721 Havenhill Rd! ITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
,.1 1`4 1: 1 i i ;,?;, <r•l'.tt}t Ifi4l E,
, PERMIT SUBTYPE:
? : ?s
TYPE OF WORK:
INSPECTION .. . .A
I 13C1IA !*f•`iF1'EiRAlf" F'rkMl"t i4}:r,m ikFU fOR AN1 PI I1hIFI lNt, IJOtiK +'ErNiac'-1 :7ATF HOARD nF
? E'li"CTRI('Tf'( A1' 44E• :!t;40 RC1iAkoIl4ie FIF=f'11411Ai {'FftMif
I?
CTION REC4RD
PERMIT TYPE:
Permit humber:
Date Issued:
? ;? ? ? n r ?c : APPLICANT:
. . ,.
? r. ? .' T _;'., ???.,,.,
3( 3 ? -7
Permit No. Permit Holder DeN Telephone #
ELECTRIC
PlUME3tNG I a3
HVAC
InspecNon Date Insp. Comments
FODTINGS
FOUND
FRAMING
G
ROOFINO
ROUGH
PLUMBING L? -
PLBG
AIR TEST
ROUGH
HEATING ?
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
eSMT FINAL
DECK FfG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS: I N
+; ?I?1?!1 NH I i I I?ir
il 1 i : , i•?R![ Itl; I l?lil
! rt; ,j , lit? TION
PERMIT SUBTYPE:
CCORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
TYPE OF WORK:
yli ( I It 11491
N.'f'i1%
0 4 /`!f,
Mn I Ilnh!
nt I c tIA t 1 (111
INSPECTION
., ? .. . . .
, D
I !." M/;f?'! , i; ,. •.i . t , fl i I 1., .<i I, ,; r ;if ?I I tI I r. i { I FI :. , ,, ! i i 1: 1 i til t 11 t I ' {
, ?.
Permit No. Pernit Holder Oate Telephone S
ELECTRIC 1Q
PLUMBING
HVAC
Inspecticn Deto Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING ?s.
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL qyle I
GYPBOARD ,
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I_
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 ?5 f? `,°: f` !
PHON E: 454-8100 l ? ;
BUILDING PERMIT Receipt ? t °"?
To be used for 1F DwC/CA:, Est. Value a 11S,v0fl Date ,19
SiteAddress 72 I !%Ati`?,,A1xLL RD
Lot 1 L Block Sec/Sub. STOlIE21RTC?G`r.
Parcel No
m Name (;LFTFJC H014ZB
3 Address 5959 BAKZR 8D
0 Q'ity '•''1'KA Phone 423-2155 (JOB)
¢
.
o
Name &11ML
? ` Address
? City Phone
?Q
?W
Name
_ z. Address
U
Q W
City ' Phone
I hereby acknowlgdge that I have read this application and state that the
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Builaing Permit is issued to:-
on the express condition that all work shall be done in accordance with all
applicab!r State ot Mmnesota Statutes and City of Eagan Ordinances.
Building Official _
OFFICE USE ONLY
On Site Sewage Occupancy ii-3 M-1
MWCC System Zoning PD F-1
On Site Well (Actual) Const V-N
City Water X (Allowable) y"lq
PRV Required # of Stories
Booster Pump length
Depth 41+ 1
S.F. Total
Footprint S.F.
APPROVALS FEES
I,2 2' oo
Engr./Assess. Permit
Planner Surcharge -57• 5t)
Council Plan Review 311.00
BIdg.Off. SAC,City 100100
Variance SAC, M WCC 550.00
Water Conn, 550.00
water Meter 67. DO
Road Unit 325.00
Treatment P1 204+00
Parks
TOTAL 2 +756.30
BLDG. PERMIT NO.
I -
01-3210 Bldg. Permit
-01"-3422 Plan Check
01-3445 Surch./Adm.
- .? 01-3446 SAC/Adm. c) ?
'
-
- 01-2t55 Surcharge
75-3860 Road Unit
- 20-?1" 75 SAC
-
- 20-3865 Water Conn.
- 20-3868 Water Trmt.
20-3716 Water Meter
--
20-2252
Acct. Dep. ?
- 20-3713 Water Permit
_ 20-3743 Sewer Permit
r
79-3866 Sewer Conn. c : C`
28-3855 Park Ded. ?
TOTAL `"? ' 16 `O
CASH RECEIPT ?
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
? / ?. .
DATE
IFCEfVEO ? ;/ i / = j
FROM 'L /
' AMOUNT
? ? CJ
? CASH
L?-CHECK
FOR ?l! •?CtiII, ?Lr// /_ L /L/ /???r]/ ?•L/ /V Ll ? 1 „ .
16
& DOLLARS
,oo
r? n •-, ? White---Payere Copy
Yello?ostln9 CoPY
Pink-Flle Copy
Thank You
,
av
? Site
? Name
? Addru
c City _
? Name
3 Addre
O CitY -
TYPE OF WORK
Forced Air
Boiler
Unit Heater
Air Cond
Vern
Gas Piping Outleis #
MECHANICAL PERMIT PERMIT #
CITY OF EAGAN RECEIPT #
3630 PILOT KNOB ROAD, EAGAN, MN 55122
? PHONE:454-8700 DATE: ?
Phone
M BTU
M BTU
M BTU
'D M BTU
CFM
TOTAL: ? BLDG.TYPE
PERMIT FEE: L
S/C: '
Res. ; - .
Mult
Comm.
Other
y '??`7 v Ci
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC a100 M BTU - $24.00
ADDITIONAL 50 M BTU - 6.00
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM -1 PER PERMIn - 1.50 EA.
COMM/IND FEE -1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
MINIAAUM RESIDEM'IAL FEE - ALL ADD-ON 8
REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
(ADD $.50 S!C PER EACH $1000.00 aF PERMIT FEE)
<
OF EAGAN
Cities Digital ualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
? - ..?. ...?.. •
• ' ' ' PERMIT #
. • • MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KN08 ROAD, EAGAN, MN 55122 DATE: %?= 1
:)NTRACT PRICE: PMONE: 454-8100 For Office Use Only:
i Site
Sec/Sub
? Name
?c Address
c City Phone
? Name
3 Address - ,
p City Phone
TYPE OF WORK
Forced Air M BTU
Boiler M BTU
Unit Heater M BTU
Air Cond. M BTU
Vent CFM
Gas Piping Outlets #
Other
FEE:
S/C:
TOTAL•
BLDG.TYPE
Res.
Mult
Comm.
Other
- $24.00
- 6.00
- 1.50 EA. ,
WORK DESCRIPTION
New
Add-on
Repair
FEES
RES. HVAC 0-100 M BTU
ADDITIONAL 50 M BTU
(RES. HVAC INCLUDES A/C ON NEW
CONSTRUCTION)
GAS OUTLETS (MINIMUM - 1 PER PERMM
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDOS - RES. RATE APPLIES
- MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
REMODELS
MINIMUM COMMERCIAL FEE
- STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYONO $1,000)
?
- 12.00
- 20.00
- .50
SIGNATURE OF PERMITTEE
FOR: CITY OF EAGAN
CITY OF EAGAN '
454-8100 '
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at )-21 //,1 n " /" '. '' 9/?'
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
/"'12- /1 ,k _ " s- _,,,
I QK.
I Ds
When correetions have been made, please
call 454-8100 for inspection.
Date `j-// ?g A
Inspector City of Eagan
DO NOT REMOVE THIS TAG
• PERMIT # ?
. PLUMBING PERMIT RECEIPT #
' CITY OF EAGAN Dk'rP.N9ER f5, 1986
3830 PILOT KNOB ROAD, EAGAN, MN 55122 pATE:
CONTRACT PRICE: PHONE: 454-8100 A%
Site Ady? ss 721 HHavenhill ?a
Lot "` Block SeciSub
Hills af Stonebrid e
? Name Geii:G-RYdn P&H
m Address 74745 South Robert Ttai2
c City RoSemoltnt. !4I Phone 423-1 4-;
" 0 8
? Name Centex a
3 Address 5959 .
p City Mii nn rnlra' ?MI? Phone 9361:782;
:
55435
FEES
COMM/IND FEE - 1% OF CONTRACT FEE
APT. BLDGS - COMM RATE APPLIES
TOWNHOUSE & CONDO - RES. RATE APPLIES
MINIMUM - RESIDENTIAL FEE - $12.00
MINIMUM - COMM/IND FEE - $20.00
STATE SURCHAAGE PER PERMIT - .50
(ADD $.50 S/C IF PERMIT PRICE GOES
BEYOND $1,000.00)
t-----
SIGNATURE OF PERMITTEE ;
FOR: CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. ?C;XXX New :•:.?.2:,'t:;
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
N?, FIXTURES TOTAL
Water Closet - $3.00 ?i
1 Bath Tubs - $3.00
Lavatory - 53.00 ,1,:.?- `'• '
?Shower - S3 00
Kitchen Sink - $3.00 ?? vU
Urinal/Bidet - $3.00
?Laundry Tray - $3.00 !3 < <?
?Floor Drains - $1.50
4- Water Heater - 51.50
Whirlpool - $3.00
._?Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PEFiMI'n
So(tener - $5.00
well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE:
sraTE s/c: • ?r?
GRAND TOTAL: ? " ?`?
CITY OF EAGAN
„ 3830 Pilot Knob Road, P.O. Box 21 •199, Eagan, MN 55121 y,
PH ON E: 454-8100 BUILDING PERMIT Receipt
To be used for '?t' '/'•''s Est. Value ! 1?pOCK` Date NOV -= ,19ac
Site Address `j '""A • '- L
Lot t?Block ' Sec/Sub. 5'S?7P1?R?'•'-i?C;?
Parcei No.
a Name
w ,
z Address ? = •
a ???F)
City. Phone
, o Name ? Q Address
? City Phone
I hereby acknowledge that I have read this application and state that the
information is correct and agree to compiy with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to: ??????'• •+'??:?? ''+____
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
On Site Sewage Occupancy
MWCC System X Zoning ?U -l ?
On Site Weil (Actual) Const W'rN
City Water (Allowable)
PfiV Required # of Stories
Booster Pump Length 45' ?
Depth '•??'
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit F?'?"t??
Planner SurCharge .,
Councii Plan Review
BIdg.Off. SAC,City
?i???VLJ ?
Variance SAC, MWCC
Water Conn.
5 ?' :/ • ?f
Water Meter 67 • ``'
Road Unit 3 2 5•u?'
Treatment Pi 21C14.Cv
i
Parks
; ]
78b' 50
?
-
TOTAL ,
+ Permlt No. Permit Holder Date Telephone #
Plum6ing
.?
H.V.R.C. /C, -90,G' t ?? •`??.1, ?, ??d'U??'?
(
Electric i "-?.
Softener
Inspectlon Date Insp. Comments
Footings I
Footings II
Foundation ?S
Framing
Roofing
Rough Pibg. • . = - AI.;.
Rough Htg. •j1•9? p "" -SG Qita
Isul. z3. f?S /
Fireplace
Final Htg.
Final Plbg. D# Dr-
Bldg. Final
Cert Occ.
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
(gertiftra#e of Mrrupttnry
titp of (f agatt
aPpoI"tmPlt1 of iltimng iITSpPtftDtl
This Certificate issued pursuant to the requirements of Section 306 of 1he Urrifonn Building
Code certifyrng tJrat at the time of issuance this structure was in compliance with the various
ordinances ojthe City regutating building construction os use. For the following.•
Uae Clamifiation SF MIQR Mdg. lkrmi[ Na. 15822
paupun,.y Tym R3/ Mlt 7.aniug Diatrict FD/ R I Type Caut VN
oWn« of B,aaing ECENM E0FS ALWress 5959 BAKE[Z Rtl, K2NM+iiA
e?u?e ar?, Lacy12, B9. 7 S[F m TiYm
? r
?•- n.ca _?'??. I 9B9
Bwlding
? .
POST IN A CONSPICUOUS PLACE
. ' , • s . ..
CITY OF EAGAN
3830 Pitot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PH O N E: 454-81 U0
BUILOING PERAljr Receipt # ? •?„?
To be used for DECK Est. Value =19000 Date MAY 21 , 199L--
Site Address 72"
Lot _lZ Block _Q_
Parcel No.
W Name _ NIQC 6 pAT V_w_NDdtLt?c:7'
; Address 721 tiAVZNHILL RD
° City ZAGAK Phone _ 688-9133
,o Name S?
?a Address
? City Phone
Name _
Address
Phone
I hereby acknowlege that I have read this applicatior
information is correct and agree Io comply , ith!all
Minnesota Statutes and City of epnDrdina ey?'
, I
Signature of Permitee °
A Building Permil is issued to: ? OR iAT
on ihe express condition that all work shall be done in
applicable State of Minnesota Statutes and City of Eag
Building Oftiaal
state that the
abla State of
?
DnLWT
dance with all
dinances.
occupancy
Zoning
(Actual) Const
# or stories
lengih
Depih
S.F. Total
S.F. Footprints
On Site Sewage
On Site Well
MWCC System
city water
PRV Required
Booster Pump
APPROVALS
Planner
Council
ala9. at.
Variance
OFFICE USE ONLY
_H=2 FEES
uw
1&M
Bldg. Permit
Surcharge
Plan Review
SAC, City
SAC. MCWCC
Water Conn
Water Meter
Acct. Deppsit
S1W Permit
SNV Surcharge
Treatment PI
Road Unit
Park Ded.
TOTAL
25.90
Permit No. Permit Holder Oate Telephone #
WATER
SEYYER
PLUMBING
H.V.A.C.
ELEC7AIC
Mapecdon Oate Inep. Comments
Footings I
Foundation -
Framing
Roofing
Rough Plbg.
Rough Htg.
Isul.
Freplace
Final Htg.
Orstat Test
Final Plbg• Plbg. Inspeclor - Notify Plumber
Const. Meter
EngrJPlan
Bldg. Final
Dedc Ftg.
Dedc Final 7
WeN
Pr. Disp.
CITY.Ov^ EAGAN PermirNS: 11232 Date: 11-9-88
38XPilot Knob Road B/P No: Date: ' 1-4Y$$
P.O. Box 31199
Eagan, MN 55121
Owner: Ce;..te.x "o;:%es
SiteAddress: 721 f;avenhill Poaal i12 B9 ?;ills of StnbT-id?yp
MWCC: 5 50 . OOpd Zoning• RI
City Chg: 100. OODd No. of Units:
?
Acct. Dep: 15. 00F`1
Permit Fee: -• P" I agree to comply with the City of Eagan
? pc: Ordtnapces.
Surcharge:
?
Misc:: gy 'E
SEWER SERVICE PERMIT
CITY OF EAGAN Permit No; 1002' Date: 1 I ',' "•`
38:+ru Pilot Knob-13aad Meter No: 04 F Size:
P.ci. Box 21199 Reader No: 3Z Date:
Eagan, MN 55121
1
5ite Address: 72
Conn. Chg: 550 . 00pd Zoning: n1
Acct Dep: 15 •00Pd No. of Units: ?-
Permit Fee: 10 . IlflPe
Surcharge: . 5 "1 P`-` I agree to comply wRh the City of Eagan
Tr. Plant 204 • 00p`7 Ordinances.
Meter. ? 7 ?'3' T
Misc.: .?.?< < ?t.QJ?.i+?
By
?
WATER SERVICE PERMIT
CITY OF EAGAN
3830 PiW Knob Road
P. Q Bof21199
Eagan, MN 55121
Site Address:
Plumber:-
of Stnbrid4
MWCC: 150.0^ ,;' .••
Zoning•
City Chg: 14t1, (1?1?„ No. of Units: ?
Acct. Dep:
Permit Fee:
? I agree ta comply with the City oi Eagan
Surcharge: " Ordinances.
Misc.: gy
SEWER SERVICE PERMIT
CITY OF EAGAN Permit Na 1'}092
3830 Pilot Knob Road Meter No:
P.O. 9ox 71199 Reader No:
Esgan, MN 55121
Conn. Chg: 550.00pd Zoning:
Acct Dep: 15 •00Pd No. of Units: '
Permit Fee: _ I? • oop"'
Surcharge: r I agree to comply with the City of Eagan
Tr. Plant ^ ? ?+ • ??`? "'' Ordlnances.
Meter ir7 „r,?"
Misc.: gy
Permit No: ? Date:
B/P No: Date: f ? ? ?
?
i•' ?
Date: 113
Size: ?
Date:
WATER SERVICE PERMIT
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21•199, Eagan, MN 55121 N? 5g22
'PHONE:454-8100
BUILDING PERMIT Receiptu
7obeusedfor SF DWG/GAR Est.Value $115,000 Date NOV 3 ,1g88
Site address 721 I-IAVENHILL RD
Lot 12 Block 9 SeGSub. STONESRIDGE
Parcel No
a Name CENTEX HOMES
3 Address 5959 BAKER RD
0 City MTKA phone 423-2155 (SOE)
a
0 Name SAME I
?Q Address
a City Phone
U,
WW Name_
FW
_z. Address
U
Qy?j CiltY_
I hereby acknowledge thal 1 have read ihis application antl state thaf ihe
information is correcl and agree to comply with all applicable State of
Minnesota Statutes and Ciry rdinances.
Signature of Permi[tee
A Building Permit is i d to:_ r-N'ontheexpresscond onthatallwhallbedoneinaccordancewithall
applicable State of innesota Statutes and City of Ea9an Ordinances.
BuildingOHicial
I '
OFFICE USE ONLY
On sile sawage _ Occupancy R-3 M-1
MWCCSystem X Zoning PD R-1
OnSiteWell (ActuapConst V-N
Ciry Water 4 X (Allowable) V-N
PRV Required _ # of Stories
8ooster Pump _ Length 45 '
Depth 44'
S.F. Total
FootDrint S.F.
APPROVALS FEES
Engr./ASSess. Permit 6z2.00
Planner Surcharge 57.50
Council Plan F7eview 311.00
BIdg.Off SAC, City 100.00
Variance SAC, MWCC 550.00
Water Conn. 550 -.Q0
Water Meter 67.00
Road Unit 325__.00-
Treatment P7 2DA..9Q
Parks
TO7AL 2•786.50
CITY OF EAGAN ND 19095
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PHONE: 454-8100
P€RMIT aeceipt #
To be used tor DECK Est. Value $1, 000 Date MAY Zl , 1991
Site Address 721 HAVENHILL RD
Lot lZ Block 9 SeGSub. HILLS OF
Parcel No. STONEBRIDGE
w Name NICK & PAT VANDERLUGT
o Address 721 HAVENHILL RD
City EAGAN Phone 688-9133
o Name sAKE I
8? Address
City Phone
W w Name
t? Address
r35?+
Aw CityPhone
I hare6y acknowlege that I have read this ap lication and state that Ihe
inlormalion is correct and agre o comply ith all applicab e State oi
Minnesota Statutes and City ol a u-Brdin ce .
Signature ot Permitee
A Builtling Permit is issued to: ICY O AT VANDERL T
on the express wndition that all work shall be? one in accordance with all
applicable State ot Minneso?a Statutes and City of Eagan Ordinances.
Building Official l?f i? ?.l? ? rn
Occupancy
Zoninq
(ACtuap Const
(Allowable)
# of stories
lengih
Depih
S.F. Tolal
S.F. Foolprin4s
On Site Sewaga
on site well
MWCC System
Gty waler
PRV Requiretl
BooSter Pump
APPHOYALS
Planner
Council
Bldg. Ofl.
Variance
OFFICE USE ONLV
M-z FEES
12c12
76x7n
Bld9. Permit
Surcharge
Plan Feview
sac, crty
SAC,MCWCC
Water Conn
Water Meter
Acct. Deposit
S/VJ Pertnit
SNJSumharge
Treatment PI
Road Unit
Park Ded.
Copies
TOTAL
25.00
.50
75 Vl
REQUESI' FOR ELECTRICAL INSPECTION ee-ooooi-os
See inshuctions for completine this form on back of yellow copy.
q? '? ?10?/O 7
E 2"8"G,+ 2 "X" Below Work Covered by This Request
dtl flep. Type ol Bui1tlin0 APPliancea WiraE Equipment Wired
Home Range Temporary Service
Duplex Water Heater Lightiny Fixtures
Apt. BuilAing Dryer Hectrie HeaUn
Conunercial Bldg. Fum2ce Silo Unloader
Industrial BIAg. Air Conditioner Bulk Milk Tank
Farm Ofner pec-fv Oinei Isnndfvl
1 er Vcu v ther Othei
Compute Inspectron Fee Below - -- -
C Fae ServieeEntmnca5ize M Fea Fexders/Sabfeeders N Pae Circuifs
U to 200 qm s 0 m 30 qm s 0 tn 30 An! s
Above 200_qmps 31 to 100 Amps 31 [o 100 A s
Swimming Pool qbove 700_Am s Above 100-Am>s
Transiormers Irngation Booms Pertial- Oth
Sper.ial Inspection 1 $ -,AJP ITOT
• -/ ,/ ?V/ ?nsPecbq hereby
artity Mei lhe above
Final e inspacGOn has been
? aa.
Tin request voia
This rxquest voitl,/J/G?Q
18 rronths from fi`C? a?
E 28212 ji.? 6
..__..........?._?..?.
,
R ?qy iretl? ?ReaAy Now Will Nnufy InsPec-
. , / Jres ?No ror When fleadv
Licensetl Elec[ncal Conlrector '
I hereby request inspection of ebava
Ll Owner ? electrical work instelled at:
Sveet AdCress. eox or ute No. Ci
ec ron o. Township Name or No. Hnnpe No. Coumy
OccuUan qINT) Phone No.
Power Suvplier Atldress
Elecbical vactor ICo p9
fi'y`Name
l ConVactor's License No.
/
/
o ?il? fC f?ir fi ?i-
M-' g Atl
? r s(COntr or Ownar M king Ins ilation) ?q
ClltlJl? / l--3
Authoriz ' nature (
Co
ntr
actor Owner MakinB Installation) Phono Number
'
?
f
LC/? v?--7
? /
?
v fi
MINNESOTp STATE BOAND OF ELECTRICITY THIS INSPECTION PEQUEST WIIL NOT
Grig9s•Midwey Bltlg. - Noom N•197 BE ACCEPTED BV THE STATE BOAqD
1821 Universilv Ave.. St. Veul. MN 55104 UNLESS PROPEH INSPECTION FEE IS
cn- ietgi an7-nann ENCLOSED.
c:rrv oF c.acnN
CASHTrR: S TCRt'fTNAL NOe 763
DA7E? 01./23/98 7IMEc 14„00:43
IC'^
NAME.a F1F(=ORDAPt_f_ PLDRS
3210 3001 i'r?i HAVFNH:CI..I._ f=; 50.00
21.55 3001. 721 IiAVENI-III._I,. R 0.50
r
'iota:L fiecei.pt Amaun+,r, 50.50
CF,005690
UFiER ILi: NANCY
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT ?
PERMIT TYPE
Permit Number:
Date Issued:
BUILDING
031367
01/29J98
SITE ADDRESS:
P.I.N.: 10-32990-120-09
DESCRIPTION:
721 HAVENHILL RD
LOT: 12 BLOCK: 9
HIILS OF STONEBRIDGE
ermit Type BASEMENT FINI5H
7ype ALTERATSON
434 ALT. RESIDENTIAL
ro.r
p?pg
REMARKS:
SEPARA7E PERMI7 REQUIFiED FOR ANY pLUMBING WORK. CtlNTACT S7ATE BOARD OF
ELECTRICITY AT 445-2840 REGARDING ELECTRICAL PERMIT.
FEE SUMMARY:
Base Fee $50.00
Surcharge $.50
Total Fee $50.59
CONTRACTOR: - Applicsnt -- ST. LxC OWNER:
a'FFORDABLE BLDRS 14520662 0005424 VANDERLUGT NICK
3607 SUNWOOD TR 721 HAVENHILI RD
EAGAN MN 55123 EAGAN MN
(612) 452-0662 (612) 688-9133
[?.'.
C
4' SO•S 0
1998 BUILDING PERMIT APPLICATION (RESIDENTIAL)
CITY OF EAQAN
?(J 3830 PII.OT KNOB RD - 65122
bs1.467s ?a3
New CansWCtion Reouirements
? 8 registered sRe surveys
? 2 copies of plans (inGude beam 8 window s¢es; poured fid. design; eta)
• 1 energy calalations
? 9 copies M tree preservation plan 'rf lot plalted after 7/1/93
required: _Yes _ No
DATE:
RemodeUReoair Reaulrertronts
? 2 copies ot plan
? 2 site surveys (exterior additions & dedcs)
? 1 energy nlculatfons for heated addKions
CONSTRUCTION COST; ? ?4 L&ID ?C)
DESCRIPTION OF WORK:
STREET ADDRESS: 7A I`° LOT: SEP BLOCK: 9_ SUBD./P.I.D.
P +%
Name:J??d'L?'11t-E'LLdI? /'),C-.'-c' PLone#: ?oSb -qI37j
PROPERTY Lut First
owrrER ??
Sheet Address:
City State: Zip:
Company: /?/?• ?/61C?'f?? /J?-?-?'F.'??? Phone #: 7.?a ^D? G?-
CONTRACTOR ?r
Street Address: ?? 0 -7 57UC.r,,A6H4 7-4 , License #
City State: Zip:
ARCH]T'ECT/
ENGINEER Company:
Name:
Sueet
City
5ewer & water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
State:
Penally appties when address chang
I hereby acknowledge that I have read this application and shate that the Infortnation is correct and agree to comply with all applicabl
State of Minnesota Statutes and City of Eagan Ordinances.
i
Signature of Applicant
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received _ Yes _ No _ Not Required
PLone #:
Registration #: _
Zip:
OFFICE USE ONLY
BUILDING PERMIT TYPE
O 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition ? 08 8-plex
? 04 SF Porch ? 09 12-plex
O 05 SF Misc. ? 10 = plex
WORK TYPE
? 31 New .Q 33 ARerations
? 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
? 11 Apt./Lodging H'?'16 Basement Finish
? 12 Multi RepaidRem. ? 17 Swim Pool
? 13 Garage/Accessory ? 20 Public Facility
? 14 Firepiace ? 21 Miscellaneous
O 15 Deck
? 36 Move
? 37 Demolition
Basement sq. ft.
Main level sq. ft.
sq. ft.
sq. ft.
sq.ft.
sq. ft.
Footprint sq.ft.
Ptanning Building
Permit Fee
Surcharge
Plan Review
License MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment PI.
Park Ded.
Trails Ded.
Other
Copies
% 5AC
, 'SAC Units
: . . . . - - . . . . . . . . . . . ..
Engineering
Vaiuation: $
MClWS System ?
City Water /
Fire Sprinklered
PRV
Booster Pump
Census Code. Ar s
5AC Code oL
Census Bidg --4d-
Census Unit
Variance
?-` ' 19$$ BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OE SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WfiICH ADDAESS
IS DESIRED. NO CHANGES WILL BE ALLOGTED ONCE BIIILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR 59LE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET DF ENERGY CALCULATIONS
COMMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS
To Be Used For: ?,(7r,L1,,Valuation:
Site Address 2P 19C7(f„d
Lot r_/-, Bloc?
Parcel/Sub /P/(A 0? <? & d<
Owner (?'???7c t4"'eS'
City/Zip Code /;'Ot+T /R.#/ fSrS'? ?
Phone w "3-'P?? 'ToC?
Contra
Addres
City/2
Phone
Arch./Engr. _
Address
City/Zip Code
Phone #
Date:
On site sewage
MWCC system
On site well
City water i/
PRV required
Booeter Pump ?
APPROVALS ?
CPT7 1
Occupancy
Zoning
Actual Const
Allowable T/_Tl
# of stories
Length
Depth
S.F. Total
Footprint S.F.
FEES
Engr/Asaess
Ylanner
Couneil
Bldg. Off.?l/2
Variance
Permit b22,4
Surcharge $?SD'
Plan Review aD
?j
SAC, City 1001
SAC, MWCC ?SOdO
Water Conn , 00
Water Meter h?7?DO
Road Unit 2 - , O'D
Treatment P1?
Parks
Copies
TOTAL ?? z
vA L uAM,::?Q
4A RA&QF?-
. t.? .
x2? = L4??A X ??? S??p •
?^S?y'y??•?--
y S? X zy o gQ ,,.
L4 x 13 : rl4
isT LLC::)
'F5?-r y
I? ?? = In
a?
l151 X
2NA
ZhX?L
zX?r=z2
?___-
X38122
I?yYU3
a
?` ,.
• ?* **
mon
*@g- rr
* 4*
•
? 4472 Enterp.i?e brim
M?ndote HNphtl, MN 55120
..
(8121881-1914
C? ?1 d mC5
Certificate of 5urvey for: _ Can?
. 900.0 Drnofes exr's1r'n? Elevvfion
• soo.o Denofes propaMd Elevotion
--- --' Denoles Drcxtnae ( utilr f Easemenf
-Y denofes Draara e Flow rrows
?
NoRrN
Qryry / /
?
?f1t s?_"_ 13 Y;SQ?(s5livf?:'.itlaa .? Y?_ _
PROPOSED NDUSf E[fUAT10NS
Lowest Floar Elevaiion = (v.34
Top ot 8/ock flevafior? = 893, (o 7
o Deno{es monumEnf . Garpga slob F/evation = :z•16;
Bearinifs shawnarQ assumed
LOT /Z , B1.OCk 9, NILtS oF STONEBRIDOE
DAKOTA COUNTYi MrNNF.SOTA 5061f[T 7b EASfMENTS OFqErORD
I hemby Krtify tMt thia h s tlue and mnect reprelennlion ol 0 Wrvey OI the ppunMrief of the Nwve ?bM 4?M?, ??d/p1 the loution ol ell
uildinps, 1heteon, and sll risiblt ennoecMnenn, i( eny, Irom a on pk1 IaM. As sur+eyed br me ehit?MV ot_(yt.?,e? A,D.
Scal e =1 ?n ` 4l/ ad ?}c*64Z
NObERT S. SIKICt1 L.S. RE6. N. 14091
jvj?; Z- L?.
3I
iQc
I A I I P I f C I I D I l E !! F I 1 G I I H I
.' 11
cl EXTERIOR ENVELOPE RVERAGE "U" COMPUTATIpN 0
31
410WNER
S I SITE ADD RE5S---?_-?-?? -----------
--?t- --------
61CONTRqCT ORCENTEX.1940 DRTE7-25-85 PHONE
71
DETERMINE WORN,IN6 SGlUARE FOOTAGE
91
1011. Total exposed wall area 2514.957sq. ft. x. Si 276. E45:?
1112. Total roof/ceiling area 1451.375sq, ft. x.O2E 37.73575
1213. Total floor• cant. area 262. Ssq. ft. x. 08 21
131 (over unheated enclcsed areas)
1414. Total Floor cant. area 58sq, ft. x.026 1.508
151 over- unheated expnsed areas7
1E1
1715. Total exposed wall area above the floar------------ 2149.83
181
191 a. Total wal l wir,duw ar-ea .. . . . . ... . . . ..... . .. 270. 4J195
201 b. Total duor area ..................... ... 37.E956
:? o a lidi l?ss doc?r area............. 3E. E.3
S: ?u?a? ?fiirep?l?c? ?r?ea................,.....
231 e. Total wall framing area (ave. 10%) ........ 214.983
241 f. Total net wal i area a6ove the flc,or•....... 1590. 502
251 g. Total rim joist area ...................... 265.38
261
271 T07AL EXPOSED FOUNDATION RREA ................ 99.1466
28!
291 h. Total fotmdation wir,dnw area .............. 21.28
:,@f i. Total net fouridation ar'ea ................. 77.866E
311
321 Determ;na "U" val!!e nf each wall segment
331 a. 270.0155x "U" .42= 113.4082
341 b. 37.695Ex "U" . @6= 2.261736
351 c. 36.63x "U" .39= 14,2857
361 d. 0x "U" 0= 0
371 e. 214.983x "U" .0870322= 18.71044
361 f. 1590. 5@2x "U" .04923E8= 78. 31187
391 g. 2E5.98x "U" .0281928= 7.498731
401 h. 21. c8x "U" . 4;== 8.9376
411 i. 77.8E65x "l1" .0824402= 6.419340
421
431 E. .
.....
............................... ,
Total ?,349: $330"
441If item #E is the same as or less than item #1 yau have'-met the current
451energy c ode. 2 MCAR 1.16008 A AND O.
461
471
481
491
501
511
521
531
541
551
561
571
581
591
401
021 TDTAL EXPOSEd ROOF/CEILING RREA 1451.375 i%¢r
631
641 j. Tatal .skylight area ............ ...........
651 k. Total flat r-oof/ceiling frarning area...... 145.1375
E61 1. Total net flat roof/ceiling are a.......... 130E.238
671
E81
691
701 Deterrnine "U" value fnr e ach roof/clg. aegment
711 j. 0x HUI. @_ a
721 k. 145. 1:,75x "U" . 0^c38$34= 3.466384
731 1. 130E. c38x "U" . 0238834= 31.19746
741
751
7E1
771
7817 ...... .......... ...................Tata1 04.66384
791
801If item #7 is the same as or less than item #2 you have met the
Bllenergy code 2 MCAR 1.16008 A AND 0.
821
831 TOTAL FL OOR CANT. RREA (enclosed) 262.5
841
851 0. Total flcar cant. framing area (ave. 10X). 26.25
8E1 p. Total net insulated floor/cant. area...... 236.28
871
881 Deterrnine "U" value for e ach floor/car,t. segment
891 0. 26. 25x "U" .047EE44= 1.251192
901 p. 236. 2Sx "L1" . 025367A= 5.993151
911
92I8 ...... .......... ...................Tota1 l:244342
931
941If item #8 is the sante as or less than item ##3 yr_,u have met the
951energy cc+de c MCRR 1.16008 A AND 0.
961
971 TOTAL FL OOR/CANT. ARER (expased) .°i8
961
991 q. Total firor/cant. frarning ar-ea iave. 10Y.7. 5.9
1001 r. Total net insulated floorlcant. area...... 52.2
1011
1021 Deterrnine "U" value for e ach flaar/cant. segment
1031 q. 5.8x "U" .0489476= .2838962
1041 r-. 52. 2x "IJ" .02572E8= 1.342938
iasi
iF?61'3 ...... .......... ...................Tota1 ?i.6E6834
1@71
1a81If itern #9 is the same as ar less tharr item #4 you have met the
109I energy code. 2 MCpR 1.16008 A RND 0.
7101
111f
1121I HEREB Y CERTIFY THRT I HRVE CALCULATED THE "U" FACTORS AND "R"
1131VALUES NEREIN RND THAT THE SCJILDING HERE DESCRIEED MEETS OF EXGEEDS
1141THE STA TE OF MN E NER6Y CONSERVATION flCT.
1151
1161
117i ----------------------------
{signattire)
118!
1191
1201
-
1211 -------
(date) -----------------
/94b
I PR I I EeR I I BC i I BD I
" 11 "DETERMINE "U" VALU ES"
2ITHRU STUD WITH SIDING & S.R.
31
41Inter,ior Air ............... .68
SlSheet Rnck ................. .45
ElTher-ma-Rreak ............... 4
71Stud ....................... 4.35
blSheathing .................. 5.4
91Siding ..................... .61
101Exterit+r Air ............... .17
111Tota1 "R" Value............ 11.49
1211/R = "U" Value ............ .@870322
131
141
151THRU IIUSULRTION WITH SIDING & S.R.
1E1
171Interior Air ............... .68
1818heet Rock. ................. .45
191 Therrno-Rreak . . . . . . . . . . . . . . . @
201Insulation ................. 13
211Sheathing .................. 5.4
22ISidir,g ..•.................. .61
231Exterior Air ............... .17
241
25lTatal "R" Value............ 20...?1
2611/R = "U" Value ............ .0492.368
271
281
291THRU CEILING MEMHER
301
31 I Iriter-ior- Air .. . . . . . . . . . .. . . . .68
321Sheet Rack. ................. .58
331Geiling Mernber ............. 4.35
341Insulation ................. 35.65
3
51Sti11 Rir .................. .61
C
3O1
371Tota1 "R" Value............ 41.87
3811/R = "U.................... .0238834
391
401
411
42ITHRU CEILING INSULATION
431
441Interinr- Rir ............... .68
451Sheet Rock ................. .58
461Insulation................. 40
471Sti11 Air .................. .61
481
491Tata1 "R" Va1ue.......,.... 41.87
50I1/R = "Ul ................... .0238834
511
521
531
541THRU GONCRETE PLOCN.
SSi
SEIInterior Air ............... .68
571Crnc. Eilk................... 1.28
581 Inst_ilat inn. . . . . . . . . . . . . . . . . 10
5915heet ftk.. (Dpt.).........., 0
611
E2ITotai "R" Value............ 12.13
• 631 l,/R - "U........... . . . . . . . . .0824402
641 '
651
6EITHRU RIM JOIST
? 671
681Inter^iar Air ............... .E8
691Insulatir?n ................. 30
70IRim Joist ................. 1.69
71fSheathing .................. 2.06
721Siding .................... .67
731Exter•iar Air ............... .17
741
751Tota1 "R" Value........,,.. 3.°i.47
76I1/R = "V" .................. .k7c819R8
771
781
791"U" value for windaw....... .42
801"U" value for doors........ .05
81 I"U" val ue for• Pat io Dr•s.... .39
821
AJI
841THRU CANT. @ MEMBER (Enclosed)
851
861Interior Air ............... .E8
871Finish Flaor•ing............ 1.23
881Underlayment ............... 5.4
991Plywnod .................... .92
90IJoist ...................... 11.56
911Sheet Rack ................. .58
921Sti11 Air .................. ES
9.:,1
941Total "R" Value..........,, 20.98
9511/R = "U" .............•••.. .0476E44
961
971
981THRU CRNT. ta INSULRTION (Enclased)
9?I
1ZOIIriterirr- Air ............... .68
1011Finish Flooring............ 1.23
102IUnderlayrnent ............... 5.4
1031Plywnod .................... .92
1041Insulatian ................. 30
10513heet Rock ................. .58
10615tii1 Air .................. .62
1071
10BIT1ta1 "R" Value,.........,. 39.42
10911/R = "U.................... .0cSUE78
1101
1111
1121THRU GANT. @ MEMBER (Exprasad)
1131
1141Interior Air ............... .58
1151Finish Flooring............ 1.23
1161Underlayment ............... 0
1171Plywood .................... .92
1181Jaist ...................... 11.56
1191Sheathing .................. 5.4
12016offit ..................... .47
1211Exterior Air ............... .17
1221Tuta1 "R" Value............ 20.43
1231I/R = "U.................... .048'347E
1241
1251
/yq t)
1271
11181Inter,ior Air ...............
1291•FiniSh Flrpring..............
1301Underlayment ...............
13ilPlywoad ....................
132IInsulation .................
1331Sheathing ..................
1341Saffit ..•..................
135IExteriorAir ...............
1361
1371Tata1 "R" Value............
13811/R = "U....................
1391
. E8
1.23
0
.92
30
5.4
.47
.17
38.87
.0257268
! y"¢ C',
APFLICATION FQR PERMIT
SEWER AND/OR WATER CONNECTION
..,, ...... . . ,.
[.OPE: PAYNDIf OF FEE AT TIME OF ..
? APPLICATION DDES NJT CON- '
' STIILTIE AppRGVN, OF PIIiFIIT.
i
INSPECf10N OF SFSM FND/OR WATIIi ?.
4 INSTAI.IATIOfLS WII,L N;7P HE SCFDOLID *
* UNPIL PERlIIT HAS BEFS] APPRWm. y'.
dtV 4t#f*1f11'.Y1fSttt#1yiY!lf4t*4Y/ftilltlitix
?? ace??
y
(PLEASE PRINT
1) PROPERTY ADDRESS: 7,z I ?rI rai?l 2D
T.FY;AT DFSQ2IPTION•`. / ? ?
(Lot Block S ivision or Tax Parcel ID #)
IF EXISTING STRL'CTURE, DATE OF ORIGINAL BLILDING PE2MZT ISSDIINCE:
Nbnt Year
PRESENT ZONING/PROPOSID USE:
Q COMVERCIAL/RETAIL/OFFICE I??-1 SINGLE FAMILY
Q INDL'STRIAL ? R-2 DL?PLEX (3+ao Units)
Q INSTITUTIONAL/GOVERDIMENT Q R-3 TOWNHOCSE (Three + Units) ( Units)
Q R-4 APARTMENT/CODIDOMiNIUM ( Units)
2) N71ME: [,°e.A..?fx dOF3tP-f
ADDxESS: 73,a.hck- T<J, t?/?r?.q. Su?• !-°
CITY. STATE, ZIP: 1yJTJ44 /n*.
PHONE: 9 U • -1?46.7-3
3) NAME:
ADDRESS: 4190 ?vf cati at p-? P. r-• /ti .
CITY, STATE, ZIP: yyj'd- 0 f` &yuv4
PHONE: cfcr3_Zy-7 }! MASTER LICENSE # (/yf.,?Qrp' ?r
Active
Expired
Not recordec
St Initial
4)
NAME: 5wrxs 04T CZ.1
ADDRESS:
CITY, STATE, ZIP:
PHONE:
5)
?CTION TO CITY SEWER ?ONNECTION TO CITY WATER OQTHII2
6) Mire_v"'?T?
************?***?x*********x.******++***?++*****?,r*******?+,r******,r*******+x***:r****?**+******?***?;
*
* THE GOID COPY OF TfIE PERMIT WIIS. BE SENP DIRECTLY TO PUffi,IC WORKS 'IO FACILITATE METER PICK-IIP. ;
* PLFIISE AILOW '1W0 WORKING DAYS FOR PROCESSING. SOMEONE FROM TfIE CITY WILL CONfACP YOU IF TIIII2E ?
t ARE ANY PROBLENIS. ;
?**.*????,r**???+r*??:rr***+*,?******:?******,?*****«*?****?«*??:r**+?***?******+**?*****?**:r***+******?*;
?OR C9TY l?SE flfVL'?
PERMIT ` ISS[ ED
1 /Gd S?
Pd w/Bldg. Permit r^EES:
$ $ /67'5-D SEWER PERMIT (INCLL'DE SCRCHARGE)
$ $ WATER PERMIT (INCLCDE SCRCHARGE)
$ IG 7eU v $ WATER METER/COPPERHORN/OLTSIDE READER
$ $ 4VATER TAP (IVCLUDE CORPORATION STOP)
$ $ SEWER TAP
$ ACCOCNT DEPOSIT - SEWER
$ $ 16?'U` U ACCOtiNT DEPOSIT - WATER
$ $ tivac
$ lC S ? ' ?D $ SAC
$ $ TRCNK WATER ASSESSMENT
$ $ TRLNK SEWER ASSESSMENT
$ $ LATERAL B°NEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRLNK WATER
$ $ WATER TREATMENT PLANT SCRCHARGE
$ $ OTHER:
$ S U
TOTAL
RECEIPT . R°CEIPT
DOES L'TILITY CONNECTION REQLIRE EXCAVATION IN PL'BLIC RIGHT OF WAY?
? YES IF YES, THEN A"PERMIT FOR L90RK WITHIN PL'BLZC
I? NO ROADWAY" NICST BE ISSUED BY THE ENGINEERING
DIVISION
LIS
.
T AS A CONDITION.
SC BJECT TO THE FOL LOWING CONDITIONS:
APPROVED BY: /-V
TITLE:
.
DATE:
? '?
D CITY USE ONLY Q',!'??QO
l ?? BL / RECEIPT #:
SUBD. RECEIPT DATE:
1998 PLUNBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PIIAT IINOS RD
EAGAN, A4N 55122
(612) 681-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
? backflow preventer for underground sprinkler system
FIXTURES EACH # TOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 3.00 x =
Kitchen Sink 3.00 x =
Laundry Tray 3.00 x =
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x =
Floor Drain 3.00 x =
Gas Piping Outlet ' minimum - 1 3.00 x =
Rough Openings 1.50 x =
Water Softener ' for dwellings under construction 5.00 X =
Water Softener " tor existing dwelling 20.00 x =
U.G. Sprinkler 'tordwellingunderconst. 3.00
U.G. Sprinkler ' for existing dwelling 20.00
Alterations `to existing iesidence 20.00 =
Water Tum Around 20.00 =
Private Disposal System ` MPC iie. 75.00 =
(new and refur6ished systems)
Private Disposal Systems'Abandonment 20.00 =
STATE SURCHARGE .50
o
TOTAL °?O
i
---------------------------------------------------?- ------------------ ------------ •-•------------------------------------
1 he2by acknowledge that I have read this application, sfate thet Me inforrnation is corted, and agree to camply wkh all applicable Ciry of Eagan ordinances.
It is the applicenPs responsibility to notity the property owner that the City of Eagan assumes no liability for any damages ceused by the City during its
nortnal operational and meintenance activfties to the facilities constructed under this permit within City property/right-of-wayleasement.
SITE ADDRESS: T 7i 11 KTr ifoN N! L l, ?? -
OWNER NAME: NI C V- ILA) DaZ LR C'rT-
INSTALLER NAME: VhJJ-DLVZ_ L-j'(, G'r- TELEPHONE #:
STREET ADDRESS:
CITY: EA-H l11 STATE: M/y ZIP:
?--
OF
JS/FORMS BLDG/PLBG PERMIT (RESIDENTIAL) 1998
1(J/ p•*
J
25•00+
U•50+
25 •5U*
1991 BUI ?N??I9TAPYLICATION
CITY OF EAGAN
v
A
?j
9
S
?
>
SINCLE FAMILY DWELLINGS MULTIPLE DWELLINGS COMMERCIAL
2 SETS OF PI.ANS 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 CALCUTATIONS 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.
IAT CHANGE IS REQUESTED ONCE PERMIT IS ISSUED.
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS IS
DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
PROCESSING TIME FOR SEWER & WATER PERMITS IS TWO DAYS ONCE A PERMIT HAS BEEN COMPLETED.
PERMIT MUST SHOW A LICENSED PLUMBER.
To Be Used For: ?ta,r,( , Valuation:
Site Address -?4?_r P/bkN{"{/L-L Ad,
Lot t, V- Block °)
Parcel/Sub HVLLS oF STONE1N21D$E
owner N i t12E Vi9A1.oE321L1.! G-t'
Address ?1' Ki)•qJH1L-L 46
City/Zip Code E716 W1N /J 5T-113
Phone ?? q- ? r 3 3
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone #
/ cm
Date: ? S
OFFICE USE ONLY
Occupancy M ' Z
Zoning
Actual Const
Allowable
# of stories
Length 12. yf 12'
Depth l(,'K Zpr
S.F. Total
Footprint S.F.
On site sewage_
On site well _
MWCC System _
City water _
PRV _
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. 5-19 9/b$
Variance
FEES
Bldg. Permit 25. 00
Surcharge Sa
Plan Review
SAC, City
SAC, MWCC
Water Conn.
Water Meter
Acct. Deposit
S/w Permit
S/W Surcharge
Treatment P1.
Road Unit
Yark Ded.
Trail Ded.
Copies
SUBTOTAL
Penalty
Lot Change
TOTAL
agrees that all work shall be done in accordance with
_(Signature Contractor)
all applicable State of Minnesota Statutes and City of Eagan Ordinances.
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733q?- 2000 FIREPLACE PERM[T APPLICATION ?60, ?Q
CITY OF EAGAN
3830 PILOT KNOB ROAD - 55122
651 681-4675
Date: ?g rj ,Q?
Description of Work: Construct new fireplace 1,"Gas _Masonry _ Alterations to existing
_ Install gas insen onlv _ Install gas liae onlv
Other
Job address: ??h \ ? cn v e L1 ????_ c) Lot: fr ?- Block: / Subdivision/P.I.D. #: I'1/ ? Is (1 l)7 (IYIP k QGf?i
/v
Applicant (circle one only): Owner Contractor Permit Fee: S60.50
PROPERTY
OWNER
FIREPLACE
INSTALLER
Name:J)(`aV?r?jo' ??•l?t U"Gl?j?)lC?Phone#: 51-1A"'W93 First
Street Addr sst A n Ii 12 6??r
city ? a?l C1 n state: ? Z,p:
Company: ?\ r Q Sf?4 G' 1 lre h?C#: T'1??la 7 ??.?
_ (area code)
Street
ciri ? V' E state`:?Mh1' ziP:
GAS LINE
INSTALLER Sheet
City
State: Zip:
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 Statute and City of Eagan Ordinances.
?D?.
RA / / i 0-
Phone #:
(azea code)
Signature
. -,
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 16 Fireplace
W ORK TYPE
? 31 New ? 33 Alterations ? 39 Gas Line ? 41 Wood Stove
O 32 Addition O 34 Repair O 40 Gas InseR
GENERAL INFORMATION
Census Code 434
SAC Code 01
RIEMARKC
Chimney/flue must be inspected before concealing.
For Office Use I
Permit of I a
City Eajan
. se
3830 Pilot Knob Road Permit Fee.
I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675 I
Fax: (651) 675-5694 Staff: I
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ~~3 o I Site Address: -7:21 14 tf yt w 14 t' l I 2 cl
Tenant: N "C.k G/ 41 rd b~ l- wq 4- Suite
RESIDENT / OWNER Name: V L V 6y r.~~- ~+C 4.L%-4+ Phone: Cv 5~' 8 3 - 9133
~tc, t-`r4gl~w
Address/ City/ Zip: -721 Aq w w 14.,t l
CONTRACTOR Name: -f-w- -Ci w'4 Prr,-,4, Sw4 License 5-q/3-2- PM
Address: 33311 vic
City: b tr-i- so r✓ State: *LYj Zip: S S'Ol $
Phone: 60- X3 E3911 Contact Person: F70X~
TYPE OF WORK -New X Replacement -Repair _ Rebuild - Modify Space - Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
-h- Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ I _ PVB) Main _ Lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Turnaround* (includes $.50 State Surcharge)
*Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge) 50.5'0
TOTAL FEES $
1 hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that 1 understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
x 120 ~ T x &Aw
Applicant's Printed Name Applicant's Signature
FOR OFFICE USE Reviewed Sy: Date:
Required Inspections: -Under Ground -Rough-In -Air Test Gas Test Final
For Office Use
yt¢ j Permit j
City of Eancin
Permit Fee:
3830 Pilot Knob Road I 1
Eagan MN 55122 Date Received: CJ C3 C11
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
- - - -
2009 RESIDENTIAL BUILDING PERMIT APPLICATION'
L
Date: ,~o) 3-- 1 Site Address: I y- 14,
Tenant: Suite
RESIDENT / OWNER Name: V% ~J1` L- y 'nPhone: t~ g K - q(3 3
Address / City / Zip: ~4'
Applicant is: Owner Contractor
TYPE OF WORK
Description of work. c
Construction Cost: 3 a Multi-Family Building: (Yes / No
CONTRACTOR Name:" LL ~t License G - U
Address:
City: .k- State/*"AZip: ~5 U 7 7
Phone:. 6 Contact Person: C < fi l
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota' Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code • Residential Ventilation Category 1 Worksheet New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
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 approv plans.
X J L Q wT~ ~..J~~ X
Applicant's Printed game l nt's signature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE gCJo
SUB TYPES
Foundation _ Fireplace _ Porch (3-Season) - Storm Damage
X Single Family _ Garage _ Porch (4-Season) - Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
_ 01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building 1)45
WORK TYPES I~Mt
_ New _ Interior Improvement _ Siding _ Demolish Building*
Addition - Move Building _ Reroof _ Demolish Interior
Alteration _ Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25%_ 100%-X-) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: iIce & Water -Final Pool: -Footings Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall
Meter Size: Erosion Control
Reviewed BY: Building Inspector
r
RESIDENTIAL FEES
Base Fee
Surcharge
Plan Review l
MCES SAC
City SAC
Utility Connection Charge
SSW Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
952 652 2933
08/27/09 08:33 FAX 952 652 2933 R C PLUMBING 1J01
•
I I Permit a: 1
blu of Eap l Permit Pee: ` 0 I
9630 Pilot Knob Road 1 I
E sgan IAN 55122 1 Dace Recafvad:
Mons, (651) 675.5675 l sw:
Fax: (651) 675.5684 I -
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: P/26/09 Site Addrem: 721 Havenhill Road
Tenant: u t Sidle
RESIDElIT / OWNER Name: Nick Vanerlugt Phone: 651-688-9133
Address / City / Zip:
CONTRACTOR Name: R C Plumbing (Rich Nybo) Llcet>se 58215 PM
Address: 5910 Cheater Avenue
City: Northfield State: M Zip: 55057-4n
Phone: 952-652-2933 contact Person: Rich
TYPE 13F WORK New _ Replacement _ Repair _ Rebuild Modify Space - Work in FLOW.
float Kitchen ceiling was raised so vents had to be extend,
Descrip a[ work: P I'll
PEERINT TYPE RESIDENTIAL might have to hookup sink for homeowner
water Neater Water Softener
Lawn Irrigation Add Plumbing Fbdures
L_ RPZ / _ PVB) ( Main - lower Level)
Septic System Water Turnaround
_ New
Abandonment
RESIDENTIAL FEES.
$0.5011nlmum Water Heater, Water Softener, or Water Heater an Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Ndd Plumbing Fixtures, Septic System Abandonment, Water Tumaround` (includes $50 State Surcharge)
' Nater Turnaround (add $165.00 if a 5V meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 l=ire Repair (replace burned out appliances, duchmk. etc.) (includes $.50 State Surcharge) .50.50
TOTAL FEES $
I hereby acknowledge that this information Is complete and accurate; that the work will be in Lonformance vrith the ordinances and codas of d
Eagan that I understand this is not a permit, but only an appl1cation for a perrMt, and vvWk is riot to start without a permh; that the work.vrill be in
accordance v~ the approved plan in the case of work which requires a review and plans-
e
X_ Fachard J. N bo x
Appihmut's Printed Marne ICaM's sigrw re
FOR OI:ME USE Reviewed By: Date:
Regirlrtrd lnepections: Under Ground -Rough-in lAir Test : Gas Test .-Final
I For Office Use
I
Permit
I I
City of El
I Permit Fee:
3830 Pilot Knob Road l _ I
Eagan MN 55122 Date Received:
Phone: (651) 675-5675 l I
Fax: (651) 675-5694 I Staff:
L
2008 MECHANICAL PERMIT APPLICATION
Date: Site Address: 22-I
Tenant: Suite
1
Name: AliLk U c"i~ ( LAt. Phone:
RESIDENT /OWNER
Address /
City / Zip:
it P
Name: ~~uM iZ7,i_License#:
CONTRACTOR
s
Address: l' t '
City: 1( State: Zip:
Phone: Contact Person:'/
TYPE OF WORK New Replacement Additional Alteration Demolition
Description of work: e ,
NOTE: Both roof mounted and ground mounted m hanical equipment is required to
be screened by City Code. Please contact the Mechanical Inspector or one of the
Planners for information on permitted screening methods.
PERMIT TYPE RESIDENTIAL COMMERCIAL
_ Furnace New Construction Interior Improvement
_ Air Conditioner _ Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
* HVAC units must be screened
_ Heat Pump _ Under / Above ground Tank Install / Remove)
_ Other When installing/removing tank(s), call for inspection by Fire
Marshal and Plumbing Inspector
RESIDENTIAL FEES:
$50.50 Minimum Add-on or alteration to an existing unit (includes $.50 State Surcharge)
$90.50 Fire repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
$ TOTALFEE
COMMERCIAL FEES:
$70.50 Underground tank installation/removal OR Contract Value $ x1%
$50.50 Minimum (includes State Surcharge)
$ Permit Fee
- If Permit Fee is less than $1,000, surcharge is $.50.
If Permit Fee is > $1,000, surcharge increases by $.50 for each State Surcharge
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge).
$ TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the or i ances 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 th w will be in accordance with the approved
plan in the case of wor requires a review and approval of plans. -
x x
Applicant's Printed Name App Iican 's Signat r
FOR OFFICE USE Reviewed By: Date:
Required Inspections: -Under Ground _ Rough In -Air Test -Gas Service Test -in-floor Heat -Final
PERMIT
City of Eagan Permit Type: Mechanical
3830 Pilot Knob Rd Permit Number: EA090453
Eagan, MN 55122 . Date Issued: 08/03/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 721 Havenhill Rd
Lot: 12 Block: 9 Addition: Hills of Stonebridge
PID 10-32990-120-09
Use
Description:
Sub Type: e - Furnace
Work Type: New
Description: Furnace
Comments: Quesetions regarding electrical permit requirements should be directed to Mark Anderson, State Electrical Inspector,
952-445-2840
Chris Musta
21210 Eaton Ave
Fee Summary: ME - Permit Fee (Replacements) $50.00 0801.4088
Surcharge-Fixed $0.50 9001.2195
Total: $50.50
Contractor: -Applicant - Owner:
Controlled Air Nick J Vanderlugt
21210 Eaton Ave 721 Havenhill Rd
Farmington MN 55024 Eagan MN 55123
(651) 460-6022 X253
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.
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA121611
Date Issued:04/09/2014
Permit Category:ePermit
Site Address: 721 Havenhill Rd
Lot:12 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
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 by law in ALL single family homes .
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
John J Diehl
721 Havenhill Rd
Eagan MN 55123
(651) 330-2347
Pella Northland
15300 25th Ave N #100
Plymouth MN 55447
(763) 355-1300
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA163346
Date Issued:08/27/2020
Permit Category:ePermit
Site Address: 721 Havenhill Rd
Lot:12 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
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 -
Sankalp Dalela
721 Havenhill Rd
Eagan MN 55123
(404) 747-3856
Majestic Custom Construction Inc
8800 Royal Ct NW
Anoka MN 55303
(612) 419-2173
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA171977
Date Issued:09/09/2021
Permit Category:ePermit
Site Address: 721 Havenhill Rd
Lot:12 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-120
Use:
Description:
Sub Type:Reroof & Siding
Work Type:Replace
Description:
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.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
Valuation: 10,000.00
Fee Summary:BL - Base Fee $10K $191.75 0801.4085
Surcharge - Based on Valuation $10K $5.00 9001.2195
$196.75 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 -
Sankalp & Pooja Dalela
721 Havenhill Rd
Eagan MN 55123
(404) 747-3856
Krech Exteriors Inc
5866 Blackshire Path
Inver Grove Heights MN 55076
(651) 688-6368
Applicant/Permitee: Signature Issued By: Signature