4452 Hamilton DrBUILDING PERMIT
To be used for 1i 7' --;3
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
SiteAddress 41`52 'iA`NILTON [i-'.iL7
Lot 81ock 4 SeGSub. Ll"'> rT'' h+'
Parcel No:
? Name p?"1? , ?':a)s.?tJf :!n1SE"
z '?J7t;iv 'li.+ 7?
o Address 4408
. City FAC A;i Phone
o Name sA'-
g? Address
? CityPhone
$w Name
N Address
aw City Phone
I here6y acknowlege that I have read this application and srate that the
infortnation is corcect and agree to comply with all applicable Stata of
Minneso[a StaNtes and City of Eagan Ordinances.
?
S'gnature of Permitee A?uilding Permit is issued [o: ?ttL,?1i L'IHOi$ij[{ i%UE;?.i
dr the express condition that all work shall be done in accortlance wilh all
applicable State ot Minnesola Statutes and City of Eagan Ordinances.
8uilding Oflicial
Date , 19co
OFFICE USE ONLV
Occupancy R---4-tm-1 PEES
Zanin9 Pz?i4j-1
(Adual)Consl ?/a-- BIdg.Permii ? 55? •?'
(Allowa6le) V-41-- Surcharge 41 Q'"
# of Stories -
+2
Plan Review
z j ?' • ? ??t
lergth --
Depm snc. City S nn. c:;
S.F. Tatal - SAQ MCWCC S? S• C;U
S.F. Footprinis -
On Site Sewage _ Waler Conn S lii! .:16
On Sile Well - Waier Meter '"jr, -`?u
MWCCSystem +-
AccL Deposit
v
City Water
PRV Required - SiW Permit ?n - I %o
Booster Pump - SNJ Surcharge Y.{,('
TreatmentPl 2 1£.00
APPROVALS Road Unit 31s0. CQ
Planner - park Ded.
Cauntil -
BIdg.011 Copies
Varience - TO7AL $2-141 .OQ
BUILDING PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
used for :,: D{JJG/GAR Est. Value ;
Site Address- 4452 HAMILTON DRTVE
Lot Block ? Sec/Sub. 3Ri?
Parcel Nd.
W I-Name $RIAN L THQR30lI H4ME5
3 Address 4466 WEDt;W't`0I3 !3P
° City F-AGAN Phone 423-3733
Address
C(ly -
Name _
Address
Clty -
Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with ail applicable State of
Minnesota Statutes and City of Eagan Ordinances.
4nature of Permitee
A?uilding Permit is issued to: BRYAt! L TI9C1R,SON wU??YGS
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
Phone
1V104
Receipt #
OFFICE USE ONLY
Occupancy R--.3-j1°?-1 FEES
Zoning PZ49- j
(Actual) Const Y---N-_ Bldg. Permit ?r g 5R -?G
(Allowable) V-Ai- Surcharge 41 . 00
# of Stories -
L?
Z
Plan Review
279.00
Length .
DePth 42--- SAG City 100.00
S.F. Total - SAC. MCWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn 5an-'Jd
On Site Well Water Meter 90- r0
MWCC System ?
.
acct. Deposit
311- (1A
C'ity Water ,
?
PRV Required _ S!W Permit 20-00
6ooster Pump S,'W Surcharge 1.00
TrealmentPl 218•00
APPROYALS Road Unit _340.r_00
Planner - Park Ded.
Council ^
BIdg.OH. _ Copies
00
128 4L
Variance - TOTAL •
CASH RECEIPT :
.
CITY OF EAGAN ` "??"•
, 3830 PILOT KNOB RDAD
EAGAN, MINNESOTA 55122
s ?
DATE 19 J
RECEIVED
FWM
i?
AMOUNT
& DOLIARS
,oo
? CASH Q'CHECK
? ?
ev
White-Payers Copy
.? 1?: • Yelbw-Posting Cppy
- Pink-Fle CaPY
Thank You
$LDG. PERMI7 NO.
01-3210
Bldg. Permit - ,
!
01-3422 Plan Check - --
01-3445 Surch./Adm.
` 01-3446 SAC/Adm. ? -J
01-2155 Surcharge
75-3860 Road Unit
` ? •
-
??.: ?1
? -20-2275 SAC
20-3865 Water Conrr.
- 20-3868 Water Trmt.
20-3716
1 Water Meter -
20-2252 Acct. Dep.
-? 20-3713 Water Permit
- 20-3743
Sewer Permit , ; ,..
79-3866 Sewer Conn.
28-3855 Park Ded. ;
TOTAL
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 5512fi
i SITE /
' LOT",
APPLICANT: i ?, , ? 1, " ' l ? -?.s ? ? •' /
ADDRESS: l.? ,• L, ,;!,: i-'t . ?,r,r.? !,.
CITY, STATE ZIP % -
PHONE:
PLUMBER: l : s{ 4_4 r
?
ADDRESS: 12201 {irlltiNETr)Nt;1; ?? +:'
CITY, STATE MTKA ZIP
PHONE: ] 3 3'
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # _L"`2 SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
ZIP
/ PERMIT REGIUESTED
?L SEWER -WATER _ TAPS
- COMM/IND
_4,,'NEW
,_ FiESIDENTIAL
EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
? . . . _ . .
. . ?
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, COMTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS 'V LOT'_BLOCK _ -'?SEC/SUB
APPLICANT: . ,
ADDRESS:
CITY, STATE ZIP
PHONE: 1/? ?-• 3 7
PLUMBER: _7 .
ADDRESS: 1 201 1KNETONKA BLVD ?
CIT(, STATE ?I1TKA 21P 55343
PHONE; 2 ? -3 - -:) `- --, f
OWNER: _
ADDRESS:_
CITY, STATE
PHONE:
OFFICE USE ONLY
PERMITDATE ?j,'>i 3()
WATER PERMIT # 10262 SEWER PERMIT #
METER #?L g?Jff 4 z B.P. RECEIPT #
R# S? B.P. RECEIPT DATE 217/89
? sizE ? G- K
ISSUE DATE U - q - 2K .. - PRV _ BOOSTER PUMP
ZIP
PERMIT REOUESTED
-%Z SEWER ?' WATER - TAPS
- COMMIIND _RESIDENTIAL
.;=,?NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
A
i
SI TURE WHE ISSUED
6 G '
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
PERMIT #
, MECHANICAL PERMIT r i '' i" )
CITY OF EAGAN R?CEIPT # J=? •?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: "''ar. .,8 ; 19 3?a
? Name f\1f:sve neaLina, &
m Address 13075 Pioneer Tz
c Ciry E?den PrairYPhone
? Address 4466 Wedqewocd ?
0 ?i? :'a?an Phane
TYPE OF WORK
ForcedAir Le?xs.,oz: 75,000 {? gTU
BOiler M BTU
Unit Heater M BTU
Air Cond. LQnnox 24 , 000 *11 BTU
Vent 1IS18-2161, 2 Ton CFlv1
Gas Piping Outlets #
Other
FEE:
S/C:
? TOTAL•
BLDG. T1fPE
Res. ?-
Mult
Comm.
Other
WORK DESCRIPTION
New k•
Add-on
Repair
? III
I
III
?I
FEES f
RES. HVAC 0-100 M BTU -$24.00,
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OU7LETS (MIMIMUM - 1 PER PERMIn - 1.50 EAd
CQMM/IND FEE - 1% aF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & COND05 - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON $
REMODEI.S - 12.00 ,
MINIMUM COMMERCIAL FEE - 20.00 . I
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRiCE GOES '
BEYOND $1,000) I
SIGNATURE OF PERMITTEE ,
I
FOR: CITY OF EAGAN
I CONTRACT PRICE:
PERMIT #
PIUMBING PERMIT 1r" '
CITY aF EAGAN RECEIPT # ? J_?
3830 PILOT KNOB ROAD, EAGAN, MN 55122 OATE: "
Site Address ?"-
Lot Sec/Sub'
Name
Address ?
c City Phone
L Name
3 Address
p City Ph-Mle
l
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
SIGNATURE OF PERMITTEE
BLDG. TY?E WORK DESCAIPTION
Res. ?? New "
Mutt. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
? FIXTURES
Water Closet - $3.00 TOTAL
S ? -
?LBath Tubs - $3.00 -
-2_Lavatory - $3.00 ?
_=2AShower - $3.00
_,LKitchen Sink - $3.00
Urinal/Bidet - $3.00
? Laundry Tray - $3.00
_LFloor Orains - $1.50
_.,z Water Heater - $1 50 -S
/Whirlpool - $3.00 • G
_/-Gas Piping Outlets - $1.50 ' ?
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
ri
FEE: ?
STATE S/C:
FOR: CITY OF EAGAN GRANO TOTAL: ?
A-
(9rdi#iratt of (Orrupanry
titp of (eagan
Mppal"tmMtf Df l1ttlbtttg IriSpPtfiDtt
This Certificate issued pursuant to the requiremenCr of Section 306 of the Uniform Building
Code certifying that at the lime af issuance this structure was in compliance wrth the various
ordinances of the City regulating building construction os use. For ihe jollowing:
??irxation SF DWG/GAR ?? Ptr,;, No 16 I 04
o«uwncr 7ype R$ /M 1 Zoeing Muict PD /R I Tra ConsL- VN
owner or au;la;? ffitTAN L. T4UR9Qd HQES ,?? 44b6 WIDG?dOm DRIVE, FF1('?Ald
BuildingAddrcss 4452 }XMICXV TJKIVE LemlityIS, Bit IECIIUM POINIE 3RD
APRIL 7, 1989
Bwlding Official
POST IN R CONSPICl10US PLACE
?-
*- ? - - -- CITY OF EAGAN ,
i
6i 04
J -
`
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
B4ILDIN?'a PERMIT Receipt
.
To be used?r Est. Value ; c 1 CK1n
Date
19A?l
Site Addres5 41" ?? TAMF L?'f3C1 DIZIVE
Lot Block Sec/Sub. ?Y PTE 3Ri: OFFICE USE ONLY
PBfC@I NO. Occupancy FEES
2oning PDIW-1
Name (Actuap Const Y?_ Bldg. Permit $ S 58.U0
W Address ? r (AUowable) Y••i? e 41.00
Surohar
o City Phone 423-3733 x ot srohe5 - g
279
0
?i2 ,0
Plan Review
Length -
? Name Depih 42- SAC
City 1?•?
_ ,
O
¢ Address S.F. Total - 575
,10
U
? C.It}/ Phone S.F. Footprints - SAC. MCWCC
•
Water Conn 5$0.00
?
On Site Sewage
_
W W Name On Site Well - water Meter gU -?
?? AddreSS MWCCSystem X- 3
a W
City Phone
Gty Water
.+- n-o
Accl.Deposit
S/W Permil ? ? • ?
PRV Required _
I hereby acknowlege that I have read this application and state that the Boosier Pump - S.NV Surcharge 2•00
information is correct and agree to comply with all applicable State of
Mi
t
S 228
?0
nneso
a
tatutes and City ot Eagan Ordinances. ?
Treatment PI
Signature of Permitee APPROVALS Road Unit 340.00
r
A Building Permit is issued to: BRIAN I, it{{)RgON
Planner
-
Park Ded.
on ihe express condilion that all work shall be done in accordance with all Council -
applicable State of Minnesota 5tatutes and City of Eagan Ordinances. gldg. pry. _ Copies
Building Ofticial Variance - TOTAL ???`F L•00
Permit No. Permit Holder Date Telephone #
WATER
SEWER
PLUMBING /L'j?) 3
H.V.A.C.
ELECTRIC - ?,:J(f?.? s ->: " ` ^ ?C,t• ? ?'1 ?"' ? G`z-?
Inspection Date Insp. Comments
Foptings I l
Foundation
Framing 3-?G ?j D? ?. ,( S Q I?
Roofing
Hough Plbg.
Rough Hlg. •
Isul.
Fireplace
Final Htg.
Final Pibg.
Const. Meter Plbg. Inspector - Notify Plumber
Ergc/Plan
Bldg. Final
Deck Ftg.
beck Final
Well
Pr. Disp.
2/B/89
DATE:
4498 OAK POttD RD., L4, 112. FAWN RIDGE 2ND
er I?L'[QN? D?t. , LS, B3, LBXI[?GTON PT 3RD
• XX ? .44RLI?A
?- Yaur Sewer a erm?t or tne above property has been completed. It will be held at the
•. Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SUHE TO
CALL PUBLIC WaRKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
? $?? ,
?? YPur Sewer & Water Permit for the above property cannot be completed for the following
;reasons:
A ?
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 Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REGIUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
BUILDING PERMIT
F
Est. Value
SiteAddress 4452 HAMILTON DRIVE
Lot 5 Block 3 Sec/Sub. LEX PTE 3RD
Parcel No.
W Name BRIAN L THORSON HOMES
o Address 4466 WEDGWOOD DR
City EAGAN Phone 423-3733
Name _
Address
City -
Phone
W w Name
?
1,-0 Address
aw City Phone
I hereby acknowlege that I have read this application and state that the
information is correcl and agree to comply with all applicable State ot
Minnesota StaWtes and Ciry agan Ordin nce
SignatureofPermi[ee ?,?,
A Building Permit is issued to: BRIAN L THORSON HOMES
on the express condition that,a? work shall be done in accordance with all
applicable State of Minnesota S#ptutes and Rjty of Eagan Ordinances.
Building Official
CITY OF EAGAN N4 16104
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Receipt #
Date 19-$9_
OFFICE USE ONLY
Occupancy R-3-/M-1 FEES
Zoning pD4-1
(Actuap Const V--N- Bldg. Permit R 558, 00
(Allowable) V-N- Surcharge 41.00
# of Stories -
42
PlanReview
279.00
Len9th __
Depih 42- SAG Ciry 100.00
S.F.TOtal - SAC.MCWCC 575.00
S.F. Footprints -
On Site Sewage _ Water Conn 5 RO _ 00
OnSiteWell _ WaterMeter qn-n0
MWCC Syslem X_
Acd. Deposit
'AO- ?0
ciry water ]{_
PFV Required _ S/VJ Permit 20- n0
Boosler Pump - SiW Surcharge 1.00
Treatment PI 228. ?0
APPROVALS qoad Unit 340. 00
Planner - Park Ded.
Council -
BIdg.OR CoPies
Veriance - TOTAL $2842.00
7S9ie?)
2007 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
New ConsWC6on Reauirements
3 ra3istered site surveys showing sq. ft of bL sq. ft. of house; and all roofed areas
(20°h maximum lot coverage allowed)
1 Soils Report 'rf proposed building is to 6e placed on disWrbed soil
2 copies of plan shaxing beam & window sizes; poured found design, etc.
1 set of Energy Calculafions
3 copies of Tree Preservation Plan if lot platted after 711/93
Rim Jdst Detail Options selection sheet (builtlings vrith 3 or less uni5)
Minnegasco mechanical ventilation fortn
RemedeUReoair ReouiremenGs
2 copies of plan showing footings, beams, joists
1 set of Energy Calculalions for heated addiUons
1 site survey for addi6ons & decks
AddNon - indicate if on-sile septic sysfem
A NEW BUILDING
Plans are considered public information unless vou state thev are trade secret and the reason.
nare4- i c i c?
- ?f`? 9?
Construction Cost
,_2
ss .6
r
Site Ad
d
e UniUSte #
?
y
'
'
CP ? f S ? /oL3
Description of Work
Muld-Family Bldg _ Y ? Firep ace(s) _ 0 _ 1 _ 2
Property Owner ?. Telephone # ( 65?-l Z 17?
Contractor sf
(
Address City
-
State 172 2/ Zip Telephone # ( (s,5j/ yS ? - ??3_s
COMPLETE THIS AREA ONLY IF
Energy Code Category - Minnesota Rules 7670 Cateeorv 1
(J submission type) • Residential ventilation Category t Worksheet
Submittetl
• Energy Envelope Calculations Submitted
Minnesota Rules 7672
. New Energy Code Worksheet
Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/water Contractor
Telephone # (
Telephone #(
e 5 ?), &7)
O(fice Use OnN
Cert ot 5urvey Recd _ Y _ N
SoilsReport _Y _N
Trce Pres Plan Recd _ Y _ N,
Tree Pres Required Y _ N
On-site Septic System _ Y _ N
Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurat
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; 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.
?
?C)on__D , G?on e"-
Applicant's Printed Name
- - ?.
/ ,•
Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub TVOes
? 01 Foundation ? -07 OS-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt-Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt- SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo/pergola) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDOOrs
? 34 Replacement 'Demolition (Entire Bltlg) -Give PCA handout to applicant
DCSCrIptlOtl: Water Damage _ Yes
Valuation Occupancy MCES System
Pian Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) _ Final/C.O.
_ Footings (addition) _ Final/No C.O. ,
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool F[gs AidGas Tesu Finat
_ Framing _ Siding _ Stucw Lath _ Stone Lath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
`; 2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX 4 651-675-5694
?7v 0 o
New Construction Reouirements RemodelRteoair Reauiremenls O(fce Use Onlv
3 registered site surveys showiig sq. k. of lot, sq. ft. of house; and all roofed areas 2 wpies of plan Cerl of Survey Recd _Y _ N
(20% maximum lot cnverage allowed) 1 set of Energy Calculations for heated additions Tree Pres Plan Recd _ Y_ N,
2 copies of plan showing beam & window sizes; poured found design, etc. i site survey for additions & decks Tree Pres Required Y N
isetofEnergyCalcula6ons Addifion-indicateAon-sdesepficsysfem OnsiteSeptlcSystem _Y _N
3 copies of Tree Preservation Plan if lot platted after 71193
Rim Joist DefaB Optians selec6on sheet (buildings with 3 or less units)
Date /U / ?tY l05 Constructian Cost ? 05 /??-?
Site Address Unit/Ste #
Description of Work fddb) lnT'U f Q
Multi-Family Bldg N Fireplace(s) _ 0 _ 1 _ 2
Property Owner Telephone # ( (Jj) 0 aevz?
Contractor Q C '
Address
`
J 'Jrs,5 City
y
?
State 1 I V Zip Sc? Telephone #(qs? 9??j •?' ?p[p9 _
COMPLETE THIS AREA ONLY IF
A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 su6missiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan?
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Y_ N If so, 25% plan review
Telephone # (
Telephone #(
Telephone # (
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the wo;k will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is ?not-te?tartyvithout a
permit; that the work will be in accordance with the approved plan in the case of work whichrr'equues a rel?ie,w anfli
approval of plans. II ?;
i - vo?5 ?? - A01?:,? ?oo.s
JI
Applic t'sPrintedName Applicant's ignature jE';,
__ __ ?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex O 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4sea.)
? 04 02-plex ? 10 08-plex . ? 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Plbg_Y or _ N ? 25 MiSCellaneOUS
Work Types
: -- s ?
O 30 Accessory Bldg
? 31 Ext. Alt - Multi
? 33 Ext. Alt - SF
O 36 Multi Misc.
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/DOOrs
? 34 Replacement •Demolttlon (Entire Bldg) - Give PCA handout to applicant ?
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
_ Insulation _ Retaining Wall
Approved By: , Building inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date
?
?
SiteStreres
?
?(?"1/LCL?( L' /??y/• Unit#
Property Owner 6LkE CU) nri u Telephone #(65I)
' o,-=12
Ry
Contractor Q t Telephone# (q5?)
Address ft ?1II UL)& 6 State 'rr??u Zipc`J
The Applicant is: _ Owner i! Contractor _Other
Alterations to existing dwelling $ 50.00
_ Add plumbing fxtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5/8" meter is requi red)
Other:
Water Softener Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ z!PVB _new _repair _rebuild $ 30.00
State $urcharge $ .50
Total 5?
$
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approved.
?: J n i4 ?jr o /tS a..V/zxz(jz??
{
ApplicanYs Plti ed Name Applican' Signatu l?j L? Y?ni
? APR 2 6 ?005
?? l 13 2004 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone 4 651-675-5675 FAX 9 651-675-5694
?e'7 0
C666
(069/73
New Consirudion Reauiremenis RemodeUReoair Reauirements W-?- e
3 registered sife surveys showing sq. fl. of lot, sq. fl. of house; and all roofed areas 2 copies of plan Cerlof Suney.Recd ? Y N
(20% maximum lof coverage allowed) 1 set of Errergy Cakulations for heated additions Itee Pr0§ Plan;hOCtl Y Y3
2 copies of plan showing 6eam & window sizes; poured found design, etc. , 1 site suNey for additions & decks T00 fi'eS ?EC7tiired Y? w
lsetofEnergyCalwlations Add'rtion - indicafe'rfon-sResepficsystem OxtsitE2e016
.a'"ystem
3 copies of Tree Preservalion Plan if lot platled afler 711193
Rim Jasf Detail Opiions selection sheet (bldgs with 3 or less units
Date Construction Cost ?
SiteAddress UnitlSte #
LfA Ar'
Description of Work ?'-"V/xc Cj/3
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 ? 1 _ 2
Property Owner /"i''J/'-'(J / ????7 Telephone # (0)td?`/L' ZL?C/
Contractor
Address ,3u
Lt1
'? Cit3' ??U???'
?
?)
State /N^? Zip Telephone # ('?a) 6*4
COMPLETE TH15 AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 CateQOrv 1 _ NHnnesota Rules 7672
Energy Code Category . Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(Jsubmissiontype) Submitted Submitted
. Energy Envelope CalculaUons SubmiNed
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
N If so, 25% plan review
I hereby apply for a Residential Building Permit and acknowledge that the informa*on is complete and a rate;
that the work will be in conformance with the ordinances and codes of the City ofEagan an e a e o MN
Statutes; I understand this is not a permit, but only an application for a pernut, and work is not to start without a
permit; that e work will be i ccordance with the approved plan in the case of work which requires a review and
approval pl?
?
Applicant's rinted Name Applicant's Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 OS-plex ? 73 16-plex ? 20 Pool ? 30 AccessoryBldg
? 02 SF Dwelling ? DS 06-plex ? 16 Fireplace ? 21 Porch (3sea.) ? 31 Ext. Alt - Multi
? 03 01of_plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext.Alt - SF
? 04 02-plex ? 10 OB-piex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg_Y or_N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 36 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation Occupancy MCES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIl2ED INSPECTIONS
_ Foofings (new bldg) _ FinaUC.O.
_ Footings(deck) _ FinallNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Dcain Tile Other
Roof Ice & Water Final Pool _ Ftgs _ Air/Gas Tests Final
_ Framing _ Siding _ Stucco _ Stone _ Brick
_ Fireplace _ RI. _ Air Tes[ _ Final _ Windows
Insulation _ Retaining Wall
Approved By:
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
Utilify Connection Charge
S&W Pertnit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
PERMTT #:
/ 618 7
CITY USE ONLY
RECEIPT DATE:
2002 USIDERTIAL M£CHkAICAL P£{tMIT APPLICATI0A
crrYOF eAsax
3930 ?II.OT KFOB RD
gA6AA Mft SSl EE
687-6$7-4875
Please complete for: ? single family dwellings
townhomes and condos when permits are required for each unit
vate: Z I L S I(0 2-
SITE ADDRESS: ? LI S Z N Alvl IL-70 f? DK,
OWNERNAME: SU-E MLtnN"_??\ TELEPHONE#: ?D?I SFSZ."' Z-Z,79
INSTALLER NAME: TELEPHONE #: 45 Z c?'? 5& o?
, .
930 East 80th Street
STREETADDRESS: Rlnnmin?tnn,MN.r,r,d9Q-id99
952-854-5800
Cin':
STATE:
ZIP:
Place a cheek mark next to the permit work type
? Add-on, modification or alteration to existina dwelling unit $ "- 30.00
• fumace replacement
• air exchanger
• air conditioner
• other
c& Al C
N
t
f w
k
a
ure o
or
:
--
?---.`
State Surchar e .50
50
Total FEB 2 8 200 .
BY I
SIGNATURE OF PERMITTEE
1/oz
CITY USE ONLY
PERMIT #:
APPROVED BY:
Please complete for: all commercial/industrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
SITE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLl):
RECEIPT DATE:
PHONE #: -
WAS THERE A PREVIOUS TENANT IN THIS SPACE? Y N. NAME:
INSTALLER:
STREET ADDRESS:
CIT'Y:
TELEPHONE #:
WORK TYPE:
SpecifyNahue of Work
STATE:
ZIP:
New construcrion Install U.G. Tank
Interior Improvement _ Remove U.G. Tank
Processed Piping
When installing/remnving underground tank, call 65I-681-4675 for inspection by Fire Mqrshal and
Plumbing inspectar.
Fees: 1% of contract price OR $50.00 roinimum fee, whichever is greater.
Underground tank removaVinstallatian = aunimum fee
Contractprice: $ x 1%= $ (Base Fee)
State surchazge calculate at $.50 for each $1,000 Base Fee
TOTAL
$
SIGNATURE OF PERMITTEE
INSPECTOR
2002 CObIMEitCIl4L MECHi4RICAI. PEiMTf APPLICATIOA
CITY OF Ek&AN
3$30 P1LOT KNOB iiD
EAsAx, buv 55 122
651-8$1-4675
Updated 1/02
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- - - - - - - ---------
_ KLEVE HEATIING SP AIIt CONDITIONIIYG INC.
13078 PIONEER TRAIL
EDEN PRAIRIE, MN 86347
(612)941-4211
HEAT GAIN CALCULATIONS
TIME
rM
?i-
DATE
Name /S lC/ Ak/ lJ-AJ
Address ? ` (z Q4Ay/0
Design Conditions: Outside: Dry Bulh 92; Wet Bulb 77 Inside: Drv Bulb 75: Wet euih 62 5
ITEM
DIMENSIONS AREA
SQ. FT.
U
TD SENSIBLE
HEAT LATENT
HEAT
CONDUCTION HEAT QAINS
Ttl01e PeM
EXIEf10IQI855: DoubleParie
C?
.55
17'
(' Li 3 1
--
--
Exterior wall, net 17 a 3 f --
Ceiling ,03 17 ^L --
EXCESS SOLAR GAINS
WALLS (dlrection faced)
Lv
?/?6
,.oy
--
s/? _oY 9 --
Ceiling o8-7 03 S- 71601 --
GLASS (directlon faced)
w
122-
1.1
/
9.5
--
S Y6 ,., a- / o I --
,., - -
1.1 --
Skylights
BODY HEAT GAINS /
Sensible f0 No. of peaple x 225
Latent ? No. or paodie X 2so
EQUIPMENT HEAT GAINS
Kitchen 1200 x ?
IdQ (7
Electric motors HP x 3600 ap v
Intiltration-Sensible /OaCFM x 18 ? P3 --
InHltration-Latent 0,?-CFMx36
TOTAL HEAT GAIN (SENSIBLE)
TOTAL HEAT GAIN (LATENT)
' TOTAL HEAT GAIN BTU PER Hp
TONNAGE EQUIVALENT OF COOLING LOAD = a$? = a-? ? I Tons
12000
, s? O 1 RESIDENTIAL BUII,DING
Permit Apptication
City Of Eagan
3830 Pilot Knob Road, Eagan Mn 55122
Telephone # 651-675-5675 FAX # 651-675-5694
g )0,6a
New ConsWCtion Reauirements r RemodeVReoair ReauiremenLS OPoce Use Onlv
3 registered site surveys shaxing sq. fl. of lot, sq. ft. of house; and all rooted areas 2 cop'es ot plan CeA of Survey Reod
(20°h maximum lot coverage allowed) 1 set oF Energy Calculations for heated additions Tree Pres Plan Recd
2 copies of pWn showing beam & window sizes; poured found desgq etc. 1 site suney for addiUons & decks _ Tree Pres Not Reqd
lsetofEnergyCakailations Add'rtion-indicefeifon-sifesepticsystem _On-stteSepficSystem
3 copies of Trce Preservation Plan 'rf lot platted after 711l93
Rim Joist Defail Options selecfian sheet (bldgs witlh 3 ar less uniLs
Date z
Site Address ??E2 AWL % cW Z)
,ff
G N E S/23 - Construction Cost ? ? jOD
R/U,?7 UnitlSte #
Description of Work
Multi-Family Bldg _ Y? N Ftireplace(s) ? 0 _ 1 _ 2
Property Owner "p1 Sy'7QgLe*1 aR fl 511-? E: IU' (?A,4UAlephone # (/pS/ ) Pf3Z -2Z79
Contractor
Address
State City
Zip Telephone # ( )
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential VenUlation Category 1 Worksheet • New Energy Code Worksheet
(Jsubmissiontype) ' Submitted Submiked
• Energy Envelope Calculations Submitted -, q \
?
Licensed Plumber , ,. ?Tele one #( J
Mechanical Contractor \ v ?'?C Y !Telephone #( )
Sewer/Water Contractor Telephone #( J
I hereby apply for a Residential Building Permit and aclrnowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand ttis 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.
_ sE E, M-coNflu"Y
ApplicanYs Printed Name ApplicanNs Signature ?
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 Ot of_plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.)
? 04 02-plex ? 10 08-plex )g?,_ 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New
Yk 32 Addition
? 33 Alteration
? 34 Replacement
Valuation
Census Code
SAC Units
Nbr. of Units
Nbr. of Bidgs
Type of Const
Z666_
L4 3 -(
1! N
,...?
- .
? 30 Accessory Bldg
? 31 EM. Alt - Multi
? 33 6ct. Alt - SF
? 36 Multi Misc.
? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 37 Demolish (Bldg)' ? 43 Reroof ? 46 WindowslDoors
`Demolition (EnUre Bldg) - Give PCA handout to applicant
Occupancy MC/ES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width _
Footings (new bldg)
? Footings (deck)
_ Footings (addifion)
Foundation
Drain Tile
Roof Ice & R'ater Final
_ Framing
_ Fireplace _ R.I. Air Test _ Final
Insulation
REQUIRED INSPECTIONS
FinaUC.O.
? FinallNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
Windows (new/replacement)
_ Retaining Wall
Approved By __T"?? , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
ToWI
ao
??? ?
"E?Mrinr.`? - s niNG I`° -v???
Permit Application
City Of Eagan <L `70 0? )
3830 Pilot Knob Road, Eagan Mn 55122 v
Telephone # 651-675-5675 FAX # 651-675-5694
NewConsWCtionReauiremenls RemodeVFteoairReauirements OHiceUseOniv
3 registered site surveys shaxing sq. ry. of lot, sq. R of house; and all rooled areas 2 copies ol plan _ CeA of Survey Recd
(20% maximum lot coverage albwed) 1 set of Energy CalaWbons for heated addNOns _ Tree Pres Plan Recd
2 copies of plan stwwing beam 8 window s¢es; poured found design, etc. 1 site survey for additions 8 decks Tree P2s Not Reqd
1 set of Eneqy Cakmla8ons Add'Aion - indicate i/ai-sde septic sysfem _ On-sile Septic System
3 oopies of Tree P2servation Plan il bt plaMed after 7l1/93
Rim Joist Delail Options seledion sheet (bldgs with 3 or less unik
Date Construction Cost C -' _?'jOC?
SiteAddress _ 4/ys7_ ,L, mi ??
?2fuL ?
UniUSte#
-: yr?.
Description o[ Work 10
Multi-Family Bldg _ Y? N Fireplace(s) _ 0 _ 1 _ 2
Property Owner C Telephone #(6$/) tff2 - Z Z'] 9
Contractor .,e. -
Address City A;v /c- elzAf
State yJ7 /?J Zip I/ Telephone #(?$Z)
Z
al 0_?Et? -? 4bvl-o- 0 W-y-Q--t/'
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateeorv 1 F7A 4lisoa R s 7672
Energy Code Category ?
(J submissian type) Residential Ventilation Category 1 Worksheet L New Enery e Worksheet
Submitted neg EnvelopeCalculatlonsSubmitted R? ? ????tte???lf
E
J
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone # (
Telephone #( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a pernut, 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 ofplans.
?Ji1GL-I?GN ??.r501
Applicant's Printed Name
??? z?_
Ap anYs Signature
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
0 02 SF Dwelling ? OS 06-plex ? 76 Fireplace ? 21 Porch (3-sea.)
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 OS-plex x 18 Deck ? 23 Porch (screen/gazebo)
? 05 03-plex ? 11 10-plex 0 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 MisCellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44
)< 32 Addition ? 36, Move Bldg. ? 42 Demolish (Foundatlon) ? 45
? 33 Aiteration ? 37 Demolish (Bldg)` O 43 Reroof ? 46
? 34 Replacement •Demotltion (Eotire Bldg) - Give PCA handout to applicaM
00V tem
MC/ES S
Valuation Occupancy _
ys
Census Code ti 3 q Zoning City Water _
SAC Units Stories Booster Pump _
Nbr, of Units Sq. Ft. PRV _
Nbr. ot Bldgs Length Fire Sprinklered _
Type of Const VRI_ Width
Footings (new bldg)
Footings (deck)
_ Footings (addition)
Foundarion
Drain Tile
Roof _ Ice & Water _ Final
_ Framing
_ Fireplace _ R.I. _ Air Test _ Final
_ Insulation
' .,
O 30 Accessory Bldg
? 31 Ext. Alt - Multl
? 33 EM. Alt - SF
? 36 Multi Misc.
Siding
Fire Repair
Windows/Doors
REQUIREDINSPECTIONS
FinaUC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Siding Stucco Stone
_ Windows (newheplacement)
_ Retaining Wall
Approved By J? 2, , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.? 7? ?
.. .
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
THORSON CONST.
.
LEGAL DESCRIPTION: LOT--5-,BLOCK3 , I FXIhCTON POINTE 3rd
ACCORDING AO ?THTA RECOCOUNTY
THEREOF_ , M NNESOTA
Scale: I"=30' N
t
I-t
O
?
N
W
?
M
Q1
0
e
Z
h
25' I
LOT
5
I
?DRAWA AND
Z5• UTWTY SEh
(964.O)CJ' 8 9 o g 0' 21"E
1 / T
L?
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25' I
?
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? 145.00 97 W
N O >
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14500 (97.e)
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1989 BIIILDING PBRMTT APPLICATION - CITY OF EAGAN
3INGLE F6MILY DWELLINGS 1?
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATFS OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSFS FOR CORNEH LOTS - CONTAACTOR/HOMEOTiNER MQST DESIGNATE WHICH ADDRFSS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BIIILDING PERMIT I3 ISSOED.
MULTIPLE DWELLINGS RENTAL ONITS FOE SALE IINIT3 # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIEIC9TE OF SURVEY - CHEC% WITH HLDG. DEPT., 1 SET OF ENERGY
CALCULATIONS
COIMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
ffe o i toea
To Be Used For: Valuation: ? 000 ? Date:
Site Address OFFICE 03S
Lot ? Bloek L
Parcel/Sub
Owner J ??[.,,t s i
Address
City/Zip Code
Phone
Contraetor .4 _h MA o J
Address
i
City/Zip Code ?
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Occupancy R-3 M_I
Zoning ?D_ _ R- 1
Actual Const V- N
Allowable V-N
ll of stories
Length
Depth ?
S.F. Total
Footprint S.F.
On site sewage_
Dn site well
MWCC System ?
City water b-?
PRV required _
Booster Pump _
APPROVAI.S
Planner _
Couneil
Bldg. OPf. '?-ZL2/5
Varianee
Couneil
FBES
Bldg. Permit 55R, b0
Sureharge 41, G70
Plan Review Z'Tq,.oO
SAC, City
D
010
SAC, MWCC
DO
S1751
Water Conn 'T $0.7 Di
Water Meter p,
Aeet. Deposit 3 b,Z) Z)
S/W Permit an,oo
5/W Sureharge f'o0
Treatment P1. a a6,co
Road Unit 3y0• o0
Park Ded.
Copies
TOT9L ? 84,A. o
NOTE: Serer & Water Permit fees and account deposit fees xill be included in the building
permit fee. Processing time for sexer and rrater permits is two days once a licensed
plumber has applied for a permit at City Hall.
.- ? vALuA-r-1oN
.. ,
GARAGC
zZ k 20 ? 9yo
6 z)
0o)
?,-°-
y I$ X I$ (o 2/?0
6sn^r
38 x2z = 83G
a y ? ? (? 2?
._._----
1 114 y x I?=
I ST 1= L0o12.
BSmT = I "-I y
Z,4 6 = ii
Z `LS-= 10
zx$= ??
I 190 XSo- 59
o ) r
g?
.
89-005
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
SITE PLAN FOR:
THORSON CONST.
LEGAL DESCRIPTION: LOT-5-,BLOCK3_, LFXWGTON POINTE 3rd
ACCORDING TO THE RECORDED PLAT
THEREOF DAKOTA COUNTY,MINNESOTA
Scale: I"=30' N
?l?T I
w
?
25
?
I - -
(96 3.8) S89°50'21"E ? 145.00 s,z a) .
Q io
r
+
--
? ?
r .
o
0 W
>
r6 I 1 , Ki (t
? zg• Y---- -, zo.sa• --- ...?t!? N ?
? LOT
21. 67'
I ry
5 ? n
------ -----
ol - - a• I ? Z
_
I (3) h-
O 4 DRAINAG 3», I o? _I
Z 2S? EAND
UTIIITY EASEMENT? j I I 1O' Z
J Q
(964 .0)S89950'21"E
V 145
00 ?73.e)
? .
? 25•
? r T
L `?
I
6
-- ,
Bv
EAGAiV E'i+jC'?.z."t::::1:;"
LE6END
o DENOTES IRON MONUMENT
o DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
(ess.e) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
1 hereby cettify tAat this survoy, plan or
report was prepured by me or undar my
direct supervision and that I am a duly
Reqistered Land Surveyor under ths
Laws ot ihe Stote of Minnesoto.
iNVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = 976.5
PROPOSED FIRST FLOOR ELEVATION = 977.0
PROPOSED BASEMENT FLOOR = 968.5
ELEVATION
NOTE ' VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
Brdley J. Swenson, Mn. Rep. No. 15235
Date ' / 3'- ? 5
" ')wner
i1t! -
-, ntnMr.a?J L A ,4 ,.,_ ...._ .. .. V ,. y
BASED OV r,HA 7E yOFt
NO ER Y L0
Adupctun L(•ctlv• l/l/ 4 .
Phone ^at: ??? 'F.?
:ontractor
AR£A (f:.2)
EACH
(? . 42!1
-46
l
Z
?
\ /
suildtng Classlflcatlon: Type AI (Single Fa:nily 3 OuD1ex) ?/ Type A2 (Residential
{3 stories or ess
(Other)
;ENER1?l I NFORHAT 10N
(Over ] staries)
1. Building Perlmeter \ 1?(o ft.
LZ---AWV, g')
wall hei9ht (ground to eave) \ dc ft.
2
3. 1. x Z. (above) gross wall
3. Buildtng dimenstons (L) -4co x(W) ?(o • l Z? ? ft.2 roof S floor area
S. Square fcot area of rim joist - Fioor joist slze (2 z. ko? )
2
to? x Perimeter • Rim o st area ¦\?a o ft
7T_
6. Ooors - Area `i't
7hic ness a /.q•, n. actor
Type ot Construct on ? -FeMuwter ?co• 3z ?- 15.R!Ett•
ManufatWrer • ? -
7. Totet door's perimeter 3. Z. z% ft
State approve4
8. Ytndows: Manufuturer C?`?c."C - o'!?D
U factor _ S ZL
TYPE
SIZE
\w ) 47
. • ?.t ? Ce
3c??o
`? 503 C?
? • 5040
?hone
!VUMBER Of
UNITS
t0
12t?.59
TOTAL fEET Z
(,A.
\q . \Z
S ?Q
_
g, total ft.2 Glass R-)_
? 06 Flreplace area: Midth x heiaht • {? z_? ' ?- FL•2
2
1 1, Expose4 foundatlon: Hetght x Pertmeter -7 $ Ft..
:]MPLETION OF Tt1IS FORM [S REQUIRED FOR ALl NEU CO?1STRUCTION. MAJOR REHOOELING ANO BUILDI'4GS BEi'MG
0VED w?+ERE ENERGI?. OTHER THAN THE MINIMAL COUE AIIONANCE. IS USEO.
?
FrIP1111 a004 • lbi et Nots wll arlie.
QMOff wll iPe? `?, C? ?<?, -_ fr„2
2
Rts jolst area A ?C) tt.2
poor area A
Z
F1replace area A ? fz.
Exposed foundation A -7 Q, f*.'
Framing area' A 7f-0 ft.`
Net wail area A
-- Z`t •
T-
N1n00w area A l11:5) 1?,. a 1 ft. ' wlndows - „_ 7 x Aa -a Lk C
U rim j015t n U x A • a.?
:1 door area a U x'A • ?a?;
U fireplace A -? U x a
J foundation • ..\\ U x A • g.?-Jc
:1 frani ng area •_ O`l U x A •?
9 wa11 U x%+ =
. ?
(118; -:':L . . . . . . . . . . u •
Gross wall area x 0.11 (A-1 sin9le family 1 dt.;.:sr • allowable UA A/Code
(13. above) .
;, .
x 0.23 (a-2 other resiCentia'.;
? x .23 !Other building:'
.. ,c .28 (Ovet• ; stor+e.)
TUH Must De larger thar
A ?O?'4 x l: Ccde138 ibave
Catting framing area (Af) aquals 10.`. of c=iliag area or the same as)
;$A..,Gross ceiling area • (L) -Q n x !a . ? ? • k-3 ? ft.2
?3p:' Jotst eraa (Af) • lOS ce111ng area • ?? ? ? ?.? ft.2
a'
?6.
;r'i
,? ..
;?'; .
.:. .
Y,._.
?
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<v
.,
;.
?.
o *1
ne: ceillno area (.4C) (15A - 15B) AOIIS _ E3 ft.2
0 C!i l in9 :c A CA lr-l x?lO4n•
U framing x A f* x_
bTAI U x A ....................................... 7
Ce111nq area (15A) x 0.026 (A-1 single `amily S duplex - code ailowabte U x A
T .
x 0.03 (A-2 other reside.^.tial)
BTUH Must be larger than 150 (abo've)
A i1?31 Z x??ode1: .. O Z ?F (or the same as )
NOTE: Use U and a values oDtained f-om nps l, 3 and 4.
,
?•-.--. _ ..
x 0.06 (other)
!?,ry^???} ,?,:,???4'j?y??5? r4
t.
?
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? ,;'; •. . . ,
i: .
STIdD .
",. StCI10N
i. •
+ rnrtgn?'&ty`.'???iM
?,
V "Co leiartat wil ? •45 (x.tt? C • ? ?
?`
•
?1 1 '
!1lLLi4ttufl ` . Od
c3k,
?,,alsatAtnc
p
t?v4Csi7? i1! FttR .17 ? . ..
;.. , .
x:•.
2ND irALL
SLCfI :Mi
RLM
JOISi
Q rorAL
lnsldr atr Eilp .?A
inte:ioc +iil ?•'4t3?
??cud R? 13==:-? (framtng) U • P. a
?n..tr,tng z.o?
siains L7 .
ouc.ice air iltn .17
'OTAL 1? . C?1 O
Inslae air t'_tm R' .68
incer ior wai 1 . .45
insulstlon i4.op (Wall ) .: . R . `
Sheaching
zExtertor vi11 ;or•seinj , (.?I
EzCat'lot •lr [Ilir. a 0.1 % ? 043
?C.. _
rt rareL Z3 . o
tncrriur air Ill:n I` .63
?. :r.sulat.io? % 0'•Oo ?
14 ir,er soft •+uud R=1 .88 (Rim uv?•
?
?1Sh
ah?i
a? z . o ?. •
+g
e
c
? i't:it*e1or vall cuvertn` . •(.-7
, 8xtectoc afr ttlm (ia :17 q
?:,•
t.: I tT TOTAL Z4 ? ?' ?e
' ?. .
?; : . . ln[«riue siz tlln R'
lnsulaiton
\?" Ce??.. Foundaciun ?-•to (Fdn.) U • i? ¦
. ?? xtsrtor air film R',.17
?4 ?
5 ?-?-_ • ? `
' a rorAL ? _
t ?-
.:'; I ?
--fsposed 31uck
?,
.
; ,_..?_. } ? ----? •
``
; ,` \`,? G?raEe i.
? •
k
? .-. ?.
•'. .
.. ' _'. ._ '. ... .. .... _. . _ .:..
. _._.._.. .n -+? mflx- Rr:[ ?
_..... '?'?A'Vr{'IT.Y{Tf.?1SAT1?
. . ... ? .??.? . -?. .
? : .:..''_ "". .. -* ..... "f?'?. .?-..Tm<..? ? :.. ?..-., .?.?- ?_ O
. - . : ..
?. . ? - ••
, .
,•
?
inside afr fi
Ceiiing
Jo1st (stud ,
Insulation _
Air spate _
Root de:klny
Insulatlon
Bu11t-up root
Outslde a1r f
TOtaI R
i,U.
a -
R 'tALUE
CEILItiG
0.61
` tlndow inflltratics .5 cfm/11nea1 faot ot crack
; tosldentlal door infiltration 0.5 cfm/square foot or dcor and mininur code requirement
;: ipn-residenN al door infiltratioo 11.0 cfr/lineai °oot of crack
?;)0 12" conri•ete block no insu9atlon =.47`R 2.1
'
lb 12" concrste Dlock insulated cores - .26 4 3.8
12" li3ht-.M1
;? 9A; blotk _ • .32 R 3.1
,
12" 1lghtwelght Dtack Wsutated cores =.12 R 8.7
slayle glasf ? 1.13; w1tlt stom wlndow .54
doubt• 91ass •..56
ulpl• g1as; • .41
iil exterior wails and ceilings must have a vapor barrier (C.10 perm rrsx.),
:apor barrier aarst bo on the inslde (heeted sfde) of walt.
,tjpor baTrflrs ot tM polyethilene Lhie tilm have no R r•aluc.
s . a.
L'• ?
,. ^.A A. rr ; . I .l?'yIr?yi
? i1 il,?•:? ?19???'nJ?1 ?rsl'???' r ,
oopp
Afr F11m 0.61
3\ .15 InSutatlon 4 4. q •
00
?3 % J01St
?
. S: R Ceittng , 5%
0.61
3'i.93
.oz?4
Afr F11m 0.61
Totai R
Va?
i!.47 ROOF OR CaTHEDRAI CEIL[NG
q Va ue
PR;.MIN'i
? .. . , _
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JI NoHy Inspeclot
When ReadYp
I censed contractor ? owner hereby request inspection of above elecirical work at:
Job AtlCr ss (St et, Box Rwte No.) Ciry
5ea,:0 0. Township Name No. arge No. Counry??11
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PowerSupplier Atltlress
Electncal Contractor (Comparry Name) , nlraGOrS li No
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K LANE
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AutMriz &
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pPLE_VALL ? ??J ? Phone Number
MINNESOTA SfATE BOARD OF ELECTHICRY THIS INSPECTION REQUEST WILI NOT
Gdggs-Mitlway Bltlg. - popm S173 BE ACCEPTED eY THE 5T.4TE BOARD
/B21 Ilniversity Ave., SL Peul, MN 55104 UNLESS PROPER INSPECTIIXJ FEE IS
Phone (872) 6112-0800 ENCL0.SE0.
,?? /ff 5
P 04739
REQUEST FOR ELECTRICAL INSPECTION
?'5ee insHUlons far completing this (orm on back oi yellow copy.
"X" Below Work Covered by This Request
E0-W001-O]
?^ S/4•59
ew d Rep. Typeof6uilding AppliancasWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building D Other (Specify)
Comm./Industrial urnace •
Farm Air Condi[ioner
Other (specity) Comrector5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEntrance5ize Fee # CirCUits/Feeders Fee
SWimming PD01 0 10 200 Amps 0 to 700 Amps
Transformers Above 200 -Amps ove 1 Amps
SignS Inspeckr5 Use Only: I
M T L
Irrigation Booms .
Special Inspection
AlarmlCommunication r
Other Fee
I, the Electrical Inspector, hereby
rtif
th
t th Rough-in
ce
y
a
e above inspection has
6een made. F;nai
?
OFFlCE USE ONLY
This request vob 18 montba from
E 8 5652,C?f?3,
R ueet Data Fire No. RougM1-in Inspemion
Requiretl?
? Ready Now ? Will NaUry Inspecta
?? [] Yas ? N. Whan Raady?
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ractor
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ere
y request
nspect
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ove e
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ca
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Job M ss heet, Box or Rou1e No.) ? Ciry
SecY n Township Name or No.
? RangeNO. Counry
Occupef?l (P
a? Pham No.
Power Su? AAtlre%
Elechical Cqo?ntrac?b]r ?(COm?]pa?n/y yNay?me)
n r ConM1adorS cense No.
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MaiIIn9Atltlressll'tJY(/ MgVe,C? LA2tlG
Authoraetl ( c ,atal 95124 Phone Number
MINNESOTA STATE BOARU OF EIECTRICITV THIS INSPECTION REOUEST WILL NOT '
Grlgps+Mldwny'BWg:-poomS-1T3 -- BE ACCEPTED BY THE STATE BOARD
1631 University Ave., 5t Paul, MN $5104 UNlESS PROPER INSPECTION FEE IS
PhoOe(612) 802-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION eaooama
?.£l6a insvuctions far completirg ihis fortn an beck oi yellow wpy.
R 85652 JC" Below Work Covered by This Request
ew Adtl Rep. Type of Building AppliancesWired EquipmenfWired
Home e Temporary Service .
Duplex r Heater Electric Heating
Apt. Building r
+ Other (Specify)
Comm./Industrial ace
Farm ' Air
ontlitioner
Other (specify) Co? actor Remarks:
Compute Inspection Fee Below:
# Other fee # ServiceEntrnceSize Fee # Circuils/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps ve tOQ _ Amps
Signs Inspector6usaonty: ? TOT
irrigation Booms
?
Special Inspection C
AIarMCOmmunication
Other Fee
I, Ihe Electrical Inspector, hereby
f ROU9h-In oa?e
cerli
ythailheaboveinspec[ionhas
been made. oaz
OFFICE USE ONLY
THis requeat wid 18 monihs fmm
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4452 Hamilton Dr
Lot: 5 Block: 3 Addition: Lexington Pointe 3rd
PID:10- 45072- 050 -03
Use:
Description:
Sub Type:
Work Type:
Description:
Comments:
Fee Summary:
e - Water Heater
Replacement
Water Heater
Meter Size Meter Type
dean Kamrath
13791 jonquil Inn
dayton, mn 55327
Contractor:
Adam's Anytime Plumbing & Water Heaters
13791 Jonquil Lane N
Dayton MN 55327
(612) 205 -6060
PL - Permit Fee (WS & /or WH)
Surcharge -Fixed
Total:
Manufacturer
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
Applicant/Permitee: Signature
PERMIT
City of Eaan
- Applicant -
Permit Type:
Permit Number:
Date Issued:
Permit Category:
Serial Number Remote Number
Owner:
Hari C Gaddipati
4452 Hamilton Dr
Eagan MN 55123 -1974
$50.00 0801.4087
$0.50 9001.2195
$50.50
Issued By: Signature
Plumbing
EA081630
01/08/2008
ePermit
Line Size
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 4452 Hamilton Dr
Lot: 5 Block: 3 Addition: Lexington Pointe 3rd
PID:10- 45072- 050 -03
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:
Pella Windows & Doors Turnkey Sales
15300 25th Ave N #100
Plymouth MN 55447
(763) 745 -1400
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:
Hari C Gaddipati
4452 Hamilton Dr
Eagan MN 55123- -197
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
EA089277
05/20/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117217
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4452 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required by law in ALL single family homes .
Terry Fullerton
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Hari C Gaddipati
4452 Hamilton Dr
Eagan MN 55123--197
(952) 303-1098
Fullerton Construction
109 Hawley St
Lake Park MN 56554
(218) 238-5311
Applicant/Permitee: Signature Issued By: Signature
*City ot8apu
Date:
Tenant:
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /,/`/(G��IJ —S
Permit Fee: (�/ • O �)
Date Received:
Staff:
2016 RESIDENTIAL PLUMBING PERMIT APPLICATION
(lllh
Site Address: fI(Y11 t 6 c-- iti
Suite #:
Name: JQhi it p &wt.. )A (e7 Phone: 1 7 tl✓g° 'NH
g
Address/City/Zip: Lyi-iJ`,) I 1rritrtvii et9pri 55/ 3
Name:t► ,Ctto TLC pIv m
Address: 1141 l til/Vi7I`v f%y City: (*Pk VCilley
nse #:
State: IL1i f' Zip: 5-5
Contact:
ew
Lod. Lob A
!'(li
CV Email:
n� LLL ' oto
Replacement _ Repair Rebuild
Description of work:
RESIDENTIAL
Water Heater
chrW-EY . i1t
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
dify Space _ Work in R.O.W.
Water Softener
Add Plumbing Fixtures ( Main / _ Lower Level)
Water Turnaround
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener (includes State Surcharge)
$60.00 Lawn Irrigation (includes State Surcharge)
$60.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes State Surcharge)
*Water Turnaround (add $280.00 if a 3/4" meter is required)
$115.00 Septic System New (includes County fee and State Surcharge)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One CaII 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.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 without a permit; that the work will be in
accordance with the apprpveplan in the case of wor which requires a review and approval of plans
1 � �
x
Applicant's Printed Name
,hAtt x
Applicants Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152054
Date Issued:09/25/2018
Permit Category:ePermit
Site Address: 4452 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-050
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Includes Skylight
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michele L Grage
4452 Hamilton Dr
Eagan MN 55123
(952) 210-9020
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA152190
Date Issued:10/02/2018
Permit Category:ePermit
Site Address: 4452 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-050
Use:
Description:
Sub Type:Siding
Work Type:Replace
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please leave printed pictures of house wrap on site for the final inspection.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michele L Grage
4452 Hamilton Dr
Eagan MN 55123
Built Strong Exteriors Llc
2215 Quebec Ave S
Lakeland MN 55043
(651) 702-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA152342
Date Issued:10/11/2018
Permit Category:ePermit
Site Address: 4452 Hamilton Dr
Lot:5 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-050
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Furnace
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Michele L Grage
4452 Hamilton Dr
Eagan MN 55123
North State Mechanical
1444 14th Street W
Hastings MN 55033
(612) 207-0345
Applicant/Permitee: Signature Issued By: Signature