4383 Hamilton DrCASH RECEIPT
C'
CITY OF EAGAN .
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
,?- ? 1
DATE = f 19 ?
RECErvEO - ? -
FROra 1 'l / i . 11.
AMOUNT S -
a ooLuas
p CASH ? CHECK
'? i :/ ?? . ?~t 1 _ L ? , sOn
s,r ± j
C 13670 wnite-t?ar? ? ?
Y?
?
Pk*--FNe Copy
Thank You
SEWER & 1QIATER PERMIT
CIT? OF EAGAN
3830 Pilat Knob Rd,
Eagan, MN 56122-1897 ?
? •
? DATE ` a v 2 1, 19 11.
METER # -
CHIP # -
METER SIZE
ISSUE DATE
SITE ADDRESS 4 1 E 3 i.? Tn j 1 t- n n ?1 r
LOT.7BLOCK1._SEC/SUB Lexiregton 4t 6th
APPLICANT: T 9 s eph X.-M#ller--i2-ez n? ?c ^_
ADDRESS: 19111 ? t? s?e A v so
CITY, STATE ^ a r m 4 21 P 55
PHONE:'-; •, 1 2001
I PLUMBER:
ADDRESS: I. '? t
CITY, STATE ;; •? n 1 e 4' tt 11 ? y •t r? ZIP 551 ? G
I PHONE: - 3'' s'
OWNER:
I ADDRESS:
CITY, STATE ZIP
PHONE:
USE ONLY
PERfiAIT DA7E
PERMIT#
B.P_ RECEIPT #
B.P_REGEIPTDATE
PERMIT REQUESTED
X SEWER s WATER - TAPS
- COMM/IND - RESIDENTIAL
x NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE 70 COMPLY WITF#'CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 4545220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN . _}
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE 'i a v 2 1, 19 ? 1
OF!J?FICE USE ONLY
METER # -?41?'? PERMIT DATE 65/30/91
CHIP # nda ? ?(21a PERMIT # 12013
METER SIZE B.P. RECEIPT # C 13670
ISSUE DATE ? 6 B.P. RECEIPT DATE 05/29/91
- PRV - BOOSTER PUMP
SITE ADDRESS 'i L) ' i' 1 r' ??` o n D r
LOT 7?LOCK I SECISUB T,ex i ngt o n Y C 6 t h
I APPLICANT: Joss-ph TM'. M?11Qr C'o-tst Inc
ADDRESS: 1R2'?'?'edar Av Sa
? CITY, STATE F a m i ngt-nn, Mn ZIp 5 7 ? 4_
PHONE: 43 1- 2 d O 1
PLUMBER: I$ g? j :2 ..
ADDRESS: 121 2edwood nr
CITY, STATE A:pn 1 a+ [7a 7lw;L, ^'Tn ZIP S5 1?4
PHONE: 4 3 2- G.59 8
PERMIT REQUESTED
x x
_ SEWER _ WATER - TAPS
- COMM/IMD - RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credjt WILL NOT be given f? Deduct Meters.
Y WITH` CITY OF
OWNER: tauA rcuinAn?
ADDRESS:
CITY, STATE ZIP ? ''
PHONE '. SIGNTI,? METER ISSUED
f r i
? ?. .
PLEASE ALLQW TWO WORKIPfG DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT. 1?,_
• ?_?'??
?
Ttr#iftra#t nf
Citp of Cagatt
Rrpprinrnd of WuitIatg .InWrtinm
This G.rtifica&- Luued pursuant to the raguiremelrcr af Seckoa 306 of the Urrijorne BuildiRg
Cede certifying that at the tinre oJissuaxcx Aissuucirue x+as in compl'ranae wirh tfu various
arlinanaer of 1he Gity regulatiRB bw7din8 conouclion or use For the following.
tse aknmmmo SP BWG/.•.n meg. ptnvA ra, 19.139
O=ws-r TMX R3A4 z°-C nou;a PLl f Rl 7Yam CosI vN
o..oaaceown J9MM M MIUM OMR. -Aaa-
Posr iN A coNSPIcuous PucE
CITY OF EAGAN
' 3830 Pllot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 -
BUILDINCk PEJMIT Receipt #
Site Address 4,
Lot 7 Block
Parcel No.
W I Name
? Addre:
Address
City ` Phone
that I have read this application and state that the
and agree to comply with all applicable State o(
idXCy of Eagan Ordfrjarrces.'
Signature
A 8uilding Permit is issued ta: JO5M bMII"R CMt
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
r
Sec/Sub.
? OFFICE USE ONLY
Occupancy R-3 '1 FEES -
Zoning PD R-1
?
? (Apua1) Const
Y--F
Bldg. Permit 640,00
(Albwable) ?? Surcharge 50•00
A of Stories
641
Plan Review y16.00
Length
Depth 3' SAC,City 1oQ,?
S.F. Total - SAC, MCWCC 650•00
S.F. Footprints -
On Site Sewage _ Water Conn 6?.00
On Site Well Water Meter 45•?Q
Mwcc system x
3
Ciry Water
_
x Acct
0•
' ???t
?
PRV Required _ S/W Pernit 30,
Booster Pump - SNV Surcharge a
Treatment Pi 276,
?
APPROVALS Road Unit 370,
Planner - park ped.
Council
BIdg.Oft _ Copies
Variance -
?
TOTAL 3r317• 50
- Permit No. Permit Fiolder Date Telephone #
WATER
SEWER '
PLUMBING
H.v.ac. ?D G ? 9/
eLEcrRic 6'11s g/
Inspection Date Insp. Comments
Footings I
FoundaGon
Framing
Rooling
Rough Plbg.
Rough Htg. l
Isul.
Fireplace
Fnal Htg. 1
Orstat Test N
Final Plbg. 2-3- Plbg. Inspector - Notify Plumber
Consi. Meter
EngrJPlan
81dg. Final
Dedc Ftg.
Dedc Final
WNI
Pr. Disp.
RE:
DATE:
MAY 30, 1991
4383 HAMILTON DR (JOSEPH M MILLER COIiSTRUCTION INC)
x , .
- Your Sewer & VllatepOermit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE To
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannat
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS OIVLY: Pfease pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
JI Address: 4383 HAMILITHV DRIVE Lot 7 Blk } Sec/Sub LIXIN= ppINTE (IH I
These items were/were not cc
a • 7/25/91
Final grade (6" from slding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent eas
ete at the time of the final
Yes No ? Tnsppctor,
?
?
I Trai
Porch ?
Basement finish ?
Dack
Please varify mith the builder tha removal of roof tast caps from the plumbing
system and the shut-off oE watar supply to the outside lawn faucet before
freeze potantial exists. ca
arnzeoruex
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN ryo .19139
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt # L L ?.IO--7-0
TobeusedlofSF DWG/GAR . Est.Value $100,000 Date MAY 29 , 19 91
Site Address 4383 HAMILTON DR
Lot 7 Block 1 Sec/Sub. LEXINGTON PT 6TH
Parcel No. _
w IName JOSEPH M MILLER CONSTRUCTION I
zr. o Address 18133 GEDAR AVE S
City FARMINGTON phone 431-2001
fF Name
ga Address
? City Phone
Mz Name
Address
City Phone
I hereby acknowlege that I have read this application antl slate that the
information is correct and agree lo comply with all applicable State ol
Minnesota Slatules anGCit?j of Ebqan Or i 6ces.?J9?
signature ot Permilee II^ ?-'-??
n Building permit is issued ro: OSEPN M MILLER CONST
on ihe ezpress condition that alwork shall be done in accordance with al1
applicable State of Minnesota Statutes awnd,C?ity of Eagan Ordinances.
BuildingOificial ?IN74 dl? .I i??[?
L
OFFICE USE ONLY
Oaupancy R-3 M=1 FEES
zoning PD R=1
(Aduaq Const V-N Bldq. Permit 640.00
(Alloweble) V=N Surcharge 50.00
k of stories
Lengtn 64' Plan Review 416.00
oeom 36' sac.ciry 100.00
S.F.Total - SAC,MCWCC 650.00
S.F. Foolprints -
On Sire Sewage _ Water Conn 660.00
On Site Well - Water Meter 9 S_ pp
MWCCSystem X
City Water ? Acct Deposil 30 _ OO
PRV Required _ SAN Permil '+n _ nn
Boosler Pump - SM/ Sumharge - SO
Trealment PI
0
276.0
APPROVALS RoadUnit 370-nn
Planner - park Ded.
Council
BIdg.Off. _ CoPies
Variance - TOTAL 3,317.50
REQUEST FOR ELECTRICAL INSPECTION
? See msvutlions br compieong tM1is lorm on back nf yellow copy
?"X" &"elow Work Covered by This Request
Y
ew Adtl Rep. , TypeofBuilding AppliancesWiretl - EquipmeniWired
Home nge Temporary Service
Duplex Water Heater Electric Heating
Apt Building yer Other (Specify)
Comm.(Indusirial wnace
Farm Air Conditioner
Otherisuecify) Conttacror's Remarks.
Compute Inspection Fee Below:
# Other Fee F ServiceEntranceSize Fee k Circuits/Feedere Fee
Swimmin9 Pool / 0 b 200 Amps /8 13 0 l0 100 Amps ?oZ
Transformers Ahove 200 _ Amps j Abavaji _ Amps
Signs inspeclor's Use Only: T TAL
Inigation Booms ?o • Q, :?'Q
Special Inspection
' AlarmlCommunication THIS INSTALLATION MAV BE ORDE ONNECTED IF NOT
L
Other Fee COMPLETED WITHIN 18 MONTHS.
I, the Elecirical Inspectoc hereby
certify that the above inspection has
been made. Rou9n,n oate
F;,,ai a?e (P' n
?oq?
OFfICE USE ONLV ?
TMS lpqu651 vOld 18 m00lh5 frOm
(P /trI 9/ /O/ff ?-/
p 04434 o&°
Requesl Date
6-12 -91 Fire No. Rough,in Inspection
Aequire04
? Reatly Now ?'t761i1y Inspector
y.1Y5 [ No Wnen Reaay?
Iy.4iCensed contractor ] owner hereby request inspection of above electrical work at:
Job Aetlrass ISIreaL Box or Route No,
4383 HAMILTON DRIVE Gry
EAGAN
Section No Townshlp Name or No. Fange No. Counry
DAKOTA
Occupant IPqINTI
JOE MILLER CONSTRUCTION Phone No.
612-431-2001
P°x"s°PbXKOTA ELECTRIC ASSN Adtife$S FARMINGTON, MN
Eleclrpc3l `[M`i tEtCT R I C, I N C.
Malin9Ad/?6g6rayo4?Yf, Mgr? R????Pn)
WEST, APPLE VALLEY, MN• 55124
Autborize gna? onVacto110 stallation)
Phone Number
1 612-432-6688
M SOTA STPTE BOARO OF EL V THIS INSPECTION FEQUEST N/ILL NOT
Griggs-MiEway Bltlg. - Room 5 - BE ACCEPTEO 8Y THE $TATE BOARD
1821 University Ave.. SL Paul. MN 55106 UNLESS PPOPER INSPECTION FEE IS
Phone (612) 6424)800 ENCLOSED.
` SS57%
PERMIT #:
CITY USE ONLY
RECE1PT DATE:
:b
2002 RESIDENT'gAL MECH"ICa?L PERMIlT A?PLICA'fI0N
CI1'Y OF EAfiAN
S$SO PILOT KNO$ itD
EA6fkN MN 55122
651-681-4675
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
Date: 0 - (l'VQ
SITE ADDRESS: `3? J1?7,/ /// I JV / L
OWNERNAME: i-iYr-od NetS()n
INSTALLER NAME: /Cr -/ w n
STREETADDRESS: )q::// T s S, ^
CITY: l?(J?U LrJI.J
50
3? 1
TELEPHONE #:
TELEPHONE #:
1 (1 1
STATE: Mj? ZIP: S`-' C ?Q 017
Place a check mark next to the permit work type
h Add-on, modification or alteration to existin dwelling unit $ 30.00
r > fumace replacement
• air exchanger
• air conditioner q
• other
SEP
J
-
v
1
Nature of work
Y &
l z
2'1-LMQ1?
b
?
State Surchar e $ .50
Total $s?J?
SIGNATCTRE OF PERMI EE
1/D2
? ? i ? ? RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EACAN MN 55122
651-681-4675
New Cons W ction Reauirements
• 3 registered site surveys showing sq. ft. of lot sq. R. o( house; and all roofed areas
(20% mazimum lot coverage allowetl)
• 2 copies ofplan showing beam 8 windax sizes; poured found design, etc.)
• 1 sel ot Energy Calculatlons
. 3 copies of Tree Preservation Plan if lot platted after 711193
• Rim Joisl Detail Options selection sheet (hldgs wit6 3 oriess units)
DATE ?? - (- c) .4D,
SITE ADDRES
TYPE OF WO
FIREPLACE(S) _ 0 _ 1 _ 2
APPUCANT??iQ F?nm ?S?/ir2 ?
STREET ADDRESS 2Y66 KIck CITY GzJrim a7rldSTATv? ZIP,--`S?j
TELEPHONE #CE PHONE # PAX #SS/
PROPERTY OWNER
TELEPHONE #
L/F7/
-----------------------------------------------------------------------------------------------
COMPLETE THIS SECTION FOR KNEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(INN1:S0'CA RUL1:5 7670 CATGGORY 1 MIVNESO"1'A RLiL'LS 7672
(d submission rype) . Residential Ventilation Category 1 Worksheet Submitted . New Energy Code W orksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contrpctor:
Plumbing systcm incluclcs:
Mechanical Contractor:
Mcckiviic.il sysfc[n indudcs:
Sewer/Water Contractor:
-- Air Conditianing
Hcat Rccovcry Systeln
Pcc: $90.00
Tcc: $70.00
Phone # ' ? ^ ? "??Z I II
1
--^ -----.... -'--""---------------------------------- ° ---° ° - °-----°--------------' ° ------`--"--------- °---------
I hereby acknowledge that I have read this application, state that the information is correct3and a r?ee to eomply_
with all applfcable Sfate of Minnesota Statutes and City of Eaga rdin ces. ?
Signafure of Applicarit?` >LEL
-OFFICE USE ONLY
_ Watcr Softener
Watcr Hcatcr
-- \'o. of Baths
WLTI-FAMILY BLDG _Y _N
VALUATION Ca g / $ . e'? Y
Ptionc #
I.awn Sprinkler
No. of R.I. Baths
Phone #
RemodellRepair Reauirements
. 2 copies of plan
. i set of Energy Calcutations for heated addi[ions
. 1 site survey for extenor additions 8 decks
. Indicate if home served by septic system for additions
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated a/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace O 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
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Levei ? 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 (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demoiish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
? 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 IN5PECTIONS
_ Foo[ings (new bldg) FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & W ater _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucw 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
rotal
?9. z ?
4. 6 CD
_iela.
Building Inspector
CITY OF EpGpN
3830 PIIAT $NOB BOAD
EAGAN, lII1 55122
PHONE: (612) 454-8100
sonsmom
.. .......... ..
::?u«<
FOR CITY IISE ONLY
PE&!!IT # /'/V(p U
RECEIPT # /===171 "
DATE: //
PLEASE COMPLETE IIPPE& PpxTION ONLY FOS SINGLE.' FAMILY
TOWNHOMES/CONDOS AHEN PERMITS ARE REQUIRED g0& EACH IINIT.
WORK DESCRIYTSON
NEW CONST VI
ADD ON _
REPAIR _
OWNEit NAME; JOE MILLER CONSTRUCTION C. INC.
SITE ADDRESS: "Y. JL3
IAT:? BIACK L SUBD.
INSTALLER: GENZ-RYAN PLUMBING & HEATING C0.
aDDRESS: 14745 South Robert Trail
Ci7^t: Rosemount, MN ZIP: 55068
F :ONE #:
423-
DWELLINGS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
? SHOWIIt 3.00
? WATER CLASET 3.00 ?
/ BATH T[TB 3.00
? LAVATORY 3.00 /n va
? KITCHEN SINK 3.00 ?
_ IAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00 .?
L FLOOR DRAIN 3.00 ,?1f
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 n
ROUGH OPENINGS 1.50 ?
oTxER
_ WATER SOFTENE& 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL S 1-3?. S 0
ST. SURCHARGE .50
cR?
TOTAL: $ 3-5-
pLEASE COMPLETE TFIIS PORTION FOR ALL C024SE&CIAL/INDUSTRIAL BIIILDINGS AND
MtJI.TI-FAMILY BVILDINGS WHEN SEPARATE PERMITS ARE NOT REQIIIRED FOR EACH
DWELLING i1NIT.
--------------?--_-_____-________-__-_- _-____---------__._---___-------___-------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LaT: BLOCK __ SUBD.
INSTALLER:
A?DRESS:
'ITY:
PHONE
FOR:
ZIP:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE $
TOTAL:
$
(SIGNATURE)
CITY OF EAGAN
CITY OF EAGAN
- ?, 3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # ?O 7
RECEIPT # D CO
DATE: ? 6, /
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE I
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
----------------------"- °-------
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
r
OWNER NAME:
SITE ADDRESS._,?+-
LOT: ? BIACK ? SUBD.
INSTALLER:
ADDRESS N', O,
CITY: ?G ?C \ ZIP:
PHONE C? Cp a
FEES
ADD-ON MINIMUM
HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
SUBTOTAL:
STATE SURCHARGE:
TOTAL:
DWELLINGS &
$15.00
24.00
6.00
3.00
$ M co
.50
$f*=6
S NA URE OF PERMITTEE
?OP4ME$?Zt#L??7DASx3t.::: PI.EASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
_ . ...........:.............. ........ .........
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BIACK _ SUBD.
INSTALLER:
AADRESS:
CITY: Zip;
PHONE #:
FOR:
FEES
18 DF CONTRACT FEE.
STATE SURCHARGE e $.50 FOR
EACH $1,000 OF PERMIT FEE.
°P.OCESSED PI?ING = $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18 $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
$
$
CITY OF EAGAN
1991 BUI ?? ??? LICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
U
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCT[7RAL PLANS
1 SET OF ENERGY CALCULATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCUTATIONS 1 SET OF ENERGY CALCS
_# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES WHEN: TYPING OF PERMIT IS REQUESTED, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED
To Be Used For: New Home
Site Address 4383 Hamilton Dr
Lot 7 Block 1
Parcel/Sub Lexington Pt 6th
Owner
Address
City/Zip Code
Phone
Contractor Joseph M. Miller Const I
Address 18133 Cedar Av So
MULTIPLE DWELLINGS
Valuation: ? Date: May 21,1991
Qer oJ J r OFFICE IISE ONLY
City/Zip CodeFarmington, 55024
Phone 431-2001
Arch./Engr.
Address
City/Zip Code
Occupancy
Zoning sz-1
Actual Const v-N
Allowable V- N
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well
?MWCC System ?
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES /
Bldg. Permit C?vO,Jo
Surcharge '„SD,O D
Plan Review ?
SAC, City 100,00
SAC, MWCC OJ
Water Conn. O.tl'a
Water Meter p
Acct. Deposit 0 UO
S/w Permit D,b!]
S/W Surcharge
Treatment Pl.
Road Unit ?p,oa
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
Phone #
?Lw agrees that a11 work shall be done in accordance with
Signature of Contr tor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
(/,4 LA?Y'l'? N ? -
Gn2naE
a2x2z1- 48y x/s' or T7 2 a o
?3srn-r-
----_.
z x z2 = ?fy
!(oj?/?f = z2?f
3?,o -A 14: I9090
1ST FL, 0 a 2
I x, 2 -1 ?2
a?Tc 13?0
?rf
I 3'7 ?- x 53 -`7 2'7l (.
C) ? 0/6 QrC /oo,?0-1? ,_.-
TRI-LAND C0.
SURVEYING
SERVICES
1875 PLAZA DRIVE
EAGAN, MN 55122
CERTIFICATE of SURVEY
.
for =
LEGAL QESCRIPTION; LOT,_Z,BLOCKI , LEXINGTaN POINTF 6th GDD.
ACCORDING TO THE RECORDED PLAT
THEREOF DaKOTA COUNTY,MINNESOTA
SCALEi"=30'
3 N89°50'21"W ,
79.90 9$j-
n n ---
r_.__
1
. 5 ? DRAINA6E B UTILITY EASEMENT ?
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56.98
HAMILTON
0: ?;?.
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' Po (S.L.X.Y?YU y,??Ti?aT4r?.
j?ZDPOS?j? FULL ?}S?E-? OUT?? ?
?cv
LEGEND'' ,: ;; INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION= 990.9
o DENOTES WOOD HW8 SET PROPOSED FIRST FLOOR ELEVATION =C)91,?,
gmS DENOTES EXISTING SPOT PROPOSEDBASEMENT FLOOR = q$?.z
ELE VATION E LE VATI ON
(19AO5) DENOTES PROPOSED SPOT I
ELE VI?T I ON
e-DENOTES DRAINAGE DIRECTION NOTE'• VERIFY ALL FLOOR HEIGHTS WITH
, FINAI HOUSE PLANS I
1 h?rWy cenify that this survey,plan or
re pat wm prepa?ed by ms or under my
dinct wpervision and that 1 om a duly
Rtqisiered Land Surveyor undW ihe
Laws of iM State of Minnesota
Bradlsy J. SWV*l Mn. Roq. No. 13233
Date -
S8905g17 w
qffi- 4
• _ , CITY OF BUILDIN4 DEPARTI4EIyT
? . EXTERIOR EHVII.OPE AVERA(iE IOUII C0I4PUTATION
(To be submitted with building permit application)
One or Tvro Family Dwelling Owner
All Other &ite Addresa IL.oT 7. 13Loc.k i
?
I _. L-EXlA167DN Po r N7? 6? .abD? 0.1.
Contractor Date
Pho ne
LINEAL FEET OF // \ t )+. I
EXPOSED WAId, above grade i7tp
' TOTAL EXPOSED VYALL AREA SQ. FT.
OPAQUE wALL CONSTRUCTION: 'T",Value x Area ,
Detail 0 O¢3 x SQ. FT.jLEL,Li.41i7T M(A)
refarence "u" 0 x SQ. FT. 5f; =?(U)(A)
from SQ. FT. Z = , , ?U) (A)
attached VIU21 - x 8Q, FT. = p) (R)
sheets fluff X SQ. FT, _ (U) (A)
npn x Q. FT. _ (U)(A)
WINDOWS: "Ulf Vulue x Area
Ptake & Type I NS!)L. C{?G ?
n„T,?„?: 41D X SQ. r?. 51,Z5'=1?9,58 (U) (A)
?? ?? ??U??
x SQ. FT. -
n
„ (U)(A)
u
ii nUn x SQ. FT. _ ?U)?A)
1 ?ip?? g SQ. FT. _ (U) (A)
ORSt "U" Value x Area
t•falce & TYPe .14 x SQ. FT. ?(Da,?. (11)(A)
u it upu.-t 7 x SQ. FT."??'r (U) (A)
• n ° nUu X 3Q. FT. a (U)(A)
_ x SQ. FT.?-? _ (U)(A)
TOTALS (0'31 j lb gQ. FT.-- I (00, SZD (U) (A)
AVERAQE "U" -
TOTAL (U) (A) VAI,UES 'I ?OfS'(o
DIVIDED BY TOTAL WALL AREA I(05119LO
AVERAQE t'U?? ?-°-??
115 oD' less for t&2 family dwellinge
ROOF/CEILIN
? r}.y
TOTAL AREA:
Detail reference llUff g SQ. FT. _93,72j0)(A)
from npll x S@. FT. .. (U)(g)
attached aheets,. IIUII x 3Q, FT, = (U).(A)
Deacribe openinga flUt, x. sSQ. FT. (U)(A)
in roof. llUll Xe. Pr. = (U)(A)
TOTAL (U) (A) VAI,UEB DIVIDED BY 217??7 = To}L'j JL1,20
?,? Z 3.'13?U??{>
-7
TOTAL ROOF/CEILIN(i AREA
?? -
AVERAQE 'lUll ,O?or ventilatad roofe. Jd?
.r•--?"
. ----------'-- .
?•
1 I C? l 03 g?-a?-
I`74 ?
w iNr?v)s
?
3 4
w - x 4g
ZLA-) -- 2vX/ $ cp
I zw W 24x+5
*,,4zk
i ?..rr+? ?y ? /
I C?qlqco .A
= ?t? ?I = 3c?.o
?
= 14I ? 14-1
(?.7
I 5'1, 21;'*
3v sn? r?2. vv/? = 2s, o
46?. PR.? zj,ca
(v? ?,? ?. = 4z,r?
J/?•I/? • ?j?-y ??? WAt,{..-.
I co"Rzo
RooF/?fla
I.) Interior Air P'i1m
2.) 5/81, qYP. Ud,
3.) Ineulation
4.J ,
50 Exterior Air Film
(BTILL)
n VAI,UE . ,
0,61 56 ;
`I4;00
.61
. up?l q 1/It? I OZ.l '1'OTIIL (R)= 7-.sr7g
?'L n VALU
6.) _Interior Air Film 0,68
?.)
80 ?" OYP. Bd.
I
l
t .??5
. neu
ion
a Mpp
9.3
10
) {'?u?? ?PlTe;
1 asoni
t
Bidi z,09.
. ,
e
ng . .67
11.) Extarior Air Film 17
,
OP; TOTAG
E114 R VALUE
'12.) Interior Air Film 0.68
130 InaulaEion 1
,00
111.) 211 Fir fiim Jaiat ' 7
i,88
16.) tt?aso?it ,s?ng z6)-
17.) Lxterior Air Film ,17
lipn r+ 1?Ra ? n?f? TOTAL
-,?L;;•
.._. (R)n
FOUII pATIO11 A VALU
180 Interior Air Film 0,68
19.) r
zo. ) F-11 STklP/?D //.oa
21. ) 1211 tlonore te $loalr. 1.29
22.)
23.) Exlerior Air F12na ;17
????-???-•+???t; •u?? vuluea at ftoofs y1Q11, niro, and Cona; ploclc
074o
ToTAL (x) 13.1?
. _..?._..._____ .._.: .
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA115316
Date Issued:09/25/2013
Permit Category:ePermit
Site Address: 4383 Hamilton Dr
Lot:7 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-070
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:If there is no ice protection inspection prior to final, the contractor must meet the inspector w/ a ladder and flat bar.
Pictures are not acceptable in lieu of inspections.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 8,000.00
Fee Summary:BL - Base Fee $8K $162.25 0801.4085
Surcharge - Based on Valuation $8K $4.00 9001.2195
$166.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jarrod R Nelson
4383 Hamilton Dr
Eagan MN 55123
(651) 452-6124
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
I I I
1q31
~
of Eatan JC® i Permit / 9
` I
3830 Pilot Knob Road Permit Fee:
101 I
Eagan MN 55122 3 I
Phone: (651) 675-5675 I Date Received:
Fax: (651) 675-5694
Staff:
- - - - - - 4v-
2014 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications.
Date: 3/25/14 Site Address: 4383 Hamilton Dr, Eagan, MN 55122
Tenant: Suite
Resident/Owner Name: Jarred Nelson Phone: 651-292-4310
I Address / City / zip: same
Name: K&S Heating, Air Conditioning & Plbg LLQicense MB5216
I
Contractor Address: 4205 Hwy 14 W city: Rochester
I
State: MN zip: 55901 Phone: 507-282-4328
Contact: Heidi Brown Email: hbrown@ksheating.com
I
New XX Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
a Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
XX Furnace _ New Construction - Interior Improvement
Permit Type XX Air Conditioner - Install Piping - Processed
Air Exchanger Gas Exterior HVAC Unit
_ Heat Pump Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 60.00 TOTAL FEE
COMMERCIAL FEES Contract Value $ X.011
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge TOTAL FEE
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.
x -Rick Keehn x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA122874
Date Issued:05/21/2014
Permit Category:ePermit
Site Address: 4383 Hamilton Dr
Lot:7 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-070
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jarrod R Nelson
4383 Hamilton Dr
Eagan MN 55123
(651) 452-6124
Storm Guard Restoration
1355 Geneva Avenue North, Suite 201
Oakdale MN 55128
(651) 738-1698
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA152969
Date Issued:11/13/2018
Permit Category:ePermit
Site Address: 4383 Hamilton Dr
Lot:7 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-070
Use:
Description:
Sub Type:Residential
Work Type:Alteration
Description:Basement Fixtures
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Jarrod R Nelson
4383 Hamilton Dr
Eagan MN 55123
(612) 205-3414
Weld & Sons Plumbing
3410 Kilmer Lane North
Plymouth MN 55441
(763) 475-0296
Applicant/Permitee: Signature Issued By: Signature
O FAVFAD
NOV 19 2018
R
EACAN
3830 PILOT KNOB ROAD I EAGAN, MN 55122-1810
(651) 675-5675 1 TDD: (651) 454-8535 1 FAX: (651) 675-5694
buildinginspections a�cityofeagan.com
For Office Use / I
1 071
I Permit #:
I Permit Fee:
I
� Date Received:
I � I
I Staff. t�
L-----------------�
2018 RESIDENTIAL BUILDING PERMIT APPLICATJON,
Date:_ /l 1 /! 8 r,Site Address: 13Y3 H a I'll. I r6 I-, b r I V t Unit #:
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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.00pherstateonecall.om
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.
Applicant's Printed Name Applicant's Signature
Nam f r'� r1.y '' S o n Phone:
Resident/
Owner
Address I City / Zip: �1 _1 .3 2-3 H ye
Applicant is: Owner Contractor
Type of Work
Description of work: .� �h 1-_ o k%
Construction Cost: `� 2 , c, Cy f -i Multi -Family Building: (Yes
/ No
Company: E:7 rCACsa , h Jr,, -Contact:--Aar=
Contractor
Address: I L y �I /��.� �" � • ,.�oL City: .S'�- , l.c: l,.s; .1
par k
State- Zip: _ ~ y 16 Phone: ZoS- 3 all yEmail: C ('i c �o ii i`;; �V
tt oris c-)
Co
License #: Lead Certificate #:
If the project is exempt from lead certification, please explain why:
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:
Fire Suppression 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- ublic if VOU provide specific reasons that wouldermit the qL4t to conclude that they are trade secrets.
You may subscribe to receive an electronic notification from the City of proposed ordinances by signing up for an email update on the City's
website at www.cityofeagan.com/subscribe.
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.
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.00pherstateonecall.om
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.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
-4-6 Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%— 100%
Census Code
#of Units
# of BuHdings
Type of Constructior
Fireplace Porch (3 -Season) Exterior Alteration (Single Family)
Garage Porch (4 -Season) Exterior Alteration (Multi)
Deck Porch (Screen/GazeboiPergola) Miscellaneous
Lower Level Pool Accessory Building
Interior Improvement Siding Demolish Building*
Move Building Reroof Demolish Interior
Fire Repair Windows Demolish Foundation
Repair Egress Window Water Damage
*Demolition of entire building - give PCA handout to applicant
/0 6 Occupancy -Q?C - —1
Code Edition / 21P 2 0/
Zoning
Stories
Square Feet
Length
V 3 Width
VICES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
REQUIRED INSPECTIONS
Footings (New Building)
Meter Size:
Footings (Beck)
Final / C.O. Required
Footings (Addition)
Final / No C.O. Required
Foundation Foundation Before Backfill
HVAC Gas Service Test Gas Line Air Test Hood
Roof: lee & Water Final
Pool: Air/Gas Tests Final
Framing 30 Minutes I Hour
_Footings
Drain Tile
Fireplace: _Rough In Air Test —Final
Siding: Stucco Lath Stone Lath —Brick EFTS
Insulation
Windows
Sheathing
Retaining Wall: _ Footings _ Backfill Final
Sheetrock
Radon Control
Fire Walls
Fire Suppression: Rough in Final
Braced Walls
Erosion Control
Shower Pan
Other*
Reviewed By:
Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCESSAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
.'7
-?, /-/ ,,X 8 " Y
Page 2 of 3