4753 Hauge CirCITY OF EAGAN Remarks
Addition Ridaecliff First Addn Lot 10 e1k ?l_ Parcei # 1 n 63980 1 nQ 04
awnar 0 «[id 4?* 1 „ jhLLI'ri Street 4753 Hauge Circle State Elzan, MN 55122 !
Improvement Date Amount Annual Years Payment Receipi Date
STREET SURF.
STREET RESTOR.
GRADING '
SAN SEW TRUNK -1 + ].9$2 zQ$. Q$ $ 2 9$. 0$ C007616 12-23-81
SEWER LATERAL '
WATERMAIN i
WATER LATERAL
WATER AREA 1982 298.08 5 298.08 C007616 12-23-81 ,
STORM SEW TRK 1982 638.24 5 638.24 C007616 12-23-81 '
STORM SEW LAT I
Services 1982 637.75 5 637.75 C007616 12-23-81
CURB & GUTTER i
SIDEWALK
STREET LIGHT
Ro d Unit 185.00 19718 -13-80
WATER CONN. 305.00
BUILDiNG PER. 5921
SAC
PARK
INSPECTION RECORD
CITY OF EAGAN PERAAIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: APPLICANT:
I . (lrtilli?t ? i I• ? II . f I I M Ut '. I f i r1 1:1 itV
i, I????? ? I!; i{ ? i, {,• ) ??NIi-..'t,AN
PERMIT SUBTYPE:
•?". ! ? . ,?,
1,1 1 i i 1 1 , ri:,
,., :i 1., 1 0
2
TYPE OF WORK:
r-i; w
INSPECTION D•
; I i; f I' I n? I
NN1' 1 ' { IIM?!t I Nl-i r i I + F l t t: l k l l', qL lJilhF
?
?
Permit No. Permit Holder Dste Telephone M
S/W
PLUMBING
HVAC
ELECTAKI-
ELECTRIC
Inspectfon Date Insp. Commenb
Footinga i 71 lg
Foundation
Framing
[
Roofing
Rough Plbg.
Rouqh Htg.
Isul.
Flreplace
Final Htg.
Orsat Test
Final Pibg. Plbg. Inspector - Notify Plumber
Const. Meter
Engr.IPlan
Bidg. Final
Deck Ftg. •
Deck Final
Well
Pr. Disp.
. . ...
CITY OF EAGAN
? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-8100 --
BUILDING PERMIT Receipt# '.'•
To be used for •• I Est. Value Date ? ,19
SiteAddress CIR?L7.
a J 4
Lot Block Sec/Sub. "?,/t;C:C?.IF1.rT 1: T
Parcel No.
a Name "?1R 1&II?G
= Address 4753 HAUGE d 1 R^L!
? City F?+'"jA.N Phone 454-7/155/696-4"
, o Name
? i Address _
? City Phone
Name
Address
City Phone
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 Stetutes and City of Eagan Ordinances.
i
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_ __,
OFFICE USE ONLY
On Site Sewage Occupancy
MWCC System Zoning
On Site Well (Actual) Const
City Water (Allowable)
PRV Required # of Stories
Booster Pump Lenglh
Depth
S.F. Total
Footprint S.F.
APPROVALS
Engr./Assess.
Planner
Council
Bldg. Off.
Variance
FEES
Permit
Surcharge 1 • ??
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Road Unit
Treatment P1
P2fkS •1i,it'!a 1•00
TOTAL A36 *'DO
Permit No. Psrmit Holder Dats Tslaphone #
Plumbing
H.V.A.C.
E lectric
Softener
Inspectfon Dats Insp. Comments
Footings I
Footings II
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
Isul.
Fireplace
Finai Htg.
Final Plbg.
Bldg. Final ?Z S
0- z 6 -
Cert.Occ. Ly le t
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
CASH RECEIPT
CITY 4F EAGAN
3795 PILOT KNOB ROAD
EAGAN, MINNE50TA 55122
DATE 19
AMOUNT $ I
Ao DOLLARS
' oo
? CASH ? CHECK
White-Payers Copy
Yellow-Posting CopY
Pink-File Copy
Thank You ?
C.5?z?-- ' B Y
CITY OF EAGAN
3795 Pilot Knob Road Eagan, MN 55122
PHONE: 4548100
N° 5921
BUILDING PERMIT Receipt #
Te 6e uUd fer Fct Vnlu, . I?nrv
Site Address `
; .(, _ - ?,T•.
Lot Block Sec/Sub. ° - ? '
Parcel #
W I Name
? Addre:
0
` Name
?
?a Address
?
F- r:... o?..._,.
Erect ? Occuponcy '
Alter ? Zoning
Repoir ? Fire Zone T
Enlarge ? Type of Const. -
Move p .#' Stories
Demolish ? Front ft.
Grode ? Depth ft.
Apvrovals Fees
Assessment _
Water & Sew.
Pol ice Ww Ncme Fire
?-
?? Address Eng.
a W Ci Phone Plonner
Council '
I hereby acknowledge that I hove read this opplicotion and state that Bldg. Off. -
the information is oorrect and agree to comply with ail upplicu6le APC
State of Minnesota Statutes and City of Eagan Ordirwnces.
Permit -
Surcharge
Plan check
SAC
Woter Conn.
Water Meter
Road Unit
Total
Signoture af Permittee ?
A Building Permit is issued to: on the express condition thot
all work shall be done in accordonCe with all applicable 5tate of Minnesota 5tatutes and City of Eogon Ordinances.
9uilding Official
P•rmit # Dafa Inuad PanaifYae
Plumbing o`j ,7-._3(? - n ?
Mechonical / L?- ] _ j_ 1-T
' A) ?
INSPECTIONS DATE INSP. Rough-In Finol
Footings -?- ? Date Insp. Date Insp.
Foundation Plumbing ?
Frame/ins. Mechanical ? ?
Final ; /„)
Remarks:
CITY OF EAGAN
, 3795 Pitof Knob Road
Eegen, Minnesota 55122 INSPECTOR NOTIFICATION
No. Phene: 4544100
REQUIRED BY LAW
PEitMIT FOR ALL INSPECTIONS
Dote: Receipt No.:
' Singie
Site Addrcss: Residentiol
Lof - Block Sub/Sec. Multi Res., Comm./Ind.
Nome ?aMSOSl HOI'i@S NewJAlter./Repoir. ? Address Croagr0dd Cost of Instollation
• k ,?;_.. ._ ,,? , .
City ?1? '°`''. _ ' , ,' ? • Phone: .,
.. r Perr»it Fee .
Nome
? Surchorge
g Address KenT=f'
City 'xt1• ,., ' ^ Phone: Total
This Permit is issued on the express condition thot oil work sholl be done in xcordonce with all oppliwble State of
Minnesoto Stotutes ond City of Eagan Ordinances.
Building Official
CITY OF EAGAN
. 3795 Pilot Keob Road
Ea9an, Minnesota 55122
No. Phom: 454-8100
PERMIT
INSPECTOR NQTIFICATION
REQUIRED BY LAW
FOR ALL INSPECTIONS
Dote: Receipt No.:
Single
Sice Address: Residential
Lot Block Sub/Sec. -`'idgeoliffe 1
X
Name ^PiIi Thompson Homeo^ New/I\Iter.lRepair r.?r.
? Address 1712 :iopkine CTBTO. Cost of Instollotion
City ? '??7]{B, Mr. Phone: ' .
Permit Fee
Nome ._. ';,'iter e,:t;,-• .`7
? Surthorge
? Address ' 17 Ch1CSPO Ave.
e
0
v %?5-68F'i ,-
City Phone: Total
This Permit is issued on the express condition that oll work shall be done in accordance with oll applicable State of
Minnesofa Stafutes and City of Eagan Ordinonces.
Building Officiol
GTY OF EAGAN
3795 Pilot Knob Road
Eogan, MN 55122
Zoning:
Owner.
Address:
Site Address:
Plumber•
Meter No.: - Connedion Churge:
5ize• Account Deposit: _
Reader No.: Permit Fee:
1 agree to eomplp with the Citq of Eogon Surchorge:
Ordinances. Mlsc. Charges: -
Totcl:
Date Puid:
y
of Ins
:
r-
D
-te Insp.:
p.
,.
CITY OF EAGAN
?745 Piloe Knob Raad
Eagan, MN 55122
Zoning:
Owner:
Address:
Site Address:
Plumber:
I3
SEWER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units:
r.ii
i agree to eompip wkh the Ciey of Fagon
Ordinonees.
By
Dote of Insp.
Connectton Charge:
Account Deposit: _
Permit Fee:
Surcharge:
Misc. Charges: -
Total:
Date Paid:
. No. of Units:
T}tis reyontll?? vmmd
18 m
Date o this Request 8135 I,W Fire No. S " 4 9 7 8
I, a icensed Electrical Coniractor ? Owner, do hereby request inspection of the above electri-
cal iring installed at:
Street Address or Route No. Ln,53 tJY-JUb? ?ipctc -Cit(y? ?G??/?
?ion Township Range County IJb`"0-16
Which is occupied by
Is a roughin inspection required on this job? No ? YeJ;K Aeady Now ? WID CallLK
Power Supplier I`"Gd Address 1/tlK' 1NOw-J
Electrical Contractor /c Contractor's License Nbwn
CrI Comvany Name)
Mailing Address l 7`l ?? FF ? Q?
(Elec I ntractor or Owner Making Th{5 In5ta11aHon)
Authorized Signature Phone No.
(Electrical contractor or owner Making Thls Installatlon)
A r'i
?,(' ??7 This ins ection re uest will not be acce ted b ffie
? J!' V` ? fl State Board unlexs proper inspection fee is endosed.
mmnesoca scate noara oT eiecxncity
_? - Griggs Midway Bldg. - Room N791
163011OLversity Ave.. St. Paul. Minn. 55104 - Phone 297-2717
P.9ftEST FOR ELECTRICAL INSPECTION ? v
CHECK BELOW WORK COVERED BY TH1S REQUEST
EB-00001-02
84978
'Iype of Buitding New Add. Rep. Check Appliances W'ved For Check Fquipment Wiced Foc
Home ? D Range Temporary Wi[ing ?
Duplex ? ? Water Heater Lighung Fixluces ?
pt. Bldg, ? ? ? Dryer ? Electcic Heating ?
mmemial Bldg. ? ? ? Furnace Silo Unloader ?
ndustrial Bldg. ? ? ? A"v Conditioner
9L Bulk Milk Tank ?
Farm ? ? ? L
ist List
O[her ? ? ? p
Heieis? Re1ers?
COMPUTE INSPECTION FEE SELOW '
Servire Entrance Size: # Fee Feeders ? Fee Cucuits: # Fee
0 to 100 Am s. ?-
0 to 30 er 0[0 30 Am eres
101 to 200 Amps, 31 to I00 peres 31 l0 100 Am res
Above 200_Amps. Above 100 Amps. Above 100 Amps.
Transformers Remote Control Cira Partial or other tee SA =
Signs Speciallnspection Minimum fee
Remarks
TOTAL FE a9 Q29
•CO
I, the Electrical Inspector, hereby certify
(Final)
This request void
18 months from
has been
Date 13 G.?
Date /1;74 - p ?.
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 N? 15994
PHON E: 454-8100
BUILDING PERMIT Receiptx !T9?9/?jZ?
To be used for BASEMENT Est. Value $1 , 500 Date ,1 g_?
Site Address 4753 HAUGE CIRCLE
Lot 10 Block 4 Sec/Sub. R1DGE"LIFFE 1ST
Parcel No.
? Name "LAIR ISURG
3 Address4753 HAUGE CIRCLE
0 City EAGAN phone 454-7155/696-4363
.o Name SAME
oQ Address
? City Phone
W w Name
FW
zz6
Address
Qu?i CitY Phone
I hereby acknowletlge that I have read this application and stale that the
information is correct and agree lo compl with all applicable State of
Minnesota Statutes an fEagan Qr a es.
Signalure of Permitte _. ?.
A Building Permit is issued to:=LAiR IBURG
ontheexpressconditionih tallworkshallb doneinaccortlancewithall
applicable State of Minne o Statu?es ity.of Eagan Ordinances.
BuildingOfficial__ , __ _ _ ,
OFFICE USE ONLY
On Site Sewege _ Occupancy
MWCC System _ Zoning
On Site Well _ (Actuap Const
City Water _ (Allowable)
PRV Required _ # of Stories
Booster Pump _ Lengih
Depth
S.F. Total
FoOtprint S.F.
APPROVALS FEES
Engr./ASSess. Permit 34.00
Planner Surcharge 1.40
CounCil Plan Review
Bltlg. Off. SAC, City
Variance SAqMWCC
water Conn.
Water Meter
Road Unit
, Treatment P7
Par*s-Copies _ 1.00
TO7AL 36.00
? Q pj?cITy,p_ g??N Include 2 sets of plans,
1 site plan w/elevations s
BUIIDING PERhLrP PPPLICATIOfI 1 set of enerc3Y calculations.
'ib Be Used For R!S\DEt.tc E ValuationLl y12o o. oa . Date `l `G O
Site Pddress: "Z,-? VkNucy- " E 3 a OFFICE USE ODII.Y
Lot ?O Blocic Sec./Sub. sww , -X Occupanc1' le?
Parcel #: Alter zoning /U/
Repair Fire Zone ?
Qaner: En1arJe - TYPe of Const. c/'?
Move # Stories
Pddress: Demolish Front
City/Zip Code: Grade Depth ft.
Phone #: ?P3VAIS ?
Contractor: nRRIN TN(1MPSllN I-If1hARc
PddYE55: a Division of U. S. Home Corporation
1-71'-?-1 !^vF44IN6 6R8SSR6nB
City/Zip Cod2: MINNETONKA, MINN. 55343
Phone #: Syy1333
Arch./Ehg.:
Address:
City/Zip Code:
Phone #:
Assessments
Water/Sewer
Police
Fire
Perntit cip/a2S?
Surcharge
-
Plan Check (o a ?
SAC ?
g?: Water Conn. ? OS
Plannes Water Meter
Council Road Unit ? ?-- ? -?
Bldg. Off. -7 ly 11242
P.PC
TOrAL /a?s. ?-?_
ciTr oF EAcaN
Model 38 3795 Pilot Knob Rood Eagan, MN 55122 N2 5921
PHOIff: 454•8700 l
BUILDING PERMIT APPLICATION Receipt #/ J7l
rs ea ..ea fe. SF Dwle/Garaee F., vm„e 44.000.00 n...> Julv 3 ia 80
$ite Address n
Lo: 10 eiak 4
Parcel #
Sec/Sub. Ridgecliffe 1:
, IN,m, Orrin Thompson Homes
z 1712 Hopkins Crossroad
; Address
o nne o a.
p Name _
?
?U Address
Nome Sa1Ile
I hereby acknowledge that I have read this application and state that
the information is correct and ogree to comply wiih all applicable
State of Minnesota Statutes and City of Ea9an Ordinances.
Signature of Permittee
A Building Permit is issued to: -
all work sholl be done in accordance
Erect ? Occupancy R'3
Alter ? Zoning Rl
Repair ? Fire Zone III
Enlorge ? Type of Const. V
Move ? # Srories
Demolish ? Front - 60 ff.
Grade ? Depth 26 ft.
Approvals Feea
Assessment
Water & Sew.
Police
Fire
Eng.
Plonner
Council 7/1/80
Bldg. Off. 7 1 g0
APC
Pertnit ?`'?•'v
Surchorge 22.00
Plan check 62.75
snc 525.00
Water Conn. 305.90
Water Meter 60. 00
Road Unir 185.00
Torot 1,2$5.25
on the express condition that
Statutes and City of Eagon Ordinances.
Building Officfal
REQUEST FOR ELECTRICAL INSPECTION ea-ooo?oji-os
`. , ? See instructions tor completing this farm on beck o1 yellow copV. p /0/J/
E 14039 ? `'x" Below Work Covered by this Request
FAd flep. Type o1 BuilCing ApDliancea Wired Equiumem Wired
Home Ranye Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Electric Healin
Commercial Bldg. Fumace Silo Unloader
Industrial Bldy. Air Conditioner Bulk Milk Tank
Farm otnxi aer,i v Otn?rr ISpecifyl
thar Succ? y t er Othui
Compute lnspecfion Fee Below
k Fee Service Entrence5iie H Fee Fextle,s/5ubineders N irtx Giwuits
0 to 200 qm 5 0 to 30 Am ps 0 to 30 An+. us
Ahove 200 Amps 31 to 100 qmps 31 to 100 Am s
Swimming Pool Above 100_Am s Above 100_AmP+
Transiormers Irrigation Booms Partial,-Other Fee
Signs Special InsUection
$
TOTAL FF
???
flemarks j
iT0v
/ //
(
I flouBh-in ?e the Ele '
Insoector, neroby
cenilv that ?he nbove
Final spectionhasbeen
? !7 mada.
Thla recuest valE 18 monlhs irom
This reQ.est void
18 months fmm r
E 1G039
Reauest pate
• Fire 14o. FouP. InsVer,cion
Requ ? .
?eady Nuw ? Will Notily Inspeo-
? 1 -?(y
- ? ? Yes ONO ?or When Ready
n Licensed Elecvical ConVactor I herebv repuest ins0ection ot abova
`?Ownef elecbical work installed et
Street AtlAress, Box
ar Route Na. Citv
/
/
4 s? /
(7ci.c.. P l,. ? rC ?Q
? Cf ?^
ecuon o. Townshi Name or No. ftange No. CountY
AA-o?
Occuoant (PpINT) Phone No.
cI ul V- ?/ 5- s
Power Supplier Address
1 n
Elec[rical Convdcror iCOmpany Name) ConVactor?s License No.
s.? lf
Mailinq Address (Conhactor or Owner Making InstailaiioN
Author' ed Signatore r lor Owner Making Installatinn) Phpne Number
r
MINNESOTA STATE BOARD OF ELECTflICITV TNIS INSPECTION HEQUEST WILL NOT
Griggs-Midway Bldg. - Room N-191 8E ACCEPTED 8Y THE S7ATE 90AR0
1821 Universitv Ave.. 5t. Paul, MN 55106 UNLESS PROPEN INSPECTION FEE IS
Phone(6121642,0800 ENCLOSED.
REQUEST FOR ELECTRICAL MSPECTION ?a ea-oaom.oa
y ? See insfructions lor comvletina this lorm on pack oF vellow coo¢ 9"'i?.µ T?i ?n "7 L[3
? '??11r °{v [ a !
' "X° Below Work Covered by This Request ?•?;r• "
ew ,? ep. TypeofBuiltling AppliancesWired EquipmeniWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Buiiding Dryer Load Management
Comm./IndusVial Furnace Other (Specify)
Farm Air Contlitioner
Otherlspecity) ConVador's Remarks:
Co mpute Inspection Fee Below:
# Other Fee # ServiceEntrenCeSize Fee # Cirwits/Feaders fee
Swimming Pool 0 t0 200 AmpS to 100 Amps
Transformers Above 200 _ Amps Above Amps
SignS losvector5 Use Oniy: TOTAL
Inigation 0oom5
Special Inspection
nlarm/Communication THIS INSTALLATION MAY B ORDER SCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MON .?
I, the Electrical Inspector, hereby
certil
th
t th
b
i
i
h R°uyn-m ,? oere /??.1,
y
a
e a
ove
nspect
on
as
been made.
?
oa
7d? ?
OFFICE USE ONLY s .
This requesl voitl 18 montM1S Irom
r
-,Yli 7 q ?o ?ry
C? 64 7 /:ro
Repuest a1e . ire No. ugn-In I etion Repuiretl
(YOU mu II insOeCOr when reaEy)
?es ? No InspecHon Other Tnan Raugh-In
? Ready Now ?Will Notily Inspector
Dete Reatly
I p licensed contractor )qowner - hereby request inspection of above electrical work at: . .
Job AdOress (SVeeL Box or floute No .) ??? Ciry F? ^ l
?`?--?
Section No. Townsnip ame or No. Range No. unty -?
?
OccuPantlPqlNT ? PKone No - ^ 1 IS7
?
Power Supplier ptltlress
Elecvical ConVaao, (COmpany Name)
S0.YV.)e- Conlractor's License No.
Manmg Aotlress iCOnvaa or Owner Makinq Inslallaton) '
5G rn
Avtnorizeo Signa e i aclovOwner Making In alla on P?on NumDg?/ -
S
MINNESOTA 5 T OAR OF ELECT CITY THIS INSPECTION REOl1EST WILL NOT ?Griggs'Mltlway g. - q m 5-113 ? BE ACGEPTED BY THE STATE BOARD
1821 Univeniry ve., 5?. ul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Vlrone(B1Y)86IA800 ENCLOSEO.
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITEADDRESS: Lor:
4753 HAUfiE CIR
RIDGECLIFFE
PERMIT SUBTYPE:
SF ADDITION
BUILDIM6
024050
07/07/94
Ze BLOCK: q APPLICANT:
CUSTOM DESIGN BLDRS
(612) 688-2600
TYPE OF WORK:
NEW
INSPECTION
FOOTIN6S .. .
FRAMING D.
IN3ULATION FIREPLACE
FZNAL
REMARKS: SEPARATE PERMI7S ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
INSPECTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
? ?
? CI'TTOF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
P.I.N.: 10-63980-100-04
DESCRIPTION:
PERMIT
4753 HAUGE CIR
LOT: 10 BLOCK: 4
RID6ECLTFFE
Build3ng.__Permit Type
Building Work Type
,
., \
PERMIT TYPE:
Perrnit Number:
Date Issued:
SF ADDITION
NEW
/
`lil?.?(?.? ( ll
L i?' ti-?, ?.iJ J
?
BUILDING
024050
07J07/94
REMARKS:
SEPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
Total Fee
$278.00
$180.70
$7,4.50
$473.20
$29,000
CONTRACTOR: - Applicant - s7. LIC. OWNER:
CUSTOM DESIGN BLDRS 16882600 0088547 IBERG CLAIR
1579 MALLARD AVE 4753 HAUGE CIR
EAGAN MN 55122 EAGAN MN 55122
(612) 688-2600 (612)454-7155
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 Mn.
5tatute, and City of Eagan Ordinances.
?
APPLIC ERMITEE SI NATURE
?
ISS ED GNATURE
-1
- ? • CITY OF EAGAN
1994 BUILDING PERMIT APPLICATIO ????????
? 0'60 681-4675 J U N 3 0 1994
?/? ?l??rl ?f • r? ?`?'?-3 ? ?? ------
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date S'`/ Valuation of work
Site Address: ?{7s 3 HCZct6-e_
?
STREET SUITE #
Tenant Name: (commercial only)
LOT I C7 BLOCK L' SUB P.I.D. #
llescri tion of work:
The applicant is: ? Owner Contractor ? Other (Descri6e)
Name Z /A .rC' ? P h o n e
Property LpsT FIRST
Owner qddress ?f 7? 3 Hkc-CS e.
STREET ? STE #
City ?SGPState MIU, ZipJ
Company Phone ??? 7?86
COlttfaCtOY
:?L/-f
Address edrw-C License #?? Exp.3
City _ IE86r\ State Zip _i-jrV2?.z
Companyt?y C" i`1, V Phone Z v
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have re d this application and state that the information is
correct and agree to comply with applicable St te of Minnesota Statutes and City of
Ea9an Ordinances.
5ignature of Applicant:
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex O 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
0 03 SF Addition O OS 8-Plex ? 13 Garage/Accessory
O 04 SF Porch ? 09 12-Plex ? 14 Fireplace
11 05 SF Misc. ? 10 Multi. Add'7. O 15 Deck
WORK TYPE
0'31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
Final
0 Framing
11 Draintile
,O Insulation
11 Fireplace
Permit F
e vei?t;o,:
Surchar
e
Plan Review
Ga,? , ??jxzo ? l/co-?i6-• ?i ? ??
License
MWCC SAC f
Z Y,? /G zcj??G
City SAC
Water Conn.
?
z e Z-116
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
7.. +...-?.» ? ..'s
O 16 Basement Finish
EJ 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PR4 Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code 3 i
Census 61dg ;
Census Unit 6
Assessments
SAC %
SAC Units
FDR:
N U. S. HOME CORPORATION
Scale: 1" = 30'
'-)Denotes Iron
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C. R. WINpEN 6 ASSOCI/1TES, INC.
LAND SURVEYORS TO •40-3646
1381 EUSTIS ST., ST. PAUI. ININN. 6010g
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DRAlNACE AND UTiL. iTY EA5EMEN
l,nr 17, elock 4. Ri3qecliffe First
WE HEeE6r CtRIiFr
60VND4RIfS Oi iNE
IMEREON, AND All i..Al rMrg 15 A iIUE AN0 COOREGt I1E0qESENtAII0N Oi A SUlVEY Of iHE
tAr+0 ?lOVE OESCIIlEO AND OF iME IOU710N Of All 6UILDINGS, If ANY,
V15I61E ENCROACNMENIS, !f AN1', ?ROM OR ON SAID IAND.
Datod thi.294 h dar el-Mp?y_
/ A p 1o? C. R. wi DEt? a ASSOCiAifS, iNC.
i
br .?.,<Iltc d?.?.G,.,R..AL
Sur.?yer. Minnneie Rpinrovien Na. '7726
, E1I11I{ES07'A =F?E11F?f39Y CO_N CAi,CUI.ATIOflg ?? ????
DASED OH CIIAPTER 5 OE TIIG
?1?R?(.?HFf??i a ?F - iee3 ELLTIati
Adoption Effectlve
Owner Phone Date
Slte Address
Contractor P ione
Ouilding claesiEications Type A1 (Single Fnmily 6 Duplex)
Type A2 (Residential, 3 etories or lesa) (over 9 stories) (Other)
IIQTEic4mRlate pB9Ee 3 nnd q first. .
C
M1EF38[,_IIlEo13UATIQt1 ?i U :
1. Buildinq Perimeter? C)OL?ft. ..
2. Wall lielglit (ground to bave) N ft. "
]. 1. X 2. (above) gross wall area D Z? eq.ft.
4. 8ulldinq dimenslone (L) ? X(W) ? ?VU eq.ft.roof 6[loor area
5. Sq, foot erea of rlm iolst - Floor jol t Nize (2 X.)
(v X ?herlmeter) _ ,?aq.ft.
?., 12
6. Doore - Area
Thicknese In U. tacicit
Type of constructlon perimeter ft.
Itahufacturer_
7. Total door'e perimeter ft.
8. 1Jindowe; Manufagturer ??" /U? ? 8tate approved
U factor ?S^
TYPE 9I2E AREA (9q.Ft.) 11U11OER OF TpTAL
Alog. G J Y. ?? ? L? EACII UUI'P9 SQ FEET
9. Total sq.ft. Glasa ???
10. Flreplace areas Widtti X Iieight a 7{ o sq.ft.
11. Exposed foundation: Ileight X Perimeter_j?X( v=? sq.ft.
C011PLE'I'I011 OI' TIII9 FORM I8 REQUIREp F'OR AGG NEH COt19TRUCTIOIt, FfAJOR
RENOpELING AIID OUILDItIG9 OEItI(i MOVEp WIIERE EIIERGY, OTIIER TNAtI TIIE IIIHIFIAL
CODE ALLOWAHCEt I9 USED.
-1- .
12. Framltig area = 109 of groae wall area,
iJ. Gross wall area Rlo eq,ft.
Wlndow area A?_sy,ft. U Windowe =i% Z
Rlm joist area A-(9(P sq.ft. U rim joiet= ,rl"f1
poor area A sq.ft, "
Other doors area AU?_eq.ft.
Exposed fndlt A_eq,ft.
Framing area A_ ? sy,ft.
1let well aroa A 5?2 ey,ft.
U doar area=
U other doore= 1'3
u foundetion= 6749
U framing area=.,015-
U walla :v'1 3_
(13p) TOTAL . . . . . . . .
qO?,?
OxA = ?A
UxA =
UxA
UXA = ?3
UxA
OxA
UxA
OxA
14. Groes wall area x 0.11 (A-1 eingle family & duplex) = allowable UxA/Code
(13. above )
x 0.23 (A-2 othor reaidential) •
x .23 (otlier buildinge)
x .28 (ovar 3 etor ee)
A BTl1Ii muet be larger than or same
K U Codo i 7 d °F: ae 13E3 above
15. Ceiling fralning qrna (AE) equqle 101 of ceilinq area
15A. Gross ceiling AYBU =(L) x(W) -" _?? sq.ft.
150. Joiet area (A,) a 10$ ceilinq elCeq eq.ft.
15C. Het ceiling area (AC) (15A - 15B) ?? . sq,ft.
U ceiling x Ac x.a?//- a ?
U framing x A E
15D. TOTAL U x A ..................i..........?_
16. Ceiling aren (15A) x 0.026 (A-1 einqle family 6 duplex)
= allowable UxA/ Code
x 0.033 (.A-2 other cesidential)
x 0.06 (other)
/?, BTUI! must be larger than or eame
A(15A)?? x U Code /0Z?C/ oF. ae 15D a6ove
tIOTEt Use U anil A vqlues obtained Erom paqee.1, 3 and 4.
&f:RTIFI-CdTI4tls I hero6y certiEy that I have celculated the ??u?? EacEore and
°R'? vuluas hereln and that tho buildlnq here desaribed meeta or exceeds the
state of Minnesota Ciiorgy ConoorvnElon Aot.
Date
qneture
-2-.
.:
7988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
ion:
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS AENTAL UNITS FOR SALE UNITS 0 OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS '
COI•IIMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: Valuat
Site Address ?17S13 /-?eu? Ci/'c ?
Lot /0 Block ?
Parcel/Sub
Uu,
Owner C la:,r ? u r q
Address Hzkt? 2 C+'rc (A,
City/Zip Code 67?- qn tryn/
Phone YSY- 71Srl?oRt 696- y3c 3
?
Contractor _,(2 ( 1?1
Address
City/Zip Code
Phone
Arch./Engr. sC
Address
City/Zip Code
On site sewage_
MWCC system _
On site well
City water _
PRV required _
Booster Pump _
APPROVALS
Date:
CCi 17 pW
?L! LI o'll V! ( "CJ
Oecupancy
Zoning
Actual Const
Allowable
lk of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Assess Permit
Planner Surcharge
Council ?-,?-,?-- Plan Review
Bldg. Off. /rp izl7i7SAC, City
Variance SAC, MWCC
Water Conn
Water Meter
Road Unit
Treatment P1
Parks
Copies
TOTAL
3!?
Phone li
1999 BUILDING PERMIT APPLICATION (RESIDENTIAL)
GTY OF EACAN
3830 PILOT KNOB RD - 55122 C? _ ?7 ?
651-681-4675
New Conslruction ReauiremenTs
Remodel/Reoair Reauirements
? 3 registered sBe surveys showtng sq. N. of lot, sq. ft. ot house 2 copies oF plan
and all roofed areas (20% maximum lot coveraae allowed) 1 sef of energy calculations for heated addttions
> 2 coples of plans (show beam 8 window sizes; poured fnd. design; etc.) 7 sRe survey for exferior addHlons 8 decb
> 1 sef of energy calculatlons
> 3 coples ol hee preservatlon plan H lot plafFed aRer 7/1/93
DATE: 1- I - ? l ' l ( CONSTRUCTION COST:
DESCRIPTION OF WORK: -44-bdYxe -? a o}- S-I'o f? \Jlw. G? P
STREET ADDRESS:
C
LOT: 10 BLOCK: `t SUBD./P.I.D. #:
PROPERTY
OWNER
Name: ?-" „., Phone #: (6 s/) (
Lasi FIrs1
Street Address: L17-5-3 gv v ?e l.: r c I e-
Ctty I=c? a.n State: 1iZip:
CONTRACTOR
Street Adc
City _
ARCHITECT/
ENGINEER Company:.
Telephone #: area code (
Street
City
Sewer 8 water licensed plumber (reauired tor new conshuction onlv):
State:
Penalty applies when address change and lot change Is requested once permit is fssued.
Zip:
I hereby acknowledge that I hove read this appllcatlon, state that the Intormation is conect, and agree to co ply wNh a applicable
State of Minnesota Sfatutes and City of Ecgan Ordinances.
Slgnature of Applicant: --? ?..-
OFFICE USE ONLY L 9
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
Phone #:
(orea code)
Lfcense # _
State: Zip:
Name:
)
Registration #:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 4-plex ? 11 10-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 02 SF Dwelling ? 07 5-plex ? 12 12-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.)
? 03 1 of _ plex ? 08 6-plex ? 13 16-plex ? 18 Deck ? 23 Porch (screened)
? 04 2-piex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
? 05 3-ptex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New ? 35 Tenant Impr ? 39 Gas Line Only ? 43 Siding/Soffits/Fascia
? 32 Addition ? 36 Move Bldg. ? 40 Gas Insert O 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bldg.* ? 41 Wood Stove ? 45 Fire Repair
? 34 Repair ? 38 Demolish (Interior) ? 42 Reroof
' Give PCA handout to applicant for demolition permit
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Width
APPROVALS
Planning
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Building
Engineering
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Variance
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
Ciry SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Traiis Ded.
Other
Copies
Total:
SAC Units
Valuation:
% SAC
CITY OF EAGAN
EARLY UTILITY CONNECTION PERMIT
4753 Hauge Circle L10 B4 Ridqe Cliffa iGr
Address Subdivision/Parcel
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral line in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water lateral. I agree not to use, test, or connect these
individual services to any interior plumbing and understand the require-
ment to cap the sewer service to prevent any unauthorized use.
In accepting this pexmit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until the City utility system has been declared operational
by the City Engineer.
Signed by - Plumber:??
Owner : )( . [J G?-?
Developer:
Builder:
Dated:AffhQ
CITY OF EACAN
EARLY IITILITY C0:3NECTION PERM
4752, 4758, 4764, 4768, 4769, ' L3 B4, L4 B4, LS B4, L6 B4, L7 B4,
4765, 4759, & 4753 Hauge Circle L$ B4, L9 B4, & L10 B4 Ridge Clif£e lst;
Address Subdivision/Parcel
-- -- --- -
I hereby request permission from the City of Eagan to connect to the
sanitary sewer and water lateral Iine in the public right-of-way. I
understand that the City has not yet completed, inspected and/or accepted
the sewer and/or water latetal. I agree not Co use, test, or connect these
_ individual services ta any interior plumbing and understand the require-
- ment [o cap thP sewer service to prevent any unauthorized use. _
In accepting this permit, it is agreed that I will hold the City and its
agents harmless from any damage that may occur due to this early connection.
It is understood that no Occupancy Permit will be issued or water allowed
to be turned on until [he City utility system has 6een declared operational .
by the City Engineer. °
Signed by - Plumber
Owner:
Developer:
Builder:
Bated•
'? ?
(: • • ?
FOR:
N U. S.
rD ?,
Jt?:
HOME CORPORATION
Scale: 1" = 30'
ODenotes Iron
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C. R. WINDEN 6 ASSOCIATES, INC.
lANO SURVEYORS T*I. 646-3648
1361 EUSTIS SL, ST, iAUI* MINN. 66109
- - - - -- - 'n lio
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- - -22.3- - - J10 Z
150'
DRAINAGE AND UTILITY EA
Lot 10, Block 4, Ridgecliffe First
Addition, Dakota County, Minnesota.
WE MEREBI' CERTIFY TMAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEI' OP THE
60UNDARIES OF THE lANO A60vE DESCRt6ED AND OF TME IOCATION Of ALL 9UIlDINGS, If ANV,
TNEREON, AND ALl V15161E ENCROACMMENTS. If ANY, PROM OR ON SAIO LANO.
Dotad fhis 29 4 k day of Mn? A.O. 19$p c' R. WASSOCIATES, INC.
. br
Survoyor, MinMsolo Roqistrolion No. 7926
NTlSIY
---------
i FqrQlfice-(Iss ---------
?
I
j PertnR#: C. O I
I
? Permit Fee: ?
I ?
? Date Received: _(?L j
I Staff: ?
I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: /O - ) ' U K Site Address: q7S 3 SS/ a o?
T ('?
Tenant:?t 110"k S s- Suite #:
RESIDENT 10WNER Nam 6--7Z?-\ S'fs? rU Phone: 6 s (' `f S(o -d 30 6
Address/City/Zip: Y7S3 ?4uSe Lfrcle 1-7,-San
Applicant is: ,- ?Owner _ Contractor
TYPE OF WORK Description of work: Ke- 19, a c?
Construction Cost .:?( 3 UO d Multi-Family Building: (Yes No ?
CONTRACTOR Name: License #:
Address:
Ciry: State: Zip:
Phone: Coniact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilalion Category 1 Worksheet • New Energy Code Worksheel
Category submitted Submitted
(V SubmisslOn type) • Energy Envelope Calculations Submined
In the last 12 monlhs, 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 apd supporting documenfs that you submit are considered to be public information: Portions of
the intormation may be classified as rion-public if you provide specific reasons fhatwould permit the City !o '
' conclude that the are trade secrets." >.. -
I hereby acknowledge that this information is complele and accurate; thal the work will be in confortnance 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 [o start without a permR; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval ot plans.
X ?Ow•4f r1 r ?Tt?^'Y'6(? X ,?, !?
Applicant's Printed Name Applicant's Sigi ature
Page 1 of 3