4384 Hamilton Dr
Use BLUE or BLACK ink
~
For Office Use
JUN I S i Permit* City of Ealan '
I Permit Fee:
3830 Pilot Knob Road 1 ~ 1
Eagan MN 55122 1 Date Received: 1
Phone: (651) 675-5675 i C
Fax: (651) 675-5694 staff: i
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date- (0 a _ site Address -13~'~1 I 1 _t)r.
Tenant: 1 \ r Suite
RESIDENT /OWNER Name: ty V Q~1'~ ~`!1 Phone: `2<~D O is ~GXLQ_
Address / City / Zip:Olii(atiQ (O~{~
CONTRACTOR Name: I ) f7 Licence .~c -It h, Address: City: c')& cl
State: Zip: S7~;-3 g Phone: Lt 1;~l OLD 2 -4 l 0 ca
Contact c) A-S OY1 Email:
E TYPE OF WORK New _ Replacement _ Repair Rebuild _-Modify Space Work in R.O.W.
Descri on of work: ` W
ri
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
_ RPZ / __Y PiB) Main _ Lower Level)
Septic System Water Turnaround
New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround" (includes $.50 State Surcharge)
'Water Tumaround (add $166.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.)`,(includes $50 State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Cali 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,gocherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and comes 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 ans.
x12.s^~., x
Applicant's Printed Name t nrs Signature
FOR OFFICE USE Reviewed By. Date:
Required Inspections., Under Ground ____Rough-In Air Test Gas Test Final ~y
? INSPECTION RECURD Control No. 0296
CITY OF EAGAN PERMIT TYPE: liti I {1, Flto l
3830 Pilot Knob Road Permit Number: 000 -M6
Eagan, Minnesota 55123 Date Issued: 0 4 f;??ft /`iz
(612) 681-4675
SITE ADDRESS: 1 01 : 1 w gLOC, K; ;. APPLICANT:
' 4304 tiAMiL7UN pO /` t { I.AI sUsNIL
LEW PEIIN'ft 6TH (6i2) 687•-9178
PERMIT S?BTYPE:
ttA",F_l4t: 1 F 105N
TYPE OF WORK:
ALrERaryON
.2 ?
.. .'?' ? .. i - ...- ? . . . . ? -_ : '. . .
,. . . .. .. . ... ?.. , .. . . .J
: Iti'NAHl:!a; RF44-1111 I SFPAWATf PkRNTtS RFU1)tRF[1 FCIR t'IEt A f'E.FiM
Permit No. Permlt Holder Date Tslephono #
SMI
PLUMBING
HVAC
ELEcrRic
ELECTRIC
inspection Date Insp. Commants
Footingsi
Foundation
Framing Ty?,D ro ?•?'r
u _ i,lai
RaoMg
Rough Pibg.
Rough Hig. i
Isui.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Not"rfy Plumber
Const. Meter
EngrJPlan
Bldg. Final
/ %t-
Deck Ftg.
Deck Final
Well
Pr. Dlsp.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122 ?
DATE r r -)
nECErveo
fnow ? 1 \ _/ ?
AMOUNT
& DOLLARS
Ioo
O CASH CHECK
C ? ?
9106 ,
Pirk-Fae capy
Thank You '
BY
SE1P!ER 6 WATER PERMIT
CITY OF EpGAN '
3830 Pilot•Knob Rd. •
Eagan, M? 55122-1$97
oATE ?.??126/4q
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE
PERMIT DATE 0/30i `i
PERMIT # 11554
B.P. RECEIPT # C S 106
B.P.RECEIPTDATE ':7/271 90
_ PRV - BOOSTER
SITE ADDRESS 43t• -4 6i4F" T,TOH DltIYL
LOT ZLBLOCK 2 SECISUB LEX1tIGT0IQ POlIi"LS 6TH
APPUCANT: Pi`t•?k? L ZNOkSQN
ADDRESS: 4466 WEi3GEWpOD D4
CITY, STATE FAGAN ZIP
PHONE: 454-0644
PLUMBER: RAY HAEG PLAIMEiN-G
ADDRESS: 7226 CEDAR AVi g
CITY, STATE CH F LD ZIP 5511.^3
PHONE: ?b - `.141
OWNER:
ADDRESS:
CITY, STATE
PHONE; -
PLEASE ALLOW TWO WORKING
SEWER PERMITS, CONTACT ENG
PERMIT REQUESTED
x SEWER ? WATER - TAPS
_ COMM/INO x RESIDENTIAL
I_ NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on V1later Line.
Credit WILL NOT bje given for Deduct Meters.
yr: ?;??z----
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
ZIP
SIGNATURE WHEN METER ISSUED
R PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE •7i26r90
ICE USE ONLY
OF
F
?
J
METER # 7 3 7s6 / fn PERMIT DATE ` 7 / 10
?
CHIP # D I 4 5 '407 7 PERMIT # 11554
METER SIZE,51k /rOr/77' B.P. RECEIPT # C 9,10o
ISSUE DATE '/y 40 B.P. RECEIPT DATE 07 27 ;6
_ PRV - BOOSTER PUMP
pRESS 4384 HA? 1 L- ?1N nEt1VE
SITE AD PERMIT REQUESTED I
.
LOT t' BLO CK SEC/SUB 1'? XIr?GTON Pd1NTE TF'.
"SEWER - WATER - TAPS
APPUCANT: "'R`A' " '`ti`;RSON q
4466 WEnGGwflOD !'i,t - COMM/IND ` RESIDENTIAL
ADDRESS:
F ,AN
CITY, STATE ZIP x_ NEW - EXISTING
PHONE: 454-0644
Lawn Sprinkler Meters are to be Installed
PLUMBER: RAY HAE; n-,UMBING Ahead of Domestic Meters on Water Line.
ADDRESS:
?? 26 CF.DAR AVE S
Credit WILL NOT be given for Deduct Meters.
CITY, STATE R1;;HF7 ELD
ZIP 5 542
?
=
?
?
'
PHONE: 866-5092 T :'?
'
%
?{ f ,/
??
=
I AGREE TO COMPLY WITH CITY OF
OWNER: EAGAN ORDINANCES
ADDRESS: + ? A
CITY, STATE ZIP
PHONE: SIGNATUR WHEN METER ISSUED
PLEASE ALLOW TWO WURKING DAYS FOR PRaCESSING. CALL 454-5220 FUR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING QEPT.
id J. - 9
&r#ifiraft of (Orrupanry
Citp of (eagart
]r?wftetd a# luitd'mg jtwpPr#ian
Tleis Catifiaate iuue?d pursuant to lhe requinenuntr of Sadion 306 ojlhe un?ifonn BuildiRg
Code cerh).ing thatQl rhe time of issuana thissuuclure xw in oamplianae with !he rarious
ordincncrs ajrhe City-ngulaling building ovnmuction or usa For rlre joUowing:
twa..mowo. Sti =,/CAR eas. Fb=ic ra. I82M
00=90KY TYre R ?Ajl z=iuc onu;u -H}/R I rra co?r VN
owwoream* BRIAN L- 7UMQrw Aamm 44M wpnarm IaR7vF, ?.ar,aN
4IA[. arm.'IM TVE L 12, S2, IEXINGZIIN PDIlIIE 6TH
BuMins Offidal
Posr nN A coNSPIcuous Puce
' • MECHANICAL pERMIT
, • CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
:ONTRACT PRICE: - ??2D. :ju PNONE: 454-8100
?iteAddress :?Tr:?.?t?r ririvc
BLO{i. TYPE
ot Block _ Sec/Sub Reg :
M ult
m Name Comm.
Address i ?'J? P' p11e'.:?L ,• ,.?iJ
? CiN :.?'f-r. ?=rairie Phone `'?:1 1211 Other
Name erlan •rnorso
c Address 44GC S'?BC1(iP4.'O
p City f;a<r...:
TYPE OF WORK
"ForcedAir i.°_r,.'105: L:.Z?JT???.jfL?'7"M BTU
7r
Boiler M BTU
Unit Heater M BTU
Air Cond. -'• ?': ol: ., ? l? -? 7.1 M BTU
Vent ` FM
i 7 ..Gas Piping OuUets #
PERMIT FEE:
S/C: •
TOTAL:
For Office Use Only:
PERMIT # .
-RECEIPT #
DATE:
WORK DESCRIP'TION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
-;e 4.+ (RES. HVAC INCLUDES NC ON NEW
CaNSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMI'T)
COMMAND FEE - 1% OF CONTRACT FEE
APL BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIMUTA RESIDENTIAL FEE - ALL ADD-ON 6
REMODELS
$24.00
6.00
1.50 EA. •1
12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C,PER EqCH $1000.00 OF PERMIT FEE)
SIGNATURE OF PERMITTEE
FOR: C(TY OF EAGAN
• PLUMBIMG PERMIT
. CITY OF EAGAN
3830 PILOT KNOB ROAO, EAGAI
r PRICE: PHONE- a5a_ainn
Site Address
? Nart
?o Add
c City
Phone
L Name
3 Addre
p CitY -
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES, RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20,00
STATE SURCHARGE PER PERMIT - .50
(AOD $.50 S/C IF PERMIT PRICE GOES
PERMIT #
RECEIPT #
MN 55122 OATE:
BLDG. TY WORK DESCRjPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAJ.
_.?2_Water Closet - $3.00 R%
i_Bath Tubs - $3.00 ?
_Z&Lavatory - $3.00
-4:-Shower - $3.00 -? '
_4-Kitchen Sink - $3.00 A. OG
Urinal/Bidet - S3.00
-4_Laundry Tray - $3.00 3 • do
Floor Orains - $1.50 10,50
---L-Water Heater - $1.50 • 0
-L_Whirlpoal - $3.00 3, [ D
?Gas Piping Outlets - $1.50
(MINIMUM - 1 PEA PERMIn
SoRener - $5.00
Well - $10.00
Private Disp. - $10.00
ld Rough Openings - $1.50 -?
SIGNAT RE OP PERMITTEE FEE:
STATE S/C:
FOR: CITY OF EAGAN ._i??J
GRAND TOTAL•
. • , . ,?.. -. . ,,. .. .
. . . , ... .. _ . . . ?
CITY OF EAGAN 1 S?O4
r. ? .._. u ?.
,?'? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?
` L PHONE: 454-8100
BUILDI?IIG PERMIT Receipt # `
' S! DYiGlGltft ' 11194, 000 .NI.Y 26 90 .?
To be used for Est. Value Date . 19
Site Awss --- - _'"_?----- -""---
Lot Block Sec/Sub. STR
Parcel No.
W Name MlAli L ?HORSOIf
o Address
City Phone
Address
City Phone
Phone
I hereby acknowlege thal I have read Ihis application and state that Ihe
information is correct and ee to comply 'th all applicable S1ale of
Minnesota Statutes and " Eagan Oj/i, es.
flq?
Signalure of Permitee
A Building Permit is issued to:
shall be done in accordance with all
? and City of Eagan Ordinances.
Building Oft-c!ai
QFFICE USE ONLY
R- .
Oocupancy ?_t FEES
2oning vili- _
(Actuaq Const Bldg. Permit
Y
A •
('vl°?"able)
-
Surcharge - I
?
# ol Stories
? •
Length Plan Review ?? ?
Depth SAC, City 00 _
W0
S.F. Total - SAC, MCWCC .
S.F. Footprints - ??
On Site Sewage _ Water Conn "
•
On Site Well ? Water Meter 30.00
1
MWCC System XT_ Acct. Deposit ,
City Water
PRV Required _ SNV Permit ?
50
Booster Pump - SIW Surcharge
- ?
.?
00
132
•
.
2
Treatment PI
APPROVALS
Road Unit
Planner
il
C - park Ded. ?
ounc
BIdg.OH. -
_
Copies $11
'ssQ-
Varience - TO7AL
. ? Permit No. Parmit HoiAar date TNeplwne At
WATER ? S ? 3D
SEWER "
PLLMABING O
H.V.A.C. O G f?' O
ELECTRIC
Mspection Date In . Comments
Footings 1
Foundetion
Fru„ing ?
5 - ?
Roofing
Rough Plbg.
P-*?s? E
Fireplace
Fnal Htg.
Fnal Plbg. ? d
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Ptan
Bkig: Final 9
Deck Ftg.
Deck Final
weu
Pr. Disp.
DATE:
JULY 30. 1990
R 4384 t[AMILTON DR (BRIAl?1 L THORSON)
?:
X Your SeytRr& Water Permit for the above property has been completed. It will be held at the
Public? V4orks Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CAL.L 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 8 Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNIMG: BEFORE DIGGING, CALL LOCAL UTILITIES -TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNRY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITY OF EAGAN NO' ? 8204
, 3830 Pilot Knob Road, P.O. Box 21- 199, Eagan, MN 55121
PHONE:454-8100 ?
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.value $94,000 Date JULY 26 1990
Site Address 4384 HAMILIYIN DRIVE
Lot 12 Block Z Sec/Sub. LEXINGTON POINT OFFICe UsE ONLv
6TH
Parcel No occuoancy R-3?M- 1 FEES
. PD R-1
zoning $ 613.00
s BRIAN L THORSON
Name
(Aquap Const
ViL_
Bldg. Permit
w
o 4466 WEDGEWOOD DR
Address
(Allowable)
VII-
rohar
S
e 47.00
City EAGAN Phone 454-0644 s oi stones - g
u 398.00
44 Plan RBView
Lenglh _
o Name SAME peptn 46- snc, City
100.00
,
00 Address S.F.TOtal
C
CC 600.00
oa
¢ City Phone S.F.FOOlprints - SAC,M
W 625.00
N'aler Conn
On Site Sewage
ww Name OnSileWell _ WaterMeter 90.00
_?
Address n+
wcCSystem
XiL
30.00
u? AccL Deposil
iW City Phone cirywatar XX-
S/W Pa«^it 30.00
PRV Required -
I hereby acknowlege that I have read this application and state that Ihe Booster Pump - SNJ Surcharga .50
information is correct and amply ?itPPlIca61e State of 252.00
Minnesota Statutes and C Eagan Or i ces. 7reatmem PI
Signalure ol Permit6e APPHOVALS Road Unit 355.00
A Builtlinq Permit is issued lo: " BRIAN L THORSON Planner - park Oed.
on the ezpress condition that all work shall be done in accortlance with all Council
appliwble State of Minnesota Sta es and City of E?n Ordjnances. gidg, pry. _ Copies
3, 0.50
Builtling Official Variance - TOTAL
61 S
ti,- REQUEST FOR ELECTRICAL INSPECTION eeooom-oe
i See mslroclions far wmple[ing this lorm oa baok ol yellow cap¢
Q ?.,.;.?..
3473 ? "X" Below Work Covered bY This Re9uest
ew A TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air Conditioner
Othe:Isyecifyl Convanor's Remar.s'
?5?1r1 ' h
Compute Inspection Fee Helow?
N Other Fee # ServiceEnlranceSire Fee # Circuits/Faedars Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers A6ove 200 _ Amps Above 100 _ Amps
Signs inspector's Use Onry. TOTAL
Irrigation Booms
Special Inspectlon
!
Alarm/Communicalion RED DISCONNECTED IF NOT
THIS INSTALLATION MAY BE O
Othei Fee COMPLETED WITHIN 18 MONTHS.
I, the Electrical Inspector, hereby Rouqn-m , oate - G?
certify that the above inspection has
been made.
OFFICE USE ONLY
his request void 18 monthSlmm
i f'Vs o?4
U43 73
? o°°
/rva
Fequesl oate Fire No. Rough-in Inspection
Reqmretl?
Ll Ready Now ? WIII Nolily Inspector
=vas :,NO WnenReatly?
t
1-licensed contractor
5(owner hereby request inspection of a6ove elecirical work at
Job Atltlress i5treel. Bax or Route No.l
5l"3 k-11 ro /v De' . City
Ff1 Gi AN
SecUOn No. Townsnip Name or No. Range No. Couny
Occupanl iPRINTi pl L L4 /
V P?one?? No.
PDwOr Suppber Atltlress
Eiecv¢al Comractor IGOnpany Nene, Comractar's License No.
MeJing Atldress ICOntrector or Owner Making Inslallalionj
C`arx'1
umber
nutnonzed Signamre iCOmrac r /ai
la) iory Pnone N
mg
In
s?a
l
n
?7 [y
p
A
/
,
[
?
??2%v"?
MINNESOTA STATE BOA CE qICITY THIS MSPECTION REQUEST WILL NOT
Grigge-Midway BICg. - Room S173 - BEhCCEPTEO BYTNE STATE BOAAD
1821 Universpy Ave., St Paul. MN 55104 UNLESS PPOPEF INSPECTION FEE IS
Phone(614) 6a2-0800 ENCLOSED.
7/7 S? `??10?5
a 10 10
Re t Dete
1 /?
?-?J /) Fire No. h-in Inspeclion
e ir ? Reatly Now t.WA?otity InspecYor
?
2, ?
(? ?/ es ? N. When Ready?
I eensed contractor O owner hereby request inspection of above electrical work at:
Job A rBSS,(St/ t. Bo or R te .? • Ciry
V
S ion a. To sni ama or No. Renge No. CouMy
Occu RI
? PhM o.
Power S ie ? Adaress
EI al Canhact (Coqp y ame) CO ? Lice e
Maili g re C m ne? Making Insta ation?
AutM1O' etl SignaNr I nlraCt rl ner a in In5lallation) I w
\
V?•' Ph ?7 ?
MINNESOiA TE BOAPD OF ELECTRICRY THIS INSPECTION FEOUEST WILL NOT
Griggs-Mltlway BMg. - Poom S179 BE ACCEPTED BV THE STATE BOARO
1621 UnlvenHy Aw., SL Gaul, MN 55106 UNLES$ PFOPER MSPECTION FEE IS
Phone(612) 802-0800 ENCLOSED. '
91915 O REQUEST FOR ELECTRICAL INSPECTION
? See inslrvnions IdF completintj ihis brm on eeck oi yellow copy.
M10710 'X" Below Work Covered by This Request
ee-ooooi-oa
/
ew Rep.' TypeofBuiltling AppliancasWired EquipmentWired
- Home Range Temporary Service
Duplez Water Heater Electric Heating
Apt. Builtling Dryer Other (Specity)
Comm./Industrial ur ace
Farm Air Conditioner
Olherispecity) CaMraclor5 Remales:
Compute InspeCtion Fee Belaw:
# Other Fee # ServiceEntranceSize # Circuits/Feetlers FeaA;
Swimming Pool 0 to 200 Amps I /V O to 700 Amps
Transiormers Above 200 _ Amps 100 _ Amps
SignS Inspector§ Use Only: 7? L
Irrigation 8ooms
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 M
I, the Electrical Inspector, hereby Rough-in oa+e _3a?U
certity that the above inspection has
been made.
OFFICE USE ONLY
This request wH 18 monms from
. --
Z ?
1990 BUILDING PERMIT PLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
t
'dUL 2 0 1990
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 WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSIIED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used Fox: Valuation:
Site Address OIL,, I
Lat ta Block ??,_
Parcel/Sub ?a
+----
Owner ?
Address
City/Zip Code LAA-ti
Phone
Contractor ? wlR?
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/2ip Code
Phone #
`7y00v : Date
OFFICE USE ONLY
Occupancy R 3 m-1
Zoning PD R-I
Actual Const
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. !50-7?71p
Variance
-Zo-Qo
FEES
Bldg. Permit 1 O o
Surcharge '*'7,Ot7
Plan Review $,00
SAC, City 100.00
snc , Mwcc 6 aa. Da
Water Conn 6'Z?',O 0
Water Meter 90,00
Acct. Deposi t C OD
S/W Permit 3D,JD
S/W Surcharge lay
Treatment Pl . 2$2.00
Road Unit 355.OL'7
Park Ded.
Copies
SUBTOTAL
Penalty
TOTAL ,?t.
. t VRl_ttiA.?'?o?.7
,, •
. n ^' .
ZZ xZo = Li o x !5= ? 6ov
$$?T
ayn2,6= GZ.4
Ao K 31
-7 X3.
,?su X.Jy-? /3 35-C,
H o u S C -
X4ty = I 1 y LI
12Yz = 1°I
c? x cd _ G K
?y y? ry ' I?L
1L4 33?s1= 73 3?
93Q39
TRI°LAND CO. CERTIFICATE of SURVEY
SURVEYING for =
SERVICES THORSOIU
EAGANLA MN D 55122 CaNSTRUCTION
LEGA L DESCR I PT ION : LOT, ? , BLOC K2, LEXINGTON POINTE 6th ADDN.
? ACCORDING 70 THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
HAMI TON DRIVE
?
N89°59' 7"E 78.19
0
o w.?. g
? sr- -- ------?5 h
?rm L ro i9 p
SCALEA"=30' 90.i p ??5" zZ•O a 98 p
9 ? M o ?
Pv-°P0? j 3
? N .D • R.r9'C?
Isg? i o (984.7) R8? ? I O
I
I 979.7 ? 980.9 ? O
LOT II o 1 o LOT 13
z ? LOT 12 ? z
I6 DRAINAGE B UTILITY EASEMENTS?
? _ J
906 N89°59'17"E 78.19 9e
,;=?
,?
?
2- ,,
FAGAN ENGINEtFtING UEPT
LEGEND
o DENOTES IRON MONUMENT
a DENOTES WOOD HUB SET
yeas DENOTES EXISTING SPOT
ELEVATION
C960.o) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
%%,koros?7? v??iT 6-,v7,Er- kZ44.<cKS7-
INVERT ELEVLITION AT SERVICE EXTENSION=
PROPOSEO GARAGE FLOOR ELEVATIONQ 457
PROPOSEO FIRST FLOOR ELEVATION _ 9 z
PROPOSED BASEMENT FLOOR
ELEVATION
NOTE' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
1 Mnby c*rtify tAat this surwy,plon or
roport was prepand by ms or under my
direct supervision and ihat I am a duly
Reqistored Lund Survoyor under ihe
Lawa oi the Stote o1 Minnesota.
I?- 44. I 'jZ._
Bradl?y J.' w nson, Mn. R*Q. No. IS233
Date - ? 1 1- )`i ?)
e e
' -C HOiSE
)wner
;tte Address L-??
?
J 1 n 1 ?
?n oV C. H AT EA 0
EHERGT ?uuc -
opClun EEfectlve
...... .......
L? I O N _ ?__ ?.''
Phone ^at? ? 9 0
N GT'DN I'o I KZ'E ?-rH ?r?D'!?l ,
.Phone
:ontractor_
nq Classiflcation: 7ypQ A1 (Single FaTily 3 Duplex)??_7YPe A2 (Residenttal
• (3 stories nr ess
;ulldi
(Other) (0oer 3 stories)
3ENERAL INFORMATION
1. Building Perimeter ft.
?. Wall height (91round to eave) ft2 I?oK t<t +?g,
»?g
z?} Z
3, 1. x 2. (a0ove) gross r+all ft.
4. Buildtng dimenstans (L) `lek z(, + x(W) •t ?-Aa ft. roof S floor area
i. Square fcot area of rim joist - io?°''xjPerimeter `2Rimt oist area •'??_.ft2
-Tr
6. Doors - Area ?_T .?
Thickne
Typ• ot
Ranufacturer
n: 'U'?''actor
--Ferimeter
7. Total door's perlmeter 3 -.3F, .z-(6 _ ft
8. Wlndows;. kanufacturer ?\Doc-cCD State approved 10n'? •
U factor
2
7YPE S1LE Z) NUMBEFI OF
ARc ?A (f:. TOTAL FEET
EACH UNITS
n4 c0 3v^- b
`
'
?s
Z?.
i
-
iotal ft.Z Glass . .
Z
y,
106 FtreplaCe area: Width x heiaht • -? x ft.
Z
11 , Exposed foundatlon: Hei9ht x Perimeter
., 5 x Ft
.
:)MPlETION Of THIS FORM IS REQUIRED FOR ALL NEW COfISTRUCTION. M11JOR REMODELING ANO BUILOI'IGS BEING
1)VED NHERE ENERGT. OTHER THAV THE MINIMAL COOE ALLONANCE. IS USED. _
•
'? ? ?
: . , .
rea • lOX of g ross Hall area.
..
`*.2
,
.,oss,Hall area
rea A Z ft.z
c>?
3'7 I. ++indows J x A
Nlndaa a .
_
A
? f
??? ? t.z
U rim joist ?
. o U
x
A
? 5•??
,ioist area
Rim _
?
ft
- 7 door area`?° .,\z,3
U x• A • •?S
poor area A .
7 _ _
A ft
2 Ufireptace -EE?)- U x a • ?-
Fi replace. area .
-F-?
Exposed foundation
A ,
'? ?• ? ft.'
.•U foundation ?
.\\ U
r.
A ?
?
A ft.? J franing area • dG?l U z A ¦ ?.?-?
Framinq area
?t 'J wall OU x :+ ¦???`??7
Net uall area A m
•
7.1 -+ ?. . . -. . . . . . . . U x A
Gross wall area x 0.11 (A-1 single family S d6L;=x = allowable UA d/Code
(13. abave) .
x 0.23 (A-2 other resiCen[ia '.;
x .23 !4ther buildings;
no •;a-)
x ..u (vV@I ) StOr _
TUH Must be larger than
A x l Ccde. ..._ • \? __ ? ? . . 138 :bove
? ---- ( r the same as)
, Caiting framing area (A{) aquals 10° ?f :n91in? area
2
3. Gross ceiling area
2
j Joist area (Af) - 10" ceiling area ('4, Z•? ft•
?. Ne*_ ceillno area (Ac) (15A - 158) - \? Cl -rl. 4 O ft.2
U ceiling_x A ?• , c?`?? LO'
U framing x A f=
). :Q?dl U x A ........................................
. Celling area (i5A) x 0.026 {A-1 single `amil! S duplex - code a11o?4able U x A
x O.C33 (A-2 other resida^tial)
x O.C6 (other)
BTIIH Must be larger than 1E6 (abave)
?(? -4) 1c??L xY- fcode);;Z??C, Of (or the same as)
s
NOTE: Use U and A values obtained f?•om nps 1. 3 and 4.
,
L ia eL a CzTY oF ?GAN
?SQ /1? PLUMBING PERMIT
SUBD.(/I?. (:?' C! (612) 681-4675
RESIDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH i1NIT.
WORK DESCRIPTION
NEW CONST ,
ADD ON ? -
REPAIR
OWNER NAME: S U S H//_ -p /L L A 1
SITE ADDRESS:4,? $ 4 r f-{ A M I L 76N .`h£' ?
?RG-7 AN , Mpi 551;-) 3 .
INSTALLER: v`'USH!/_ P/LLA!
ADDRESS
CITY
ZIP:
PHONE jj: L2 7- 9I 7 P
SIGNATURE OF PERMITTEE
N0.
CITY USE ONLY
RECEIPT # ?O"1
DATE c2 9
ALSO, FOR TOWNHOMES AND CONDOS
COMPLETE THE Ft1LIAWING:
FIBTURES EA. TOTAL
REPAIR/ADD ON 15.00 15-ca
SHOWER 3.00
WATER CIASET 3.00
BATH TUB 3.00
LAVATORY 3.00
KITCHEN SINK 3.00
LAUNDRY TRAY 3.00
HOT TUB/SPA 3.00
WATER HEATER 3.00
FIAOR DRAIN 3.00
GAS PIPING OUT.
(MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
WATER SOFfENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S I S 5 O
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS: _
TENANT NAME: _
SUITE #:
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
CITY OF EAGAN
CONTRACT PRICE:
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIM[TM FEE.
CONTRACT YRICE x 1% $
STATE SURCHARGE
TOTAL:
(SIGNATURE)
r L BL CITY USE ONLY RECEIPT 3 /3 0-`?
SUBD. ?LPXtk?IC??I?9 Yt1SV11'?. 1f/`?-. RECEIPTDATE:
J PERMIT # . ii I ri 5
E000 PLlJA3oINEi PERMIT (f;f.'SIDENTIAL)
crrYoF r.Ac,hri
3830 Pu.or scNos ttn
£A6AN,INF 55122
651-6$1-4675
Please complete for: D single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
civri iocc
Fnr.H
#
TOTAL
Alterations to existing dwelling - minimum fee
Describe: $ 30.00
Bath tuh $ 3.00 x = $
Floor drain 3.00 x = $
Gas i in Outlet ' minimum - 1 3.00 X = $
Hot tub/s a 3.00 x = $
Kitchen sink 3.00 x = $
Laund tra 3.00 x = $
Lavato 3.00 x = $
$e tIC $ stem newlrefurblshed ' requlras MPC Ilc. 75.00
X
-
$
Se fiC S Stem abandonment 30.00 X = $
RPZ new installatioNre aidrebuild 30.00 x = $ ?
Rou h o enin 1.50 Y.
=
$
Shower 3.00 x = $
Under round s rinkler if dwellin is under conswction 3.00 x = $
Under round s rinkler itexisun dwenin 30.00 x = $
Water closet 3.00 x = $ ?
Water heater 3.00 x = $ o- 00
Water softener if dwellin under eonsVUCtlon 5.00 x = $
Watersoftener ttexistin dwenin 30.00 x = $
Waterturnaround 30.00 x --- _ $
State Surchar e •50 -?"' ?""' $ 'SQ
Total -> --> ---> ..-> S O SD
Reminder: Call for inspections of aiterations, i.e. water heaters, water softeners, etc.
-
------ ------------ -•----•----------....-•---------•-°----_
- ordina-
- nces.
-----,--------------------------------------------- ---- -------
I hereby acknowtedge Nat I have read this appliption, state-tha[- the informa6on-- is-• correct and agre ° e to comply with all applipble -Cityof Eagan-
I[ is the appliCant's responsi6ility to nobfy the property owner that the City of Eagan assumes no liability fcr any damages Caused by the Cityduring iis normal
operational and maintenance activities to Ne faciliUes constructed under Ihis permil within Ciry propertylright-oF-wayleasement.
?
SITE ADDRESS:I
OWNER NAME: I
INSTALLER NANtc-
STREET ADDRESS:
CITY:
VOROIJYAK, JASON I
4384 HAMILTON DRIVE TELEPHONE #:
EAGAN, MN 55723 - (AREA COOE)
(651) 6883050
TELEPHONE #: ?
NARBLOM PLUMBINQ C0. i/+R
ZiP:S 2000
OF PERMITTEE
INSPECTION RECORD I C°nt° "° 0296
CITY OF EAGAN PERMIT TYPE: BulLoiaG . ?.,;•
3830 Pilot Knob Road Permit Number: 000366
Eagan, Minnesota 55123 Date Issued: 04 J28/92
(612) 681-4675
SITEADDRESS: LoT: iz eLocK: z APPLICANT:
4384 HAMILTON OR PILLAI SUSHIL
LEX POINTE 6TH (612) 687-9178
PERMIT SUBTYPE: TYPE OF WORK:
BASEMENT FINISH ALTERATION
?
?
REPIARKS: RECEIPT 1{ SEPARATE PERpIITS REQUIRED f-0R ELEC =,6. :PC80.'y,
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
4384 HAMILTON DR
LOT: 12 BIOCKs 2
LEX POINTE 6TH
Control No. 0296
BUILDING
000366
04/28J92
DESCRIPTION:
8ase Fee $35.00
Surcharge $.50
Total Fee $35.50
Bwildirfg,Permit Type
Build3ng Work Type
- `?
1 ?? ?-•. /.='f t--
. ', .
:i I .? ???? ? ..:•`? ?`"'?i?t ? U?J f?
!._
REMARKS: F
RECEIPT N
5EPARATE PERMZTS REQUIRED FOR ELEC & PLBG
FEE SUMMARY:
CONTRACTOR:
?
BASEMENT FINISH
ALTERATION
OWNER: - ApPlicant -
PILLAI SUSHIL
4384 HAMILTON DR
EAGAN MN
(612)687-9178
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with a12 applicahle Stete et Mn.
Stetutes and City of Eagan Ordinances.
/ Y f%i?lF:f?/'W"?'u- ???I?iGLl.
APPLICANT/PERMITEE SIGNATURE
L/-? 4-1
ISSUED BY: SIGNATUFE
PEttMIT N' CITY OF EAGAN
1992 BUILDING PERMIT APPLICATION
'5 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, i set of
specifications, 1 copy of er?ergy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date Valuation of aork
Zf 3 3?f /log M/LTDN 6-4 6741V 3
Site Address:
STREET STE ?
Tenant Name: SvSH/C.r
L0T BLOCK SUBD. P.I.C. /
Descri tion of work:
The applicant is: ? Owner ? Contrac.tor ? Other coescrtbe>
Name PILG f} Phone 68 7- q/78"
Property LAST FIRST '
Owrer qddress rf 3&4z 1-1,q M!G TO N QC,
STREET STE N
City ?? 67A A,1 State M/l/ Zip
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration ?i
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.
s
Signature of Applicant:
vw? vv? vn??
BUILDING PERMIT TYPE
? 01 Foundation ? 05 Apt. 61dg ?9 Basement Finish
O 02 SF Dwg. O 06 6arage/Accessory U 30 Swim Pool
? 03 Two family ? 07 Fireplace ? 11 Res. Add./Porch
? 04 Multi-fam. T.H. ? OS Deck O 12 Comn./Ind.
WORK TYPE
1 New
32 Additlon
? 33 Alterations
? 34 Repair
O 35 Tenant finish
? 36 Move
GENERAL INFORMATION
O 37 Demolish
O 99 Undefined
,
? 13 Public Fac.
? 14 Agricultural
? 15 Miscellaneous
Const. (Actual) Basement sq. ft. MWCC.System
(Allowable) lst F1. sq. ft. City Water -
UBC Occupancy ? 2nd F1. sq. ft. PRV Required -
Zoning Sq. Ft. total 8ooster Pump -
!' of Stories Footprint Sq. ft. Fire Sprinkler -
length On-site well Census Code -
Dapth On-site sewage SAC Code =
APPROVALS
Planning Building S y.zy-pz Assessments
Engineering Variance
REGIUIRED INSP ECTIONS
? Site ooting /wFraming ? Insulation
? Wallboard Final ? Draintile 0 Fireptace
Permit Fee D5,00 wiuation: $
Surcharge
P1an Review
License
NWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total: g-6. ?13
SAC %
SAC Units
? RESIDENTIAL
BUILDING PERMIT APPLICATION
So cirv oF EAcaN
3830 PILOT KNOB RD, EAGAN MN 55122
651-881-4875
New Constructlon Beouirements
• 3 regi5teretl sAe surveys showing sq. ft of lot, sq. N. of house; and II roofed areas
(20% maximum bt covemge albwetl)
• 2 coples of plan showing beam & window sizes; poured found design, etc.)
• lsetotEnergyCakuletbns
• 3 coples M Tree Preservatbn Pmn tt lot platteA eltar 7/1/93
• Rim Joa2 Detail Optlons selecl'an sheet (61dgs wXh 3 or less untls)
DATE 5-2 3- d2
/N
SITEADDRESS 4 3 PS-q 4P?m 1 L--roN_72. MULTI-FAMILYBLDG _Y
TYPEOFWORK NE,?J 2o4- FIREPWCE(S) ?0 _ 1
APPUCANT T^1LD2 I_:?fOGj? C'rp2p. ,,/?
? l+lr2- S CIiY'' IlVI i
STREET ADDRESS 3?01 LU YI<L(3 lP
TELEPHONE # 651 `Aa 2OLYj CELL PHONE # FAX #
_ 2
55fv0a_91S7
lq,,? -? ?;'
PROPERNOWNER JASor-1 vtXOriyqr TELEPHONE#
----------------- ---------------- ---- ------- -------------- ------- ------- --------°-----------
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RUI.FS 7670 CATEGORY 1 MINNFSOTA RUI,ES 7672
(J submission type) • Residantial Ventilation Category 1 Worksheet Submitted ,• New Energy Code Workshaet Submiried
• Energy Envelope Calculations Submitled
Plumbing Contracfor: _
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactor.
Air Conditioning
_ Heat Recovery System
---------°------------°--------------------------------------------°--°
I hereby acknowledge That I have read this applicatlon, state ihat me
with all applicable State of Minnesota Statutes and City of Eagan Ord
Signature of Applicant
Fee: $70.00
and agree to comply
OFFICE USE ONLY
VALUATION b 2"00- ?
_ Water Softener _
_ Water Heater _
No. of Baths
pemotleVHeueh Reoulremenie
• 2coplBSOfplen
• lsetotEnergyCalculetionsforheatetladdAans
• 15ttesurveyforexteAoraddi[ions8decks
• IrMicete N hane served by septic system for atltlAions
_ Phone #
Iawn Sprinkler
No. of R.I. Baths
Phone #
Phone #
Fee: $90.00
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updatetl 4/02
OFFICE USE ONLY
? 01 Foundation
? 02 SF Dwelling
? 03 01 of _ plex
? 04 02-plex
O 05 03plex
? 06 04-plex
0 07 05-plex ? 13 16plex
O OS 06plex O 16 Fireplace
O 09 07-plex O 17 Garage
O 10 08-plex ? 18 Deck
? 11 10.plex ? 19 Lower Level
? 12 12-plex Plbg_Y or _ N
? 20 Pool
O 21 Porch (&sea.)
O 22 Porch/Addn. (4sea.)
? 23 Porch (screened)
O 24 Storm Damage
0 25 Miscellaneous
? 30 Accessory Bldg
? 31 Ext. Alt - Mutti
? 33 Ext. Alt - SF
? 36 Multi
? 31 New 0 35 Int Improvement O 38 Demolish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) 0 45 Fire Repair
? 33 Alleration ? 37 Demolish (Bldg)' ? 43 Reroof 0 46 Windows/DOOrs
? 34 Replacement •Demolkion (ErHire 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 5q. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FinaVC.O.
_ Footings (deck) FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tes[s _ Final
_ Framing _ Siding Smcco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Suppiy & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
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-,� Use BLUE or BLACK Ink
� ForOfficeuse---------�/��
C�. � � �
6 Ol �� �11 j Permit#: / �/�� 41T''�/,��
� � �
� Pennit Fee: �Q �� �/ ,
3830 Pilot Knob Road / ,�
Eagan MN 55122 � Date Received:�- � "-�`� �v
Phone:(65i)675-5675 � �
Fax:(651)675-5694 I Staff: � I
6:'� �----------------�
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: � Site Address: � � , Unit#:
� � � Name: ��,' �` �( ` � � <
Phone: ��2 ��� 7��_
Resident/
�OWl��t' Address l City/Zip: .� °,�. � �
Applicant is: �Owner Corrtractor
Type of Work pescription of work: i -3� �
Construction Cosfi Multi-Family Building: (Yes /No `t )
Company: Contact:
COttt1'a�#Ot' Address: C�.
State: Zip: Phone: Email:
License#: Lead Certificate#:
If the project is exempt from lead certification, please exptain why: (see Page 3 for additionai information)
COMPLETE THIS AREA ONLY IF CONSTRUCTIIdG 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:Pfans and supporting documents that you submit�re considereal to be perblic ir�form�ttion. P�rtfon�of
the information�y be cfassified as non public if you provide specific reasons#i�at wou/d per,r»i#the Ci#y to
conclude that the are trade secrefs.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for proteciion against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilfties. www.Qopherstateonecall ora
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 ptan in the case of work which requires a review and approval of plans.
F�cterior work authorized by a building permlt issued in accordance with the Minnesota State Building Code must be completed wfthin 180
days of permit Issuance.
� x ��� � � � , X � �
Applicant's Printed Name AppliCant's Signature
Page 1 of 3
. �
� ���� ���'1 i (t0f� ��.,� /
` ' DO NOT WRITE BELOW THIS LINE / �l�� �
SUB TYPES
_ Foundation _ Fireplace � Porch(3-Season) � Exterior Alteration(Singte Family)
g( Singls Family T Garage _ Porch(4-Season) � E.uterior Alteration(Multi)
�t Multi � Deck _ Porch(Screen/GazebolPergola) ____ Miscellanebus
_ 01 of_Plex _ L.ower Level _ Pool _ Accessory Buiiding
WORK TYPES
New T Interior lmprovement � Siding T Demolish Building*
�Addition � Move Building _ Reroof _ Demolish Interior
_ Alteration � Fire Repair _ Windows _ �molish Foundation
_ Replace _ Repair _ Egress Window � Water Damage
Retaining Wall *Demolition of entire buitding-give PCA handout to appiicant
DESCRIPTION � �,��
Valuation Occupancy =�.. MCES System
Plan Review Code Edition � SAC Uni#s
(25%_100% ) Zoning �� City Water
Census Code � Stories Booster Pump
#of Un�ts Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings(Deck) Final/C.O. Required
� Footings{Addition) � Final 1 No C.O. Required
� Foundation HVAC T Gas Serviee Test G�s Line Air Test
Rpof:_Ice&Water _Final Pooi:_Footings _._.Air/Gas Tests _�inal
�, Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stuceo Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wal1:`Footings_Backfill^Final
Sheetrock Radon Con#rol �
Fire Walls Erosion Controi
Braced Walls Other:
Reviewed By: � , Building Inspector �'/ �G�(r�`—�
RESIDENTIAL FEES ��
Base Fee
d � y"x
Surcharge ���'",'������°
Plan Review �`
MCES SAC , � � � ��a �'( � "- �" Q �� `�3 �
� / � �
City SAC !
Utility Connection Charge ,.��,�,g���� �'4� '�' �� �' �� �(1�
S&W Permit&Surcharge
Treatment Plant ��� � � ���
Copies � ''� � �
��� ��� � ��, ��.
TOTAL � r - ���
�'�`'��` t[i t bage 2 of 3
\!
t
� �� o�����
Sarah Thomas
From: Sarah Thomas
Sent: Monday, April 27, 2015 12:50 PM .� �,
To: 'Sadie Varpness' ���'`` !
Cc: Nick Varpness;Jeffrey Wheeler �� �
r' r,f1 3 � ��
r�
Subject: RE: Eagan requirements � � �
V � l���
�
Yes, those numbers appear ta wc�rk!
It's nice when that's the outcome and you can avoid a Variance. ,� '
, � � ,
Flease let me know if you need anything fiurtF�er and enjay your addition. � f.J
Regards,
Sarah
Sarah Thomas � Planner ( City of Eagan
City Hali�3830 Pilot Knob FFoad�Eagan,MN 55122�651-675-5696�651-675-5694(Fax}�sthomasCa'?citvofeaaan.com ��� ������('�
ll
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If you received this in error,please coniact the sender and delete the e-maii and its attachments from all camputers.
From: Sadie Varpness [mailto:sadieskramstad@yahoo.com]
Sent: Monday, April 27, 2015 12:43 PM
To: Sarah Thomas
Cc: Nick Varpness; )effrey Wheeler
Subject: Re: Eagan requirements
Hi Sarah!
What you said is exactly right. The county numbers contain 48 sq. ft of overhangs that we have in 3 places on
our house. Anyway what we are proposing to add is 240sq ft of garage and 48sq ft of entry way. That would
put us over by 32 ft - which is 20.3%. That would however round down to 20%based on your email to us last
Thursday so I think we are in the clear as far as zoning goes.
Thank you for helping us work thru this! ���p
� �
Sadie Varpness -----=°-'�
� ���
Sent from my iPhone
— � S�,
_���.
On Apr 27, 2015, at 10:47 AM, Sarah Thomas <SThomas(c�r�,cit.� ag n.com>wrote: � � ��`�..
1
J l � / � Y !
�
�I�aC�l�,
My co-warker shared the in�armat€an you provided last Fr�day when you and Nick stopped in.
I alsa pulled the Site Survey thak the City has on file. This is nat an asbuilt, it is what was praposed a�
time c�f ori�inal cc�nstructinn. I've attached it for yaur use.
i've calculated the garage at 440 SF ar�d�he house at 1,4Q4 SF,for a total of 1,844 SF ar 17.6%n. That
means you could add 256 SF. This differs from the County data as those fig€ares allowed 208 SF.
! dan't recali the size of your proposed addition. !f you can keep it at or under 256 SF the� 1 can sign off
fram a zoning standpoin�.
If you feel these figures are inaccura�e,you will need to provide the measurements, whether you do so
yourself ar hire a surveyor is up ta yau.
Regards,
Sa ra h
Sarah Thomas ( Planner � City of Eagan <ima e001. �
City Hall(3830 Pifot Knab Road�Eagan,MN 5b122�651-675-6E96�651-875-5694(Fax)�sthomasCc�cityofeagan.com g g
THIS COMMUNICATfON MAY CONTAIN CONFIDEN7IAL ANDlOR OTHERVUISE PRC?FRIETARY MA7ERIAL and is thus far use only by the intended recipier
If you received this in error,please contact the sender and delete the e-mail and its attachments frarn a31 camput�rs.
� , �.,�. ..,A,,,.,_
From: Sadie Varpness [mailto:sadieskramstad a�yahoa.com]
Sent: Thursday, April 23, 2015 3:38 PM
To: Sarah Thomas
Cc: Nick Varpness
Subject: Re: Eagan requirements
Hi Sarah!
I just noticed that the square footage that the city has for our garage is wrong - our existing
garage is 20x22 which is 440 sq. ft. The property records say 484. If you look at the original
survey it even has proposed garage of 20x22. I think someone just accidentally calculated 22x22
when they entered the garage footage. That could get us down to 20.3% which would work
right? And the rest of our house is 1404. So altogether our real square footage is 1844 not
1892. So if you add our proposed 288 to that we would be 2132. So what do we do from here?
Sadie Varpness
Sent from my iPhone
On Apr 23, 2015, at 2:51 PM, Sarah Thomas <SThomas(cz�,citYafea�an.com> wrote:
Good Afternoon Nick,
My ca-worker, Erik Slettedahl, shared that you were in yesterday. He informed me he
shared the Variance information. Regard�ng the mailing labels,yt�u can bring tF�em in
2
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Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 � I
Fax: (651)675-5694 I �
� Staff: �
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2015 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2j sets of plans with all commercial applications.
Date: � �y f S Site Address: t'�3$�l f-�a y.�.,,��'�ti � �.-
Tenant: Jv;,�--� ' S�c1,"� Suite#:
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� `� � �` New Replacement Additional Alteration Demolition
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�Air Conditioner
�������m�T� � — Install Piping Processed
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RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit(includes$5.00 State Surcharge)
$100.00 Residential New(includes$5.00 State Surcharge) _$ TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$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 petmit,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 (��c.h Ga.,�.g� — �
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3830 Pilot Knob Road i
Eagan MN 55122 � Date Received: �
Phone: (651)675-5675 I �
Fax: (651) 675-5694 L Staff:______________�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:_ L ��� ll�'�� �tG"� 'J T
Tenant: Suite#:
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Resideta#l�an►ner " Name: l!/1G���5 v �o�/'P��'�S Phone: /��" 9�3—�1'/`�j
Address/City/Zip: 13�7 / T4l� ��
Name: License#:
COi1tt'�C�OI' Address: City:
State: Zip: Phone:
Contact: Email:
T�/�e Of�IOYk —New _Replacement _Repair _Rebuiid _Modify Space _Work in R.O.W.
Description of work: g — �'u�.-.�r - U �g��� ����-,''�' �`���� !
< RESIDENTIAL
,�Water Heater
Water Softener
Lawn Irrigation�RPZ/_PVB)
��r�����'�� Add Plumbing Fixtures�Main/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes State Surcharge)
$60.00 Lawn Irrigation(includes 8tate Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment, Water Turnaround'`(includes State Surcharge)
'Water Turnaround(add$210.00 if a 5/8"meter is required)
$115.00 SeqtiC SYstem New(includes County fee and State Surcharge) '�,
TOTAL FEES$ I
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. I
Call 48 hours before you intend to dig to receive locates of underground utilities. www.qopherstateonecall.orq
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 witho t 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 � "i m� �1 V � X
Applicant's Printed Name Ap ant' Signature •
�OR OFFICE USE '' Reviewed By: Date:
Required anspQctions: Under Ground Rough-ln Air Tss# Gas Test Final
Meter Related ltems; Meter Size Radio Read Manometer Staff: