4407 Hamilton DrI CITY OF EAGAN PERMIT TYPE: ?'? ? f. ?? ? Fi??
3830 Pilot Knob Road Permit Number: '''-• % 7%
Eagan, Minnesota 55122-1897 Date Issued: ??? `?''' ?`''•
(612) 681-4675
1 4?' '1' 1Y 7 1? i9 I t) 41 (
SITE ADDRESS: APPLICANT:
• i • ,;,,??, ? . ,?i? t?t : , ,? ? , ?.?,
. f •i ?
PERMIT SUBTYPE:
Ill' t i N??
[-
L
TYPE OF WORK:
I 1 Ni`,1
?
?
Permk No. Permk Holdu Dab TNophone r
ELECTRIG
PLUMBING
HVAC
InspecNon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFlNG
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FlREPLACE
FIREPLACE
AIR TEST
FlNAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FlNAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL /q
?
?i
INSPECTION
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
??. I ta;1 It!'? l?1 iJ i i • { FI
PERMiT SUBTYPE:
.,, l•,H
rRaN I H6
RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
?1PPLICANT:
t . .
t i. 1.? 1 I r.rt
TYPE OF WORK:
r 1 NA i
tH + i i t+ I N r,
6!:'N1Istri
?
PermR No. Permit Holder Date Telephone M
S/W
PLUMBING
HVAC
ELECTRIC :?V,100
ELECTRIC V -i a(} °"D
Inspection date Insp. Commenffi
Footings I
FOUndation
Framing
.
Roofing
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Htg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plum6er
Const- Meter
Engr./Plan
Bldg. Final ? D
/
Deck Ftg.
Deck Final
Well
Pr. Disp.
?.
CASH RECEIPT '
CITY OF EAGAN 3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
r+ECIE o !?'• }, . ,' ! ?, ?':i, ? `; i ? , li
AMOUNT
& DOLLARS
100
? CASH ? CHECK
BY
C 11 724 ?"'??
Thank You
.,
SEWER & WATER PERMIT
CITV OF tAtArl
3830 Pilot Kqob Rd.
Eagan, MN 5&22-1897
r
DATE JAN 13. 1941
OFFICE USE ONLY
METER # PERMIT DATE 01117191
CHIP # PERMIT # 1177E1
METER SIZE B.P. RECEIPT # C 11720
ISSUE DATE B.P. RECEIPT DATE 01116191
_ PRV - BOOSTER PUMP
SITE ADDRESS 4407 1iAMLLZ'O1V Da
LOT t BLOCK 1 SEC/SUB _ 1.E]CI11MlT POIIITE d?H
APPUCANT:
ADDRESS:
CITY, STATE ZIP
PLUMBER: ? -Wd7 II?1)^?
.
ADDRESS: AVE 8
CITY, STATE ;Vj ' " ZIp
PHONE: 4`11
OWNER: ERTAN L '1'HORSOl1 }30YES INC
ADDRESS: 4466 WEDGgWWD OR
CITY, STATE EAGAN MN ZIP 55123
PHONE: 434"'06"
PERMIT REQUESTED
?. SEWER _X_ WATER - TAPS
_ COMM/IND X RESIDENTIAL
X NEW - EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT b given for Deduct Meters.
I 1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
TWO WORKING DAYS FOR PROCESSING. CALI 454-5220 FOR INSPECTIONS. FOR STORM
. CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN METER # PERMIT DATE Q 1/ 17; ? i
3830 Pilot Knob Rd.
Eagan, MN 55122-1897 CHiP #6-2 1 3 a?-SU PERMIT # ? 177
. METER SIZE S B.P. RECEIPT # ?] 17,?
DATE .7AN 15, 1999 ISSUE DATE 3- (c' B.P. RECEIPT DATE ?il?L( - PRV - BOOSTER PUMP
SITE ADDRESS 4407 Har'71,Tort :)R PERMIT REQUESTED
LOT 1 BLOCK 1 SEC/SUB -ExTNC'i'oN Pn NTF. 6111
X SEWER ? WATER - TAPS
? APPLICANT:
ADDRESS:_
CITY, STATE
? PHONE: _
ZIP
COMMlIND X RESIDENTIAL
---X- NEW
EXISTING
J ? f Lawn Sprinkler Meters are to be Installed
PLUMBER:?? ???Ahead of Domestic Meters on Water Line.
ADDRESS: 7926 Credit WILL NOT be given for Deduct Meters.
CITY, STATE r? ?^ ZIP
PHONE: 6a22
I AGREE TO COMPLY WITH CITY OF
OWNER: BRIAN L THORSON FiOM.ES INC EAGAN ORDINANCES
ADDRESS: 4466 WEDGEFIQOD DR
CITY, STATE EACAx MN ZIP ?5123 ? ?
PHONE: 4c,1+-0644 SIGN TURE WHEN METE' ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESiING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
.
Tex#ifira#t of (IDrr?patcry
tirp of (tagan
Mrpartmriti u# SuilMng Jn.s,prrtion ?
This Certificate issued pursuanl to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance thrs structure was in campliance wrth tha:warious
ordinances of the City regulating building corrstructron or use. Far the jollawing:
uu a?r.u. SE IIWG/GAR elag. Per,,,;, Na. 18657
? ? ' ? ,,,.
OcrupancY TYPe ?i "1I ?. Zoo?nB Distrid ?! 7ype Consc VN
Owner of Building StIAN L. MRSM BM pddress 4466 WEDGAUM DR., }''A'aAN
Bw7diog Address ?4?i07 ??? DRM Larlity I, l+ B l. ?* Pip= 6 TH
mte: 31 Ls./41
B`??nB
T
. PQST IN A COYSPICUOUS PLACE
• ? CITY OF EAGAN -Y ?? 1865'
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55171
PHONE: 454-8100 -7 ' ??•.
BUILDINCvP?RMIT Receipt # -'
To be used for SF ?/?R Est. Value ?`80'? Date '?? ls , 19 ??
`Site Ad ress ?7 ?IL'I'? DR
` ? BIOCk SeelSub. ;N ??i OFFICE USE ONLY
LOt -
Parcel Na occuPancy ??3 M-1 FEES .
Zoning ?D--V-1
? Name BRIAN L THnR80N fi0MES IIiC lr-?(Actual) Const N Bldg. Permit 5?•?
3 Address D DR (Allowable) ?N i4•00
a Surcharge
City ZAGAN- Phone 454-06 # of Stories ._.? ? 357.00
Length Plan Review
?
?p Name sAM Pepth --50 SAC.City 100•00
o" Addr2S5 S.F.Total - 650.
n< SAC. MCWCC
? CIty Phone S.F. Footprints - b?'?
pn Site Sewage _ Water Conn
OLr, W Name On Site Wall ? Water Meter ???
W
iI Address MwcC Syscem 30.00
uO ? Acct.6eposit
s W City Phone cay water - 30.00
PRV Required - S/W Permif
I hereby acknowlege that I have read this application and state that the Booster Purr,p - gn/v Surcharge '?
information is correct and agree?to comply wi all applicable State of ??bA?, "
Minnesota Statutes and City qf`E;f?a Ordi?n?"'f'? ` Treatment PI
Signature of Permitee APPROVALS Road Unit 370.00
A Building Permit is issued to: BR1wN L TlORS(lb) HUM$S Planner - Park Ded.
on the express condilion that ai1 work shall be done in accordance with all Council
applicable State of Minnesota Statutes and City of Eagan Ordinances. gld . Oft. _ Copies
9 3.133.50
?
Building Ofticial - ? Variance - TOTAL
Permlt Na Permit Holder Date Telephone ?
WATER I ?? J
SEWER,.
PLUMBING 06 & - 7
H.v.a.c. W5191 rf44-4//
ELECTRIC
Inspection Oate Insp. Comments
Footings I
FoundaGon
Framing US
Rooting
Rough PIb9• - O'9'
Rough Htg. Al'
;
ls,l.
Fireplace (? ?O
Final Hlg. ?-
Fnat Pibg. 00,
Const. Meter Plbg. Inspector - Notify Plumber
Engr./Plan
d
.
8., Ab DATE: JAN 17, 1991
RE: 4407 IiAMILTOH DR (BRIAN L'THORSON HO!!ES IAiC)
X '
Xour Sewer & Water Permit 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 compieted for the following
reasons:
Your Sewer & 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 Qirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIE5 - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Buiiding Inspections Dept.
Address: 4407 HASIILTON DkiVE Lot ] Blk I Sec/Sub I,A-QW'IOPI ppINTE 6IH
These •items were/were not complete at the time of the final inspection.
DATE:° 3/18/91 Yea No INSPECIDR:
Fina1 grade (6" from siding)
Permanent steps - garage
Permanent steps - main entry
Permanent driveway
Permanent gas
Sod/seeded grass ?
Trail/curb damage
Porch ?
Basement finish ?
Deck ?
Pleasa verify with the huilder the removal of roof test caps from the plumbing
system andthe shut-o£f of vater supply to the outside lawn faucet before
freeze potential exists.
White - City copy Yellow - Resident copy Pink • Contractor copy
!\
[.
CITY OF EAGAN Np ?$65?
, 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55721
BUILDIN('a PERMIT PHONE: 454-8100 Receipt #
Tobeusedfor SF DWG/GAR Est.Value $80,000 Date JAN 15 , 19-9-L_
Site Address 4407 HAMILTON DR
Lot 1 Block 1 SeGSub. LEXINGTON POIN E
TH
Parcel No.
w Name BKIAN L THORSON HOMES INC
3 Address 4466 WEDGEWOOD DR
° City EAGAN Phone 454-0644
o Name S?
?? Address
Citv Phone
?
ww Name
Address
a W City Phone
I hereby acknowlege thal I have read this application and state thal ihe
information is correct and agre,,,eee??? to comply wit all applica6le Stale of
Minnesota SWtutes and City 9?'F$gan Ordin nc ?.
?,,
SignatureofPermilee )p?v""? ?
J
n euiiding Permit is issued to: BRIAN L THORSON HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Cyiy1y, of Eagan Ordinances.
BuildingOtticial
OFFICE USE ONLV
Occupancy R -3M-1 FEFS
Zoning PDR-l
(Actual) Const V-N Bldg. Permit 5 S(1 .!1!1
(aiowaeie) V-N Surcharge 40.00
8 of Stories -
Lenglh
4?+'
Plan Review 7 5 7.n0
Oeplh 501 SAC,City 100•00
S.F. Tolal - SAQ MCWCC 650- nn
S.F. FOOtprintc -
On Site Sewage _ Water Conn FFn _ no
on Siie weil - Water Meter 90.00
MWGC Syslem X
Aac Deposit
30.00
City Warer ?
PpV Required _ S/W Permil 30.00
Booster Pump - SAN Surcharge - Sn
7reatment PI 976.00
APPROVALS Road Unit 37(1 Ofl
Pianner - park Ded.
Cauncil
eldg.OH. _ Copies
Variance - 70TAL 3 153.50
4'/5?i
?
?1 44745
REUUEST FOR ELECTRICAL INSPECTION
? See instractions lor completing this form on back of yeliow copy,
" "X" Below Work Covered by This Request
y6???'Ta EB-00001-08
ew ndd Rep. Type oi Building AppliancasWired EquipmentWiretl
. Home Range Temporery Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm./lndustrial urnace
Farm Air Conditioner
Olner (speciry) ConVacrorS RemaMs
Compufe Inspecfion Fee Below:
# Other Fee # ServiceEntranceSize Fee # CircuRS/Feeders Fee
Swimming Pool - 0 to 200 Amps a to 10o Amps
Transtormers Above 200 _ Amps 0- P.mps
S19f1S Inspector§ Use Only. TOTA
L r
Irrigatian 80oms (f?
Special Inspection
Aiarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WRHIN iB,MONTHS;,- J,
I, the Electrical Inspector, hereby
certi thattheaboveins ectionhas
?v v
been made. RO1g°-in
s
Finel
s?
oat_ . Y
; -
OFFICE USE ONLY
This repuesi voitl 18 moNRS Irom
I Ol/9n/Ci
/m ro ri.-.
M 44?f45 ?
Gl 1 ,? v PvJ
lv5°'°
ReQ Date
// ? l17
•°f ? Fire Na. Fough-in InspecUOn
Requ' tlT
Ves ? No
dtlY Now ? WII NotiN Inspeda
Whan Ready9
1 Qlicensed contractor p owner hereby request inspection of above electrical work at: .
Jo0 re (Slreet, m t No.?
D City
&on A. TownsM1ip Name ar No. Rflnge No. Counfy
Occ an (P )
?
L Pb a No.
'S4 -0 33
Po ar Su
' Atldress ?
Eleclr 1 ontractorlCOmpeny Nam+)
• • nVe r's i nse No.
Mallin A ress (Gonirac i or er Making Installation) •
• :
AutMri e0 ignalure (Gonlra orl aner Makrng Insfallation)
9 P?o ? er
-
MINNE50 E BOARD OF ELECTRICITY
Grlgye-Mitlway BIEg. - Room S113
1811 UnWarelty Ave., 54 Peul, MN 55100 Plwne (612) 642-0800
THIS INSPECTION REQUEST WILL NOT
BE ACCEPTED BV iME STATE BOARD
UNLESS PROPERINSPECTION FEEIS
ENCLOSEO.
??eP y'3 0
REQUEST FOR ELECTRICAL INSPECTION G?} A'"`i??c ??ooo, oe
K 45092 , See in-tmcfions Ior mmpienng this lorm on back ol yeilow copy ??? ???,
Below Work Covered by This Request N`t -/(?, --%
e 7ti:,d ep. Typeof BUilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
ApL Builtling Dryer Other (Specity)
Comm.llndustrial FurnaCe
Farm Air Conditioner
Olher(speafy) ConiractarE Femarks:
Compute Inspection Fee Below:
# Other Fee # ServiCeEntranceSiie Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps a to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspecta§ Use Only. TpTAL
Irrigation Booms ? • ?
O•
Special Inspection
Alarm/Communication THIS INSTALlAT10N MAY BE OADEVEb DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO S.
I, the Electrical Inspector, hereby Rouqn,m oate
certify that the above inspection has
been made. F;,,ai oete `
J '
OFFICE USE ONLV p11 1
This requast voitl 18 months irom
U L?.11? 1
K 45092'
•
Feques? Dale Fire o. Rough-in InSpaction
3? ReOUiretl?
Yes ? No ? Reatly Now ? WWill
nen A 1tly??
I 1 licensed contractor owner hereby request inspection of a e elecdical
1 ?
Joe AaAar?ess ?(Sireet. Box, or+ R-ou_te N_Q.)
T??'1 7?T?J?"!I IT(Jn Or.
Ci
' -
Seqion No. Townsdip Name or No. Pange No. umy
(PRINT)
e? l Ph??
g'
Power SupOliar Atldress
ElecMCal Comractor IComOany Name) Coniracbr's License No,
Mailing qpOress ICOnVacbr or Owner Making Installafion, ?
-I i ?-1Dr ?AN 55 I?3
Aulhonze0 SignaWre 6omractorjOvmer Making Inst tion? -
??L rAp ?` Pnone Number ?7r?,.
? ?p L-s
MINNESOTP STATE BOARD Of ELECTflICITY U
Grlggn-Mitlway Bltlg. - Room 5113
1021 UniversNy Ava.. SL Paul. MN 55104
P1rone(612) 692-0800
TMIS INSPECTION REQUEST WILL NOT
BE AGCEPTEO BV TME STATE BOARD
UNLESS PROPEF INSPECTION FEE IS
ENGLOSED.
IIIIIIIIIIIIIII IIIDI II!IIJII III eE° U?ss?tate „ Ae dR° SR 8A?'PaPMNTS°04
*J] 3 1 0 6 5 6 4* Pn,?te (812).642-0800
Home Duplex Apt. Bldg. Ot er. New Addn
C? mercial Indusfrial Farm Remod Re air
ir Cond. Hfg. Equip. Wafer Hir.
H Load Mgmt. Other.
D er Ran e Elec. Heot
Tem $ervice
"k' above the worV: covered by lhis request. Enter remorks in this spoce and on ihe back of the white capy only.
Calculate Inspection Fee - ihis Inspetlion Requesf will not be accep/ed without the correcf fee:
Other Fee ,iE Service Enhanoe $ae Fee # Ciraih/Feeders Fee
Mobile Home Park Stall 0 to 200 Amps 0 to 700 Amps
Stree/ Lfg./Traffic Sig. Above 200 Amps e 100 Amps
Transformer/Generatar INSPECTOR'SUSEONLY ? TOT
Sign/Outline Ltg. Wmr.
Alarm/Remote Con}rol
Swimming Pool i hereb cenl thot I ins the elxtd InsMllafion dascnbed herein on flro daroe amted
Irrigation Boom Aoogh-m Dok
ecial Ins
$
edion
p
p
Investigative Fee Firal ??
THIS INSTALLATION MAY BE ORDERED DIS O ECTED IF T C TED WITHIN 18 M NT S.
310 - 6 5 6 OFflCE U E ON V This request void 18 months fmm mlidation dak p?nted in Ihis box.
ia?9? ? ?Gss
PLEASE PRINT OR TYPE
Reques Rough-In inspxtion reqolmd2 ? Yes
.
91 nspectlon Other Thon Ravgh.In:.&Ready Naw ? Will Call
?
?s ? .
?Y.
u must coll the inzpecmr when ready) Da?e Ready:
I, icensed con}mdor ? owner hereby requesf inspedion of ifie obove elechical work a}:
Jo6 Addresx (Slr?eeyt, B°", ar Roole N.) Ciry Ip Code
V /
Setlion No. Township Name or No.
? Range No. Fim No. Caunry
Om ant Phonepfo. ?i„ ?.,,J?
OU
Power Supplier Mdress
Ele 'wl Comraclar panr No ) Commdar Littnsa No. ? Maslar Lic No. (Plant EIM. Only)
?
hbilingjd s ?Fr or Owner P a ing Insbllofion)
?
J
Aothof?' $ignaNre(ConhoclarorOwnerPedormiiglnsbllation) Pho?
/ /
E13-000MA-10 6/95 ffiATEBOMOCOW-SEEINSTRUCTIONSONBACKOFVELLOWCOPY 1 n
1N5YECrl,IUN
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
APPLICANT:
1
BUILDING
025777
06/09/95
SITEADDRESS: P•I.N.' 10-4509e-e10-e1
LOT: 1 BLOCK:
4407 WAMILTON ?R
LEXINGTON PtlINTE 6TH
PERMIT SUBTYPE:
DECK
RECURll
PERMIT TYPE:
Permit Number:
Date Issued:
KOENIG GREGG
(612) 683-6439
TYPE OF WORK:
NEW
-- __, .
? CITY OF EAGAN
3830 Pilbt Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
c20 L0
PERMITTYPE:
BuzLnxNG
Permit Number: 025777
Date Issued: 0 6/ 0 9 J 9 5
4407 MAMILTON DR
LOT: 1 BLOCK: 1
LEXINGTON POZNTE 6TH
P.I.N.: 10-45090-010-01
DESCRIPTION:
PERMIT
?Ii3lcling?,?ermit Type DECK
Etu3.ld'lno W'o,rak Type NEW
s? ?m
.'sKa
E v
?f
? sa
r
. s wce _U
REMARKS:
?!3X
a F^Y4 ?
Lc? .?m wh"{
T°SKi ?i,=,Pa, BZAT 6 ?M
?*1?
7# r
FEE SUMMARY:
8ase Fee $30.80
5urcharge $.50
Total Fee $30.50
CONTRACTOR:
?
I hs.reby aaknowledge that- I h.ave°.re
inform:ation 3s correet sncl aqree ta
$ xa?u?es and Ca?ty, o"f Ea?arr 9C?rdin;a°nc
? . _,
APPLICANT/PERIMITEE SIC?4TURE
CJ
OWNER: - Applicant -
KoeNrG eRecG
4407 HAMILTON DR
EAGAN MN 55123
(612)683-6439
I.:.?Yhi a a:i
rr ?
_ . ',??
EAGA 3830 PIL'OT KNOB RDN 55122 MvZ`'
1611 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
681-4675
? 3 registered stte surveys ? z copies or plen
? 2 eopies of plens (inqude beam 8 window slzes; poured fid. design; etc.) ? 2 site suneys (exDerror edditions 8 dedcs)
? 1 energy calculadons ? 1 energy calwlations Tor heated edditions
? 3 coples of hee presenation plan 'rf bt platted efter 7/7193
required: _ Yes _ No
DATE: M S? CONSTRUCTION COST:??
DESCRIPTION OF WORK: - ??
STREET ADDRESS: y` \01 \-"o.oY, .\ Fb n?&' ?re
LOT BLOCK SUBD./P.I.D. #: 1?141 ?
cs83-?,`+39 _w?s\?
PROPERTY Name: ?oer,?4 Gmq? Phone #: Lay -2-2u
OWNER V?
Street Address-
City: L State: m n) Zip:
CONTRACTOR Company: Phone #:
Street Address: License #:
City: 5tate:
ARCHITECT/ Company:
ENGINEER
Name:
Zip•
Phone #-
Registration #-
Street Address,
City:
State:
Zip:
5ewer & water licensed plumber:
change are requested once permit is issued.
Penalry applies when address change and lot
I hereby acknouvledge that I have read this appliption and state that the infortnation is correct and agree to comply with all
appficable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant: C,
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No J tJ ?4 (j ?j t?l??
Tree Preservation Plan Received _ Yes _ No ____,.___,,,,,,,,_.
BUILDING PERMIT TYPE
0 01 Foundation ? 06 Duplex
0 02 SF Dwelling ? 07 4-plex
0 03 SF Addition o 08 8-plex
0 04 SF Porch ? 09 12-plex
0 05 SF Misc. 0 10 _ plex
WORK TYPE
c=z'31 New o 33 Alterations
0 32 AddRion o 34 Repair
GENERAL INFORMATION
OFFICE USE ONLY
? 11 Apt./Lodging o
? 12 Mufti Repair/Rem. o
0 13 Garage/Accessory ?
? 14 Fireplace o
6i3?-'15 Deck
? 36 Move
0 37 Demalition
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
Const. (Actual) Basement sq. ft. MC/WS System
(Allowable) Main Ievel sq. ft. City Water
UBC Occupancy sq. ft. Fire Sprinklered
Zoning sq. ft. PRV
# of Stories sq. ft. Booster Pump
Length sq. ft. Census Code. 1/3y
Depth Footprint sq. ft. SAC Code 191
Census Bidg /
Census Unit o
APPROVALS
Planning Building Engineering Variance
? Z dn x
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SNV Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
T
% SAC
SAC Units
T-P, O 1875 PLAZq DR,
SURVEYDRS suITe zoo
EAGAN, MN. 55122
lNC (612)452- 7850
BRIpN THORSON HOMES
LEGAL DESCRIPTION: LOT I,BLOCKI, LEXINGTOIV POINTE 6ih ADD,
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNiY,MINNESOTA
` SCALE: 1"=30'
iz
O
J
?
Q
?
..?'?
Bendley
_ ,._..
Y
LEGENO PoGos?SD 4 l?V?.G. SPLT -/?la ItiIA-Lko+sT
INVERT ELEVATION AT SERVICE EXTENSiON=
o OENOTES IRON MOMUMENT PROPOSEp GARAGE FLOOR ELEVATtOW =
oa DENOTES WO00 HUB SET PROPOSED F{RST F1?OOR ELEVATION =-??
?l?' DENOTES EX{STiNG SPOT PROPOSED BASEMENT FLOOR - ?-7z . r
o ELEVATION ELEVpTION
(980-) DENOTES PROPOSED SPOT
ELEVATION
?- DENOTES DRAINAGE DIRECTION MOT£: VERIFY ALl. FLOOR HEIGHTS WITH
F1NAL HOUSE PLANS
I hrs4ebp cortify thas 4hIs ourveY,pian or
raport aas propcred by MQ or undsar my
direct suparvisiol end ghQp I cm a duly
Ragia4ered Land Survmyor under tha
Laws of fhe S4ate of Minnespy6.
_;_ ._?"/7/
Mn. Rep. No. 15235
Dore ' I ?'fi ?`1 i
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
9!1i97 III;m CL
I i XIPdCI1D1@ !>()tf11 li
PERMIT SUBTYPE:
arserirr,!T F1rarst,
IN5PECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
13t Oi, ,, APPLICANT:
r?r, r;uF.N r.r
blll (t::;') G87i;q:'TYPE OF WORK:
e r- I H
N,.:w
R
v"il-??7C%VS
r-
Cities Difzital
ity Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? PERMIT
CITYOF EAGAN '3
??
3830 Pi1ot Knob Road P E R M I T TYP ,-
Eagan, Minnesota 55123 Permit Number.
(612) 687-4675 Date Issued: U 31 6/ 93
SITE ADDRESS:
ii oN ?L r o r! L' R
L or: t ei.(" r.x: 7
r: t, oI I?r? sI
DESCRIPTION:
Builui.t-i y P2 rmit. ?yps
Bti I dlriy 'IJorI?
UBC S)c:cupanq:'r
i;HScIhEIV,.. F7i4T`? H
n' l- W
i i r . .': 'a ? , -?'? i ! i' i I ? : _ j ? •
QI _L
,. .'?
REMARKS:
FEE SUMMARY:
i;'.?... F,,..
tiurch,.r9F
oa i?ee --_-----..-
T 9: 1 v..;6.50
G?
L?5
CONTRACTOR:
OWNER7 - F?n? licar.L
t:) ix, nF>,
: n.;, ,,? ;• N r> 5 i. 3
r„i7 r,
,
I iitr?b y
r.c!.nota4edkJr
f.:liL I .
. hc.ve n2&-(3 t.his
, ,f) p J.i,r..,k?.ann ?3 11 d -Car.?
in`nrntil i.on carre r,?-. ttd p (I re: co cQra:):y ti i"r_- h a ! 1 'i pNl.ic?a!??,. i,ri
S1':dt:?712n 2li?G? f7T.ryf Of i?=L?SJ';I'1 OY'J iYtallL"-Ft??..
L
APPLICANT/PERMITEE SIGNATU
n? ?Kl;,,?I rr ??
ISSUED BN: S?C,NAT RE,?
REACTIYATE _
PERMIT
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION ?M.50
C4 !4d g_!3
im 1 * h6
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
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 J / Z/ 93 Valuation of work
Site Address: Or24IL-a
STREET SUITE t
Tenant Name: (commercial only)
IAT J_ BIAC& SUSD. ? • ?4 G'Yv P.I.D. If
Descri tion of work: t-Lvi.c? lowe,r Le,u,&
The applicant is: Z Owner O Contractor ? Other co?cr.;be>
Name ?aeN1 1 Pa-eth Phone loF?P?-2_88?-.
Property ? LAST FIRST j ae,!, ?„?k ???- &45S
Owner Address ?U? ?ryt; (-lT?n (?r w
STREET STE 0
City State kw Z i p SS 1 23
Company Phone
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
BUILDING PERMIT TYPE ? 01 Foundation 13 06 Duplex ? 11 Apt./Lodging
0 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex 0 14 Fireplace
? 05 Sf Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
6#,31 New ? 33 Alterations ? 35 Tenant Finish
32 Addition O 34 Repair 0 36 Move
GENERAL INFORMATION
°00 Oll""semervt"F
? 17 Swim Poo
? 18 Comm./In
? 19 Comm./Ind
? 20 Public F
? 21 Miscella
? 37 Demolish
inish
1
d.
. Misc.
acility
neous
Const. (Actual) Basement sq. ft. MWCC System
e? q y
a
UBC Occupancy 2nd F1. s
ft. PRV
Re
uired
Zoning Sq. ft. total Booster PumP
# of Stories footprin t Sq. ft. Fire 5prinkler
Length On-site well Census Code 4 3c,/
Depth On-site sewage SAC Code
/
02++5ws bIJ
?,
APPROVALS . -
`o KN
'r
t
?
Planning Building Assessments ?
Engineering Variance
REQUIRED INS PECTION S
? Site ? Footing 19 Framing ? Insulation
? Wallboard P Final ? Draintile 0 Fireplace
Permit Fee ;, oJ votuac;m: g
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
TOtdl : y , s e
SAC %
SAC Units
. . . . .-. . . . . } ?
(?5 ,?i6ubr? 550•+
4 0 • +
357•+
1 0 D•+
6 5 0 • +
660•+
90•+
30•+
30•+
p•5F
276•+
370•+
3?153•5*
? 1991 HILING?T ABPLZCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
1!NLTIPLE DWELLINGS
I
COMMERCIAL
2 SETS OF PLANS 2 SETS DF 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 CORN$R IATS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: j/n.? Valuation:
Site Address "')7
Lot ? Block )
LEX1NC-'ic7y PCINI ? rat! ,?'PT]ITl(,?}?I
Parcel/Sub L-7??
Owner
Address
City/Zip Code 6,0fe.
Phone VTy-v61141
Contractor
Address
City/Zip Code _
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
8?
Date:
?;?? ?; b n RECe
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
OFFICE USE
R 3 M-I
?
v-
V-N
?
so
On site sewage_
On site well
MWCC System v
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. I/i5
Variance
FEES
Bldg. Permit 5SD.00
Surcharge 1-4O,Oa
Plan Review
SAC, City 100i00
SAC, MWCC 6P50.Oc7
Water Conn. (! 60
Water Meter D,OD
Acct. Deposit .3o.?
S/w Permit .30.00
S/W Surcharge ,$b
Treatment Pl. 2'](o,flD
Road Unit nt7,00
Park Ded.
Trail Ded.
Copies
SIIBTOTAL
Penalty
Lot Change
TOTAL ? 5
? agrees that all work shall be done in accordance with
??T (Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
. . . V A l, u',?-F'?O?.?
GA'RA6E
a-4 K 2?. =6??6
12SMT
`ta 1040
? X g = 3 Z
_---
I o'72, X I y= I S, Do B
10 -7
la?b ?c si= S5?q?
2
"do D-
`do
. ,
METRO -
SURVEYDRS
INC.
1875 PLA2A DR.
SUITE 200
EAGAN, MN. 55122
(612)452-7850
BRIAN THORSON HOMES
LEGAL DESCR I PT ION: LOT I, BLOC KI , LEXIN6TON POINTE 6fh ADD,
ACCORDING TO THE RECORDED PLAT
N THEREOF DAKOTA COUNTY,MINNESOTA
? SCALE: r"_30'
?
I ?S89°50'21"E 80.00 ql2
25 ? H
n
?
DRAINAGE 8 UTILITY EASEMENT y ?
I
? O
? I LOT I n
LOT 2
w
>
?
o
I
-
?
1.NfG
? -
Qo.o .
I Z Q
0
V
? kP
O
Q I
' ?2.o
-----
J
2 a
Q e
?T,('?i /V
`?l (apK
'G N
R Ql
O
.?9 ?
5
? 0
0
.
.
??F
rr;-
i N89°5W1T
?
p
r 5'11: , .. - - - - ._. ._ . ._..__.
.
...... F.a.1c ...: 6?.`._?:
FRoGcxED 4 teveL 5pc.m -4o L.lA-tkouT
LEGEND INVERT ELEVATION AT SERVICE EXTENSION=
o DENOTES IRON MONUMENT PROPOSED GARAGE FLOOR ELEVATION
5
?
DENOTES WOOD HUB
DENOTES EX
ST SET PROP05ED FIRST FLOOR ELEVATION
'
I
ING SPOT PROPOSEDBASEMENT FL t
OOR =
ELE VATION
(qgp-°) DENOTES PROPOSED SPOT ELE VAT I ON
ELEVATION
DENOTES DRAINAGE DIRECTION NOTE ? VERIFY ALL FLO OR HEIGHTS WITH
FINAL HOUSE PL ANS
I hKeby certify that fAis su?vey,plan or
report waa prepared by me or under my
direct superviaion and ihaT I am a duly
Reqistsred Land Surveyor under ths
Laws of the Stote of Minnesata.
Bradley wenson, Mn. Rap. No. 15235
Dcte? I ? 2 I`I I
: • . '" .. ? ..
• .. .. •.: yvYU •u?V r?? • . . .
.. "• .. ' nlnnL au Ln ....,... •- . ,.._ ' . .
..?:?rH n TER ?OF T
.. • . BA560 0•v
DL?LOH ?l' .
Hp EEtGY CODE ? ;. . .-_ .
E f f a cClve} l/1/ 4,
? ?r ? ?` :•, Phane ^>
..
?-?-----
Iwner
-r 1 ? ?-a?i? ? l - ` '' C t-?'?r ?? r ??? ?` •?i ???t?`"7e:? 1J
?i te Address?',
. , '? ? ? ?hone .r. :• ,a ^ •
ontractor
AZ (ResidenNall . '?.
essj
uilding C1asslfication Type A1 {$1ng],.e Fam1?Y & (3 s tari es ar Oyplex)?
' - •. ':?1, r?'?s•r,? r S .:l' , "'
,a. ,., f _ ,.. . .
+ t s t W . . (Other) ?. (Qren 7;siories) ' .
• ,'? ?bv.? 4." ?yi ' .
?ENE;LAL INFORHA7IOH
i i yf
0uilding Perimeter ??? ft• ' ?° a'? ` ' ?
, tlall height (9round, to eave) ft
. ; ft
1. .1. x 2. (above) 9ross Hall
.t?° ?; XZ?, ft.z ro of 5,floor area
I. Building dlmenslons (L)
;. Squar• fcot area of rim joist,-kFo? rxjPerimeter `ZRim? a?sfit area?• `Za c'f?1` ...
• . ? .?:14 ?t4??: I 374 I:. Mf
1 1 ` '"? , ?.! . ':t ' • ?
- • . . ,'; ?:r fei; ,+ ? .. ..
.' ? l:• ... , . , . . : `
5.: Jaors - Area 'r, '
Th1c ness ? rt. actor? ' L??w ;
, Typ? of Construct on erlwetery? --T -?- ?
t ^ '
HanufacWrer
7 . Total doar's perimettr
?State approvrJ
g. W1ndoNS:-- Nanufaeturer
U factor
T1fPE SIZE AA.a (F- Z) ? NUMBER OE T4TAl FEET' Z.
EACN, , UNITS;
1A 3?1.
s? - ` ` 2- _Z?u
3c?•C
r ,.
9,Tota1 ft.Z Glass ?? •?? ?`'
106 Fireplaca area: Width x heiaht x Ft.2
Ft.Z .11 . Eapased foundatlon: Helght x Perimcter
)MPlETION OF TN[S FORP1 IS REQUIRED FaR ALL NfN COriSTRUCTIDN; MAJOR fiEM00ElING ANO BUIIDI'IGS AEI
3YED YNEfIE EHERGT, OTHER THAy THE MINIHAL LOOE ALLOHANCE.:IS,USED.. .
r
.. ./ • r .- a : .
?ng area ? 10Y of gross reall area. - '
2 - _
walt aree f'?,??ndOwS U x'' ,
V
r'c,? ft.2 1' . a A
Nindaw area A ,
.,
i atm?Jaist nrea a o_ fc Z u rtm tse - ? oh u x.a -J5. Z-
i . .. ? k .
I poor area A ?`l•`Z't ft. J door. area ?- ?z.. U x`:A ¦ ''`?.b?
i Fireplace area i4 @- ft.Z ' U rireplsce a ?- U z a• ?
S gxposed, foundation A '7.? f? J faundatiori ,? \\ u x,,a
4r? Framing area A . ?`? ?•?'`? f t? <{U frani ng £area =.: O U z A?\-1..
et wall area A wali, : r •? O`4? U x.r+
Iv
? - U x A ., ?
` ?.Gross Mall area x 0.11 (A-1 single family S x¦;aliowable U,.c A/Code
? (13. above) .
? x 0.23 (A-2 other resiCentia"'
x .23 (Orher buildings;
t ?.r. -.. . . . , .? .. ,. .. .
4 ,c .28 (4ver i starie.)
TUH Must be larger than
" a ?°? (04 x U Ccde, . 138: abave ,; .
.` - •- k ,_?' 3},?<? ?? or thc ?same as)
Catlinq framing area (Af) aquals 10: nf ?nilina a?ea?a; --?- ' ??
2
?A. Gross ceiting area ? (L) 3? x ('a ?4 ~ ° `" • . ???-? ft.
2
,loist area (Af) ? 10'; celling area ft.
e.!, • 2".
``c. yec ceii inc area (a,) (15n - 158) 4 ft.
U telling,x Rc•
J U framing x A fm x-?
Q. 'sQTaL U z A................ ..................
:--- - ' , • I „,. .
. Ce/11ng area (ISA) x 0.026 (A-1 single `amily,S Cuplex code allo•aable.U x?A .
x O.C33 (A-Z other reside^:ial)
', - . .
x O.C6 (other) BTUH Must be larger than 1°0.(a6ove)
A (15.a) z ?ky°e1- ?•?'0F .(or the 'same as).
?
:-
:-?
NQTE: Use ll and A values obcained from nps 1.3 and 4.-
,
?
? : . • .
2ND WALL
SEGMK
RLN . . ,.?; ' `'
JQIST . ? ?
? i•, , .
?_-
i?
?
.?
?. OtAL
Ins tde air R?f 68
Ini.rior, vail<
tton
insul'
' (
\uall ? .?
? ? i•I
Shasthtng
Extar.tor vill.` .o'.erin?
Excertoc°alr'Etl(n n'• 17
4 TOTAI
lnt*rlur atr ,63
.csu1a ton tiA.oo .'
•
(Rim p ?
? •
l?! ir.ch wtt •auud R¦1.88 . .
.
JO1St)
I.SL. y
?a
t??n .
g ..
5hsa
terior.vall covr.stns •?°'?
Sxteblor air Ellm fL+ .17
?
i..TOTAL. L
? 4Qn
. . . . . _ . :':Ni
>;
lncartuc aiz tilM .
Insula.tor (F,,oen
,
t
? FounJaLiun
e
P?a c '
C U
y
e
?D? . xtaitor a[r filn .. Ro .17 \?
. •
a TOTAL 4
.•S?i
? . ?? tAAhIjFFsaY lel ?jk??
r? . t1 P?,?"}+??
r?? hy?jr?M , Pj ?,]'1?'Y}qry?.x?j?sY??? ?.a1 . JbF4f fi1?Sr1???1 7 j?'ftir'iY a?t.yl+ t1 ,
- ;rty r +nl ? ? i a?tM+?iii,k], ?dl{'T .?, Ti I ! y M 'J ?r?Gf? >> 1 1 .? Ct= Jh ?4ni ??r "r ?i???. t`Jak.:.ti
?'1!.
??5 1 ? J.
???'l•.1 ,? .?1 71 i I i . . - Q.??
,
, . ,
InSutatlon
-
, . :
Ceiling
0,61 -" A1r fitm 0.61
r • 3'7 9 3?1 Total :?R
, .0 z?45 u
,
F!AT ROOF OR Carr1EQRAL'CSILPM+c
R Va ue ,• : R `JALUE '
FR;fMfNG= CEIL[t{f,
? 0.61 ' .Inside a{r fil,m _0.61
?:.?.?..?e. . ., Cei l tng • 1 'I
7 7 1 1 ?f?
J+l I . . ??? • 1 '11o+I e it,.?S ? GV . ,.
:InsutAtion
Air Spat•
, ? I : Rocf; dotking `
Insut:ation , 7
' ? 8utlR:up roof ...'i > 0. 7 Outside air.;f11m
Tot3R
? a...,
--• R
1.indow inflltratlcn .5 cfm/11nea1 foot of creck
;tqstdential door tnfiltraNan 0.5 cfm/square foa; or dcor,and mtnimur code requlrert?ent .
ton-residentlal door infiltratioa 11.0 cfr/lineal `oct of crack
.. ,. ?
12" concrete block no insulation s.47 R 2 .1
;.lg, 12" concret$ bluck_-iasulated cores 0 .26 R 3.8
11" Iight?etght:tilock - .32 R.3,1 ?Jti` 12" ligntwefght btcck.irfsulated cares =.12 3 -
,:1.;inpte glass ¦ 1.13. wlth'storh Ntrjdaw .54
;:? doubl? glass ? .$6 _ , _ _
,
"7 Criple gSass •, .+11
'k .
"i]1 exterior walls and ceiltn9s must have a vaaor harrier (C 10 perm i^ax.).
r Oarriec mu;i,be on Ehe inside (heated slde) of wal). . :
t. Darrteri af tlr! polyet?lelene thin f11m havt no R value,
r .. • . . ' . _ . . . . . .
R . . ? ? . , - , ? ...
? .• .' . : ..: .. ...:.t ! .I' ''..
1 . . ".. , . '. . .. , ...
? . ' ' . _. , . 4 h' . . ..
CITY 137 EAGAN
3830?PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
??WOgmgnm
FOR CITY USE ONLY
PERMIT #
RECEIPT #
DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH ONIT.
---------------------------------
WORK DESCRIPTIDN
NEW CONST
ADD ON
REPAIR
OWNER NAME: Rrian T._ Thnrcnn Hnmaa, Tnr_
SITE ADDRESS: 4407 Hamilton Drive, Eaqan
LCS::_/__ BiACK _/- 3JBD(7? lD
INSTALLER: Kleve xeatincr & Air Conditionincr Inc.
ADDRESS: 13075 Pioneer Trail
CITY: Eden Prairie. MN ZIP; 55347
PHONE #: 612-941-4211
FEES
ADD-ON MINIMUM $15.00
NVAC 0-100 M BTU 24.00 v
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMUM 3.00 ?
OF 1 PER PERMIT
SUBTOTAL: $ a7..9a
STATE SURCHARGE: .50
TOTAL: $ a7 So
SIGNATURE OF PERMITTEE
?`4Hhi?TtCIAL/?15??USTEt???."; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDIISTRIAL BUILDINGS,
APARTMENT SUZLDZNGS, AND MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNIT.
-------------
CONTRACT PRICE:
OWNER NAME:
c?T_E ADDRESS:
LOT: BLOCK SUSD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHONE #:
FOR:
FEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.SO FOR
EACH 51,000 OF PERMIT FEE.
YROCESSED Plf'YNG = ?25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1$ $
STATE SURCHARGE $
TOTAL: $
( S IGNAT[JRE )
CITY OF EAGAN
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MN 55122
PHONE: (612) 454-8100
FOR CITY USE ONLY
PERMIT # 466E
RECEIPT DATE:
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
?TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
------------------------ -------------------------°°----------------------------
WpRK DESCRIPTION COMPLETE THE FOLLOWING:
N0. FIXTURES EA.
NEW CONST V ADD-ON MINIMUM 15.00
ADD ON SHOWER 3.00
REPAIR WATER CLOSET 3.00
? BATH TpB 3.00
? ?
"
?I? LAVATORY 3.00
OWNER NAME:
/, rnn I tio^Sov? r 1 KITCHEN SINK 3.00
D
?
Y
N 3.00
SITE ADDRESS: 7YC) 7 ri V e. T[JB/SPA
HOT 3.00
?
/?
? ? WATER HEATER 3.00
LOT:? BIACK SUSD.
(
?y?7 : FLOOR DRAIN 3.00
?) f J GAS PIPING OUT.
INSTALLER: Ol ? 17 t (MINIMUM - 1) 3.00
'n
? ? ROUGH OPENINGS 1.50
ADDRESS : ? C. ea r ?-
I o,
V e, OTHER
I
SS?/a3 WATER SOFTENER 5.00
CITY: C +C ZIP: _ PRIVATE DISP. 15.00
6
g/
- q
? O ? U.G. SPRINKLER 3.00
,
,
#:
PHONE .
f,
OF P
SUBTOTAL
ST. SURCHARGE
TOTAL
3109
?.oo
3.00
00
? bo
? 00
AD.
3,oa
3,ba
y,Sa
1L
.50
TOTAL: S 39'Oa
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS AND
MULTI-FAMILY SUZLD2NGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
------------
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZIP:
PHDNE
FOR:
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 USE ONLY
L J BL ? RECEIPT #: (!M5?
SUBD?. DATE: 80
1996 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits ana required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on airexchanger, i.e. Vanee system, etc.
Date: (o
FEES
? Minimum Fee: Add-onlRemodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU 24.40
Additional 50 M BTU 6.00
? Gas Outlets (minimum of 1 required @$3.00 each)
? State Surcharge .50
TOTAL "' 20l c7
SITE ADDRESS: y-kOD ??`•?-??--
OWNER NAME: G, PHONE #: ?g-2- ?
INSTALLER NAME: Q`Q a? ? - ?-p*-?--Q- ? P •?•M ? ?'.r C.o ,? .
STREET ADDRESS: S?` 4AEgTiS7_
CITY: STATE: cy\(-3 ZIP: S_ C?yT
PHONE #: ((p) 2-)
CITY USE ONLY
L BL
SUBD.
11
RECEIPT #:
DATE:
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Ptease complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are IIgS required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: _ NEW CONSTRUCTION
DESCRIPTION OF WORK:
INTERIOR IMPROVEMENT
FEES: , $25.00 minimum fee Qr 1°k of contract price, whichever is greater.
w Processed piping - $25.00
• State surcharge of $.50 per $1,000 of Rermit fee due on all permits.
CONTRACT PRICE x 1 %
PROCESSED PIPING
STATE SURCHARGE
TOTAL
81;[E ADDRESS;
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:.
ADDRESS: _
CITY:
PHONE #:
SIGNATURE
TELEPHONE #:
STATE: ZIP:
SIGNATURE OF PERMITTEE CITY INSPECTOR
CiIy of ?ap
3830 Piloi Knob Road
Eagan [VIN 55122
Phone: {651) 675-5675
Fax:(651) 675-5694
--------- I
I por O?c,e Use,` ?
? Permit #:
I
i /
I Permlt Fee: L) ?
? Da[e Received: ?
i Staff: - - - - - -?.-.'
2008 RESIDENTIAL PLUMBING PERMlT APPLICATION
3te: J-0__u:30Site Address:
:nant:
EStDENT/OWNER 1 Name:
CONTRACTOR
R
3YPE OF WORY: _ New /
Description af worK:
PERMST TYPE ESIOENTfAL
? ? Water Fleater
Address / City ! Zip:
Suite #:
QI.T 2 +; 2008
Name: Champion License ?21 0( L-r-lvI -
----65-f_M-j?-TT4T-
Address: 3670_Dodd Rd. #100
Eagan, MN 55123-1339
Cify: _ State: ZiP:
Phone: ContactPerson: ?---?-i-a--?dLl?-1---- --
Lawn Irrigalion
?(_RPZI_PVB)
Septic System
New
Abandonment
Water Turnaround
Space _ Work in R.O.W.
ESfflcNTdAL rEES;
S0,50 Min"smum VVater Heater, Water Softener, or Waffir Heater and Softener (inciudes $.50 State Surcharge)
20.50 Lawn ir:'rQa[ion (includes $.50 State Surcharge)
:0.50 Pdd F'lumbing Fixtures, Septic System Abandonmenl, Water Turnaround* (includes $.5o State Surcharge)
'\tiater Tam=und (add $13fi.00 if a 5f6" meter is requlred)
, 00.50 Sepiic System New ($10.00 per as bullt) fincludes County fee and $.50 StateSurcharge) . `150 5i e Repair (rapiace burned out appiiancas, ductwork, etc.) (iocludes $.50 State
Surcharge)
FOTAL FEES $
erebV acknovAeage that this information is complete and eccurate; that ihe work will be in conformance with the ordinances antl cotles or me ury u,
:zn; that 1 imdam?aid this is not a permi[, biit only an application for a permit, and work is not lo start without a permit; ihat [he work will be in
,a;dar,ce wii t' e a??roved plan in the cdse of work which requires a review and approval of plans. .
--??----
;Pliceni s rrinted Name ApDlicarrt' ignature
;P. OFFECE CiSc', Remewed By Date ?
:quired inspuctiona:" Under Ground Rough-In NiF Test _?asTest Final
Repair
-Water Softener
Add Plumbing FiMures
^C_ Main _ Lower Level)
P??
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4407 Hamilton Dr
Lot: 1 Block: 1 Addition: Lexington Pointe 6th
PID:10- 45090- 010 -01
Use:
Description:
Sub Type: e- Windows/Doors
Work Type: Windows/Doors - New/Replacement
Description: House
Census Code: 434 -
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Home Depot At Home Services
656 Mendelssolm Ave. N
Golden Valley MN 55427
(763) 542 -8826
PERMIT
City of Eaan
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Applicant/Permitee: Signature
- Applicant -
Construction Type:
Occupancy:
Carbon monoxide detectors are required by law in ALL single family homes.
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
$88.50
$1.50
Total: $90.00
Owner:
Daniel P Swetalla
4407 Hamilton Dr
Eagan MN 55123
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA089284
05/21/2009
ePermit
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City of Euall
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE oraBLACK Ink
For Office Use f -
Permit #: 1-// S�
l cL T
Permit Fee:
Date Received:
Staff:
'J5
j 2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: lZ ( pi ( i- \ 2- Site Address: 44 01 1-4 vii 1 \-4r1/4.d V
Unit #:
CONTRACTOR
Name: `(\/lam\ -L S \,,e, -„114
Address / City / Zip: L1407 t11'tvvt
Applicant is: Owner ye - Contractor
Phone:
CQ ci u rt-
Description of work: 11`4 e p l t (-C
Construction Cost: \/ W `` Multi -Family Building: (Yes / No ' )
Company:6(1-0.1 y CZ -GO SO\ wt -t0,-, S
Address:-) LA-) J3 St't-c \3o
State: VV1 J1) Zip: 5—S 3 (oci
Contact: karj 01 Soy
city: 04 or/ e &rove -
Phone: '.r' (p (2 - 2- t 1-1 - 0,4-(
License #: ?Lb 3 24 S Lead Certificate #:
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Phone:
Phone:
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 they 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.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 without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x C kctvkbC rS
Applicant's Printed Name
x
Ap. an Signat
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use
Permit 1-06 j
City of EaIN I Permit Fee: a~y~~
3830 Pilot Knob Road I yy I
Eagan MN 55122 Date Received: ~b I
Phone: (651) 675-5675 I /1 I
Fax: (651) 675-5694 i Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit M
Name: '1 `ale/ Phone:
Resident/ I
Owner Address / City / Zip: G6 "G D / ~i ~~D" ~1~
Applicant is: Owner Contractor
ription of work:
Type of Work 6,~2e Desc
Construction Cost: Multi-Family Building: (Yes / No
Company:A,j Contact: rif ?Ii4- l.S- Zyy /Z/
i Contractor Address: ~ly~G ~i.~eylo City:
3 State:/ Zip: V Phone:
License M Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
i 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 they 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 of plans.
Exterior v/ork authori d by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of er it iss anc A)q x
....._.x /f V/<-
Appli n Printed Name Applicant's Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175470
Date Issued:04/05/2022
Permit Category:ePermit
Site Address: 4407 Hamilton Dr
Lot:1 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-010
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$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 -
Brian J & Jessica Skelly
4407 Hamilton Dr
Eagan MN 55123
(612) 388-4018
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178853
Date Issued:09/07/2022
Permit Category:ePermit
Site Address: 4407 Hamilton Dr
Lot:1 Block: 1 Addition: Lexington Pointe 6th
PID:10-45090-01-010
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Brian J & Jessica Skelly
4407 Hamilton Dr
Eagan MN 55123
(612) 388-4018
Minneapolis St. Paul Plumbing Heating Air
640 Grand Ave
St. Paul MN 55105
(651) 228-9200
Applicant/Permitee: Signature Issued By: Signature