4632 Fairway Hills Dr. • 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454•8100
BUtLDING PERMIT Receipt #
To be used for Est Value Date
Site Address
Lot Block Sec/Sub. =?' •????- * On SitF
MWCC
PerCel Na On SitE
e Name
Z Address
3
° Ciry Phone
a Mame
.o
? ? Address
a
?- City Phone
F?
WW Name
=n Address
U
g W City Phone
I hereby acknowledge that I have read this application and state
that the information is correct end agree to comply with all epplicable
State of Minnesota Statutes and City of Eagan Ordinancea
Signeture of Permittee
A Building Permit is Issued to: • • -•?'
all work shall be done in accordance with all epplicable State of !
Building Officfai
City Water
APPROVALS
AssessmeMs
Water/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
1 v 9 6.9
OFFICE USE ONLY
_ Occupancy
?._ Zoning
Type of Const
(ActuaQ
(Allowable)
# of Stories
Length
Depth
S.F. Totat
Footprint S.F.
FEES
Permit
Surcharge
Pian Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
TOTAL
i
-r
_ on the expreas condition that
and City of Eagan Ordinances.
Permit No. Permit Hoider Dato TNephons ?
Plumbing
H.V.A.C.
E lectric
Softener
Inspsction Date Insp. Commenb
Footings I
Footings II
Foundation
Framing
Roof ing
Rough Plbg.
Rough Htg. f ?
l5ul.
Fireplace ?_?fcy L? ,° •? I•?7 F. ?? e yai-/'
Final Htg. 9;,&
Final Plbg.
Bldg. Final ?-
Cert.Occ.
Temp. LP
DeCk Ftg.
Deck Frmg.
Well
Pr. Disp.
?k m Name _
E ? Address
R c City _
• ? Name _
? 3: Address
i
' p City -
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55'
PHONE: 454-8100
? BLDG.TYPE
5ec/Sub
Res.
Mult
Comm.
?
Other
` .
Forcea Air v, .., BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets # .??
FEE:
S/C:
TOTAL•
,:M .. ...
PERMIT #
RECEIPT # ? ?-
2 DATE: -
WORK DESCRIPTION
New ?.?
Add-on
Repair
FEES ?
RES. HVAC 0-10 0 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUD ES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MIN IMUM -1 PER PERMI'f) - 1.50 EA.
COMM/IND FEE - 1 % OF CONTRACT FEE
APT. BtDGS. - CO MM. RATE APPLIES
TOWNHOUSE & CO fVDOS - RES. RATE APPLIES
MINIMUM RESIDEN TIAL FEE - ALL ADD-ON &
REMODELS - 12.00
MINIMUM COMMER CIAL FEE - 20,00
STATE SURCHARG
E PER PERMIT i
- .50 •?
(ADD $.50 S/C IF PE RMIT PRICE GOES '
BEYOND $1,000)
FOR: CITY OF
Site
Name
PLUMBING PERMIT
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 551
PHONE: 454-8100
BLDG.TYPE
`Sec/Srib Res.
! Mult.
Comm.
Other
Phone PLBG, ONLY
;. FEES
i COMM/IND FEE - 19U OF CONTRACT FEE
? APT. BLDGS - COMM RATE APPUES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
1?1
CITY
. . . ?i ,
PERMIT #
RECEIPT k 7-? 7 c1 7
' DATE: 7Z 2
WORK DESCRIPTI
New
Add-on
Repair
r Closet - $3.00
Tubs - $3.00
_-SFfower = $3.00 .
_ZKi!chen Sink - $3.00
Urinal/Bidet - $3.00
_,Z-Laundry Tray - $3.00
---/-Floor Drains - $1.50
-/_Water Heater - $1.50
_,?__Whirlpool • $3.00
__L/_Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
weli - $10.00
Private Disp. - 510.00
_-.3-Rough Openings - $1.50
FEE:
STATE S/C:
I
i
?
)LLOWING:
TOTA
/ -?' -
?
SV I
I
o- ?
5' ?,
. ?v
??
p . . a
(gex#if iratt uf (IOrrupttnry
Citp of (tagari
appal'bnFltf II? Wwatno jwPr#tDtt
This Certifrcate issued pursuant to the requirements of Section 306 of the Unifonn Building
Code certrfying that at the time of issuance thir structure was rn compliance with the various
ordinances of the City regulaJing building corrstruction or use. For the following.•
Use CLssifinoon - B1dg. Rrmit No. '3969
0-m-Y Tra it3 Zoning Disw ' . ; Tym CMU V
Owott oF BuJ ''.l.?nHA'?f} ?(,+'`iJ7 ` _ hdche? 1? 12 Blw)i:i`)?d. cr?r ?• `7T!-r1r,
&L -
:?, Hl, F'?i'i,''.?t i'?ii
&ri1?ngAddre? ._,. ?'!i:_?. ? ? .' . ?4ty
Dett. ?MIMM 25, 14$7
admng oe-tcmi
POST IN A CONSPICUOUS PLACE
' OlF EAGAN Permit No:
i Pilot Knob Road Meter Na: ?
Box 21199 Aeader No: 115 S
on, MN 55121
,..? :CFi1_k.. cbilSt.
Date: " `I 1 - E 7
Size: ? •? 6c
/Date:
tkAWwith the City ol Eayan
Y OF EAGAM SEWER SERI
* Pibt Knob Road a•.
°
. Box 21199 PERMIT NO.: -
ian, MN 55121, DATE:
iing: , .? T-s I
No. oi Unib:
Plumber.
7--24-G775895
ae to comp'y wWilhe City of Eagan Connection Charl
iances. , Account Deposit:
Permit Fee:
Surcharge:
Misc. Charges: -
of Insp.: Total:
Date Paid:
PERMIT
100.O0pd
BUILDING PERMIT
To be used for SF DWG/GAR
Receipt# ?S aN lo
Est.Value $117,000 Date JULY 24 ,1987
SiteAddress 4632 FAIRWAY HILLS DR
Lot 5 elock 1 Sec/Sub. FAIRWAY HILLS
Parcel No.
a Name MCDONALD CONSTRliCTION
z Address 1212 BLIiEBILL BAY RD
° City B'VILLE phone 431-7567
a Name SAME
?a Address
P City Phone
r
W w
w
Name
i? Address
w
e City Phone
I hereby acknowledge that I have read this application and state
that the information is corrnd agree to comply with all applicable
State ot Minnesota Statute?s nd City of Eagan Ordinances.
Signature of Permittee ?
A Building Permit is issued to: MCD NAL
all work shall be done in accord ce with all
Building Officlal
I ' CITY OF EAGAN I N? 13969
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100
OFFICE USE ONLY
R3
On Site Sewage Occupancy
X
R?
MWCCSystem Zoning
On Site Well Type of Const y
Ciry Water X (ACtual) v_
(Allowahle)
# of Storiea
Length
Depth 3 S
S.F. Total
footprint S.F.
APPROVALS
Assessmenta
Weter/Sewer
Police
Fire
Engr.
Planner
Council
Bldg. Off.
APC
Variance
FEES
$ 554.50
Permit
Surchar9e ?50
Plan Review 977-_ 95
SAQ City nn n0
SAC,MWCC 25 -?0
WaterConn. ?oc n0
Water Meter Q;. 0
Road Unit ---30-5tio
Treatment P7 ??0
TOTAL $ "5q7"7S
on the express condition that
f Ciry of Eagan Ordinancex
Parks
CopieS
. CITY OF EAGAfV
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*R7TF: PAYMFJ4S OF FEE AT TIME pF
APPLICATION DOFS N(7P ODNISPINIE
APPROVAL OF PERNIIT.
nvspncrzoN oF sEVM nrro/Ot tMTM
ItSfALTAMONS Wbi+ WT BE SCHED-
ULID UNPII. PII2NIIT AAS BF.ETI
APPFtOVID.
1) PROPERTY ADDRESS:
LEGAL DESCRIPTION:
_ I.ot Block Subdivision or Tax Parcel ID
Z£ MSTING S1RLY-MME, DATE OF ORIGZNAL BLILDING PERMIT ISSOANCE: . .
PRFSIINr ZONING/PROPQSID L'SE: (Mon ear
? COn-MCIAL/RE'PAIL/OFFICE
r7 IPIDL?STRIAL
n INSTZZiJTIONAL/GOVE1tbMEN'p
C] R-1 SINGI,E EAbffLY "
? R-2 DIIPLEX (1t?.o Units)
f: .
R-3 TOWNEi?TSE (Three + Units) ( Lnits)
R-4 APAR2P9EN'P/COAIDOMINI[7M ( Units)
2)
NAP7E:
? J,{? ?,?
ItC
ADDRESS: Z /,y r ^1
CITY, STATE, ZIP: l- tr 0. f S
PHONE: Q7 11 Ct -?(7 / r '
3) • r ?• NAME For City Use ..
.
- Pliunbers License:
ADDRESS: Active
CITSC. STATE
ZIP: Ekpired
, Not recorded
PHONE: MASTER LICENSE# Staff Initlal
,. .
4) •? • i?•
NAMe: /
: . ?C
'
G
d ?
l r OC %0
- ADDRESS:
E
CITY. STATE, ZIP:
S µ ?
` PHONE: .
-5) ?? y. , ?. : o • o? • ??
' `CON[?CTION TO CITY SEWII2 ??CONN!=ION ? CITY WATER
6) ?? • ? • i•
r?
I (,
? LL
7) r, n u• ,
? OTBER '
PI,F.nSE HOLD APPROVID PERMIT F'OR PICK-C?P BY ONE OF ABOVE _...__.,_. _-.--
PI.EASE MAIL APPROVID PERMIT TO 1, 2, 3, 4, AHOVE .
(Circle one)
? '
41
FOR -CITY USE ONLY
PERMIT # ISSUED •
Pd w/Bldg. Permit FEES:
$ SEWER PERMIT (INCLUDE SURCHARGE)•
$ WATER PERMIT (INCLUDE SURCHARGE)
$ (v 7•?? $ WATER METER/COPPERHORN/OUTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ e) ACCOUNT DEPOSIT - SEWER
$ 7) ACCOONT DEPOSIT - WATER
S wAC
s n? s sAc
$ $ TRUNK WATER ASSESSMENT
$ $ TRONK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ lkO- C? n $ WATER
RE
E
R
H
S
T
ATM
NT PLANT
U
C
ARGE
$ ' $ „ OTAER:
S 2,00 $ TOTAL
RECEIPT RECEIPT
DOES LTILITY CONNECTION REQUIRE EXCAVATION IN PUBLIC RIGHT OF WAY?
Q YES 'IF YES, THEN A"PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE ISSUED BY THE ENGINEERING
DIVISION
LIST AS A COI
D
O
. V
ITI
N.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: ?t4- 71(
__ ,/' "tjZ?•7' v
'
TITLE:
DATE
:
1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MOST DESIGNATE WFIICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL IINITS FOR SALE IINITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
7 SET OF ENERGY CALCULATIONS
CONII4ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
1 SET OF SPECIFZCATIONS AND 1
L)e- cK .
To Be Used Eor:
& STAUCTURAL PLANS,
SET OF ENERGY CALCULATIONS
Valuation: 1660 Date:
Site Address f03a
Lot J'_`? Block
Parcel/Sub 96
Owner ?D a,aof pau-,v f?a ayl
Address Q? 3Z Fa? dt+..?? tfir??$ .
City/Zip Code Ea?j cth , M/J
-??
Phone
Contractor I( P ?ir? ?vy1,5? -
Address la25-q$ 6?JeW? Xt)C -
City/2ip Code. !?'/yle-I??llev M/v ss?
Phone 5" 93i-?s si
Arch./Engr.
Address
City/Zip Code
Phone li
On site sewage_
MWCC system _
On site well _
City water _
PRV required _
Booster Pump _
APPROVALS
-Z/-S8
Occupancy
Zoning
Actual Const
Allowable
U of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit
Planner Surcharge
Council Plan Review
_H?dg. Off. ",t- Z7-SAC, City
2V?ariance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
y/?,?168
S1EPS
MAY t2L -' i
- - -{*}- __
N
-e?
M
o i
P
;
Lf2" ?RiY?-r ?oor?Nt?3
c.pR?-os«J Q ?
19 ?-Q„
?
N ?
CEaaR .??cKtr1
6 - y,?,t , G -
y X/e "
? Py
u
r .
- ?
1987 BQILDING PERMIT APPLICATION - CITY OF fiAG9N
SINGLE FAMILY DWELLINGS
IBCLDDE 2 SSTS OF PLAN3, 3 CERTIFICATES OF SUItVEY, 1 SST OF EPIERGY CALCQLATIONS
NOYE: ADDRESSES FOB COBNER LOTS - CONTRACTOR/HOMEOfiNER MIIST DESIGHARS WHICH ADDRESS
IS D&SIRED. NO CHANGES HILL BE ALLDiiED ONCE BDILDIAG PERMIT IS ISSQED.
MIII.RIPLE DWELLINGS - RESIDENTIAL RENTAL DAITS ROR SgLB UHITS
INCLUDE 2 SETS OF PLANS, CERTIFICATB OF SIIRVSY - CHECB ifITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COhMUCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRQCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF
ENERGY CALCULATIONS,
$2,000 LANDSCAPE BOND ` ?I7/?
To Be Used For: GliOC?Valuation:?8--- Date: I'k
Site Address t4D3Z?x . irwuuOFFICS IISS ONLY
Lot ? Block ? On Site Sewage_ Oceupancy
MWCC System ? Zoning (Z I
Parcel/Sub?n, CWw??k NI On Site Well r Type of Const
City Water ? (Aetual) ?
Owner } t ? (Allowable)
# of Stories
Address Length (ap
City/Zip CodnSU SF?h
Total •??
Footprint S.F.
PhoneAPPROYALS FEES
Contractor , ?
?Q('(1' O-S G-?UO 'L Assessments Permit J?Jr9- -
Water/Sewer Surcharge 53.?
Address ?Police Plan Review ?
Fire SAC, City I?p.
City/Zip Code Engr SAC, MWCC 5 2S.
« Planner Water Conn S 2 S•
Phone Council Water Meter (2p-7.
Bldg Off Road Unit 'S.
Arch./Engr. APC Treatment P1 180.
Varianee Parks
Address Cogies
City/Zip Code TOTgI,
-
c
Phone #
22 x 3? " ??o ;< ?2 =
??% & x 3 (?) , [ a(5 4- x 4d ?
?f -7 iZ
7?7 2 c
(Ie?f 46
FIOBE MC?a, JP.?= .
-
CaNSULTiH6 EHGiHE£!iS, . r`??\?c
ENGINE?RING P?AHHE9S nnd LAHD SUAVEYOflS
COMPf?NY, INC. 79?
? 1000 F?iST 146i1 S7RE:T, BqANSVfLLE, YIHHE:OTa 5t33? PH 432-zOCO
Y?. ?
Ct?T?Z& CLZ?e gy CsZL?"'Y40
c7 ?scrtoc?crt•
? 103?•0 } DEINOTEC?
( ?o?? o ) CE,'?IOTE?
E--? iFJGlr,ai??
EXi27NC ELEVAilON
PGOF7°EL ELE`?A70N
LIFEC70N OF
r='?r;.4 GG 1--, _'Y7R EL: '1171:N
3o Faorvr e:?:?citiG I
SETEAG< UNE
-T
G"C
,{.
?60.,5? ? gY,'--' V
(O_ 141.20 `--?
1091_4$; 'I.9) ? ? (030.0)
U' ?10?l.Oi o c tn ?
\ I C ? ,.? c' - __
(tc??.c;
30.e
u
?
`- ?
3U0
J I ?-, I (a3,o) 3.0 ¢ ?
' (io...o; c
Lull w
? ct' cL ?
} J C ? '^ c E O i zl "` C
(1032.0) I ?1032.a) ?
L
? i ?c - ? - ? ?? - - - - - - ? 3? ----
^____,,
(lo?0.7) I 141.20 9.+)
3o.C ?o?o.ij S 880 47' 54 E ; i SCALE : 1=30
? .--, -?-- ,
I her:by cartify that thia in a t:uc cnd cornct raprzaentation ot a traet of
lind as ehoxn'tnd deacrihed hereon.• Aa prapdrad by me on thit Sr? dsy @f
? ? /?"`?" ?iinn. Eeg. ?No. /GoflS'
0 Oae or Two Family
All Other
CITY OF BUILDIN6 DEPARTMENT
EXTk;RIOR ENVII,OPE AVERA6E "U" COMPUTATION
(To be aubmttted wlth building permit application)
Dwelling ? Owner
Site Addresa
Coatractor
Date Phone
LINEAL FEET OF N
EXpOSED VU1LL vi ft, above grade
TOTAL EXPOSED 1VALL AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "U" Value x
A
rea
Detail ' "
?
?T3
IIpn I? x
'I SQ. FT. 0 D,CT,! 3Yi(6Z?IU)(p)
reference
K-1W UIV y /) 1lP x SQ. FT?(U)(A)
from 1 upu i n4-o x SQ._ FT.--?1`?° (U)(A)
attached "U" x SQ, FT. _ (p)(A)
sheete liUll x SQ. FT. _ (U) (A)
nprl x SQ. FT. _ (U)(A)
WINDOWSi "Ull Value x Ar,ea
Make & TYPe
n
11 0?1., wal'AT upn_ ?p x SQ. FT.Z??= Z. 154'(U)(A)
n u nUn x S@. FT. _ (U)(A)
n
n nUn
x
8Q.
FT. _ (U)(A)
x SQ. FT. _ (U)(A)
DOORS: "U" Value x Area
Make & TyPe
n E`? nUn
x
SQ.
FT.?=
(U)(A)
?? n ltnn nUn ? x SQ. '
FT._ (U)(A)
'
n ?? X SQ. FT. _
(U)(A)
npn x SQ, FT. _ (U)(A)
TOTALS ZCPSb .c.? SQ, FT._ (U)(A)
AVERA(3E l?U"
TOTAI, (U) (A) VALUES ??+,l 12- 'I _
DIVIDED BY TOTAL_,WAT,L AREA 7,(fl??jf0
AVERAIiE °U?"`,715 or less for 1&2 family dwellinge
ROOE/CEILINds {I?
TOTAL AREA:
Detail reference ilUte L ? Il? ?
x SQ. FT. _
p)(
from
[lUll A)
tt x Sq. FT. < (U) (A)
a
ached sheeta. IIUII
D x SQ. FT.
(U)'(
)
eacribe openings uUii -
A
in roof. IIUI? x SQ. FT.
M(A) _
SQ. FT. (U)(A)
TOTAL (U) (A) VALUES DIVIDED BY I9'.', TT717
SCVIM
TOTAL ROOF/CEILIN G AREp I ?? r7 I
AVERA4E IIU??'
":025 br ventilated
roofa. r ?
--?'-?-J
--Ilt "-3 7 -
2?-
?,?3k
?-Z
c.-? x Ie7o = lo,?, SL 4-
? 8??x ??o = I z?1. ??
?I Il 3Lx Zv ?l? sX
sxi = v.?
0?4& Sx 2- _+E5-1 o
? ZOX 'J(D OX I = -7,D
II Z0X4E5 _ OXZ - I`c3I 0
? ?"I(DXw (o,S
? IuX-?u _ ?,L-?v XI = 4?z:) I C5
I I I I ?2 X Z4I;,v #?l? = I ?,X4z: 12 to
?-S
4AL4 p4-1 vvl z sL',
Z e "-51, `?? 't?z ,= 2 I?n
L?s cotix-?
• ??' ?IWI
iq?OD
??: ?
+
--w[,L sEcTlOg_-
DeCerghining "Ull valuee at Roof, YVall,' Rimp and Cona. $lock
ROOF/CEILIN6
1.) Interior Air t'ilm
2.? 5/81, ayp. Bd.
3.) Insulation
4.1
5.) Exterivr Air F11m
(BTILL)
R Y U
0.61
.56
44.eo
.61
nUn a IIR- ?o2f iOTAL (R)= K,70
. ,.
WALL
60 Interior Air F'ilm
7.) 111.4YP. Bd.
80 Inaulation
9• ) $utl.T-??TE
10.) Mneonite Siding
11.) Exterior Air Film
R VALU
0,68
.45
19-00
z 674
.17
Ill(11 a ???? ? 04-?;, TOTAL M= 23.01
AIM
12.) Inkerior Air Film
13.) Ineulation
14.) 211 Fir Riro Jo1aC
150 Kvtc.-r'• 121TG
16.) Maeonite Siding
170 Exterior Air Film
R VALUP
0.68
14•oD
1.88
Z.67
.17
l'Utf a 1/R= ,prr-Q TOTAL (R)a
?
FOUNDATiON
18.) Ynterior Air Film
20: i k'-1J S 1R?Pr?D
21.) 12" (Sonorete Hlock
22.)
23.) Exterlor Air Film
R VALU ,
0,68
N. cX,
1.29
.17
.07(0 zozai, (a)= 13.1Z
?-
.?--
r+`? CASH RECEIPT
J ?
CITY 4F EAGAN ? -!
• 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE ? ' " `1 19 ? ?
Rtcmv?o /
FROM '' I r I.l ._ ti J
AMOUNT
8 DOLLARS
1 oo
? CASH Q'CliECK
FOR
BY
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Thank You
BLDG. PERMIT
?
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
17-3860 Road Unit
20-2275 SAC
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
11-3855 Park Ded.
TOTAL 4?
1:7v Y1/13,1-:
r4l4i-6` 1,
cG
00
??
Use BLUE or BLACK Ink
For Office Use Z I
~1 I
1
Eap I Permit tol
I
C of '
Permit Fee: ~1 2 I
3830 Pilot.Knob Road 1 a- J
Eagan MN 55122 1 Date Received:
Phone: (651) 675-5675 ~ staff:
Fax: (651) 675-5694 '
2013 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: r~' Site Address: (rV~aV~ ~'I' 115 Dr
Tenant: Suite
Resident/Owner Name: M (Cib, Y7~1(M Phone: (OCil' go u03
Address / City / Zip:
Name: Wenzel-Plymouth Plumbing, LLC License 061555
Contractor Address: 1710 Alexander Road City: Eagan
State: MN Zip: 55121 Phone: 651-452-1565
Contact: Carl Michels Email: cmichels@wppmn.com
Type of Work -New _Replacement _Repair _Rebuild _ Modify Space _ Work in R.O.W.
Description of work: Demo Pressure Booster
RESIDENTIAL
Water Heater
Water Softener
Lawn Irrigation ~ RPZ PVB)
Permit Type Add Plumbing Fixtures Main / - Lower Level)
Septic System
New Water Turnaround
X Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$60.00 Lawn Irrigation (includes $5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $200.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
TOTAL FEES $__2/A
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work'is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pla
Poe
x Carl Michels X
Applicant's Printed Name App nt's Si atur
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In -Air Test -Gas Test -Final
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA118478
Date Issued:11/01/2013
Permit Category:ePermit
Site Address: 4632 Fairway Hills Dr
Lot:5 Block: 1 Addition: Fairway Hills
PID:10-25600-01-050
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes .
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael Piram
4632 Fairway Hills Dr
Eagan MN 55123
(651) 698-0603
Glowing Hearth And Home Llc
100 Eldorado Dr.
Jordan MN 55352
(952) 492-9276
Applicant/Permitee: Signature Issued By: Signature
�
Use BLUE or BLACK Ink
.------------------
� For Office Use �
� j Permit#: / �` �� j
��ty of ����� ; . �—�� ;
Permit Fee: �
3830 Pilot Knob Road I I
Eagan MN 55122 � Date Received: �
Phone:(651)675-5675 I I
Fax:(651)675-5694 I Staff: I
I I
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2014 RESIDENTIAL BUILDING PERMIT APPLICATION �
�ate:___7 —1 —�`7� Site Address: �6 3a ��t'rZ u�� ��s D2. unrt#:
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Name: I'h��� �-8���'�' ���A�'►'1 Phone: ���'6�8` o6c�3 � � �
Resident/ �
Owner Address/City/Zip: _`f 6 3:2 �A��ti/�'��`f�%lS .D�l� E ,�-�v /�eti ���2--3
� Applicant is: Owner ontractor '
�,.__ � _...�,�� —,�.,.�,,.�,.,.�»�,�..�����.����. �..,.�..„�.�,���..�..�,..�.�,.,. �.,,�.,���.�,4a..., „�.�,��
; Description of work: � —���
Type of Work
Construction Cost" / �o� 51 �� Multi-Family Building: (Yes /No�) _
: Company: ��eu 5 el� �$o�s Contact: I�.O�Ne� �'C/�W t°�- �
Contractor Address: �N6 P�v. ���►. !� i3���• �;�y; �-vLi c`j�. /3��
y�6 �
State: N1�1/Zip:� Phone: 6S��y�� Email: h�� t�`e�S P�"� cds���.��
License#:_�Q L t 3 r i �� Lead Certificate#: �A r� �35 D 7—/
If the project is exempt from lead certification, please exptain why: (see Page 3 for additional information) � �
' �ei�(l �1�'`�l� 19 ?� � �
�
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING��V,N}� 7 W{� , Rh�
; In the last 72 months,has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone: �
�
Mechanical Contractor: Phone:
�
Sewer&Water Contractor: Phone: � '
��NOTE:��Plans and supporting documents that you submit are considered to be public information. Portions of �
the information may be classified as non-public if you provide speci�c reasons that would permit the City to ;
conclude that the are trade secrets. ' �
i
�..,��.. . ,.�. �� ,�.,� � �.�,��,,.�,. ,�..����.....,���...,�.�.�_��n ��. ,,..�,� � _��...,�.�
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Ca1148 hours
before you intend to dig to receive locates of underground utilities. wvwv.qophersfateonecall.org
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of �
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and appraval of plans.
Exterior work authorized b a buildin ?
y g permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x�,OC�,^/<-� I�Ire(lS e(r
x
Applicant's Printed Name Applic Signature
Page 7 of 3
i � �
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Use BLUE or BLACK Ink
�-----------------
� For Office Use �
` j Permit#: ���+'�� / I
Clt� of �a�a� ���rvED � ���� �� �
� Permit Fee:
3830 Pilot Knob Road j � •�� I
Eagan MN 55122 AUG 2 � ?��� � Date Received: O[ �
Phone:(651)675-5675 I �
Fax:(651)675-5694 I Staff: I
I �
2014 RESIDENTIAL BUILDING PERMIT APPLICATION "`�
Date: Site Address: Unit#: ,��
Name: '.Z�l� �i Y14.�� Phone: (� '��,�����
Resident/ ,r �--� ` ;y
Owner Address/City/Zip: �(.�3�- `� �''�°�� �i l�� �/�-
Applicant is: Owner �Contractor
Type of Work Description of work:
Construction Cost: Multi-Family Building:(Yes /No )
Company: ��%(.��t:�- '�"� �1�'�� Contact: `�-�� ���-��-�
Contractor address: l'�l(s>�� 1�-� �i�%r�_ �`� f}�4-�'--� c�ty: f,vl�`;� ��A-�r (,.-�
State: '4�/'` Zip: �:�llt...� Phone:(��j ����'��mail: �� �i��.�-��P�ssuc:�� •�.�-�
License#: Lead Certificate#:
i
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
1���� �.c� �v���
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
NOTE:Plans and supporting documents#hat you submit are aonsidereal to be public information .Portions of.
the information may be ctassified as non-�ublic if you provide specifc'reasons fhat wo,uld permit the,Citjr to
` conclude that the"' are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)4540002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.aoaherstateonecall.or4
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
1
x�� �1�_E`-%�S�(J�' x ,��
Applicant's Printed Name Applicant's Signature
Page 1 of 3
� � � ��
�f�.3� ���C��� >fi ll.� ,�� �a����� �
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation _ Fireplace i Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi � Deck _ Porch(ScreenlGazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
� New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
Valuation � � Occupancy � MCES System
Plan Review Code Edition ���`j ;�°�i��-- SAC Units
(25%_100%�) Zoning �� City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Sprinklers
Type of Construction �_ Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
� Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Erosion Control
Braced Walls Other:
�
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee � � C � ^�c � �1 � r `•--- , > � ��- � —
L `°� x
Surcharge 50
Plan Review
MCES SAC C�^}��L��
City SAC
Utility Connection Charge
S&W Permit&Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA165432
Date Issued:11/02/2020
Permit Category:ePermit
Site Address: 4632 Fairway Hills Dr
Lot:5 Block: 1 Addition: Fairway Hills
PID:10-25600-01-050
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael & Rebecca Piram
4632 Fairway Hills Dr
Eagan MN 55123
(651) 698-0603
Lindus Construction
879 Hwy 63
Baldwin WI 54002
(715) 684-4647
Applicant/Permitee: Signature Issued By: Signature