4367 Hamilton Dr., ,? . , : .. . _ .
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, I
PHONE: 454-81 00
$ISiLDING PERMIT
T- -......A i... SF LWV/V/\A G..a ifnl.?.. $-w
i' /w4/
IN 55'1?1T 3 0'#
Receipt #
18093
Site Adc?ess '?3b7 liA?ilL'[U11 Dit
1 YI?1'l'E
i 1
OFFICE USE ONLY
Bfock Sec/Sub.
Lot
6TH
ParCel N0. Occupancy ? ?i FEES
¢ Name JOE ?lILLI?R li0l1?8 Zoning
(Actual) Const ? Bldg. Permit 635??
W
o
AddreSS A?
(Allowable)
?
Surehar
e 49. SO '
1
City PhOf18 #? of Stories
t ?T g
Plan Review 413.?
p
Name aAME Leng
h
Depth
SAC, City
100000
,
s
O Address S.F.Total - A
MCWCC 6?.00
U
cc
City Phone
S.F. Faotprints
- S
C,
625.00
t
S
O
S Water Conn ?
e
ewage
n
i _ ?
?
W W Name on sae weu
- Water Meter '
'
m
_= AddreSS MWCCSystem 30.00
u? ? Acct.Oeposit
a W City Phone cay water _
30.00
d S/W Permii
PRV Require _ ?
.
I hereby acknawlege that I have read this applicalion and state that the Booster Pump - S/W Surcharge
inlormation is correct and agree to comply with all applicable State of I52.00
,
Minnesota Statutes and City of Eagan Ordinances. Trealment PI
Signature of Permitee APPRQVALS Road Uni1
sss.oo
A Buiiding Permit is issued to: .Tos d;L= MM8 Planner - park Ded. ?
on the express condition that all work shall be done in accordance with all Council
applicable 5tate of Minnesota Stalutes and City of Eagan Ordinances. gldy, pil. _ Copies
???
. .
Building Official ? Variance
_.. - TOTAL
'
. Permit No. Permit Holder Date Telephone #
WATER Q . //G b
SEWER
PLUMBING ? ? • ? ?7
H.V.A.C.
ELECTRIC C;) [y?
Inspectiort Qate Insp. Comments
Footings I
Foundation '
Freming d ?7
Roofing
Rough Plbg. f? 9Q
Rough Htg. -
IsuL
Fireplace
Final Htg.
Fnal Plbg. -?V
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
Bldg. Finai ?7 J?
Deck Ftg.
Deck Final
wen
Pr. Disp.
, • . , ? MECHANICAL PERMIT For City Use Only
CITY OF EAGAN PERMIT * ??3 ?
3830 PILOT KNOB ROAD, EAGA Nj MN_55122 RECEIPT#
DATE PHONE 454-8100 DATE: Av-S /?fv
3ite Address BLOG. TYPE
ReS. k WORK DESCRIPTION
New Const-?_
BloCk ?- SeGSu Mult. Add-on
Comm. Repair
Name . .
ft
C
@f . . . . ... , . , . .
City
Phone
' FEES
RES. HVAC 0-100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00 ?.
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
' TOWNHOUSE & CONDOS - RES. RATE APPLIES
MIMIMUM RESIDENTIAL FEE - ALL ADD-ON &
REMODELS (INCLUDES GAS PIPING) - 12.00
GAS OUTLETS (MIMIMUM -1 PER PERMIT-
NEW CONST.) -
RACT FEE
196 OF CON
C
I
1M
IND FEE
? 1.50 EA.
1
-
O
u
/
-
APT. BLDGS. - COMM. RATE APPUES
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.54 S/C PER EACN $1000.00 OF PERMIT FEE)
? /', ;
? Add
? City
.' TYPE OF WORK
d
i
M BTU $
?
Force
A
r j
Boiler - M BTU $-
Unit Heater M BTU ` $-
Air Cond. M BTU $ -
Vent CFM $ _
Gas Piping Outlets $?
Other $ -
> CommJlnd. Contract Price x 1% $
, PERMIT FEE: ?
4
*
;
COI+tRA
PR1CE
Site Addi
Lot T?
? Nam
? Addi
? Cit1lG
"""TA R,".
#
. CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
. aNeNE asa.siee
For C
PERMIT # _
RECEIPT #
DATE: _
TYPE / WORK
FEES
COMM./IND. FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND_IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S!C PER EACH $1,000 OF PERMIT FEE)
MuR. Add-on .?
Comm. Repeir
a
Other ?
RES. PLBG. ONLY - CONPLETE THE FOLLOWING: r?
NO FIXTURES TOT
Water Closet - $3.00 $ i
Bath Tubs - $3.00 3
Lavatory - $3.00
- Shower - $3•00 'E
Kitchen Sink - $3.00 ?
UrinaUBidet - $3.00 ?
Laundry Tray - $3.00
Floor Drains - $1.50 ?
Water Heater - $1.50 ?
Whirlpod - $9-00
Gas Piping Oudets - $1.50
(MINIMUM -1 PER PERMI7') ?
Softener - $5.00 'a
Well - $10.00 '
Private Disp. - $10.00 ?
? Rough Openings - $1.50 ?
-?
U. G. Sprinkler System - $12.00
PERMIT FEE:
STATES S/C: i -? -
GRAND TOTAL: .?.??
a.• 's S
(gtrtift???? ?f (Orrlipaury
Citp of (eagari
iBrprttttew nf Nuitbitug -ln"rrium
Thls ceWficate iuua,rpursua,rr to rhe,rquimurts ofsectiaa 3" of rhe urufo,m BuMng
Code exrnfyft tbat a1 the lime of isstmae rhissGrsrcur+e x= in aanplianoe with the vvrous
orrtiRa"ces ol dre Citj' rrgulaarsB' building consdiodion or use Far the following:
uK a.=TKxsm ?SB nr_/cen eae. Pem+n Nm 18093
oowM-7 rya R?,Aj1 _zaguba;? MaR Tya ca" VN
p.,Wctguacam -1"N. MTT7F.R W1mm AM= IR113 CPMR AVR S? RA*4TT1"iT'N
posr rN A corrsPicuous Puce
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
?ii+,Pt a 1
I: I t,+, ? i?j.r f t? i!Vf r. I 1{
? PERMIT SUBTYPE:
,, ?- IFlI ,I;
MA! FIAC.t'K
( - 1 , 'i ' ''. I I I /
TYPE OF WORK:
I;i 1.1 1lI; 1 1lffi
Al I t F+ /1 f 1 fi id I
( 1: 11r1 Pl At.t- 1N, t ll1i1 D)
? i a?l? i N?• t r? .?? t;; ? ??,?.,
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
Ict,I l 11 rNt,
?
I1 BI llr:K ! 1
il
l - ?
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELFCTAIC
ELECTRIC
Inspectlon Dete Insp. Comments
Footings 1 ,
Foundation
Framing
?f-xr
Roofing
Rough Pibg.
Rough Htg. ?
Isul. ?-°/? ?s
a
? J?
c?-
Fireplace
J
Y
J
Final Htg.
Orsat Test
Fina! Plbg. Plbg. Inspector - Notify Plumber
Const. Meter cpL
Engr./Plan
Bidg. Final
Deck Ftg.
Deck Final
Well
Pr. Disp.
INSPECTIaN RECURD iControl "°.- 0802
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Perrnit Number:
Eagan, Minnesota 55123 Date Issued: ?? /14/S2 '
(612) 681-4675
SITEADDRESS: 1.01: 11 81.0c:)(2 I APPLICANT:
4867 NAMILToN bR IIMCf1ACEK iJxl4iAM
I.f..KIM+iTQN PQINTE 6TH (612) 686-f773 i
PERWT,§UBTYPE:
1•"[?1 i1fU
TYPE OF WORK: MrW
FiNnt.
t? ---- I
Prrmlt No. Parlnft Molder Data Tsiephane M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Irtspsotlon Wls Insp. Commenb
Faqtingsl
Faundetion
Framing
Floofinp
Rough Plbg.
? ?•
Isul.
Flrep{oCe
Final Htg.
Oreat Test
Final Plbg. PIGg. Inspeptor - Notify Piumber
Const. Mater
EngrJRan
Bidg. Fir?el
Dedc Ftg. t
Deck Fine?
weli
Pr. Diep.
SEWER & WATER PERMIT `
. CITY OF Ei4GAN ' OFFICE USE ONLY ?
METER # y 3 7 56 Z lv O PERMIT DATE
' 3830 Pilot Knob Rd.
Eagan, MN 55122 4897 CHIP #12 PERMIT # 11507
METER SIZE I?°C,?( B.P. RECEIPT # G`s7C) 1
DATE J u n P 22, 1990 ISSUE OATE _ B.p, RECEIPT DATE 0 7%0 5,1
- PRV - BOOSTER PUMP ;
SITE ADDRESS 1'I t; ?? n m; i r e? ? r PERMIT REQUESTED
LOT,L1_BLOCK I_SEC/SUB c ? %, t Ll
? SEWER ? WATER _ TAPS '
APPLICANT: ?
I ADDRESS: - COMM/IND Y RESIDENTIAL
! CITY, STATE ZIP _ NEW _ EXISTING
? PHONE:
j Lavun. Sprinkler Meters are to be Instalied
PLUMBER: .Tom_iteg8i81i A1iead of Domesttc Meier? on Water Line.
i
ADDRESS: ? ?? 1 R.eg?oe e,4 Dr ; Credit?WILL NOT be gi erv`for Deduct Meers.
CITY, STATE A?iQ ugu ey,ZIP 5 5 1'?? ?°?// ? • ?f
PHONE: 432-6808
: ?'?{.??? ? ?` ?? f.;'I:/c.i/f .
t AGREE TO COMPLY WITH CITY OF
OWNER: T., ilille, Tlo rmes . EAC3AN OR?[ 1NANCES I
ADDRESS: IgI-' F3-ed-s-r A-v-e. ?
CITY, STATEF.????? MN ZIP 5 --
PHONE: _?A?;?;.?s ' SIGNAT RE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 450-5220 FOR INSPECTIONS. FQR STORM
i SEWER PERMITS, CONTAPT ENGINEERING DlEff
._.._ .._.. . --1.? ? • . .'r?? i-G.:?.??+s?j? ,,? i P
?'+ !
. ..._ _?..-.-.`-. . . _ .
--,..?...._'_ . • -. --. . ., ? . .. .. - .. ?.w,.,.._nw.._ .. -?a;r..ss.: __, ?..?a _ .?. ,..,p.. _ _. . . .?. . .. . . . r, _ _-- .. .. . ... _ _ ?. . . .
?
M N 551
fE Juae Z.'. , 1990
VrV1LG V.'PC VRL i ,
METER # PEFiMIT DATE .. fl 7/)) 6
CHIP # -PERMIT # 1 15C'
METER 51ZE B.P. RECEIPT # G:?
ISSUE DATE ? B.P. RECEIPT DATE .• 7/C'.
PRV _ BOOSTER PUMP
SITE ADDRESS 4167°l m' Z t o n D r. PERMIT REQUESTED
LOT I LBLOCK _LSEC/SUB T. P x i n:zt n n Po-i nta 6tvi
?
APPLICANT: ___X_SEWER ____WATER _ TAPS
ADDRESS: - COMM/IND RESIDENTIAL
CITY, STATE ZIP X NEW _ EXISTING
PHONE: '
Lawn. Sprinkler Meters at?e ta be Installed
PLUMBER: ?e.? Afiead of Domestic Meter? on Water Line.
ADDRESS: ???ROd-VeA 4 LzV, Credit WILL IyOT be giyenfor Deduct Meters.
CITY, STATE ApT Y,; V a 1leyTt1 li ZIP 5= 17t,
PHONE: _4 'i2-6R9G ?
I A G REE TO COMPLY WfTH CITY Of
OWNER: zfCl?ia `_ 'c;11 ,,TZr HOm, EAGAM ORDINANCES
"' .
ADDRESS: lg..}33 Ce d$ tt Ave . "e _ .
CITY, STATE? ??i 1: g a a MN ZIP
PHONE: SIGNATURE WHEM METER ISSUED
• , `
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR IMSFECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
.. ....?: _...: .
- AMOUNT --_ I
?
OOLLARS
.,?CHECW
Thank You .,?
BY _
C 8701 ? ?„
Pmk-Fde Copy
,.,,,?:;_?_,, .a.....:. Wti ..? ;,,.?,_? . , `Y,•yr .:.' _ "3830PIL0TKN08'Ft0AD ` -
• EAbAN; MINNESATIl55122";3 - ' =" • `:
19
• ' .%Y _ . ... , , n ?n
CITY OF EAGAN N0 1$093
3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # 0, ?3 C (
Tobe used for SF DWG/GAR Est. Value $99, 000 Date JULY 3 , 1940-
Site Address 4367 HAMILTON DR
Lot 11 Block 1 Sec/Sub.LEXINGTON POINTE
Parcel No. ? TH
W IName .70E MILLER HOMES
o Address 18133 CEDAR AVE S
Ciry FARMINGTON Phone 431-2001
} 0
o U
Ua
Q
?
Name _
Address
City -
Name _
Address
City -
Phone
I hereby acknowlege that I have read this appiication and state thal the
informallon is correcl and agree to comply wrth all applica6le State ol
Minnesota Stawtes an ity ot Earn Orq'n nces.
Signature ol Permilee '"'
A Building Permil is issued to: JOE MILLER HOMES
on the express condilion that all work shall be tlone in accordance with all
applicahle State of Minnesota StaWtes and City ot.Eagan Ordinances.
Buildmg Official
Phone
OFFICE USE ONLV
Occupancy R-3 -hi--1 FEFS
zoninq PD R-1
(Aclual) Const -V-- N Bldg. Permil 635.00
(Allowable) y? Surcharge 49.50
M ol stones -
$ '
Plan Review 413 _ n0
lenglh
DePth 56 ? SAC, City 1 00 _ OQ
S.F.7otal - SAC, MCwCC 600.00
S.F FootOrints -
WaterConn
625.00
OnSiteSawage -
On Site well - Water Melar 90.00
MWCC System XIL
Accl Deposit 30. 00
Ctly watar ?
PRV Reqwred _ S/W Permil 30. 00
Boosler Pump - SM Surcharga .50
Treatment PI 252.00
APPROVALS Road Unil 195- n?
Planner - park Ded.
Cauncil
Bldg. Off. _ GoPies
1$0.00
3
Variance - TOTAL ,
d j 21
RequBSl Date
?l ?10 p T
O?/ Fire o. Rough-in Inspetlmn
Re retl7
? Ready Now
AI NoUy Inspeclor
R
a
7
? Yes G No n
ee
y
I p licensed contractor 9<wner hereby request inspection of above electrical work at:
Joo Atl ress ISireeL Box or ute o)
?C
'? Py
v
r r.
Sectmn No iownship Name or No fiange No. Counry
nI I T)
1P Phane No
?
Q
v/ 1 (go `'`
PowerSuppber PAtlress
Elecmcal on ctor (COmpany Nama) Contractor5 4rense No
tv {1 Er
Mailing nOQress IGOn act r or Owner Making Inst911aLOn)
JL
AutM1Or ure ICOn ner Ma g Installa n) F.ne Number
rESOTR STATE BOAqD OF EIECTPICITY THIS INSPEGTION FEOl1EST WILL NOT
??998-MlEwey Bltlg. - Poom 5-173 9E ACCEPTEO BV THE STATE BDAFD
1811 Univarsity Rve, SR Geul. MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(614)602-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION °="`•?`"?
? /? s?ooyoa?
Saemsima,ons for wmpletmg inis lorm on Dack ol yellow copy. J/fGpT-
d.jQ R x" Be/ow Work Covered bv This Request
ew Atld Fep Y TypeotBuilding ApphencesWired EquipmeniWired
Home Range Temporary Service
Duplez Water Heater Electric Heating
Ap[ Budding Dryer O[heo-(Specify)
Comm./Indusirial Furnace
Farm Air Conddioner
Otner(suecry) Coniractor5 Rem ?r
?Sns7•
Compute Inspecfion Fee Below:
# Other Fee N SermcaEntranceSize Fee # CircuitslPeetlers Fee
Swimmmg Pool 0 to 200 Amps 0 to 100 Amps
L
Transtormers Above 200 _ Amps Above 100 _ Amps
SIgnS Inspecmr's Use Only: TOTAL ?
Irrigation Booms ?G
Special Inspection
Aiarm/Communicanon THIS INSTALLATION MAY BE OHDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO ?
I, the Electrical Inspector, hereby Rou9?-ai
certity that the above inspection has
been made
OFfICE USE ONLY Tnis request ma 18 momns trom
'A
8 6 5 7 2 9
Fequesl Date Flre o Roug?m Inspaclron
8/$/ 9 o Re uiretl? ? fieaay Now W I^
NOM1R
PWor
tl
Ves ? No ?
ea
y
Ahcensed contrector ? owner hereby request inspection of above electncal work at:
Job Adtlress (Street, Box or Ravle No ) Qry
4367 Hamilton Dr ive Eagan
Sedion N. iownship Name or No Renge No. County
Dakota
Occu ant(PqINT)
? Phone No
.
oe Miller Homes 431-2041
PowerSuppuer Adtlress
Dakota Electric Farmington, MN 55024
Eiecmcal Comracror (GOmpany Name, Contracmr's License No
Midland Electric Inc. 041610
Mailing AoOress (ConVactor or Owner MaNmg I nstallation)
14055 Grand Ave So, Sui te E, Burnsville MN 55337
A?thor re ICOnlractor,Owner Makin Installation Phone Number
MINNESOTA STATE BOARD OF ELECTRICITV ? THIS MSPECTION REOUEST WILL NOT
GrIggs-Mitlway BIEg. - floom 5413 8E ACCEPTED BV THE STATE BOFFD
1821 Univernity Ave., SI. Paul. MN 55104 UNLESS PROPER INSPEGTION FEE IS
Phone (61I) 604-0800 ENGLOSED
s/?/-y
C? ? 5 i o
2 9
REQUEST FORVECTRICAL INSPECTION
b- See ins[mctiy:is lor oomple0ng [his lorm on back ol yellow copy
"X" 8elow Work Covered by This Request
?E'l-07 ?-
??'?:,?' ??ss
ew Atltl Rep. TypeofBmlding ApphancesWired EqwpmentWVed
Home Range Temporary Service
Duplex Water Heater Eledric Heating
Apt. Bwlding Dryer Other (Speafy)
Comm./Industrial Fumace
Farm Air Condihoner
OtM1er(spenty) Convactor5 Remarks'
Compute Inspection Fee Below.
# Other Fee # ServiceEnirance 5ae Fee # Cucuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Translormers Above 200 _ Amps 400__ Amps
Signs Inspecior's use onN 70Ta1
Irngallon Booms ?SQ
Special Inspection
Alarm/COmmunication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 THS.
I, the Electrical Inspector, hereby Ro?ql oate
certify that the above inspection has
been made F,?ai Date
-.QlJ
OFFICE USE ONLY
This requesl void 18 monihs iram
. ?o25e
New Construction ReauiremaMa
• 3 registered sHe surveys slwwing sq. R. of lot, sq. R o( house; and all roofed areas
(20% maximum lot coverege allaxed)
. 2 ooPies of plan showing beam & window s(zes; Poured fourM design, etc.)
• 1 set o( Energy Calculations
• 3 copies ol Tree Preservalbn Plan rf lot plaped efler 711l93
. Rim Joist DefalOptions selecfian sheet (bldgs with 3 or less unds)
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4875
DATE -OZ VALUATION 000 S-9 -
JOB SITE ADDRESS 113?07 44?n, I 4e.. ?r%Je-
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNER_ 6
TYPE OF WORK
APPLICANT C47 i w5
ADDRESS P&Aely ?Z
PAGER # CELL PHONE #
40
NE1V RESIDENTIAL BUILDING ONLY - FILL OUT COMPLETELY
ener9y Code Cateyory _ MINNFSOTA RUI.ES 7670 CATEGORY 1
(check one) - Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculatlons Submitted
MINNESOTA RULES 7672
New Energy Code Worksheet Submitted "' -
_ ?
Plumbing Contractor: _
Plumbing System Includes:
Mechanical Confractor. _
Mechanical Syslem Includes:
Sewer/Water Contractor:
_ Air Conditioning
Heat Recovery Systcm
_ PHONE# 50')- Zb!-6363
ZIP CODE 55703
FAX # S d?- 367- a-?GG
Phone #
Phone #
Fee: $70.00
All above information must be submitted prior to processing of application.
I hereby acknowledge thai I have read this application, state that the infor " n is corre t, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordin s.
Signafure of ApplicaM
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 2002
Waler Softener
_ Water Hcater _
_ No. of Baths
RemodeVRenalrReauiremenh YIJ? (,(?jw?dtD'S
. 2 copies oi plan
• 1 sel of Energy Calculations for heated additions
• 1 sfle survey for exlerior add'rtions & decks
. Indicate I( home served hy septic aystem for addNlons v
G1e- FIREPLACE(S) _ 0_ 1_ 2
Phone #: ?.
Iawn Sprinkler I<t %Fee: ? $9.00
No. oF R.I. Baths
` _-- ?
?-
OFFICE USE ONLY
? 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 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 DS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundatlon) ? 45 Fire Repair
O 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement "Demolition (Entire Bldg oniy) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Foorings (deck) Final/No C.O.
_ Footings (addition) plunibing
_ Foundarion HVAC
_ Drain Tile Other
Roof _ Ice Rc Water _ Final _ Pool
Ftgs
Air/Gas Tesu Final
_ Framing _
_
Siding Stucco Stone _
_ Fireplace _ R.I. _ Au Test _ _
Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
F ?
/ RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
Naw Conshuction Reouirements
• 7 registemtl site surveys showirg 5q. ft. of lot, sq. ft of house; and all roofed area5
(20% maximum lot coverage allowed)
• 2 copies ot plan shovmg beam 8 wintlow s¢es; poured found desgn, etc )
• 1 set of Eneryy Calculations
. 3 copies of Tree Preservation Plan d lol piatted a%er 711/93
. Rim Joist Detail Opuons selecHOn sheet (61dgs with 3 or less units)
DATE I?O•?e?7S•Oc3..
Water Softener
Water Heater
No. oF Baths
SITE ADDRESS 4-M0+ MULTI-FAMILY BLDG _ Y 'o4 N
TYPE OF WORK
?4?? 1?6 i S
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT i
STREET ADDRESS I Pella Windows & Doors
TELEPHONE #1tp3.?S.1yM CELL PHONE 15300-25th Ave. N. Ste. #100
- I Plymouth, MN 55447
?E_ZIP
PROPERTYOWNER .i',1\ V)R61af_L TELEPHONE#(6I•IogS-6495
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MIVNG50T.1 RtiI.ES 7670 CATEGORY l NIIVNF,SO"1':\ RiiLHS i67`?
(J submission rype) • Residential Ventiiation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope CalculaGons Submitted
Plumbing Conhactor: __
Plumbing system includes:
Mechanical Conhactor.
Vlechanical svs[em includes:
Sewer/Water Contractor:
Fee: $90.00
SEP 1 9 2002 II!
# i .+
Fee: ?'Fi 0.00
Phone #
----°-----------°----°----••-------------------------•-•----.........--------------------------------------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with all appiicable State of Minnesota Statutes and City of Eagan Or i ances.
Signature aFAppltcant Mn-lr4e!?) -
---'---____....---°--------__----- _-------------------- ------ ______-----__----------------------°------------------
OFEICE USE OtiLY
Certificates of Survey Receroed _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
Phone #
VALUATION ay ?9 as. T S
_ I.awn Sprir
No. of R.I.
Air Condiuoning
HeaC Recovery Sys[em
RemadeVReoair Reauirements
. 2 copies of plan
• t sel of Energy CaIcWaUons for heated additions
• 1 sde survey for e#enor ad0itions & decks
• Indiwte if home served by septic system for adadions
E q
. .
OFFICE USE ONLY
? Ot Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling p OS 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 Ext. Alt - SF
? Oa 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Impmvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) Q- 45 Fire Repair
? 33 Alteration ' p37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code
Zoning , . .
... City Water'
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) ,
FinaL'C.O.
_ Footmgs (deck) FinaUlNo C.O.
_ Foo[ings (addihon) Plumhing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Warer _ F inal _ Pool _ Ftgs _ Au/Gas Tests Final
_ Framing _ Siding Stucco Stone ? _
_ Fireplace _ R.I. _ Au Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit 8 Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
license Search
Copies
Other
Total
Building Inspector
Wd9E:l 8 •unp amil paeiaaaa
?
Pella Windows & Doors - Twiu Cities, Inc
.Tune 8, 2001
City of fiagan
3836 Pilot Knob Road
Eagan, MN 55122
Deaz 7an:
Elder Jones Corporation is authorized to pull building petznits for Pella Windows &
Doors -'Itvin Ciries, Inc. Please allow their representative to provide that service for us
in Eagan. This authorization shall be valid until such time as the division manager
expressly revokes it, in writing to the City.
I request that this authorization be accepted expeditiously, so as to not delay the
processing of'our building permits any further. Please call me if there are any questions,
1 can be contacted at 763-745-1432.
1'our iirunediate attention to this matter is appreciated.
?
' cerelyL
.Bryan . May
Replacement Sale.a Manager
0.?? ?
cc: Kara - Eldcr Jones
Denna Krafty - Replacement 3ales Process Coordinator
15300 25TH AVE. N. S'IE. #100
PLYMOUTH, MN 55447
763/745-1400
WATS 1-800-062-5359
FAX 763l745-1401
NwY ?
AAhu?eeom
woeemWm6mlwmll.teos
Windows, Doors,
& Skylights
7nnFi'h cVTTr? AITIITifLLJ a)ar ca/ 7ro vcia ir'cr rua rnioniun
.
o•*
? 635•00+
49•50+
? 413•00+
? 2,032•50+
3,180•00*+
_1% %.
To whom it may concem:
Elder-Jones
Building Permit Service, Inc.
1120 East 80th Street
Bloomington, MN 55420
Phone: (952) 345-6047
Fazc: (952) 854-4909
We at Elder-Jones Building Pecmit Service, Inc. aze acting as an agent for Pella Windows &
Doors, Ina If there are any questions, or if the permit has to be picked up in person, please give
us a call at the number above. If the permit can be mailed back to us, we have enclosed a
self-addressed envelope for your convenience.
Thank you,
? , .
?M
Kara Benson . ext. 147
. . .?
Elder-Jones Building Permit Service, Inc.
1120 Easl SOth Street • Bloomington, Minnesota 55420-1498
952-854-2854 0 FAX: 952-854-4909
RESIQENTIAL
BUILDINC PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConaWction Reouirements
• 3 registered site surveys showing sq 8, of lat, sq, fl. of house; and all roafed areas
(20% mazimum lot coverage allowed)
• 2 copies of plan showing beam & window sizes; poured found design, etc.)
• i sel of Eneryy Calculalians
• 3 copies of Trce Preservalion Plan if lot platted aNer 7/1/93
• Rim Joist Detail Oplions selection sheet (bldgs with 3 or leu units)
DATE
SITE ADDRESS
TYPE OF WORK
APPLICANT
STREET ADDRESS
TELEPHONE #
PHONE #
MULTI-FAMILY BLDG _ Y _ W
FIREPLACE(5) _ 0 _ 1 _ 2
FAX #
/
PROPERTY OWNER I81'1( MCk"" a 6_rZ:-_L TELEPHONE # ?OJ / 6Vv 8
--------°------------.-------------°-------°--------------------°°-------°-----------.---
COMPLETE THIS SECTION POR "NEW" RESIDENTIAI BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULCS 7670 CATEGORY 1 NIINNF.S01'A RULES 7672
(J submission type) • Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Enveiope Calculations Submitted
Plumbing Contractor: __
Plumbing system uicludes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Contractor:
_ Water Softcner _
Water Heater _
No. of Baths
Air Conditioning
Heat Recovery System
Phone #
Fcc: $90.00
Fee: $70.00
----------°----------°--------------------•---------------------------°------°-------------°-°-°-------------------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with ail applicable State of Minnesota Statutes and City of Eagan Ordi nces.
Signature of Applican a
--------------------------- ------------------------ ------- °-°----- --------___--------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
?
RemodeUReoair Reaulrements
. 2 wpies of plan
. 1 set ot Eneryy Calculatqns for heated additions
. 7 site survey for ecterior addNons & decks
. Indicale if hane sened by seplic system tor addKions
VALUATION q V-7Dt,
_ Phonc #
Lawn Sprinkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 08-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn, (4-sea.) ? 33 EM. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 17 10-plex ? 19 Lower Level ? 24 Stortn 0amage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellanaous
? 31 New ? 35 Int tmprovement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement *Demolition (Entlre Bldg only) • Give PCA handout to applicant
Valuatlon Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bidgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) FinaVC.O.
_ Footings (deck) FinaVNo C.O.
_ Footings (addition) ` Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Ftgs _ Air/Gas Tesu
Pool _ Fival
_ Framing _ _
Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
r
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-45090-110-01
4367 HAMILTON DR
LOT: 11 BLQCK: 1
LEXINGTON POINE 6TH
PERMIT TYPE:
Permit Number:
Date Issued:
?
BUILDING
021611
07/29/93
DESCRIPTION:
(FIREPLACE
Bdildin`g,.Permit Type
?uziding Wo,rk 7ype
S
i y \
? ?-
J/ > >,
1 ?.
REMARKS:
PERMIT ?
IMCLUDED)
BA5EMENT FINISH
ALTERATION
4
C,?-i
, F?"-?D t?=?CU,? Li
FEE SUMMARY:
Base Fee $35.00 COPIES $1.00
Surcharge $.50 Total Fee $36.50
Subtotal $35.50
CONTRACTOR:
OWNER: - APPlican
MACHACEK BILL
4367 HAMILTON DR
EAGAN MN
(612)225-7117
55123
I hereby acknowledge that I have read this application and state that the
informaCion is norrect and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
?
C?APPLI ANT! ?MI EI?ATI URG? . ISSUE?SIG /A.IRI IAxrCI
?:?
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITEADDRESS: Lor: ii BLOCK: 1 APPLICANT:
4367 HAMILTON DR MACHACEK
LExING70N POINE 6TH (612) 225-7117
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH
DESCRIPTION
BUILDING
021611
07/29/93
BIIL
ALTERATION
(FTREPLACE INCLUDED)
INSPECTION
PRAMING .. .
INSULATION
.•
FINAI FIREPLACE
F-
L
, ,,,.1.., t.,,.:," I 1 0 Vi
uur inh, Vll , !'iiii
(: I I.ti i L'Ct
1.. 1'LI' ' Tft? tf;'Y'R J'•i'i NI
f'' iVit I.h?l i::) !?1= PIH
if I? Ii H(fifl'? i
. .;?" 1491A7 f l ii4i 1,1;
?
?
'• .\„
k l
REACTIVAJE _
PE6IT #
ii(Vil
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APP ?3 (, •!` 0
7UL «ED
1993 _SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surv '- - ner y
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 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 / cQ (fj / qJ Valuation of work
Site Address: 'l?V?" t1c?t1"1JTnfI L)i
STREET SU1TE 1
Tenant Name: (commercial only)
IAT BIACK I SUBD.te . t' P.I.D. N
Descri tion of work:
The applicant is: 't? Owner ? Contractor ? Other (oe.«ine)
? Wi I I Phone OTT:?
Name tuwhmf
Property .
L•S1 FIRST 5' -7 << ~I
Owner ?r
l
l ?
Address L
Uf11i
mn
STREET STE M
?
City CL State Zip
Company Phone
Contractor 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
z
B UILDING PERMIT TYPE .. ,
,? .. _
?
? Ol Foundation 13 06 Duplex ? 11 Apt./Lodging J?'16 Basement,.F-i.nish
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc. ?VSwim Pool
? 03 SF Addition ? 08 8-Plex ? 13 6arage/Accessory ? 18 Cortm./Ind.
? 04 Sf Porch 0 09 12-Plex ? 14 Fireplace ? 19 Comn./Ind. Misc.
? 05 SF Misc. ? 10 Mutti. Add'1. ? 15 Deck 0 20 Public Facility
? 21 Miscellaneous
woRK nrPe
? 31 New 0 33 Atterations ? 35 Tenant';Finish ? 37 Demolish
? 32 Addition ? 34 Repair O 36 Move .'
GENERAL INFORMATION Const. (Actual)
(Allowable)
UBL bccupancy
Zoning
i of Stories
length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
O footing
0 final
E9 Framing
? Draintile
MWCC System
City Mater
PRV Required
Booster Pump
Fire Sprinkler
Census Lode
SAC Code
Assessments
3L
4 Insulation
JR) Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Lopies
Other
Total:
vsluet;m: $
SAC %
SAC Units
k CITY OF EAGAN PERMIT - ' Control No. 0802
-
3830 Pilot Knob Road PERMIT.TYPE: suzLozNG
Eagan, MYnnesota 55123 Permit Number: 001050
(612) 681-4675 Date Issued: 07 / 14 / 92
SITE ADDRESS:
4367 HAMIITON DR
LOT: 11 BLOCK: 1
LEXINGTON POINTE 6TH
DESCRIPTION:
-euilding Permit Type DECK
. Building"%Work Type NEW
,
--
:, ?.
i 1t
,
Qzj:j_:'; lI
, . __?•] I.? _J
REMARKS:a D L
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
L-
OWNER: - Applicant -
MACHACEK WILLIAM
4367 HAMILTON DR
EAGAN MN 55122
(612)688-8773
I hereby acknouledge that I have reed this application and state that the
information is correct and agree to comply with all applicable State of Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PE i,T ATUIiIE
'?Obn A,o; A 1111?
iSS ED W. GNATU E
INSPECTION RECORD C°n °"°. 0802
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: 1.oT: 11
4367 HAI9ILTON DR
LEXINfiTON POINTE 6TH
PERMIT SUBTYPE:
DECK
r-
PERMITTYPE: suil.DiNG
Permit Number 001050
Date Issued: B 7/ 14 / 9 Z
BLOCK: 1 APPLICANT:
pIACHACEK WILLIAM
(612) 688-0773
TYPE OF WORK:
NEW
?
?
i?, ? • ? .??. . i .1 ?. ?i ?
.i ??tf , , il ? fi•
. .i i
° • . .9?. .. ?)
1 ? ?i?
PERMIT #
REkTTVATE
I wn ?
CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
681-4675
-$ 2ff 00
OL 1 ? RECD?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
. calcs.
COMMERCIAL 2 sets of architectvral & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in wfiich re uest is made or lot chan e is re uested once ermit is issued.
Date Sk_ //3 Valuation of work '4.Zo6a
Site Address: 5`3F7 114,rww%rl,,o D,,,ic ,d%rA? -W s.s-?a 3
SiREET SUITE R
Tenant Name: (commercial only)
IAT II BIAC& SUBD. ??J P-'n?` P.I.D. 1f
Descri tion of work:
The applicant is: 0 Owner O Contractor 13 Other (Describe)
Name /yla?b?ccc? ,Gii<Ls?•r Phone
Property LASt FINST aas-7rr-7
Owner pddress "t13i? 7 ?,g,*r//.?
SiREET STE M
City State i'W Z i p S7-T7
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
ArchitecU
Engineer Name Registration #
Address
• City State Zip
Sewer d Nater licensed plumber . Processing time for
sewer 8 water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information ts
correct and agree to comply with all applicable State of. Minnesota Statutes and City of
Eagan Ordinances.
Si
f A
t
li
?
t
gna
ure o
pp
cant:
-
OFFICE USE ONLY
BUILDING PERMIT TYPE
• '? ?_
? 01 Foundation 0 06 Duplex ? 11 Apt./Lodging ; ? ?
1 B
?ser?nt finish
? 02 SF Dwg. ? 07 4-Plex ? 12 ?
Multi. Misc. ? _
17 ,
Swim Pool
O 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory O 18 Comm./Ind.
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. 0 15 Deck 0 20 Public Facility
? 21 Miscellaneous
WORK TYPE
V 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REOUIRED INSPECTIONS
Basement sq. ft.
Ist F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
BuiIlding
Variance
? Site ID Footing
? Wallboard (0 Final
O Framing
? Draintile
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
V-? Y
? Insulation
? Fireplace
Permi t Fee v,i,ot;p,:
Surcharge
Plan Review
License
MWCC SAC
City SAC
Nater Conn.
Water Meter ,
Acct. Deposit
S/W Permit
5/W 5urcharye
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
P
SAC %
SAC Units
I
.• ? ?' ? ? ???
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & 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 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 kiHICH 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.
J U N 2 5 RECO
To Be Used For: Valuation: Date:
,.,,? A A n
Site Address 96Q
Lot II Block
Parcel/Sub ?
Oc•*ne r
Address
City/Zip Code
Phone
Contracto
Addres
City/Z
Phone
Arch./Engr. _
Address
City/Zip Code
Phone ;
0O0 OPICE USE ONLY
FEES
Occupancy -3 - I
Zoning PD Q- 1
Actual Const y- N Bldg. Permit
c7
S0
Allowable y-).I Surcharge
# of stories Plan Review
Length 52 SAC, City I ODt V?
Depth SAC, MWCC 00pa
S.F. Total Water Conn a% pa
Footprint S.F. Water Meter 5n.00
Acct. Deposit '67,00
On site sewage_ S/W Permit 0100
On site well S/W Surcharge .50
MWCC System ? Treatment P1. Z$2,00
City water ? Road Unit 3"1100
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty
Planner TOTAL
Council
Sldg. Off.
V
i U/
/
ance
ar i
I
UA Lu
? .. .,;
'S
G A?z AGE
19 XZq = LlJ?o
1+ = ('??
? I Y Z-L -
- Z y 74
I0 350
6sr?r
?6X?S= ?ti
a2
I 33z., x !4- ?8548
i 'Fi.ovo,
?35m r-:7 1332
Z ? ?I O
a X7 = ?`?
...__-
136e4 X ?1? `9SG y
,
9 k ?6 ?-
4 CITY OF BlliLDiNQ DEIPARTI•IENT
? -r'.' EXTERIOR ENVF.7,oPE AVE12AQE IIUII C014PUTATIO14
, (To be eubmi:tted rrith building permit application)
One or Two Family Dwelling Owner
N.1 Othar Site Addrese . L 1!T 1
Lc-4 Nv-?vn) Ro,,N??A TSL?- N
Contractor Date Phone
LIIIEAL FEET OF ? ?? lI y
EXPOSED YlALL LjdCE
ft. above grade = 27Z?• ?a
TOTAL EXPOSED WALL AREA sq. FT.
OPAQUE WALL COtISTRUCTIONS. "Ult Value x Area
124tmE flvll 1043 x sQ,
Detail
reference 66,N& 0 "U" . o7(p x sq:
irom 1ZIIY1 npu? p s SQ.
attached IIUII x sq.
sheete "UI' x S@.
nUll i x S@.
WINDOWSt "Ulf Value x Area "
rlalte & Type (!SIjljT ifUlt • 4-9 x sq.
n u apn x sq.
u n npu X sq.
" " IIUII x SQ•
DOORSS "0lf Value x Area
4taJce & Type 27L lHSUI , °Ull • 14' x sq.
u u FA 77n n0IO .47 x sq
'
n n
olpll x sq.
u n _ nUII x sq.
ToTt1I.s Z3zp.00 sQ,
AdERAQE "Ut '
TOTAL (ll)(A) VALUEB 191
DIVIDED $Y TOTAL IYALL AREA 2320/00 S'
AVERA(1E ??U ,115 lesa for i&2 family wellinge
ROOF/CEILINas
TOTAL AREA: 7600 '
FT. I •ZD. 77-50 (U)(A)
FT. Jo7,7_O= 19•14 (U)(A)
FT. 13Z•So= 5•31 ll)(A)
?
FT. _ U)(Q)
FT. _ (U) (A)
FT. - (U) (A)
FT. ".80= 409,5o (U) (A)
FT. _ (lI)(A)
FT. _ (U) (A)
FT. _ (U)(A)
FT. 9,00 = 60, $CO (U) (A)
FT. =(U)(A)
F'T. Z ? = , ku) kA)
FT. _ (U) (A)
F•T. ISS.S(O (v) cn>
Detail reference ITUOI rOLf x 8R. FT.It' (PO_ 2(vi ?U)(A)
from +lUll x SQ. FT. . (U)(A)
attached sheeta. °Ull X $Q. FT. - (U)(A)
Describe openinge ifUli x 9Q. FT. _ (U)(A)
in roof. IIUII x 8Q. - (U)(A)
ToTAL (U)(A) VALUES DIVIDED BY ?? 0 2f0• (UYA?\
TOTAL ROOF/CEILI1ia AREA
AVERACIE l'Ut? ,025 or ventilated roofa. , -
r
_ - ,
, . ,l
34+34t??-9?
. . . I :' '?, •; '
1
Co?{?? ? • ' .. . _ {
?t?7? (34+-3¢t41?t9-l?? _ , 1v7.Zo ? _..
? . . ;., .
? ,. . .. . <
: 83 ? C34 t 34- t 4!0 ,t-QA = f 3 Z. go ?E .
1?1rr1 t??S
. ?lnX 3lv =
ZdX3fv =
24 X 3la =
. Z¢x4S =
ZoX?B =
P '-
,
. ;
9'•0. X ,9' - . .a . I(o.oo . . . . i
5,0 X ! (p
lv.o X; 4 = ! Z4,oo :
8•o X lv = ' .98.ao .. . : .. ?
10-7 x 9- _ . ! Zln: go
? . -- `
? 144.ao ? .
..;
. . ?
;7 .
; ,.
L•
3° src.• w/s
Zi; STC.- SER? ? i:. Zl-UD* ' ; : ? , ? , .. •
?
v• - ?
(? -- PA-p o - ? 4Z, o o . ' ; • ? : _...
; ... . . ?.? . ,
I ' + . . . . !i? l. .
? i . ...... . 4' ?,.,:.1?. ... , .. .
??5 w'??L + Z32o.ao ? . .. z(?K? = 1191v ... .
13z.go
..11 wnw'S i44,$o - 475. ga ? ; ; . .?o
' 9i,oo
. 184¢ zo ?? ? ? ; -.
... . i ? , ? . . ? _..
I ?1 :k. . ? • . .
.. •
. • ? , •'.
ROOF/CEILXNa (It) VAI,UE
1.) Interior Air E'ilm o.61
z.) 5/811 ayn• sa. .56
3.) Insulstion 4_j.
cp
11. J . ,
5.) Exterior Air Film .61
(BTILL)
??1J?t a 1?R= I ?z' 'fOTAL (A)= 4.s
- `
Determining "Ull values at Roof) Walli Itimi and Conc. Blocls
VIALL ,
6.) Interior Air Film
7.) 1" aYP. Bd.
S.) Insulstion
19.) F-ufLT PITf;
10.) hiaeonite Siding
11.) Exterior Air Film
R VALUE
o, 6t3
.4S
19,00
l:61
.17
npn Orti TOTAL (R)= ?_p !
AIId
12.) Interior Air Film
13. ) Insulation
1[1,) Z" Fir Rim Jolat
15.) Z-011,T- rrTe--
16.) Maeonite siding
17.) Exterior Air Film
(R) VALUE
0.68
19,vo
1.88
.17
TOTAL (A)= z?.f,?.
_.L. T
?
FOUIIDATI01{
18.) Interior Air Film
19.)
Zo.,
21.) 121' Conarete $loclc
22.)
23.) Exterior Air Filro
liull = ,/n=
? , p7(fl
:
R V/tLUE
0.68
//00
1.28
.t7
?TAL (R) _ 13.1?
?
4
-city oF eagan
3810 PII OT Y.IJOB ROAD 1HOMMS EGnN
EAGAII, MItJNCSOTA 55199 1897 Mayor
PiIONC (G12)454-8I00 DnVIDKGUSfAFSON
1.4X ((, 191 454 8363 vAMELA McCREA
TIM CAWLENTY
THEODCME WACHiER
nalnnr,mbers
Cou
TIOV@Rlb@T 8, 1990
iHOAMS HEDGES
Crty Atlmin6irn[or
EUGENE VAN OVERIIEKE
Crty Ckrk
DAROTA COUNTY ABSTRACT
7373 W. 147TH ST.
APPLE VALLEY, MN. 55124
ATTENTIONS DEBBIE
RE: Easement Release
Uear Debbie:
Enclosed is the release of the temporary right-of-way of Lot 11,
Block 1, Lexington Pointe Sixth Addition as you requested.
Sincerely yours,
Aruce Allen
Engineering Technician
BA/jf
THE LONE OAK TRFF ..THE SYMBOI OF STRFNGiH AND GROWTH IN OUR COMMUNITY
Fqual Opporlunfty/Atllrmallve Actlon Employer
RELEASE OF TEMPORARY EASEMENT
KNOW ALL BY THESE PRESENTS, that the City of Eagan, a
municipal corporation, for good and valuable consideration, does
hereby release the following described parcel, to-wit:
Lot 11, Block 1, Lexington Pointe Sixth Addition, Dakota
County, Minnesota
from that certain temporary right-of-way easement for the
constructing, maintaining, operating and repairing of a roadway,
granted to the City of Eagan by Tri-Land Partnership of Eagan, a
Minnesota general partnership, on September 19, 1989, and filed in
the Office of the Dakota County Recorder as Document No. 910632.
In Witness Whereof, that said City of Eagan has caused these
presents to be executed in its corporate name by its proper
officers thereunto duly authorized this 1TH day of
Nov...?.?c. . 1990.
<;ITY OF EAGAN
a Municipal corporation
By? ? WU
Its
STATE OF MZNNESOTA
COUNTY OF DAKOTA
ss.
The foregoing instrument was acknowledged b,??fore me this
d ay of ?;/ //4/i? 1990 by J -Ji 1J/?G'L'r,d'.?)',F,??= ,
the L-F?K of the City of Eagan, a
municipal corporation, on behalf of said corporation.
• -??J ?
/i ? L?_
?
l ?
'
ry<.!SSNte• . . .....,?, y , /
,
; , ,
,
, .i _..
L
'
.sora ?ry Publi
No? c ?
13: JIY
' .
L
. ..: u . . -......
..
..
TR!-LAND CO.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN , MN 55122
CERTIFICATE of
for =
SU RVEY
MILLER C4NSTRUCTION
LEGAL DESCRIPTION: LOT,L,aLocK -L, LEXINGTON POINTE 6TH
ACCORDINC? TWk? P? OTNE RECORDED PLAT
THEREOF U COUNTY,MINNESOTA
o 02' 25,. E
Nf g?39 ?
N 850 05' 16" E
47,65 r - _ . ??
LOT 10
,
3
M
0
o ???' 15
EA91EMENT UT?`1?Y 1
? LOT li t?, 1
I q,e.s ? 11
L
?- z3,
I ? p?,aPosEv
I N Houst y
` ------ -I H' 1
? N ((.PAGE ? a °? _ ? 1
ni
^ I
? ol
o
O?? j
o 1.
i
Z n - ?
o?
909 92
_Q
N
0 5g•
N
?
fl- ?? /
I
3 ?
? SCALE:I",30'
i; ?l \ G?'R oR
0
Z7.68'???
9B3 ? c?
-- 5
E 261.16 ..?
? 52.25 _7° 19' 08"?
_HAMILTON _
?
LEGEND
o dENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 985 0
PROPOSED FIRST FLOOR ELEVAt1014 = 5.5
PROPOSED BASEMENT FLOOR = 9B/.5
ELEVATION
NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
I hMeby certify ihat this turvey,plon or
rsport was preparsd Dy ms or under my
direct supxvision and ihot I am a duly
Raplsfered Land Surveyor under th•
Law• of tAe State of Minnesota.
Bradlsy J
Date
Rep. No. I5235
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN , MN 55122
CERTIFICATE of SURVEY
for =
MILLER CONSTRUCTION
LEGAL DESCRIPTION: Lor,11,BLocK I, LEXINGTON POINTE 6TH
ACCORDIN T T RECORDED PLAT
THEREOF 0?? _ COUNTY,MINNESOTA
N85°05'16"E
47.65 ? - - ?
LOT 10
IO.O
M?t
Wolff
4x 9
N 89° 59'
E
N 5225
_HAMILTON _
LEGEND
o DENOTES IRON MONUMENT
? DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
i MreDy certity that this swvey, plan or
raport was prepored by me or und'sr my
direct supxvision ond that i am c duly
Replstered Land Surveror undor the
Laws of ihe State of Minnesota.
Bradlsy J. i/?4on, FAn. Req. No. 15235
Date. E, l ??l`
op2'Zg E
N ?3? 39
? -- - ?s?
qO
4 ? ??' 15
Ep91£MENY VTILITY 1
? LOT II b?
99/. 3 ?
in
a'
II ,
? I ? P?` usECo
? I IN No
0I1I
o I
O
-------?
I
Gt,e.oGE i ? o
',o I
?
gL_ _
_ Q
1
I`
?
?
I
?- - -?G -
St
r ?' I
3 ?
? SCALE:I",30'
0
,-
Zn.as
• ..... °- --
R=26_
0=7° 19' 08"
cuae
N
INVERT ELEVqTION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION= 985-0
PROPOSED FIRST FLOOR ELEVATION =?6s s
PROPOSED BASEMENT FLOOR = 98?.5
ELEVATION
NOTE * VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Use BLUE or BLACK Ink
-For - Office - Use
•
City of Eq,n , Permit#: ,
1
I Permit Fee: lc
~
3830 Pilot Knob Road
Eagan MN 55122 j Date Received: j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 1 Staff: I
I I
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name:1 Phone: 5374b
Resident!
Owner ^ Address /City/Zip:
i
Applicant is: Owner Contractor
e
Type of Work =Description of work:
Construction Cost: Multi-Family Building: (Yes / No
Company: / +(X f 16e- Contact:
E Address: ZO ) C1-)Q('rc fj t, r+ -
F-Su F~S V t
Contractor
Contractor YY
State: -W =Zip: _520 L Phone: to) 2 '55 CJ Q~
3 n
License 13Ct.3Oq~ 7 Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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?
i Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
I Mechanical Contractor: Phone:
Sewer & Water Contractor Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
s the information may be classified as non-public if you provide specific reasons that would permit the City to
s conclude that they are trade secrets. f
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.oopherstateonecall.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 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. ( \
x~ °QU i n F.-e. \i75. x
Applicant's Printed Name Applicant's Signature
Page 1 of 3