725 Havenhill Rd
Use BLUE or BLACK Ink
r
For Office Use
1
~477 JUL 12%n
City of EaR 11 do Permit
1 I --~7 /1 I
I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 Date Received: L 1
Phone: (651) 675-5675 I 1
Fax: (651) 675-5694 1 Staff: 1
2010 RESIDENTIAL BUILDING PERMIT APPLICATION CM
J
Date: f Site Address:
Tenant: Suite M
RESIDENT / OWNER Name: G--r 4- Phone:
Address / City / Zip: ✓1-
Applicant is: Owner Contractor
VQ e- 1"3 L
f d~ L>
TYPE OF WORK Description of work:
Construction Cost: U U~U~ Multi-Family Building: (Yes / N P k
CONTRACTOR Name./V\r C, V, 4,, L T-(,- License ( 6 ) U
Address: 4~~-l A L Vco_ r(-~ v City: Ir- 6- H
State: Zip: qo-7~ Phone: -A^ cr y D u
Contact ,)F e- Ttz' Q ~1--1 b~ k~ Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. 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 ap I of plans.
Applicant's Printed Name A(pplicant's Signature
Page 1 of 2
7,9t5- IAA~91&11 d~ qL~ee 7 j .
DO NOT WRITE BELOW THIS LINE
SUB TYPES
_ Foundation _ Fireplace _ Porch (3-Season) _ Storm Damage
./Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
_ Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of Plex _ Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
New _ Interior Improvement Siding _ Demolish Building*
Addition _ Move Building _ Reroof _ Demolish Interior
_ =aeration Fire Repair _ Windows _ Demolish Foundation
Replace _Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation 2) OOO Occupancy MCES System
Plan Review N 0IJ E Code Edition 7,pp7 L SAC Units
( _ Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings r Length Fire Sprinklers
Type of Construction y l3 Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water Final Pool: Footings _Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In _Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill Final
Meter Size: Radon Control
Erosion Control
Reviewed By: Owl& , Building Inspector
RESIDENTIAL FEES
Base Fee '7 *3 .1
Surcharge ( b-a
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL 74-.75'
Page 2 of 2
-23-s- 14 a- v t- 9~~ -7
V p
Std o.~.
REVIEWED PLANS' MUST
REMAIN ON JOB SITE
EAGAN
REVIEWED
ICY:
DATE:
BUILDING INSPECTIONS DIVISION
I
Use BLUE or BLACK Ink
--------------1
For Office Use I
I
My Of jHJj~alan Permit Permit Fee: ~J` b I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
I
Phone: (651) 675-5675 I start:
Fax: (651) 675-5694
2010 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: July 12, 2010 Site Address: 725 ttaverhtftl Road
Tenant: Suite
RESIDENT/OWNER Name: Greg & ahanna Swenson Phone: 651-831-4297
Address / City / Zip: 72 5 Haverhill Road,. 1~agan 51223
CONTRACTOR Name: R C Plumbing License* 58215-PI"t
Address: 5910 Chester Avenue City: Northfield
State: 111N Zip: 55057-4743 Phone: 952-652-2933
Contact: Rich Nybo Email:
TYPE OF WORK - New X Replacement _Repair -Rebuild - Modify Space - Work in R.O.W.
Description of work: Bath remod 1
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures AA` RPZ PVB) Main - Lower Level) 9 ,A4P L
Septic System Water Tumaround
_ New
Abandonment
RESIDENTIAL FEES:
$50.50 Minimum Water Heater, Water Softener, or Water Heater and Softener (includes $.50 State Surcharge)
$30.50 Lawn Irrigation (includes $.50 State Surcharge)
$50.50 Add Plumbing Fixtures, Septic System Abandonment, Water Tumaround* (includes $.50 State Surcharge)
*Water Turnaround (add $166.00 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)
TOTAL FEES $
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.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 approof plans.
x Richard Nybo x
Applicant's Printed Name Applicants Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
BLDG. PERM(T NO.
?L. 1
j-
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
01-2155 Surcharge
`- 75-3800 Road Unit
20-2275 SAC
20-3865 Water Conn..
-= 20-3868 Water Trmt
.
. 20-3716 Water Meter
, 20-2252 Acct. Dep.
, ; 20-3713 Water Permit
' 20-3743 Sewer Permit
79-3866 Sewer Conn.
28-3855 Park Ded.
IS
I =? :
?
TOTAL
CASH RECEIPT _0
CITY OF EAGAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE I ?A' l '?' 19
i ,
WcErveo
cR on? ? A?.'? i:. r.l ?f
k.
AMOUNT $ '? -
8 DOLLARS
lao
? CASH 1G1 CHECk
I
FM
/ V'
BY
White-Payers Copy
Ye1brF--Posting Copy
Pink-File Copy
Thank You
? CITY OF EAGAN
? 3830 Pflot Knob Road, P.O. Box 21
- -189, Eagan, MN 5 5121
-
' PH ON E: 454-8
• 100
BUILDINO'.PERMIT Receipt
i To be used for Est. Value Date r4rFrj:u ::
ZZ ,19 :.T
,
Site Address 72 5 HAYEN-I11.i.t. Ri}A:., OFFICE USE ONLY
i 1 9 h I LI.S AF
Lot BIoCk SeC1Sub On Site Sewege Occupancy
.
S?OIiEBAIDGB MWCC System Zoning
Parcel No. On Site Well (Actual) Const
ac Name THE R(YMUND CO•, IhL • Ciry Water X_ (Allowable) ?-H
Z Addf2SS p•?• ??Y 3f 3 PRV Required * of Stories K
a City 05SE0 Phone 571-C304 BoosterPump Length -2
Depth 35
, o Name sA'!!$ S.F. Total
? ` ?lddress Footprint S.F.
? City Phone APPROVALS FEES
V
W Name Engr./Assess. Permit LA8 . 00
y
j
? = Planner Surcfiarge E3???
?a
Z Address
Council
Plan Review
11QO
lx
dW City Phone
BIdg.ON.
SAC,City
00.?
I hereby acknowledge that I have read this application and state that the Va?iance SAC, MWCC 55fl.OQ ,
information is correct and agree to comply with all applicable State of Water Conn. 5?0. GO
Minnesota Statutes and City of Eagan Ordinances. ?
1
Water Meter 1
Signature of Permittee -
, -- - --
Road Unit
325.lJU
A Building Permit is issued to:._ THE__R"'rTLUAL C;O.,_1RtC. Treatment P1 _.2(j(-.00 .
on the express condition that all work shall be done in accordance with all Parks
applicable State of Minnesota Statutes and City of Eagan Ordinances.
??
4-T
Building OfliciaL __--
TOTAL
SEWER & WATER PERMIT
CITY OF EACAN
3830 Pilot,6nob Rd. -
P.O. Box 21199
Eagan, MN 55121
SANlB
_ PRV _ BOOSTER PUMP
SITEADDRESS 0AVt"414?LL RD
LOT ? BLOCK ? SEC/SUB 'iILLS OF 3TONEBRIDGE
APPLIGANT:
^vP.yR.FK I.N
ADDRESS:
CITY, STATE JORDA'7 ZIP 5535"
PHONE: 4` 2"21^t
PLUMBER: _
ADDRESS:_
CITY, STATE
PHONE: _
OWNER:
ROT'fLUA1D C0
OFFICE USE ONLY
PERMIT DATE j'.' P•• ?a
WATER PERMIT # SEWER PERMIT #
METER # B.P. RECEIPT #
READER # B.P. RECEIPT DATE ?' 1 Z>>? F+
MEfER SIZE
ZIP
ADDRESS: BOX 383
CITY, STATE QS y EO•:•''' ? ZtP
PHONE: 571 -03:)?.
PERMIT REQUESTED
x SEWER X WATER - TAPS
- COMM/IND - RESIDENTIAL
X NEW
EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
SEWER & WATER PERMIT
CITY OF EAGAN .
3830 Pilot Knob Rd. '
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT #?r» %-4 SEWER PERMIT # 1 1 362
METER #q13 G 2,911 B.P. RECEIPT # 8991 c)
READER # 06 4 6 a z f 8 B.P
RECEIPT DATE 1 212 ' 8
METERSIZE S12rZmc-/r .
ISSUE DATE PRV - BOOSTER PUMP
I SffEADDRESS 725 1iFl??F:NHILL RD
PERMIT REQUESTED
, LOT 11 BLOCK 2 SEC/SUB N I LLS O r 5 Ti)NE UR U(,E
VALLEY 111.3C
APPLICANT:
X SEWER k WATER -TAPS
610 CRF:FK I,*'
ADDRESS:
=
-COMM/IND X RESIDENTIAL
.352
JORDAt
' CITY, STATE ZIP 5
PHONE: 442-21- f ' X NEW - EXISTING f
PLUMBER: SAME
ADDRESS: I AGREE TO COMPLY WITH CITY OF
CITY, STATE ZIP EAGAN ORDINANCES:
PHONE:
OWNER: KU"TTLUra:; ;,..
ADDRESS: BOX 383
SI NATUR HEN METER ISSUED
CITY, STATE OSSEO.
'"ZIP
PHONE: 51 i-(?3C': Q ?
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERM , CONTACT
ENGINEERING DEPT.
- . ;: :
• -- -.
'
,
YLIJMIiIIr{il l'CKM11 ' For Office Use Only
' CITY OF EAGAN PERMIT # -T _T?-
CONTRACT 3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT# 2L1--2,2L
PRICE PHONE 4548100 . DATE:
Site Address BLDG. TYPE WORK DESCRIPTION
Lot ,C?_ Res
Block Sec/$ . New
Muft.Add-on ? Ar'_
Name Comm. Repair
? Other
? Address
c City Phone / RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
- NO. FIXTURES TOTAL
Water Closet - $3.00 $
? NameBath Tubs - $3.00
c Address Lavatory - $3.00
? Gity = Phone Shower - $3.00
Kitchen Sink - $3.00
UrinaUBidet - $3.00
FEES Laundry Tray - $3.00
COMM./IND. FEE - 196 OF CONTRACT FEE Floor Drains -$1.50
APT. BLDGS. - COMM. RATE APPLIES Water Heater -$1.50
TOWNHOUSE & CONDO - RES. RATE APLLIES Whiripool -$3.00
MINIMUM - RESIDENTIAL FEE $12.00 Gas Piping OuUets -$1.50
MINIMUM - CO M.IND./FEE $20.00 (MINIMUM -1 PER PERMIT) ?._Iyl
STATE SUR A'AGE PER PERMIT .50 ? Softener -$5.00
(ADD $.50 C R EACH $1 P MIT FEE) Well -$10.00
Private Disp. - $10.00
Rough Openings - $1.50
SIGNA URE OF 7 an EE PERMIT FEE:
STQTES SIC:
FOR: CITY OF EAGAN GRAMD TOTAL: ??L-
. '?r • . J'?+?"?-? . ?`e+ • "!'t i -?y .•y•f
CITY OF EAGAN ,
454-8100
DEPT. OF BUILDING INSPECTIONS
Correction Notice
Located at
I have this day inspected fhis structure and
these premises and have found the following
violations of city codes governing same:
I ak
6?4-- ,L-irs IVoT- °? ,
? ' /C`. ?c.?T /<? ? !> ??y:. ; -_ _ ,,:f :,T?
When corrections have been made, please
call 454-8100 for inspection.
Date -- -
Inspector City of
DO NOT REMOVE THIS TAG
}y PERMIT #
•?4 MECHANICAL PERMIT
RECEIPT #
CITY OF EAGAN
,
? 3830 PILOT KNOB ROAO, EAGAN, MN 55122 DATE:
CONTRACT PRICE: PHONE: 454-8100
Site Address y ?t `4
?v
BLDG. TYPE WORK DES.CRIPTION
Lot _ Block Sec/Sub
Res. vNew
Name
?
f ARF Mult Add-on
R
i
r
Comm.
epa
Address 93A1 ?....
?N
?
4J .
! J?III
o Other
c Ciry G
d ?,,..?,?P
ui
eii iCy, irIir
FEES
? Name RES. HVAC 0-100 M BTU -$24.00
c Address Z L)? •- F? ADDITIONAL 50 M BTU - 6.00
p City Phone (RES. HVAC INCLUDES A/C ON NEW
' CONSTRUCTION)
GAS OUTLETS (MINIMUM
1 PEtt PEkMI
- 1
50 EA
n
- .
.
TYPE OF WORK C COMM/IND FEE - 1% OF CONTRACT FEE
Forced Air M BTU 'f APT. BLDGS. - COMM. RAfE APPUES
Boiler M BTU TOWNHOUSE & CONDOS - RES:•,AATE APPLIES _?
MINIMUM RESIDENTIAL FEE - ALL ADD-ON & y
Unit Heater M BTU $ REMODELS _ ? ?
2
Air Cond. - M BTU - .MINIMUM COMMERCtAL FEE 20
:
Vent
° CFM
_ STATE SURCHARGE PER PERMIT
(ADD $.50 S/C IF PERMIT PRICE GOES .50 -y f:^
Gas Piping Outlets # ? Z BEYOND $1,000)
Other ^
? 7
FEE: .
S/C:
? SIGNATURE OF PERMITTEE
TOTAL:
FOR: CITY OF EAGAN
Cities Digital Quality Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
r : • PERMIT #
• PLUMBING PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE: -
? Name
? Addre;
c City
Sec/Sub
Phone
? Name
c Address
p City Phone
FEES
M/IND FEE - 1% OF CONTRACT FEE
BLDGS - COMM RRTE APPLIES
NHOUSE & CONDO - RES. RATE APPLIES
wUM - RESIDENTlAL FFE - $12.00
V1UM - COMM/IND FEE - $20.00
'E SURCHARGE PER PERMiT - .50
$50 S/C IF PERMIT PRICE GOES
CITY OF EAGAN
BLDG. TYPE WORK DESCRIPTION
Res. New
Mult. Add-on
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
Water Closet - $3.00 $
1 Bath Tubs - $3.00
?-Lavatory - $3.00
1-Shower - $3.00
1 Kitchen Sink - $3.00
Urinal/Bidet - $3.00
1-Laundry Tray - $3.00
/ Floor Drains - $1.50
i Water Heater - $1 50
d_Wriripool - $100
1-Gas Piping Outlets - $1.50
(MINIMUM - 1 PER PERMI-T)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
FEE: +'
STATE S/C:
GRAND TOTAL: -
I j
E }
(gtr#ifiratt uf (IDrrupttnry
titp of (eaaan
IppartmP1t1 Df l1ttlbi1tQ JWPtftQYl
This Certifcate issued pursuant to tlte requirements of Section 306 of the Uniform Building
Code cenifying that at the time of rsserance tliis slructure was in conrpliance with the various
ordinances of the City regulating building construction or use. For the foUowing:
??.6m, SF DWG/GAR Bldg.Perm;t No. 15989
p?mp--y Tra R3/r+1 PAN T Cc?nst ?
Owmero(Buildiusn?' ? ?• 7-•r, Add?s P.O. ? ?? QSsso
BWkh ,? 7?5 HAVFIiIIIL R(lAD ?iry 11, B9, HIILS CE SIC?ID?
°?
MALiCH 22. 1989
POST IN A CONSPICUOUS PLACE
CITY OF EAGAN ?
,
' ? 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 '? ?''
' PHON E: 454-8100 ,
BUILDING PERMIT Receipt # f ,_
To be used
Est.Value M3,,QW Date
Lot i ! Block
Parcel No.
s rvame __ --- - . - . - - ? -
= Address 7.0. o ?ity 05SE0 Phone 571-?;?,.1+
. o Name :>
?4 Address
lo: City Phone
Name
Address
City Phone
I hereby acknowledge that I have read this application and state that ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permittee
A Building Permit is issued to:
on the express condition that all work shall be done in accordance with all
applicable State of Minnesota Statutes and City ot Eagan Ordinances.
Building Official
On Site Sewage Occupancy
MWCC System X Zoning
On Site Well (Actual) Const
City Water X (Allowable)
PRV Required # of Stories
Booster Pump Length
Depth
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./Assess. Permit 16$2.00
Planner Surcharge !,-" G.50
Council Plan Review 341.00
BIdg.Off. _ SAGCity
_ ??•?
Varianee _ SAC, MWGC
WaterConn.
water Meter _ g?' • ? ?
Road Unit ? Z 5• 00 '
Treatment P1
Parks
TOTAL ?(?L-Qr? '
1'i?b?
, Permft No. Permit Holder Date Telaphons ie
Plumbing
H.v.ac.
L-
Electric
/8'
Softener
Inspeetlon Date Insp. Comments
Footings I ' }U W
Footings II
Foundation ?.`/. ?(,J ? ?/ ?y,? ynt5?uyr Pro a?vd ,?/
Framing ?ar
Roofing
Rough Plbg. ,- ?.
Rough Htg. ??/.
isui.
Fireplace
Final Htg.
Final Pibg. y4,11-0
Bldg. Final _/r, '?a ¢ %• ; !,?
Cert. Occ. 2-22 -,Of
Temp. LP
Deck Ftg.
Deck Final
Well
Pr. Disp.
BUILDING
To be used to
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
Receipt #
Value
Site Address 725 HAYmILL itD
Lot 1 I Block g Sec/Sub. _?? OF
Parcel No, zve
W Name TRE ROTTUM Co
3: Address 5201 8 RZVRR RD
0 City FRIDLZY Phone 571-0304
o Name SAM
Address
Phone
Address
City -
Phone
I hereby acknowlege that I,have read this application and staie that the
information is correct and 4gree to comply twith all applicable State of
Minnesota Statutes and Citt EagTn Qrdina e !
Signatureof Permitee ? ?• ` ?'? ??._??`?
A Building Permit is issued to: ?E ROTTLAW CO
on the express condition ihat all work shall be done in accordance with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Oflicial - ? -
Occupancy d^i
Zoning _
(ACtuaq Cpnst -
(Aliowable) -
# of Ston/e?s..?..?
Length ? ?
Deplh -
S.F. Total -
S.F. Footprints -
On Site Sewage -
On Site Well _
MWCC System _
Cily Water _
PRV Requlred -
Booster Pump _
APPROVALS
Planner _
Council
Bldg. Off. _
Variance _
Aft 16348
¢
FEES {
Bldg. Permit ?,oo
Surcharge 2•00
Plan Review
SAC, City
SAC,MCWCC
Water Conn
Water Meter
Acct Deposit
S/W Permit
SIW Surcharge ?
Treatment PI ?
Road Unit ?
Park Ded.
Copies
TDTAL ?100
Permit No. Pe?mit Holder Date Telephone #
WATER
SEWEA
PLUMBING
H.V.A.C.
ELECTRIC
Inspection Date Insp. Comments
Footings I
Foundation 6 VS
Framing Z?
Roofing
Rough Plby.
Rough Ntg.
Isul.
Fireplace
Final Htg.
Final Plbg.
Consl. Meter Plbg. Inspector - Notify Plumber
Ergr./Plan
Bldg. Final
Dec{c Ftg.
DeCk Final
weu
Pr. Disp.
RESIDENTIAL
BUILDING PERMIT APPLICATION ? ?
CITY OF EACAN
3830 PILOT KNOB RD - 55122
851-881-4675
New Constnuctian ReouiremeMs
. 3 registered site surveys showing sq. fl. of lot, sq. R of house; anll mofed areas
(20%maximum lot caverage aWwed)
• 2 copies of plan showing beam 8 windaxsizes; poured found design, etc.)
. 1 set of Energy Calculations
• 3 caples o( Tree Pmservation Plan if lot platted aRer 711193
• RimJoistOefailOptlonsselectionsheet(bldgswith3orlessunits)
DATE 11-t,"-- d I
JOB SITE ADDR
IF MULTI-FAMILY BUILDING, HOW MANY UNITS?
PROPERTY OWNE
RemodellReoairRenuirements CD1`LJ`n"
. 2coplesofplan
. 1 set of Energy Cakuiations for heated addiiions
• tsitesurvey(orextenoradditions&decks
• Indicate if home served 6y septlc system for addi0ons
TYPE OF WORK t'?Gt.O
APPLICANT a.l Vt e"_
ADDRESS 11360'7
PAGER #
CELL PHONE #
,-
?'lyoo(? °,
FIREPLACE(S) _!L-1C 1 _ 2
PHONE#
#
:?Z '5
NEW RESIDENTIAL BUILDING ONLY- FILL OUT COMPLETELY
Energy Code Category
(check one)
Plumbing Contractor:
Plumbing System Includes:
Mechanlcal Contractor:
Mechanical System Includes:
Sewer/Water Contractor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone
All above information must be submitted prior to processing of application.
I hereby acknowledge that I have read this application, state that the information is correct, and a ree to comply
with all applicable State of Minnesota Statutes and Ciiy of Eagan Ordinances.
Signature of Appltcant
MINNESOTA RULES 7670 CATEGORY 1
- Residential Ventilation Category 1 Worksheet Submitted
- Energy Envelope Calculations Submitted
_ MINNESOTA RULES 7672
- New Energy Code. Worksheet Submitted
7
? Phone #:
Water Softener _ Lawn Sprinkler Fee: $90.00
Water Heater _ No. of R.I. Baths
L No. of Baths
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 1l01
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex O 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 6ct. 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 ? 23 Porch (screened) ? 36 MuRi
? 05 03-plex ? 11 10-plex ?19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
X 33 Alteration ? 37 Demolish (Bldg)* ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy .l`u-4 MC/ES System
Census Code ? Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units ? Sq. Ft. PRV
Nbr, of Bldgs ? Length Fire Sprinklered
Type of Const Width
REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck)
t FinaUNo C.O.
_ Footings (addi6on) ? Plumbing
_ Foundation y HVAC
Drain Tile
Roof Ice & Water Final Other
Framing _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Fireplace _ R.I. _ Air Test _ Final _ Siding Stucco Stone
Insulation
T _ Windows (new/repiacement)
---- ------------------- --------- ----
-- ------------ ------------------------ Approved By Building Inspector
- -------------- ?--------------------------------------
Y
Base Fee
Surcharge 70
°
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
7otal
DATE: - JAiWARY 10, 1989
?E •-72'5 HAyY?W7Lt Rp.. Lll, B9, HILWOF STaMEBRIDGB
..<.s -..?, . +.
XX Your Sewer & Water P.ermit 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.
_ Your Sewer & Water Permit for the above property cannot be completed for the following
reasons:
Vour Sewer 8 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
con(irmed by Bill Adams or Dirk House (Plumbing Inspedors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BV LAW.
CONTACT COMMUNITV DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
?
Secretary, Building Inspections Dept.
. CASH RECEIPT •
i '
CITY OF EAGAN
KNOB ROAD
EAGAN, M TA 55122
DOLLARS
? CASH ? CHECK
FOfl ?
'(.. ? cti? ??/ '
FUND OBJECT AM UNT
(J G U
?
Thank You
BY
No 90399 Wh?te-PaYm Copy
YeMw mtlng Copy
Pink-Flle Copy
Y
BUILDING
value $4,000
N° 16848
Receipt# C `3 /C)C7
Date JULY 25 , 19$9__
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
PHONE: 454-8100
Site Address 725 HAVENHI RD
LOt 11 BbCk 9 SeC/SUb. HT L• OF OFFICE USE ONLY
Parcel No. STONEBRIDGE Occupancy M-1 fEFS
Zoning
W Name THE ROTTLIIND CO (Aqual) Const Permit 64.00
81d
_ 9.
? Address 5201 E RIVER R? (Allowable)
2
0
? .
0
Surcharge
City FRIDLEY Phone 571-0304 eorstories
` Plan R
ie
Length GaI
d$e 12X21 ev
w
o Name SAME Depih Deck 12ic16 snc
a
?
$?
AddreSS
S.F.rotal
- ,
ry
' CItY Phone S.F. Footprints _ SAC, MCWCC
On Site Sewage Water Conn
?= NamE On Site Well
- Waler Meter
?- Address MWCC System -
a? CI(Y Phone City Water _ ACCI. Deposit
PRV Required _ SNJ Permit
I hereby acknowlage ihat I have read Ihis application and state Ihat the Booster Pump - SNJ Surcharge
intortnaiion is wrrect and gree to comply with all applicable State of
Minnesota Statutes and Cit of Eag n rdina ce Treatment PI
Signalure oi Permitee APPROYALS Road Unit
A Building Permit is issued to: THE ROTTLUND CO Planner - park Ded,
on the ezpress condition that all work shall be done in accordance with all Council
applicable State of Minnesota
Stalute
s and City)ol Eagan Ordinances. gidy, pfl_ _ Copies
p
1
BuildingORicial ??,? l\Dl(A.' m n
l Variance - TO7AL 06.00
Request Date Fire No. Roigh-in Inspecti0n
I RaQUiretl9
? Ves ? No
? Reatly Now ? Will Nrnity Inspecmr
. When ReaEy?
10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job AtlAress (Streap Box or poute No.) Ciry
SecUan No. Taxnship Name or No. Renge No. Counry
Occupam (PPINn Phone W.
Pawer Supplier Atltlress
ElecMeal Contractor (Company Name) rqmfactor5 Licanse No.
Mallirg Pdtlress (Canhadora Oxner Meking Installation)
Aulhonxetl SignaNre (ConVeqar/Owner Mtkirg Installafion) Phone Number
MINNESOTA STATE BOARO OF ELECTFICITY TMIS INSPECTION REQUEST WILL NOT
Grlgga-Mltlway Bltlg. - Room S113 BE ACCEPTED BY THE STATE BOARD
1821 Unlveniry qw., St Peul, MN 55104 UNLESS PROPEF INSPECTION FEE IS
Phone(612)802-0800 ENCLOSED.
REQUEST FOR ELECTRICAL INSPECTION ee-oooo,-m
li? See instmqiona for mmpleting tliis lorm on ISack oi yellow copy. .
)C" Below Work Covered by This Request
e Atld Rep. TypeofBuilding AppliancesWired EquipmentWired
Home Range Temporary Service
Duplex Water Heater Eleciric Heating
Apt. Building Dryer Other (Specify)
Comm.Andustrial Fumace
Farm Air Condttioner
Other (spetity) Contractor5 Remarks:
Compute lnspection Fee Below:
# Other Fee # ServiceEntrance Size Fee #
1
CirouitsiFeeders
Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 _ Amps Above 100 _ Amps
SignS Impeclor9 Use Only: TOTAL
Irrigation Booms ?$
Special Inspeclion
^?
•
Alarm/Communication '
Other Fee
I, the Electrical Inspector, hereby
certify that the above inspection ha5
been made. Rough-in '
y
F;,, , oate _3. ?
oata
OFFICE USE ONW
This request vpd 18 rtwMins hom
7Request Date
('] Fire No. Rough-in InspecUOn
Requiretl?
? Ready Now ?'?'ill Notity InspecNr
'_
_
-l
es ? No Wh
en Reatly?
10 licensed contractor ? owner hereby request inspection of above electrical work at:
Job ACEresa (Straeq Box or RomB No.) City
r1a5 a e, h? I 1 P..d
Seclion No. Township Name or No. 7 7 70 . Counry
Q
OcapeM (PRINn Phone No.
Power Suppliar . AEtlress
DoKi
ElecWCal Convactor (COmpanry Name) ConVaclar5 License No.
sy-V?Ilse. Eux--k? 3a?ns-
Mailinp Atltlress (COntractor or Owrrer Making InsWllation)
qcxb rd ?v mFLS fYN? 55?443
Authorizetl Signalure (ConVacbr/Ownrer Making Insfellation) Phone NumOer
5?-%oo
MINNESOTA STATE 80AA0 OF ELECTHICITY THIS INSPEGTION HEQUEST WILL NOT
Griggs-Mltlway BIdB. - poomi 5477 BE HCCEPTED BV THE STATE BOARD
1821 Univaratry Ave., St. Paul, MN 55104 UNLESS PftOPER INSPECTION FEE IS
Phom (612) 642-W W ENCLOSEO.
REQUEST FOR ELECTRICAL INSPECTION • ee-ooom-07
ll? Sce ins[rucfionfl hr compieting this form on Deck a( yelbw copy.
"X" Below Wark Covered 6y This Request
ew Add Rep. TypeoiBuilding AppliancesWired EquipmentWired
Home Range emporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air CondRioner
Olher(spectty) Contrector§ Remarks:
Compute Inspection Fee Be1ow:
# Other Fee # Service Entrance5ize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 l0 100 Amps
Transformers Above 200 _ Amps Abova 100 _ Amps
Signs InspectorSUSeOnN: /?- TO7AL
Irrigation Booms
Special Inspection
Alarm/Communication
Olher Fee ((p iAr)
I, the Electrical Inspector, hereby
ti(
th
t ih
b
i Rough-In oeia
cer
y
a
e a
ove inspeCt
on has
been made. F;,,ai
OFFICE USE ONLY
This request voitl 18 months fiom
CITY OF EAGAN
_ 3830 Pilot Knob Road, P.O. Box 27-199, Eagan, MN 55121 N? 15989
BUILDING PERMIT ' PHONE:454-8700 Receipt x G? q7p `// C'7)
/
To be used for SF
Est. Value
SiteAddress 725 HAVENHILL ROAD
Lot 11 Block 9 Sec/Sub. HILLS OF
Parcel No. _ STONESRIDGE
3lName THE ROTTLUND CO., INC. I
Address P.O. BOX 383
a City OSSEO Phone 571-0304
a
0 Name_
oa Address
? City_
w
w
z
u
z
W
Name _
Address
CitY _
I hereby acknowledge that I have read this application antl state that ihe
information is correct and agree to comply with all applicable State of
Minnesota Statutes and-Cjty`?t Ea`9 Ortlinaces.\
SignaNre of Permitt?J?-±-???-???,.
A Building Permit is issued to:__TH_E_RO_TTLUPID_ C0.,INC_.
ontheexpressconditio thatallworkshallbetloneinaccordance withall
applicable State of Mi e ota Statut s and City of Eagan Ordinances.
BuildingOlficial_ &f:Q.
\
Date TF
? !`F
Mym?AF4 22 11988_
OFFICE U5E ONLY
On Site Sewage - Occupancy R-3 /M-1
MWCC System X Zoning PD/R-1
On Site well _ (Actuep Const V-N
City water _X- (Allowable) V-N
PRV Required _ # of Stories
Boos[er Pump _ Length SZ
Depth 36
S.F. Total
Footprint S.F.
APPROVALS FEES
Engr./ASSess. Permit "2 QO
Planner Surcharge 6.2?
Council Plan Review 347 _OO
BIdg.Ofl. SAq City _].D.Q.-GO
Variance SAC, M WCC --55.0.00
WaterCOnn. _SSQ.,.QO
WaterMeter _9D-QQ
Road Unit _32-i-QO
Treatment Pt ?n?.??nn
Parks
TOTAL $2908.50
1??q T
2005 RESIDENTIAL BUILDING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Raad, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
/?
"" / n " 0
-
Naw ConstruGlon Reouirements RemodeVRenalr Reauiremenls OfAce Use Onlv
3 registered site surveys shmving sq, fl. of lot, sq. ft. of house; and all roofed areas 2 copies of plan Cert of Survey Recd _ Y _ N
(20°k maximum lot coverage allowed) 1 set of Energy Calculalions for heated addNOns Tree Pres Plan Rectl _Y _ N,
2 copies of plan showing beam & window sizes; p0uretl found design, etc. 1 sAe survey for addkions 8 decks Tree Pres Required _ Y _ N
i set of Eneigy Calculations Addilion - indkate ilwrsHe sepfk sysfem Onaite Septic Syffiem _ Y _ N
3 copies of Tree Preurvation Plan if lot platted after 1f1l93
Rim Jo(st Detall Optbns selectbn sheet (buildmgs with 3 or less units)
Date • > `'`., n+ ."• - . ' t
Construction Cost S4 J'.`V j
Site Address -7? s 14 4, ve Unit/Ste #
Description of Wark G- 'a ?? y P
Multi-FamilyBldg _ Y? N Ftireplace(s) ? 0
. _ 1 _ 2? ?,.
,
Properry Owner ?r e? ?j W C /? •a? Q
' - ? -7V 6
Telephone # t` ?
--?
Contractor e ?- w-?-e w+ ?? 'c
nddress Va rC?. C-f- City
State IAA N Zip `7 5-0 Telephone # (6 S
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING `
- Minnesota Rules 7670 Cateeorv 1 _ Minnesota Rules 7672
Energy Code CategOry . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet .,
(4 submissiontype) Submitted . Submitled
• Energy Envelope Calwlalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N-: If so; 25% plan review
fee applies.
Licensed Plumbert ielephone # ( )
? .
Mechanical Contractor Telephone # ( ?
Sewer/WaterContractor Telephone#( )
I hereby apply for a Residential Building 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 State 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.
M`c.IVI a C L _T_Z..,4_2 W J('l L ?
ApplicanYs Printed Name Applicant's Signature
OFFICE USE ONLY
Sub Types
O Ot Foundalion ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 AccessoryBidg
OW 02 SF Dwelling ? 08 06plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 07 of _ plex ? 09 07-plex ? 17 Garage 0 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
WorkTypes /I+Jfltl A-6ooN ?'.X7"V'NSAo'
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
O 32 Addition ? 38 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
A' 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 Windows/Daors
? 34 Replacement *Demolition (Entire Bldg) - Give PCA handout to applicant
Valuation w
Occupancy MCES System
Census Code 43'f Zoning IZ' I City Water
SAC Units - ?' ^ Stories Booster Pump
# af Units ? Sq. Ft. 2$ PRV
# of Bidgs ? Length Fire Sprinklered
Type of Const V9 Width
REQUIRED INSPECTIONS
_ Footings (new bldg) ? FinaUC.O.
Footings (deck) Final/No C.O.
i/ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof Ice & W ater F inal Pool Ftgs Air/Gas Tests Final
? Framing _ Siding _ Stucco _ Stone _ Brick
Fireplace R.I.
l? AirTest Final Windows
v
Insulation _ RetainingWall
Approved By: f.i? tw' , Building Inspector
--------------------------------------------------------------
Base Fee 58 64p0
Surcharge Q • 60
Plan Review a• 00
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License 5earch
Copies
Other
Total
59 • aio
2 8 0 K 874. .-& = 1512 Pcz ?(,oo 0
wL 2005 RESIDENTIAL PLUMBING PERMIT APPLICATION
0
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date A I? l v5?
Site Street Address ZLEEUEd? {?r ?f??
Unit #
Property Owner Telephone #( )
Contractor ?V E? A iE:- Telephone # (45'(
Address ?D /S Q)( c-, G City WrMWr a--\_ State_Aj? Zip 3?f 08P-
The Applicant is: _ Owner 6-16ontractor _Other
Alteratio "existing dwelling $ 50.00
Add plumbing fixtures: This fee includes putting in a water softener and/or water
heater at the same time. li vou are installina onlv a water softener and/or water
heater, do not complete this section. Move to the next section and check the
appliance(s) you are installing.
_Septic System Abandonment
_Water Tumaround (add $125.00 if a 518" meter is requ ired)
Othec
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ? • Eo
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
the event a plan is required to be reviewed and approved.
?.?ti€ ?Ern ? ?/_
Applicant's P nted Name ApplicanY Si ure
bq-plg
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
Telephone #(
New Cuns6uctbn Reauirements RemodeVReoair Reouirements Oflibe lJSe Onlv
3 registered site surveys shmvirig sq. ft. of lot, sq. ft. of house; and all mofed areas 2 copies of plan CeR of Survey Recd , _ Y_ N
(20%maximum lot wverage allowed) 1 setof Energy Calculations for heated addifions T2e.Pres Plan Recd YN
2 copies o( pian showing beam & window sizes; poured found desigq etc. 1 site survey for add'Aions & decks Tree Pres Required Y_ N
lsetofEnergyCalculations Addifron-indicafeilon-sitesep5csystem On-siteSeptlcSystem _Y _N
3 copies o( Tree Preservation Plan if lol pladed after 711193
Rim Joist Detsil Options selectwn sheet (buildings wAh 3 or less units)
Date 5- / " / __Lus- , Construction Cost ? 0 7 1 J j v , () i
Site Address :7 1$7 f-j 4, Ve n (_ Unit/Ste #
Description of Work 14 cf,c \' e- A- Vo Q,=}?!' LyT?
Multi-Family Bldg _ Y7'i?N Fireplace(s) ?f 0 _ 1 _ 2
Property Owner G-(' ,e, 9 S w e n s J n Telephooe #({? 51 ) ?-7"- 3?l (3 7-
Contractor
Address '7C91 74L va ? aJ1u C i-- City ? G- /4-
State ?n/ Zip y 5?U 17 Telephone#(6S? i
Ll
v). -cfq66 '
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submission type) Submitted Submitted
• Energy Envelope Calculalions Submitted
Have you previously constructed a building in Eagan with a similar plan? _ Y _ N If so, 25% plan review
fee applies.
Licensed Plumber
Mechanicai Contractor
Sewer/Water Contractor
"e ??
Telephone #( )
I?? Telephone #(
I hereby apply for a Residential Building Permit an wledge that the information is complete and accurate;
that the work will be in conformance with the ordinance and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an applicarion 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 iequires a review and
approval of plans.
_/• } i U?. a.:(_ Tw+e-. wu k L
ApplicanYs Printed Name
?
Applicant's Signature
OFFICE USE ONLY
Sub Types ?
[3 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage F 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
O 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
?Z 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building* ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement 'Demolition (Entire Bldg) - Give PCA handout m applicant
,
iCCOD
Valuation ;? Occupancy 43 MCES System
Census Code ?2 Zoning ? City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const 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
_ FinallC.O.
? FinaUNo C.O.
_ Plumbing
_ HVAC
Other
Pool _ Ftgs _ Air/Gas Tests Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Approved By: TZ , Building Inspector
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
???. 3 ? 2 X 1 ?--
M ?,, 3 9 2 x s?? -
S' ?K0
2 ?? oq?'
,.
?*•7f 2422 Enterprise Drive
Mendota Heights, MN 55720
LANDSURVEYDRS•CIVILENGINEERS
PiONEER
?engineerin?y°, LANOPLANNERS•LANMCAPEPFCN1TECTS ?61'1?68?'?9?/?
?
Certifieate of Survey for:
75e ZS' 23 £ $Go'b? ? ?
N•zzq 53_?-q NORTN
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. soao. Denoies propc?Ma cfevalion
----'-penofesDrcxr?oge?ufilrfy Easemenf
? a ?nofes DrQma¢e Flow Arrows
o penofes monumenf
g earins's shown are assum ed
.?'FS ._ _ ._._?,...._ ....e._._._..T
?,!-,.RYe.?G DFPT
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/
P90F'OSED NDUSf ELEVAT10N5
Lowesf Floor Elevation = 9,96). 9
Top or Block Elevafior) = 6W. a
C7arA4ia 5/afi Flevafiot7 = 88t'I
LOT // , 9LDC07k 9 J P1Ct5 oF STDNEBRIDGE
QaKOTA CouNTy, MINNF-SOTA SUBJECT TD EASfMENTS OFF7EC017D
7 hereC,r certily ?hae Ihis is a fine and mrrect reprnertention 09 e surxy al the 6ouMa.ies of the a6ov7e[/Ascribed ?an and ot the Iptatlon,?o?oaN
bu;ldings, thereon, antl all visible encroathmems, if any, from W on said IarM. Ai surveyed Ey me thiz 1??-/?-' day Of? A.O. 79d-Q-.
?w. 1t-i9-Q-7 Goe. ? /? /t- y/'?? ?J//
SLQle - 1 ind7 _ /?,?-? • ?i,//?.?jl' •
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ROBEFT B. $IHKH L.S. QEG.fi0. 14l91
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1988 BUILDING PERMIT APPLICATION - CITY OF EAGAN
SINGLE FAMILY DWELLINGS
INCLUDE 2 SETS OF PLANS, 3 CERTIFICATES OF SURVEY, 1 SET OF ENERGY CALCULATIONS
NOTE: ADDRESSES FOR CORNER LOTS - CONTRACTOR/HOMEOWNER MUST DESIGNATE WHICH ADDRESS
IS DESIRED. NO CHANGES WILL BE ALLOWED ONCE BUILDING PERMIT IS ISSUED.
MULTIPLE DWELLINGS RENTAL UNITS FOR SALE UNITS # OF UNITS
INCLUDE 2 SETS OF PLANS, CERTIFICATE OF SURVEY - CHECK WITH BLDG. DEPT.,
1 SET OF ENERGY CALCULATIONS
COMMF:RCTAi.
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 7 SET OF ENERGY CALCULATIONS
To Be Used For: '5?4y,aC?Lr- E=gwuL?c Valuation: /t9o?' Date: (2-14-Eym)
Site Address 7'
Lot _tL Block 9
Pareel/Sub 4-{tu-r? c-3F
Owner 'C?rE i?Z?'czWUf? Cs?. IAiC.
Address lepk ?y?}3
City/Zip Code r)Efi-,en, yf'(K,/.
Phone
Contractor 4f-VsW?
Address
City/Zip Code
Phone r?YH1e
Arch./Engr.
Address
BsltJOQ^ urrlc:h ubL WNLx
On site sewage_ Occupancy R'3 l
MWCC system ? Zoning -1
On site well Actual Const V- hf
City water Allowable
PRV required li of stories
Booster Pump ` Length 52'
Depth S.F. Total
Footprint S.F.
APPROVALS FEES
Engr/Assess Permit 682.0U
-
Planner Sureharge 66
'50
Council Plan Review 3/, Dp
Bldg. Off. SAC, City U? O.OD
Varianee SAC, MWCC , O,OD
Water Conn 5SO.-Oo
Water Meter 0 0
Road Unit 7.5.00
Treatment Pl ZO ,DO
Parks
Copies
TOTAL SOS.SD
City/Zip Code !E?E
Phone al cr,?y?
vA t u ATiopZ
GAt2AUE
22x22.-
pao5r---
So x zg ; ?qo
2,? x I LI
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I I 3 N X ill =/zsB9 y
____-------
13z6so
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2422 Enterprise Drive
Mendota Heights, MN 55120
?erIng•• LANOPLANNERS•LANOSCAPEPRCHITECTS I (VC1?11 C0 VOI?1'1J(l1A
LI `f
Certificate of Survey for:
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I
l
1
1
1
?
i
?
?
8,.
'8
X
o.o
w?
y?
?' ? P?aPos? _-z
1? 1 w Hoty? ? r
?7.Li ? ?A?
I ?IIL11y
1 r
II9.0o y _ _ "_ ?
I ?
o- - ??
' 100.00
R: 4(b.97
Q, i3° d4' 29„
NPYENNILL
. goo.o Denofes existr'no flevafion
= soo.o Denofes propcHd clevaTion
------ DenofesDrarnage(Ufrlrfy Easemenf
. benoPes Orqrnage Flow Arrows
/ NO RTH
?
N
u?g
r•
m
0 _
41 ? s?.e
?
?
x 4r.?? s86.f
RoAD
PROPOSED NOUSf ELEVATIONS
Lowesf Floor Elevalion = 9B61. 9
Top oi Block flevafion = ea) R9. o I
o Denofes monumenf Garo4,' S/ob Elevafian = 888,7
Bearit shown dre assurrted
LOT // , BLOcK 9114i[t5 oF STONEBRIDGE
DaKOTA CouNT)', MINHE$OTA SUBJECT 70 EAS£MENTS OFlIFCORD
1 herebV rertify that tbis is a vue end corrett representetion of s survey of the boundaries of Ne above dAsuibed lan and of the location ?afna11
buildings, thereon, and ell visihle encroechmmts, il any, irom dr on ssid bnd. Af surveyed by me this R??+ day of A.U, 79??5 .
?Cu. Ii.-t9-87 Gae. ?/? l'
SCQIe = j;?, : 40 ?
? ?? ?7111 ,[?l ?+OBERT B.5IKICH 1 1 . REG. O. 1 ?l91
1?1, I
; . ; .
, ` ,y , • "?SSz.-??.?F?R-? ' , ;.. ,
•: , , . -
EXTERIOR. h..vi!;LUPE AVERAGE "B° C0I4PUTATION
r. . '
. ., . . , . . . . r .. OWNER T/LG
SITE ADDRESS
CONTRACTOR 9JC,mg DATE PHONE S7I" •_???
Determine working aquare footage.of each.
1. Total exposed wall area ...... Z B8& sq. ft. x•I/1 _ •?
2. Total roof/ceiling area .... ./180 s4• ft. x r42.6 = Q.46
7sipG i :
Total exposed wall area above floor - ?A-:r I
a. Total wall window area .............................
b. Total door area ....................................
c. Total sliding glass door area ....... ............
d. Total fireplace wall area ..........................
e. Total wall framing area (average 10Y.) ...............
f. Total net wall area above floor ....................
g. Total rim joist area ..... _. ......................
., ..
Total exposed foundation area = ? ffi
-7 1
h. Total foundation window area ...:....................
i. Total net foundation area above grade .,..,... ••r.?- _'
Determine "Ui' value of each wall segment.
a. 2 Jr 3 XolUll 5T .39, 2
b: 3V? X„U,, 07 = 2.(c G ? ?.
X„U„ .?f 6 e27. 60
C.
a. X „ull ? ,_ .. ? ' . . .
e. g ?-Un /6r7t '
1• 1930 X.11T111sO?? fl J' ( .- t.
V
g. -3/2 X l'Utt
h. 7 R °Un
1. 7/ X uUn. •/ ? _ 7?C°J? . , . . .
3 .......................... .........Total
If item 11 3 is the same as, or lesa than item O1, you have met the intent
of SBC 6006(c)2.
;
r .
i
k
1
Total exposed roof/ceiling area /60
Total gross roof/ceiling area = L10-1
Total skylight area ....................... ?
Total roof/ceiling framing area ...........: ?
Total net insulated roof/ceiling area .....
Determine "U" value for each roof/ceiling segment.
x IlU?l 4"--
k. 7? X„U„ , n27 =_/. q 2
i. / /?09 X flult .925` = 27.73
4 ..................................... Total = .
If total of I14 is the same as, or less than $2, you have met the intent of
SaC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items #3 and 114 shall not be greater than the sum of itPms #1 and 112.
?. 32o.3s
+ z. 3d% 68 = 3S-/.Q3
s. 2q0.79 + a. 21?.65` = 3220..5'`t
. .WnLL J6C'1'1i,uJ.
IU7'G: Use 10% of opaque wall area for
, frame construction
1'a9e: .1 of' 4
Construction R-Value
1. Interior air' film 0.68
2. '12 `CsYP 139- 1)
m4S
3. .2x(' S?-rivS (oo$S ..
, 4. 25-132 S!-rTC-
Z. 06,7
5. S/GYAib pV E/< FECT l a??o
6: Exterior air film 0.17 ,
Total %/, S '
v? °oS -7
l. Interior air film 0.68
• 2. VLCa .Y/::, 13oZ D o y57.
3. Fv[.L- i.?/,9rC: i.?s? / ? bU
4• 2 5-,/3L SHT? 2 OG '
5. 5/ L?tiG O V E& F EL7' ) 0 2 6
6. Exterior air film 0.17
Total 2 3, 6 Z'
2
1, Interior air film 0.68'
2.
3. ' 2 x_. ta'r r ?t /a ,A58
4. 215-/32 SHTV- 2vO?o
6. Exterior air film 0.17
- Total 2 S.O S
• U_ a7L o
,? .
l. Interior air film 0,68
.. 2. _/1-l/ .J.tiSciC. // Up •
3. 2A FUR 2 Ihr C?
4. 0wc13 COCfL
5. '
6. Exterior air film 0.17
Total /3e/
. . . . v o- 7?
•.??.??1=-Trr x 6• ` ? ,? , ?? ° ,
•
`
01,.._ ` ..
r : . .
,e
? , ?
. /?? ? . •
'
FIG. it 4 = ? -
• ' . ° ' .? /(/ •
??f
I(I
?
'? °
, ?
. ? II! i
•
i
• r?r ? x /rr
?I?? y ? •o ` r ', .
• . ,
,_ . . _ • :
,,'ROOP/CE3L1NG
i
• ?
. .
3
VuiT
lented
\.!
HeaC flow
up , .?
FTG. $5
.
? ? .
J t?eac Flocr up • ?. .•vented
. . , . ?? ?
. :,.
• . ,FIG. A6.'..i... ? f?_. _. .' .
•- ... --°- -?- : . ...
?_ .,' . .` .
. G11 .Y".
? nn• ??
• tiOit-VL'h'Tp? '
_ , .
, , • ?flow up ? .
4 ,? • . .
F..T.r,. ?A7 ? ' . , • .. .
ConstrucLion ? 12-Vziluc
1."Interior air film . 0.61.
2. 51PV' C?YT? T3 Rp ? es?
s.
4. Exterior air film (still 0,
-? xotal 35.00.
. : ? v = ,vzs
' . ' , . • ? ' . .
?t?.?.t-- ' •
1. Interior.air fzlm 0.61
2. S r?. C; YT- O SS
3. 1,?5(/L Of/F/Z Y/CU71 , ? "1 '
4., Extcrior air Ei1m stillT'Q.br
• . Total•
• . , i ' • '
• a '
.
• , I I
? .
. ..
, . ,
u 1. Inside ai.r film 0.61
' 2. .
? 3. • . .
? n.
5. Outside air film 0.17
Total
• ; • . '
: Noc: IIse additi.oiial sheets •if more space ie
•needed for deL•ails and calculations.
, ?
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55122
659-681•4675
New Constmction Reuuiremenh
• 7 rr,glsterea site surveys showing;q. ft, of lot, sq. ft. of house; and all mofetl areas
(20°% maximum lot coverage allowed)
•? copies oi alan showing heam 3 window sizes; poured found Cesign, e[c.)
* 1 sei of Enerqy Calculations
• 3 copies of Tree Preservation Plan if lot platted after 7/1193
• Rim Joist Detail Options selection sheet (bldgs wi[h 3 or less units)
DAiE O a
4'v?
?
a5
SITE ADDRESS lO?•J ? A?-Q-?'1?L?,?-?- t?C7?C.? MULTI-FAMILY BLDG _Y Y- N
TYPE OF WORK k\9,0,>1%, FIREPLACE(5) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS7'!!tbX`" tSLt M1XWJ 1
iELEPHONE#?].Tl19?PJ19a:?^CELL PHONE #
tiJ ?STATt4kJ ZI P f55) I
FAX # (05 t ii - L417a.3
PROPERTYOWNER(2?1_kAa- TELEPHONE#(OS) 0
-------------------------- --------------------------------------------------------------------
COMPLETE THIS SECTtON FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ y(LNNFSOT.A RULES 7670 G\?-rEGORY 1 MIV\ESO"1':1 RCLGS 7672
(?i su6mission type) . Residential Ventilation Category 1 Worksheet Submitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Coniractor:
Plumbing sys[em includes:
Mechanical Conhactor:
Mccli:uiical svstcm iiiclude,:
Sewer/Water Contracior:
Phone #
Phone #
'----'------°'---'-' °°---°-- °--°-----' °'-"------°----------° ---'-------°--
I hereby acknowiedge that I have read this application, state th the informati
with all applicable State of Mlnnesota Shatutes and CiTy of E an dinances.
Slgnafure of Applic
------------- ---------------- ------------------------------------------------ °-------------- -------- -----°---
OFFICE L5E OtiLY
Certificates of Survey Received _ Tree Preservation Plan Received _
_ Water Softener
WaCer Heater
Vo. of Baths
RemodaNRaoair Reauirementa
• 2 copies of plan
. 1 set of Energy Calculations for heated additions
. 1 site survey tor ex[enor additions 8 decks
. Indicate if home served oy septic system for adaifions
VALUATION
PllURf #
Iawn Spnnkler
Yo. of R.I. Baths
A;r conaiuonit,,
Heal Rccovcr}' SNs[cin
Pee: $90.00
ree: s70.00 i I I L. ;
Not ReGuired _
Updated 4l02
OFFtCE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
0 02 SF Dwelling ? 08 06•plex ? 16 Fireplace ? 21 Porch (3-sea.) O 31 Ext. Alt • Multi
? 03 Ot of _ plex ? Og 07-plex ? 17 Garage ? 22 Porch/Addn. (A-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 72-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35` Int Improvement ? 38 Demolish (interior) ? 44 Siding
? 32 Addition , ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 . Fire Repair
? 33 Alteration ? 37 Demolish (81dg)' ? 43 Reroof ' ? 46 Windows/Doors
? 34 Replacement •Demolition (Entire Bldg only) - GivQ PCA handout to applicant
' .
: ?,
Vaiuation Occupancy .. .
MC/ES System
? ,
Census Code Zoning City Water` '
SAC Units Stories . Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr.'of Bldgs Length ' Fire Sprinklered
Type of Const ' Width ' ? .
, REQUIRED IN SPECTIONS
_ Footings (new bldg) FinaUC.O.
_ Footings (deck) FinallNo C.O. ?
_ Footings (addition) _ Plumbing
Foundation HVAC
_ Drain Tile Other
Roof _ Icz & Warer _ F inal Pool
AiriGas Tzsts
Ftgs Final
_ Framing _
_ _
_
Siding Stucco Stone _
_ Fireptace _ R.I. _ Air Test _ Final _ Windows (new:lreplacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspectar
SINGLE FAMILY DflELLIBGS
1969 BJILLIWG PEAMTT APPLICATION
CITY OF AN
I (OS
IWLTIPLE DHELLINGS COlBMERCIAL
2 SETS OF PLANS 2 36TS OF PLANS
3REGISTEAED SITE SOR9EYS BEGISTfiAED SITE SDRVEYS
1 SET OF EIiERGY ClLCS. (CHECH itITH HLDC DIY.)
1 SET OF EIiEAGY CiLC3.
MULTIPLE DWELLINGS AE2iTAL dNITS FOR SALE UBITS
2 SfiTS OF AACHI2ECfURAL
_ 8 STHOCfOAAL PLANS
1 SET OF SPECIFICATIONS
1_3ET OF ENEACT CALC3.
/ OF IIBITS
HOTEt IDDRES3ES FOH CORtiEE r.-=".S - CONTRACTOR/HOMEOIiNEA !lOST DESIGN9TE iiHICH iDDAESS
IS DESIRED. NO CH9NG?. 'a,ll.i. BE lLLOWED ONCE BDILDIAG PER!!IT 15 ISSIiED..
SEWER 8 HITER PERMIT FEES AFD ACCOIINT DEPQSIT F6ES WILL BE INCLIIDED fiITB iHE HUILDIN6
PERMTT FEE. PAOCESSING TIl1E FOA SEWEA EFD W9TER PEfMI15 I3 Ti10 DAYS ONCE A PEAMTT H!S
BEEN COMPLETED INDICATING A LICENSED PLUMBEA.
/?Cli ? r Y ? c S t b . C . ? ? , - r e a , - a ? c e 12'X/lo' dec.E J U L 2 1 1989
2 '
To Be Used For: Valuation.: Date: ?- eo "69
Site Address -7,9,:; /huop,yjeL &qp t1OO? , OFFICE tlSS ONLY
_?
Lot 1l Block C1
Pareel/Sub
Owmer -7RE &7'rL[J? CA.
Address -,,=0l E_ V.rar?. Ptl-
City/Zip Code apl,?r
Phone S7 f t?? 9(
Contraetor _
Address
Citq/Zip Code
Phone
Areh./Engr.
Address
City/Zip Code
Phone 0
Oceupaney 1-A' k FEFS
Zoning
Actual Const
Bldg. Permit 6 y.oL
Allowable Sureharge .00
4 of stories Plan Review
Lengthc?nRtWt 17_72A79 SAC, Citq
Depth DEGK 12Xtb SAC9 MWCC
S.F. Total Nater Conn
Footprint S.F. Water MQter
Acet. Deposit
On site sewage S/ii Permit
On aite aell S/W Sureharge
MWCC System _ Treatment P1.
City vater Aoad UniE
_
PRV required _ Park Ded.
Hooster Yump Copies
_ SOBTOT9L
APPROVAI.S Penalty
Planner TOT9L
Council
Bldg. Off.
narianee
... I r
A,?
3
? 1 ZD;Go
o r?
LIODO
* * *4C
* pion
* engir
7L *?
T
Lanosunverows•
2422 Enterprise Drive
Mendota Heights, MN 55120
?erlnC?.. LMNOFLANNERS•I.ANO'iCl1PEl1RCHITECTS (I(612) 681'1914
Certificate of Survey for: 1 nj CG) 'rhe E ?
N.'Sa 2$ z3' .gGo,L? ?
5q,53 NO4TN
9s?L 5? I 1?
I ?
I 4,
m O ? ?? }I r-?
a O ? ,? 1 N
2 ;_CO
???j•?1 ?i' w PR-ePaS? -- ,t4.o S ?
y1O` ' ? j• k'?OJhC' ' ?. _ ,?. a ?g,t.(I?
am1 ? /
NL-_.---. i
0
d4' 2q„ ? T.C.- 8g6.f .
NAYENNILL ROAD
r 900.0 Denofes exisiin? flevafion
? soo.o Denofes propoHd Elevation
----'-DenofesDr?xmQ?e?utrlrf Easemenf
aenoies Druma¢e Flow ?rrows
o Denofes rnonumenf
gearrl-ists shawn ore assumed
PROpOSEO 14OU56 ELfVAT10N5
Lowesf Floor flevallon . ,?,90. 9
Top of 8/ockElevafion = RR9•4
.r'iora?,, 5/ob Elevation ° 88S'l
LoT BLocK 9,PtLc5 oF ST4NEBRlDGE
QaKOTtl CDUNTy, M+NH£SOTA SUBlfCr 7D EASfMENTS OFRtCORD
1 hercby certity thnt thie is a vue and corrett represemetion of s survey of the boundaries of Ihe abo?ve?d// rs «iMd ?a? snd of the Iocation ?ofpNI
bulldings, therton, and ell visible en<rOathmentf, il any, fram m on seid Isnd. As surveyed by me thrs1? ?7._day of??_A,O. 19d?_.
?. IC-i9-Bl Gce. : 7-7o•d9 QoD 3204TaLt2 ??
-7 Scale =1?^? = ?o'' .
81llZ A? ROBE T 0. SIKICH L.S. REG. O. 14l91
41: I o 2 23
APFLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTION
*NOTE:F PA]24•NP OF FFE AT TSME OF
; nreiaCATIaa oots Nar corr :
? STi1V1£ APPRGVAL OF PIItPIIT.
?
? INSPFMON OP s'FYIi ALD/OR WAZm R
'
; irisrnucazz«is wna. rxrr sE scMn.m ;
y[!Nl'IL PIIZPIIT HAS B@1 APPAOVID.
4#Otf Sf ff f k4!! f 4f fYit'Mk*4f f i#/ie#4fef M* i
ItV OF CCIgC8P9
(PLF.ASE PRINP
1) PROPERTSC ADDRFSS:
T•E=AT• OFSCRIPTION;
IF EXISTIDIG STRCCTC?RE, DATE OF ORIGINAL BUILDING PERMLT ISSUANCE:
Mon Year
PRESENT ZONING/PROPOSID LSE:
Q COMf?ERCIAL/RETAIL/OFFICE
Q ZNDL'STRIAL
Q INSTITUTIONAL/GOVII2PIlMENT
R-1 SINGLE FAMILY
? R-2 DLPLEX (3WO Cnits)
? R-3 TOWNHODSE (Three + Onits) ( Units)
Q R-4 APARTMENT/COAIDOMINIUM ( C'nits)
2) ? NA`E: Ua
ADDRESS:
CITY, STATE, ZIP:
PHONE:
3) ? NAMEc
ADDRESS: 5? " 1
CITY, STATE, ZIP:
PHONE:
4) ?• ?'
NAME:
ADDRESS:
CITY, STATE, ZIP: ('jSSf u ? (`1 r?
PHONE: S7I -U3ULI
5)
MASTII2 LICENSE # ('? " a ( U ?
I? Active
Expired
Not recordec
Sta Initia
cn CONNECTION TO CITY SE4VEEt M CONNECTION TO CITY WATER O 0'iHER
6)
**?***?*r*,r******************+***********:r*********+*****+****??**************?***?*************?**a
*
*k THE GOLD COPY OF THE PERNIIT WILL BE SELJf DIRE]CPLY TO PUBLIC WJRKS 'IO FACILITATE METER PIQC-UP. w
*k PLEASE ALLAW 2W0 WORKING DAYS FOR PROCFSSZNG. SOmBONE FROM TM CITY WILL CONl'AGT YOU IF TIIEE2E ?
* ARE ANY PROBIk3vLS. 's
?******?**r*++**,r*+***?+x**?****+***??*****+*t*t***?**,r?,r,rx*,r,+*??**?,rw*??*?+*+r**,r«***?**??,r,r*,e?***+;
3 b ?k?.
FOR CITY
... '??
USE ONLY
. . _?.. :??
PERMIT # ISSL`ED
Pd w/Bldg. Permit FEES:
$ $ SEWER PERMIT (INCLUDE SURCHARGE)
$ $ WATER PERMIT (INCLODE SC'RCHARGE)
$ $ WATER METER/COPPERHORN/OCTSIDE READER
$ $ WATER TAP (INCLIIDE CORPORATION STOP)
$ $ SEWER TAP
$ $ ACCOUNT DEPOSIT - SEWER
$ $ ACCOC'NT DEPOSIT - WATER
$ $ WAC
$ $ SAC
$ $ TRUNK WATER ASSESSMENT
$ $ TRUNK SEWftR ASSESSMF.NT _
$ $ LATERAL BENEFIT/TRUNK SEWER
$ $ LATERAL BENEFIT/TRUNK WATER
$ $ WATER TREATMENT PLANT SLRCHARGE
$ $ OTHER:
$ $ TOTAL
RECEIPT RECEIPT
DOES UTILITY CONNECTION REQLIRE EXCA VATION IN PUBLIC RIGHT OF WAY?
? YES IF YES, THEN A" PERMIT FOR WORK WITHIN PUBLIC
Q
NO ROADWAY" MUST BE
DIVISION
LIST ISSOED BY THE ENGINEERING
AS
. A CO[VDITION.
SCBJECT TO THE FOLLOWING CONDITIONS:
APPROVED BY:
TITLE:
DATE:
PERMIT # ? ? RECEIPT DATE:
8008 RnIDEPTIAL PLiJM$INfi PEftMIT APPLICATION
CITY OF EkfiAN
S$SO PILOT RAOB iiD
EA6AA, MA 551 EE
651-e81-4675
Please complete for:
SITE ADDRESS:
OWNER NAME: :
INSTALLER NAME:
STREET ADDRESS:
CITY:
STATE: ZIP: -5j( 11?E
_ SEPTIC SYSTEM, new/refurbished (requires two sets of plans and MPC license) $ 100.00
includes $40.00 County fee
Note: Additional consultant fees may apply
• MODIFICATION/ALTERATION TO EXISTING DWELLING UNIT, INCLUDING:
t
V A
i
h 50
00
ers.
ea
dd
ng fixtures to lower levels or room additions, excluding water softeners and water $ .
_ Abandonment of septic system.
_ Water turnaround - existing dwelling unit (+ 5/8" meter if needed -$118)
Other:
_ RPZ: new installation/repair/rebuild $ 30.00
_ lawn irrigation system
Replacemenf/additional: _ water soRener _ water heater $ 15.00
State Surcharge $ .50
I
Total li'I v?
?
I hereby acknowledge that I have read this application, state thatthe infortnation is coved, and agree to complywithatl applics6leCityof Eagan oNinances. It
is the appllcanPs responsibility to notify the property owner that the City of Eagan assumes no-Njability for any damagennns c///a???used by the Ciry during Its normal
1
operatlonal and maintenance activities to the facilities constructed under this permit withi ity perty/righ -?ment.
L/A ?h
SIGNATUREO PERMITTEE 1102
single family dwellings, townhomes and condos when permits are required for each unit,
backflow preventer for irrigation system
TELEPHONE #:
61 (AREA CODE)
J! ? Alez'/TELEPHONE #:
/'7? "?` S/AI ( ACODE) ,
2005 RESIDENTIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please complete for. single family dwellings & townhomes/condos when permits aze required for each unit
Dste ??LI_l? l DS
Site Address unit #
Property Owner Telephooe # ( )
Contractor 37?
StreetAddress e?1 4! Cit3'
State Zip ??(ZZ Telephone # ( {05L
Bond #: Expires:
The Applicant is Owner 4000?0 Contractor _ Other
Add-on or alteration to existing dwelling unit $ 30.00
furnace _Additional _Replacement
air exchanger
airconditioner _New _ Replacement
other 6:n
State Surcharge $ .50
$ 2C)S
Total
[ here6y apply for a Residential Mechanical Permi[ 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
ap roved plan in the case of work which requires a review and approval of plans.
a ti? M , ? (cz '1?nrL +N?r !
ApplicanYs Printed Name Applicant's Signature
2005 COMMERCIAL MECHANICAL PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675
Please comp(ete for: commerciat/industrial buildings
. multi-family buildings when separate permi[s are not required for each dwelling unit
Date
Site Street Address Unit #
Tenant Name (if applicable) Previous Tenant Name
Property Owner Telephone # ( )
Contractor
Street Address City
State Zip Telephooe # ( )
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 installittg/removing underground tank, ca!! for inspecfion by Frre Marshal and Plum6ing Inspector
Pel'mlt Fees: $70.50 Underground tank ins[allatian/removal
$50.50 Minimum (includes Siate Surcharge)
or
Contract Value $ x 1% _ $ Permit Fee
• If ep rmit fee is $1,000 or less, add $.50 ? $ State Surchazge
If eo rmit fee is aver $1,000, add $.50 For
every $1,000 ep rmit fee $ Total Fee
I 6ereby 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 noC to start without a permit; that Che work will he in accordance with
the approved plan in the case of work which requires a review and approval oFplans.
Appiicant's Printed Name Applicant's Signature
Approved By: , Inspector Date:
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA149328
Date Issued:05/17/2018
Permit Category:ePermit
Site Address: 725 Havenhill Rd
Lot:11 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-110
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 -
Gregory Swenson
725 Havenhill Rd
Eagan MN 55123
Lofgren Heating & Air
5708 Upper 147th St W
Suite 106
Apple Valley MN 55124
(952) 431-5811
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA167300
Date Issued:03/08/2021
Permit Category:ePermit
Site Address: 725 Havenhill Rd
Lot:11 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site. We encourage you to retain an electronic copy of
photos until the project passes a final inspection.
*Roof permits issued between December and March will be inspected in the spring or when weather warms up.
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gregory Swenson
725 Havenhill Rd
Saint Paul MN 55123--166
(651) 246-3920
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature