a• ? ??.
. .
'NAME: Faa1-.iiro $ ii 1d2Y5
_ ADDRE55: 15513 Locrarto Lane
'ITY, STATE, ZIP: Burnsville, MN 55337
PHONE: 435-8443 •
?5) ?? ? ? a: • ?• : a - a? - ??
?X CONNECTION T0 CITY SEWEE2 ? CpNNE.TION 70 CITY WATER Q OTHER '. .
6) '? •' • r C] PLEASE HOLD ApPROVID PERMIT E'OR PICK-OP BY 0NE OF ABOVE -'-- _
APPROVID PERMIT 10 1, Q 3. 4. ABOVE Zm77sE?
(Circle one)
7)
11/3/86
IIQSPDLTZON OF SESdM AbID/O2 WATFR
nNsrAraamrONS WIIS. N(YP BE SCHED-
ULFD UNfl'II, PIIt[+lIT AAS BEEN
APPRIJVED.
`
zooe RESIDENTIAL PLUMBING PeRMiT aPPUC,aTioN
CITY OF EAGAN
? 3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
?
Date 1?- / ?Z I OI°
Site Street Add ress 6 9-0 75 (? ord Unit#
Property Owner Tl'M FR ? etsi` • Telephone #$,S-y
Contractor H •QZeBV6 ?(.(}YYWQ(Wr,? Telephone#
Address 'Q.O . ('>oy ', (7/ r,ityCG?QhIn,b95dli &tatett?_fjl Zip!2?
The Applicant is: _ Owner V_/Contrector _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes Countyfee
$ 100.00
Per as-buiit $ 10.00
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures. This fee includes installation of a water softener and/or water
heater at the same time. !f you are installing onlv a wafer soffener and/or water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 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
State Surcharge $ .50
Total . $
I hereby apply for a Residential Plumbing 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 plumbing codes; that I
understand this is not a permit, but only an application for a permit, work i not to start without a permit and work will be in
accordance ith the approved plan in the event a plan is req ' ed to be r'ewedcd approved.
?rNI'? a?
ApplicanYs Printe Name ApplicanYs Signat
2007 RESIDENTIAL BUILDING rERwarrucnnav
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construdion Reauiremenfs
3 registered site surveys shaxing sq. ft. of lot sq. ft of Iwuse; and all ruofed areas
(20°k maximum bt wverage allowed)
1 Soils Report if proposed building is to be placed on distur6ed soil
2 copies of plan showing beam 8 window sizes; poured found design, etc.
1 se[ M Enefgy Calala6ons
3copies of Tree Preserva6on Plan if lot platted afler 711193
Rim Joist Detail Options seledon sheet (buildings with 3 or less units)
Minnegasoo mechanical ventilation form
RemodeVReoair Reauiremenfs
2 wpies of plan shwring foofings, beams, joisb
1 set of Energy Calculalions for heated addifions
1 site survey for additions & dedks
Addftion - indreate it on-sde sepfic sys[em
?a C*_)
Office'USe'9nlv
CertofSurvey:Recd _Y- _N
Soils Report Y _ N
TreePreSPlanRecd 'Y _N.
Tree Pres Required ?Y '?. N
On-sIteSeptic5ystem _Y- _N
Pfans are considered public information unless vou state they are trade secret and the reason.
Date?/Z0 /_0 7 ConstructionCost s--S00
Site Address /()Q I c(-055. UniUSte #
Description of Work
MWti-Family Bldg _ Ya(,,N Fireplace(s) _ 0 E?_ 2
Property Owner Telephone #( )
Contractor
Address 7 Y'd
City
State (Y? t? Zip'?Z,43 Telephone # (?5 ;214
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Ene?gy Code Category . Residential Ventilation Category 1 Waksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Piumber
Mechanicai Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and acarrate;
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
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approva] ofplans. ?
ApplicanYs Printed Name Applicure
TRI-LAND CO.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
q
SITE PLAN FOR: •
FEATURE BUILDERS
S 89° 59' 04" E 155.08
.:.
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to
oi
(D
3
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I
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I
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( N 89'° 31'S6'? E l ,
124.15 ?/ \?1y
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I
93.17 R.36?9.64
I ?
hl p.14° 26' 3 - ?
- - ?T
CROSS ROAD
,
PROPERTY DESCRIPTION
LOT-3-, BLOCK4., '
GREENSBORO 1ST
xeordn9 to iM rscadsd plat thsnof
DAKOTA Carky,Minnswta
LEGENR
o DENOTES IRON MONUMEMT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
?- DENOTES DRAINAGE DIRECTION
I hveby certify thaf thfs turwy,plan or
rsport was prepored by ma or undor my
tlirsct supervision and that I am a duly
Reqistered Land Surveyor under fM
Laws of tM Stata of Miimesotn
SCALE I"= 40'
PROPOSED GARAGE FLOOR ELEVATION¦41!60
PROPOSED FIRST FLOOR ELEI/ATION •
PROPOSED &4SEMENT FLOOR •
ELEVATION
NOTE ' VERIFY ALL FLOOR k1EiGHTS WITH
F1NAL MOUSE PLAM8 ,
B?odley J.jolWensons Mp. Rop. Na 1023b
Dot* * /o 1,21Pz
PERMIT
City of Eagan Permit Type: Mechanical
Eagan. Permit Number: EA097513
Date Issued: 12/22/2010
OR Permit Category: ePermit
40~ it~ of E3
E
Site Address: 1001 Cross Rd
Lot: 3 Block: 4 Addition: Greensboro 1st
PID:10-30900-030-04
Use:
Description:
Sub Type: e - Furnace & Air Conditioner
Work Type: New
Description: Furnace & Air Conditioner
Comments: Questions regarding electrical permit requirements should be directed to Mark Anderson. State Electrical Inspector. (952)
445-2840
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $5.00 9001.2195
Total: $55.00
Contractor: - Applicant - Owner:
Practical Sj-stems Timothy J Friend
4342B Shady Oak Rd 1001 Cross Rd
Hopkins MN 55343 Eagan MN 55123
(952) 933-1868 X20
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 Cite of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - I
I For Office Use
City ~ f E~Vidli I Permit#: I
I Permit Fee: 6C- ~ I
3830 Pilot Knob Road l
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff:
L --I
INFLOW & INFILTRATION PERMIT APPLICATION
Plumbing / Sewer & Water
Date: Site Address: jc~ tJ Coo,; S. Tenant: Suite
C~
RESIDE CIO ER ame: Phone: h~ b OIJ
Address / City / Zip: ~3
Name: Jze! 1 ! M U L L License O~
V ~
CONTRACTOR Address: X7 1 1 y~ S~ w City:
State: 3 Phone: ~S y
Contact: Zi v`V Email: 12-0./ L~ C ck
27-BING (Within the building envelope) SEWER & WATER (Outside the building envelope)
TYPE OF WORK mp Pump Repair Repair
Other: Other:
Description of work: jyQ ,
DESCRIPTION
FEES
$60.00 / Each (includes $5.00 State Surcharge) TOTAL FEE
*Permit fees will NOT be reimbursed by the City of Eagan. If you plan to submit 1/1 repair costs for
reimbursement, two quotes from qualified contractors must accompany this application. A list of contractors
can be found by visiting www.cityofeagan.com/inflow, or City Hall at 3830 Pilot Knob Rd.
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; t t the work will be in accordance with the approved plan in the case of wor hich requires a revi and approval of plans.
S
x x
Applicant's Pri ted Name A ant's Sig ature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground -Rough-In -Final
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA158886
Date Issued:11/06/2019
Permit Category:ePermit
Site Address: 1001 Cross Rd
Lot:3 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
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.
Allow an 18" minimum radius clearance to the water meter from all appliances (i.e. furnace, water heater, water softener).
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Timothy J Friend
1001 Cross Rd
Eagan MN 55123
Adam's On Time Plumbing & Water Heaters Llc
13791 Jonquil Lane N
Dayton MN 55327
(612) 205-6060
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA161809
Date Issued:06/12/2020
Permit Category:ePermit
Site Address: 1001 Cross Rd
Lot:3 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Timothy J Friend
1001 Cross Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA169770
Date Issued:06/09/2021
Permit Category:ePermit
Site Address: 1001 Cross Rd
Lot:3 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-030
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Timothy J & Kari J Friend
1001 Cross Rd
Saint Paul MN 55123--225
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature