713 Havenhill Rd_•
(litr#ifir?tt uf (Orrupanry
titp of eagan
arpwftpn# u# suildircg iwrr2imt
This Certificale issued pursuant to the requiremenls of Section 306 of the Uniforni Bailding
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the jollawirrg:
use cjmc,mbon SF M/CAR eklg. Pe,n,;, ro. 17470
oaowar TYa R3/M12 moina otWa ? T"e cAm, VN
Owner d Bwlding? HOMES Amn„ 5929 BNOR R(lAD. MMA
eWwbng naarm 713 HAVENHnI. ROAD ,jxa,;ryL)4, B9, BU.t?S (7F SIrNEMUDCE
Dw MAY 10, 1490
&adWa Offi*V -
POST IN A CONSPICUOUS PLACE
,. 11,11LUmolnaa rimnml I For Office
' 'CITY OF EAGAN PERMIT #
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT #?
PRICE . PHONE 4§48100 DATE: -Z:?
? Address
? City Phone
City
Phone
FEES
- COMMJIND. FEE -19b OF CONTRACT FEE _
APT. BLDCiS. - COMM. RATE AP%IES •
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)
Only
Res. Ll New
Mult 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
Ktchen Sink - $3
00
.
?
Urinal/Bidet - $3.00
Laundry Tray - $3.00
??. Floor Drains. $1.50
te
• W
N
1
50
ater
ea
r - $
:
?_
\ I?:J_I &/f M
? Gas Piping Outlets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
? Rough Openir?gs - $1.50
PERMIT FEE:
STATES SIC:
GRAND TOTAL:
??
- . ' PERMIT # x
• • . . . ?,
-
! MECHANICAL PERMIT
CITY OF EAGAN RECEIPT #
- -+
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE:
CONTRACT PRICE: <:-`>?/•.` PHONE: 454-8100 For Office Use Only: ,
Site Address ' BLDG. TYPE WORK DESCRIPTION
Lot . r Block ? Sec/S ub
Res. New
Name r Mutt. Add-on
?
Address Comm. Repalr
c
City
Phone " Other
?
Name FEES
RES
HVAC 0-100 M BTU -$24
00
.
.
c Address ADDITIONAL 50 M BTU - 6.00
p City 4= - Phone (RES. HVAC INCLUDES A1C ON NEYY
- CONSTRUCTION)
? GAS OUTLETS (MINIMUM - 1 PER PERMIT) - 1.50 EA ,
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air
M BTU ?
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 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 # BEYONO $1,000)
Other
?
FEE
SIGNATURE OF PERFitITTEE
? S/C:
' TOTAL• FOR: CITY OF EAGAN
- 1_ . s ? ?..-. .."... . . . _ . ?y..- . . _
t FruuEPr.A!E 6/26/90
-4269 ClTY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
IK?A PHONE: 454-8100 ?
MIT Receipt # y 4
SP ?/GAR Est. Value ;129,000 Date-,1m
Site Address 713 H?VENliILL RD
Lot 14 Block 9 Sec/Sub. HIL1S OF
Parcel No. STONEUIDGE
W Name 4?Ta?[ tx?"
3 Address 5429 DAKER RD
° City MIl9NE'rOPiKI? Phone 423-21 SS
o Name sAME
Clly
Name _
Address
Signature of Permitee
Phone
read this application and state that the
Io comply with all appiicable State of
A Building Permit is issued to: """ •°" """i°
on the express condition that all work shall be done in accDrdance with atl
appllcabie State ot Minnesota Statutes and City of Eagan Ordinances.
Building Otiicial
Phone
? 17470
, t9-90-
Occupancy 11114 H- 1 FEFS ?
Zornng
fActuaq Const
Y N
Bidg. Permit ?
741,00
(Allowable) V-N Surcharge 64.50 j
# of Sror7es ;
Length PlanReview 482.?
?
Depth 35' SAC. City 100000
?
S.F. Total - SAC, MCWCC 6M.?
I
S.F. Footprints -
On Sile Sewage _ Water Conn 62?•? ?
On Sile Well
? Waler Meier
MWCC System
?
Acct. Deposit ?
• ;
Ciry Water -
S
3O'OO
PRV Required _ /W Permit ?
Booster Pump - SNV Surcharge 1' ?
Trealment PI OG '
252.
J
APPROVALS Road Unit 355'00 j
?
Planner - Park Ded. ?
Council
8tdg.Ofl. _ Copies
3
370. W
Variance - TOTAL ,
;
• Permit No. Permit Holder Date Telephone #
WAjER
SEWER ?
PLUMBING
H.v.ac.
?j ,
Wa-;,
8 Sc?
ELECTRIC
Inspection Date Insp. Comments
Footings I ?XU ?Z' ,
Foundation 2- 9 ?
Framing p
Roofing
Rough Plbg.
Rough Htg.
fsui. 3 - o -/
Fireplace ?
Fnal Htg. S = '- ?E
Fnai Plbg.
Const. Meter Pibg. Inspector - Notify Plumber
Engr.IPlan
81dg. Final
Deck Ftg.
Deck Final
Weil
Pr. Disp.
CASH IN?CEIPT ?
CITY Of ? EAGAN ?
3830 PILOT KNOB ROAD '
EAGAN, MINNESOTA 55122
DATE
?
necerv?o ? la? ? { ? ?i-.tl.?.l L%' jL
Ff10M
AMOUNT $ l0 1
? CASH
8 DOLLARS
ioo
? CHECK
i., 11 ii .A 5 / -I I k -1 .%it:A r
FUND I OB.IECT I I I AMOUNT ?,, L7;')
Thank You
r
BY
C ?g1? ?"?„
Pink--File Cppy
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
SITE,ADDRESS _
LOT, ? BLOCK
APPLICANT:
ADDRESS:
CIT4',STRTE _
PLUMBEF#
ADDRESS: '
CITY, STATE ZIP
PHONE: '
OWNER: _
ADDRESS:_
CITY, STATE
PHONE: _
OFFlCE USE ONLY
METER # PERMIT DATE
CHIP # PERMIT #
METER SIZE B.P. RECEIPT #?-
ISSUE DATE B.P. RECEIPT DATE 1/ z
- PRV - BOOSTER PUMP
PERMIT REOUESTED {
L+7ef'1
? SEWER >L- WATER _ TAPS ?
COMMlIND ? RESIDENTIAL ?
rZIP ,? NEW - EXISTING ?
ZIP
Lawn Sprinkler Meters are to be Installed
Ahead of Domestic Meters on Water Line.
Credit WILL NOT be given for Deduct Meters.
I AGREE TO COMPLY WITH CITY OF I
EAGAN ORDINANCES
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORIA I
SEWER PERMfTS, CONTACT ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
Eagan, MN 55122-1897
DATE
OFFICE USE ONLY
METEH # SJ33'IoZ 2 PERMIT DATE .! ?Ll.430
CHIP *1 d I !V 7 30 7,1
PERMIT # + + + q+
METER SIZE e? B.P. RECEIPT # d6gI2
ISSUE DATE ? - L B.P. RECEIPT DATE J/ ? 9, 9?
_ PRV - BOOSTER PUMP
SITE ADDRESS ' r
LOT f?; BLOCIt SEC/SUB r r ?- --? ,
,
APPUCANT:
ADDRESS: G;:?
CITY, STA'tE %ZIP - ? -
PHONE:
?
PLUMBEW
ADDRESS:
CITY, STATE
PHONE: _
OWNER: _
ADDRESS: _
CITY, STATE
PHONE:
ZIP
ZIP
PERMIT REQUESTED ?
SEWER WATER - TAPS
COMM/IND _?_ 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.
I A MPLY WITH CITY OF
_ N INA S
SIGNA URE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. CALL 454-5220 FOR INSPECTIONS. FOR STORIIA
SEWER PERMITS, CONTACT ENGINEERING DEPT.
CITY OF EAGAN N 0 17470
3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121
PHONE: 454-6100
BUILDING PERMIT ? Receipt #
To be used lor SF DWG
Est.value. $129,000
Site Address 713 HAVENHILi RD
Lot 14 Block _9 Sec/Sub. HILLS OF
Parcel No. STONEBRIDGE
W I Name CENTEX HOMES
o Address _ 5929 BAKER RD
City MINNETONKA Phone 423-2155
o Name SAMF. I
?? Address
City Phone
r
ww Name
xr" Addfess
aW City Phone
I here6y acknowlege that I have read this application and state ihat tha
inbrmation is correct and agree to compty with all applicable State ot
Minnesota Statutes and Cihr,d EaoaoOrdinances.
Signature of Permitee
A euiiding Permit " ssued to: CENTEX HOMES
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Stalutes?,1 andyC?.,ity?o?f Eaqan Ordinances.
Building olticial ?1k_?,I'i/L f IL.LI
OFFICE USE ONLV
Occupancy R-3 M-1 FEFS
Zoning
(Actual) Const V? Bldg. Permit 741 . 00
(Allowa61e) V-N Surcharge 64.50
# ofStanes
66 '
Plan Review
482.00
Langth
Depth 35' , snc, aty 100.00
S.F. T°'ai - snc, Mcwcc bnn _ no
S.F. FwtOrinis -
On Sile Sewage _ Water Conn 69 S_ 00
On Site Well - Water Meter
0
90.0
MWCCSyslem xx
Ciry Water XX Acct. Deposit 30.00
PRV Required _ S!W Permit 30.00
Booster Pump - &yy Surcharge 1.00
Treatmenl PI 252.00
APPROVALS Road Unit 355.00
Planner - park Detl.
Countil
Bldg ary _ Copies
Variance - TOTAL
0
3,370.5
DATE:
1/30/90
RE: 708 HAVENH1LL ROAD & 713 HAVHNHILL ROAD
xx
- 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.
?4Your Sewer & Water Permil for the above property cannot be completed for the following
;reasons:
T .
? R
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
? COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must be
confirmed by 8ill 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.
Secretary, Building Inspections Dept.
..
2212 3 f
Repvest Date ire No. Roug -in Inspection
Requiretl?
? Ready Now ?Will NoNly Inspector
-'- O Yes G No When Reatly?
I)0 licensed comracror ? owner hereby request inspection of above electrical work at
Job Atltlress (Slreel, Box or Route No.) Giry
"11 NA?et? ? I E co
Sec1ion No. Township Name or No. Ranqe No. County
Qcup 1 (PRINT
) Phone No.
L
Power Suppiier .
i?r.?Ot? Z lec?-?? Atltlress
Electncal Contrecior (COmpany Name)
e? lec?r?`c, y?c
; Conlraclors License No.
041535-
MaNng Ad? s
GOmractor or qvner Maki Instatlafion)
$303 Suh e.? ,ad AJE,
ails
w?m ssN3a
Amhonxatl SignaNre fConlraaorlOwner Making Installalion)
/)')ifo Waj4tl- Phone Number
`1 3-) 2 9
MINNESOTA STATE 60APD OF ELECTRIGTV THIS INSPECTION REOUEST WILI NOT
Grlg9s-Mldwny BIUg. - poom S173 8E ACCEPTEO BV THE STATE BOARD
1821 UnlveieHy /.ve., SL Paul. MN 55100 UNLESS PROPER INSPECTION FEE IS
Phone(611)602-0800 ENCLOSED.
D REQUEST FOR ELECTRICAL INSPECTION
?,a ?? See insVUCtions lor completing ihis lorm on pack oi yellow copy.
?l 2,1231 `X" 8elow Work Covered by This Request
°V!`?'?' EB?00001-0]
=o,
?tlhtv4lA
ew Adtl Rep. Type ot Building AppliancesWired EquipmenlWired
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Speciry)
Comm./Industrial Furnace
Farm Air Conditioner
Other jspeciry) Conlracmr5 Remarks:
Compute Inspection Fee Below:
# Other Fee # ServiceEnUanwSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps A6ov Amps
Signs Inspector5 Use Only: Tp?
Irrigation Booms
SpeCial Inspection
niarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rou9n,n oelte., /
certify that Ihe above inspection ha5
been made. F;,,ai ( Date4 el
OFFICE USE ONLY
This request witl 18 moMM1S imm
Oi2a4- 801
?6 50.50
D
SEP 0 A 2008
&z0- -- ---------,
; F
I? Permit N:
? Permit Fee: _5-n• J-D
? Date Received:
? - I
? Stafl:
___________- J
2008 MECHANICAL PERMIT APPLICATION
Date: ? -a r Site Address: -7 0 kVeVI H? t ? Rb?
Te n1•
Suite #:
RESIDENT! OWNER
Name: S??tln?S Phone:
Address/Gity/Zlp:
Name: f'(4Ve l+-ek-6 "i?+ ? ?t- :1'?Aicense #:
CONTRACTOR
Address: i"'11'-1 h?
ciry: &at-D4xii J AState: _nA)-Zip: --
Phone: '=?(o°v-544Z` I??OIo_ContactPerson:_RANDY 1mK`cSl-,
1'YPE OF WORK - New __ Replacement _ Additional A_ Alteration Demolition
Dascription of work: --
NG??'?:?Bo'th root=inoutFtedahd yrduncN?il?t?ntetftriec?i??tl?l??ir?rp]i?rerrt is t?taf'reul i'o .,
6'e`s?FeerreH 6y°Gity Gorle. Pi??se'COMaet tfie I?TeCit?IhJ44'146410ecfeir or ode isf iHe
; P(eH rs far IriJhrtnatior?'an;, er?lfte????eelfli? ::.?M?tnatls.
RESIDENTIAL COMMERCIAL
PERMIT NPE New Consimcdon _, Interior Improvement
Furnace -
J Air Conditloner _ Instail Piping _ Prxessed
Gas Extenor HVAC Unit
Air Exchanger
` - NVAC units must be screened
HeatPump Llnder/A6ovegroundTank (_.Install/_Remove)
_ 1)C7 ??'aK „v
X Other When installing/removing tank(s), call for inspection 6y Fire
_ Marshal and Plumbin fns or
RESJDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90,50 FiYO rBpair (replace 6urned out appllances, ductwork, elc.) (includes $.50 Sta[e Surcharge)
$ 150•SQ1 TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $_ x 1%
$50.50 Minimum (includes State Surcharge)
- $ Permit Fee
- If Permit Fee is less than $7,000, surcharge is $.50.
- If Permit Fee is >$1,000, surcharge increases by $.50 tor each =$ State SurChafge
$1,000 Permit Fee (i.e. a$7,001-$2,000 Permii Fee requires a$1.00 surcharge).
$ TOTALFEE
I herehy acknowledge lhat ihis intortnation Is complete ana aeeurate; tnat tne wore vmi oe m cornormance wnn n?e u«ni,.i? a? ?? -?- ?? ?? ._ ?. v a?.., ,..°.
I understand [his is not a permit, 6ut only an application far a permit, and woiic is not io slart without a permit; that the work x%I? in accordance with [he approved
plan in the case of vrork whlch requires a review and approvai ot plans.
X i.S15 1NornP502J =.
ApplicanYs Printed Name App Ignatur
H
A
, 1989 BUII.DIIiG PERMIT APPLICATION
CITS OF EAGAN
SIIi6LE FlMILY DiIELLIiGS lA1LYIPLE DiIELLINGS COlMERCIAI.
P SEiS OF PL9N5 -? 2 38T3 OF PLAN3 2 SETS OF 1RCHISECTURAL
3 Hfi(iISTER6D SITS 30RYEIS ? ffiGISTBRED SITfi SQRVE23 - i STHOCTQAAL PLiNS
1 SET OF BNERGY CILCS. ? (GSBI.[ 1iITH BLD6 DI9.) 1 SST OF BPfiCIFICITIONS
1 88i OF FBERGE ClLC3. 1 SET OF E9ERGT ClLC3.
1lULTIPLB DWELLINC3 EENTAL ONIT3 Pp6 S1&E l{ffIi3 I OF DBITS
10TEt IDDAE53E5 POH CORNER LdT3 - CaATAACTOR/HOMEOiRiEB MDST DESI(NASB 1iHIC9 JLDDAESS
I3 DF.4IRED. BO CH?NGFS WII.L HE AI.LOiIED OtiCE BUILDIIi6 PERKIT L! IS.SIIED.-
3SiiER 8VtTSN PSl9iIT FE6S lAD 1CC00AT DEPD3IT 1r883 iiILL 88 INCLQDED iIITS THE BDILDIN(i
PEEHlIT M. PAOCES3IliG TLM FOR SENE8 lPD WATER PERMIiS ZS SWO D?IS fXiCE A PfiFMIT 8LS
BEEN COMPLETED INDIC9TING A LICENSED PLUlIDER.
PENALTI APPLIES HHENs PEHMIT IS NOT PAZD FOR IN S$ME MONTH IT IS AEQi)ESTED.
LOT CAANGE IS REQfJESTED ONCE PERMIT'IS ISSIIED.
J A !d Z ? KECO
To Be Used Fors 5?1 ??A1? Yaluation: sZ9 ?}Ofl? Dete:
3ite Address 713 "t f4a&--d
LoL At Block ? ? 10-S Q F
Parcel/Sub ?5??4re ip"J,?c
0wner 6thiz,.H 92ae?S
eddress 9 ?-? A Ate &
Citq/Zip Code 0119
Phone ?ar 4?f1 3 ?4e ;-r
Contractor r.,?? v44=L
gddresa
CiEy/Zip Code
Phone
irch./Engr.
aaare9g
Citq/Zip Code
Oecupancy R-3 N1`?
Zoning 1
Actual Const V-N
Allowable V-T!
1 of stories
Length
Depth 35
S.F. Totai
Footprint S.F.
On aite eewage
On site weli
MWCC Syatem ?
City vater ?
PRV required _
Hooster Pump _
1PPROVd1.3
Planner
??i?
e??. ?f.
varsance
Bldg. Permit
Surcharge
Plan Reviesr
SAC, City
SAC, MWCC
Nater Conn
Nater Meter
Acet. Deposit
S/W Permit
3/ii Sureharge
ireatment P1.
Aoad Unit
Park Ded.
Copies
SOSTOTAL
Penalty
?OTAL
??z6 /
Phone 0
VA k-u aTl o?
MovEL I I
-7-o _ 12--,
?AC
I Zk? ??'y-
• ?? **; -
PBONEER LRNOSURVEYORS- [IWLENGPNEERS
? ?eng*eering.. LANOPLMiNERg•6ANpSCMEARCMYTECiS
I6 Certificate of Survey for.
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2422 Enterprise Drive
Mendota Heights, MM 55120
(612) 681•1914
M?
?
NO4TF1 `i
9 5-6
' p?G k
b9?'S-
s.?- X i ¢?4?• ? ? ' . . .
y $9 7.3411
897.Z ° ,
_ d9?• s j ?96. 8
/
. 900.0 Denotes errsti'n Elevafian
x soo.o Denofes pro d Elevatr'on
------ penofrs OrYxrna e j Utilif Easemr?nt
_T denates :Drnina?e Flow rrows
Lowesf Floor £levqfion = q4(?b
Top ot Block Elevaf;on _ 899. i`
o Denofrs monumenf ..?'iara?e'SYob E/evafion = 89f:8'
. gearrn?s shown ora assumed
L07' ?,? ??BLOCK.. ?.?1 ?ILtS? oF
paKOrA . cou?wtY,'N!"""??a Sr?a?ECT Tn:EasEeENrs
?--1 hereby cM1H N+et thb b 8 trve'2nd CCffaC[ APwftemtfo-.o1 ? su.vey Of the 6ounderrm of the Nei
.?Wiidmps, ?nd dl YhibN enerosehmenh. ir any, lrom a on nid Imd: As w.rAeYed bY me thn!??
% 12/u?Q9
. s? ? p Q¢v .1 I I P ? 9 e?eh n9"vh3C,
.;t7.tA/G3', 40,
a. .v.?+ `K
t3
. . , i., .... .. . e.,e?e
_ y
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0'
?P
PROPOSfD NDUSE EGfVA7JONS
$TOIVE890GE
?erMo??1° ioution of aII z.
S.amdLAD. 18,4. y ., . ?
1'"?#
W'N ?97
Cr'iy'r_.irI!5c A•.rc. "_ii:nt-%rT,,UTp?'.f;n
CEtdTE;; Hi_t.1ES ;_ =!F;POF;ATiON
_ .............................:....................:...._-............:
11,40GEL #75ii
... ...............
................ ......................
c
.:
.
.
...............
.....
.. Siu. FT.
:........................ ,Li..
................
.
t. .
.
...
.....
......
TC{ i u.s. E`?;FG?Sc.} '?ar;s.LC ARE A
.............
..
.. .
2313, 525
.......
.... ....
......
n, ! t p
..
............
257, 7$8
. _...- - . . . . . . . . . . . . . .
2. ..
..._...........
.....
TC!Ts.L Ui!i?Fi??ElL!":i? .?F;EA
- ............................................ .
.
11.»'.ii F1 fi .
.:..........=............. `
C?.?i?F:
..........:..... -9.h.°-?'
.:....................
3, TGTAL E;sF'»S=G ";+,?.LL C,?.LC.
..................
...
r;.:po?e,? ?area ?ab?=vc fif;r,r-
_ ................. _._ ?$,55.ti}•?7
.........................
.....--........
.:_....__...........
a. ivtal wall ?,?iill?fJSh? QYeQ
...... z56.36ii :
.
...
: iJ.4::0
.....
.
...
. : 1U7.6?1
.........
G.
.. ..
................ .............. .-------- -......
Tatal duor rareci
.....................
...........
....
.. ...................
.
.
37.700 :
.....................
... ..
..
.
.
0.060
................ : 2.262
......................
c.
... .
........
.
...... ....
Tco#al sliding glass duor area
...................... . ........................ .
.
: 17.760 :
............. ....... 0.390
................ : 5.434
......................
d.
.... Tu#al firepl,are wail arFa
....... ............... ................... ....... 0.000 :
.:.................... .... 0.000
................ : 0.000
. .....................
.
To#al EXp0:?8CI wQlI lE`?s3 a G?. . c. d
........................................ . . ... . 17?t4. 16fj _
... .
.
. . . .. . . . . .. . . . . . . . . . .
e.
.. Totut w(ill frnrriing area
..
....... 174.416 :
....
: 0.097
.......
...
... : 16.901
......................
f.
... . ..
......................... ...............
Tota3 net wali area above flaor
......... . .
. ..
..................
.
1569.744 :
......
: .
.
.
0.045
................ : 69.953
.............. ........
g. . . .............
.......................... .....
Tr,tal rim joist area
. ........................... .. .. ....... .... .. .
.
i 198.147 :
.......................... 0.042
...... -........ ? 9.298
.:....................
Total fourtda?'ton area{Expoyed)
................ . .
.
.........
.. : 89.378
. . . .......
.......
.. . .
............ . .. .
............: . . . . .....
ti.
. .........
.
.. . . ...
...............
Tvtn1 founda#itiri window area
. ..............
.........
....... ..
..
.
8.014 :
...................
:.... 0.920
................ : 3.364
......................
i. .....
......
.........
Total nEl fnund area at,ave grade
....... .
.
81.368 :
.. . ... 0.123
.............
.. : 10.008
.. ....................
.
........... .. ... ............... .................
TOTAL
..................................................... .. . ..................
.:.................... ... .
................ 2[5.39}
. ....................
.....................................................
4. TnTAL E;'FOSED ROi1FrCEii- CP.IC
?r,!oi aYpevcd t`GOftC:EflIl1Ci area
........................... ......................... q,
........... $41I.CIf10 :
:.................. ......
:...
............ .....
.................
.
..
...
.
....
...
.. b.
.. 302, 000
.......
..
.
-
............ ........
...
........
....... ....
.
....
.
.
.
j. Tota1 sk.yligh# area
.................................................... .........
........ ...
..
..........
O.OQD :
........................ o.aoO :
..................... 0.0100
.................
k. Tatat rnuflcEiiing frnminq area a .
.....................
........
..
.... 84.000..:...
.
. . ....0,U?5 .: . . . . ...2:.0°9..
....
.
........
..
......................
..............
..
. ... .
.. ..
b. ...
..
30.200 :
.........
:..............
0.423 :
.....................
0.705
.................
..
...
.
..
l. Tr,#al ne# inuul. rnaficeil area
....... .. .......
..... ...........
a. .
756. 004 :
.....
: 4. 024 :
. .. . .. .............. . 18.143
. ........
...........
..... ...............
....................................... .....
...... ..... . .....
h.
......... ...................
271.8 :
:.................... .... 0.025 :
..................... 6.952
.................
..
TOTA.L
................. .......... ................ ......... ..
...........
..................... ...
............. . :... 27.798
.................
................................................. ..........................................................................
_ ?.?. 2 .-.........?...... 2?37.4?Sp
.........................................
... ..: ?
ACTLIp,L 3+ 4= 253. 1$9 :
................... ......................................:.........................................:....................
OIFPEREMCE 34.291 :
........................................ ............... ........:.................... ..................... ....................
........................................ ................................................................................
A.GT?aL.....1.ez? L?SS...::.TFF.A4 ...... A.l.Lay;?A.?3!-G .....:............. .......
........... : - ......:........... . ........:.. . .... . ... .........
Siqne
?/1Ve ?
E. WQII irpmihq
1 . interior air tilm
i. i!2" drywall
3. 5 1/2" soft wood
4. 1/6" Thermoply Sheathing
5. Alum. tiding
6. Exterior air fiim
f. Net wail area
1. inlerior air tilm
?. 112" tlrywall
3. insula!ion
4. 11E" Thermoply Sheathing
5. Alurri Sidino
6. Er,terior air film
. ,
Total
ioiot
r• .t?.I:...??1•??
4, 1r8° ThrrmoCl`•'.neathing
S. °.iUfti. °•idillc
:. E:; t?rior air ti?rr:
'^tp'
QboNB C•.OOE
f l: w: '
_. :. tn*••;r?ax:Dlstt iQGt',
?• ?'? f. =.•.eeta?' air iiirn
Tr?al
.R.. U.
0.66
0.45
6.88
1.53
0.61
0.17
10.32 0.0968492
0.68
0.45
19
1.53
0.61
Lt. t?
__.=4 0.0445633
..eE
1V
1 V f'.'
1.5J
0.61
C!. 17
_;.BS 0.1,141^c7g
:
Lf. I•I
..1:
.oR7
.e4S
.04 X.
0 Ii3
1W
9/pl0n
,
k. rooT/ceiling framina (-MussES)
t. Interior air film
2. a.Blown insulation/b.lnsulation
3. 5!6" dryaall
4. a. 3 i JZ" sft ad/G. 11 1/4" sfi wd
5. Fr.terior air film(stiil )
Total
fNi1.1&-
?. ne! roof!ceilirre area
F
t. !ttterior air fiint
_. a.E:}o,:,n insulatinnrt. In5ulation
3. 5:F•• arywali
4. cr.lerior air filn•ifs!il??
Tatal
a.? b. IFPAXT R•38
0.61 0.61
34 27
0.45 0.45
4.35 14.175
0.61 0.61
40.02 42.845
0.02448?5 0.0233399
• ots . ot'3
... t.
n:.G?
4t+ 38
D.45 0. 45
0.61 0.61
qt.F^
U. G??G°S? 0.025200
.oi4 flL3Z
. .
?:CO
k. rooflccilina framing. Z??Z RI?F?ER a, b,
1. Interior,air, tilm 0.61 0.61
2. a. Elvam insulation/b. insulaYion 34 0
3. 5i6" drywall 0.45 0.45
4. a a 1/2" sfi wdlG. 11 1!4" sit wd 4.35 14.175
5. Gr.terior ai!• film{still ) 0.61 0.61
Totpl 40.02 15.845
0.0244675 0.0631114
ezS oa3
1. nFt. ^ppf!::eitinq prea a. G.
1. Ir:te;`inr air film 0.61 0.61
El-vr. ins:;!ntiun!G. Insuiativn SG 38
3. 5rE" dr•tw. nl i 0.45 0.45
4. Er.icri[m air filrri{^ttil ? U.:+i 0.61
Tptai 41.67 39.67
Q. r!2399; 1 0.025206
t . 0'14 . oi.5 z
`1 Itt /v
t•,tOCiEL #750
To#a} wall winduw area
16x24/24
24x24r24
28x::ikt20
2o;e24{`L4
"L8x25!28
32x22i22
36x22J22
14" sidelites
TOT,RL
?otal wrall aGovF fioor
'dnLiit k;neearall 8
4' fi 1.;2" r,;gn wa'il„
6' hiqh walls
Total rirri joist 2x10
Total expased faunda#ion {8" }
# of sq. f#. #otal
2 6.2 12.4
2 Es 16
1 7.8 7.8
1 9.3 9.3
15 10.9 153.5
1 Q.s 4.s
2 11 2 2
2 7.78 15.56
256.36
tin ft height !c,tai
0
U 4.708 0
257 6 2056
2056
257 4.771 198.147
134 0.667 84.378
#l7v?0
1990 BUILDING PERMIT APPLICATION
CITY OF EAGAN
SINGLE FAMILY DWELLINGS
MULTIPLE DWELLINGS
?
2 SETS OF PLANS 2 SETS OF PIANS 2 SETS OF ARCHITECTURAL
3 REGISTERED SITE SURVEYS RSGISTERED 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 PIGKED 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 - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL SE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?(? QC?E. Valuation: Date:
Site Address 713 zAiQN Aa- ^
Lot [?- slock 9
Parcel/Sub &.96
Owner ltn! MAIA U19LN
Address .7iUJ (2oV'j+/}4Wp? j,Qrt.
City/Zip Code ?4AJ5 L). LU , yv SS 337
Phone Og?- ?26??W? 3,31,p
Contractor IrW;?/?? p? e-(,o
Address. j?J.? 6 Zg$??2?tlYr /?uP
City/Zip Code 8Lt44 pi !?'S yC/
Phone 00 -131 Z
Arch./Engr.
Address
City/Zip Code
OFFICE USE ONLY
Occupancy
Zoning
Actual Const
Allowable
# of stories
Length
Depth
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off.
Variance
COMMERCIAL
FEES
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC, MWCC
Water Conn
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Copies
SUBTOTAL
Penalty ?
TOTAL
Phone #
2004 RESIDENTIAL BUII.DING PERMIT APPLICATION
City Of Eagan
?`•--?? ?j? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New ConsW ction Reauirements RemodeVReoalr Reauirements
3 registe2d sile surveys shaving sq. R o( l04 sq. ft. of house; and all roofed areas 2 copies of plan
(20% maximum bt coverage allowed) 7 set of Energy Calcuiations for heated addNOns
2 copias of plan showing 6eam 8 wirbow s¢es; poured taund design, efc. 7 site survey for addNOns & decks
7 set of Energy Cakulatlons:. Add'Aion - indkate i/on-sRe sepfic system
3 wpieiof Tree PreservaUon plan'rf bt platted after 711193
Rim Joist Defsd Options selection sheet (bldgs with 3 or less units
Date ?142- ,r?
1 U V
ConstrucHon Cost
Site Address '2/ Z ??r/? ?? ?c{? UniUSte #
Description of Work C,'zF 1/?,q
Multi-Family Bldg _ Y _ N Ftireplace(s) _ 0_ 1 _ 2
Property Owner
. Telephone #((j5'/ ) Zt',X. / 7 f1 e)_
/L/N
Contractor -
ir` •
% 9 i?? ?-
?C
Address . Q. ?? CitY
State ZpGb i,?l ?/?? Zip le-r- Telephone #(?t?
S-S? Y_3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Iviinnesota Rules 7670 Categorv 1 Minnesota Rules 7672
Energy Code Category . Residenfial Ventllation Category 7 Worksheet • New Energy Code Worksheet
(J submission type) Submitted Submitted
• Energy Envelope Calculatlons Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone # (
Telephone # (
N If so, 25°,6 plan review
I hereby apply for a Residential Building Permit and acknowledge that the informat? is ffe-krul acIurate;
that the work will be in conformance with the ordinances and codes of the City of agan anestate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pernut; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
)L42
'e.?YN?
ApplicanYs Printed Name
pplicant's Si ahue
OFFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
/
?" 02 SF Dwelling ? OB 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck O 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Pibg Y or _ N ? 25 Miscellaneous
Work Types
O 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 36 Move Building ? 42 Demolish Foundation M?145 Fire Repair
? 33 Alteration ? 37 Demolish Building• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolitfon (Entlre Bldg) • Gi ve PCA handout to applicant
?o
Valuation 6? scb Occupancy F--3 MCES System
Census Code Zoning ?-( City Water
SAC Units Stories Booster Pump
# of Units - Sq. Ft. PRV -
# of Bldgs '- Length ? Fire Sprinklered -
Type of Const -jW Width ?
_ Footings (new bldg)
_ Footings (deck)
_ Footings (addition)
Foundation
Drain Tile
Roof _ Ice & Water _ Final
? Framing
_ Fireplace _ R.I. _ Air Test _ Final
Insulation
REQUIRED INSPECTIONS
_ FinaVC.O.
? FinaVNo C.O.
_ Plumbing
HVAC
Other
_ Pool Ftgs Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: L-- , Building Inspector
Base Fee 13°l , g S
Surcharge 5,570
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total _,? 141 '75-
? sao JW
2004 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complcre for, single family dwellings & townhomes/condos when permits aze required for eaeh unit
Date??/ G? 4
Sitc Address 7is ?y'Cw.(/et.y\ •`\ ?A " Unit #
Property Owner l) O'V"L- e46A( Telep6one # ( (.,S-/ ) "I ,S11 '" I7)L
Contractor
StreetAddress ?+`?s;.,cjic_\ Hl?-)? City ?Ctfviv?
State Zip ?d - Telephone # ( ?,5? ) ?7''??7K 7 O
13ond #:
i Expires:
The Applicant is _ Owner 41-?Contractor _ Other
Add-on or altcration to esisting dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
air conditioner New _Replacement
? other (,?.f `
i??? e•?-S ??nr5
fec?nnzc:? if-U
?
?
StateSurchargc • :?,??? I?n ?4 I' ? ? $ .50
lbtal $
[ hereby apply for a Residenrial Mechanical Permit and acknowledge that the information is complete and accurate; [hat the work will
be in conf'ormance with the ordinances and wdes of the City of Eagan and with the Mechanical Codes; that I understand this is not a
permit, but only an applicarion for a permit, and work is not to start without a pemut; tLat the work will be in accordance with the
1appro the case of work which requices a review and approv p ans.
App cant' Printed Name licant , Sigtatu e
2004 COMMERCIAL MECHANICAL PERMIT APPLICATION
City OFEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comple[e for: commerciaVindustrial buildings
multi-family buildings when sepaza[e permits are not required for each dwelling unit
Date
Site S[reet Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephone # ( )
Bond #: Expires:
The Applicant is _ Owner _ Contractor _ Other
Work Type
New Construction _ Underground Tank _ Install _Remove'*see below
Interior Improvement _ Install Piping _ Processed _Gas
Nature of Work:
*'When insta!ling/removing underground tank, call ior inspection by Fire Marshal and Plumbing lnspector
Permit Fees: $70.50 Undcrground fank instullation/removal ,
$50.50 Minimum (mcludes State Surcharge)
ar
Contract Value $ x 1% _ $ PermitFee
• If eo rmit fee is $1,000 or less, add $.50 =:> $ State Surcharge
If ep rmit fee is over $1,000, add $.50 for
every $1,000 oermit fee $ Total Fee
I hereby apply for a Commercial Mechanical 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 with the Mechanical Codes; 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.
ApplicanYs Printed Name
Applicant's Signature
Approved By: , Inspector
65/71?,
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
15.So
?!(?, dL
Date ? I eI
Site Street Address Unit #
?
Property Owner Telephone # ( )
Contract u c. Telephone #( 70 ?
Address?3 City isc Stat? Zip.:?,7--50?
The Applicant is: _ Owner ?6Contractor _Other
Alterotions to existing dwelling $ 50.00
_Add fixtures to rooms, excluding water softener and water heater
_Septic System Abandonment
_WaterTurnaround (add $121.00 if a 5/8" meter is required)
Other:
_ Water Softener ? Water Heater $ 15.00
? replacement _ additional
Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
?
?? 2 i 50 " 50
State Surcharge
? $
JUN 4 U 04
,
?
u
Total $
I: ? I
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
t event a plan is re ' ed to be reviewed and approved.
?s?
ApplicanYs Printed Name plicanYs Signature
------------------
? Fo[OfficeUse ?
? Permit N: ?
i Pertnit Fee:
? Daie Received: j
I I
I Statf: I
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date:.clQ 0 Site Address: ! 13 Hil? {4 ll (a L?fi???'ES
Tenant: Suife #:
RESIDENT / OWNER Name: "f- 1tUIC v Phone:
,
// /2
L
3 $l
ll
Address / City / Zip: ?Z,
Applicant is: X-Owner _ Contractor
TYPE OF WORK Description of work: l.P.c,u-) `A1'LSW
Construction Cost: Mufli-Family Building: (Yes No X)
CONTRACTOR Name: Licenseq:
Address: c 4?)
City: 4&_jQ4iL State: AG'? Zip: S5! 2 3
Phone:?p?4 ('srY -J?ContactPerson: PHVI IIUK?i'u'-a'-
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rutes 7670 Cateaorv 1 Minnesota Rules 7672
Energy Code . Residential Venlilation Category 1 Worksheet • New Energy Code Worksheet
CategOry Submitted Su6mitted
(4 Submission type) • Energy Envelope Calculations Submitled
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No I( yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Coniractor. Phone:
NOTE: Plans and supporting documents that you su6mit are considered to be public information. Portions ot
the informafion may be'classlfled as non-public if you provide speciflc reasons that woufd permit the City to
conclude that the are trade secrets.
I here6y acknowledge that ihis information is complete and accurale; [hat the work will be in conformance with the ordinances and codes of the City oi
Eagan; Ihat I understand ihis is not a permit, bul only an applicalion for a permit, and vrork is not to art without a permit; Ihat the work will be in
accordance vnih the approved plan in the case ol work which requires a review and approv lans. -
X ??; 2 '
ApplicanYs Printed Name -??`? B ApplicaM's Signature ?
Page 1 of 3
IA AIJG 1 8 2008
DO NOT WRITE BELOW THIS LINE
SUB TYPES
? Foundation
? Single Family
? 01 of_ Plex
? 02-Plex
? 03-Plex
? 04-Plex
WORK TYPES
B New
? Addition
? Afteration
0 Replacement
? 05-plex
? 06-plex
? 07-plex
? 08-plex
? 10-plex
? 72-plex
? 76-plex
? Fireplace
? Garage
? Deck
?6 Lower Levef
.fn L'/"( ?e5
? Accessory Building ? Pool
? Porch (3-season) ? Ext. AIT. - Multi
? Porch (4-season) ? Ezt. Alt. - SF
? Porch (screen/gazebo/peigola) ? Mul[i Misc.
? Storm Damage
? Miscellaneous
eSS w; n E) 'D L?
? Siding ? Demolish Building'
? Reroof ? Demolish Interfor
? Windows ? Demolish Foundation
? Egress Window ? Waier Damage .
' Demolition (entire building) - give PCA handout to applicant
? Interior Improvement
? Move Building
? Fire Repair
G"
o
DESCRIPTION: /
!
Valuation ..,?
-
??o,??a- "-
Plan Review
(25%_ 100%?
GensusCode
# of Units
# of Bufldings
Type of Const.
19,'?'
?c ?!
Occupancy
Code Edition
Zoning
Stories
Square Feet
Length
Width
Footings (new bldg)
Footings (deck)
Footings (addition)
Foundation
Drain Tile
Roof: Ice & Water Final
_ p Praming
Fireplace:_R.I. _Air Test _Final
Insulation
Reviewed By:
IL Rc1
!'n /1 Z?'7
MCES System
SAC Units
City Water
Boosier Pump
PRV
Fire Sprinklers
Sheetrock
FinaI/C.O.
? FinallNo C.O.
HVAC
Other:
' PooL• _Footings Air/Gas Tests -Final
Siding: _Stucco Lath Stone Lath Brick
-e)o Windows
Retaining Wa{I
Building Inspector
RESIDENTIAL FEES:
Base Fee
Surcharge
Plan Review
MGES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
Tota I
? ??° ?
D °z leUe V `31 6, '?
?f2e51 w??. ? ??
Page 2 of 3
' 2004 RESIDENTIAL BLTII.DING PERNIIT APPLICATION
City Of Eagan
(?'? l?? ??? 3830 Pilot Knob Road, Eagan NIN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
<r-/
New Corxtruclion Reauire menls
3 registered site surveys shaving sq. R of lot sq. ft. oT house; and ail roofed areas
(20 % maximum bt coverage allowed)
2 copies of plan showing 6eam & window sues: poured found design, etc.
1 set ot Eneigy Calculations
3 copies of Tree Pmservation Plan if bt platted aflet 7l1193
Rim Joisl DeW Opdons selection sheef (bldgs vriN 3 w less un'ds
RemodeUReoair Reauirements
2 wpies of plan
1 setof Energy Calculations for heated additions
i site survey for addiCwns & decks
Ado"Non - irMicate if or-sde septic system
e?wl,
???I?`?
Date /Z?)
/? d c.
Construction Cost
-
SiteAddress :2? 1 , UniUSte #
Description of Work 47,cc' {?'
L/F2Ms'?
Mu1N-Family Bldg _ Y _ ?
N Fireplace(s) _ 0_ 1 _ Z
Property Owner v? Telephone #(/?/ y,S:5E?. /7 ,;t u
2r^?
ConVacWr ?
Address .. ?. ? ?? City
State ??G? N/ i? Zip 1 n°1 Telephone #(?? 7.z-- 0 l n
S7s'33'3
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Tvlinnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category , Residential Ventilation Category t Worksheet • New Energy Code Worksheet
(J subm'ission type) Submitted Su6mitted .
• Energy Envelope Calculations Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit and acknowledge that the informai? is com?t?and acyurate;
that the work will be in confom?ance with the ordinances and codes of the City of'hagan" anie ??tate of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of work which requires a review and
approval of plans.
ApplicanYs Printed Name pplicanYs 5ignature
04/26/2004 89:34 9528629627 ?REMIER RESTO2TION PAGE bY
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PERMIT
City of Eagan Permit Type: Building
Eagan. Permit Number: EA099135
Date Issued: 05/18/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 713 Havenhill Rd
Lot: 14 Block: 9 Addition: Hills of Stonebridae
PID: 10-32990-09-140
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Windows Doors-New ; Replacement
Description: House
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Improvements to the home require smoke detectors in all bedrooms. If altering window openin,s, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee S3K $88.50 0801.4085
Valuation: 3.000.00 Surcharge - Based on Valuation S3K $1.50 9001.2195
Total: $90.00
Contractor: - Applicant - Owner:
Renewal Andersen Matthew S Shads
1920 County Road C West 713 Havenhill Rd
Roseville NIN 55113 Eagan NIN 55123
(61)264-4777
I hereby aeknowledae 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 Citv of Eagan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
PERMIT
City of Eagan Permit Type: Building
Eaaan. Permit Number: EA102633
Date Issued: 12/30/2011
OR Permit Category: ePermit
41~ it~ of E3
E
Site Address: 713 Havenhill Rd
Lot: 14 Block: 9 Addition: Hills of Stonebridae
PID: 10-32990-09-140
Use:
Description:
Sub Type: e-Windows iDoors Construction Type:
Work Type: Replace
Description:
Census Code: 434- Occupancy :
Zonin,:
Square Feet: 0
Comments: Penny Firkus
2650 Minnehaha Avenue
Minneapolis. MN 55406
612-276-1680
Fee Summary: BL - Base Fee $500 $40.00 0801.4085
Valuation: 500.00 Surcharge - Based on Valuation $500 $0.50 9001.2195
Total: $40.50
Contractor: - Applicant - Owner:
Crew2 Inc Matthew S Shads
260 l\Iinnehaha Ave 713 Havenhill Rd
Minneapolis NIN 55406 Eagan NIN 55123
(612) 276-1680
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 Citv of Eaaan Ordinances.
ApplicantiPermitee: Signature Issued Bv: Signature
Use BLUE or BLACK Ink
r
For Office Use c
Permit#:
City of Eap ~s-
Permit Fee.
I
3830 Pilot Knob Road
Eagan MN 55122 ; Date Received: ~Q 3 Z
Phone: (651) 675-5675 I I / L I
Fax: (651) 675-5694 Staff: I
I I
2012 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: 11 G / Phone:
RESIDENT I
OWNER Address / City / Zip:
Applicant is: Owner (--::-_t Contractor
TYPE OF WORK Description of work:
Construction Cost: ~ Multi-Family Building: (Yes / No )
Company: z -Ti Contact:
CONTRACTOR Address: I Z10 C', ~ City: Pra
State: Zip: Phone:
License #:Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
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
1_ 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 Building Code must be completed within 180
days of permit issuance.
Applicant's Printed Name Applic Signature
Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158671
Date Issued:10/24/2019
Permit Category:ePermit
Site Address: 713 Havenhill Rd
Lot:14 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 1,500.00
Fee Summary:BL - Base Fee $1500 $62.50 0801.4085
Surcharge - Based on Valuation $1500 $0.75 9001.2195
$63.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Matthew S Shands
713 Havenhill Rd
Eagan MN 55123
(651) 343-9401
Home Depot Usa Dba The Home Depot
2455 Paces Ferry Rd
Atlanta GA 30339
(763) 852-1044
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA162552
Date Issued:07/20/2020
Permit Category:ePermit
Site Address: 713 Havenhill Rd
Lot:14 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-140
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
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 -
Matthew S Shands
713 Havenhill Rd
Eagan MN 55123
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264-4777
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA175423
Date Issued:04/04/2022
Permit Category:ePermit
Site Address: 713 Havenhill Rd
Lot:14 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-140
Use:
Description:
Sub Type:Fixtures
Work Type:Alteration
Description:Kitchen
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$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 -
Nancy J Tste Leppink
713 Havenhill Rd
Eagan MN 55123
Hessian Plumbing Services
Box 22172
Eagan MN 55122
(651) 681-8252
Applicant/Permitee: Signature Issued By: Signature