4460 Hamilton DrCITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: ' 1
PERMIT SUBTYPE:
,r? ..
PERMIT TYPE: , ! r t r+ r NA,
Permit Number: " `•'11' 4
Date Issued: ?
APPUCANT:
TYPE OF WORK:
j ???' ? ? ?•?
! N',111 N 1 1 OIN
I fMAI
4Ri;h:'I . A',I f'A 1iA I 1
04 11 I Nti iit< ! 1 F t' 1 P i C Ill Wg1k1
I ?
L
- - - - - - - - - - - - - - -
Permft No. Permit Holdor Date Telephone i
ELECTRIC
PLUMBING
HVAC
Inspection Data Inap. Comrrrenis
FOOTINGS
FOUND
FRAMING
- O
a?w
ROOFING
ROUGH
PLUMBING
PLB(3
AIR TEST
ROUC3H
HEATING
il(Jlf/
GAS SVC
TEST
INSUL
uv
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL FITG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FfG
DECK FINAL
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
? Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
? SITEADDRESS:
?. I inM t t rON 1-11"
I EX1N1iTOM F'C1IN I t 3f2Ei
PERMIT SUBTYPE:
,
I I +j+3H ( N
APPLICANT:
31.1 (r. t.' ) r ':; 1 47 9.'
TYPE OF WORK:
6AS)
f f NA{
'?7
Permlt No. Pertnit Holder date Tslephons 4
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Commenta
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYPBOARD
FIREPLACE
FIREPLACE
AIR TEST ?^?
-
v?l
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CONTRACT PRICE:
Site
Lot .
a?
?
?
c
PLUMBtNG PERMIT
CITY OF EAGAN
3830 PIL KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT #
DATE: _
BL G. TYPE WORK DESCRIPTION
s. New ,•?
Mult. Add-on
Comm: Repair
Other /
" NO v / IXTURES TOTAL
? at CI et - $3.00 S
?
T s-$3.Oa
- $3
00 -
va ry
.
Sh er - $3.00
chen Sink - $3.00
FEE rinal/Bidet - $3.00
.J-Laundry Tray - $3.00
? Floor Drains - $1.50
APPLIES Water Heater - $1.50 ?
_ $12,pp Whirlpool - $3.00
- $20.00 Gas Piping Outlets - $1.50
- .50 (MINIMUM - 1 PER PERMIn
Softener - $5.00
well - $10.00
Private Disp. - $10.00
enin
s - $1
Ro
h O
50 ?
ug
p
g
.
, FEE:
COMM/IND FEE - 1% OF TRACT
APT. BLDGS - COMM RAT A PLIES
TOWNHOUSE & CONDO - R . RATE
MINIMUM - RESIDENTIAL FE
MINIMUM - COMM/IND FEE
STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1.000.00) l
I SIGNATURE OF
I FOR: CITY OF EAGAN
STATE S/C: " b a
GRAND TOTAL: ` J ???
? rvan
?o Add
c Ciry
B?DG. TYPE. WORK DESCIjIPT10N
Sec/§p b L es. New
? ? 4? Mult. Add-on
Comm; ' Repair
- , Other
? Phone RES. PL . QNLY;,= COMPLETE THE FOLLOWIN
tJA . /GIYTII{iFC TATA
Name ,0' -? ? -
A JJ- - - -
COMM/IND FEE - 196 OF CO,NTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RE$. 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)
OF
CITY OF EAGAN
PERMIT #
; . PLUM@iN6 RE"MAIT RECEIPT # CITY OF EAGAN . .-
i1 ,
' 3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: _-
?va ? ?.ivbei - ao-vv ?
??B h Ty?fis - $3.00
avaj6ry - $3.00 -
Sh er - $3.00
-L4_ '.chen Sink - $3.00 .+--Urinal/Bidet - $3.00
Laundry Tray - 53.00
+ Floor Drains - $1.50
? Water Heater - $1.50
Whirlpool - S3.00
Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE
STATE S/C:
GRAND TOTAL•
r?
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
75-3866 Road Unit
20-2275 SAC
.
20-3865 Water Conn.
20-3868 Water Trmt.
20-3716 Water Meter
20-2252 Acct. Dep.
20-3713 Water Permit
20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
TOTAL
CASH RECEIPT
' CITY aPEAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
1 J ??
DATE 19
? ,r !
? cnoM --
V ?
AMOUNT
& DOLLARS
,oo
r ? CASH CHECK
r
.' ! . ?
?
?
`?- lf-(e G ? ijiC.?.?n•.? ?i?G - ?.f',
' )
Br
wnne--Payere Coav
velbw---Fostlng copy
Pink-Flle CaPY
Thank You
Cinr OF EaGaN
3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for
Site Address 4460
Lot ,' Block 3
Parcel No.
SeclSub.
Est. value `P3.000
15 4 4 3
^( `; ?r
Receipt
Date
.FxINGTUN PTE. 3Rt
a Name rnLLHf,E CI'*Y COlOSTRUCTl')'?
= Address 5970 151ST Sz, w.
° City:.,?'l-'. ?tALC.Er Phone 43].-1221
o' Naaie
.
z?-
o u AeUre
U a
~ C*Ity -
OFFICE USE ONLY
On Ske Sewage Occupancy
MWCC System X Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess. _
City
)wledge that I have read this application
correct and agree to comply with all a
tutes and City of Eagan Ordinances.
Signaturdof Permittee
Planner _
Council _
BIdg.Off. _
that the Variance -
State of
A Building Aermit is issued to: "?nLLECt; -IT'f ::4NiTFtJC'T10
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota 5tatutes and City of Eagan Ordinances.
Building Official
FEES
Permit
surcnarge
Plan Review
SAC, Ciry
SAC, MWCC
Water Conn.
water Meter
Road Unit
Treatment P1
Parks
TOTAL
R-3 /!s-1
AD/R-1
v-N
V-N
40
46
466.00
?
36.30
233.001
100.00
550.()0
530.00
67.00
325.tx?
204.D0,
2? S 31 • 01
' ,, • PERMIT # zq a
: • MECHANICAL PERMIT RECEIPT #
• CITY OF EAGAN DATE:
3830 PILOT KNOB ROAD, EAGAN, MN 55122
INTRACT PRICE: 'PHONE: 454-8100 For Office Use Only:
Site
y Name
?a Address --
c Ciry Phone
? Name
c Address
p City Phone
TYPE OF WORK
Forced Air
Heater
Gas Piping Outlets #
I Other
E
M BTU
M BTU
M BTU
M BTU
CFM
1
TOTAL ?' ?
FEE:
S/C:
i
BLDG. TYPE WORK DESCRIPTION
'.?
Res. New
Mult Add-on
Comm. Repalr
Other
FEES
RES, HVAC 0-100 M BTU -$24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMIn - 1.50 EA.
COMM/IND FEE - 146 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000)
,
?
1
,
j ?
SIGNATURE OF PERMITTEE - •
FOR: CITY OF EAGAN
PIUMBING PERMIT
CITY OF EAGAN
3630 PILOT KNOB ROAD, EAGAN, MN 55122
PERMIT #
RECEIPT #
DATE:
Lot ? Black Sec/Sub
1 ?
? Name
? Address
c City Phone
? Name < < ?
3 AddreSs 7'( f'r (,(?
p City ?' ? Phone
FEES
COMM/IND FEE - 1°rb OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPUES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
Ng FIXTURES TOTAL
Water Closet - $3.00 S?
L-Bath Tubs - $3.00
--J.-Lavatory - $3.00
.Shower - $3.00
.?_Kitchen Sink - $3.40 ,
Urinal/Bidet - S3.00
? Laundry Tray - $3
00
.
Lr.Floor Drains - $1.50
4f Water Heater - $1 50
Whirlpaol - $3.00
__L__Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
,Rough Openings - $1.50
FEE:
STATE S/C:
GRAND TOTAL:
- R #
' ?M•,s o , l4 r?rT'.Terc ?y ?
(Itr#iftratt uf (Orrupttnry
,
titp of Qfagan ?
firpoxxmpnf of luitding JWpriimt
This Certificate issued pursuant !o the reqeuremenls ojSection 306 of the Unijorm Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the Ciiy regulating building construclion or use. For the.following.•
ux a..r?ti. SF' I7WG/GAR Blag. Perm;, No. 15443
O-w--y ,ype R3/M 1 Zoning Dis,,;c;t PD/R! ,ype Cot- VN
Owner of B„da;ng O0[I,FM Q1Y OQV.SI?;1CTI04" 6970 151ST ST W, A.V.
Buikitng Addren 4460 HAMII.IM I7fZIVE Loc.ury I30 B32 I,gMCICN POIIdTE 3W
i D,, JAN[JARy 6. 1989
Buifdiog Offici POST IN A CONSPICUOUS PLACE
cvn i.rwaI .)/ c?j-jv
,3-0331 CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199,
PH Q N E: 454-8100
' Est. Value • 't'
Eagan, MN 55121
Receipt #
Date ? • ,19
Address '
Block Sec/Sub.
Parcel No.
a Name
W
z Address ' •
0 City Phone : -- i L ? 1
¢ Name '
o
,
? ? Address
? City Phone
t~i a
y? W Name
FW
0 ? Address
a=
W City Phone
t
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 Permittee
A Building Permit is issued ta
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
OFFICE USE ONLY
OnSRe3ewage Occupancy R"3/M'1
l
p!Vn
MWCC Syatem Zoning '
On Site Well (Actual) Const V-N
City Water (Allowable) V-N
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES ,
Engr./Assess. Permit ? ?F ?• • :?ri
Planner Surcharge
00
? i3
Council Plan Reviaw •
BIdg.Off. SAC,City i #110•00
Variance SAC, MWCC 550.00
Water Conn. `J 5'-. JO
Water Meter ? I • oo •
??
RoadUnit 5•
'
Treatment P1 4 •'?? ,
Parks
TOTAL
1 . '?.I
Parmit No. Psrmit Hoider Date Telsphone it
Pluaibing Cj Cj
Kv,ac. ' S 4 CLI? 9 9
Electric
wt.
Softener '
Inspection Date Inap. Comments
Footings I ?b
Footings II
Foundation
Framing p
Roofing
Rough Pibg.
Rough Htg. •?
Isul. /Y ,0 oEiL? it? S.Il.AZ Aov'iG
Fireplace
Finai Htg.
Final Plbg. P-LZ
Bldg. Final
Cert Oca
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MI
, , • PHONE: 454-8100
BUILDING ;?MIT Receipt #
.? o.esumn-w r:o:eu t? cnn
16727,
-2 Site Alress ?W MMjLTUR IM Lot Block Sec/Sub. OFFICE USE ONLY
Parcel ND: occuPancy - FEEs
2
??ZI?A oning
3s'?
cc Name (Actuaq Const - Bldg. Permit
W
t
Address
(Albwable)
- Surchar
e 1??
0
Clty. PhOf12 of Stories
# g
Plan Review
Length -
S?
p Name Deplh - SAC, City
,
o0
s Address? S.F.7otal - '
S
C
CWC
u A
. M
C
? City PhOne S.F. Footprints -
Water Conn
_ On Site Sewage _
W W Name On Site Weli - Water Meter
_W
=
Address
MWCC System
-
? ? Acct. Deposit
<W City Phone cirywater -
R
i
d SMI Permit
equ
re
PRV _
I hereby acknowlege that I have read this application and state that ?he Booster Pump - g/yy Surcharge
inlormation is correct and agree to comply with all applicable State of
Minnesota Staluies and Ci? of Eagan Ordfnances.
C Trealment PI ^-?
``
Signature of Permitee APPROYALS Road Unit j
A Building Permit is issued to: MAU KAZiNER
Planner - ,
Park Ded.
on the exptess condition that all work shall be done in accArdance with all
licabie State of Minnesota Statutes and Cit
an Ordinances
a
of Ea Co+nc'l -- ,:'
CoPies
y
pp
g
. gld9. pry. _
36
00
.
Building Oflicial Variance .
- TOTAL
?
?
Date
Isul.
Final
SEWER & WATER PERMIT OFFIGE USE ONLY
CITY OF EAGAN
3830 PIIOt KflOb Rd. PERMIT DATE
P.O. Box 21199 WATER PERMIT # SEWER PERMIT #
Eagan, MN 55121 METER # B.P. RECEIPT #?T.
READER # B.P. RECEIPT DATE
. METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
? SITE ADDRESS 'tt',` ? LTON DRl JE
PERMIT REGIUESTED
LOT 1 BLOCK " SECISUB '7X1Nr,rON t?C1NTr 3',<u
APPUCANT: ??`?'•T??`=? "ITY '7 y SEWER -'? WATER -TAPS
ADDRESS: ")70 •- 1513T ST COMM/IND ? RESIDENTIAI
CITY, STATE ''' ?PLE VALLE' ZIP _ 14- _
-
PHONE: ?' 31-1211 _ NEW EXISTING
PLUMBER: ?TAR 'PI'R'
ADDRESS: !018 pOUNDS G °n fN{' T`'R 1 AGREE TO COMPLY W(TH CITY OF
CITY, STATE fA'C)C'MtNGTOU Zlp 55420 EAGAN ORDINANCES:
i
i PHONE: ' '' • "?4`3
OWNER: ?OLI.G;F. (J1TY ^ONS 7
CITY, STATE
PHONE: -
ZIP
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERIrAITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY DF EAGAN
3830 Pildt Knob Fid.
P.O. Box 21199
Eagan, MN 55121
1
• OFFICE USE ONLY
PERMIT DATE
WATER PERMfT # 1`) ' != SEWER PERMIT # 1 i ? 54
METER # 1,f-J-3 1r2241 I B.P. RECEIPT # F5594
9El0ER # B.P. RECEtPT DATE
METER SIZE c - .U ccv
ISSUE DATE ./ -?1 - PRV - BOOSTER PUMP
SITE ADQRESS 1""•1 ''?'t?? ? ':,.in DRIVE
LOT -! BLOCK ? SEC/SUB Li'x2NCTON P, 3Rli
APPLICANT: 0'•--1 • '1'fY %'lf')N:
ADDRESS: 6970 - 151 ` T
CITY, STATE APPLE VALi.'..'.' ZIP 5 1 4••
PHONE: r61-1211
PLUMBER: `*TAR PLF9(;
PERMIT REQUESTED
X SEWER - WATER - TAPS
COMM/IND
_ NEW
x RESIDENTIAL
EXISTING
AODRESS: 101$ ;: ?T?.:(- :.'I AGREE TO CQMPLY WITH CITY OF
CITY, STATE BL0GMlN6T(? Zlp 5542C EAGAN ORDINANCES:
PHONE: -; Q 4- -41 14 "".
OWNER; C4LL::?F ?I i'i :;ONST
ADDRESS: SIGNATURE WHEN METER lSSUED
CITY, STATE ZIP &1? PHONE: !1 --?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
CITY OF EAGAN N2 15441
3830 Pilot Knab Road, P.O. Box 21-199, Eagan, MN 55121
???r' ?//
PHON E: 454-8100 Receipt # 7`
BUILDI?JG PERMIT /
Tobeusedfor SF DWG/GAR Est.Value $73,000 Date AUGUST 15 ,tg 88
Site Address 4460 HAMILTON DRIVE
Lot 3 Block 3 Sec/Sub.LEXINGTON PTE. 3RI
Parcel No.
a Name COLLEGE CITY CONSTRUCTION
= Address 6970 151ST ST. W.
31 ° CityAPpLE VALLEY phone 431-1211
a Name_
.o
? a Address
? City
?Q
ww Name_
t
Address
aw City_
I hereby aCknowledBe that I have
information is correct and agree
Minnesota Statutes and Citv:o14
Signature of Permitte'
A Building Permit is iss?to:_ v
on Ihe express condition that all w
applica6le State of MinnesotAf.
Building
ie in
of E
and state that 1M1e
)plicable Staie of
with all
OFFICE USE ONLY
On Site Sewage - Occupancy R-3/M-1
MWGCSystem X Zoning PD/R-1_
On Site Well (Actuap Const V-N
City Water X (Allowable) V-N
PRV Required - # of Stories _
BoosterPUmp _ Length 40
Depth 46 _
S.F. Total
Footprint S.F.
APPROVALS FEES
EngrJASSess. Permit __L4E66.00
Planner Surcharge 36.50
Council Plan Review _233.00
Bidg. OH. SAC, City 100.00
Variance SAC,MWCC _ $5-0.00
WaterCOnn. _-550.90
WaterMerer 67100
Roatl Unit 325.00
Treatment Pi ._20-4.90
Parks
TOTAL 42531.50
CITY OF EAGAN Np ? S?Z?
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 Receipt #0,1ZZ9 '
To6eusedf,,r BASEMENT FINISH Est.Value $1,500 Date FER 90
Site Address 4460 HAMILTON DR
Lot 3 Block 3 Sec/Sub. LEXINGTON POINTE OFFICE USE ONLv
Parcel No. RD Occupancy - FEFS
Zoning -
w NBme MARK KAZIMER (ACtuap Const - eldg. Permil 3 5.nn
o Address 4460 HAMILTON DR (Ailowable) e 1• 00
- Surchar
City EAGAN Phone 683-0331 rotsiodes g
-
Plan Review
Lenglh _
o Name $AME Depfh _ SAC, City
a
0 Address S.F.Total . -
C
C
CC
, SA
,M
W
? Cliy PhOf12 S.F. Footprints -
Water Conn
On Site Sewage _
?w Name OnSiteWell - WaterMeter
?
z
AddreSS MWCCS stem
Y -
0
aw
City Phone
Grywater
R
i
d Acd.Oeposit
-
S/W Permit
re
equ
PRV -
I hereby acknowlege that I have read this application and stale ihat [he Booster Pump - 5/W Surcnarge
information is corred and agree to comply wilh all applicable State ot
Minnesota StaWtes and City of Eagan Or nances. 7reatment PI
,'`
SignaNre of Permi[ee vv ?, ?
APPROVALS
Aoad Unit
A Building Permit is issued to: MARK KAZ ER Planner - park Ded
on the express condition tha[ all work shall 6e done in accordance with all Courkil
applicahle State of Minnesota Stalutes and City of Eaqan Ordinances. Bldg. Off. _ Copies
BuiltlingOfficial f"i auq Asf.tf, 1114 Variance - TOTAL 36..00
.????
-?Q REQUEST FOR ELECTRICAL INSPECTION - & es-ooooi-os
10- See inslmctions for compleling ihis form on Cack M yellow copy. -C,???? ?
X" Below Work Covered by This Request ?% i?n„.
Ne Ad6 9ep. --Type of Building Appliances Wired Equipment Wired
21- Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Load Management
Comm./Intlustrial Furnace Other (Specify)
Farm Air Conditioner
Other (specify) Convacmr's FemaMS'.
Cqmpute lnspection Fee Below:
# Other Fee # Service Entrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200_Amps Above 100-Am s
51 f15 Inspedor's Use Only. 7QTA r
Irrigation Booms , `O, 7
Special Ins ection "L
Alarm/Communication 7HIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITFIIN 18 MONT
I, the Electrical Inspector, hereby
if
h
h
b Aou9n-1, oac ?
y t
cert
at t
e a
ove inspection has
6een made. F '
inal
/
.?
OPFICE USE ONLV
This request void 18 monlhs trom
033 ?
?
00
rJ
?/ 5
?40
3 . 3
Reque Dete. Fire No. Rou h-In Insp ti n Fequiretl
(Vau u cell inspecbr when reatlyl spec?ion Other Tha ough-In
In
? Reed
Now ?WJill Natity Inspeclor
y
Yes ? No Date Reetl
I? licensed contractor 2?ewner hereby request inspection of above electricat work at
Job Atltlress (Sireel. Boz or Ro e No.) Ciry
0
I'rll / ?I
Section No. Township Name or No, qange No. Counry
02u e t(PRINT) Phone No.
z i er
Pawar Supplier ACtlress
ElecVi C nVaclor
(COmpany Name) ConVaclors License No.
y
NzGOGIJh
Mailing Atltl ss (COnVactor or Owner Making Inslallalion)
IJP
Au[horizetl Signature (Co hecWNOwner Makin Installetion) Phone Number
331
v
MINNESOTA STATE BDARD OF ELECTRI Y THIS INSPECTION REQUEST WILL NOT
Griggs-Mitlwey Bltlg. - Room 5928 BE nCCEaTED BY THE STATE eOHPO
1821 Univerelty pve, St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone(612) 842-0800 . . ENCLOSED.
C Io?o79 ?
.? / REQUEST FOR ELECTRICAL INSPECTION
? See isimctions fo
r completing [his lorm on pack ol
ellow copy. ?°`'°? Eeaooowe
? ?
? ? ?
L
'X° 6elow Work Covered b This ReQuest
e Add Rep. TypeolBuilding AppliancesWired EqoipmeniWired
Home Range Temporary Service
Duplex Water Heater Electric Heatin9
Apt. Builtling Dryer Other (Specity)
Comm./IndusVial ' Fumace
Farm Air Condilioner
Other(s0ecity) CoMradaSRemerks: IIISI`
l
Compute fnspection Fee 6elow:
# Other Fee # ServiceEntranceSize Fee M Circuits/Feeders fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps - Above 10 Amps
Signs inspecmrs Use onry: TO AL 50
Irrigation Booms '? -
Special Inspection
Alarm/Communication THIS INSTALLATION MAV BE ORDERE ISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONT
I, the Electrical Inspector, hereby
certify that the a6ove inspection has
been made. Rou9n-m
F;?ai oare /2_
oe?e
?
OFFICE USE ONLY
This requast wb 18 rtanths Lpm
a/aa/ 9/ ciaay/
? 38415 xc?D°-°
Request Da1e
?
? Fire N. ghin 7 Inspsii0n
? Reatly No ill NWity Inspet?ot
y r
`
? s G No vnxn ReaEy?
I p licensed contrector ;owner here6y request inspection of above electricai work at:
.bb Adtlress ($heet, Box or RoNe No.)
?l
?
o C? Ciy
Lu
a
5
v? qn
$ection No. Townshi0 Neme or No. Range No. Couny
Occupant (PRINT)
N'I
? l
r
^ Phone No.
a v-'
.v a z
ec
Power Supplier Atltlrexs
E?bctric1val Conlrador (Company Name) .
<? o l»?oWnf CorHrada§ Licensa No.
Mailin
q AEtlress :COnlradOr or Owrier Mgking IngWllation)
/3?
vs
Aut o?izetl Sgnature (Con4ac rlOwner Maki In IWlion)
? L.i_- -__._. Plrorie N mEer
S 3- a 3 3
MINNESOTA STRTE BOAHD OF EIECTRICITV01, . THIS INSPECTION REOUEST WILLNOT ..
GrlpprNqwey BIEg. - Raom 5.113 - 8E ACCEPTEO BY THE STATE BOARO
1821 UnNnslty Ave., St. Paul. MN SStOC UNLE55 PROPER INSPECTION FEE IS
PInrN (612) 542-0800 ' ENCLOSED.
This requesl vold a'+ I
18 mpnths.twm /G //-9/0
E 13 2 4 6
Requev Uate Fire No. 1Rouph-in Inspection ?
Fleyuiretl? Ready Now RWill Notify InsDer
2r1'es ?No lor Whxn ReodV
? Licensed Elec[rical ConVaclor I hareby reques4 inspaction oi above
Owner electrical work installed at:
Street Atldress, Box or Rnute No. City
??i ?./T?? ??ve E
ecbOn o. Township Name or Nn. Range No. Counl '
OccuVent (PflINT) Phone No.
Power Sunpl?er
«.-.,.,Ie Atldress ,r
Electrical ConVactor ICOmpany Name) ConVactor"s Lir.ense No.
Mailine A?dJJr?e?sJs (CoMrac?to?r or Owne/r Makinp Inst?a?i?lajtion)
/D?O /J L !/""° 7,;!/Lt1/?
Authorized Signawre ICo cl 10 w er akine ?stallatiun) P/h?one Number ?j
MINNESOTA STATE BOARD OF ELECTflIC1T THIS INSPECTION flEQUEST WIIL NOT
GrigOS-MiAwav Bidg. - floom N•791 BE ACCEPTED BV THE STA7E BOAND
tffi1 Universilv Ave.. St Pxul. MN 55 4 UNLESS PROPER INSPECTION FEE IS
Phone(612)642-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION y yeep-oooc-os
, See insbucnions for com0leting this form on back of Vallow copy.
E 1 3 2 4 6 "X" Below Work Covered by 7his Request
Atl Nad TYPn ol Bmltline Applioncae Wired Equiunient Wire!f
Home Range 7emporary Service
Duplax Water Heater Liyhtiny Fixtures
Apt. Buildinc7 Dryer Electric Heatin
Commercial Bldy. Fumace Silo Unlonder
Industrial Bldg. Air Conditioner Bulk Milk Tenk
Farm ome, pen v mm tsnec,tv)
ther ueci(y Other Oth.r
amr?ute lnsoection Fr.e Belnw
N Fee ServiceEnhance5ize h Fee Feeders/Sabfeaders b Fan Circoits
S- 0 to 200 Amps 0 to 30 qm s S' 0 tn 30 Am s
A6ove 200 qmps 31 to 700 Amps / Y' 31 to 100 Am s
Swinmifng Pool Above 700_Amps Ahove 100_Amjs
Transtormers Irrigetion Booms Pertial- "Ote
Signs Special Inspection
Remarks TpTAI[FEf?
-^ ??? ?
inal
y, C -' .
I, the ElecVical
Inspector, heteby
cartifV thal the aCova
inspection has Gean
ClTY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT u?GqO
PERMITTYPE: auzLozNG
Permit Number: 0 2 9 2 6 7
Date Issued: 11 / 21 / 9 6
SITE ADDRESS:
P.I.N.: 10-45072-030-03
4460 HAMILTqN DR
LOT: 3 BLOCKa 3
LEXING70N PQIN7E 3RD
DESCRIPTION:
(Gas)
ermit Type FIREPLACE
$,rk Type NEW
e ?.. 494 ALT. ftESIDENTIflL
?.- ._ . ..:.
REMARKS:
FEE SUMMARY:
f1?`4 ?4i "'.'4 yi?v^?ai? µ? 'qp* S l! M? §I,P
Base Fee $25.00
Surcharge $.50
Totel Fee $25.50
CONTRACTOR: - Applicant -- S7. LIC OWNER:
FIRESIDE CORNER INC 16331042 0001068 KAZIMER MARK
2700 N FAIRVIEW AVE 4460 HAMTLTON DR
RqSEVILLE MN 55113 EAGAN MN 55123
(612) 633-1042 (612)683-0331
r here'by 'a
? _ .
APPLICANTlPERMITEE SIGNATURE
;e t144 t -`'the` :
'IS ? ...._ ?
oi,4?
UED 13Y: IGNA RE
? ?
DATE: I ?
DESCRIPTION OF WORK:
CTTY OF EAGAIV
3830 PILOT KNOB RD - 55122
1996 FIREPLACE PERMIT APPLICATION
681-4675
t?,s o
? CONSTRUCT EW FIREPLACE: _ WOOD BURNING ? GAS
INSTALL GAS INSERT ONLY IN EXISTING FIREPLACE
INSTALL GAS LINE ONLY IN EXISTING FIREPLACE
ROOM TO BE INSTALLED IN:
OTHER:
STREET ADDRE3S: ? ?-& C) t9*)41 (L--7?01
LOT BLOCK ? SUBD./P.I.D. #:
APPLICANT: (circle one only) OWNER c
CONTRACTOR
I hereby acknowledge that I have read this application and state that the information is wrrect and agree to comply with
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
PROPERTY
OWNER
FII2EPLACE
INSTALLER
GAS LINE
INSTALLER
Name: KP, 'L. l MC?1 ?. 11149K 4 LA i3i21e- Phone #: G S3- U33/
Signahue:
Street Address: 41,kd 4Q `? 1 (,'To N D60 `
kA ? 5''?"/Z3
City: E6? Ci A? State; Zip:
8Q0 --0
Company: Phone #: d; 33 -2 .?6 1
Street Addressoesb` w-Ay ltj_3 License #: 1069
City??V?NCS C?l?-4-? SCate:?? Zip: ?????
Company: _
Name:
Signature: -
Street Address:
City:
Phone #:
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
0 14 Fireplace
WORK TYPE
? 31 New
? 32 Addition
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Census Code.
SAC Code
REMARKS
b.?_ ? °'c? T-?1
Chimney/flue must be inspected before concealing.
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITEADDRESS: P'=•N. ° 1e-45e72-e3e-03 qppLICANT:
LQT: 3 BLOCK: 3
4460 HAMIL70N DR KAZIMER
IEXTNGTON POINTE 3RD (612) 683-0331
PERMIT SUBTYPE:
BASEMENT FINISH
TYPE OF WORK:
BUILDING
025994
07/11/95
MARK
ALTERA7ION
INSPECTION
FRAMING „ .
INSUlflTION .•
ROUGH IN PLB6 FINAL
REMARKS: A SEPARA7E PERMTT I3 REQUIRED FqR ANY PLUMBIN6 OR ELECTRSCAL WORK
_ _.
- t
.
. . a. ? _ . . i '
c ? t
? . _. ., _ . . . ._.,. . _ , e ? ?... ..u._.. ,. ?,. ......,_a,.z?.s..
--tCITY OF EAGAN
3830 Pilot.Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: ButLnzrvG
Permit Number: 0 2 5 9 9 4
Date Issued: 0 7/ 11 / 9 5
SITE ADDRESS:
P.I.N.: 10-45072-030-03
PERMIT CW2 0
4460 NAMILTON OR
LOT: 3 BLOCK: 3
LEXINGTON POINTE 3RD
DESCRIPTION:
Building;.,wPermit 7ype
Building Wo,rk Type
t,
;.my
?
;.
:L .
BASEMEN7 F2NISH
ALTERATION
i
s
A
REMARKS:
A SEPARA7E PERMIT IS REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
5urcharge $.50
Total Fee $35.50
CONTRACTOR: OWNER: - Applicant -
KAZIMER MARK
4460 HAMILTON OR
EAGAN MN 55123
(612)683-0331
I hereby ecknowledge thit I Ftave read this
information is correct and agree to comply
Sta:tutes aad Gity of Eagan OrdinanCes.
?
G??? ?!/ ?_w,
APPLICANT/PERMITfE SIGNATUFE
applicatiorr and state`thattYie with a11 applicable State ofi Mn_
It?T
ISSUED B : IG TURE
J
CITY OF EAGAN ?3830 PILOT KNOB RD - 55122
15494 7995 BUILDING PERMIT APPLICATION (RESIDENTIAL) r `
681-4675 ?
tlew Construction Reaufrements RemodellReoair Reauirements
? 3 registered sile surveys ? Z coples of ptan
? 2 coples of plans (include beam 8 window sizes; poured tnd. tlesign; etc.) ? 2 stte surveys (exterior addftions 8 dedcs)
? 1 errergy calwlationa ? 1 energy cakulations for heated addiGons
? 3 wpies of tree preservation plan if lot platted aRer 7l1/93
required: _Yes _ No DATE: 4 7- 3 ` cIS CONSTRUCTION COST:
DESCRIPTION OF WORK: B a se M P'1 f f-~,'01 15- A
STREET ADDRESS:
LOT 3 BLOCK ?_r 6 d 'i v r
3 SUBD./P.1.D. #: LZ?(?
PROPERTY Name: r1 u z rrn e r ma,- k phone #: 6$ 3- 0 3 3/
OWNER
Street Address• yy 6D •m^
?fa r„? ?(¢G.?
t)d:
Ciry: F 4 v Qo State: M N Z;p; ss ta 3
CONTRACTOR Company: Phone #:
Street Address: License #•
City: State: Zip:
ARCHITECT! Company: Phone #
ENGINEER
Name: Registration #,
Street Address•
City: State: Zip:
5ewer & water licensed plumber. . Penalty applies when address change and lot
change are reQuested oncs permit is issued.
I hereby acknowledge that i have read this appiication 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:
CC?C?????UD
OFFICE USE ONLY
Certifiqtes of Survey Received _ Yes _ No 0 3 1995
Tree Preservation Plan Received _ Yes _ No
---------------
OFFICE USE ONLY .
R
. .r+..,6.
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex o 11 Apt./Lodging rw4 16 Basement Finish
0 02 SF Dwelling o 07 4-piex o 12 Multi RepaidRem. ? 17 Swim Pool
0 03 SF Addition ? OS 8-plex ? 13 Garage/Accessory o 20 Public Facility
0 04 SF Porch o 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
0 05 SF Misc. 0 10 _ plex ? 15 Deck
WORK TYPE
0 31 New -,;00-"33 Alterations ? 36 Move
n 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Rctual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy sq. ft.
Zoning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Engineering
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Variance
y3 y
o/
/
O
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $ /Soo
°k SAC
SAC Units
N%IDpTIAI;:t
c:irx vr anUeuv rvn LIiix u?s, vrL:
3830 PIIAT RNOB ROAD
EACAN, MN 55122 PERMIT #
PHONE (612) 454 6100 RECEIPT
DATE: ?o $
PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS 6
TOWNHOMES/CONDOS WHEN PERlfITS ARE REQDIRED FOR EACH DNZT.
--------- --------------------_____-_..-----____-----_____----y-----
iIORK DESCRIPTION COMPLETE THE FOLIAWING:J'N
N0. FIXTURES EA. TOTAL
NEW CONST _ ADD-ON MINIMUM 15.00
ADD OH ? I SHDWER 3.00
REPAIR _ T WATER CIASET 3.00
BATH TUB 3.00
?VATORY 3.00
OWNER NAME : ` KITCHEN SINK 3.00
?/
?t
?r'
???'I` r?
1
7 Y
? IAUNDRY TRAY 3.00
Ta
.
t
'
?/
SITE ADDRESS: ? HOT T[TB/SPA 3.00
?
L
%? ? N
IAT:
BIACK
SUBD. FIAOR DRAI 3.00
INSTALLER: MG r°G? w f?t2 vn e;^
_ GAS FIPING OUT.
(MTNIMUM - 1)
3.00
7 L?G ROUGH OPENINGS 1.50
lsDDRE55: ` OTHER
F WATER SOFTENER 5.00
CITY:
'T W 'i vi ZIP: _ PRIVATE DISP. 15.00
? ?} - D ? ? ? U.G. SPRINKLER 3.00
PHONE tt;
SIGNATURE OF R MIT
SUBTOTAL S /S,ao
ST. SURCHARGE .SO
? ?Afvmp.r1- TOTAL: $ 15,50
PLEASE COMPLETE TH2S PORTION FOR ALL COPAIERCIAL/ZNDUSTRIAL BUILDINGS AND
MULTI-FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH
DWELLING UNIT.
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
IAT: BIACK _ SUBD.
INSTALLER:
ADDRESS:
CITY: 2IP:
PHONE
FOR:
FEES
1% OF CONTRACT FEE.
STATE S17RCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 19 $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
$
CITY OF EAGAN
o•?
• °-? zs•oo+
0 •50+
2y•50*
1991 BATATCATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGZSTERED 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, SUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLAWED 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: 7
>S(Il`- (?nrsn„ Valuation:
Site Address ?'{y?? rTaM1?7'p?•i Qr
Lot ? Block
F
Parcel/Sub ,???(f?(T1l;T;Q4ip10„1A
i
Owner ?/? /? f a 1 r'vt er^
Address / Ll EO /?ea w' e kfc P) 9 Y'
City/Zip Code 1_4-rt <) R ?1 vVk/ 5-3'"03
V
Phone L ? ; '- L7 3j ?
Contractor 0 'w " e v"'
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date:
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off. =I69/
Variance
FEES
Bldg. Permit
Surcharge -'
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL `-?
agrees that all work shall be done in accordance with
(Signature of ntractor)
100
Go
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
K N(riE: PA3@ffNf OF FEE AT TIME OF ?
; nPPLxcaTTaa ooFS Nor coN- _
? SfI7V1E APPAGS7AL OF PFRPIIT.
. :
; itaseBMota oF sDM nra/at wnlEt ;.
; irmrr,tIMioeis wua. caor ae scEntir.m ;
? UNPIL PFIibIIT HAS B@] ApPRCNm. ?
+?e.?f++?af+:?r»?tffs+t+wf?rifxse+t++f•
oF eagcan
(PLEASE PRINT
1) PROPIItTY ADDRE.SS:
7.Ff;AT DFSCRIPTION;
IF EXISTING STRLCTCIRE, DATE OF ORIGINAL BLILDING PERMIT ISSUANCE:
Mon Year
PRESENT ZONING/PROPOSID USE:
Q CONII"IEEtCIAL/RETAIL/OFFICE
Q INDL?STRIAL
Q.INSTITLTIONAL/GOVERNNENT
2) NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) NAME:
ADDRESS:
CITY, STATE, ZIP: ICV1' v
PHONE:
? ',o'?e ' • ?-
4)
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
I? R-1 SINGI.E FAMILY
? R-2 DLPLEX (Tao Units)
Q R-3 TOWDIIHODSE (Three +.Units) ( Units)
Q R-4 APARTMENT/CONDOMINIOM ( Units)
MASTER LICENSE # V/f
C?
P1 rumicense:
I? Active
Expired
Not recorded
St Initi
5)
6)
- ) 7-t?8-'
*1r**#**itak*******?t***3ert.*?F****tk**!: eY?k**'k***1[*********k***'k%'***'k*1: *rt*****:M***'k'k'k*tk*****'k*******'k***aF***Y
* y
THE GOLD COPY OF THE pgtNIIT WILS, BE SET7t DIRE,CIZ,Y TO PUBLIC WORKS 10 FACILITATE METEFt PICK-UP.
* PLEASE Au-Ow 7Wp WORKING DAYS FOR PROCFSSING. sa?mNE FROM Tm CITY WILL CONfALT YOD IF 7ffIERE *
* ARE ANY PROBLEMS.
?****r**+?******?++r***+*****?+?*,?************+****+*?+*+*?x*******,r*?*****??+e**?***+*?****,r,r,e***,t*;
TO CITY SESJER EZJCOD]NECTION TO CITY WATII2 F--j 07BERR
FOR CITY USE ONLY
PERMIT # ISSC'ED
Pd w/Bldg. Permit FEES:
$ $
? D
SEWER PERMIT (INCLUDE SURCHARGE)
$ $ I 0 Sa
WATER PERMIT (INCLUDE SORCHARGE)
$ ? / $ WATER METER/CO
ER
R
i
PP
HO
N/OL
TSIDE READER
$ $ WATER TAP (INCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $
ACCOL'NT DEPOSIT - WATER
$ ? ?O
$ WAC
$
$ SAC
$ $ TRONK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
S WATER TREATMENT P
ANT S
R
L
L
CHARGE
$ $ OTHER:
$ $ TOTAL
$ G?9 ?oa77
RECEIPT RECEIPT
DOES C'TILITY CONNECTION REQOIRE EXCAVATION IN PIIBLIC RIGHT OF WAY?
a YES IF YES, THEN A"PERMIT FOR WORK LVITHIN PDBLIC
? ROADWAY" MUST BE ISSOED BY THE ENGINEERING
NO DIVISION. LIST AS A CONDITION.
SLBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY':
TITLE: V
DATE : 1 I ?
-?T-7
January 6, 1989
COLLEGE CITY CON5T
6970 151ST ST
APPLE VALLEY, MN 55124
It st, P-t?
RE: 1495 FEDERAL CT., L29 B1, STONEY POINT
1519 LAKEOIEW CDRVEO L11, B3, STONEY POINT
4331 HAMILTON DR.p L6o B2v LE%INGTON POINTE 2ND
4460 H9MILTON DR.p L3p B3, LERINGTON POINTE 3RD
W9RNING: BEFORE DIGGING, CALL LOCAL DTILITIFS - TELEPHONEO ELECTRIC? G9S9
ETC. - REQIIIRED BY LAW
XX Your Sewer and Water Permit for the above property has been completed.
? It will be held at the Publie Works Garage (3501 Coachman Road) until
the meter is picked up. BE SORE TO CALL POBLIC WORKS (454-5220) FOR
YOUR PERMANENT WATER TURN ON.
_ Your Sewer and Water Permit for the above property cannot be completed
for the following reason:
_ Your Sewer and Water Perm3t for the above property has been completed,
however, the meter cannot be issued or occupaney allowed until further
notice.
Sineerely,
?
Jan Severson
Seeretary
JS
?.S
i
?
CLAIPf VOUCHER - REF[JND REQUEST
CITY OF EAGAN
;
CLAIMANT t??Rit pT tiMB NG
A??RESS 1408 NORTHLAND DRIVE
:MENDOTA HEIGHTS. MN 55120
Location
Receipt No./Date
Reason for Refund
Type of Refund
4460 HAMILTON DRIVE
Q. B3, LEXINGTON POINT 3RD
-88132-10/12/88
DUPLICATF pERMIT Electrical Permit 01-3211 $
Plumbing Permit 01-3212 $ 24.00
Mechanical Permit 01-3213 $
Surcharge 01-2155 $
Water Connection Permit 20-3713 $
Sewer Connection Permit 20-3743 $
,
Account Deposit 20-2252 $
Utility Account Over-Payment 20-2250 $
Other: $
$
TOTAL $ 24.00
I declare under the penalties of law that this account, claim or demand is just and
that no part of it has been paid.
r' OCTOBER 14, 1988
?/ Signature ? Date
(14443)
1990 SUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
COMMERCIAL
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE 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 TN WHICH REQUEST IS MADE.
IAT CHANGE IS REQUESTED ONGE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
VIdR 2 f RECo
To He Used For
Site Address
? G Valuation:
('0 Uo
Date 3 / Co
:
MO I OFFICE USE ONLY
Lot I Block ?
Parcel/Sub f4dw14?/At
ocaner z?
l Vla?'K Ka, 1/1-10 r^
Address -I 1 f7? b?l( yi [/r,
City/Zip Code ?c? Ra VI S? o3
Phone AP to -3 -- 033
?
Contractor
Address
City/Zip Code
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
FEES
Occupancy
Zoning
Actual Const Bldg. Permit Z S,o?
Allowable Surcharge
# of stories Plan Review
Length 120 SAC, City
Depth /y SAC, MWCC
S.F. Total Water Conn
Footprint S.F. Water Meter
Acct. Deposit
On site sewage_ S/W Permit
On site well S/W Surcharge
MWCC System _ Treatment P1.
City water _ Road Unit
PRV Park Ded.
Booster Pump _ Copies pv
SUBTOTAL
APPROVALS Penalty
Planner _ TOTAL
Council Bldg. Off. ?3/?8
Variance
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? 1988 BUILDING PERhIIT APPLICATION - CITY OE EAGI1N
? -
SINGLE FAMILY DWELLING3 I5+0
INCLUD 2 S S OF PLAN t3 EATIFICATES OF SUHVEYCID*T OE ENERGY CALCULATIONS
NOTEs ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLDWED ONCE BUILDING PEAMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL QNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH HLDG. DEPT.p
1 SET OF ENERCY CALCULATIONS
CObAfERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: f Valuat ion: 3Letnt-- Date:
Site Address j- , OFFICE USE ONLY
Q3a,o -.
Lot2 Block ? On site sewage_ Oecupancy R-3 M_I
) )
'
'
4 MWCC system ? Zoning P D R I
Parcel/Su6LL ;n n n
ei On site well Actual Const V-tJ
City water i/ Allowable V-N
Owner PRV required # of stories
_
Booster Pump _ Length ?
Address Depth ?
S.F. Total
City/Zip Code Footprint S.F.
Phone APPROVALS FEES
Contraetor6 c 5 a C 7?t C. o n J? Engr/Assess Permit 4b6•oo
1 `s
Add
c97 U^/
Sf
? l
?
5
L? Planner ? Surcharge 36•SO
,
ress b
J
.
7+
J
1 1 Council Plan Review
Bldg. Off. 4EEURIt5 SAC, City 3, 00
0o
City/Zip Code A+n mat ariance SAC, MWCC DOz >
L ?7U
1-
l Water Conn SSp,OD
Phone
> a?)
7 Water Meter (017,00
A
h
/E
' /? ._.( Hoad Unit ? •Q?
.
rc
ngr. in
ic qf C om I? Treatment Pl 2Dy00
Parks
Address Copies
TOTAL
City/Zip Code
Phone ll
VAtuaT?or.i
G4RaGE
,
zvu2o = 4ov X14 : 5'600
13IkS-=M ENIF
2(oxqo = ro40x i3= i35z0
HOuse
lsSMT, - f 040
71 '3 = Z G
1%,.X lo= IS
?
/08? x yq ? z7L°t
.?-
?2os5
?
r j JUL 15 "W
,
TRI-LAND C0.
SURVEYING
SERVICES
1260 YANKEE DOODLE ROAD
EAGAN, MINNESOTA 55126
i
l
LEGAL DESCRIPTION? ^`? _ 3,BLOCK 3,LE-' IN: :?QN_POINTE 3RD
ACCORDIN T IHE RECORDED PLAT
THEREOF T COUNTY,MINNESOTA
N
I
SCALE: 1 %30'
? T •?
(S)24.98
?
?
Zs ? L3T
?ORAIN0.GE 6
( UTILITY EASEMENTS,
. L-----
(97.8.5)
EAGAN .
REVI€WED
------------------ - -
BY_ e J nM. -r.
nnrE 8 - I D -88._
SITE PLAN FOR.
COLLEGE CITY
PPOPOSED
. FIOUSE
26',
T w
U1..I
`F" ' 3424'
? -7
?
(975.1)
4
/
4z?
GARAGE? ORlVEWAY/ W J Q
2p. 1 io P N rn /
?
! k ? ?it) Z
_J
-3424- - -Ij
? lo' 7o REC coR (973,7) ?
r
Uj
-- ?___.....
EAGAPi E,iV;;;?,?vW'y?t`Td ?
LEGEND
o DENOTES IRON MONUMENT
' a DENOTES WOOD HUB SET
DENOTES EXISTING SPOT
ELEVATION
(978.5) DENOTES PROPOSED SPOT
ELEVATION
? DENOTES DRAINAGE DIRECTION
A, , n ?. ,., ,.
Bradley ' wsnson, Mn. Req. No. 15235
Date : J? I ?,, i-
I hxeby certify that tAis survsy,plan or
report was prepored by ms or under my
direet suparvision cnd that t am u duly
Repisfersd Land Surveyor under the
Lows of the Stofa of Minnesoto.
INVERT ELEVATION AT SERVICE EXTENSION=
PROPOSED GARAGE FLOOR ELEVATION = .976-s
PROP05ED FIRST FLOOR ELEVATION = 977.1
PROPOSED BASEMENT FLOOR ' •973•1
ELEVATION
NOTE: VERIFY ALL FLOOR HEIGHTS WITH
FINAL HOUSE PLANS
. EXTf""OR ENVEIAPE AVF.RAGE "U" CQMPUT"ON COLUMBIA
_ l
OW4ER
SITE ADDRESS LO ?1' ?//1 ? /_c,? i?, ? 7? v n l"e : n? c. •3 Y
CONTRACinR COLLEGE CITY CANSTRUCTION DATE ' 9"d f PHONE 612-431-1211
Determine working square footage of each.
1. Total exposed wall area ...... 1,728 sq. ft. x.11 = 190.08
2. Total roof/ceiling area ...... 960 sq. ft. x•026 = 24.96
Total exposed wall area above floor = 1,728
a. Total wall window area ........................... 141.669
b. Total door area .................................. 36.667
c. Total sliding glass door area .............. ...... 0
d. Total fireplace wall area .................. ...... 0
e. Total wall framing area (average 1070)...... ...... 172.80
f. Total net wall area above floor ............ ...... 1,291.488
g. Total rim joist area....................... ...... 85.376
Total exposed frnutdation area = 85.376 s.f.
h. Total fottndation window area ............... ...... 0
i. Total net foundation area above grade...... ...... 85.376
Determine "U" value of each wall segment.
e • 141.669 X "U" .346 = 49.017
b. 36.667 X "U" .128 = 4.693
c. 0 X "U" --
d. 0 X "U" --
e. 172.80 X "U" .092 = 15.897
f. 1,291.488 X "U" .043 = 55.532
g, 85.376 X "U" .041 = 3.5
h. D X "U" -- _ --
i. 85.376 X "U" .079 = 6.744
3 ......................................Tota1 1355
If item #3 is the same as, or lesa than item #1, yw have met the
iatent of SBC 6006(c) 2.
,
?
Total exposed roof/ceiling area = 960
J. Total akylight area ................................. p
k. Total roof/ceiling framing area (average 107)....... 96.0
1. Total net insulated roof/ceiling area ............... 864.00
Determine "U" value for each roof/ceiling segment.
j. 0 X foul#
k• 96.0 X "U" .174 = 16.704
1. 864.00 X "U" .022 = 19.008
4 ........................................Tota1 =
35.
If total of !i4 is the same ae, or less than 1i2, you have met the
intent of SBC 6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope aystem method, the values established by
the swn of items If3 and 114 ehall not be greater than the sun of items
lll and #2.
1. + 2. _
3. + 4. _
. u u ? u
R ANO U YA' 'a L AN.4L•Is i:a c7F -)p[
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„R' - v.A L uE
_ .61 .._1 NtelLlo2 ,,l K. ft L 1`1
-_1930 _6" 10 SULAT10 N (v,-19 )
2.06 25/32 SN EA rtuc, Built-Rite
.67 Lap_5ipirj4? 1/2"
- 1.88 ??h.,, SoFtwooo
.17 qtrt
24.39 rorA L'?..?,j• VAt.t1.t
4"J • j/%.s 1? 24.39 = r:m=
tarn6 " .Ac,t
FouN u qT IaN WALL. AREn CAeovc, q RA oF_D
,: R•• vA L u. E,
.61 INrERloR AIK Ht-r1
? .85 $" CeNGa t' ?-r pLOUC
?IIrLfI 11.0 R-11 2x4 I.S. Furing
A??il ee?s.=?e=c?as?ra:?,#=?r===?
'17 EX.T[-F?IDR, Af2 FILM
_ 12.63 -r'OTAL qwq VALUE-
u? .. i/a.?, • ?? 12.63 RAIn t.1 iatAl,/b
rbTAL rm?/c4f_ _
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YS15 OP D[7C7RS_AND C"A7Fr? AF;f..-M•
R y
WlNDoW ARg-A :
TYP)i OF W 1 NI7qW i
5/8" Insulated Glass
7Ne \,vf,vnow yuirs /jAV& Birnl risra'p FoR rtNdr AKC ns L.Is+tr
ABbJC q40 1N4v O[ 17Jsi44fS1P A O(.f/rjN (SArt) VALN.C oF "f{'a 2.89 _
I01CLup1UC, Alrt RLMS, 4 ' 1/09, S. 1/ . ' .346 _
foOfAyL ?Fo?fqp? -
rouNDAr IcxJ yViNvo w AP-La :
TYPE oP :
II#E. VV/NDOW !./NIfS/IN9L pcu/ rtlTKDFow-Q-2 VAu.acx tNiYAt& ws 1ib1L0 AD+?VIL A1lO
may qr AaiiyNLu A 0LS1yr4G0^0V YnuIe aa •R"„ ?uc??cirJq
A1.4 PILMt, ?
1419a 1/lj& • 1/ m?? FoerA4a + Footny[
SLIDINc; <4LASS DoCR /?RILA: TYPt opL Doort:
5/8" Insulated Glass
SLIp14q c4 L499 DOoRS ijr.Vt I/LR04 *L3tR0 foR"R.= V.1&-K c-y YN(Y AR[ b L10%rRn
AlSOVL A1JD MAy 06 A0444r+ti.D A VieIcONCseFq VALKL OF?R'?!2..89 yy1.AP..?
At0 i1LMS
?1y! • ?/rt9? :. f1 ' .346 . . Fwri.4c- = ----
DDOK ARZA: YYPC oF DoOR 2
Therma-Tru
DnIOQ UNITS IIqyG OGLN T4lTLO AND RauvO to HAVt AN
W-VALUI? tlf 7•81 INU.NOrNQ A14 014.M3,
411 :'/Ra, = 1/ 7.81 = .128 1-or?rA4?= _.. ...
5PPGIALS ;
TyP,L •
raRM t_i ,enan(.rf* f.rCF'• SrNr.r
. ..... . 3 of 5
rR?AND"U~ VUE ANALYSlS OF QL/ 'L S?,cT1o+J S
'?...,
,. ??... vALue
.61 INTERiuR A1R riLN1
.45 1/2 G?v.StLM WALLOOned
6.875 5-1/2 SofTw/ooo
2.06 25/32 S4e4TN#N4 Builz-Rite
_.67 L_ap Siniuc, 1/2"
__ __ VAMC bAaRia.L
.17 F0rLRl0 R Ai2 POL.M
10.835ror'AL ' R.r; V.,L uIL
t14 : I/*--, ¦ 1110.835.
.092
T(3rAL roorAc, c
I ?JSU.LqT LC) J'1R[q B r. TWLlN StuDS
"R'.- VAL4,[.
iurea1012 A09. F,L?ti
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_ 19.0 6+' lusut„r IoN CR
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_ ,
)
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-' -- NAPOR. 17Aie.R.#CA
.
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Z-?TOf AL Nwa, YhLuc.
?* La-.L . I t 2 2.96 . .043 .
ToTAL roorAae,
N 6i ?qhallf. ?
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K AND l.d. VALUE ANAI.y'915 OF THE 7200F/GEiIiQCi SEGric????.
• .'_` ? v:
troIST/ FKAM#mG ARCk
'R'- VA Lll E
" iN7ERioR AIR F?LM
4.375 3-1/2 goFrwooo
5/8" GyPSItM w,,LLronao
.58 -- vtino? a4??icv„
I NTIrR ivR, AIR FILM
5. 735 TO T A L" R?,, ?Ai-?d.l'
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7'o T A L poo rx4g__
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.58 5/8" 4YPSUM wALL na41 R.
-- -- VAPak V•/1RRI& fL
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA117177
Date Issued:10/16/2013
Permit Category:ePermit
Site Address: 4460 Hamilton Dr
Lot:3 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-030
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 .
Angie Olson
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 -
Kim E Solmonson
4460 Hamilton Dr
Eagan MN 55123
(651) 994-6852
Reroof America
10740 Lyndale Ave S
Suite 10W
Bloomington MN 55420
(952) 888-8440
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA178030
Date Issued:07/28/2022
Permit Category:ePermit
Site Address: 4460 Hamilton Dr
Lot:3 Block: 3 Addition: Lexington Pointe 3rd
PID:10-45072-03-030
Use:
Description:
Sub Type:Water Softener
Work Type:Replace
Description:
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 -
Randy J Schultz
4460 Hamilton Dr
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature