4399 Hamilton Dr
Use BLUE or BLACK Ink
r
For Office Use l
I
;
Cit of Evitn ; Permit#: ~ ~3 ec? 73
4100 I
y ~:7
Permit Fee: ~L~•
3830 Pilot Knob Road
Eagan MN 55122 Date Received j
Phone: (651) 675-5675 I I
Fax: (651) 675-5694 I Staff: I
I I
-
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 67\1 3 2-ol Site Address: 114 w, r / f -7 /✓v r v t
r-°
Tenant: o y 1- Ad A Q Suite M
/ -
RESIDENT / OWNER Name: -7 on 19 Phone:
Address / City / Zip: M ii Applicant is: Owner _,X Contractor
TYPE OF WORK Description of work: & A /a C, e •M _14 > -7 Brea "15 Construction Cost: f) (p 3 Multi-Family Building`. (Yes / No )
CONTRACTOR Name: a- b ~c c License Z 4 6l d
Address: 7E e r r+ -c City: 6' t f G O44--_
State: tVI Zip: S C j U Z j Phone: 77 2 `f 0
Contact: _ a fz l ~ 2) Email: Ce
$1 7tc
e S *14 e .•G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval o tans.
X--Pa L/)j '411f -7 Wes/-Ae
Applicant's Printed Name pp is s Signature
X Page 1 of 2
NiA t 1 7 2010
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: . „ ?
?i„rdli;
,Nii tura vnI wit b ; 11
PERMIT SUBTYPE:
it
APPLICANT:
TYPE OF WORK:
B11 t i If I r41i
ylrnr:11
H!" /Ot./911
Pemtft No. PermR Holder Date Teleplwne #
S/IM
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspsction Date Insp. Comments
Footings 1
Foundatian
Framing
Rooflng
Rough PIb9_
Rou9h Ht9•
Isul.
Fiteplace
Fnai Htg.
OrselTest
Rnal Plbg. Plbg. Inspector - Notily Plumber
Corist. Meter
EngrJPlan
Bldg. Final
Deck Ftg. s?, y3 AW
Dedc Final y
Well
Pr. Disp.
CASH RECEIPT
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
UATE
,
1 - ,
'FFIDM ??. j i ?(.I??. ?-'? ?`,?? i 1?.? 1Jt`i i
?
n?lo Nir- _$ a ooLu,Rs
'w
O CASH ? CHECK
Thank You
BY
C 13265 ?, ?
????
SEWER & WATER PERMIT
CITV OF Lk'GAN
3830 Pilot Knob1 Rd.
Eagan, MN 55122-1897
'
DATE ` MAY 3, 1991
?
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE 05/06/41
PERMIT # 11973
B.P. RECEIPT # ? f
B.P. RECEIPT DATE ? 5 t?6 91
_ PRV - 6005TER PUMP
SITE ADDRESS 'F `' )'i 1;AM + !; :0: ! DR
LOT ?= BLOCK ? SEC/SUB 1,Lx1h,GT0N YaI,?`'TE 6TZ!
APPLICANT:
ADDRESS:_
CITY, STATE ZIP
PHONE:
PLUMBER: F;AYMOND C HAEG PLUM bINc: IwC
ADDRESS: 7226 CEDAR AVF 5
CITY, STATE "IGHFIELD '4A1 Zip 55423
PHONE: C66-6092
OWNER: 740P.SON PROPFR1' I ES I NC
ADDRESS: 4466 IdEDGEV(?OI, LR
CITY, STATE
PHONE: F ACAt? 1 A
`, `4-G?;Gz: ZIP 55123
PERMIT REQUESTED
X SEWER
- COMM/IND
x NEW
? WATER - TAPS
X RESIDENTIAL
EXISTING
Lawn Sprinkler Meters are to be Instafled
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be qiven for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORICING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE MAY 3. 1991
METER # ?L
CHIP # 1Z?
METER SIZE
ISSUE DATE
USE ONLY
PERMITDATE 05/06I91
PERMIT # 1.1971
B.P. RECEIPT # {--? -' 2
??
B.P. RECEIPT DATE ?? 5 O6 91
_ PRV - BOOSTER PUMP
SITE ADDRESS 4399 HAMILTON DR
LOT s BLOCK 1 SEC/SUB LEXINGTOH POINTE 6TH
APPLICANT:
ADDRESS:_
CITY, STATE
ZIP
PHONE: -
PLUMBER: RAYHOMJ E HAEG PLUHBING IIiC'
ADDRESS: 7226 GEDAR AVE S
CITY, STATE RICHFIELD MN Zip 55423
PHONE: 866-6092
OWNER: TFaRSON PROPERTIES INC
ADDRESS: 4466 WEDCEWOQD DR
PERMIT RE(2UESTED
X SEWER X WATER TAPS
- COMMrIND X 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 TO COMPLY WITH CITY OF
E PIORDINANCES
c
. A
CITY, STATE EAGAN MN ZIP 55123 4-)
PHONE: 454-064A SIGNATURE WHEN METER ISSU
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
! +? ?T 1T!
I? ..
?
Ttx#tfiraft nf (O.rrupanry
Citp of Cagan
Brprtmpttt uf wanittg ittpprfimt
This Cerii'frcate issued pursuani lo lhe requiremenls of Sertion 306 of lhe Unifwm BuildiRg,
Code aertijying tlrat a1 the tbee ojissaance this strucluwe wns in compliance wilh the Narious
ordiuum of 1Jre Ci1y regulating bralding canoucdon or use For the following.
1Q006
e???.
O=W-7 TYPC
/1,
POST IN A CONSPICUOUS PUICE
3830 P
BUI4DRVG P?MiT
Site Address ???
Lot 3 Block _
Parcel No.
W Name
3 Address 44
0 .... es .
CITY OF EAGAN
oad, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100 --
Receipt #
eaA nnn u.v •
? OFFICE USE ONLY
Occupancy ? 3 A-4 FEES
2oning PD JL--1
=o Name SRIAN THtfR&QN HMS
Address 4466 M?70D DR
a City EAGAN Phone 4 54-06"
?
W W Name
Address
a W City Phone
i hereby acknowlege that I have read this application and state that the
inlormat:onnis correcl and agree to comply with all applicable State of
Building Official - ti
(Actual) Const Y Bldg. Permil ?YS,?
(Allowable) V-N
# oi Stories Surcharge 42i00
Length Plan Review 364.? '
Depih ? SAC, City 1006
?
S.F. Total - gqC, MCWCC 650*?
S.F. Footprints
On Site Sewage -
_
Water Conn
660,?
On Site Well Water Meter 95.00
MWCC System x
City water X Acet. Deposit 30. ?
PRV Required - SIW Permit 3ds ?
Booster Pump - S1W 5urcharge e.+
Trealment PI 276t
APPROYALS Road Unit 37A*00
Planner -
Unci1
C Park Ded.
_
O
BIdg.Off. _
Copies
Variance - TOTAL 31190.50
WATER
SEWER
PLUMBING`
H.V.A.C.
ELECTRIC
Footings I
Rooting
Rough Plbg.
Rough Htg.
Flreplace
Final Htg.
Orstat Test
Final Plbg.
Const. MetE
Engr./Plan
Bldg. Final
Dedc Ftg.
Dedc Fnal
Well
Pr. Disn.
.
RE:
DATE:
MAY 8, 1991
4399 ffAMILTON DR (THORSON PROPERTIES INC)
. ?
Your_Sbwer & Water Permit for the above property has been completed. It will be held at the
Pub4ic Works Garage (3501 Coachman Road) untii the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN OM.
Your Sewer & Water Permit for the above property cannot be compteted for the following
reasons:
Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or accupancy 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.
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.
p 17 30
Request Oale Fca o. Roughin Inspeclion
i Feqyu etl?
? Featly Now ill Notify Inspe?c0
When e >
?'es C No
I'= i
d
t
] i
l
k
t ?
h
i
ti
t
b
l
i
b
cense
con
ractor
owner y request
nspec
on o
o
ere
a r
or
a
ve e
ec
ca
Jab Addryts (SVa c Box or Ro t No.l ? City CP'
3
•
Secuon No. TownsM1ip Name oe No. qange No. Count
Occupan iPRINT) 1 Phone o
Power Supplie Aoer
Elecl al :acior(C pany ame) ? GonVacror's ocense No.
0 a
maiii nd ess(Com mr or n r Mnking tanation?
Autbonz4naW? Gomractart nerMaRing Installation)
. . ?1 - -5 sia ? one m?er
a- 03
MINNESOTA STpTE t(OARD OF ELECTflIqTY ? THIS WSPECTION REOUEST WILL NOT
Griggs-Mitlway Bltlg. - Room S173 BE FCCEPTED BY THE STATEBOARO
1821 University Ave., SL Paul. MN 55104 IINLESS PROPER INSPECTION FEE IS
PM1One(612) 6G2-OB00 ENCLOSEO.
Q???'
^'' ??
HOUSE HEAT INv TEST RECORD •;?
L3/
? ? J
'7_
%
JI
4/
-
?_.?'tlv l: se.?
ADDRESS I
4
?l.i
/
.
? APT.-FLOOR QTY, SUBURB
OCCUPANT ? ? ??6?6'•'-' OWNER ,7'Y?l??yi?' %-'I*7y1'r,? ?
HEAT 1055 DATE HTG. INSy< `y
SOLD BY ? INSTALLED BY
Elecirical Work By
Gas Line By '•-
T7PE OF HEAT GA _ FA ? :HW _ STEAM SPACE HTR. _UNIT HTR. _OTNER
GAS DES GN
MAKE MAKE OF BURNER _
Model rC-?/.• ?'?- ,?.__ Model
Serial Maz. BTU Ratio9 -
INPUT MAKE OF FURNACE
Model
....,-°-4. ?ROLS.
THERMOSTAT _ ?H-cr Plug '
Vent Size '
-
Valve - j.- - KIND OF LINER "?
SIZE NONE
limif ?
F `
DrahHoad46U:
Ragulator L'Yi.44'• '?15
LimiT Filters Sizs /6y"2'? xI Numbsr /
Fan 5ettin
9 ?`. 'i:G !!/^_"'
? /
Chimney Location ?//
7:c/ Ipsida Outside
Pilef TYpe ?%'G'c?? ?dN._C- Chimnsy Construef ian '"rrt v 'L"'? 6
?
PilotMake a' r
Pilot Modal $
B
k
b I
M?i
i
??//
? t'-4 ?•'?/
me
e
om r
n
•
?
Pilef Timin9 Druff vf, fL Tast Taq 0+'V ?f&
L.W. Cut Off Ooar Prassure Lightinq Inst. Ee
?r ..
Pressun Z,; p Psrcant CO ?? /
2
?
Dats Tssted
7'f '-_---
Input CFH Percan} OZ Cempany Testing
Smek Temp. Y7?v` Psront CO Name of lssror
Ferm 235
CONVERSION
Address: 4399 HAMCL1bN DRIVE Lot 3 Blk I Sec/SubLExu4gTpg ppINTg 6TH
These items were/were not complete at the time of the £inal inspection.
9 p4 91 Yes No
Final grade (6" from siding) L/
Permanent steps - garage ?
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch y?
Basement finish V"
Deck k-I
Please varify with the builder the removal of roof test caps from the plumbing
system andthe shut-off of water supply to the outside lawn faucet before
freeze potential exists. ?
x?+a?onn.
White - City copy Yellow - Resident copy Pink.- Contractor copy
CITY OF EAGAN N2 - 19006
. 3830 Pilot KnobRoad, P.O. Box 21-799, Eagan, MN 55121
PHONE:454-8700 i
BUILDING PE?iMIT Receipt u ?. I32-(6-
7obeusedYor SF DWG/GAR F'?tvnlh'P $84.000 n?fa MAY 3 1097
Site Address 4399 HAMILTON DR
Lot 3 Block 1 Sec/Sub. LEXINGTON POINTE
Parcel No.
w IName THORSON PROPERTIES INC
o Address 4466 WEDGEWOOD DR
City EAGAN phane 454-0644
Name BRIAN THORSON HOMES
Address 4466 WEDGEWOOD DR
? City EAGAN Phone 454-0644
Ww Name
??'-, Address
aW Ciry Phone
I hereby acknowlege that I have read this application and state that Ihe
inlormation is correcl and agrae lo comply wilh all applicable State of
Minnesota Statutes and Cy?'Eagan Or i ees.
?l?
Signature of Permitee (/Lf
A euiiding Permrt is issued to: - BRIAN THORSON HOMES
on the ezpress condition that a11 work shall be done in accordance with ali
applicable State ot Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY
Occupancy R -3 -M--1 FEES
Zoning PD R_1
IACtuaq Const V-N Bldg. Permit 568.0
0
(AlIOwa6ie) V=N
Surcharge
42.0
0
# of SWries
Lenglh
41 '
Plan Review
369.00
Depih 48' SAQ City 100.00
S.F. Total - SAC, MCWCC 650.00
S.P. FootprinGS -
On Site Sewaga _ water Conn 660.00
On Sile Well water Meter 95.00
MWCC System X
X
Accl. Deposit
30.00
City Water
PRV Required - SAN Permit
0
30.0
BoosterPump - SiWSurcharge .50
Treatment PI 2 7 h. OD
APPROVALS Road Unit
0
370.0
Plenner
-
Park Ded.
Council -
BIdg.Off. _ Copies
Variance - T07AL 3,190. $0
REQUEST FOR ELECTRICAL INSPECTION
? See mshmciions for mmplaling this lorm on back oi yellow oopy.
Il 17 7,? n "X" Below Work Covered by This Requesf
Es-ooooi-oe
?
10a2J?3
ew dd Rep. TypeolBuilding AppliancesWiretl EquipmeMWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buildinq Dryer Other (Specify)
Comm.llndustrial Fumace
Farm Air Conditioner
Olherlsueoilyl ConVaclor$ Remarka:
Compute Inspection Fee Below:
!F Other Fee # Service Emrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps r.
Trenstormers Above 200 _ Amps Above 100 _ Amps
Si90S Inspectors Use Only. TOT
`
Irrigation Booms y? 5
??
Special Inspection i r
Aiarm/Communicalion THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby
certiry ihat ihe above inspection has
been made. Rougn-im oate
Toai e(?
j?
OiFICE USE ONLV
This request wiC 18 monlhs irom /? 3•.3
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 687-4675
SITEADDRESS: Lor: s BLOCK: 1 APPLICANT:
4399 HAMILTON OR HOLM JEFF
LEXINGTON POINTE 6TH (612) 6$3-9354
PERMIT SUBTYPE:
OECK
TYPE OF WORK:
NEW
?
BUILDING
020712
05/06/93
?
x CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT TYPE:
Permit Num6er:
Date Issued:
? S-- ?-?
euxLaxNG
02@712
05/06/93
SITE ADDRESS:
P.I.N.: 10-45090-030-91
PERMIT ' f
4399 HAMILTON OR
LQ7: 3 BLOCK: 1
LEXINGTON POINTE 6TH
DESCRIPTION:
8uilding..Permit Type DECK
Building Work Type NEW
OBC OaaupancjY-._ R-3
Buzlding Lenqtfii"_
8uild'irtg Width
i?
16
12
REMARKS:
FEE SUMMARY:
Base Fee $25.00
Surcharge $.50
Total Fee $25.50
CONTRACTOR:
OWNER: - Applicant -
HOLM JEFF
4399 HAMILTON DR
EAGAN MN 55123
(612)683-9354
I hereby acknowiedge that I have read this
information is correct and agree to eamply
Statutas an City,of Eagan Ord3.nanaes.
f,.
PLICA /PERMITEE SIGNATURE
xpplication and state that the
with all applica6le Statie of Mn.
A?/1 fi--e?D
ISSUED 61uIGNATUFiE
REACTIVATE _
PERMIT f ?
200111
cmr oF earaN
1993 BUiLDING PERMIT
681-4675
rnOOFI ?._?n APR 1 5 1993
APPLIC $
Tr ????E
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, t?ex --
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 Valuation of work ?1100
Site Address: q3 l? `Y.BW-? [4 w ?rcv e-
STREET 5UITE X
Tenant Name: (cammercial only)
IAT ? BLOCK SUSD. G?
VIINIII.
l P.I.D. k
Descri tion of work: /2 chs ?T? ?f?'?w
The applicant is: Owner ? Contractor ? Other (Deccri6e)
N- 693 -i3S y
?F Ph
:7T
& l
one
e
el?
rvame
Property LAST fIaST W- 73 /' b ec >
Owner Address ?3 ?y ?•???? ???- alv(
STREET STE #
City State m ? Zip
?
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name V V P- Registration #
Address
City State Zip
Sewer & water licensed plumber f^Ji'? . 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 U5E ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
woRK nrPe
? 31 New
32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
r ?
"'93 ? ?" •,? ""?,
? I1 Apt./Lodging 0 16 Baseinent Finish
? 12 Multi. Misc.'?? 0 [3* 17 5wim Pool
? 13 Garage/Accessory O 18 Comm./Ind.
? 14 Fireplace ? 19 Comm./Ind. Misc.
?15 Deck ? 20 Public Facility
? 21 Miscellaneous
? 35 Tenant Finish ? 37 Demolish
? 36 Move
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. totat Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length ? On-site well Census Code ?
Depth On-site sewage SAC Code
0
APPROVALS
0
J? '?-
?
Planning Building Assessments
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
O Final
? Framing
? Draintile
? Insulation
? 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.
Copies
Other
Total:
215, ofl I v.luac;on:
. ,?v
SAC %
SAC Units
-?r-•
E
LE
N
A HOMES
DESCRIPTION? LOT-4-,BLOCKL., t FYiNC%TON p Tf 6ih_ADD.
ACCORDING ?e Q? RECOCO
'FH?REOF LJN7Y,MNNES07A
SCAL?E: I"=30'
?-?--
61 4
S89tI52,??,? N81°44? f .?----15 'U2"'E ,? Q
9-11,_ _ ? O
a ! ?
? 4 paowor?e a urw?rr ?
? Ease??NT
LOT 2 LOT 3 LOT 4
I
7
9
pi ` (9l8'? '•P? y.'C? ?Y+E
? 1 `/a' rb' e ? ?/ o ?
ic, k
o HM• In
a
fJ-' . ? ` --q ? C9?!' p,a'f? c.aa. ?
: p ? `8' "
. L
? ? ? ??r? ? o Z ?
• ? °, ' r •Ai2?, a
5 ?_? ?'?gry1'I
3'9 s`-
N6 0?9'17"1
N ?-
?. /
HA ILTON . 45
,; _... .. ._ ??a?.X?... . _.
!?. t?.•:, ?,Ci ? '?
I? ?nposr?t? SA.?-r" ?7 wAsX°.xr
LEG KD lNVERT £L.EVATYCIN AT SERVICE ExTENSION= i7z. 8
- o UEN TES IRON MONtJMENT PROPO5EA GARAGE FLOdR ELEVATION •_
o pEN TES WOOD'HUB SET PROPOSED FIRST FLODR ELEVATION = z
91!a= D E: dPTES EELE?lA T?'iON?T P?EI.E ATI?QNEMEN7 PLOOR
(9a+9) DEN? TES PROPOSEO SPOT
ELEVATION NOTE'? VERIFY ALL FLOOR MEIGMTS W1TM
? DEN 7E5 DRAINACdE DIRECTION FtNAL HOUSE PLANS
i hers0y certifY that this surwy,plon or ? rnM
repo
rt wa= prspceed 6y i++. or under my diract sup wsion and lhaf I om o duiy Bradl?y ?. Reqiitere?.LCnd Sµ?veYor under 4ho pQts:
t.ows ot 11?s Stata of Minnesota
= oF suRVEY FoR:
Po t•IY` brand fax transmittal memo 7671
IzLb.q
sro
Co.
? ?.
ft '
7 s
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
1% OF CONTRACT FEE.
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQIIIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST _
ADD ON ?
REPAIR
OWNER NAME: _/ EFAJ!!?kV NO/rl
SITE ADDRESS:??) ?IAxO?°? V?
LOT: 3 BLOCK _L_ SUBD.cxi?' ?. Gzt
INSTALLER: ?f
ADDRESS :/c,d) ' " qf6AE
CIT?'?:7• ZIP:
#
,
SIGNATURE OF 1rERMITTEE
$25.00 MINIMUM FEE.
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCZAL/INDUSTRIAL BUILDINGS AND
PfULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME: _
SITE ADDRESS:
-------------------- __°_-__-°-------------
FEES
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP
PHONE #:
CONTRACT PRICE x 18
STATE SURCHARGE $
TOTAL:
FOR CITY USE ONLY
PERMIT #
RECEIPT # ? D
DATE:
DWELLINGS &
-------------------------------
COMPLETE THE FOLLOWING:
N0. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
_ SHOWER 3.00
WATER CLOSET 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
_ FLOOR DRAIN 3.00
GAS PIPING OUT.
_ (MINIMUM - 1) 3.00
ROUGH OPENINGS 1.50
OTHER
? WATER SOFTENER 5.00 ?
_ PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
SUBTOTAL S
ST. SURCHARGE .50
b .
TOTAL: S
$
(SIGNATURE)
FOR:
CITY OF EAGAN
? . ?.
?' .
0 ? T
JEi8'00'F
42•00-F
- t•
359 -OO F
,..
2)211•50+
3 j1 90 • 50*
56t3•00?
42•00+
3o9•OU+
2, 211•50+
>>1G0•50T
no S06 TO
??=?
19004
91 BOILDING PERMIT APATION
19
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 SiIRVEYS - & STRUCTURAL 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, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MOST SHOW LICENSED PLUMBER.
SrD ?.,?i2 J G(?
To Be Used For: Valuation: O 7Date:
Site Address 43o9 /'L?.? 48
Lot 3 Block _/
Parcel/Sub,e?x-? /??. ?
Owner
Address
City/Zip Code !is?
Phone 54
Contractor
Address LlJ-er?C,G?Jovc?..
L'
City/Zip Code ?g'?
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
OFFICE OSE ONLY
Occupancy IZ-3 M -1
Zoning PD '2-I
Actual Const V- N
Allowable v-N
# of stories
Length L{('
Depth 4A'
S.F. Total
Footprint S.F.
On site sewage_
On site well
MWCC System ?
City water Je-
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
FEES
Bldg. Permit 568'00
Surcharge 14Z.0
Plan Review ,3(p9,p.p
SAC, City 00 t O O
SAC, MWCC p.o0
Water Conn. 60,tlJ
Water Meter .v°
Acct. Deposit 3a o0
S/w Peimit 30i 00
S/W Surcharge .Irv_
Treatment P1. 276ioa
Road Unit 394),00
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL
agrees that all work shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
e`u *
? V A
? ?a.? r ?i
G ARQGE
ao x ZZ : y yo
b5 MT
-16X 4a = 10Ll o
T7?/'? _ ??atl
?. . '9A
15T
2?Y Ya= foNo
?t ??t X / Z : 13 s
('J x l'v ? S y
l-
lZ3zX??? 65276
93 Gan byL !ryo-oo
;
TRI'LAND CO. CERTIFICATE OF SURVEY FOR:
SURVEYING
SERVICES
1875 PLAZA DRIVE T H R S O N H O E S
EAGAN, MINNESOTA 55122
LEGAL DESCRIPTION; LOT 3,BLOCKL, LEXINGTON POINTE 6th ApD.
ACCORDING TO THE RECORDED PLAT
? p THEREOF naKOTO COUNTY,MINNESOTA
SCALE: I"=30'
S89°50'21"E
,,.,. _ ionn\ m91,44,
5
LOT 2 I I LOT 3
1?.3Q
?
00?
a
- I._._..
el
?
\ \
40. C97?4)
Qo.o
?
N ? .
?
?
a ,
N89°?59'17"E '
? `??'15,98
!I N ..,.
' HAMILTON.
_ _,
6164 _--
?--? O
O
to ?
? LOT 4
._I.
7
lf.?? FKE
? 3 ?nca.sT
M
O
Oka&6?qA 4
e
O
? Z i
4 _
? ----•
? M
°• ? ?
?
20.0 '
o .
A& Q\
.
, - - - --
'
, . , '.A.T'-?A:-T
„ _ , ? s?t?- ruhR7 - wskxo?„-
,
LEGFw6 INVERT ELEVATION AT SERVICE EXTENSION= 'nz• 8
0 DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION ¦ Z-L
a DENOTES WOOD'HUB SET PROPOSED FIRST FLOOR ELEVATION = 4az•q
ypa°- DENOTES EXISTING SPOT PROPOSED BASEMENT FLOOR = 9?a9
ELEVATION ELEVATI ON
?981 g? DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
i...'. . . 9. i
?.I heraby certify fhaf fhia survey,plan or
r,eDart ww prepared by me or under my
direct suparvision and that I om a duly
Re4iatereA _ Land Surveyor undw fhe
Laws of the State of Minnesota
NOTE ? VERIFY ALL FLOOR NEIGHTS WITH
FINAL HOUSE PLANS
Bradley J. #vjAqslfn, Mn. ReQ. No. 13235
Date
r,
M?N(??J?jfl J1I?1? u..r .r• Y I?YVV?n• .I
, BnSED OV r,He TER VyOFVT V
? MODEL ERGY CODE - 1983
DI7'IQN_?_.r''
fAdoptl?n EEf*etiv 1/1/ 4
€
Phone 3
)wner ? ^a?? IFK 'Zr. i
;1 te Address Ltff7 oGUma°
:ontrattor
?
:uitding Llassificatlon: Type A1 (5ingle Family 6 Ouplex) ? Type A2 (Residential
(3 stortes ar ess
(Other) (Over ] stories)
;ENERAL INFOR11A7ION
1. Buildin9 Perimlter \ ?5Co ft.
LZ`+<E,!, CA
?, uall height (ground to eave) ft.
2
3. l. x 2. (aDove) gross wall orga
} ?a 4.u?
1. Building dimenstons (L) -4p x(W) z(o • ?Z? Z ft.2 roof S floor area
i. Square fcot area of rim joist - Floor joist size (2 z to? )
k x Perimeter = Rim jost area ¦ z?c>.o ft2
6 . Doars - Area -A -t . 11 .
Thtcfcness ?31.q?•• n, 97a-ctor
Type of Construct oi n Perimtter kco. 3a ?- 15.4?ft.
' ManufacWrer
7. Total door's perimeter ? Z. Z9, ft - I
8. winGovrs:. Manufacturer C' oI?D State approved ;?V\? •. 1
U factor _ 5 ZL
?hane
TYPE SIZE AR:A (F,..Z) NUMBER OF TQTAI FEET 2
EACH UNITS
C Q? - 1 O 61A. 7,o
e;1 4 _ ?T ?
1?.59
`• ?0-40 ? 14.?4 ?4.z?
g_ Total ft.2 Glass
101- Fireplace area: Width x heiaht • E? Ft.2 1:
11. Exposed foundation: Helght x Perlmeter '7 ? Ft.2
:)MPLETION Of THIS FORM IS REQUIREO FOR ALL NEW CONSTRUGTION, MAJOR RENODELING AND BUIIDINGS BEI11G y
13YE0 VHERE ENERGY. O7HER THAN THE MININAL CODE AILOHANCE, IS USED.
?" r' .Er?sxing s`rl1? ' i4? Ot: $i'oti tanll irea .
r, ?. . .:
j?;• r,russ rall area ? o ? 4-
2
Ni ndow area A f t.
Rfi jaist area A ft. 2
,
.
poor area A
ft. ?
Z
Fireplue area A ft,
Exposed foundatian A f!,'
Framing area' A ft.?
net wall area A `t.
i,
I: windows • a?? !J x A - ? RO
U Cim joist m .?,U x A - ?. ?
:J door area ¦ U x A ¦
U rireplate a? U x A •_ ?
i! foundation ? ..\\ U x A - gg, ?
,1 franing ar ea 01?j U x A ? ?(j?;et??
'J wal l= ? C)-e?z U x :+ _ ?U
(119; ";'rL . . . . . . . . . . U =?
0, Gross wail area x 0.11 (A-1 singie family 3 d6;.;=x • allowaDle UA AlCode
(13. above) .
x 0.23 (A-2 other residentia'.j
x .23 !Other building:;
,c .2E (Over 3 stor;e:)
TUH Must be larger than
a ?O ?x U Ccde ( g 7.04 . 138 .,bove.
5. tailing framiny area (Af) aquals 10: of cc-i}iag area ? ar the same as)
5A. Gross ceiling area = (l) 4 n x (s±) ft.2
68 Joist erera (Af) ¦ 10" cetttng area ft.2
5C. yet ceilina area (.4C) (15A - 158) ft.2
U ceiling x A c¦ ..e->2 t? x??..?o?? ° ?•'?_ ?`1
U framing x A f* _ o _U 4 x,__?__??_ _ ?.•-?,?
i0. ;OTAL U x A .......................................
5. Cetlfng area (15A) x•0.026 (A-1 single `amily S duplex - coa`e-a'liowable U x A
--?-- .
" x O.C33 (A-Z otAer residt.^.!ial)
x O.C6 (other)
8T11H Must be larger Chan 15Q (abo4a)
A,.()5.11 \??Z xIL (code) " ?OZOF (or the same as)
2?d O?
NOTE: Use U and A vatues obtained f-om nps l. 3 and 4.
,
,.•
?
1 ?j
K " '}}?it???,YhL?????M ;N`?
? :, ?Yz "G lntertor wi[ ? ? •?°?r'' (Mall? U = ? • "?".
fF.
S6CTtop .".. ?6" F• X',sui;ct..n 1a? .oa r?
, ?.. 1!A 1,.51,?..??aChinix
L-r z.o?e
aP 5 tdiIIR UL,_ • 0 4? 5':
ftlm .l1 ? ?
? Jutalde air
R TOTAL
lnitdr atr Eila
5'fl.'D ; V C, I nt+r i oc •+s i L • 4?
SLCiIOq ? a?j'z':SR\.?.e? •-ud R? IJC=W--7 (Framing) U? F ?
, I ? ? I ?h*a [ti i n g Z,.o(e
sidsns
i? ouc.lde air iiln .17
J J ? ? ? I
d TOTAL ? C>.
A
r 'u
:.'
? i.
2N0 uAL1.
SCCTi'N`
ATN
JO IST
Inside air film R• .68 . i,
Inur ior va i t . 45 • -
insulacton (well ) : ¦ R ?''
Sheathtng r z .ng Z
E<terlor w,411 coverins ,(??? ?
Ezeerlar air flim n ..I% '
.
R rorAL_?? ?(Z.?..
Inctriur air L(l:n
!r.suln:.ion ?`?.00 1
l? ir,tA su[t •auud R=1.88 (jp{st), u • ? •
r- •3/q e,.r?.
?• Sheathig
?'•
`-E?,it-
?"eror wa L L wvert ng,..
? ixteclos air ftlm tta :11 .o4t
I 2 TOTAL
,
lntr.rtur air C! Lri R' .68
;?....., insula:tor. -ro,oo ,
`' [.?c.aa Foundaciun Z-• ? o . (Fdn. ) U ¦ ? ? ?
b?- xCeeior air filn
a rorAL
? --`--
.--.,,.._---? I I fxposed 3luck ?
'r----? .
, , I •? ?.,? ,a
:.:
.. 1_?•-?`._. r,raCe ?. s
_ _... .._:__ .r.-...i=r 2,?-+.T?...??.e.'i w•._..?. . . ......?...?.?..._:.?.-e.?a... . . . Tf. ..??n.-. _ '
T. ?..... •___..• Tr
?
Ins de a r
Ceiiing
Jotst (stud ,
Insulatton
dir space
Root detkin_q.
InsuUtion .
Built-up rocf
Outsido •ir f
Totii R
Y U
R
,
4tndoM lnfiltraticn .5 cfm/lineal foot of crack
, ttsidentiat door infiltratton 0.5 cfm/square foot or dcor and mininur code requirement .
ion-resfdential door inflltratton 11.0 ctr/lineal °oot of crack
lp 1Z" conrrete block no insu'lation - .47 R 2.1
?•ro 12" concrete block 1nsulated corss ¦.26 R 3.8 '
Zb 12" lightaeiQhx btoCk - •.32 R 3.1 • ,; ;b 12" lignt++elght block t'isulated cores ?.12 9 8.1 "
,I;tinQle glass ? 1.13: wlth stom.,wlndaw .54 . =
qoubt* giss; • .55
.
! trtple glas; ¦ .41 ?
?;';liil extertor walls and ceilings must have a vapor 5arrier (C.10 perm ti^ax.).
".. .
{por barrier must be on the inside (heated side) of Wal
;t?por Wrrters of the pclytthelen4 thin fiim have no R value.
P? 0.611 A4r ti1m _
:
F, 3\ •'i 5 Iniulation
4.3% Joist
.-
? , ?5$ Ceillny
O.E1 Atr Fiim 0.61 :
;
3'l .9 3 Totai R
.oz?4 u
GaTHEDRAI
F! A7 RO11
9
1
?? ue- a `JAIUE
FR;,MING CHILING
t n e, 1 i fit?, 0.61 i. :
?
d.
<~
e?
•? :i
i/il Coft
1,N ?t
? « NIsMfOta
O•W O.Ori
Mlntanr 11 volue¦ for CetllwQ#
?
lp" A-3 1?116tiqs
fettfons of
/ •
v f9 1(?L1
V? { usifnys w.ils noors wteaevs utatey cl.,, ooor, ooora
I Il! . 171 (71 S?e. f?•
. !
.
. .
. •
6 . , .
Motf { Mot• S Mot? i?
i,
. . io :0
? ..
woces te raai•
r•,
? • • •
'
?
? . ' (1) ColSlnqa vhleA o4se one o[ Lka Lollwtiy eclurla saLlafy ;
/.;
• ? 8
. • ' - t4f• rp?lt???ntt • I
? i ? .
' ? • • ' • A. R-71 throvq6out the eatite tallln9. r
.
? ?;• : . .
9 . ?
?•; ; ?
•.?
• f. I[ ? portlMe[ the eolllng is lut tAaa ft-7!, aM '
, ?
. IMYS?LIOp I11 the NMIf1Oer ?L the NS3I11q N7C De I11CfeUfO LO
7
''• •, ' .
rlela u overall wetaq* tl?e?al nalstanee o! Rot len tA?n
.,
'?• •
. . . .
lt-)• Yslaq the lOllorfng 0qu491e4. • I
? . . . . • Ar • (AO Al) / C1OAB ' Ai/R31 . ' . i
' ? ? t0 • • '
. . .
vhoret .
.
• Rr ' R valw ot t1+? lwsvlaeton !n the rs"lndtt
r ;'
? i ?
•
. 2
uie
• a
• c
lll
l
't
t9tb ?
. .
.
• v
o
o
ny
area
e ea
t
. .
A-
?
/
h
ili
t
A i
=
• t
` + '
• •na o
!? v
t
e N
t
yn R
us t
31. ..
•? .
.
. Ri . 11 valw OI the Cf111119 M1C11 I/ 142f tMll
'
_ R-J6. • .
.
?
C. wnon the root at tIN porlyter ot the eoillnq prtwnes ;
• lnse,ll.elow et insul•ttea u te31 a.pah, the twaul.eton In e7w . ?
?. lcratEt = faeed re.•tndsr ot et? ertllaq wss 1e lnenased w?.duet the ov.ra1?
'
lnsulatiap
Pa
ee eollfnq Mat ia¦, e• w.ero eb.n 1t R-36 k.a s.es Lnacalled F.;
r
'• .
P epreuqneut the .neln edl{nj• .. ' tp
; - ?.•ide to-heat
(2)
ror eM lnsulatod ur{tr et epe" wll and viw je{acs, Luc ,
r
. . not fsundatioa wllg. . .
` '"
.
' •
c ,
.
,
• 471 Tar tMe tntulated uvlty •[ [leers O[ MsCed spaeta over . t
_ unseated spaces. • . .
•
• U) wsior 91As8 •rn u net •aceeQ 12 p?rctnt of the area of
l
l
(
?
_. •:t.r
or val
s not
nclud
nq leundatten valla. All vlndeve aA&11 '
'
. • . ' o
• '
. • .
be doval• qlasod or liare •torm vlndaea.
?
•
,
'
? •
• IS) Mulw qlasi *area yy.wet azeoM tew perotnt eL the area ot .
14
O •
• ,
• • •sterlot- wlls, nee lneludlerg (evn0acien valla, v1?en a alidlr4
'
l
d
t
I
l
il
U
• o q
asa
eor
nstal
s
ed. A
ql&aa sMll M deuale qleted or
.
o :
.
• . k... .tarm w?ndo,,..
. , tif A 1-J/4 lnch M.e.l e.e*A eoer syse«e vteA .n to•ul.eea eor,
. ProvlQinq an 11 ralve pv*l te ef grtater t1Hn 3.0 er a
• • eonwnelenal doer sM aeoem Oaer. All oritiry doors •we Aaw
'. ? duraAl• watherttrlpylap. ' . • , .
. .
. ,
? lounA&tioe w11 Insutrtleo. /TM 1914 aede toKifl. .
, ? O? •. • ' ull? fpYlry? ow? ?t w r1 I11irlatieN MMf fleor{ abovt tM feYadHIM
. ? ?O? • . v??) Kf Mt tetYla6f?. E??M? LAf fpMpt1p11VfL Altt 1.10 IntV)IlIOn
.oolad rr« see tee •r ir rwea•itl« te eee rrest l+.l r t•s in+vIse+a,
_ , . A
A
•
4pplled evtr tM entbt w11. Mole Uat tM R rolre tiNCIfU1 tf fa eM ,
?
?
, . . •
. ? . as.t.Nw ru.,at o.tr. .
?
fl
-
. -w-??At
ee?s.
ilK rtwlr?i tMerral retlftaw[f d tM Insula.
U?
' • . tiM s?eu t 0?*??fr ef IyotN W rnMatN Itexs re yetC1/1N 1n
. ? . . TNIe 3-1. TM MtrNtiw muft #AtM M.wwf Irw the tq o( the 140 b
?
? • . tM hmt llq ew dwnrM1 U tM MttOa ot t" tbk lMe Mrliaetall)
I
? •' ?Q blM4tA 1{ /K M lmYIqAIM( IItIMff. T\jf ?ep$f~Li11 lM 19#4 COdf
Is IN"tlcal q lM 1l1s csh. .:
• .• n. . I . x- 4.04
?oors ovet unheaced spaces nust have Ainiaum A-faetor oE R-20 (tuek-under Cacages)..
;oors ovcr ou[door air (avcrhangs) nuxt liave a ninimun P,-fae[or of R-39.
?
TO# Api 101104 V„ 7s1o
CITY OF EAGAN
3830 PIIAT 1LNOB ROAD
EAGAN MN 55122
PHONE (612) 454 8100
FOR CITY USE ONLY
PERMIT #
RECEIPT # D 3
DATE: O IFI
Sm $$71'SATi: PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMZLY
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------°---------- ---------------------------------------------
WORK DESCRIPTION FEES
NEW CONST X ADD-ON MINIMUM
AAD ON _ HVAC 0-100 M BTU
REPAIR _ ADDITIONAL 50 M BTI7
GAS OUTLETS - MINIMUM
OF 1 PER PERMIT
OWNER NAME: Brian Thorson Homes
SITE ADDRESS;4399 Hamilton ?rive
LOT: ? BLACK -Z_ SUBD ? ?
INSTALLER; Kleve Heating & Air Condtifioning
ADDRESS: 13075 Pioneer mrail
CITY: Eden Prairie, MN ZiP; 55347
PHONE #; 941-4271
DWELLINGS 6
$15.00
24.00
6.00
3.00
SUSTOTAL: $zr?.Do
STATE SURCHARGE: .50
TOTAL: $??
/2", 5?? -
SIGNATURE OF PERMITTEE
PLEASE CUiSPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL SUILDYNGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
CONTRACT PRICE: FEES
OWNER NAME: 18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
SITE ADDRESS: EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
;,OT: B•.,^CY. _ S??RTJ, $25.00 MINIMUPi FEE.
INSTALLER: CONTRACT PRICE x 1% $
ADDRESS: STATE SURCHARGE $
CITY: ZIP:
TOTAL: $
PHONE
(SIGNATURE)
FOR:
CITY OF EAGAN
CITY OF EAGAN
3830 PIIAT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
mB:xI?7,?"smm
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
}?SIDEN'{'21f?,X:.; PLEASE COMPLETE UPPER PORTION ONLY FOR . SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
WORK DESCRIPTION
NEW CONST ?
ADD ON
REPAIR
OWNER NAME:
jvv_ _
SITE ADDRESS: 43Ciq
LAT: ? BIACK ? SUBD p4
INSTALLER: pA-L.'Yj.
I? J
?IA n
ADDRESS: 6? 1 A"J'(
' l?'P?CS2i1-
CITY: ,1?? ZIP:
PHONE(#: ?PJ(LiP'(pOR?-
OF
COMPLETE THE FOLLOWING:
ND. FIXTURES EA. TOTAL
ADD-ON MINIMUM 15.00
J_ SHOWER 3.00
2WATER CIASET 3.00
? BATH TUB 3.00 6D
'_,?L LAVATORY 3.00 (a, 6D
KITCHEN SINK 3.00 1.OD
? LAUNDRY TRAY 3.00 HOT TUB/SPA 3.00
? WATER HEATER 3.00 3l)
I FLOOR DRAIN 3.00 ? 00
G2;S PIPING OUT.
f (MINIMUM - 1) 3.00 ?
'? ROUGH OPENINGS 1.50 r0
_ OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
SUBTOTAL $ 3"1. SL7
ST. SURCHARGE .50
TOTAL: 53b,CTZ)
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WkiEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT. CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:_
LOT: BIACK
INSTALLER:
ADDRESS:
CITY:
PHONE #:
FOR:
SUBD
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:
$
$
ZIP:
(SIGNATURE)
CITY OF EAGAN
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA081273
Eagan, MN 55122 . Date Issued: 11/28/2007
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 4399 Hamilton Dr
Lot: 3 Block: 1 Addition: Lexington Pointe 6th
PID 10-45090-030-01
Use
Description:
Sub Type: e-Reroof Construction Type:
Work Type: Replace
Description: House & Garage
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: Permit closed without required inspection(s). Letter sent to applicant on 2/13/09. (pf)
If there is no ice protection inspection prior to final, you must meet inspector with ladder and flat bar. Pictures are not
acceptable in lieu of inspections.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Royalty Remodelers Anthony Ripley
4411 Slater Rd 4399 Hamilton Dr
Eagan MN 55122 Eagan MN 55123--260
(612) 414-8199
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA110517
Date Issued:05/14/2013
Permit Category:ePermit
Site Address: 4399 Hamilton Dr
Lot:3 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-030
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace & Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Beth Janohosky
207 150th Street W.
Fee Summary:ME - Permit Fee (Replacements)$55.00 0801.4088
Surcharge-Fixed $5.00 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 -
Anthony Ripley
4399 Hamilton Dr
Eagan MN 55123--260
(952) 239-4696
Apple Lake Heating & Air Conditioning
207 150th Street West
Apple Valley MN 55124
(952) 431-4328
Applicant/Permitee: Signature Issued By: Signature