694 Hanover CtCITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT Receipt
To be used for Sf' ll????GAR Est. Value $11 5,t)« c' Date ?LINE 8 ,19 «8
I
Site Address 6`j4 HA:V(1VRF CT
OFFICE USE ONLY
,Ta?? n?{I?F.
Lot 2$ Block 6 Sec/Sub. On Ske Sewage Occupancy K-3 ?-1
MWCC 5yatem X Zoninp PD R-1
Parcel No.
On Site Well
(Actual) Const y_N
? ¢ Name GRAhiD OAKS DLYLI,t?P'riENT City Water X (Allowable) V-N
I z Address 39$3 $TONEBRIDG$ DR Pi PRV Required # of Stories
0 City EAGAN Phone 452-0747 BoosterPump Length 50'
Depth 34,
¢o Name 5AME S.F. Total
?
o ?
Address
Footprint S.F.
U
? City Phone APPROVALS FEES
? W
W
Nalne
Engr./Assess.
Permit
622•00
57
50
VZ Address Planner Surcharge .
311
00
W City Phone Council Plan Review .
:
100
00 1
BIdg.Off. SAGCity •
I hereby acknowiedge that I have read this application and state that the
Variance
SAC, MWCC i
550.00
,
information is correct and agree to comply with all applicable State of WaterConn. 550•00
Minnesota StatLtes and City of Eagan Ordinances. 00
67
Water Meter .
Signature of Permittee 4__ - Road Unit 325.00 i
? A Building Permit is issued to: t'R'l-RD OAY.S DEV$WPKENr Treatment P1 204•00 ?
on the express condition that a!I work shall be done in accordance with all Parks i
aRPlicable 5tate of Minnesota Statutes and City of Eagan Ordinances. ? ?86. ?O ?
•
?
8uilding Official _ TOTAL
k . - ..?..-.. . v . . . . . .. . ' . .
r
? CASH RECEIPT
t ?
_ CITY 'OF SAGAN A
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
.
DATE
?cErvEO , ^f 1L J?.. f f ? , ; ?
FROM
AMOUNT $ ? .7
[] CASH
CkCHECK
/ L%' l
MOUNT
Thank You
BY
DOLIARS
,ao
T, ? White-Payers Copy . .
? ?
? ? $ w {? 41 ? Yelbw-Posting Copy ?
Pink-File Copy
.
.- ". .. _ ,
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
014155 Surcharge
75-3860 Road Unit
20-L75 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
CONTRACT
PRICE
Site Address
Lot I z
Cay
PERMIT #
PILOT KNOB ROAD, EAGAN, MN 55122 1 RECEIPT
PHONE 454-8100
Phone
FEES
COMM.flND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
PLUMBING PERMI
CITY OF EAGAN
DATE:
BLDG. TYP? WORK DESCRIPTION
Res. New
MuR. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
Bath Tubs - $3.00
Lavatory - $3.00
Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
Laundry Tray - $3.00
Floor Drains - $1.50
Water Heater - $1.50
Whidpool - $3.00
Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PERMIT FEE:
STATES S/C:
GRAND TOTAL: • ?
CITY OF EAGAN
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at ! ? `,? , ?/?? N U` Cd Ct-
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
rn<:..? 12 t ar ; h a w. //s' ?' falv F
ccfrc r- ti.,..
DK.
Ui
When corrections have been made, please
call 454-8100 for inspection.
Date
fispector City of Eagan
DO NOT REMOVE THIS TAG
Cities Dijzital Quality'Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
.
,
PERMIT #
,
. ' MECHANICAL PERMIT
. RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: '
CONTRACT PRICE: PHONE: 454-8100
Site Address
Lot Bl
k
S
S BLDG. TYPE WORK DESCRIPTION
oc
ec/
ub Res. New
&ult Add-on
? Nam
?
Address 6 ende ssohn ve. o. Comm. Repair
? ciry o den a ey, Rvesota 5542 otner
Name FEES
RES
HVAC 0-100 M BTU -$24
00
.
.
Address ADDITIONAL 50 M BTU - 6.00
3
p City Phone (RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS
MINIMUM
1 PER PEfiMlT)
50 EA
1
TYPE OF WORK -
-
(
.
COMM/IND FEE - 1% OF CONTRACT FEE .
, Forced Air - M BTU APT BLDGS. - COMM. RATE APPLIES
Boiler
M BTU TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
MINIMUM RESIOENTIAL FEE - ALL ADD-ON &
Unit Heater M BTU REMt38ELS -- 12.00
. Air Cond. M BTU MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM ?
(ADD $.50 S/C IF PERMIT PRICE GOES
? Gas Piping Outlets # BEYOND $1,000)
Other
FEE
S/C: SIGNATUREOFPERMITTEE
i
?:_
TOTAL: :? r,
FOR: CITY OF EAGAN
•• . PERMIT # -?'-
' . ? PLUMBING PERMIT
CITY OF EAGAN RECEIPT # -
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: CONTRACT PRICE: PHONE: 454-8100
Site Address " ' ' i L •
lot ? Block Sec/Sub
Name ?
?o Address ' t.
c Ciiy Phone '
? Name
; Address
O City Phone
FEES
COMM/1ND 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 $1,000.00)
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
BLDG. TYPE WORK DE$CRIPTION
Res. ?- New ?
Mult. Add-on
Comm. Repair
Other
RES. PLBC. ONLY - COMPLETE THE FOLLOWING:
11110. FIXTURES TOTAL
y Water Closet -$3 00 $ ?1-Bath Tubs - $3.00
Lavatory - $3.00 `
Shower - $3.00
' Ki?Chen Sink - $3.00
Urinal/Bidet - $3.00
Laundry Tray - $3.00
l Floor Drains - $1.50
Water Heater - $1 50
Whiripool - S3.00
._1_-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMIn
Softener - $5 00
well - S10.00
Private Disp. - $10.00
Rough Openings - $1.50 -
FEE:
STATE S/C: ti -
GRAND TOTAL: ? ` '
(ger#ifiratP uf (Orrupaury
titp of eagan
iorpadmrnt af luilding jwrrtintc
This Cerlifrcate issued pursuant to the require?rrents of Section 306 of 1he Uniform BuiJding
Code certiJying that at the time of issuance this strueture was in compliance wrth the various
ordinanees af the City regulating building construction or use. For the foflowing.•
oocupancy 1-),pe -
OWt1er af' &alidine
Bwlding Addrem LO-MY y.i
Daa:
Bwlding 016cial ?
elag. ?t No.
POST IN A CONSPICUOUS PUCE
,
CITY OF EAGAN
3830 Pilot Knob Rosd, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BUILDING PERMIT
To be used for Est. Value ` 115 > tK
Site Address
Lot 81ock Sec/Sub.
c Name
3 Address
? City Phone °Co Name
.
? < Address
City Phone
City
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 to:
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
4 r, -1 AT ?
Receipt ?
Date
,19
OFFICE USE ONLY
On Site Sewaqe OcCUpanCy
MWCC System 2oning
On Site Well (Actual) Conet
City Water (Allowable)
PRV Required * of Storiea
Booster Pump Length
Depth
S.F. Total
Foatprint S.F.
APPROVALS FEES
Engc/Assess. Permit
Planner Surcharge
'
Council Plan Review '
Bldg. Off. SAC, City
Variance SAC, MWCC
Water Conn.
Water Meter
Road Unit
"
Treatment P1
Parks
TOTAL "
: Permit No. Permit Holder Date Tslsphone #
Plumbing C, ?-3
H.V.A.C.
Electric
Softener
Inspsction Date Insp. Comments
Footings I ?
Footings II
Foundation
Framing
Roofing
Rough Plbg. ?
Rough Htg. 71-07
Isul.
Firepiace
Final Htg.
Final Plbg_
Bldg. Final
Cert Occ. ?g
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CITY pF EAGAN Permit No: 965' Date:
3830 Pilot Knob Road Meter No: !VQ O a Size:
P.O. Box 21199 Reader No:
Date:
Eagan, MN 55121 #If
Owner.- i'raud Qaka
?nn. Chg: OQy", Zoning:
ct Dep: '`• 'i4p4 No. of Units: _
rmilFee: 7
rcharge: I agree to otnp
;, ..
Plant- Ordina ce . ?
ter.
WATER SERVICE PERMIT
d
GTY OF EAGAN
3830 Pilot Knob Road
P.O. 8ox 21199
Eagan, MN 55121 .
Site
Meter No:
Feader No:
with the City oi
e1P
Size:
Date:
Conn. Chg:
Acct Dep: _
Zoning: •
Permit Fee: No• of Units: '
Surcharge:
Tr. PIanC ? - I agree to comply with the City oi Eagan
Ordinances.
Misc.: '
ay
WATER SERVICE
'OFEAGAN
Pflot Knob Road
Box 21199
Permit No:
B/P No:
CITY OF EAGAN ,N2 1514 2
3830 Pilot Kn66 Road, P.O. Box 21-199, Eagan, MN 55121
PH ON E: 454-8100 ?
BUILDING PERMIT Receipt #
Tobeusedfor SF DWG/GAR Est.Value $115,000 Date JUNE 8 1988
Site Address 694 HANOVER CT
Lot Z$ Block 6 Sec/Sub. STONEBRIDGE
Parcel No
a NameGRAND OAKS DEVELOPMENT
; Address 3988 STONEBRIDGF. DR N
° City EA(;AN Phone 452-0747
o Name SAME
?a Address
i City Phone
Name_
Address
CitY _
I hereby acknowledge fhat I have reatl this apPlication and state lhat the
information is corract and agree to comply with all applicable State of
Minneso[a Statutes and City of Eagan m gs. p
Signature of Permittee
A Building Permit is issued [o:- GRAND OAKS DEVELOPMENT
on ihe express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and Ciry of Eagan Ordinances.
Building Official??.??1 r •
i
OFFICE USE ONLY
On Site Sewage _ Occupancy R-3 M-1
MwCC System X Zoning PD R-1
On Site Well - (ACtuap Const V-N
Ciry Water X_ (Allowable) V-N
PRV Required - # of Stories
BoosterPump Length
Depth 34'
S.F. Total
Footprint S.F. _
APPROVALS FEES
Engc/ASSess. Permit 622.00
Planner Surchar9e 57.50
Council Plan Review 311.00
eldg. Off. ---- - SAQ City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550.00
Water Meter __67
,QO
RoadUnit 475_(10
Treatment Pt 204.00
Parks
TOTAL 2,786.50
_..caf FOp ELECTRICAL INSPECTION ee-ooooi-os
, See insLUClions for rompleting this torm on back of Vellow copy.
C'( $1 "'R" " Below Work Covered by lhis Request
Hdd fleD. Tvoe of Buiidina Aoolinncee Wirwd Eaaiumant Wiretl I
Fi
lo
I 1 I I Industrial Blda. 1 I Air Conditioner 1 I BWk Milk Tank I
p Fee Servic¢ EnhgnceSiza p Fee Feetlers/SubteaGers # Fee Circu'rts
0 to 200 Am s 0 to 30 Am s Z ,c 0 tn 30 Am
Above 200 qm??y 31 to 700 Amps 31 to 100 Am s
Swinuning Pool Above 100_Amps Above 100_Am 5
Transformers Irrigation Booms ,i^J Partial.'Other Fee
Signs Sueciat Ifispectiun gLJ??-(?? TOT/S EF?
pert?a?ks 1 I /lYl
Final
lnsoectar, hereby
carlify thai the above
e sDection has been
-?i made.
TNe repuest vola 18
Tnis .NauPSC voie ?/ ?' ? O
18 monihs from ??/y ?
E 2 6 8-8 1,C ? ? ?J?. A?':t?r,e? /?' ?'
Nnquest Da?e Fi}e No. Rou?gh-in Insvection
Rey iretl?
OAeady Now ?II Nolify InsOec-
?'? N. _ Iar When NeodY
Ucensed Elecvical ConVactor I hereb
y mquBSl inspBCtion oi abov0
Owner electrical work installed ac
Sveec AOdress, Boz or Poute No. Gtv
L02 ?-1 f??a??e?vErz ?r.
ecUm? o. Township Name or No. Range No. Couhnty
Occupant (PRINT)
?1 c?,-,14 5
- Z? Phone No.
Power Supplier Atltlress
k?-16 i' / 1l
Elec[ical Convaclm lCOmpany Name) Conhaom's Licnnse No.
A- s? e n ,'_ /-? G
Mailinp Atl ress IConVaclor or Owner Makinp Installation)
7
Authori ed Signaturq (Contracmr/Owner a inB In stalla?ionl Ph ne Number
MINNESOTA STATE BOAND OF ELECTflICIiY THIS INSPECTION REQUEST WILL NOT
Grie9s•Midwey eldg. - Room N-197 BE ACCEGTED BY THE STATE BOAND
1821 Universitv Ave.. St. Peul. MN 55704 UNLESS PqOPEX INSPECTION FEE IS
o.....e lalo? ana nnnn ENCLOSED.
? 0(b3
2007 RESIDENTIAL MECHANICAL rEUmuT nrPLicnTiort
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for: single family dwellings & townhomes/condos when permiu aze requiced for each unit
s 5o-Sv
cALec;k-
Date 9_ / as / 0-)
Site AddressC?qY ILiQri001f r C 'itnAr Unit #
Property Owner lrY1r'jS S ?cp._Sc' ?/ It C Telephooe # (
Contractar
Street Addreas Ciyy
Sfate Zip Telephone # ( )
Bond #• Expires:
The Applicant is ? Owner Contractor _ Other
Fire repair (replace burned out appliances, ductwork, etc.) $ 90.00
This fee applies when extensive mechanical repairs are made to a building.
Add-on or alteratioo to existing dwelling unit $ 50.00
? furnace _Additional ,Replacement _ New
air exchanger
air conditioner
heat pump
other
i ?
u0
I
StateSurcharge I? 0CT 0 .50
Total $
I hereby apply for a Residential Mechanical Pennit and acknowledge that the information is complete and accurate; that [he work will
be in conformance with the ordinances and codes of the City of Eagan and with the Mechanical Codes; that [ understand this is not a
pennit, but only an application for a permit, and work is no[ [o start without a permit that the work will be in accordance with the
approved plan in [he case of work which requires a review and approval of pldn;. n
r ,6ski. Ca_'3u)), ? cLXA1
Applicant's Printed Name ApplicanPs Signature
?J S 9? s"
2006 RESIDENTIAL PLUMBING PeRnniraPPUCaTioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date I I ! 13 I?
?
/
?
' Site Street Address ?? nQ?/? (?] ' Unit #
Property Owner G,r, s CGSSeII (? k .S Telephone #((6) ) r0$ 3 l4,1`4
;
i Contractor R Telephone #P51) 3IO5 "(-?1I' b
Address 0 lf??,Jjd W City ? StateAILL zip 5S ;)-3
The Applicant is: _ Owner '?Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Inciudes County fee
? $ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ 50.00 ?
_ Add plumbing fixtures. This fee inGudes installation of a water softener and/or water
heater at the same time. If you are installing onlv a water softener anaVor water
heater, do not complete this section; move to the next section and check the
appliance(s) you are installing.
_ Septic System Abandonment
_Water Turnaround (add $130.00 if a 518" meter is required)
Other:
Watsr Softener
Water Heater $ 15.00
??
_ new _ ?'Feplacement
I_ Lawn Irrigation _RPZ _PVB _new _repair rebuild $ 30.00
State Surcharge
$ 5o
I l.
Total
$ l?sb
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
unders[and ihis is not a permit, but cnly an application far a permit, wor!c is not to start without a permit and work will be in
accordan,ce with the approved plan in the event a plan is required to bg reviewed and approved.
?( iS Q'f? lo ? r
ApplicanYs Printed Name Applica 's Signature
m
? ? ? ov RESIDENTIAL a ?
BUILDING PERMIT APPLICATION
CITY OF EAGAN ?? O I
3830 PILOT KNOB RD, EAGAN MN 55142
651-681•4675
New Conetrudion Reauiremente RemodeVRewfr ReouiremeMe
• 3 registered sde survays showirg sq. ft. M IW, sq. R. a( house; and all roofed areas • 2 coDies of plan
(20Ye mazimum lot coveraga allowed) r • 1 set of Emryy Calculations for heated additions
• 2 coDies of plan showiig beam & window sizes; poured tound design, etc.) ?? ?? • 1 sile survey far ezterior additions 8 Aecks
• 1 set of Energy Calculatbre Indicate'rf home senad by septic system for addiHons
• 3 coDies W Tree Preservation Plan il lol platted after 7/1/93 C)
• Rim Joist DefaB Optlorts seleclron sheet (bldgs wifh 3 or less units)
DATE O G7 l? ` C? `1? VALUATION r
Z f
SITE ADDRESS l+,f ti O?(?V c? y MULTI-PAMILY BLDG _ Y )VN
TYPE OF WORK_T?n FIREPLACE(S) _ 0X 1_ 2
APPLICANT
Ct
?
STREET ADDRESS 0 C? Yc 54 V/e.W ?Yl ?I• P CITYOuww_STATE?ZIP
TELEPHONE# ?OSI^ 3?CELLP NE#V?'4LL - ? FAX#?/?"
z?fe???l
PROPERTYOWNER ?q Ir!-GYl (?e-r TELEPHONE#
COMPLETE FOR "NEW° RESIDENTIAL BUILDINGS ONLY
Energy Code Category MINNESOTA RUI,ES 7670 CA'CEGORY 1 MINNESOTA-RFFL-ES9672- 1
- f., f?.
(J submission lype) . Residential Ventilation Category 1 Worksheet Submitted • New Eriergy Code 4VarksheeT?Su?mitted
• Energy Envelope Calculations Submitted ', I II ?
, . r^T O ?,dll?
? V
Plumbing Confractor: Phone # I _
Plumbuig system includes: _ Water Softener _ Iawn Sprinkler -$90:00
_ Water Heater _ No. of R.I. Baths
_ No. of Baths
Mechanical Contractor. Phone #
Mechviical sysCem includes: _ Air Conditioning
_ Heat Recovery Systcm
Sewer/Water Contractor. Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the information is correct, and agree to compiy
with all applicable State of Minnesota Statutes and City of Eagaq_Qx4nonces.
Signature of
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling El 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 37 6ct. Alt - Multi
? 03 Ot of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex O 11 10-plex ? 19 Lower Level ? 24 Stortn Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addition O 36 Move Bldg. ? 42 Demolish (Foundadon) ? 45 Fire Repair
? 33 Alteration O 37 Demolish (Bldg)` ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolitlon (Entire Bidg only) - Giva PCA handaut to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Final/C.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ A'u Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
F'J c -
_.,
1988 BUILDING YEAMIT APPLICATION - CITY OF EAGAN
?? ? ?
SINGLE FAMILY DWELLINGS IINCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER M[TST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS _I_ Ik OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OE ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?• F- Valuation: IISOtm- Date: ?- 6,- - g(F
Site Address
Lot ?Z5 Bloek 6-
Parcel/Sub ?j??S L? SyoNePi,Zrd`
Owner dd tl?C. /< C --?De-Lj
Address
?
City/Zip Code G'qq.---AJ -?'
Phone Vj7?3 -l)7-L17 1141&J z
Contractor ,L,, ?-
OFFICE USE ONLY
On site sewage Occupancy R I
MF1CC system Zoning PD-11 -2-I
,Cgn site well Actual Const V-N
-
City water ? Allowable V A/
PRV required S of stories
Booster Pump _ Length 0=0"
Depth 3y.4'
S.F. Total
Footprint S.F .
APPROVALS FEES
Engr/Assess Permit
Planner Surcharge , $O
Council Plan Review I,00
Bldg. Off. SAC, City 00 i
Variance SAC, MWCC 550.00
Water Conn S , Oo
Water Meter r), 00
Road Unit 37$,00
Treatment Pl 2-J>4107
Parks
Copies
arF1.?I1?YY1ac1eJ TOTAL
,
70
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone IF
SURVEYOR'S CERTIFICATE
GRAND OAKS DEVELOPMENT CO.
AR2RC.)YED
By.
EAGAN EI?GIN?ERING DEPT
? N
DENOTES PROPOSED SURFACE DRAI
AGE
O DENOTES IRON MONUMENT SET SCALE: 1 INCH - 30 FEET
• DENOTES IRON MONUMENT FOUND PROPOSED GARAGE FLOOR - 842,8 FEET
X000.0 DENOTES EXISTING ELEVATION PROPOSED LOWEST FLOOR - 885. ! FEET
(000.0) DENOTES PROPOSED ELEVATION PROPOSED TOP OF BLOCK - $93. Z FEET
WE HEREBY CERTIFY TO GRAND OAKS DEV. CO., THAT THIS IS A TRUE AND CORRECT
REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF:
Lot 28, Block 6, HILLS OF STONEBRIDGE according to the recorded
plai thereof, Dakota County, Minnesota.
IT DOES NOT PURPORT TO SHOW IMPROVEMENTS OR ENCROACHMENTS, EXCEPT AS SHOWN. AS
SURVEYED BY ME OR UNDER MY DIRECT SUPERVISION THIS G TM DAY OF 19 88
PROPoSEO 6RqDE5 SNOWN WERE SIGNED: J? yTLL, INC.
TqKEN FROM tNE DEI/ELaPMEn? 069N `??
FoR NILLS OF STuNLII0.I06E , PaEPARED ^
4Y PIONEER EN61??LER?NG? LAST DpTED BY, ???L•-•
11- ?67' HAROLD C. PETERSON, LAND SURVEYOR
MINNESOTA LICENSE NUMBER 12294
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James R
Hill
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N 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
SURVEYOR'S CERTIFICATE
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PLANNERS / ENGINEERS / SURVEYORS
9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3029
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EXTERIOR ENVELOPE AVERAGE 'U' COHPUTATION
OWNER: GRAND OAKS DEVELOPMENT C0.
SITE ADDRESS: I-dT 2p d7LOGK b HiL? osr STONeBRICG?^
CONTRACTOR: GRAND OAKS DEVfiLOPMGNT DATE: PHONE: 452-8167
Determine working square footage of each:
1. Total exposed wall area „ 2484 sq, ft. x.11 = 273.24
2. Tota1 roof/ceiling area .. 976 sq. ft, x.026 = 25.376
Total exposed xall area above floor = 2144
a. Total wall window area .............. .............. 223.75
b. Total door area ..................... .............. 42
c. Total sliding glass area ............ .............. 40
d. Total .........
fireplace wa11 area .. .............. 6
e. Total .
wall framing area (average 10%) ............. 211
f, Total net wall area above floor . .................. 1626.25
g. Total rim joist area ................ .............. 268
Total exposed foundation area - 72
h. Total foundation window area ....................... 17.77
i. Total net foundation area above grade .............. 67
Determine 'U' value of each wall segment:
a. 223.75 x 'U' .414 - 92.6325
b. 42 x 'U' .07700 - 3.2340 '
c. 40 x 'U' .460 = 18.4000
d. 6 x lU' .2500 - 1.5000
e. 211 x 'U' .06998 - 14.7658
f. 1626.25 x 'U' .03716 - 60.4315
9, 268 x 'U' .03528 = 9.4550
h. 17.77 x 'U' .4800 - 8.5296
i. 67 x 'U' .06609 = 4.4280
0
0'
3 . ............ ........... .... ...... ........ 13.3764
.......... Total = 0
2
If item #3 is the same as or less than item 111, you have met the intent of SBC
6o06(c)2.
Total exposed roof/ceiling area = 976
j. .Total skylight area ............................... _ 0 __..._?
9?
6
k. Total roof/ceiling framing area (average 10%) ..... •
1. Total net insulated roof/ceiling area .............. 87$•4
OVER
_. ,
Determine 'U' value for each roof/ceiling segment:
j. x 'U' .53 -
k. 97.6 x 'U' .02894 - 2.8245
1. 878.4 x 'U' .02205 = 19.3687
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. ............... .................... ......... o
a
.......... .
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If total of !14 is the same as or less than I12, you have met the intent of SBC
6006(c)1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items /13 and 114 shall not be greater than the sum of Items !!1 and fl2.
1. + 2. -
3. + 4. -
2
, - .
SINGLE & DOUBLE PAMILY HOMES
1984 ENERGY CODE REQUIREMENTS
On or about March 1, 1984, the following energy code requirements
should be calculated and included with a building permit application.
l. Roof - ceiling assemblies - R-38 U= 0.025 Average
2. Exterior walls & rim joists - R-20 U= 0.11 Average
3. Floors over unheated spaces - R-20 U= 0.05 Average
4. Exterior overhangs wi11 be considered as exterior wa11.
5. Foundations (all exterior walls) - Minimum of R-5 insulation.
6. All insulated areas must be separated from the heated space
by a well-lapped or sealed vapor barrier with a minimum perm
rating of 0.1. A 4 mil. polyethlene sheet or equivalent meets
this requirement.
A Kraft face R-19 type insulation will be accepted in the rim joist
areas. Air chute baffles are to be placed in every rafter space.
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? V-) VAL
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Flbors o:er unhcate
Floors ov;.r ou[door
d = .
-paces must have rrini.nua R-faetor of R-20 (tucL-under gara?es).
air (ovcrhangs) nust liavc a nininum P.-factor oE R-33. , •
. CL'LT Ui` i'1u,eo iilt`;IiIU2l "U" VAI.Ui: iV\ll ::-F:1CTO:L AT I:OOF, (dALL, Blt`I iu\D COi<CRIiTli IILGC(:
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APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIQN
..
w NOTE: PAYM27f OF FEE AT TIME OF +i R
*
i APPLICATION DOES NOT CON- t
? STI1(fl'E APPA('iJAL OF PII26IIT. f
?
y INSPHCI'ION OF SETVER AND/OR WATFI2 •
i.
? INSTALLATIOIIS WILL N('Jf BE SCr`IU.^"' i
t[1C7PIL PIItI+QT HAS B4N AppROVID. ?
•?ti+xxw?fet+a?:aw?wxtx??ew???artwww+?x
OF CC'9c3con
(PLEASE PRINT
1) PROPERTY ADDRESS:
i'FY:AT• DESQ2IPTION;
IF EXISTING STRL'CTL'RE, DATE
PRESENT ZONING/PROPOSID USE:
Q CONA'9EFFtCIAL/RETAIL/OFFICE
Q IDIDC'STRIAL
Q.INSTIY[)TIONAL/GOVERNMENT
2) ? NAME:
ADDRFSS: ZC/ ?55' 5% c ,j e/,j rZ 1
CITY, STATE, ZIP: u c;-r v ._M Aj 5'S'
PHONE: %J"7>>?_ •?7 ?-I '7
3) NAME:
ADDRESS:
CITY, STATE, ZIP: S_?. ?? ?.L ??! e(.? ?5?3 S L
PHorE: MAS'I'ER LICENSE #j-lLt
C d
For City Use
Plumbers License:
lj Active
Expired
Not recordec
Sta Initiar
4 ) W% : ?n?Tif3?u e .?
NAME:
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5) ?ml ? • ?? .i ae
?CONNECTION TO CITY SEWEE2 [?g CONNECTION TO CITY WATER a OTfM
6) MUtell-n =''T V1n,'1,.?1:: V (i ?'?J k. ? J• -- ,/•. ,-
*******************Yt**********:F***#****4**********************:F********k****Yf******'k:4******It****fF**Y
14IE GOID COPY OF THE PII2MIT WILL BE SENf DIRECTLY TO PCBLIC 4MKS TO FACILITATE ME'PER PIQC-UP.
* PLEEISE ALSAW 7W0 WpRKING DAYS FOR PROCFSSING. SOP9EONE FROM TM CITY WILL CONTALT YOU IF TmRE ?
* ARE ANY PROHLENIS. *
)F ORIGINAL BIJILDING PIItMIT ISSUANCE:
Mont Year
R-1 SINGLE FAMILY
? R-2 DUPLEX (3tvo Ljnits)
Q R-3 TOWNHOL'SE (Three + L?nits) ( Units)
Q R-4 APARTMENT/COAIDOMINILM ( C'nits)
?
FOR CITY USE ONLY - .,
PERMIT # ISSUED
IG_ S' ,
Pd w/Bldg. Permit FEES:
?
$ $ SEWER PERMIT (INCLUDE SDRCHARGE)
$ /0"50 $ WATER PERMIT (INCLDDE SL'RCHARGE)
$ ? ?'
vC $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLL'DE CORPORATION STOP)
$ $ SEWER TAP
$ 45"U'5, $ ACCOUNT DEPOSIT - SEWER
$ O $ ACCOUNT DEPOSIT - WATER
$ S Sc «n $ WAC
$ (? S? • ?? ? $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWER ASSESSMENT
$ $ LATERAL BENEFIT/TRONK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SURCHARGE
$ $ OTHER:
$ /5 ZZ'LD $ TOTAL
RECEIPT RECEIPT
DOES OTILITY CONNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
Q YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
ROADWAY" MUST BE ISSLED BY THE ENGINEERING
?
NO DIVISION. LIST AS A CONDITION.
SOBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY: 1?oe4-u17'?
TITLE:
DATE : e?, / 21d`;?
City of EapIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (851) 675-5675
Fax: (651) 6755694
------------------
? For Office Use ?
j PennO #: % D-7I V I
? Pemit Fee: ? I
? Date Received:
I StaB: ?7?v I
1 -----?
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: .; 171 Ske Address: iA-Nt 0 (/ -Q r-
Tenant:
Suite #:
RESIDENT / OWNER Name: 1? A h,' 5 1? b S S c// U S Phone: 6s7' G`d,?-G 7 6`6
, Address! City 1 Zip: C I y Ol4 n 1) 1/.0/' Akl'n 22
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wner
Contrador
TYPE OF WORK Descnption oFwork: n.z 4 / {? .¢ 0 h c+n tU ?
-
-??-
Construdion Cost: '. 6UI/ Mu16-Family Building: (Yes _ I No ?
?-
CONTRACTOR NamejQA}U r_ 604 frh^ Wh a`. ?r? ? License #: 1? 0 3 0 D 3-7
Address:/?i 2v l6,4, 5r. w
y ?l
Cit,,: ) k- ; I f.9- State: ZiP: 5 56
PhoneG /j - 71- 3? 7 0 y G ConWG Persan:(,J MjV ga ?(2 r 1? tt i'^
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Categorv 7 Minnesota Rules 7672
Energy Cade . Residentlal VeMilation Category 1 Worksheet • New Energy Cade Worksheet
Category SuDmmed Sunmined
(J submission type) • Energy Envetope Calculatlons Submitted
In the last 12 mortlhs, has the City of Eagan issued a permk for a simiWr plan based on a master plan9
_Yes _No if yes, date ami address of master plan:
Licensed Plumber. Phone:
Mechanical Contractor: Phone:
Sewer 8 Water CoMractor: Phone:
NOTE: Plans and supporNng documents that you submit are considered to be publle information. Portlons of
the Information may be classified as non-public if you provide specilic reasons thffi would permH ihe City to
conclude that the are trade secrets.
I hereby adcnpxleCge ihat this inTortnation is canplete anC accurele; that the work will be in wMormance with the ordinances and codes of the City of
; that the work will be in
Eagan; fhat I untlerstand this is not a permil, hut onty an applfcation for a percnR, antl woAC is not to sWrt wttoN a pe71
acoordance with the approved plan in the tase of work which requires a review and app?*ot plans. n j xOa?'q- 6or4 X J
Applicanfs Printed Name Ap icanY SlgnaW?e
Page 1 of 3
-----------------i
For Office Use
'z" 0
Permit Y7
City of Eajan
Permit Fee: v
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 1
Fax: (651) 675-5694 I staff: 1
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: ~0 Site Address 6 cI /it
Tenant: Suite M
RESIDENT / OWNER Name: L41-1,5 S 5 ,,.//I U Phone: G -r/- "-y Z eY
Address / City / zip: ~ 0.4 n b 11.0/ C E w¢~,(N 5~ 1
Applicant is: Owner ✓ Contractor
TYPE OF WORK Description of work: 6.l In L
Construction Cost j,, UO D ,b rr~~ Multi-Family Building: (Yes / No
CONTRACTOR Namel~tU ra &O P h * dV*1 fn jA License 3 1-7 3 -7
Address: U G 5 L
City: I *-A -e c! L y -2-. State: Zip: 5 56 y
Phone y G Contact Person: ID jtV,,-- J T: C2 tt ti^
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
(d submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classed as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
1 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 Lre work will be in
accordance with the approved plan in the case of work which requires a review and app of plans.
X at.e &or4 X
Applicant's Printed Name Ap icant Signature
Page 1 of 3
Use BLUE or BLACK Ink
r
For Office Use 1
l
I Permit
City of EaMRdRa~~ I~
i i Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 2012 Date Received:
Phone: (651) 675-5675
I I
Fax: (651) 675-5694 I Staff: I
I _ I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION l
f~
Date: Site Address: e ile✓ / Unit M
Name: a,f e Phone:
RESIDENT /
l~
OWNER Address / City / Zip:
Applicant is: Owner Contractor
TYPE OF WORK Description of work: QY
Construction Cost ti-F2ily Building: (Yes / No )
Company: (~YG,Contact: 1447(a-&Z' CONTRACTOR Address: _ (~Y 1164 tlou-) //V City:
State: Zip: Phone: /0/--l
License 'en5s m-45 Lead Certificate
If the project is exempt fro lead certification, please explain why: (see Page 3 for additional information)
CO ETE THIS AREA ONLY IF CONSTRUCTING ANEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE. Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Build' g Code m completed within 180
days off~ permit issuance
Applicant's Printed Name Appl' nt s Sig ture
Page 1 of 3
q ~,/')i✓~f d f DO NOT WRITE BELOW THIS LINE SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family Garage Porch (4-Season) _ Exterior Alteration (Single Family)
Multi Deck Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex Lower Level _ Pool Miscellaneous
Accessory Building
WORK TYPES
New Interior Improvement _ Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair Windows Demolish Foundation
Replace _ Repair Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition t o, SAC Units
(25%_ 100%) Zoning City Water
Census Code ~{w Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction i Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC _ Gas Service Test Gas Line Air Test
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In -Air Test -Final Windows
Insulation Retaining Wall: _ Footings Backfill _ Final
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee Surcharge ffL'
Plan Review
MCES SAC, f
to
City SAC
Utility Connection Charge j
S&W Permit & Surcharge
Treatment Plant,
Copies a 5° l a y a
TOTAL
I
gu RV E YO R' S CERTIFICATE GRAND OAKS DEVELOPMENT CO.
I
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'oo
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4 ' ' f 30 gS.Q N ix
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LOT 28
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Da#e
AN E GINEERING DEPX 5
4PO .10
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Nrm -pm cnar~
° ~ L' Z5 r m m W PLANNERS / ENGINEERS / SURVEYORS
-n pyo m ~ ~
N 9401 JAMES AVE. S. • BLOOMINGTON, MN. 55431 • 612-884-3028
H
N
W
O
n
fs
Use BLUE or BLACK Ink
r
I For Office Use
Permit
City of Ea
' t, 1 I
Q
I Permit Fee: C3 V q .
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received: °
I
Phone: (651) 675-5675 j 1
Fax: (651) 675-5694 I Staff: ~►'1 C /
I
- - - - - - - - - - - - - - - - - J i~
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: - Site Address: Unit
.
Name:, %/Wr-s L: 5 L ~V j Phone:/115 / 4 97 `v`7 L
Resident/
Owner Address / City / Zip: f
% '
Applicant is: _ Owner Contractor
Q
Type of Work Description of work: ~l C 1 JG
Construction Cost: ~o Multi-Family Building: (Yes / No )
Company: P12 _<T1 ts~- Contact:
Contractor Address: al 62.2A T-14 f% C city:
State: Zip: S_ H _J Phone: rO , ®r
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additi nal information)
h.
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. My w.aopherstateonecall.orr,
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
x , Ar - V, x
Applicant's Printed Nam Applicant's Signature
Page 1 of 3
UV NU I YVKI I t t3tLUW THIS LINE (001 (3
SUB TYPES no r c+
Foundation _ Fireplace - Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) Exterior Alteration (Multi)
01 of _ Plex _ Lower Level Pool Miscellaneous
_ Accessory Building
WORK TYPES
New - Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building - Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace - Repair _ Egress Window _ Water Damage
Retaining Wall 'Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation U J Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%4 Zoning /21 City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction _ Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: Footings *Air/Gas Tests Final Framing -T° Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: - Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge g a y r o
Plan Review
MCES SAC (9 0
City SAC
Utility Connection Charge D
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
10®1 ~b
POOL PERMIT - APPLICATION SUBMITTAL REQUIREMENTS
Address:
Applicant Name: (4,'dL C,4 5e- k S
0
GENERAL INFORMATION
x ¢ b
o z ¢
,4d ❑ ❑ Applicant name and contact information
- d ❑ ❑ Property owner name
Z ❑ ❑ Address of property
,lam ❑ ❑ North arrow, scale (1" = 30' or 40')
.ZT ❑ ❑ Site Plan, drawn to scale showing location of house, pool, and other existing or proposed
structures, including retaining walls and fences.
~Ze ❑ ❑ Location and name of all streets adjacent to property
❑ ❑ Directional drainage arrows (existing and proposed)
❑ ❑ Lot Square Footage
❑ ❑ Lot Coverage
ELEVATIONS
Existing
,Z ❑ ❑ House corners
.ff ❑ ❑ Property corners
❑ ❑ If applicable, ground elevation at each end of retaining walls and at wall's greatest height
Proposed
❑ ❑ Finished pool deck corners
❑ CJ' ❑ Top of proposed retaining walls (if any) and at each different elevation (if it changes)
❑ ❑ Pool bottom (or max. depth)
DIMENSIONS
Existing
❑ ❑ All property/lot lines
❑ ❑ All Easements on the property
Proposed
❑ ❑ Pool
❑ ❑ Pool plus integrated deck/patio
,d ❑ ❑ Shortest distance from outside edge of pool deck to lot lines and house
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Reviewed:
Na a Date
GTORMS/Pool Permit Checklist/11-20-12
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9401 JAMES AVE. S. • BLOOMINGTON, MN. 5'5431 • 612-884-1,3029
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Use BL�IE or BLqC�f Ini1c
-----__�__�
� For Office use �
Cit of�a Q�Il ; Permit#: �3���� ,_,_, i
� "' � Permit Fee: �
3830 Pilot Knob Road � � �--- �
Eagan MN 55122 I
Phone: (651)675-5675 AUG 1 7 2015 � Date Received - ��' �� �
Fax: (651)675-5694 � �
� Sta� (
-----------------�
2012 MECHANICAL I�ERMIT APPLICATION
❑ Please submit two(2)sets of plans with all com ercial applications.
�` r
Date: �-�'l'� Site Address: ��� f�(�v�'� �
Tenant:�1�\`'� ���_����I `l�i � Sui�#:
. CGC)7 CA��J C-�/�O�
����T�.���� Name: �'�J � Phone�
Address!City/Zip: � � �� Q
Name: ' � �\ License#:
� � �
��,��.�� Address: City:
r" �
' State: Zip: Phone:
Contact: EmaiL
New Re ent Additional Alterati n emolition
�
TYRE Q��pFtK' Description of work:
t�t?tE:RcaEaf�nQun�c!a�c!groruna mc�retea +°�al�pui�€�t�t��t t����I�r�ll�t
'Cot�. P1eaa��the�f��i�a#l��f�inf�m�c�t�t�i�t���;nt�at�:, '
RES/DENTIAL COMMERC/AL
Furnace New Construction Interior Improvement
P���,�,,�,��� _Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump � , Under/Above ground Tank �Install/_Remove)
�Other !R\ �e,'(
RES/DENTIAL FEES; �
$60.00 Minimum Add-on or alteration to an existing unit(includes$5.00 State Surcharge) �j
$100.00 Fire repair(replace burned out appliances,ductwork,etc.)(includes$5.00 State Surcharge) =$ �'OTAL FEE
� COMMERC/AL FEES:
$75.00 Underground tank installation/removal(includes$5.00 State Surcharge) OR Contrlct Value$ x 1%
$60.00 Minimum(inGudes State Surcharge) _$ Permit Fee
-If the Permi F�e is less than$10,010,surcharge is$5.00 _$ Surcha�ge
-If the Permit Fgg is>$70,010,surcharge increases by$.50 for each$1,000 Permit Fee
(i.e.a$10,010-$11,010 Permit Fee requires a$5.50 surcharge) _$ 1'OTAL FEE
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against under d utility damage. Ca�ll 48 hours pefore
you intend to dig to receive locates of underground utilities. www.aonherstatqonecall.ora
I hereby acknowledge that this information is complete and accurate; that the work will be ' conforman ith the ordinances and codes of the City �f
Eagan;that I understand this is not a permit,but only an application for a permit,and work� not t start ' out a permit;that the work will be in aGcolfdance
with the a�plan in the case of work which requires a review and approval of plan .
x �
Applicant's Pri ted N e Appli s S'
!FflR t�fFIG�L�S�
Requi�!1rr��tctit�ns� Rev �: :"
=�.�,:.
Ur�erground Rcwgh In ' Air Test ,�^aas�rice Test 1�fi�r Hea�t F+� i�lA�:Sa��,
Date:
r
CityofEaali
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit#: /S52 ef
Permit Fee: / (/ l c
Date Received:
Staff:
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
3-3 )' Site Address: ((ICu �`z`b
Tenant:
Name:
Phone:
Suite #:
Address / City / Zip:
Name: CZEC-V--.E1-1- R lAz License #: 00 5-1 7 5- ? f\
Address: AL( (�' `�Jt m-0, LAI City: E. V I Lt_ C
State: (1%,-) N Zip: S50 y
Contact:
Phone:
Email:
c 5a-q\U -aaof
Ce."c\
New /Replacement _ Repair _ Rebuild _ Modify Space _ Work in R.O.W.
Description of work: u\
E
RESIDENTIAL
Water Heater
Lawn Irrigation (_ RPZ / _ PVB)
Septic System
New
Abandonment
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 Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
xf� Tk ` 0�
ELX�{�1iu�� �e_
Applicant's Printed Name
x
Applic
is Signature
City of Sagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
r
Use BLUE or BLACK Ink )
For Office Use 1 Permit#: ` 04P'
y6',
Permit Fee:
Date Received: LI'
1 1 CP
I
Staff: 4) 1
2016 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit #:
e,� �� ' ;�
Name: d1 r"I S 4- et(0 4-1'.i t' ea ss e7/i k, s Phone: &S1 / - ?� l/ -.7WR
�, do, -,`s ,:c.2e - Cell
Address / City / Zip: (P9(--/ 14, 'law.0.7-,.--e.,,,,,„., 6-5/1•3
t
Applicant is: Owner Y Contractor
Description of work: k- eymE.. kp (4C a(W16"`1S/ F&'9(1hQ, EkC: P/M ill /) i
)
Construction Cost: �U We,—
,Multi -Family Building: (Yes /Nol
m x _
®ntra gi
Company: k VSsy co ‘15-1-(1-41\211 F'it'1 7)1K , Contact: bC'elh tS Kr055 it-,c.ii
Address: '9 1 c 7 Lo . er \ 3� w51 City: Sq OC(c fe
_ 3c)
Stater/J Zip: 75 Phone: ( / mai &filh,5 ) ic-4'015 ' CO1ST/401-1
' /
License #: 19)C/2/G' / 3 Lead Certificate #:
If the project is exempt from lead certification, please explain why:
&j /1-- he5-6,,-.. ici 7 8' \2._
In the last 12 months,
Yes No
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
has the City of Eagan issued a permit for a similar plan based on a master plan?
If yes, date and address of master plan:
Licensed Plumber:
Mechanical Contractor:
Sewer & Water Contractor:
Fire Suppression Contractor:
Phone:
Phone:
Phone:
Phone:
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.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 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the MAnesota State Building Code must be co 'thin 180
days of permit issuan e.
1l AC c•• )91
Applicant's Printed Name
Applicant's Signature
Page 1 of 3
j'%`y /-Tl 2 c t/c DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation
it\\ Single Family
Multi
01 of Plex
WORK TYPES
New
Addition
Alteration
Replace
Retaining Wall
DESCRIPTION
Valuation
Plan Review
(25%_ 100%)
Census Code
#of Units
# of Buildings
Type of Construction
Fireplace
Garage
Deck
Lower Level
!Ci Interior Improvement
Move Building
Fire Repair
Repair
65-20, e).
V13
REQUIRED INSPECTIONS
Footings (New Building)
Footings (Deck)
Footings (Addition)
Foundation
Roof: _Ice &Water Final
Framing
Fireplace: Rough In Air Test Final
Insulation
Sheathing
Sheetrock
Fire Walls
Braced Walls
Shower Pan
Porch (3 -Season)
Porch (4 -Season) _
Porch (Screen/Gazebo/Pergola)
Pool
Siding
Reroof
}U Windows
Egress Window
Exterior Alteration (Single Family)
Exterior Alteration (Multi)
Miscellaneous
Accessory Building
_ Demolish Building*
Demolish Interior
Demolish Foundation
Water Damage
*Demolition of entire building — give PCA handout to applicant
Occupancy L (' I
Code Edition
Zoning
Stories
Square Feet
Length
Width
Z _ I
MCES System
SAC Units
City Water
Booster Pump
PRV
Fire Suppression Required
Meter Size:
Final / C.O. Required
Final / No C.O. Required
HVAC Gas Service Test Gas Line Air Test
Pool: _Footings Air/Gas Tests _Final
Drain Tile
Siding: _Stucco Lath _Stone Lath _Brick
Windows
Retaining Wall: Footings _ Backfill Final
Radon Control
Fire Suppression: _Rough In _Final
Erosion Control
Other:
Reviewed By: Itif) J)(); kl y,#9 , Building Inspector
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
,f c11Ae i Sg • 7 /2' X 23' ?7L, .ss F/
-Cl/cc-20.oD
1://r/
Page 2 of 3
N
/41/1")oalit cr
Pit -,a(4/7 -t /3h S021 .v
EXHAUST SYSTEMS
N
M
N
M
M
N
M
M
N
M
N
N
PROCEDURE TO DETERMINE M
R ter td�
131114.j
TABLE 501.4.3(2)
P AIR QUANTITY FOR EXHAUST APPLIANCES IN
I}a ectInn 501.4.3 to determins eppllcebIllty of this
M
N
M
N
M
N
M
N
Nit
14
A. Use this column if there are other than fan -assisted or atmospherically vented gas or oil appliaxces or if there are no
B. Use this column if there is one fan -assisted appliance per venting system. Other than atmospherically vented appliances:
C. Use this column if there is one atmospherically vented (other than fan -assisted) gas or oil appliance per venting system or one solid + el appliance.
D. Use this column if there are multiple aunospherically vented gas or oil' appliances using a common vent or if there are _attrtosphe , ally vented gas or oil
appliances and solid fuel appliances.
E. As an alternative, the Estimated House tnfilu'ation may be calculated by performing a bio+ver door test and multiplying the canvers . factor by the CFM50
value.
40
6 " _LA + atelt,-f I ''
W kQK e FLA_ t AA.LL.VLS JPIS kg*
2015 MINNESOTA MECHANICAL CODE
ONE OR MULTIPLE POWER
VENT OR DIRECT VENT
APPLIANCES OR NO
COMBUSTION APPLIANCES"
ONE OR MULTIPLE FAN-
ASSISTED APPLIANCES
AND POWER VENT OR
DIRECT VENT APPLIANCES°
ONE ATMOSPHERICALLY
VENTED GAS OR OIL
APPLIANCE OR ONE
SOLID FUEL APPLIANCE
MULTIPLE APPLIANCES THAT
ARE ATMOSPHERICALLY
VENTED GAS OR 011.
APPLIANCES OR SOLID FUEL
APPLIANCES°
1. Use the appropriate column
to estimate house infiltration
a) pressure factor
(cfm/gfl
0.25
0.15
0.10
0,05
b) conditioned
floor area (sf)
235 '
(including unfinished basements)
Estimated Honsc
Infiltration
(cfrtt): [la x ib]
or
Altemative calculation
(by using blower
door test
c) conversion factor
0.75
0.45
0.30
{3.15
d) CFM50 value
(from blower door
test)
—
Estimated House
Infiltration
(cfm): [lc x ld]
2. Exhaust Capacity
80% of exhaust
rating = exhaust
capacity (cfm):
�'
Q
(not applicable if recirculating
system or if powered makeup air is electrically inter
ocked and matched to exhaust)
3. Makeup air requirement
a) Exhaust capacity
(from above)
_
,2-6
b) Estimated House
Infiltration (from--
above)
—
t-3�
Makeup air quality
(cfm): [3a- 3b]
T
a (if value is negative, no makeup air is needed)
a d Fnr matrenn air nnP.ninO si7in0_ refer to Table 501.4.2
M
N
M
N
M
N
M
N
Nit
14
A. Use this column if there are other than fan -assisted or atmospherically vented gas or oil appliaxces or if there are no
B. Use this column if there is one fan -assisted appliance per venting system. Other than atmospherically vented appliances:
C. Use this column if there is one atmospherically vented (other than fan -assisted) gas or oil appliance per venting system or one solid + el appliance.
D. Use this column if there are multiple aunospherically vented gas or oil' appliances using a common vent or if there are _attrtosphe , ally vented gas or oil
appliances and solid fuel appliances.
E. As an alternative, the Estimated House tnfilu'ation may be calculated by performing a bio+ver door test and multiplying the canvers . factor by the CFM50
value.
40
6 " _LA + atelt,-f I ''
W kQK e FLA_ t AA.LL.VLS JPIS kg*
2015 MINNESOTA MECHANICAL CODE
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163959
Date Issued:09/16/2020
Permit Category:ePermit
Site Address: 694 Hanover Ct
Lot:28 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-280
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
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: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 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 -
Christine J Cassellius
694 Hanover Ct
Eagan MN 55123
(651) 491-2992
Premiere Exteriors Llc
12400 Portland Ave, Suite 160
Burnsville MN 55337
(952) 426-8027
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172858
Date Issued:10/19/2021
Permit Category:ePermit
Site Address: 694 Hanover Ct
Lot:28 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-280
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Softener
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 -
Christine Jodi Cassellius
694 Hanover Ct
Eagan MN 55123
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174896
Date Issued:02/28/2022
Permit Category:ePermit
Site Address: 694 Hanover Ct
Lot:28 Block: 6 Addition: Hills Of Stonebridge
PID:10-32990-06-280
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Christine Jodi Cassellius
694 Hanover Ct
Eagan MN 55123
Champion Plumbing Llc
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature