712 Havenhill Rd
Use BLUE or BLACK Ink
1-----------------i
For Office Usk I
1 I 1 City of o n i Permit
I Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 v 1 gin, I Date Rec ved:
Phone: (651) 675-5675 1 Staff: 1
Fax: (651) 675-5694 L _ _ - - _
2011 RESIDENTIAL PLUMBING PERMIT APPLICATI
Date: Site Address: ~(~~/C~ ~1(lt t\ )~(/l ~CJtfl~(\
Tenant: 651-0,5 Suite
RESIDENT / OWNER Name: l~/(~ ZC~ Phone: - C N S
Address/ City/ Zip: 71 YU 551 1
CONTRACTOR Name: 6 Q License 51841 s-5 er
Address: P/05 c vl" 5 / vr~ City: pr Uby-
Stater Zip: 6319---Phone: o% 5- 'Z& q-,3,541
t
Contact: it l4;/\ Email:
TYPE OF WORK _ New Replacement _ Repair Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL i
Water Softener
Water Heater
Lawn Irrigation RPZ PVB) Add Plumbing Fixtures L_ Main Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $5.00 State Surcharge)
*Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge) Jas
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.aopherstateonecall.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 approva of plans.
x e r1 Iix
Applican Printed Name Applicants ignature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
? CASN RECEIPT ? .
CITY OF EAGAN ?
3830 PILOT KNOB ROAD .
EAGAN, MINNESOTA 55122
OATE T J2 ?g 90
aecerveo
AMOUNT I s ---? a ID :? I S-0
B. DOLLAR5
'oo
CASH ? CHECK
O
C 8618 ??
Pw*---Fle covy
Thank You
6 ?
BY
f SE,WeR & WATER PERMIT
I CITY OF EAGAN
I 3830 Pilot Knob Rd.
, Eagan, MN 55122-1897
DATE JUNF 26, 1990
OFFICE USE ONLY
METER # PERMIT DATE06/29/9, 0
CHIP # CZf ?? a PERMIT # 11486.
METEFi SIZE O B.P. RECEIPT #L2 _44: ?=
ISSUE DATE B.P. RECEIPT DATE ` i 28 ?- ?
_ PRV - BOOSTER PUMP
SITE ADDRESS 712 HAVENNILL RD
LOT 2,= BLOCK 7 SEC/SUB HILLS OF STOV.EAE:IDGE
APPLICANT;
AdDRESS:_
CITY, STATE
PHONE: -
ZIP
PLUMBER: VALI.EY PLUMBIP3G
ADDRE55: 610 CRLEK LN
CITY, STATE JQRD?, MN ZIP 55352
PHONE: 492-2121
OWNER: EHL itU1 LLUND CU, INC
AODRESS: 5201 c RIVEF. RI1
CITY, STATE FF.IDLEY, MN ZIp
PHONE: 1)71-0344
PLEASE ALLOW TWO WORKING DAYS FOR PROC
SEWER PERMITS, CONTACT ENGINEERING DEPT.
PERMIT REQUESTED
x SEWER X WATER - TAPS
_ COMM/IND X RESIDENTIAL
X NEW
EXISTING
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit-,WILL NOT be given for Deduct Meters.
F
I ? I l I, , • 1
?.-,-
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES
-?-S1GNATURE WHEN ME7ER ISPED
CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEVIIER &#/ATER PERMIT
CITY OF EbGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE JurE 26R 1990
METER # -
CHIP # -
METER SIZE
ISSUE DATE
OFFICE USE ONLY
PERMIT DATE06/29190
PERMIT # 114116
B.P. RECEIPT # 4' 1 ?-
B.P. RECEIPT DATE 06 28 ?
_ PRV _ BOOSTER PUMP
SITE ADDRESS 712 t.AV)?P'IiILL P,D
LOT _2 1? 2 - BLOCK 7 SEC/SUB F'ILIS Og STUN1.?BRIDCE
r
APPLICANT:
ADDOSS:
CITY, STATE Z1P "
PHONE:
PLUMBER: VALLFY PLUMBING
ADDRESS: 610 CREEit LN
CITY, STATE JORDAN, NA ZIP 5.5352
PHONE: 492-2 i? i
OWNER: THL ILOTtLUKD C0, INC
ADDRESS: 520; R RiVER RD
CITY, STATE Fh'IDLEY, tiN Zlp 55421
PHONE: - 71 -J'%C' ?
PERMIT REGIUESTED
x SEWER
- COMM/IND
X NEW
x WATER TAPS '
_k RESIDENTIAL
Lawn Sprinkler Meters are to be Installed ?
Ahead of Domestic Meters on Water Line. ;
Credit WILL NOT be given for Deduct Meters. a.
I AGREE TO COMPLY WITH CITY OF ?
EAGAN ORDINANCES i
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORM
SEWER PERMITS, CONTACT ENGINEERING DEPT.
BUILDING PERMIT .
To be used for 8r WAIGU
,91 . .
? CITY OF EAGAN 16061
Pilot Knoh Road, P.O. Box 21-199, Eagan, MN 55121 .
PHONE:454-8100
Receipt #
Est. Value *112,W0 Date JM 26 . 19 90
Site Adft ss
Lot Block SeclSub.
Parcel No.
W Name 'fHE ROTTLt?D ?
? Address
0 na.,..
,o Name ?
?a Address
? Citv Phone
Phone
I hereby acknowlege that I hav read this apptication and state that the
inlormation is correct and agr to comply? with AI applicable State o(
Minnesota Statutes and City of 11 agan , dinances.
Signature ot Permitee
'1'RE li0T37.U11D fb? I?1C
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 o( Eagan Ordinances.
Guil.iinn lllf{niol • .
OFFICE USE ONLY
s.-3 !!-1
Occupancy PD-24 FEES
Zoning
(Actual) Const ? Bldg. Permit _
(Allowable) - Surcharge _
Af 01 StOriCS
Lergth
th '
De Plan Review _
p
SAC C't
S.F. Total -
S.F. Footprints -
On Site Sewage _
On Site Well
MWCC System ?
Ciry Water _
PfiV Required \ -
Booster Pump -
APPROVALS
Planner -
Council --
BIdg.OH. _
' Y VN7?Oo
SAC, MCWCC
8Z3.00
Water Conn
?.oo
Water Mater 30.00
Acc1. Deposit
SJW Permit
•
S/W Surcharge
Treatment PI - - - 35Y
-Oo
Road Unil .
Park Ded.
Copias
s •
TOTAL
permN No. Permit Holder Date Telephone #
WATER
SEVYER
PLUMe1NG
H.VA.C. ?2 ? 7v
E?cTR1c G 3 91 0 C??o Uz, ? r U
Inspectfon &I&VIL, Insp. ? R Com ? ? 066
footings 1 -alie
Foundation
Framirg
Roofing
Rougn Plbg. Z -I - ?
Rough Fft9. ? a3 9
ISUl.
Frceplace
FinZJ Ht9_
?nal Pib,. _ d
Consl, Meter Plbg. Inspector - Nolify Plumber
ErgrJPlan
Bldg. Final - - ?Q L7s
Dedc Flg.
dedc Final
Well
Pr. Uisp.
F A
' w: -? • __
i? i ? ; ---y?
?. , " ? ? • ' ?
• , ,?"R??'
Tn#i#trate of (Orxupartry
Citp of Cagan
Ermrfuirtd nf Ntriidittg Jnwrtian
This Certificate issued pursuant m!he requirements of Section 306 of the Urriform Building
Codr cerlijyurg thal at Oie tinte of rssuance thissauclure Kns in compliarrce wilh rlre wrious
ordinanc+es ojthe Ci1y re8ululinS building consduckon or usp- For theJollowing:
t- akuw-e- SE'OCOCAR ewk. nam: rra 18061
0-vaaT T?Pe R? ?-r-I---- ZaoiogDipiia Pn ' Z$ I Type C.c?t IN_
??8' eeeR = 5201 E FZYEF? iD , FR7CE.LY
POST IN A CONSPIdJOUS PlACE
CONTRACT
PRICE
site a??s
Lot ??
PLUMBING PERMIT For C
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PHONE 4548100 DATE: _
City 4 0 Ic+ a •.•
.<
? Addres "" ? ^ • '' " F °
? City r' d?' y Phone S i,. ? 3 0•.
FEES
GOMM./IND. FEE - 1% OF EONTiCACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLUES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADO $.50 S1C PER EACH $1,000 OF PERMIT FEE)
Res. ? New _
Muft. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N3. FIXTURES
Water Closet - $3.00
-T-- TOTAL
$ ?
Bath Tubs - $3.00
? 3
(
Lavatory - $3.00 .
? Shower - $3.00
?- ?
Kitchen Sink - $3.00
? UrinaUBidet - $3.00
T
$3
00 "
L
d
? -
ray -
.
_
aun
ry
T-
Floor Drains -$1.50 ' S J
?- Water Heater - $1.50 ? • •
? Whirlpod - $3.00
- 3
Gas Piping Outlets - $1.50
T
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
3-
y
Rough Openings - $1.50 ?
PERMIT FEE: -? L
STATES S1C:
GRAND TOTAL:
. 'ru.
? K:y'?,
` - v:i•W^. . _,.. +. . "'^ . ..
?, - •" .
bffice Use Onl
:
F
.
. . y
or ?
` 4, MECHANICAI. PERMIT PERM IT #
CiTY OF EAGAN RECEf PT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100 ;
Site Adorep B
W
K
E
fiIPTION s
Lot Block Sec/Sub SC.
LDG. TYPE
GR
D
•
. . Res New ?
,: ?
Mult Add-on
?
m Name Repeir
Comm
AddreSS .
Other
c City Phone
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCIUDES A/C ON NEW
STRUCTfON
)
CON
GAS QUTLETS (MINIMUM • 1 PER PERMIn - 1.50 EA .
TYPE OF WORK COMMAND FEE -1°1e OF CBNTRACT FEE
FOrced Aif
Boiler M BTU
-I
M BTU '
t APT. BLDGS. - COMM. RATE APPLIES ,.?
T0INNHOUSE & CONDOS - RES. FiATE APPLIES
Unit Heater M BTU MINIMUM RESIOENTIAL FEE - ALL ADD-0N &
Air Cond M BTU REMODELS - 12.00
. MINIMUM COMMERCIAL FEE - 20.00
Vent CFM STATE SURCHARGE PER PERMIT - .50
Gas Piping Oudets # (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other
PERMIT FEE: f ?
SIGNATURE OF PERMITTEE ;
S/C: ?
TQTAL: FOR: CITY OF EAGAM1I
, . _ -_ . -- -- -
CITY OF EAGAN ' NO ?$O6 ?
° i
BUILDING PERMIT 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ??? 6v
PHONE: 454-8100 Receipt #
L-
Tobeusedfor SF DWG/GAR Est.Vaiue $112,000 Date .TUNE 26 , 19_40
Site Address 712 HAVENHILL RD
Lot 22 Block 7 Sec/Sub. HILLS OF STUNEBRiDGE
Parcel No.
W Name THE ROTTLUND C0, INC
; Address 5201 E RIVER RD
° CitY FRIDLEY phone 571-0304
o Name SAME
ga Address
? City Phone
Q Name
W
;
Ad
ress
s
d
w City Phone
1 hereby acknowlege that I have read this application and state that the
inlormation is correct and agi e to wmpl with II applicable State of
Minnesota Stawtes and City ol agan Ordi nces.
Signalure of Permitee
A Buiiding Permit is issued to: THE ROTTLIJND CO ^7NC
on Ihe express condition that all work shall be done in accordance with all
applicable Stale ol Minnesota Slatutes and Ciry of Eagan Ordinances.
Builtling Ollicial
OFFICE USE ONLY
Occupancy R-3-M-l FEES
Zoning PD R_1
682.00
(AcWa1) Const _Y--T1 BItlg.Permit
(Allowable) V-N Surcharge 56 . 00
N oi Staries
56 '
Plan Review l?43 .00
Lenglh
Depth SZ ' SAG Ciry 100•00
S.F. Total - SAC, MCWCC 600.00
' S.F.FOOtprints -
On Site Sewage - Waler Conn 695- nQ
j On Site Well - Water Meter 90 _ 00
' MWCCSystem X qcctOaposit 30.00
City Water x.
PRV Required - S/W Permit 30.00
Boosler Pump - S/W Surcharqe • 50
Treatment PI 252.00
APPROVALS Road Unit 355-n0
Planner - park Ded.
Council
81dg. Off. _ Copies
Variance - TOTAL 3,263.50
s.i . . +7g •
DATE:
JUNE 29, 1990
RE: 712 HAVENHILL RD (THE ROTTLUND C0, INC)
x
Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
Ycur Sewer & Water Permi[ for the above property cannot be completed for the following
reasons:
? •
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
w, be issued or occupancy allowed until further notice..
COMMERCIAL PROJECTS ONLY: Please pay tor meter at City Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secre[ary, Building Inspections Dept.
c)'ir174/- ,
@ 3 810 ??19a
Fepuesi Date
-7- ire No. Rough?in Ins e lion
Requiretl?
rYes ;jj<io ?
JGf Reatly Now ? Will Notify Inspector
Mlhenqeatly9
I2(licedsed conttactor ? owner hereby request inspection of above electrical work at:
Job Acitlress (Straet, Box or P.W. No.) Ciry
Section No. Township Name or No. Range No. Coy?iry?
?
Oocupant(PRiNT) Phona No.
Power 5?fVP?\l1er Adtlress
Elechicai Comractor lComOany Name)
uol. ContraMOr's license No.
; ql ?.-3
Mai6ng AOdress (Conirector or Owner Making Installation)
Awhorixetl Signature (GOnVac UO r Making Installa I n)
DA9 Phone Number
3- 3?1?0
MINNESOTA STATE BOAHD OF ELECTRICITY ? THIS INSPEGTION REOUEST WILL NOT
Grlggs-Mltlway BIEg. - poom S173 BE NCCEPTED BY THE STATE BOAFD
1821 Universlly Ave.. 5[. Paul, MN SStO< UNlESS PROPER INSPECTION FEE IS
Phone(61P) 642-0800 ENCIOSED
.
REQUEST FOR ELECTRICAL INSPECTION ee-00001-07
? See insvuctions lor completing IDis farm an Oack ol yellow copy.
C? 38109 -"X" Below Work Covered by This Request
e AdQ. Rep_ ? TypeofBuiltling AppliancesWiretl EquipmentWired
Home Range Temporary Service
, Duplex Water Heater Electric Heating
Apt Building Dryer Other (Specify)
Comm./IndusVial Furnace
Farm Air Contlitioner
ONer (specify) ConVaclor's Remarks
Compufe Inspecfion Fee Below:
# Other Fee # ServiceEntrance Size Fee # Circuits/Feeders Fee
Swimming Pool 0 t0200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
Si JnS Inspectar9 Use Ony: TOTAL
Irrigation Booms
Special Inspection
Alarm/CommuNCation THIS INSTALLATION MAV BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MONTHS.
L the Electrical Inspector, hereby
certify that the above inspection has
been made. R°°gn;n
F;nai / 0a1e
oa+e, /G
OFFICE USE ONLY ?
This request wid 18 mamhs from
GSU1'-f /G
D// /c. n
/01 /
0 38110 Caz, s u[•! /"
?-
Request Orale ''
' re No. Roug?-in 1 tfion
Required? ? Reatly NOw r`YAlill Notity Inspector
-
-? es ? No When Reatly9
I,'a'licensed contractor ? owner hereby request inspecfion of above electrical work at:
Job Atldress (Streat Bov ar Route No.) Ciry
'7 2 GoA
Section No. Towrehip Nama or No- Ranqe No. unry
Co
^y
`
V?
Occupa t?PRINT) Phone No.
Paw Supplier Adtlress
, ue'-
Elechi IQonlraclor ICompany Name) Conhaclor's License No.
F.Qa.?, .? t -3
MaiLng Aadresa IGonvactor?r Ow ? Making Installationl
Phone Nvmber
AutM1Oriietl Signawre fCOnlracto ne aNing Inslallat
?
4z6 3-_38ra
MINNESOTA STATE BOAPD OF ECTRICR
GrIgge-MiCway Bltlg. - Foom S173
1821 Univero0y Ave., SL Peul, MN 5510Y
Phone(612)662-0800
THIS INSPECTION REQLIEST WILL NpT
BE AGCEPTED BY THE STATE BOARD
UNLESS PROPER INSPECTION FEE IS
ENCLOSED.
-?/ Yl a? REQUEST FOR ELECTRICAL INSPECTION ??a-ooom-m
?? 0- See insVUClions lor completing ihis lorm on back o1 yellow copy.
"X" 8elow Work Covered by This Request
e Add Rep. TypeofBuiltling qppliancesWired EquipmentWired
Home Range Temporary Service
plex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Gomm./Industriai Furnace
Farm Air Conditioner
Other (specily) ConVactor§ Remarks'.
Compute Inspecfion Fee Below:
# Other Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps to 100 Amps ,QD
Transformers Above 200 _ Amps A Amps
Si9n5 Inspector5 Use Only: TOTAL
Irrigation Booms
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO r
I, the Electrical Inspector, hereby
tif
ih
t
h
b Rough-in l Dale• -
-ro
c
er
y
a
t
e a
ove inspection has
been made. Final ? oat,/,z
OFFICE IISE ONLY
TM1is reQUest voia 18 months Vom
ihis renuest voiA r?/ ?'
18 nwnlhs fmm ? ?/? D 93876/-1!5
Feques[ nate
I '1 Fire o: PouPh-i n
irotl. nspemion
Heady Nuw
?
lII Notity Inspec-
k
?_
? - ? Ves ?No .r When ReaAY
? Licensed Elecirical Contractor I hereby reqvest inspection of ebova
? Owner eleclrical work installed at:
SVeeI AtlAre ss, x or Rovte No. Ci
ec mn o. Towns ip Name or No. R.nAe Na. C aft
Occu tIPPIN71 Phane No.
Pawer SupPlier Adtlress
Elec cal CnntratlorlComp2ny 1 Contracto License
Mailmg Address IConva?mr or Ov/ner kine lnsi I tionl
Authon d 510nature (CoMracmr?Owner Making Installation)
I Phone?r
1 - n???
?
? / THIS INSPECTION HEaUES' WILL NOI
MINNESOTq STATE AND OF ELECTPICITY gE ACCEPTED 8Y THE STATE BOARO
Griggs-Midway BIdO• - Room N•191 UNLESS PPOVEH INSPECTION FEE IS
1821 Universitv Ave.. St. Ppul, MN 55109
Pnone16121642-0800 ENCLOSED.
REQUEST FOH ELECTRICAL INSVECTION ee-oooot-os
p 1 Sae inshuctions br comDlating tM1is form on back oi yellow roOY. " 9,?20 1`7
? 93876 "X" Below Work Covered by Ihis Request
likea Fdd Neo. Typa ot euildin0 AoPlionces Wired EquiVment Wired
Home Range Temporary Service
Duplex Water Heater Liyhtiny Fixtures
Apt. Building Dryer Electric Heabn
Commercial BIdG. Fumace Silo Unloader
Industrial Bldg. Air Condltioner Bulk Milk Tdnk
Farm oine, oaci v .tncrISpa?;ry?
t . Sue,:, v oroor o,n..
Comaute lnsoectian Fee Be/ow
p Fea ServiceEnLanceSiza n Fee Feetlers/5ubtexde's b Fee C cuits
0 to 200 qm s 0 to 30 qm s 0 to 30 Am
Above 200 Amps 31 to 100 Amps 31 to 100 A s
Swimming Pool Above 100-Amps Ahove 100_Ampr'
Transtormers Irriyation Booms Partial,Other Fee
Signs Speciallnspection S
TO AL FEE
Nerryrk ln /lP
floo9h-ln Date I. the Inspac?or, hereby
certify t the xEOVe I
Final the sDaction has been
?f f r metle.
•ma reauest voltl 18 monRha irom
\_ 1 11041
1990 BUILDING 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 IN WHICH REQUEST IS MADE.
LOT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTDR/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 SEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
;ill9 2 ; RECQ
To Be Used For: ; Valuation
Site Address '`]r"f t tij+ J?U
Lot D2 Block -1
Parcel/Sub 2l=?e,
o--T
Owner -cy,,P ip,p_
Address !52o? 19? 1Q,,_9E{L ?..?,
City/Zip Code ?SqZt
Phone SZ I-c?3[s?
Contractor Scyy??.
Addres
City/Z
Phone
Arch./
Addres
City/2
Phone #
Date:
OFFICE USE ONLY
FEES
Occupancy R'3 M -1
Zoning PD 'R - I
Actual Const V-N
Bldg. Permit
68240
Allowable V^ N Surcharge 66100
# of stories Plan Review U 4 3iO?J
Length ? SAC, City /DOiaO
Depth $2 SAC, MWCC
0
0010
S.F. Total Water Conn - 615,Q?
Footprint S.F. Water Meter 90,00
Acct. Deposit 3 0,00
On site sewage_ S/W Permit
oo
30,
On site well S/W Surcharge .$o
MWCC System ? Treatment Pl. 252,Do
City wateY ? Road Unit 3SS,Qa
PRV Park Ded.
Booster Pump _ Copies
SUBTOTAL
APPROVALS Penalty -
Planner TOTAL '
Council
Bldg. Off.
Variance i/
7
Cs,c,RAGC ? . ? ?
zZk22F 14 ?Z6n
13
,
.__------°°
3PX ?K= ?suo
CI Z
30X??= '700
,
I?ix?x?- ry
??--°
k 14= &- z34y
I l?t? X 5?- 8Z31?(
T--
I { { ,
,
't PIONEER uNosUAVE.
* engiyneering.. LAN°PLANNE's
7? Y *T
T
Certificate of Survey for: W
?-o0
q,??, "- t1g?, • '
? C
? .\ i M0
?
2
.CIVIL
ARCHITECTS
2422 Enterprise Drive
Mendota Heighu, MN 55120
(612) 667-1914
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a-1S.S
. goo.o Dertoles existlno f/evafron
R 900.o Denofes propcs'id Elevotion
------penofes Drar?age ?Utili'iy Easement
? denotes Drqina§e Flaw Arrows
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9
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e'?.5-.?.. i ?.NG LJr?•
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'?-FDROPOSED NduSE fGEVA710NS
Lowesf Floor E/evafl'an . 69 1. Z
Top o.^B/ockElevation = sq9.z
Garc??e S/ab vation = g9E.9
o Denofes monumenf
, 8 eqrin?s shown nre assum ed
LOT 2 Z, BLOCk 7114t[t5 oF-"STDIVEBQIDCE
QaKOTA CourJTY, MINNESOTA SUHJECr TU EASEMENTS OFQKORD
1 harebY cenity tlwi [hit ia a srue snd coneCt represenubon of a wrnY of tM beunGrio ot the sbwe d ibed Land. and of ihe loption of dl
buildin?, tAereoo, erW all vuible encroachmenu, il any. Irom a on iaW la?- At wn+Yb bY ^K th'sday of A.O. 184&.
/lev: 01t/L? f/o?e
Scaie : 1 Jn -, vad p--? IKICH L5. REG993
g711 z
.. ,. ? ' F?cTFTiiOii }:NVT:T,ot•t: nvi•:!;nr,r: "u" C09ru•rn•rinrr
ouN Ex
SITE ADD?tESS Z
CONTRICTOR _7ZVT77-(/AIL7 GD • DATF.
PHc)NE
Pfl?!?L?1=?/`?•
r
Dete:-ain vorkini; squnre tootai;e of ench.
1. iotal exposed vall area .. 0 sR. ft. x 0.11 _ 2(pQ.,pB
2. Total roof/ceiling a-ea sq. ft. x e.,026
• • .
c
Total expose3 wall arca nbovc floor = Z400'QJ
a.
b.
c.
d.
e.
f. Total
Total
Total
Total
Total
Total vall vindov area . . . . . . .. . . . . . . . . .. .. .. . . .
door area ................................... ?
sliding gluss door area .....................
fireplace va11 area .........................
L L
vall framing area (average 10%) ..... ...* ...
net vall area above Sloor .................. 172 O. O
?
. 6. Total rim Joist area ........ ........ ...........
3
Total exposed frn:ndntion area = 77,
h.
i. Total
Total foundetion windov a:ea .......
...
net foundation area above grade
.............
'?
............. ^(/,(e ?
.
. Detercnine "U" value o; eech vall ,r:E;ment.
a. 2-0 b. z X„U., o, 42 - 87.4q-
b. 38.?1 x„U„ 6•i3? - 5•34
? C. 79•9?- X„U„ z?.sY
d. 2T X„u„ . o, r _ z. ¢ -
E. X.uun OrOO 1 = I7/o
f. 1 7 zO, a4- x„u,. 0,045 -.7.3, q
. s. 8 X
n. ? 5-75 X.,U„
. i. X„U„ 7, q3
3. ...... ....................... .. . ror.-:i = 23Z
/
..
If 3tem 1!3 i
of ssc 6oo6( ,.
s the same as, or les^
c)2.
:.ti:,n ile:a
N1, you nave meL the intent
,
IN ;. -
f)
' Total exposed roof/ceiling arez
? .?-. . . .. ?
Total gross raof'/ceilin(; areri =
?. Total skylight area .......................... _
k. Total roof/ceiZing framing area •-••••-•••••••
1. Total net insulated roof/ceilinF area ........ O . _ '
Determine "U" value for clch roaf/ccitint; sey'cncnt.
r ?-
1 X U?i
?• ' ?
x: 117,g? X„U„ o, 027 = "3:1? 1. l??l, 5S X„U„ p, r??Z = 23.35 a . . . .... ... .. . . . .. ..... .. .. .. .: . Total
c ,?=--
If total oP ft4 is the same as, or less than N2, you have met the intent of
saC 6oo6(c)i. . .
To utilize the total envelope system method, the values establi:hed by the
sum of itens X3 and M4 shall not be 6reater.thxn the sum of items q1 and X2.
1. + 2.
?+ L
a
-1:11
I f.
O .
_ . . .. O s
GAI.GU!-ATIoN? (GoNT).
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I N?-I LATIoH
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aATT??GE AIF- FiW
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=-?%L lNSU?A'??1- ?y° G`(P, I?aD
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01022
C? ?U 3
1991? ? ? O ? 1PCA ION?t?? ?
CITY OF EAGAN
SZNGLE FAMILY DWELLZNGS
MULTZPLE DWELLINGS
Date:
v
2 SETS OF PLANS 2 SETS OF PLANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS REGISTERED SITE SURVEYS - & STRUCTURAL PIANS
1 SET OF ENERGY CALCUTATIONS (CHECK WITH BLDG. DEPT.) 1 SET OF SPECIFICATIONS
1 SET OF ENERGY CALCOLATIONS 1 SET OF ENERGY CALCS
# OF RENTAL UNITS
# OF FOR SALE UNITS
PENALTY APPLIES iTEiEN: TYPING OF PERMIT IS REQUESTED, BUT NOT PICKED UP BY LAST WORKING DAY
OF MONTH IN WHICH REQUEST IS MADE.
IAT CHANG E IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER IATS - CONTRACTOR/HOMEOWNER HUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL B E ALIAWED ONCE BUILDING PERMI T 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:
Site Address
P FC lr- Valuation:
712- fkya-i Ffiu? u(N r
Lot Z 2- Block ?
Parcel/Sub Hi LL OG 57aWE8RIDGE
Owner -2CH'RR6 (Z• -K?IC.thC?
Address -) I'?)L 4YTvvT TTt-,- F-?>
City/Zip Code 61&? /
Phone ? g 3- 903?
Contractor ? 14- -
Address
CityJZip Code
Phone
Arch./Engr. /,? l?t'•
Address
City/Zip Code
Phone #
OFFZCE IISE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length I y K/!.
Depth lYX/Y
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner
Council
Bldg. Off.
Variance
COPIlMERCIAL
PEES
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
SIISTOTAL
Penalty
Lot Change ?
TOTAL ?
Sewer/Water Licensed Contr.
? agtees that all voik shall be done in accordance with
(Signature of Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
*ac *4
't PIONEER
* engineer-ing.
7Y *?
T
"ND SUAVETORS • O 'IL ENGINEERS
LluaOItANNERS • LANOSC"E AACMITECfS
2422 Enterprise Drive
Mendota Heighu, MN 55720
(612) 681-1914
?//d
o Denofes monumenf
B eQrrn?s shown ar'e assum ed
s
.z
9. 2
aaraP Slob Elevotiot7 = 898• 9
t
LOT 22, BCOCk 7114ILLS oF-STDIVEBRIDGE
QaKOTA CouNTY, MINNESOTA SUBJECT 7D EASFMENTS OFlZKORD
1 MreOV unity tMt this ia a true an0 cortact rtwatnutwn ot s ,urveV ot the Doundariw o1 Mt Wan dCsuibed bnd. aM ot the lowcion ol st1
Euildinpi, tAerson. eM a11 visibta snuwchmenn. i1 anY. irom a on rd Iand. As wcv,yb bT the tnu-4AOL mY of A.D. 79_f[L'
e L/ Z4 %171 e?d.?se
Scole : 1?n
IKICH
R08EAT B. S LS. REG. 1443.1411121
g7? / 7-, 74 _
,2.
czrv or- EncAN
t:ASNIEIi° 1S 7F.I;i`1TNAI._ N0: ii.'.9
PEi'TCc 0E3/06/99 T:f.MF_a J.O?,`O:O4•
NAMEe SFI_A Rf]f7F.T.NG ?: kFMODE.I...SNG
320 9001 72 HAVI:i:tJH24.I.. h 1.39.2;i
2155 9001 712 HfiVE.iJI-ITt.I_ I? 3.50
?
7ata:L fieci:!:iprt Ainaani;. 14'r'.75
CRi.1.4943
UaE:R .T.Ua iAN
01 1999 BUILDING PERMIT APPLICATION (RESIDENTIAI.)
CITY OF EAGAN
3830 PILOT KNOB RD - 55122
651-681-4675
New ConskucHon ReauiremeMs Remodel/Reoair Reoulrementa
? S registered sHe surveys show(ng sq. H. of lot, sq. R. ot houae
and gD roofed areas (20% maximum lof coveraae allowed)
? 2 copies of plana (show beam a window sizes; poured Ind. design; eic.)
? 1 zei of energy calculotions
? 3 copies o( free preservalion plan M lof platted affer 7/1/93
DATE: 6?-<? -q"/
DESCRIPTION Of WORK:
STREET ADDRESS: -710?" ? `a VeN
??U?=??
2 copies of plan
1 sei of energy calculatlons for heafed. addNions
1 sile survey tor eMerior addiflona i decks
CONSTRUCTlON COSi:
d¢- o 0
?jvo (` ?(cxhC.' f - . (?o R c ?t rj . p o ?{c 4 ? ?
LOT: 10? BLOCK: TJI_ SUBD./P.I.D. #:
i`
Name: (/ LA Pk Cc.i a? pho e! 3 7
PROPERTY Last First
OWNER 5 ? ? ?
Street Address:
City State: Zip:
Company: eeL. Rn..R.,6 , & ..,...,.__. _ _ Phone #: 1?- s-?;,- 3
4700 EXCELSIOR BLVD. (area code)
CONTRACTOR ST. LOUIS PARK, MN 55416
Street Address: 19 ,,.,,.. 69 License # i -D 5--0 Exp. 33l 100
Cffy
ARCHITECT/
ENGINEER
Telephone #: area code ( )
State:
Name:
Streefi Address: Registration #:
City
State:
Sewer,& water Ilcensed plumber (reaulred for new conshuctlon onivl:
Penalry applies when address change and lof change is requested once permM is hsued,
Zip:
Zip:
I hereby acknowledge fhat I have read fhts applfcation, sfate that the informafion is cortect, and agree to comply with aIl applicabl
State of Minnesoto Sfatutes cnd Ciiy of Eagan Ordinances.
Signature of Appiicant:
OFFICE l1SE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received - Yes - No - Not Required
OFFICE USE ONLY
BUILDING RERMIT 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 PorchlAddn. (4sea.
? 03 1 of _ plex ? 08 6-plex ? 13 16-pfex ? 18 Deck ? 23 Porch (screened)
? 04 2-plex ? 09 7-plex ? 14 Apartments ? 19 Lower Level ? 24 Storm Damage
0 05 3-plex ? 10 8-plex ? 15 Lodging ? 20 Pool ? 25 Miscellaneous
WORK TYPE
? 31 New 0 35 Tenant Impr O 39 Gas Line Only ? 43 Siding/5offits/Fascia
0 32 Addition ? 36 Move Bldg. ? 40 Gas Insert ? 44 Windows/Doors
? 33 Alteration ? 37 Demolish Bidg.' ? 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
Permit Fee
Surcharge
Plan Review
License
MC/ES SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq, ft.
sq. ft.
sq. ft.
Footprint sq. ft.
Census Code
SAC Code
No. of Units
No. of Bldgs
MC/ES System
City Water
Booster Pump
PRV
Fire Sprinklered
Building Engineering Variance
Valuation: $
SAC Units
% SAC
Use BLUE or BLACK Ink
i
For Office Use H
"�r,, �-IPermit#: J`"
41,11/° City of Eaton Lo
OiPermit Fee: V
3830 Pilot Knob Road
Eagan MN 55122 .
Phone:(651)675-5675 Date Received:
Fax:(651)675-5694
Staff:
J
2017 MECHANICAL PERMIT APPLICATION
❑ Please submit two(2)sets of plans with all commercial applications.
Date: 6!20/17 Site Address: 712 Havenhill Road
Tenant: Suite#:
i Name: Rick KucheraPhone: 651-343-8885
Resident/Owner I
Address/City/Zip: 712 Havenhill Road Eagan, MN 55123
Metro Heating & Cooling20090002249 P
i Name: License#:
Contractor
I Address: 255 Roselawn Avenue East#41 •City: Maplewood
State: MN Zip: 55117 Phone: 651-294-7798
Contact: Micah Email: micah@metroheating.com
4 I 1 New 1/ Replacement Additional Alteration Demolition
t
Type of Work i Description of work: Replace existing furnace and A/C
NOTE:Roof mounted and ground mounted mechanical equipment is required to be screened by City
l Code. Please contact the Mechanical Inspector for information on permitted screening methods.
,_
RESIDENTIAL COMMERCIAL
I—
I
1 Fumace New Construction Interior Improvement
Permit Type 1 1 Air Conditioner Install Piping Processed
g Air Exchanger Gas Exterior HVAC Unit
Heat Pump _Under/Above ground Tank ( Install/_Remove)
_Other
RESIDENTIAL FEES
i $60.00 Minimum Add or alteration to an existing unit,includes State Surcharge I ,,
$100.00 Residential New, includes State Surcharge =$ (u'OD TOTAL FEE
COMMERCIAL FEES Contract Value$ x.01
$60.00 Permit Fee Minimum
$75.00 Underground tank installation/removal,includes State Surcharge =$ Permit Fee
=$ Surcharge
Surcharge=Contract Value x$0.0005
If the project valuation is over$1 million, please call for Surcharge =$ TOTAL FEE
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.
x Carley Ferrie x
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA166769
Date Issued:02/03/2021
Permit Category:ePermit
Site Address: 712 Havenhill Rd
Lot:22 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-220
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 -
Richard G & Teriza Kuchera
712 Havenhill Rd
Eagan MN 55123--165
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167618
Date Issued:03/23/2021
Permit Category:ePermit
Site Address: 712 Havenhill Rd
Lot:22 Block: 7 Addition: Hills Of Stonebridge
PID:10-32990-07-220
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. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
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 -
Richard G & Teriza Kuchera
712 Havenhill Rd
Eagan MN 55123--165
Minnesota Restoration Contractors Inc
12252 Nicollet Ave
Burnsville MN 55337
(612) 280-4807
Applicant/Permitee: Signature Issued By: Signature