1007 Cross Rd? CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING"PERMIT PHONE:454-8100 Receipt # e
To be used for DECK Est. Value $1, 000 Date MASite Address 1
Lot Z Block
Parcel No.
N°_ .19098
I 35
192 1-
CROSS RD
4 SeGSub. GREENSBORO iST
w Name BOB & PATTY RINGGENBERG
p Address 1007 CROSS RD
City EAGAN Phone 688-2784
to Name 5? I
?g Address
? City Phone
W w Name
?,?-, Address
55 CityPhone
I hereby acknowlege that I have read [his application and state that the
information is correct and agree lo comply with all applicable State of
Minnesota Stalutes and " Eagan Or?irr ces. ?
/
Signature oi Permilee ? ,
A Building Permit is issued to: BOB OR PAT INGGE 4RG
on Ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota StaNtes anytl1 C,i.tyI of Eagan Ordinances.
Building Otlicial -,Qy?? , I II.LI
?
Occupancy
Zoning
(ACmaq Const
(Allowable)
# afslories
Lenglh
Depih
S.F. Total
S.F. Poatprints
On Site Sewage
On Site Well
MWCC System
City Waler
PRV Required
Boostef Pump
APVROVALS
Planner
Council
eldg. Ofl.
Veriance
OFFICE USE ONLV
M-Z FEES
14'
16_i
Bldg. Permil
Surcharge
Plan Aeview
SAC, Ciry
SAC,MCWCC
Wa[er Conn
Water Meler
Acct. Deposit
S/W Permit
S/W Surcharge
TreatmeM PI
Road Unil
Park Oed.
Copies
TOTAL
25.00
.50
25.50
.
BUILDING PERMIT
To be used far BASEMENT
Est.
Site Address 1007 CROSS ROAD
Lot 2 Block 4 SeGSu6. GREENSBORO
Parcel No.
w Name BOB RINGGENBERG
3 Address SAME
° City Phone 688-3576
Name JEROME DOCHENDORF
$a Address 1321 WINDvREST AVE
m City EAGAN Phone 688-2476
Name
N Address
z Ciry Phone
i hereby acknowlege thatl have read this appl' and state thatthe
iniormaGon is correct a gree lo comply Ih all ppli 1 Slate ot
Minnesota Statutes a City of Eagan Ordin es.
Siqnawre ot Permitee '0-? ?
A Buildinq Permit is fnnesota to: .1LROMR D(1^HR*]
on ihe express con at all work shall be done in a rdance with all
applicable State of Statutes,d9d Ciry of ar?prdjnances.
din
?'Yll n ?
Building Olficial
s
CITY OF EAGAN N0 19679
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8700 L-
Receipt # ??.C? .
Date SEPTEMSER 12 , ig 91
OFFICE USE ONLY
oaupancy
Zoning
(AcWap Const
(Albwabie)
8 of Slorie5
Lenqth
DeDih
S.F. Total
S.F. Faotprinis
On Site Sewage
On Sile Well
MWCC System
Cily Water
PRV Required
Baosler Pump
APPROVALS
Plenner
Cwroil
BIOg.Off.
Varianca
Bldg. Permit
Sumharqa
Plan Reviaw
SAG Ciry
SAC.MCWCC
Water Conn
Waler Meter
Acct. DBposil
S/W Permil
S/VJ Surcharga
Treatment PI
Roatl Unit
Park Ded.
Copies
TO7AL
FEFS
$35.00
.50
zp3J.JV
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100
Receipt
N? 12811
7o be used for SF DWG/GAR est. value $113,000 oate OCTOBER 27 ,1986
SiteAddress 1007 CROSS ROAD Erect C? Occupancy R3
Lot z Block 4 Sec/Sub . GREENSBORO 1ST Remodel ? Zoning Rl
Parcel No Repair ? Type of Const. 11
. Addition ? No. Stories
W Name JOSEPH MILL ER CONST CO Move ? Length 52
3 Address 18133 CEDAR AVE SO Demalish
l ?
O Depth ?d
F+
S
° ci?, FARMINCp'F? 892-1010 nt.
InstallPr. ? q.
a
o
Name SAME Approvals Feea
0a
r
j Address
?
?
Ciry phone
? w Name
-z
p AddrBSs
'
z
a W City Phone
Assessment
Water & Sew.
Police
Fire
Eng.
Planner
Council
Signature of PermitteLPermit ? 4fi5-50
Iherebyacknowledgethatlhavereadthisapplicationandstatethatthe gldg.
information is correct and agree to comply with all applica6le State of
Minnesota Statutes an iry of Eagan O nces. APC,
? ? Var. I
Surcharge 56.50
Plan Review 232.75
SAC 57S.OO
Water Conn. 500.00
water nneter 63 . 50
Road Unit 290.00
7r. PI. 156.00
Copie
Total 2. 3 3 9. 2 5
A Building Permit is issued to: / JOSEPH MILLER CONST OMPANY on the express conditian that
all work shall be done in accordance with all applicp St e of Minnesota S Ctatute an ity of Eagan nances.
Building Oflicial {
y
BUILDIIVGrPERMIT
To be used for D=
4 t al?
Receipt # -- ° -' ?-
Site Address 1007 CRO85 RD
Lot ? Block 4 Sec/Sub. GREEtiSD0R0 i8T OFFICE USE ONLY
Parcel No. occupancy -M--Y FEES
Zoning -
W Name B1a a PA1TY HII?iCGEl?3BllG (Actual) Const _ Bldg. Permit 2s•?
o Address 1007 CROSS AD (Albwable) _ tn
CItY ?
Phone 6ab-27"
# ot stories
141 Surcharge _a.?t_
Plan Review
Q Name swM Length
Depth 10 SAC
Cit
= ,
y
(OJ Q Address S.F. Total -
~
Clry PhOf1L
S.F. Footprints
_ SAC, MCWCC
Water Conn
? On Site Sewage -
W W Name on site wen W
M
? w _
ater
eter
?a Address t?wcC system _
< W City Phone City Water _ Acct. Deposit
PRV Required _ S!W Pe?mit
I hereby acknowlege That I have read this application and state that the
infortnation is correct and agree to comply with all applicable State of
Minnesota 3tatutes and City oi Eagan Ordinances. Booster Pump - S/n/ Surcharge
Treatment PI
Signature ol Permitee ? APPROVALS Road Unit
A Building Permit is issued to: 303 OR PA?TY $INQ6i11iiRt?
on the express condition that all work shatl be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
'
Building Official
- P1e^^et
?uncil
gldg, pff,
Variance -
-
_
- Park Ded.
Copies
TOTAL 23•50
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan,
PHONE: 454-8100
Permil No. PermR Holder Date Telephone aY
WATER
SEWER
PLUMBiNG
.
H.V.A.C.
ELECTRtC
Inspection Date Inap. Comments
Footings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orstat Test
Final Plbg• Plbg. Inspector - Notify Plumber
Const. Mefer
Engr./Plan
Bk1g. Fmal
Dedc Ftg. s/c7
Dedc Final
? a X7
weli
Pr. Disp.
?
r CITY OF EAGAN
?
•' 3830 Pilot Knob Road
P
O
Box 21-199
Eagan
MN 55121
F<?
? Y•
?,.tn
?'? `? '?`
.
,
.
.
,
,
o • ? PHONE: 454-8100
BUILDING PERMIT Receipt #
To be used for DA$11CH!f't Est. Value Date $_pIEM R 12 , 19_.91_
Site Address 1007 cims mm
Lot _2 Block 4_ Sec/Sub. GmRENSIt3R? OFFICE USE ONLY
Parcel No. oocupancy - FE es
zor,lnq -
W Name BOH 11lWaMR0 (Aclual) Const eldg
Permit 3g ?
_ .
Address $? (Allowable) - • ?
o Surcharge
City Phone 08-9976 +Y ol 5tones -
Plan Review
Length _
o Name JZ? ?B?M Depth SAC
Cit
- ,
y
?a AddfeSS 1321 ??USZ AVZ S.F. Total -
? SAC, MCWCC
C11Y - E?M Phone b?-Z4 76 S.F. Footprints _
Wate
Co
r- On Site Sewage - r
nn
W W Name a, site wen W
M
w _
ater
eter
? ; Address MwcC 5ystem
< W City Phone Ciry Water _ Acct. Deposit
f PRV Required S/W Permit
I I hereby acknowlege that I have read this applicatiara, and state that the
i
f
i
i =
Booster Pump SNV Surcharge
n
ormat
on
s correct and,agree to comply with all appliC?1@ State of
Minnesota Statutes and Cit?of Eagan Ordinac"s. 1
? Treatment PI
° ?
....t _ •
Signature of Permitee
r
APPROVALS
Road Unit
A Building Permit is issued to: -1Eam tY1(_IiQNMof? Planner _ Park ped
on the express condition that all work shall be done in 0ccotdance with all Council
f applicable State of Minnesota Statutespd City of Eagan Ordinances. gldg, pff. _ Copies
Building Official
Variance -
TOTAL $3s.so
.i"'
PermR No, Permit Holder Date Telephone #
WATER •
SEWEA
PLUMBING
H.V.A.C.
ELECTRIC 9
Inspsetion data Ins/ Comments
Fpolings 1
Foundation
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Orstat Test
Final Plbg. Plbg. Inspacta - Notily Plumber
Canst. Meter
EngrJPian
81dg. Final Q -14 -
Deck Ftg.
Dedk Final
well
Pr. Disp.
'...,; CITY OF EAGAN 1?1 2 3830 Pibt Knob Road, P.O. Box 21-199, Eagan, MN 55121 `? 128i?
PHONE: 454-8100
.DING PERMIT Receipt#
SF DWG/GA.R Est vaIue $113,000
SiteAddress 1007 CROSS ROAD Erect ff Occupency K3
Lot 2 Block 4 Sec/Sub. GREENSBORO ZS T Remodel ? Zoning g 1
Parcel No Repair ? Type of Const u
. Addition ? No. Stories
¢ N JOSEPH MILLER COIVST CO Move ? Length 52
=
l ame 18133 CEDAR AV? SO Demolish ? Depth ?d
o Address
FAR
ci
MI':V(
gq
'? 892-14I0 Int. Impr. ?
? Sq. Ft
ty p b Install
U?
W W
W
61?
¢ W
<
Phone
Assessment
Water & Sew.
Police
Fire
Address Eng.
City Phone Planner
sbyacknowledgethatlhavereadthisapplicationandstatethatthe Council BIdg.Otf. 10/22/b
mation is correct and agree to comply with all applicable State o(
)esota Statutes and City of Eaean Ordinances. APC
." , , I . , _ Var. Date
A Building Permit is issued to: I
all work shall be done in accordance
Building Official
MILLER CONST COMPANY
.
Permit _
Surcharge
Plan Revie
Water Conn.
Water Meter
Tr.PI. 156.0
Parks
Copie . Z 5
Total ,
on the express conditlon that
otEagan Ordinances.
I I PsrmN No. I Permlt Holder I Oata, I Telephone M I
Plby.
Hly.
Plbp.
Final
Dhp.
.? - . 1;??..ye.' . .."^ti_ .h1?,-S., .. 'ri*.. e .n, .-? i'-t
., •.. ? 77."?
PERMIT #
MECHANICAL PERMIT
RECEIPT #
CITY dF EAGAN
3830 PI LOT KNOB ROAD, EAGAN, MN 55121 DATE
CONTRACT PRICE PHONE: 454-8100
Site Address ? BLDG. TYPE WORK DESCRIPTION I
Lot Block ' Sec/Sub
R
N ?'--
ew
es.
? Name M
lt Add
? -on
u
? Address C
R
i
? omm.
epa
r
I c City Phane Other
I L Name FEES
' c Address
, RES. HVAC 0-100 M B7U -$24.00
p City Phone ADDITIONAL 50 M BTU - 6.00
ADD-Oid A1R CON4. 0-24 87U - 12.00
TYPE OF WORK ADDITIONAL 6 M BTU - 6.00
GAS OUTLETS - 1.50 EA.
Forced Air fN BTU COMM/IND FEE - 1% OF CONTRACT FEE
Boiler M BTU MINIMUM - RESIDENTIAL FEE - 10.00
Unit Heater M BTU MINIMUM - COMM/IND FEE - 20.40
Air Cond M BTU STATE SURCHARGE PER PERMIT - .50
. (ADD $.50 5/C IF PERMIT PRICE GOES
Ven? CFM BEYOND $1,000.00)
Gas Piping OuHgts #
Other
FEE: ?
SIGNATURE OF PERMITTEE
S/C:
TOTAL•
FOR: CITY OF EAGAN
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
Site Address
Name _
Address
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLqGS - COMM RA7E APPIIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(AQD $.50 S/C 1F PERMIT PRICE GOES
PERMIT #
RECEIPT #
DATE:
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES T AL
_!LJWater Closet - $3.00
`
Bath Tubs - $3.00
_?.Lavatory - $3.00 -
]_Shower - $3.06
___,LKitchen Sink - $3.00 3 -
UrinaUBidet - $3.00
=Laundry Tray - $3.00 _3 f
/_Floor Drains - $1.50 ?
---L_Water Heater - $1.50 (J
WMrlpool - $3.00
___?_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Saftener - $5.00
Well - $10.00
Private Oisp. - $10.00
- ?.Raugh Openings - $1.50
FOR: CRTY OF EAGAN
FEE: 3 W
STATE S/C: S U
GRAND TOTAL: ? ? ? ??
ClTlf OF tAGAN
3830 Pllot Knob Rosd WATER SERVICE PERMIT
P.O. Box 21199
, .. .' :
" PERMIT NO
: `?' !- r
Eayan, MN 55121 .
DATE: 11-17-8b
2oning: TR I ?
No. of Units:
-
Owner. .Toe T-?iller Coiist.
Address:
SiteAddess: 1007 cross Road L2 B4 C;reensboro Zst
Plumber. '?i].tner Plumb
Meter No.: ?6.? .3 l0 7' onn n Charge: 500. 0[1pc1
siZe: -- a ore I in ls.oopa
Reader No.: ??1? EPHONF L L6r.?E?'A. 10, p0pd
I e9re* rocompiy wch tns rL?u1R E
Ord . s o a
?us??? ? 1 S 6
OOnd TP
7n .
Total: b ?S8 ?,d met er
L
? Date Paid:
Date ot Insp.:
I
nsp.:
!r Zr%vArv tl?a?ew •??R!l?VIr^e aesu?
ilot Knob Rosd •?r^?R ? r?Rrn??
cx 21199 , PERMIT NO.:
MN 55121 pATE:
No. of Unita:
Addrcs:
100,4Qpd
ge?4f?.d?$,?c _FLE.C
Totol: -
Doft Pald:
I 9/?s/9i
/n .P i'/oi
? ?n
835 '
.
a ?o?o
,?
Wale
3r
1 Fre No. ROUgh-in Inspechon
ReqwreC %
D Ready Now VT'i Notify inspedor
?
, ??es _ No When Ready?
Icensed contractor ] owner hereby request inspection of above electrical work at:
Job Aaaress i Sreez. Box ar R No ?
Secuon No TOwnship Name Or No Range No- ' County
Occu an- PRWT
'
? Phone o.
E1? d h - ?
y-
PowerSuppher
' Adtliess
? t -
Eiecmc i rcracror iComp•any Nami 0
?f Contractor's License N
r
vla ?ng Ad ess i Con actor o, Oype'r k nwinsta??
F?
/ JG/7V/ ?
[AUthonz gra re iCont?rac;?olr OwnSr MaRin In5i2tlyhoni
. ?!/ / J I 11[/ ???/?T
On N r
??-
.
i
MINNESOTA S TE BOARD OF ELECTRICITY THIS INSPECTION FEOUEST WILL NOT
Grl99s-Midway Bltlg. - Room S-173 BE ACCEP7ED BYTHE STATE BOARD
1821 University Ave., St. Paul. MN 55104 UNLESS PROPER iNSPECTION FEE IS
Phone 16121 642-0800 ENCLDSED.
REQUEST FOR ELECTRICAL INSPECTION -0000I-08
EB
? See instrucnons for compieting this lorrn on back of yedow copy.
' 4835 "X" Below Work Covered by This Request ?'? •` r T
ew Atld Rep. Type of Buildmg Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electnc Heating
Apt. Building Dryer Other (5pecify)
Comm.+lndustnal Furnace
Farm Air Conditioner
Other ispecityi Convactor's RemarRs
Compute lnspection Fee Below: &ftt-
# Other Fee # SerwceEntranceSize Fee # Circuds.Feeders Fee
Swimming Pool D to 200 Amps 0 ta 1Q0 Amps
Transformers Above 200 Amps 0 Rmps
Si9nS Inspector's Use Only TOTAL O
Irrigation eooms
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
1. the Electrical Inspector, hereby
certify that the above inspection has
been made. Ro"Gn-" oai
Final ` Date
???`
OFFICE USE ONLY
This requesl vodl 18 months Irom
I ! ' _ _ ._ ... . .,? •.
CASH RECEIPT ;
CITY OF EAGAN
--. . ;
3830 PILOT KNOB ROAD
BLDG. PERMIT ti0.
... ? /? • ? EAGAN, MINNESOTA 55122
..
7 D A T E •_ 19 ?
01-3210 B1dg. Permit
HECEIVED
01-3422 Plan Check FROM
? I ? I
01-3445 Surch./Adm. AMOUNT $
01-3446 SAC/Adm.
01-2155 Surcharge & , oo OOLLAR& ?
17-3860 Road Unit ? casH ? GHECK ;
?
20-2275 SAC
? FOR . ? ._ ??. ` .• ?
20-3865 Water Conn.
20-3868 Water Trmt.
. ?
20-3716 Water Meter
i
20-2252 ACCC. Dep• _ wUND CODH AMOUNT
20-3713 Water Permit ?
20-3743 Sewer Permit
79-3866 Sewer Conn.
I
11-3855 Park Ded.
?
TOTAL -= ;•;' : i ? ??- Thank You
? BY
?w a ? ...
? . V ! i ;31i
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thss rnquest void
18 months from ? O
C 6 4 8 5 6
Request Date F re No. Rouph-in Inspection
Re ired7 I y
?Ready Now [gWiil Notify, Inspec-
Yes ONo tor When ReadY
La ucensed Elecvicel Contrector 1 haraby repuast inspsction o1 ebova
? Owner •leclricel work inatelled at:
Street Address, Box or Route No. City
1 ao 7 C'r
O
(
s
?
&
os
occd Q cc, ll
ect?on o. pvi,n$hip ame or o. anpe o. Counly
Occupnnt (PRINT) Phone No.
?Iler
Power Supplier Address
o ?
Electrical Contractor ICompany Name)
dl
m
d Fl
J Contractor's License No.
,
an
er_+rle, 1 wa ?-
Mailinp Address (Contractor or Owner Makinp Instailation)
ckD YV 0 & ,A Aurn .6 vi r
Authorized Sipnature ( tractor Owner MAking Instafllationl Phone Numbar
C', I S U --96 0
MINNESOTA STATE 90ARD OF ELECTRI I Y
Gripps-Midwey Bldp. - Room N-181
1821 Univorsitv Ave.. St. Psul, MN 66101
Phone (812) 842-0800
TMIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BY THE STATE BOARD
UNLES5 PROPER INSPECTION FEE IS
ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION es-aoooi-oa
/ n. , ?8 `" /
/? ,-? ? ?
i 1 8ee {nstruetions }or complatinp thi• fwm on back of vellow copy.
e L• /I 0:: C "X" Below Work Covered by This Request
Pligm Add Rep. Typo of Bulldinp ApDlieness 1rired Equipmenl Wired
Home Range Temporary Service
Duplsx Water Heater Li htin Fixtures
Apt. Building Dryer Electric Heattti
Commercial Bldg. Furnace Silo Unloader
Industrial Bldg. Air Conditioner Bulk Milk Tank
FBrm t er peci y ther ISUer.ify)
t r pen y 7- 7 t or Oihe.
ompute nspectron Fee Below
N Fe• SsrviceEntraneaSize p Fea Feeders/Suh}sedsrs M Fee Circuits
, Ce U to 200 Am s 0 to 30 Am s 306.C0 0 to 30 Ane
Above 200 ps 31 to 100 Amps 31 to 100 A s
Swinunin Pool Above 100-Am s Abov 100_Am 5
Transrormer5 Irri ation Booms 60
' Partial 'Other Fe
Signs Special Inspection 5
S-O TOTAL
FEF
e merks _ I ,
lu
? I, the Elsc?l
Inspsctor, hereby
certify that the sbov*
? inspeetion hss been
meds.
I:
1986 BIIILDING PERtiIT 9PpLICATIOP - CITY OF EAGAN
NOTE: ALL COl1TRACTOHS MOST BE LICENSBD i1ITH THB CITY OF EAGAN
SINGLE FAPIILY DflEI.LINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SORVEY, 1 SET OF ENERGY CALCULATIONS
MOLTIPLS DiIE[,LINGS - EESIDENTIAL 8ENT9L D9ITS FOR SALS UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SORVEY - CHECH {iITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
CUl4lERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANSo
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND
I l3, acz?
To Be Used For: Valuation: `??? Date: 16 - 74
Site Address /?02 ?? /G(?(. • OFFICE IISE ONLY
Lot 0? Block 7 Ereet ? Oceupancy (Z3
?Q Remodel Zoning R, I
Pareel/Sub?,?l Repair _ Type of Const SL
Addition ik of Stories
Owner Move Length SZ
Demolish Depth 34
Address Int.Impr. Sq Ft
Install
City/Zip Code
Phone APPROVAIS FESS
Contracto hn• ? Assessments Permit 4(o rj. ?Lo
o
Address
?d ?,,,/?,,GC?/?, n'..,,
?;(?
C? ,
5-6. Water/Sewer
Police Surcharge
Plan Review ?
7-3Z
City/Zip Code Fire
Engr SAC
Water Conn 5'7 S•
5 OO,
Phone 7
v CJ Planner
Council Water Meter
Road Unit l03. S°
ZqD.
Bldg OfflO•uEb Treatment Pl
Arch./Engr. APC Parks
Varianee Copies
Address TpTgI, ? I
City/Zip Code
Phone #
NOTE: ADDRESSSS FOR CORNEE LOTS - CONTRACYOR/HOriEOWNER liDST DESIGNATS WHICH ADDRESS
IS DESIRED, NO CHANGSS fiT[.L BE 9LLOiiSD ONCE HOILDING PEBFIIT IS ISSUED.
S-b ? ?3 Suo
?2-•?'L2 ° 2?0 ? x ?= IS3 I 2
22n 22 = 484 x ?2 = S?o?
2-7 o x
3D?Z? ? ?? X q 4- - 34320
?2?22 = 2c?4x 44 = Il(o((Or
(12'lito
I
,y
One or Txv Family
All Other
CITY OF BUILDINa DEPARTMENT
k:XTERIOR ENVII,OPE AVERAGE l?U tt COMPUTATION
(To be submitted with building permit application)
Dwelling Owaer
Contractor kEx CpNr„-r;
Site Addrese
Date -24n' Phone
LINEAL c'EET OF
E)G'OSED YrALL ?E t?o?. Sr?eT ft. above grade = Z 9(,3•45 ?
TOTAL r.X.°OSED WpLL ARc^A S@, FT.
0?:.QUE `.:AI.L CONSTRUCTION: "U" Value x Area
7zRM _
De tail
ttU° 1043
x
SQ.
Ktvvt
rence "Ull , 04o x SQ.
from nU" , 07(o x SQ.
attached flUtt x Sq.
sheets nUn x S
Q•
rrUn x S@.
',:INDOSYS: "Ull Value x Area
FT. IS .70 . 94.15 (0)(A)
F'T. z58.9(0= 10•35 (U)(A)
FT. ZoB.SZ= S. U}(A)
FT. =U)(4)
FT. - (U) (A)
FT. _ (U)(A)
Pia:te .& Type _fhW(,. ily0t1T "Ull . SL x S@. FT. 219.30 _//1•9S (U)(A)
n n uqn x SQ. FT. _ (u)(A)
n n upn ' Y SQ. FT. - (U) (A)
n n ltun s SQ. FT.?? (U)(A)
DOORS: "Ull Value x Area
'.•ir;,:.e & Tyge -57L • /??alK . ?rU?i L . /¢ x SQ.
" ° PATn ifU°
.47 x SQ.
n n nUrr x SQ.
n n _ njjn x SQ.
ToTar.s Q.
AVERAGE "U"
TOTAL (U)(A) VALUES 2Sg,qI =
DIVIDED BY TOTAL 17ALL AREA 2`Ii•48 ' 087
AVERAGE "U" ,115 or less Por 1&2 family dwe 11 inge
ROOF/CEILING:
TOTAL AREA: O I
Fr. 9•00 _ 443(0 (u)(a)
FT. 2.00 = /9_7¢ (U)(A)
FT. _ (U) (A)
FT. _ (U) (A)
rT. 2158.91 (U) (A)
Detail reference ilUts •02/ x SQ. FT. 1Q6-1 = z•O](U)(p)
from npn x SQ. FT. . (U)(A)
attached sheets. glUes x SQ. FT. _ (p)(p)
Describe onenings "Uff x SQ. FT. - (U)(A)
in roof. npn x SQ. FT. - (U)(A)
TOTAL (U)(A) VALUES DIVIDED BY ZZ,07 _ TT1tL`.? 1051 22•07 /Uy?\
L ? )
ROOF/CEILIi;G .''.:i:A 1O5-1
AVERAGE "U" ,025 for ventilF:ted roofa. = "
ROOF/CEII.INU (R) VALUE
1.) Interior Air r'ilm 0.61
Z.) 5/8,, ayp. sa. .56
3.) Insulation ?;00
4.)
5.) Exterior Air Film .61
( STII.L )
--WALL SDCTION--
Determining "Ut' valuea at Roof, Wall, Rim, and Conc. Block •
upu = 1/R= OZI •roTar, M=¢S.79
WT,T • R VALUE
6.) Interior Air Film 0.68
7.) }n GYp. Bd. .145
8.) Insulation 1(j,00
9.) ZS?? $uur7- RiTE Z• Q-
?
10.) Masonite Siding ,
6'j
11.) Exterior Air Film .17
nUn = t/R= .?,pg3 TOTAI.
? (R)=23.pf
RIM R VALUE
12.) Interior Air Film 0.68
13.) insulation Iq.oo
14.) 211 Fir Rim Joist 1.88
15.) rs/3z:' aV«.-r-?115 z. C'4
16.) Masonite Siding .67
17.) Exterior Air Fllm ,17 .
npli = 1/R= O¢O TOTAL (R)=Zj,,jj
FOUNDATION (R) VALUE
18.) Interior Air Film 0.68
W:.wl'.TIOIU II.00
20. )
21.) 12" Concrete Block 1.28
22.)
23.) Exterior Air Film .17
npn _ 1/g= .0740
TOTAL (R) = f 3,13
. ?
. ,
i? Wo?.K 5}o?.T ' /
6 05?? E_ XPvs?D WRc.-?-
I9•33 X (5Z+52+-Z(p+Z&) = 2,859.¢g
rz•o x 410 = g8,co
14,o x 4.0 _ .S&.oo
2,9 ? 8 ?-
?iN+ Tois
• 83 X(Io4+?o4-?5zt5z? = Z5g.9lo ?c
Corl?,
•(07 X ?SZ tSL+Z(o+Zlo)
- lo¢,SZ
Il,b x4 = f8•?
14• o x 4
idDows
f(Ox3fo = 4.0
Z,oX3lo= 5.0
Zo x48 = (.,7
Z4)t48 = S•o
zo X loo = s •4
Z4 Y. 24 = 4.0
XZ =
x4 =
X 3 =
X IZ =
X $ _
x I =
>C,oF-s
Z$ Wz• 5e,cvreE _
3e s-rc. w?5?. -
(o? PATo ?R. _
R?F
Z?X3o = 780
2.s5x ZZ = 271
rosi
Zv$.St ii?
g.oo
Zo. o.o
zo. ! o
9(0. o0
(07- Zo
4. o0
ZlS. 5 o ?
Zl.oo
zS•oo
ql.oo ?
?
A62 w4u. ?cz?a?s
??zoss wpc.-
1?uV7 g?N'l Z5g. 4!p
6o4C. lo$.SL
WDWS 21i5.30
IJ Doo2-5. 4/.00
Zq63.48
- 773.78
Z,189•70?-
r,
- >
FOR CITY USE ONLY'
PERMIT # ISSL'ED
f ?7- 6
Pd w/Bldg, Permit FEES:
$ $ / D•SD SEWER PERMIT (INCLCDE SDRCHARGE)
$ WATER PERMIT (INCLUDE SDRCHARGE)
$ A51 $ WATER METER/COPPERHORN/ODTSIDE READER
$ $ WATER TAP (INCLI!DE CORPORATION STDP)
$ $ SEWER TAP
$ $ AS•nD ACCOUNT DEPOSIT - SEWER
$ $ ?S LSV ACCOIINT DEPOSIT - WATER
s ,7 ?SD "Do $ WAC
$ 5,26• Lj U $ SAC
$ $ TRL'NK WATER ASSESSMENT
$ $ TRC'NK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFZT/TRDNK WATER
$ ?S?P•C?? $ WATER TREATMENT PLANT SDRCHARGE
$ $ QTHER:
$ /j / 7 ' SO $ J?• ??)
TOTAL
- "779d
RECEIPT
RECEI
PT
DOES LTILITY CONNEC TION REQLIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
iV0 ROADWAY" MLST BE ISSL'ED BY THE ENGINEERING
DIVISZON
LIST AS
O
D
. N
A C
ITION.
SUBJECT TO THE FOLLOWING CbNDITIONS:
APPROVED BY:
TITLE:
DATE:
< •CfTY OF EAGAN
APPLICATION FOR PERMIT
SEWER ANDlOR WATER COtVNECTiON
*UTR3: PA)MTM OF FM AT TSI+IE OF
APPLIcAzoN noEs Nar MOMTEM
APPROVAL OF PF.RNIIT.
uNsPecriON oF sEWx rNro/ox sMaEt
rnsraraaTioNS wtra. Nar sE sCHED-
tII? UNTIL PIItNfIT HAS BEM
APPROVID.
P ease Print ^^^^
^
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
IF EIISTING S1RC'C!L'RE. DATE OF ORIGZNAL BLILDING PERMiT ISSL`ANCE: . -'
?
(Mn Year)
PRESENf 7ANING/PROPpSID t!SE:
q corvERcIAw/PSTAIL/oFFicE
IPIDCISTRIAL
[I INSTI'Ii'TI ONAL/GOVERN[?gNT
? R-1 SZNGLE FAMILY
R-2 DOPLEX (ZWO Units)
? R-3 TOWN[IOOSE (Three + Units) ( Units)
q x-a apr,xxrErrr/corroonurrrUM ? tmits)
2> ?
NAME
ADDRESS.
CITY, STATE, ZIP,
PHONE: S?- -1_R - 6 SO ?O
3) u c a• ?
- NAME: Z-
ADDRFSS:
'i CIT1. STATE, ZIP: .
PHONE: MASTER LICINSE#
Active
FScpired
Not recorded
Sta f Initial
4) •?4U':.I??,.i?? . __ _
NANIE''- AOE
ADDRFSS: CITY? $TATE, ZIP: ?A,P/YI?sUo fast/ /?iU
PHONE: Q y? ?- / D f?
•5) ? r• a: • ?: a • ?a - ??
?CONNECTION 1O CITY SEWII2 CONNECTION TO CITSt WATER OTEIER '.- .
6) u •' • r ? PLEASE HOLD APPROVID PERMIT FOR PICK-L?P BY ONE OF.AHOVE °---- -- -
[] PLEASE MAIL ROVID PERMIT TO 1, 2, 3, 4, AHOVE
(Circle one) .
7) r, r. q•. /????G ? ?'?` f?- ?-G ?
?.-_ -? _
. ;,
1991 BII ING A ' iP ATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS Ii[TLTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PLANS
1 SET OF ENERGY CALCULATZONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF HONTN IN WHICH REQUEST IS MADE.
IAT CHANGE SS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MIIST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALIAWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMYLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For
Site Address
Valuation:
/00 7 C'ris.4s Oed [-
Lot 3- Block I?
Parcel/Sub
Owner w ?
Address nz? 0;2!r
City/Zip Code cf?/a3
Phone
Contractor T?
Address /
City/Zip Code LS(_$"/??3
Phone ?eaO -,? 5174
Arch./Engr.
Address
City/Zip Code
Phone #
, Date :
Oceupancy
2oning
Actual Const
Allowable
# of stories
Length
Depth
S.F. TotaZ
Footprint S.F
On site sewage_
bn site well
MWCC System _
City water _
PRV _
Sooster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
ONLY
FEES
Bldg. Permit
Surcharge 15-P
Plan Reviem
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
I.ot Change
TOTAL ?
Sewer/Water L' sed Contr.
agrees that all woik shall be done in accordance with
(Signature of Con actor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
'qoa
1991 BIIILDING PERMIT LIICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
2 SETS OF PLANS
3 REGISTERED SITE SURVEYS
1 SET OF ENERGY CALCUTATIONS
MULTIPLE DWELLINGS
0•A
25•00+
0•50-F
25 • 50>x
2 SETS OF PLANS
REGISTERED SITE SURVEYS -
(CHECK WITH BLDG. DEPT.)
1 SET OF ENERGY CALCULATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
_# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST'WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?eCk. Valuation: Date: s /9
Site Address 1007 Cross lepq.d
Lot 2 Block ZI
Parcel/Sub (:?reeru boro r-jrs'r Ad n
Owner (30?6 Y1Q r;EVt62 rG
Address /00 7 /^OSS RaGL l
City/2ip Code _C4qc?Yt Ss1a3
Phone C6/1) 688- a'78/1L
Contractor _
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone #
OFFICE USE ONLY
FEES
Occupancy M' Z Bldg. Permit a.5 • Ob
Zoning Surcharge 15-0
Actual Const Plan Review
Allowable SAC, City
# of stories
- SAC, MWCC
Length /?
- Water Conn.
Depth /? Water Meter
S.F. Total Acct. Deposit
Footprint S.F. S/w Permit
S/W Surcharge
On site sewage _ Treatment P1.
On site well Road Unit
MWCC System _ Park Ded.
City water _ Trail Ded.
PRV _ Copies
Booster Pwnp _
SUBTOTAL
APPROVALS Penalty
Planner _ Lot Change
Council TOTAL
Bldg. Off, ps c.z/o/
Variance
OitA agrees that all work shall be done in accordance with
(Signature ontractc6t
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
zoos RESIDENTIAL PLUMBING PeRnniT aPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
??o _?p
oate .21 3 / _0(0
Site Street Address 1007 C/c z s 9'CJ Unit #
`
Property Owner Telephone # (66-1 ) ;9S% - C1Za /
Contractor C/` ? Telephone # ((pT( ) (og(,-lo(0 4G
Address ?IGtn ? City State-AV Zip ?WZ3
The Applicant is: _ Owner I?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 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 instaUing onlv a water softener and/or water
heater, do not complete this section; move to the next section and check the
appiiance(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 _ repiacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ 5-0-S-0
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 1
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required to be reviewed and approved.
Applicant's Printed Name ? Ap anYs Signature
2006 RESIDENTIAL BUILDING rExMiz' nrrr,rcaTroN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 9 651-675-5675 FAX # 651-675-5694
New Gonstrudion Reouirements
3 regklered site surveys showing sq. tt. of lot, sq. h. of house; and all roofed areas
(20% mazimum lot coverage allowed)
2 copies of plan showing 6eam & window sizes; poured found design, etc.
1 set oi Energy Calculations
3 copies of Tree Preserva6on Plan'rf lot platted aNer 711/93
Rim Joist Detaa Options selection sheet (buildings with 3 or less units)
Minnegasco mechanical ventilation form
RemodellReoair Reauirements
2 copies oi plan sMwmg footings, beams, joisls
1 set of Energy Calculations for healed additions
i sAe survey for add'Aions 8 decks
Adddion - indicafe i(on-sde sep6c sysfem
O cc>
Once Use Onlv
Ced of Survey Recd _ Y_ N
T2e Pres Plan Recd _Y _ N.
Tree Pres Required _ Y_ N
On-si[e5epticSystem _Y _N
a l i5 -
Date Construction Cost :15/0 . O6lo ?
c
Site Address 166 ? L?05 J 60 tD _0
Unit/Ste !S
Description of Work
Multi-Family Bldg _ Y4N Fireplace(s) _ 0 _ 1 _ 2
Property Owner SJ`tif Telephone #(a 1) 46 6-
Contractor
Aadress City r,sO F. I`161-'ro
?
State Zip , (rS 02 7 Telephone #
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 _ Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy???oooQQQ e r e ?/] ?
(Jsubmissiontype) Submiped Submitt ed Inl ???? v ?
• Energy Envelope Calculations Submitted ,
FEB 0 9 2006
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 Telephone # ( )
Mechonical Contractor Telephone # ( )
Sewer/Wafer Contractor
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; ihat the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans,
rEvHoL!"L
Applicant's Printed Name ,App icant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 18-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 EM. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex X 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior 0 44 Siding
? 32 Addition ? 36 Move 6uilding ? 42 Demolish Foundation ? 45 Fire Repair
;H( 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCeRient 'Demolition (EnHre Bldg) • Give PCA handout to applicant
DBSCfiptioll: WaterDamage_ Yes
d?
o
? p
qg
Valuation Occupancy MCES System
Plan Review /#_ 100% or _ 25%
Census Code/ L13y
Zoning lpo City Water _
SAC Units - Stories - Booster Pump
# of Units ? Sq. Ft. - PRV -
# of Bidgs ` Length ? Fire Sprinklered ?
Type of Const Width '
REQUIRED INSPECTION5
_ Footings (new bldg) _ Sheetrock
Footings (deck) Final/C.O.
_ Footings (addition) ? FinaVNo C.O.
Foundation ? HVAC
_
Drain Tile Other
Ice & Water
Roof F inal Pool Ftgs Air/Gas Tests Final
_
?
Framing _ = Siding _ Stucco Lath Stone Lath Brick
Fireplace R.I. AirTest Final Windows
Z Insulation l _ Retaining Wall
Approved By:
V
Base Fee
Building Inspector
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
zaF z
•7
q 2 76? 2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reouirements
3 registered site surveys showing sq. fl. of lol, sq. R. of house; and all mofed areas
(2(1% maximum lot coverage allowed)
2 copies of plan showing beam 8 window sizes, poured found design, etc.
1 set of Energy Calculations
3 copies of Tree Preservation Plan if lol platted afler 7/1i93
Rim Joist Delail Options seiection sheet (buildings with 3 or less units)
Minnevasco mechanical ventilation fotm
RemodeVReoair Reouiremenis
2 copies of plan showing foolings, beams, joisis
1 sel of Energy Calculations for heated additions
1 site survey for additions 8 decks
Addition - indicate if on-site septic system
!t-FV,R
CJffice=lJse?O?Tv
CertatSUn+e1'ReGd Y ?N.
?
Tr08PresP(anRCCd ?:?.:.Y _!V.
?reef'resl2e4uiretl
.Y N
;.-
OnsileSeplicSysiem
Date
J/ ?o / Q Construction Cost 1
_
Site Address ? 0 O-] CASZ:1 ss 11(Y _ UniUSte #
Dcscription of Work .F-?S?,-YT IIA-T-j vv) f.f /A)/,Ajt7 J ? f? OcTM ?
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 2
Property Owoer T t ,? Telephone # (??f ) t{-S?2 ? ? ??
Contractor J -4" ?
S?'
Address 73 Z City
I I
State Zip -???/ -'Y Telephone # (6(Z) 7 71'- 62--
COMPLETE THIS AREA ONLY IF CONSTRt1CTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 M esota.Rules 7672
Energy Code Worksheet
Energy COde CategOry Residential Ventilation Category 7 Worksheet y? ?? ?- New'
(d submission type) • Submitted Submitted
. Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan b6sed.on a master pian?
_ Y _ N If yes, daTe and address of master plan:
-?:
Licensed Plumber
Mechanical Confractor
Sewer/Water Conhactor
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.
Applicant's Printe ame
_?--?
Applicant's Signature -?
-?am
-S ' 2006 RESIDENTIAL BUILDING PEUMiT nrPLicnTIoN
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtion Reuuirements
3 registered site surveys showing sq. fl. of lot, sq. N. of house; and ali roofea areas
(20% mmimum lot wverege allowetl)
2 copies M plan showing beam & window sizes; poured found tlesign, etc.
1 set of Energy Calculations
3 copies of Tree Preserva6on Plan if lot platted after 711193
RimJoistDetailOptionsselectionsheet (buildinqswith3orlessunits)
Minnegascu mechanical ventilation fonn
RemodellReoair Reouirements
2 copies of plan showing (ootings, beams. joisfs
i set of Enerqy Calculations for heated additions
1 5ite Survey for addi6ons 8 deCks
Addifion - intlicafe i(on-site sepfic system
01(¢e Use Onlv
Cert of Survey ReCtl _ Y _ N
7ree Pres Plan Recd Y_ N_
Tree Pres Required Y N
On-site Septic System _Y _N
Da[e 03 / 2 3
SiteAddress 10 l?04t)(o
Qr7 CR Construction Cast &tnx Z me
QSS RQpfb Unit/S[c #
N 23
DescriptionofWork RERob? RNp SIDWG
Multi-Family Bldg _ Y x N Fireplace(s) _ 0 t 1 _ 2
Property Owner L - Sm i •14-) Telephone # (aI ) `YS(o -
--
Con[ract?? `1 V
S E ?
?vsaquV 1. V V Vmy?
Address
I State 5• yy1
Zip City
2 ) 6 _7-?o _ ?
one #(?'O
_.? ?!-,2=,- I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
?
Energy Code Category - Minnesota Rules 7670 Ca[eeorv I _ Minnesota Rules9672
(J submission rype) • Residential Ventilation Category 1 Worksheet • New Energy Code WoFksheet _
Submitted Suhmittetl
. Energy Envelope Calculations Submitted
In ihe last 12 monihs, has ihe Ciiy of Eagan issued a permit for a similar plan based on a master plan? ?-'
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone n (
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 ro start without a
permit; that the work wil] be in accordance with the approved plan in the case of work which requires a reviem and
approval ofplans. C\ () n
6TAcY L - 6n1 i rH a-
ApplicanYs Printed Name pplicant';? Silin ture
TRI-LAND C0.
SURVEYING
SERVICES
4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
SITE PLAN FOR:
MILLER CONST.
,
6?0
A628?? 1
9bq ? ? ?
A Of1.I//yA6E
(b?/?-? E.fSEiYENT`\I
?I
?ai \?/ I
i
4
a2 ,r?5r
I 1 .? , ? DczK ? /??
?-
OD
u')
Oi
cD
3
? 1 N 0
I ? I
3 I N i -- ?
a
?
GAR N M N
I
, O
Gp Iq Z
N
b
z
?
R
N 890 31'56" E 95.00
v CROSS, ROAD
<
PROPERTY DESCRIPTION
LOT-2-, BLOCK 4 ,
GREENSBORO IST
aceordinp to the recaded plat thereof
DAKOTA Cauuty, Minneswo
SCALE
I"= 30'
LEGENO
o DENOTES IRON MONUAENT PROPOSED GARAGE FLOOR ELEVATION¦ 91SrQ
o DENOTES W000 HU8 SET PROPOSED FIRST FLOOR ELEVATION=
DENOTES EXISTINCs SPOT PROPOSEDBASEMENT FLOOR °
ELEVATION ELE VATI ON
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION NOTE. VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
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Bradley J,/$rfjFnson. Mn. Re4 No.10936
Date : [/lo4Y12l.
SITE PLAN FOR:
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SURVEYING
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4655 NICOLS ROAD
EAGAN, MINNESOTA 55122
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PROPERTY DESCRIPTION
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DAKOTA county, Minnesota
LEGEND
o pEP1pTES IRON MONUIrENT
* DENOTES WOOD FIUB SET
DENOTES EXISTING SPOT
ELE VATION
OENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
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SC A L E 111= 30'
PROPOSED GARAfiE FLOOR ELEVATION ¦ q13ro
PROPOSED FIRST FLOOR ELEVATION =
PROPOSED BASEMENT FLOOR °
ELEVATION
NOTE, VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
,
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA118248
Date Issued:10/30/2013
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Phil Holmin
3432 Denmark Ave #228
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Stacy L Smith
1007 Cross Rd
Eagan MN 55123
(651) 398-9747
Holmin Heating & Cooling Llc
900 Park Knoll Drive
Eagan MN 55123
(651) 405-3853
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA142040
Date Issued:04/12/2017
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
John Warne
1007 Cross Rd
Eagan MN 55123
Arko Exteriors
1840 183rd Ave NE
Cedar MN 55011
(763) 331-1511
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA144634
Date Issued:08/02/2017
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
John Warne
1007 Cross Rd
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA149024
Date Issued:05/02/2018
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description: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 -
John Warne
1007 Cross Rd
Eagan MN 55123
(612) 877-2219
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA149728
Date Issued:06/07/2018
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
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: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 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 -
John Warne
1007 Cross Rd
Eagan MN 55123
Window Store Home Improvements
2924 Anthony Lane #115
St Anthony MN 55418
(612) 353-5780
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168309
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
John Warne
1007 Cross Rd
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA168723
Date Issued:04/30/2021
Permit Category:ePermit
Site Address: 1007 Cross Rd
Lot:2 Block: 4 Addition: Greensboro 1st
PID:10-30900-04-020
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation. When a weather barrier is installed or
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 -
John Warne
1007 Cross Rd
Eagan MN 55123
Signature Home Services
7373 West 147th St
Apple Valley MN 55124
(651) 731-1147
Applicant/Permitee: Signature Issued By: Signature