531 Esk Lane?' •..• ?4
r , y ?a
J
(gtr#i#tratit of Mrrupanry
titp of tagan
DppaYbuM Df lltt?bWg jWPtYtOn
This Certificate issued pursuant !o the nequiremenu ojSection 306 of the Uniform Building
Code ceMtfying tJrat at the time of issuance rhrs structure was in compliance with the various
ordinances of the City regulating building construction or use. For 1he following.•
ux cl..r?.a. SF IW/GAR e*. Nr.,;, t,.. 18630
potupancy 7ype R3/+41 Zooing pistrip Ri Type Const, VN
Owoa of Building ? ? 00 IMC Addteas 5201 F+ FaM RDF FPMEY
&;770 53 . F.S? LAZ E ?.uty L3. B 1. COVII1Il?[ PASS
? ' 'r D,,: 3/25/91
B-&'-a .
POST IN A CONSPICUOUS PLACE
. . - ..?.? r - '.i?r. . ?? . _ , . . . . - , . . ,. .
?
. CITY OF EAGAN NA 18630
3830 Pilot KnoY'Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT r Ot' PHONE:454-8100
Receipt #
SF DWGrG"
$78' 000 DEC Z: 90
To be used for
E st. Value
Date . 19
531 L'81C LN
Site Adiess
S OFFICE USE ONLY
eclSub.
Lot Block R-3
Pel'C61 NO. Occupancy ?? FEE S
'rRS RO!'TLeJIfD C4 INC z«,"'g -v? 631.00
W Name (Actual) Const .. Bldg. Permit
?? 44
m
t AddCeSS (Allowable) - Surchar
e .
City FRLULET Phone # or storias g
Plan Review 610.00
o
Name S? Length
Depth
SAC, City 1?•?
,
_'-
??
AddfBSS
S,F. Total
-
MCWCC
S
C 600.00
? C11}/ Phone S.F. Footprints - A
, 625.00
Waier Conn
On Site Sewage _ 90.00
W W Name or+si?e weu ? Water Meler
3?
?
Address ' MWCC System - ?
? q?t. Deposit
<W City Phone cicywacer -
S/W Permit ?p?pp
PRV Required _
I hereby acknowlege that I h)ve read this ap ication and tate that the Booster Pump - SnlV Surcharge .?
information is correct and pgree to com 'I i th all a I' able State ol 252.00
Minnesota Statutes and Citjyt?f. Eaqw ance s. Treatment PI
Signalure of Permitee 'y'. / ? APPROVALS Road Unit 355.00
TKS ROTT LM CO II+iC Planner -
A Building Permit is issued to: Park Ded.
on the express condition that all work shall 6e done in accordance with all Couricil --
aQplicable State of Minnesota Statutes and City ot Eagan Ordinances. Bldg. Otf. _ Copias ?
3
172
8uilding OffiCial "
Variance
-
TOTAL ,
.
• PermR No. r.m* Hokler o.ce T.tephone
WA7ER ?
SEWER
PlUM81NG
??i ??o $s
H.V.A.C. ? 3191 511, 2-114
ELECTRIC
InspscHon oate Insp. Comm*nts
Footings I
Four.i.b..
Freming ?- - ?
Roofing
Rou9h PIb9. 2 ".S ?" 1`!
Rougn Hcg.
is,l.
F.repla.
FinW Htg. 3 ? 1-S'i U 5 3-?- ? 4
Final Plb,. 3 . F_??
Cons1. Meter Pobg. Inspector - Notity Plumbet
EngrlPlan
sag. Finai
Deck Ftg.
Der* Final
weli
Pr. Disp.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd,
Eagan, MN 55122-1897
DATE nF(: 91, 199r1
OFFICE USE ONLY
METER # 3 0 d 1 PERMIT DATE C% C 2,
CHIP # d 3-5-
METER SIZE ?Se K PERMIT # 117 /0
B.P. RECEIPT # C 1153G
ISSIfE DATE S_ el I B.P. RECEIPT DATE 12.426490
_ PRV - BOOSTER PUMP
SITE ADDRESS 5` t t.?: t.N
LOT ' BLOCKI-SEC/SUB s'C1VF13TPV Pa:,,
APPLICANT:
ADDRESS:_
CITY. STATE
PERMIT REQUESTED
X SEWER ? WATER - TAPS
COMM/IND -y- RESIDENTIAL
ZIP
PHONE: '
PLUMBER: ? " 7 ?
ADDRESS: -
CITY, STATE ,1424D ^/ 4?? ZIP Z--
PHONE: 4? Z- 2-Lzf
OWNER: 2xF Rn,TTr_IrnrrI cn TNC
ADDRESS: 5701 F RTVF.T2 Rn
ClTY, STATE FRT n?.#pi. ZIP 55421
PHONE: 5 71-C? 304
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Pofitestic Meters on Water Line.
Credit WI N T, ?wen for Deduct Meters.
?; b?
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
.?? z7 C?C_
IGNATURE WHEN METEPt'ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR OFiUCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
..?
I SEWEIj & WATER PERMIT
I CITY46F EAOAN
i 3830 Pilot Knob Rd.
{ Eagan, MN 55122-1897
METER # -
CHIP # -
' METER SIZE
DATE DEC 21 , 1990 4SSUE DATE
PERMIT REGIUESTED
K SEWER WATER - TAPS
_ COMMiIND X RESIDENTIAL
- PRV - BOOSTER PUMP
SITE ADDRESS 511PSK t-N
LOT 'i BLOCK I SEC/SUB COVEN'[RY PASS
APPLICANT:.
ADDRESS: _
CITY, STATE
ZIP
PHONE:
r
PLUMBER: ' ??r? '? .?'' "'?, ?-
ADDRESS:
CITY, STATE ? •??/ ?3'7? ZIP ?-
PHONE: 4 14-- ?? Z I
OWNER: TH RM I1Ni) CO t NC
ADDRESS: 5201 E RI'JFR RD
CITY, STATE 1? ? 1I).pl M*I ZIP 55A2_L
PHONE: 571-0304
OFFICE USE ONLY
PERMIT DRTE 01/03/91
__)L NEW
PERMIT # 11770
G
B.P. RECEIPT # C 1153
B.P. RECEIPT DATE 11712111111 O
EXISTING
Lawn Sprinkler Meters are to be Instailed
Ahead of qomestic Meters on Water Line.
Credit WI1-L N9T beginen for Deduct Meters.
I AGREE TQ COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CUNTACT ENGINEERING DEPT.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS-
INSPECTIUN RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• t o', I
,k I.pNr
:?.i i,c,., ? ,, . , •
APPLICANT:
. , •, :
t f, 1..' ) t, }s ?, ?! if '+ 4>
fcU r I ?? 4 N??
?i:tt ? ??.
PERMIT SUBTYPE: TYPE OF WORK:
t ; M ! P: . . c 1 i E . ., F1
lJ
INSPECTION .. . .A
?
?
.r..
PermR No. Permlt Hoide? Dab Telephone 1t
S/W
PLUMBING /rJ -OQ j?0
HVAC :
ELECTRIC e'1A 121`' Uev
ELECTRIC
Inapsction Date Msp. CommarKs
Footings I
Foundation
Framing ?
Raofing
Rough Plbg.
_w
Rough Htg. ?
Isul. ?
,Q
Freplace
Final Hlg.
Orsat Test
Flnal Plbg. D..,? Plbg. Inspector - Notify Plumber
Const. Meter
Engr./Plan ?
Bldg. Final ?
.
Deck Ftg.
Dedc Final
Well
Pr. Disp.
V?'i l4 ? c>oa?o?y
Request Oat?? e?
??- ire No
7 Fough-m In e:tion
Re ired9
? Featly Now ?W?
Pedor
'
Ves ? No hen
Feady
10 licensed contractor Xowner herehy request inspection of above electrical work at:
Job Ftltlress (Slreet Box or Route N. I
L
-S3! ?' Ciry
s
a n
SMron N. Township Name or No Range No Counry
of?Oant(P/RINT)
7'?n¢NOn Se (!,;tn afo Phorie No
Power Suppher Atltlress
Eleclrcal Gonhactm Company Name) Contractor's License No
tlinq Ntltlress IGanVector or Owner Making Installellon)
A'to v
re (COrtracror%Owner Making Inslallauon)
` PM1One Numb¢r
??r. -Oa9a
MINNESOTA STATE BOARO OF ELECTRICITV THIS INSPECTION REQUEST WILL NOT
Grigga-Mldwey Bitlg. - Raom S173 BE ACCEPTED BY THE STATE 80ARD
1821 UniversM Ave., SL Paul. MN SStOA UNLE55 PROPER INSPEGTION FEE IS
PM1One (612) 6C2-0800 ENGLOSED
REQUEST FOR ELECTRICAL INSPECTION
-• A 1"0 6 PA 1- See msVUChans ior compleUnq this form on back ai yellow copy ir., ?)iA, ?9
j
4e _
m `X" Below Work Covered by This Request
ew Adtl aep yTpeof6wlding ApphancesWved EqmpmentWrred
Home Range 7emporary Service
Duplez Water Heater Electnc Hea4ng
Apt. Buildmg Dryer Other (Specity)
Comm./Industnal Furnace
Farm Au Condrtioner
Other(syecity) GonVactor's Rem ?
SM
Compufe Inspecbon Fee 8elow: ?f (I1 C-
# Other Fee # Service EMrance Srze Fee # Cvcuds/Feeders Fee
Swimming Pool 0 to 200 Amps 0 ta 100 Amps
TransbfinelS AboVe 200 _ Amps Above 700 _ Amps
Slgns lnspecmr5 Use Only
' TpTAL
`
Irri9ahon eooms •UO
3? 7/
?
d?
Special Inspection
Alarm/Commumcation THIS INSTALLATION MAV BE ORpERED DIS NNECTED IF NOT
61her Fee COMPLETED WITHIN 16 M /
I, the Electncal Inspector, hereby Roo9n-,n o
certiry ihat the above inspection has
been made
Rr,ei
oate -
?
OFFICE USE 'JNLY
This repuest wid 16 momhs tmm •
,6
68
°°
Request Date Fire No Ro Inspedion
R u ?
Py<eetly Now ? Will NoOfy Inspectar
Q?
d^ 3 ?( V es ? WM1en Ready7
I?'ficensed contractor ? owner hereby request inspection of above electriral work at:
Job Atldress (Street. Bax or Route No.) Ciry
.S-3 ?.8?.
SecTOn N.
I
Township Name or No.
Range No
Coun
OccuOa a Phone N.
PowerSupp Pdtlress
Elecincal Vactor ( ?ompany Name) Contractor5 4cense No.
Maibng AOOress (Contractor or Owner aWng Installatwn)
Authonze0 Signature (COmracror/ er Makm installaLOn) ?
? Phone Number
3-3 S
a
MINNESOTA STATE BOARD OF ELECTRCITY ? Q THIS INSPECTION REOl1E5T WILL NOT
GrIBBe-MlEwey Bltlg. - Room S-173 8E ACCEPTED BV THE STATE BOARD
1831 Unlversily Ave., 51. Paul. MN 55100 UNLE55 PROPER INSPECTION FEE IS
vhane(61Y)BC2-0B00 ENCLOSED
??02? REQUEST FOR ELECTRICAL INSPECTION ""eaooom-os
l See mstmchons tor comple[in8 this lorm on back ol yellow copy z ?9-20or
M 8 418 -"x" nelow Work Covered by This Nequest ?
ew Add Rep. Typeoi8uilding AppliancesWired EqwpmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heaung
Apt Building Dryer Other (Speciy)
Comm /Industrial Fumace
Farm Av Conditioner
Olher (specify) CoMractor's Remads'
Compute Inspection Fee Below:
# Olher Fee # ServiceEntranceSrze Fee # Circuits/Feetlers Pee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers AboVe 200 _ Amps Ab `100 _ AmpS
$1905 Inspector5 Use Only
? TOTAL
Irrigalion Booms id V
" :rc)
Speaal Inspection
Aiarm/Communicanon THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, hereby Rougn-in oata
certifythatthea6oveinspectionhas
been made Fiiie1 oaul
p?oFil
OFPICE USE ONW
This reQuest voitl 18 monM4 imm
O-
0?969 05
o
195 ??
Peq st Oete ?
_/ O ??? Fve No pough-ln 1c3pecnan q retl Inspection OIY?er Tha Rough-In
(VOU m,?us? all inspe r hen reatly) 0 peady Now ?Will Ndily Inspector
'?-Ves No Date Read
I? licensed contractor tE<wner hereby request inspection of above electrical work at:
Job Atldress (Straet. Box or Roule Na ) / !
( `
?!? L?-N Cf ry /
?
Section No Township Name or No Ranga No Coun
C G ?-
Occup t?PFINT)
.
j ?c 1??--2 v Phane No
G 8 G- o? y' a
.,?,
<
Power Supplier Atltlress
lectncal Contractor (Company Name) ContmctoYS License No
S eF-Ljzz
Matling Atltlress (COntmctor or Owner MeWng Nsla/llan_on??
J'> l ? Vv• ?1/? S?? Z?
ANbon ure ?COnirac rfOwner Makmg Installation)
I PNone Number
I C/LW8'6 os?a
MINNESOTA STATE BOFRO OF ELECTflICITY
I)
I
I THIS INSPECTION REOt1E5T WILL NOT
Grlggs-Mitlwey 61tlg. - Room S-128 I (I I I (I I I I I I
I 9E ACCEPTEO BV THE STATE BOAFD
1621 Unlveraliy Ava, SL Paul, MN 55106 ?? I f UNLESS PROPER INSPECiION FEE IS
Phone16141642-0800 ?a ? ? , ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ee-ooooi-os
/?? . ? See insimcbons ror comple6ng this torm on back of yellow copy ?rQa ?
/O
"X" Be/ow Work Covered by This Request ??+
Ne Add Rep. Type of Building ? Appliances Wired Equipment Wired
-24 Home Range Temporary Service
Duplex Water Heater Elec[ric Heating
Apt Building Dryer Load Management
Comm.llndustnal Furnace Other (Specify)
Farm Av Condihoner
Olher (speay) Comractors Re.maMS Compute Inspec[ion Fee Below'
# Other Fee # 5ervice Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Am s
Transformers Above 200_Amps 100 _Amps
SIgf1S Inspecror's use Ony ??(f TOTAL
Irrigation Booms
Special Ins ection .
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Electncal Inspector, here6y Aougn-m
?
?
certify that theabove inspection has
been made.
OFFICE USE ONLY ./
This request void 18 monihs irom 7'l? ?ll?t?/liy ?
,?? •? ?
H 33582 a°°
Requesi Date Fre No Ro -in Inspechon
q fed,
? Raetly Now ,8'Will NoGfy Inspeclor
a- 3- a es ? N. Whom Reaay+
I rGlicensed contractor ? owner here6y request inspection of above eledrical work at:
Job Atldress (6ireet Box or Route No ) Ciry
53
Sectmn N. Township Name or No Fange No , Co ry
?
Occupa ?PRINT) Phone N.
Gower Su1pp`lier AtlCress
/?
?ICK.• Vier- .
EIMrw I Comracmr (Cwnpany Name) Conhfldor§ License No
' 1 ?-
Matiing ACaress (ConVatlor ar Owner Making Installation)
ANM1OnreE Signature ICOmra orlOwner a ing InstallaVOn Phone Numb¢r
/D
MINNESOTA STATE BOARD OF ELCTFIQTV ? /• THIS INSPECTION REOUEST WILL NOT
Gtlgga-MlEway BIOg. - Noom S173 BE ACCEPTED BY THE STATE BOARD
1BII Unlverolty Ave., St Peul. MN SS104 UNIESS PROPER INSPECTION FEE IS
VMM (612) 642? 1 ENClOSED.
0/V
H 33582
REOUE$T FOR ELECTRICAL INSPECTION
? See instrucLOns lor compleLng inis torm on back ol yellow copy
"X" Below Work Covered by This Request
??,N°+??EB-D0001-OB I
ew AdG Aep - TypeotBuAding App6ancesWired EqmpmentWired
Home Range Temporary Service
Duplex Water Hea[er Electnc Heatfng
Apt Budding Dryer Other (Speaty)
Comm /Industrial Furnace
Farm Arr Condrtioner
Olher (speMy) ConVaotor9 Remarks
Campute Inspection Fee Below:
# Other Fee # ServroeEntranceSize Fee # CircuhslFeeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps /{
Transformers Above 200 - Amps Above 100 " Amps
Signs Inspector9 Use Onty
Irngauon Booms VJ iw
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED OISCONNECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecincal Inspector, hereby Rouyn-in ( Date -_7?
certify that the above inspecUOn has
6een made F,,,ai .
OFFICE USE ONLY •
Tms request wi0 18 monms hom
J?( S g. U 6 v c,uLz m' 03A /
CITY EAGAN (1?0 18630
3830 Pilot KnobRoad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 ?
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $78,000 Date DEC 21 , 1g_9Q--
Site Address 531 ESK LN
Lot 3 Block 1 Sec/Sub. COVENTRY PASS
Parcel No.
w Name THE ROTTLUND CO INC
o Address 5201 E RIVER RD
Citv FRIDLEY Phone 571-0304
fo Name 5AME
ga Address
m
City Phone
?
gw Name
Address
? W City Phone
I hereby acknowlege that I h ad [his application and state that the
inbrmaLOn is correct and re to co I ilh all appl ble State ot
Minnesota Statute5 and Ci bl a r ances.
Signature of Permitee
n Builtling Permit is issued to: THF. ROTTT.I(ND CO T NC
on the express condition that all work shall be done in accordance wifh all
apphcable State of Minnesota Statu[es and City of Eagan Ordinances.
OFFICE USE ONLY
Occupancy R-3 71L-1 FEES
Zoning R-1 Q"0
541
(ACtual) Const V-N .
Bldg. Permit -1-317
?
(Allowa6le) V=N ??.JZS
Surcherg
M oi Stones - S/.
Lenpth
L? ?i
Pldn Raview
oeam 44 ? SA0. Ciry 100.00
S.F. To1al - SAC, MCWCC 600.00
S.F. Fooryrints -
On Sile Sewage _ Water Conn fi 9S- nn
On Sita Wall - Waler Metei Qn - nn
MWGCSyslem X
Acct. Deposil 30.00
Cdy Waler ?
PRV Required _ &W Permit 30.00
Baoster Pump - $iW Surcharga . 50
Trealment PI 957 _ 00
APPROVALS RoaO Unil 3 5 5_(1f1
Planner - Park Ded.
Council
Bldg Olf. _ Copies
Building Oflicial
Variance - TOTAL
-#; Y72:-5?
3 U /', Sf1
2004 RESIDENTIAL BUILDING PERMIT APPLICATION
. ` City Of Eagan
' 3830 Pilot Knob Road, Eagan MN 55122
frI y_ o C?-Y- Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruchon Reauirements RemodellReoair Requirements
3 registered site surveys showing sq, fl. of lot, sq fl of house; and all roofed areas 2 copies of plan
(20% rtiazimum lot coverage allowed) 1 set of Energy Calculahons for heated additions
2 copies of plan showing beam & window sizes; poured found design, etc. 1 sde survcy for additions & decks
1 set of Energy Calculahons Addifion - indreate if on-sRe sepfic system
3 copies of Tree Preservation Plan if lot plalled after 711/93 '
Rim Joisl Detail Options selecllon sheet (bldgs wrfh 3 or less unds
?
,Q,43r- 1'v' ? 1? ? I 'i
OEfwe Ike OrIv
CerkaFSwveyRecd.. _YN
Tree P,reS PIo ROCd. _Y';_ N.
[reePres ReWiref:•, : :,,_ Y'.:N
D[rsile3eptic5ystem -_Y_:N
Date ? / ? / ?
/ C0115trIlCt10?1 ?.'OSl
r
Site Address Unit/Ste #
? h
b 1
6 ?
l
1
C
Description of Work
f4 Nl w
l
1 .
A_
/I
-
Mu1ti-Family Bldg _ Yx N Fireplace(s) _ 0 x 1 _ 2
?
Propcrty Owner ?
Telephone # (?p
Contractor
Address City
State Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category i Worksheet • New Energy Code Worksheet
(J submission type) Submitted SubmiHed
. Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan8 _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #( )
4- -4
Telephone #
? o
Telephone ?y?? J O
? U
I hereby apply for a Residential Building Permit and acknowledge that the infor taon is complet?and ccurate;
that the work will be in conformance with the ordinances and codes of the City oyf=Eagari-a 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.
`fi0?9ii ???ri5?t_00?
Applicant s Printed ame
??,?,! A,/???
v?
Applicant's ignature
OFFICE USE ONLY
Sub Types ?
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea. ) ? 33 6ct. Alt - SF
? 04 02-plex ? 10 08-plex ?11 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex PI6g_Yor_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
P- 32 Adddion ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteretion ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Errtire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC UnRs Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const V 6 _ Width
Foolings (new bldg)
k Footings (deck)
Footings (addi[ion)
Foundatlon
Drain Tile
Roof _ Ice & Water Final
_ Framing -
_ Fireplace _ R.I. Air Test Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
77V FinaUNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
Windows
_ Retaining Wall
Approved By: VZ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W PeRnit 8 Surcharge
Treatment Plant
License Search
Copies
Other
Total
06kk- )( v ? -0
4 ? D ._/
-2?
I'Mendota Heights, MN 55120
? • ? ?R (612) 681-1974
,ering•.
7`rlE f?o71-LC/,?/O CD. ING - ?
Certificate of Survey for:
SZ' ZS',QT. W NoRrH
27 Pvj`VX
/06 /
rv
a f ol?
.? ?
I ? 96.0 •rj ? 4
PRoPs f" 9csi
7,0
CF yC ?I!•yj I r'? //?
~ 1n K ? ,n ? ?i v ?
(k a ? - i Q ¢3.99` ?3
?yS ? s .1P\ 89v, o ? ?5
?0 3 ^?
rt
.----
R=373sb
c4VFivTRy PARKWAY
, g00.0 Denofes exrsfin? elevaf+on
t gpo.o Denofes proposed elevat'on
penofes orarnagP ?lw ,llArrows e??
o DeRO f es monuen f d
? J_ Yu r? ?.Ini IsF FI EVASION5_
S`l ???
[owesf Floor Elevaiion 3
Top ot Block Efevafion a:
?ara?ie Slub Elevalion gG?. ?•_ ?
o OPf107P5 otnpef Kub
Bedrin?s shown are assume CovENrA' y pAss
enfs oi record
?„Qr 3? 1"?'Ock 5ubje1f io easem
isccrsd
COUNTY, Ml NNF501 A land S?rvcvo?
Q,Q ?(?TR ? ' m under mY d1*ect supe?rv/?n--io. e?d [hat 1 em dulY RM
1 hsrcbY certify that this sur+eY. Plon or revort wes oraoereA bv A.O. 19?-?i1 . .?r
dey ol /
? f?.?..
w+c?er the Iaws of lhe Ste[e of Minnesata. Dat¢d this. ?
/ . RE . NO. uB91
scale ? ll?C? L ?/j ?"{/'/? +ee ?y EAT ae.SIKIC l.
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1990 SIIILDING PERHIT APPLICATZON
CITY OF EAGAN
SINGLE FAHILY DWELLINGS
2nJLTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PIANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - 6 STRUCTURAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
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 IAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LATS - 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.
Af C 1 8 REC6
To Be Used For: "E4hQq(_ Valuation: -J?^ Date: tz fl-7!`1D
Site Address
Lot 3 Block
Parcel/Sub
Owner 7(4-E Wo-T7 (--ohLc) Gm. -I I4G .
Address E
City/Zip Code Fr-4G?4 2I
Phone Sq
Contractor
Addres
City/Z
Phone
Arch./
Addres
City/2
Phene +r
OFFICE USE ONLY
FEES
Occupancy R-3 M-I
Zoning R -1
Actual Const V-N Bldg. Permit-ttt--ao
Allowable v-N Surcharge
# of stories Plan Review ,
Length -77 SAC, City fOD,Cb
Depth ? SAC, MWCC ,00
S.F. Total Water Conn Z5,00
Footprint S.F. Water Meter 90,c?
Acct. Deposit 30,co
On site sewage_ S/W Permit 30 DD
On site well S/W Surcharge .SD
MWCC System ? Treatment P1. Z$2,00
City water ? Road Unit ?
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
council y/ 3?13..5 0
Bldg. Off.
Variance
J4
3y
s)
? VALUATIDN
f" 1} ?
!
GARAGE ?• - _• '•`
ao y aA = 400 )c 15 = 6?,?
R? .
ay x 3?_ 86Y
II k IZ = 13Z
?X 12 = 04
x rs - ?6Zo?
060
? ST Fl.oo2
?MT = I c?
----
1a? I X51 = 56(,4(
'77841
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rioneer tnsineAr,ns btl194Ctl
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PIONEE
? englnee
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2422 Enterprise Orive
Mendota HeiBhts, MN 55120
(e12) 681 -1974
Certificate of Survey for: r?5 RC777-464'?0 (20, -rIVG'
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eovENTRy 2s ¢z.. -
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= 900.0 DQMOfes existinj elevafion 1JC10,2a5ED HG
t gC?o.o Denafes prtmposed e%vafion Lowesf Floor f(ev
penofes brainage f UfilVOWS asemenf 76p of BIa?IC, Efev
------ Denofes Drainp?e ?"low Garage Slab Elev
p Der+of es monurr?en f
Bedrt"'is shown are crssumed Q Deno{es 0+'i"se}
Lor 3- ,BcocK 1 , CovFNTaY P,
DAKOTA COVNTY, MINNF507 A SubjPCt fo easemenfs qnr
I hsre6y CCrtify ln.1t this pufVey, pien or IBpoft WBS pfBpBfe(7 bY or under my diroat sup/ervf?{Lision and that I em
under the Iaws o1 the State of Minnesota. Dated this?f?}. dey of A.D. 19?._.
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ion 89 3 •C?C?
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S?'?'E ADD9ESS LC 1 ?
CONTRACTOR /
Lo('--K I
DATf.
PHQNh,
Determin uorkini; square footar;c of each.
1. Total exposed wall area .. I? 4k t b sq. ft. x o' li
2. Total roof/ceiling area sq. ft. x e,026
Tot21 exposed wall area nbove floor =
a.
b. Total
Total wall windoW area .....
door area ............ ....................... I 7 4'? ?{' ?
.......................
c.
d.
e. Total
Total
Total slidine glnss door area .....................
fireplace wall erea ......................... Z,O
wall framing area (average 10A) ............. ?° .
P. Total net wall area ubove floor . 4
. g.
Total
rim Joist area ....... ?
......... ........... b?
Total exposed foi:ndation araa
h.
i. Tetal
Total fovndetion uindov a:ee ...................... ?
net foundation a^ea above grade .............
. Detenr.ine "U" v21ve o; each wall ,egment.
8. 4 x„U„ p, 42
b. X ,.U„
• C. 35 X?lull Q 3 Z - 1 I. 2
d. 2- a x„ Jlf
e. 157/ bQ x rlUn oioe? = IT, 0 75
r. / 419. Z c X,.U,. d, o¢3 v Z
g, 11b, f? -7 b'
h.
x "U"
?. 97. 4 X„u,l
3. ...... ....................... .. 'ior.?]
)4071z--
If item d3 i
or ssc 6006( s the same as, or les:
c)2. :.tian itera Nl, yoti h3ve met the intent
FP? t 2 ?lk ,?-.
`• Total exposed rooC/ceil3ng area = II? (
? . .. .
Total gross roof/ceilinf, are:t =
?. Total skylieht area ..........................
k. Total roof/ceiling framing arey .............. O+
l. Total net insulated roof/ceiling area ........ ?. •
Dete-mine "U" value for cnch roof/cci 1 inj? :.cimcnt.
.? X „ull
. ?. •
k: x„U„
,
X„U,. O?d 2Z = 2 I?? ?a . .................................. Total - ?sf- :7 G aL
If total of N4 is the sazne as, or less than N2, you have met the intent of
ssc 60o6(c)z. . •
To utilize the total envelope system method, the values establi-zhed by the
sum of itens N3 azsd #b shall not be 6reater.thKn the sum of iten;s Hl and N2.
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t ?.. ? RESIDENTIAL BUILDING
Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construction Reouirements RemodeVFteoair Reauirements Offce Use Onlv
3 registered site surveys showing sq. ft of lot sq il. of house; and all roofed areas 2 copies of plan Cert of Survey Recd
(20%mazimum lotcoverage allowed) 1 setof Energy Calculations forheated addilions Tree Pres Plan Reed
2 mpies of pWn showing beam & wmdow sizes; poured found design, etc. 7 site survey for additions 8 dedcs Tree Pres Not Reqd
1 set of Eneigy Calculatrons AddRion - indkafe Hon-sde sepfic system _ On-site Septic System
3 copies of Tree P2servation Plan if lot pleHed after 711/93
Rim Joist Detail Options selecGon sheet (bldgs with 3 or less units
Date 6- 03
Site Address 53 I E
s k 1?7 n P- Construction Coat
UniUSte #
Description of Work I
G[Gl'J )L ? fpper =?4m i Y roc»^
177Q71 t ower -) j,,dyanms ? 6a'Nk
Multi-Family Bldg _ Y VN Fireplace(s) _ 0 ? 1 _ 2
Property Owner T4tr JThC!'e Sa I-n1 "rl S}1 Telephone #( 65-1 )(p 6 1- 788 Z
Contractor C) W h c°, r • 1 a m jTh i°1YSa ParY15'h
Address 5-3 ) Es k I.Ah r
State MN
Zip 5,503 City ? n
Telephone#(6s?) (a8?`7882'
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Catee??' 1 Minnesota Rules 7672
Enefgy CAde Category , Residential Vendlatio -Categary 1 Worksheet • New Energy Code Worksheet
(J submission type) Submitted ?1?'+ \ ?\ \\ Submitted
Licensed Plumber
1 U'
Telephone # (
Mechanical Contractor
Sewer/Water Contractor
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 ofplans. ?
I
Ap icanPs Printed Name Applicant's Signature
OFFICE USE ONLY
"?-
Sub Types • lr'
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt • Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ?K 22 Porch/Addn. (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_v or _ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
111 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 ReplaCement •Demalition (Entire Bldg) - Give PCA hantlout to applicant
Valuation ?UD Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units / Sq. Ft. PRV
Nbr. af Bldgs r Length Fire Sprinklered
Type of Const ? n) Width
_ Footings (new bldg)
_ Footings (deck)
?t Footings (addiuon)
Foundation
_ Drain Tile
Roof Ice & Water Final
Framing
Fireplace Y R.I. Y Air Test ' Final
Y Insularion
!-
REQUIRED INSPECTIONS
FinaUC.O.
7C FinaUNo C.O.
T? Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Wiudows (newheplacement)
_ Retaining Wall
Approved By I Z , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
8w,,5C S? V x
f'?,' R-9'"O''
?77 x s-q = 3 /,2iz
J I
?
?2
[ D I" C9 C9_0
,Tch Site.Address: .?J 1 LSk Lqnc-, .J?12-?
"CATEGORY 1" ALTERNATE FOR
ONE & TWO FAMILY DWELLINGS
1NSTRUCTfONS: This altcrnativc may bc uscd (urpnc- and hra-family dwcllings built to mcct the Category 1 requirements of
D-Iinncsota Ruics, Chaptcr 7670. Complete Parts A, B, and C. Clearly mark plans with: insulation R-values; window and skylight U_
values; size and type of equipment, eqmpment controls; and location of vapor retarder and wmdw2sh baaiers, More detaded
information can be found in the Minizesolo EnerLq, Code sununary sheets availa6le from the Mimiesota DepaRment of Commerce
Part A. BUILDIN
G ENVELOPE
. _._.__._ _._..._-..__,_-----_
C6eck proposed envelopejoint sealing option -) ? Prescnpnve (caulking, gaskets, etc.) ? Performance (tesi per 7670.0470 sub?>. 7.C.)
Cheek thzrmal energy ealwlation option used 4 'lit "Cookbook" (completz n•orksheet below) ? MnCheck me(hod (attach report)
? Perfomiance (attach ll-value caleulations) ? Systems Analysis method (attach analysis)
"Cookbook" Worksheet
NsTeucilo?'S
Step 1. Check ilem(s) that design mcets on Mininuum Reyuii'enients list
to thc right. Mus[ mect ail items to use "Cookbook" option.
Step 2. indicate proposed wall t}pe on table bclow
Stcp 3. Indicate Window U-value and source
Srep 4. Vcrify total window (including area of all foundanon windoxvs)
and door area is equal or Icss Ihan aqowable percentage.
TIINIMUAf REQUIREMENTS
(for "Cookbook" o lion onl '
14 Ceiling Insulation: Minimum R-38 with 7'R' energy heel; or
Minimum R-44 with (ow wss heel; or
Minimum R-38 with R-S sheathin when no attic.
'k! Enw Doors: Mae. U-value of 030 or N/:' solid wood with scomi
a Rim loist Insulation: Minimum R-19
3a. Floors over unconditioned s aces: Minimum R-24
U Foundation lnsulation: Alinimum R-]0
Cg Foundation windows: Y" insulated lass, wood or vin I framc
TABLE FOR DETERMIN(NG A1.LXI11lID1 R'INDOR' MD DOOR AREA '
Marimum Allowable Totai Window and Door Aiea as
a Percentae of Ex oscd Watl -
12%
14 % 16%
18%
20 %
22°l0
24%
26 % •
286/.
Wall T e(Standard Framine): Maximu Avera e 15'indow U-value exce t foundation windows :
? 2x4, R-13 insulation, R-7 sheathin? 0.55 0.47 0 4] 0.36 033 0.30 0.27 025 0.23
? 2x4, R-IS insulation, R-5 sheathine 0.52 45 039 035 031 0.28 026 0.24 0.22
2x6, R-19 insulauon, < R-5 sheathin¢ 0.48 0.4I 0.36 032 029 026 0.24 0.22 0.21
2x6, R-19 insulation, R-5 slieathing 0.56 .48 ? 0.42 0.37 0.34 0.31 0.28 0.26 0.24
O 2x6, R-2I insulation, < R-5 sheathin 0.51 0.43 038 034 0.30 0.28 0.25 ' 0.23 0.22
O 2x6, R-21 insulation, R-5 sheathine 0.58 0.50 0.44 0.39 0.35 0.32 0.29 0.27 015
Wal] T e Advanced Frunin ): Mazimu Avera e 14'indow U-value excet foundation windows :'
0 2x6, R-19 insulation, <R-5 sheathm 0.52 0.45 039 035 031 0.28 0.26 - 014 0.22
? 2x6, R-19 insulation, R-5 sheathin 0.58 0.50 0.41 0.39 035 032 0.29 0.27 025
? 2x6, R-21 insufation, < R-5 sheathinq 0.55 0.47 0.41 036 033 030 027 _ 015 023
? 2x6, R-21 insulation, 2-5 sheathins 0.60 0.5 0.46 0.41 036 033 0.30 0.28 026
Window U-value: 1 M&
Source: 1 ? M1FRC
? ASHRAE 1993
100x 15 C) -?- ? ?-
window & door arca gross exposcd wall area
DESIGN
EI ?
ALLONAHLE (from table above)
MINNESOTA ENERGY CODE - WHIcH RucES MAY 1 UsE ?
TYPE OF RESIDENTIAL BUILDING APPLICABLE RULES
Detached R-3 occupancy ]- and 2-famil}' dwellings Chapter 7672; or
Exam [es: sin le famil , twin homes, duplexes Cha ter 7670 "Cztegory 1" with statutory de ressurizafion and ventilation re uiremenLs
Atlached R-3 octupancy dwcllings Chapter 7674; or
Exam Ies. triicz mwnhouses and row' F.ouses Cha eer 7670 ?r:th ziiher "Catego 1" or "Cate¢o • 2" rovisions
R-1 occupancy Luildings o(3 stories or less Chapter 7674; or
Exam les: condominiums or a artment, Cha ter 7670 Hith either "Catzco P" or "Catc^.o 2" rovisions
R-1 occupancy buildings orer 3 stories high Chapter 7676 ?
Exam les: hieh rise condos or a anmer.?
,-
Part B. DEPRESSURIZATION PROTECTIQN ? ?-
Check option used: X Fuel buming equipment (complete schedules below) ? No fuel buming equipment
INSTRUCTIONS
Step 1. Complete the Camb«sliorr Eqiripnrent Schedule below. Only equipment
with a Y(Yes) may be selected-under the "Category I" altemate.
Step Z. Complete E.xhouadMnke-up Air Schedule on lhe right if direct or power
vented or solid fuel atmospheric vent space heating equipmcnt
selected.
COMBUSTION EQUIPMENT SCHEDULE
check all types ro osed
Space heating - nonsolid fuel ? Sealed combustion Y Hearth - nonsolid fue] K Sealed combustion y
, ? Direct or power vented Y# 9a5 ?'rPro?sccl ? Direct or power vented y
Atmos hericali vented N Atmos hericall vented N
Water heating - nonsolid fuel ? Sealed combustion Y -Sp - solid fuel ? Atmospherically v
Y*
. ? Direct or ower vented Y Water heatin el ? Atmos er ented Y
Atmos hezicall vented N Neafffi - solidfuet ? Atmos Iiericall vente
• If atmospherical(y vented solid fuel or direct or power vented nonsolid fuel space heating is installed, then make-up air to match
flow is re uired for each individual exliaust device which exceeds 300 eubic feet er minute.
Part Ci. VENTILATION
VENTILATION QUANTITY
(Mechanical ventilation must be provided per the larger quantity calculated beiow)
cubic feet z 0.00583 /minute cfm ( 5? z IS cfm/bedroomj + 15 ctm = 96 cfm
volume ofhabitable rooms num6er of bedrooms
Check method(s) proposed 9 VENTILATION FAN SCHEDULE
? Exhaust onl Q Balanced (heat recovery ventilator, air eschan er, ete.)
Fan descrition or location 4 vzcy, O}}c. TOTALS
VENTILATION Intake 5 cfm 10 cfrn cfin cfm cfm
ASDESIG?lED Exhaust )S' cfm- lo cfin' cfm cfm cfm
S[atement of Compliance: The proposed building design repreSeNed in these documents is consistent with the building plans,
specifications, and other calculations submitted with [he ermit application. The proposed building has been designed to meet the
require nts of Ihq?Vinnesota E er? de.
_ ? ?n19 , /?/', r,
Appli4f7t (print name Sie P ilalu Tel? Ie..1 ..............?
Parf Ca. VENTILATION (Submit Part C2 upon wmpletion o(system veri6cationt)
x ----------------=-
-------------------------------------
Job Site Address: Pzmiit Number
Fan descrition or location TOTALS
MEASURED Intake cfm _ cfm cfrn cfin cfm
rate must be measured and verified when the ped
?ints in die building conditioned envelope (from Part
option is aced in lieu of the prescriptive option for the
Comptiance StatemenL• Instalted ventilation system is in compliance with MN Energv Code and is sized to provide the design air
flota.
Applicant (print name) . Signature Date Telephone number
fi*
RiOIVEER
/* englneering,..
'Mendota Heights, MN 55120
ts,zr sa,-,ssa
r?? Rnrr4v,?a co. r?c.
Certificate of Survey for:
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PARKWAY
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DRO20s6n 1-LOV5F FLEV?
= 90Q.0 D¢ROtes exrsfin? eleval'io» [owesf Floor f(evafion S`l 3•C7`'
? goo.o Denores prnposed e%vat1on ? OnBl? EfQya{ioR s°-
pehofes bra?na?e E Uf+lif y Edsemenf Ga ?e 51ab Flevafion gab.._ ?
--- Denofes Draina e Tlow I-irrows
o Deoo f es i'+onuen f penofes of?se} NUb
Bearin?s shown are assumed o PAcC
L or 3- , gcocu I , CovE?vTQY ?
Sub'PC? fo easements c??'record
1
DAKOTA COUNTY, MIIJNESOI A I
I hsrc6y cCrt1fV that thif turvev, Pien or reowt was vraoered hv ?^d°r ?^Y dA 0?19 °??,sjoo end ihat Om dolY RQ9is?cred La?d Su?'cvo?
??-
i?e? d+e ??ws o? the Stece of M1n?esuta. Oatsd th;s deY ol ?ir--
S??.,/i ??n' ?inch' ?}?I R ERTB.SIKIC 4.aE .NO. uB91
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PLUMBING (RESIDENTIAL)
?,Q f Permit Application
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Please, complete for: Single Faxnily Dwellings
Townhomes and Condos when perntits are required for each unit
1
0
Date /
/
>
Site Address -!?-J ? nlc? 6,1/ Unit #
Property Owner 1 OL"? pel7" r j S('t Telephone #(CS-I- )6f/- ?,Q t7 ?-
? ^
Contractor ? CG,r se4l? Ce S C,
Address ?-j 1Y 3 r S-/ . City -e,
State Zip 57'K- 3 74Y Telephone #(?Sd) F90 '/6
T6e Applicant is _ Owner -2s Contractor _ Other
Septic System New _ RefUrbished Submit 2 seGs of plans and MPC license $ 100.00
Includes County fee. Additional consWtant fees may apply.
Alterations Ta Existing Dwelling Unit, Including $ 50.00
Z Adding fixtures to lower levels or room additions, excluding water softener and water heater
_ Abandonment of septic system
_ Water turnaround (+ 5/8" meter if needed -$121.00)
Other: Pr0(-GQ-t ?7 (A'L,
_ RPZ _ new installation _ repair _ rebuild $ 30.00
_ Lawn irrigation system
Water softener Water heater
- - ? _ -?
ri
, .
$
15.00
`
_ replacement adtlitional DA a??0ryo3
- ?
$ .50
State Surcharge
j
Total $
I hereby apply for a Residential Plumbing Permit and aclmowledge that the informarion is wmplete and accurate; that the work knll
be in confoimavice with the ordinances and codes of the City of Eagan and wiffi the Plumbing Codes; that I understand tlus is not a
permit, but only an application for a permit, and work is not to start without a pernvt; thakthe v?Ork will be in accordance with the
approved plan in the case of woxk which requires a review and approval o?ilans. ?? ??
,r-
SA?.?. ,
ApplicanYs Printed Name 4canVs Signature
f; --?) 9 -1
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OP EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Constructian Reauirements
. 3 registered site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured foun0 design, etc.)
• 7 set of Eneryy Caiculahons
• 3 copirs of Tree Preservation Plan if bt platted after 711193
• Rim JoLst Detail Optlons selection sheet (61dgs with 3 or less units)
DATE cp " I / 76 2
SITE ADDRESS
TYPE OF
MULTI-FAMILY BLDG _Y N
_ FIREPIACE(3) K0 _ 1 _ 2
APPUCANT
STREETADDRESS CITY o6?;?,tOO4ldSTATEe2WZIP ssyaZ
TELEPHONE 4/kCELL PHONE #?/? FAX #
PROPERTYOWNER /A+? o")''OV TELEPHONE#
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category y1INN1;SOTA RiiL.ES 7670 CA'CCGORY 1 Ml ?li}.
(J submission type) • Residential Ventilation Category 1 Woricsheet Suhmitted • er ??d ye?N s14• Energy Envelope Calculafions Submitted J U N 2 6 2002
Plumbing Conhactor: __________---- -- Phone # B
Plumbing system includes: Water Sof[ener _ Lawn Sprinklcr ' Pce: S!
Water Hcater _ No. of R.I. Baths
No. oF Badis
Mechanical Confractor:
Meclanicil system includes:
Sewer/Water Contractor:
Air Conditioning
Hcat Recovcry Systcm
Phone #
Phone #
Fee: $70.00
--------------°----------------------------°-------------°----------...-------------°---------------------------------
I hereby acknowledge ihat I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcanf ,/''-'
OFF'ICE USE ONLY
I IR'(o
ReimdeVRaoair Reauiramenb
. 2 copics of aan
. 7 set of Emrgy CalcWations for healed addiUons
• 7 site survey (or e#erior additions 8 decks
• IMicate if home senetl by septic system for additions
VALUATION ?? 0?2
Certificates of Survey Received - Tree Preservation Plan Received - Not Required _
Updated 4102
PERMIT , g, ?-
? CITY-aF EAGAN ? )/i?
38P0 Pilot Knob Road PERMIT TYPE: s u,i L o i„ r,
Eagan, Minnesota 55123 Permit Number. 0 2 0 3 3 5
(612) 681-4675 Date Issued: 0 Z,' 17 / 9 3
SITE ADDRESS:
531 c:tiK LAP!E
LO'I: 3 FJLOCK: 1
C0VL`'P!I'r7Y PI1a5
;'.l.N.. 1() -.1Ei44?E'I--0 ;0 --V)1
DESCRIPTION:
'8ui1 din9 PFrmi.C lyp e
Bu.t}d.inq ljurl< l-,Jpe
uBc nc;cuprney
BASF,MENT FiiVSStI
N fW
1?-.I
:? :ri• _!?A t? ?: ? ?.7 ?'rf ?? ???'- ?r?r i?'_'`1
i
. _.?.: ,?/ \__!'f \?_- '?., 2:. ..
REMARKS:
FEE SUMMARY:
E;,sc:± Fee
SueL har0 C
To i]al Fe?, w350
CONTRACTOR:
EAGW14 MH 551-' 3
((' 12)6 SF;-0 0 90
OWNER: - FhpplicanC -
<' Fr.,irinR n AN rH orLI v
5"?1 ESK LN
1 hereby acknowledge t:hat I have rpad tPiis applicaT.inn and state that. T,ho
i.r:f'ormaP:ion i.s correcr and ayree to comply with all appi.icable StsCe af Ihn>
Statutes and City uf Eogan Qrdinr.nces.
? -
?
PLICANT/PERMITEE SIGNATUFE ISSU D BV S 11TURE
REACTIVATE _
PERMIT f "??
??,§
CI7Y OF EAGAN $
1993 BUILDING PERMIT APPLICATION
681-4675
f L a ? ? RECo
SINGLE 8 MULTI-FAMILV 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, I set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date =?1 / .? / '? -3 Valuation of work
3ite Address: ESk LGtv1C'.
STREET SU[TE M
Tenant Name: (commercial only)
1AT ? BIACK _?_ SUBD. P.I.D. Ik
Descri tion of work: ri s c? ? E'? ??'f •
The applicant is: Owner ? Contractor ? Other (Describe)
Name -S-.C.i o t Phane
Property LAST FIRST
Owner qddress -53I
STREET STE *
City <Fci r(::i h 5tate 11AZip )L_3
?
?
Company Phone
Contra ctor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
Signature of Applicant: ?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
O 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
'?01 New
? 32 Addition
? 33 Alterations
0 34 Repair
GENERAL INFORMATION
,,.
Zdm0ft Finish
? 11 ppt./Lodging 1iy,A
0 12 Multi. Misc. ? 17 Swim Pool
? 13 Garage/Accessory ? 18 Comm./Ind.
? 14 Fireplace O 19 Comm./Ind. Misc.
? 15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
Const. (Actual) Basement sq. ft.
(Allowable) lst F1. sq. ft.
UBC Occupancy ? 2nd F1. sq. ft.
Zoning 5q. Ft. totat
# of Stories Footprint Sq. ft.
Length On-site well
Depth On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site ? Footing E(Framing
? Wallboard '$?Final ? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler /
Census Code ?CJ
SAC Code
0 ?-? ---
!r?
??7? ?w?if °-
Assessments
0 Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
? I votLmcip,: $
SAC %
SAC Units
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
FIXTURES EACH TOTAL
SHOWER 3•00
WATER CLOSET 3•00
BATH TUB 3.00
LAVATORY 3•00
KTTCHEN SINK 3•00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3•00
WATER HEATER 3•00
FLOOR DRAIN 3•00
GAS PIPING OLiTI.ET • minimum - t 3•00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. - Dav.Cty. tic. 15.00
_?'r SPRINKLER • 6ome under tonsi. 3•?
ALTERAT N. io adating 15.00
ER TURN AROUND 15.00
STATE SURCHARGE / s .50
TOTAL: S. SC'
SITE ADDRESS: ? 31 '?) 5 ? `- vz ?)
lYYJ i"LUlY1DU'qv rc.nnua ?ruu.a...+...?...?
CITY OF EAGAN,
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
CITY:? G' STATE:_4A A.2 ZII' CODE:
PHONE C) % G?
???s('
CITY OF EAGAN
3830 PILOT KNOS ROAD
EAGAN, liN 55122
PHONE: (612) 454-8100
qCmt?7CCA7: €::?om
FOR CITY USE ONLY
PERMIT # AP7.57
RECEIYT # ?
DATE: --?t?
PLEASE COMPLETE IIPPER PORTION OHLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME: _rL2__20TCL"nj an'h 0.
}?
SITE ADDRESS: ?31 ES
LOT: ? nLDCK -j SUBD. ?
INSTALLER:
ADDRESS : 9303 PIy1dOtItI1 AY@. N0. •
CITY: ZIP:
PHONE #
,)-- I I (O (n
FEES
ADD-ON MINIMUM
1filAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTDTAL:
STATE SURCHARGE:
$15.00
24.00
6.00
3.00
g 07. DO
.50
TOTAL:
OF
COMMER0ILLjZN11Y1`STIL1AV PLEASE COMPLETE THIS PORTION FOR ALL COMMERC IAL/INDUS TRIAL BUILDINGS,
APARTMENT SUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
FruCHS3Eu PI?IivG = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
$
$
(SIGNATURE)
GITY OF EAGAN
CITY OF EAGAN
3830 PIIAT RtiOB ROAD
8AGAN, MN 55122
PHONE: (612) 454-8100
P"
FOR CITY USE ONLY
PERMIT #
RECEIPT
DATE:
PLEASE COMPLETE . UPPER POSTION ONLY FOR SINGLE FI
TOWNHOMES/CONDOS WHEN YERMITS ARE REQUTAED FOR EACH UNIT._
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME:
SITE ADDRESS: l :o,') e.
?
IAT:BLOCK 1 SUBD.
INSTALLER: U
ADDRESS: LUI() C.1?. e_Z.V__ L^.)
CITY: JvfrlA_.a ZIP: SS3??)
PHONE #: y CI )' r3 l.? i
.
TURE OF PERMITTEE
F
-______________________-__
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAI
ADD-ON MINIMUM 15.00_ _
SHOWER 3.00
? WATER CIASET 3.00 3
! BATH TUB 3.00 ,3_
1 LAVATORY 3.00
1 KITCHEN SINK 3.00 ?
_ LAUNDRY TRAY . 3.00 !
HOT TUB/SPA 3.00
? WATER HEATER 3.00 :3
? FLOOR DRAIN 1.00 3
GAS PIPING OUT.
t (MPNIMUM - 1), 3.00 3
,3ROUGH OPENINGS 1.50 4_i ?
_ OTHER _
_ WATER SOFTENER 5.00 _
_ PRIVATE DISP. 15.00 _
_ U.G. SPRINKLER 1.00 _
SUBTOTAL $ aJ . ? v
ST. SURCHARGE .5(
TOTAL: U U
PI:EASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDZNGS ANl
MUL'TI-FAMIL'Y BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQU'IRED FOR EACi
DWELLING UNIT.
__---______-________--___---_________-----__---__--__--__---__--___-_----___- -__'
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER: '
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
CITY OF EAGAN
FEES
18 OF'CON2tRACT FEE.
STATE SURCHARGE - $.50 FOR'
EACH $1,000 OF RERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x lb $
STATE SURCHARGE $
TOTAL:
(SIGNATI)RE) "
MECHANICAL (RESIDENTIAL)
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5674
Please complete for. Single Family Dwellings
Townhomes and Condos whcn permits are required for each unit
0:30..S-D
Dace / l lD / QJ
SiteAddress5J / :F-SL + 'nC Unit#
Property Owner Telephone #
Contractor"-?4 Pf?s&.M
StreetAddress 6ZX37 I Ph PIU E, Ci[y
State C'l(v Zip Telephoue # (116-( ) OJ-9- 5?07/
The Applicant is _ Owner ? Contractor _ Other -?
A
?
Add-on, modification or alteration to existing dwelling unit 0?
1 $ 30.00
_ furnace replacement ?
air exchanger
-
? '
air con itioner . ? ?
? otner ? ?
State Surcharge $ '50
t
l
T $ • `-??
o
a
I hereby apply for a Residential Mechanical Pernut and acknowledge that [he informadon is complete and accurate; thai the work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that I understand tlris is not a
pemvt, but only an application for a permit, and work is not to start without a permit; that the work will be in acwrdance with the
approved plan in the case of work whicb requires a review and approval of plans.
? . ?
Applicant's Printed Name pplicanYs Signatur
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
.?
• " City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Consiruciion ReauiremenGs
3 registered site surveys showing sq. ft of lot sq, it of house; and ail mofed areas
(20 % maximum lot coverege allowed)
2 copies of plan showiig beam & window sizes; poured found design, etc.
1 set of Energy Calculafbns
3 wpies of Tree PreservaUon Plan 'rf lot platted after 711/93
Rim Joist Detail Options seleGbn sheet (buildings with 3 or less unBs)
Minnegasco mechanical ventilation form
RemodeUReoair Reauiremenis
2 copies of plan shmving footings, beams, joists
1 set of Eneryy Calculetlons for heated addi6ons
1 site survey for addifions 5 decks
AddRion - iodicate ifon-ske septic system
# 9q.zs
61W d/j
orrim use onrv
CeROfSurveyRecd`-j-- - _Y"=N
7reePresPlanRecd ?I,• _Yp_N,
Tree PresRequl2d° Y _N
Oo-sileSepticSystem'' " _Y?_N
Date / J- f?.- fa
Site Address ?53I E54k
r
Construction Cost , Doo .
IA"r UniUSte #
Description of Work ,
Multi-Family Bldg _ Y? N Fireplace(s) _ 0x 1 _ 2
/ •
Property Owner V( 1
Telephone #W) O.
Co¢tractor
Address
State City
Zip Telephone # ( )
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
(4 submission type) Submitted Su6mitted
• Energy Envelope Calculations Su6mitted
In ihe 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 Contractor
Sewer/Water Contractor
!UN
2006
Telephone # (
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the inforxnation 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. ,
???vl pl?(??? 5 ? `
Ap icant's Printed Name Applic i ature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 OS-plex
? 02 SF Dwelling O OS 06-plex
? 03 01 of _ plex ? 09 07-plex
? 04 02-plex ? 10 08-plex
? 05 03-plex ? 11 10-plex
? 06 04-plex ? 12 12-plex
Work Tvoes
? 31 New
32 Addition
? 33 Alteration
? 34 Replacement
DCSCI'iqti0n: Water Damage
Valuation ?b
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const va_
Occupancy MCES System
Zoning City Water
Stories eooster Pump
Sq. Ft. PRV •
Length Fire Sprinklered
Width
_ Footings(new bldg)
Footings(deck)
? Foorings (addition)
Foundation
Drain Tile
Roof Ice & Water Final
_ Framing
_ Fireplace _ R.I. _ Au Test _ Final
Insulation
Approved By:
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 13 16-plex
? 16 Fireplace
P, 17 Garage
? 18 Deck
? 19 Lower Level
? 20 Pool
? 21 Porch (3-sea.)
? 22 Porch/Addn.(4-sea.)
? 23 Porch (screen/gazebo)
? 24 Storm Damage
? 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mul6 Misc.
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building" ? 43 Reroof ? 46 Windows/Doors
`Demolitlon (Entire Bldg) - Give PCA handout to applicant
Yes
25%
REQUIRED INSPECTIONS
_ Sheetrock
FinallC.O.
? FinaUNo C.O.
_ HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco Lath _ Stone Lat6 _Brick
_ Windows
_ Retaining Wall
Building Inspector
0 7?
„ I'Mendota neig????, ?°,,•
,R - {612) 681-1914
CO,
Certificate of Survey for:
;.
?o
W"
\
NoarH
o
?az• 2-57 •4:9?w
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? <<y ??u.,?A
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rop fion
yoa.o Dena(es p. ,
?nofes braina¢e c Ufi(If?y Edsemenf
QenofPS Drama?e ? low Arrows
? ?In? rsF FLEVATI.QI?L.?-
DAOr?o?F _- 8`f 3
Lowesf Floor E(evafion a?-
7p ot Block F?evafion ??---
Garnie 5fo6 Efevafion g ??. b?.
o DeRO f es monurrYen o Deno{es ry'Incef h'ub
gedrrnjs shown are assumed VENTn?l
Lo nnSS
ULQCK 1 ? ??fo easemenfs 6r?'re,ord
DA!/0'?TA ??? jN?FSO, A Sub;?f ??d S??YO.
COUNTY1 M, pt under mY d?t su0?"ftlo^ e^d that ! om doN
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1 hsrsbY tCrtiTy lh0l thif furveY. P ?/ daY ot r ! f
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? OL•
?jCQ??? ' 1 ?nch= ?feef
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R ERTO.SIKIC L- `r
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COVENTRy PARK_WAY
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA175963
Date Issued:04/25/2022
Permit Category:ePermit
Site Address: 531 Esk Lane
Lot:3 Block: 1 Addition: Coventry Pass
PID:10-18400-01-030
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Trevor Hicks
531 Esk Ln
Eagan MN 55123
First Choice Exteriors Inc
7214 Washington Ave S
Eden Prairie MN 55344
(952) 380-8248
Applicant/Permitee: Signature Issued By: Signature