729 Havenhill Rd
' Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - -
rr` I For Office Use I
Permit#:
v City of EU 1 Permit Fee: I
3830 Pilot Knob Road 1 I
Eagan MN 55122 1 Date Received:
PFf;~=INFO 1 I
Phone: (651) 675-5675 j Staff: 1
Fax: (651) 675-5694 1
JUN 2 0 2011 1 1
2011 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit
Name: Kcv_~,_ ~ v L y n Q_ Phone: 6'~ 3 a 7 7
RESIDENT 1 -7
OWNER Address / City / Zip: _ l - Ck_✓ C,% WL(_
Applicant is: Owner Contractor
rid
TYPE OF WORK Description ofworkk~C( L ,cr L_ z,
k-- 0
Construction Cost3~ d u d ^ U J Multi-Family Building: (Yes / No,_-~-_)
Company: ` L 2wJ K L 14 d n e id/,t Contact;/t'\ 16 t ~ 2G.i gLA L
CONTRACTOR AddressAo1 A L y-o r w,ka Ct City: 1 6- P
Staters Zip: ~L_ 5_0 1 Phone: b J j L_ c;/ u
License Lead Certificate
If the project is exempt from lead certification, please explain why: (see Page 3 for additional information)
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
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 approv of plans.
x
Applicant's Printed Name Applicant's Signature
Page 1 of 3
"NOT WRITE BELOW THIS LINE 6-3geD-S
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
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 r~ Occupancy0. (i MCES System
Plan Review Code Edition SAC Units
(25%_ 100%) 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) Meter Size:
Footings (Deck) Final / C.O. Required
Footings (Addition) _,,Y, Final I No C.O. Required
Foundation --)K HVAC _ Gas Service Test Gas Line Air Test
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
Sheathing Radon Control
Sheetrock Erosion Control
Reviewed By: ' cJ Building Inspector
RESIDENTIAL FEES
Base Fee /
Surcharge
Plan Review" '
MCES SAC ,Gr
City SAC
t
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 3
For Office Use -
I
17 V I'D
' permit
City of Eajan I 1j~( '
Pernik Fee: I
3830 Pilot Knob Road I I
Eagan MN 55122 1 gate Received: I
Phone: (651) 675-5675 JUN! 2-2 y I i
~ Statf: I
Fax: (651) 675-5684
2011 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: ,j„r,P 21,2011 SiteAddress• 729 haven hill road
Tenant: Suite
RESIDENT/OWNER Name: Kevin & Liz Lynn Phone: 651-683-0774
Address /City /Zip:
CONTRACTOR Name: R C Plumbing; License#: 58215 P1='1
Address: 5910 G'hester Avenue City: Northfield
State: `uY Zip: 55057 Phone: 952-652-2933
Contact: Rich yybo Email:
TYPE OF WORK New _XReplacement _ Repair -Rebuild Modify Space _ Work in R.O.W.
Description of work: Finish 3/4 basement bath - 2nd floor L: _J"
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
X 2nd floor- "~r'"
Lawn Irrigation RPZ / _ PVB)~ lumbing Fixtures Main et)
Septic System Water Turnaround J"4 ° / 'f
_ New
Abandonment
RESIDENTIAL FEES:
$55.00 Minimum Water Heater, Water Softener, or Water Heater an Softener (includes $5.00 State Surcharge)
$35.00 Lawn Irrigation (includes $5.00 State Surcharge)
$55.00 Add Plumbing Fixtures, Septic System Abandonment. Water Turnaround* (includes $5.00 State Surcharge)
'Water Turnaround (add $166.00 if a 5/8" meter is required)
$105.00 Septic System New ($10.00 per as built) (includes County fee and $5.00 State Surcharge)
$95.00 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $5.00 State Surcharge)
TOTAL FEES $ 55.00
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 unities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinance and codes of the City of
Eagan; that I understand this Is not a permit, but only an application for a permit, and wg* 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 a pla
x Rich Nybo x
Applicants Printed Name App icant s Signature
F FFICE USE Reviewed By: Date:
red Inspections: Under Ground „Rough-in Air Test -Gas Test -Final
I x
01-3210 Bldg. Permit
01-3422 Plan Check
01-3445 Surch./Adm.
01-3446 SAC/Adm.
,
01-2155 Surcharge
75-3860 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.
r
?
?
/ P1?illr)
TOTAL
? CASH RECEIPT
' CITY OF 60GAN
3830 PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
?
DATE / 19 ?
AMOUNT $?
V
8 DOLLARS
,oo
O CASH 1?3. CHECK
U
C +nmee-Pa ?
r? ?vr
reibw-PostMg copy
Pink--Fib Cqry ?
Thank You . _?
e,r
SEWER &"VYAT&R PERMIT
CITY OF EAGAN
3830 Pilat Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE ' ' ? 1019
WATER PERMIT # SEWER PERMIT #
METER # ?raa B.P. RECEIPT # C
A27CDER #t 97 7 B_P. RECEIPT DATE >'
METER SIZE
15SUE DATE <-- Q- VA - PRV _ BOOSTER PUMP
SITE ADDRESS 4? ?-
LOT "BLOCK --?-SEC/SUB
APPLICANT: ? •? ? :?1+???-? ?? .
ADDRESS: afZ
CITY, STATE ZIP
PFibNE: `5 -T 1-
PLUMBER: ADbRESS: Cl?t ,?. ,.
CITY, STATE ? = " ????" ZIP
PHONE:
OWNER:
PERMIT REQUESTED
? ' 1'
- SEWER `"- WATER TAPS
? ?.
- COMM/IND "RESIDENTIAL
i
v NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
ADDRESS: SI ATURE EN IIAETER ISSUED
CITY, STATE ZIP
PHONE; ?-?
PLEASE ALIOW TWO WORKING DAYS FOR PROCESSING. FOR STORM S PERMI , CONTACT
ENGINEERING DEPT.
_ ; :- _
SEWER & WAT@R PERMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
SITE ADDRESS.IY'. X-I.
LOT i BLOCK SEC/SUB /2»f-i-,,
/-
APPLICANT:
ADDRESS:
CITF,`b ?TE ' .-• ', ?" { ? i'' ; P ._; ZIP
PhibNE:
PLUMBER: /, %; .?,.?.? ? .
ADDRESS:
CITY, STATE ZIP
PHONE:
OWNER: -
ADDRESS:_
CITY, STATE
PHONE: _
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # 10542 SEWER PERMIT #
METER # B.P. RECEIPT # ' 19
READER # B.P. RECEIPT DATE -' ' 1?
METER SIZE
ISSUE DATE - PRV - BOOSTER PUMP
ZIP
PERMIT REGIUESTED
- SEWER - WATER _ TAPS
- COMM/IND - RESIDENTIAL
"NEW - EXISTING
1 AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWD WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
w
BUILDING PERMIT
To be used for ``, ?./
#1
SiteAddress `r+V-:tir;ii,L i+u
Lot Block Sec+'Sub. s' L4L.f OF
Parcel No. ,
W Name Ri?TTl?,Ui?D CG
z :1Vf:F. -'?,
o Address ? 201 Z,?ST
City i'KiLi.;:'Y Phone ?71•-03C4
Name _
Address
Name _
Address
Phone
I hereby acknowlege that I have read this application and state that the
information is conect and agree to comply with all applicable State of
Minnesota Statutes and City ot Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: 7'?F- RCTTU?''Yi, ?.^.
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
?yta 16681
Receipt #
Date 19
OFFIC E USE ONLY
Occupancy F-3 rl--i FEES
Zoning Fp fr- I
(Actual) Const v?M Bldg. Permit 751[3•"10
JAllowable) V?rt
Surcharge ?i ? ? QV
# of Stories
L
h -
50,
Plan Review 379.00
engt
Depth 3' SAC, City i CO. W
S.F. Total - SAC, MCWCC 57 S.IIO
S.F. Footprints -
On Site Sewage _ water Conn 5L10 .00
On Site Well water Meter 90100
MWCC System k 00
3o
Cdy Water - qoct. Deposit •
PRV Required _ S.M! Permit 20• ou
Booster Pump - S,'W Surcharge 1•00
Treatment PI 228`00
APPROVALS qoad Unit ; 40• M
Planner - park Ded.
CounCii -
BIdg.Off. _ Copies
3
1fiS.Qt;
Variance - TOTAL ,
CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHONE: 454-8100
Phone
Permit No. Permft Holder Date Telephone #
WATER 43-4z vCC.L-LC- ( /J?v?4
SEWER
PLUMBING ? ? t&--? l Vtv. M9
`Q?? e.F.
, 'J?G•' ' ,? f?.?/ g
H.V.A.C.
EIECTRIC ar / /?? 1 . ? • ? ,_ ,; ( . ? /`/ 6 y ., ? v-o
Inspsction Date Insp. Gomments
Footings I 4 Aj
Foundation (. "l % i` l/ Gi C•c-r:[ ; i ni =f=U- Q
Framing ? 2 6 s
Roofing
Rough Plbg. .?
Rough Htg. 7
Isul.
Freplace
Final Htg. y ? - Z
Final Plbg.
Const. Meter Plbg. Inspector - Notify Plumber
Engr.IPlan
Bldg. Final
Deck Ftg.
Deck Final
weu
Pr. Disp.
? i
• ? •
(Etr#i#itatt ,af (Ortupanry
Ctp of (Eagan
gppar#lliptlf Af lldlbtilg JWpt#1oti
This Certifrcate rssued pursuant to the requirements of Section 306 of the Uniform Buildrng
Code certifying that at the time of issuance thrs slrucrure ww in compliance with the various
ordinances of the City regulating building constructton or use- For the following.•
ux ae?rooon SF DWG/GAR gWS, Rrmit No. lwl
oo?upancy rype R3/M 1 Zon;,,S Du= PD/R 1 rya coint. VN
oWnff orauikling IHE ROTmw cO. Add. 5201 E. RiVEtt RD.. FltID??,Y
s?;ia;? naa.? 729 HA R(aAD LOC,lO, B9. HIIdS CF SIt7NWJM
?
;
n,te: AM SP.P'1?BEFt 8, 1989
Building OfIlicial
POST IN A CONSPICUOUS PLACE
,
X
PERMIT #
MECHANICAL PERMIT RECEIPT #
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122 DATE
CONTRACT PRICE: ' PHONE: 454-8100 For Office Use Only:
i Site Address BLDG. TYPE WORK DESCAIPTION
? Lot Block
I Secl.Sub Res New '
J .
?
°' Name Mult Add-on
-
Address Comm. Repair
c City Phone Other
C ?
Name FEES
RES. HVAC 0-100 M BTU -$24.00
3 Address ADDITIONAL 50 M BTU 6.00
?
. p
City
Phone (RES. HVAC INCLUDES A/C ON NEW
N
TR
CTION
CO
U
)
S
GAS OUTLETS (MINIMUM
1 PER PERMIT) - 1
50 EA
.
.
-
TYPE OF WORK COMM/IND FEE - 196 OF CONTRACT FEE
Forced Air M BTU APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDOS - RES. RATE APPLIES
Boiler M BTU MINIMUM RESIDENTIAL FEE - ALL ADD-ON 8
Unit Heater M BTU REMODELS - 12.00
Air Cond. M BTU ? MINIMUM CQMMERCIAL FEE - 20.00
STATE SURCHARGE PER PERMIT - .50
Vent CFM (ADD $.50 S/C IF PERMIT PRICE GOES
Gas Piping Outlets # , BEYOND $1,000)
Other ?
FEE: "
SIGNATURE OF PERMITTEE ? .
? S/C: ?
?
- - TOTAL• FOR: CITY OF EAGAN
. . :?
CONTRACT
PRICE
Site AddMs
Lot
?
?
N
?
PLUMBING PERMIT For C
CITY OF EAGAN PERMIT # _
3830 PILOT KNOB ROAD, EAGAN, MN 55122 RECEIPT#
PHONE 4548100 DATE: _
Phone
r
Phone
FEES
COMMJIND. FEE - 1% OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE 8 CONDO - RES. RATE APLLIES
MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.IND.IFEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 SJC PER EACH $1,000 OF PERMIT FEE)
Res. N New
Mult. Add-0n
Comm. Repair
Other
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO? FIXTURES TOTAL
?. Water Closet - $3.00
Bath Tubs - $3.00 $
La
vatory -$3
.
00
i - =
/
?
`
c
ower - Q''WVV
JII
-
? IGtchen Sink - $3.00 °
UrinaVBidet - $3.00
-?
Laundry Tray - $3.00
Floor Drains - $1.50
?r
Water Heater - $1.50
Whirlpool - $3.00 ?-
T Gas Piping OuUets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. - $10.00
Rough Openings - $1.50
PEFiMiT FEE: ? ? • ?
STATES S/C: , SU
GRAND TOTAL: ( ? ' ? V
/•s
8/
Y Y?ydss
7 7
P 2
6
7
Request Date Fire No. Rough n nspection
qequi eC?
Reatly Now 9? ili Notity Inspector
^
/- - es ?NO WhenfleatlY?
I p licensed contractor ? owner hereby request inspection of above electrical work at:
Job Address (Streeq Box ar Rou[e NoJ Ciry
'a'1 6o hi ( n
Sedion No. Township Name or No. - Faige No. County
Omupanrt (PRINn PMrre No.
eo-Rtond
Power Suppller Adtlrass
t&
Eiedrical Conirector (COmpany Name) Conlrector5 License No.
S.;,nn? - i
Mailing Atltlress (Camraclor or Owner Making Instelletbn)
9Cm - 83 ec1 RIe. tJ+J
Autnonzetl 5igneture (COntrattar/Qvner Making Instellation) Phone Number
-B?OD
MINNESOTA STATE BDAFD OF ELECTRICITY THIS INSPECTION REOUEST WILL NOT
GHggs-Mitlwry Bltlg. - qoom S173 BE ACCEPTED BY THE STATE BOARD
1821 UnNerelty Ave., SL Paul, MN 55706 UNLESS PROPER INSPECTION FEE IS
Phone (612) 862-0800 ENCLOSED.
2N/O
P 27767
REQUEST FOR ELECTRICAL INSPECTION
)? See inshuctbns for cdnpieling Ihis form on back oi yellow cppy.
"X" Below Wark Covered by This Request
Jveft
EB-00001-0?
ew dtl Rep. TypeoFBuilding AppliancesWiretl EquipmemWiretl
Home Range Temporary Service "
Duplez Water Heater Electric Heating
Apt. Building Dryer Other (Specity)
Comm./Industrial Furnace
Farm L ir Conditioner
ONer (s0edy) CoMrdctor5 Remarks:
Compute Inspection Fee Below:
N Other Fae # ServiceEntranceSize Fea # Circuits/Feeders Fee
Swimming Pool 0 ro 200 Amps 0 to 700 Amps
Ransformers Above 200 _ Amps Above 100 _ Amps
Signs ?nspector§ Use only: TOTAL
Irrigation Booms
Special Inspection
Alarm/COmmunication
Other Fee
I, ihe Elec[rical Inspecior, here6y
tif
th
t th
b Rougn;n
' oele7?/
?
cer
y
e a
a
ove inspection has
been made. Final ? / '-('. `^%
ly Date
OFFICE USE ONLY ?
This request void 11 monihs trom ,
DATE: 6/22/89
RE: 729 HABEAIRILL BOAD, L10. B9, H1LLS OF STONEHBIDGH
? Your Sewer & Water PermR 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
C?4LL PUBLIC',WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
.
-? ` Ybur Sewer & Water Permit for the above property cannot be cdmpleted for the following
}, 1 aAons:
C
`!` Your Sewer?& Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice. '
- COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size must'be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES-TELEPHONE, ELECTRiC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICX,
Secret
ary, Building Inspectlons Oept.
DATE: 6/22/89
RE: 729 FtAVENRILL &OAD. L10. B9. HILLS OF STONfiBR1DGE
? Your Sewer & Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
FYour Sewer & Water Permit for the above property cannot be completed for the following
#e+?''asons:
?
-* Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice.
- COMMERCIAL PROJECTS ONLY: Please pay for meter at Ciry Hall. Meter size must be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspections Dept.
CITYOF EAGAN N? 16681
3830 Pilot Knob Fload, P.O. Box 21-199, Eagan, MN 55121
PHONE:454-8700
BUILDING PERMIT Receipt
Tobeusedfor SF DWG/GAR Est.Value $134,000 Date .IUNE 20 , 7919
SiteAddress 729 HAVENHILL RD
Lot 10 Block 9 Sec/Sub. HILLS OF
Parcel No. TONEBRIDGE
I W IName THE ROTTLUND CO I
o Address 5201 EAST RIVRR RD, #401
C{[y FRTDI.F.Y phone 571_p3p4
a
ou
UQ
?
Name _
Address
CIIY -
Name -
Address
Phone
Phone
I hereby acknowlege that I have read ihis application antl state that the
information is correct and agree ro comply wilh all applicable State ot
Minnesota Stalutas and Ciry ot Eagan Ordinan?es?
Signature of Permitee
A Building Permit is issued to: THE ROTTLITND CO
on the express condition [hat all work shall be done in accordance with all
applicable State of Minrinta Statut?e?s and ity o(Eagan Ordinances.
Builtling Official ?
rn?
OFFICE USE ONLY
Occupancy R -3 -M_1 FEES
Zoning PD R-1
(Aduall Const --? Bldg. Permit 758.00
(Allowable) V=N Surchar9e 67.00
# of Srories -
PlanReview
379.00
length
Depm SaC, ciry i on. no
S.F. Total - SAC, MCWCC 575.00
S.F. Footprints -
On Site Sewage - Water Conn 580 _ 00
On Site Well Water Meter 90.00
MWCC System XX
30
00
Ciry Water XX Accl Deposit .
PRV Required SIW Permit 20.00
Booster Pump gryy Surcharge 1.00
Treatment PI 228.00
APPROVALS Road Unil 340. 00
Planner - Park Detl.
Council -
BIdg.ON. _ Copies
Variance - TOTAL 3,168.00
r? 2 7r3? ' k-, 1r,f,fJAI :f?' do
Request ?ate -- 'JC..; Fire No. gh-in Inspettion
r
? Ready N. All Nofily InsPedar
- es O No VJhen Reatly?
I p licgnsed conVact`or 'O owner hereby request inspection of above electrical work aC ?
JaC AdEreas (SVeet, Bm(or,RUUIe'NO.) City
Hal", ? Pl
L
D
a
Section No. Town9M1ip:N9me or No. Renge No. Coumy
I
-
Occu
panl(PRINn Phone No.
^
PowerSUpplier Atltlress
l?Q
Eleclrical Contraclor,(Cqmpeny Naine) ComracroB Licenae No.
Mailiig Addrees (COnV9iSUi w_Owner Making Instal181bn)
- ?J 5 4
lwlhorized Signature (CCnkector/Oimar Making Insiallatbn) Phone Numbar
MINNESOTA STATE 80AADOFELECTFICRV THIS MSPECTION RC-0UEST WILL NDT
GAggs-MlCwsy Bltlg. -"JiOpm?S1T3 BE ACCEPTED BY7HE STATE BOARD
/821 Universiry Ave., SG?Paul; MN 5510A UNLESS PROPER INSPECTION FEE IS
PhOne (612) 862-M0 ? ENCLOSED.
?/.?11_9'9
P 27769
REQUEST FOR ELECTRICAL INSPECTION
? See inshudions for mmpleting this form on back of yellav capy.
'7C" Be/ow Work Covered by This Request
M 5B-WW'-°i
?
e !(d, Rep. * TypaofBuilding AppliancesWired EquipmentWired
Home Ranqe Temporary Service
DupleS.? Waier Heater Electric Heating
Apt._-&ijlding Dryer Oiher (Specify)
CorYimtllndustrial
? Fumace
Fairii?;-.. ""
.! Air Conditioner
Olher (sp9tAy)' ConVactor§ RemaMS:
Compute Inspectioq.Fee;Belaw:
# Othe;a?'r?:?";;' Fee # ServiceEniranceSize Fee # Circuits/Feeders Fee
Swimming Pool ?a". t 0 to 200 Amps 0 to 700 Amps
Transformers-: Above 200 _ Ampe Ab Amps
Signs " Inspeclors U. Ony: TAL
IrcigationBOOms?S
Special Inspection'?:°'. L J
Alarm/Communica7ioo:
OtherFee
I, the Electrical "hispector, hereby
certirythattheabon"spectionhas
been made. - - ? Rough-in
f.
F;nai
-
OFFICE OSE ONLY `.?
This request witl 18 moYii(u'htim'
?22Q ??b?
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City OfEagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Construclion Reauirements
3 regislered site surveys showing sq, ft. of lot, sq. ft. of house; and all roofed areas
(20°k maximum lot coveroge allowed)
2 copies of plan showing beam 8 window sizes; pouretl found design, etc.
1 set of Energy Calculations
3 copies oiTree Preservation Plan Hlot platted aRer 711/93
Rim Joist Dehal Optlons selection sheet (buildings wifh 3 or less units)
Minnegasco mechanical ven[ilation form
RemotlellReoair Reouirements Ofice Use Onlv
? 2 copies of plan showing footings, beams, joists Cert of Survey Recd. _Y _ N
1 sel of Energy Calculations for healed additions Tree Pres Plan Recd _ Y_ N.
1 sitesurveyforaddipons8decks TreePresRequired Y?N
Add"Aion - indicate d onsffe septic system On-sHe SepC?c Syslem _ Y_ N
Cax? 112-I . - l?
Date ?/? 1O O onstruction CostJt 7; Ci Lf U' ?'i j
Site Address ]-? ?f 14 4 l.- cti VI- Unit/Ste #
Description of Work 1 J"? S h
Multi-Family Bldg _ Y? N Fireplace(s) ? 0 _ 1 _ 2
Property Owner ? cey,\? L y V\, Telephone # o - ?, Q Y ?
Contractor
Address
State n/
Zip ? 5 C 7 7 City 7- 6-' 14
Telephone #((-,
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 (Jsubmissiontype) Su6mitted Submitted
. Energy Envelope Calculations Submitted , ?; i,? ?•
19
In the last 12 months, has the City of Eagan issued a permit for a similar plan based n`a masTer plan?
_ Y _ N If yes, date and address of master plan:
\
Gcensed Plumber Telephone,#(?? )
v
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 withouf 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.(.l..e.c ?- -ri,'4 cwot,t,
Applicant's Printed Name
' b
i Applicant's ignature
DO NOT WRITE BELOW THIS LINE
Sub Types
? 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 ? 22 Porch/Addn. (4-sea.) ? 33 Eut. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-plex 19- 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvaes
? 31 New ? 35 Int Improvement ? 38 Demoiish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 WindowslDoors
0 34 Replacement 'DemoliGon (Entire Bldg) - Give PCA handout to applicant
DBSCriptiDn: WaterDamage_Yes
Valuation Occupancy MCES System
Plan Review 100% or 25%
Census Code y?y Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Sheetrock
_ Footings (deck) ` Fina]/C.O.
_ Footings (addition) ? Final/No C.O.
Foundation ?G HVAC
_
Drain Tile Other
Roof Ice & Water Final Pool Ftgs Air/Gas Tests Final
Framing _ Siding _ Stucco Lath _ Stone Lath _Brick
Fireplace R.I. AirTest Final Windows
? Insulation _ Retaining Wall
Approved By: , Building Inspector
Base Fee
?2lC9 69 a
Y?O-
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
.? ..
, ,. .
1989 HDII.DING PEH!]IT APPLIC9TION - CITY OF EAGAN
SIAGLE FIHILY DWELLINii3
INCL[JDE 2 SETS OF PLAN5, 3 CERTIFICATES OF 3QR11EYt 1 SET OF ENERGY C6LCOL6TION5
HOT&f ADD9E4SES FOB OORN6R IAT3 - COAT6AC?OR/HOlffsOWNEB l103T DF'.SIGN9T6 fiHICH ADDRESS
I3 DFSIAED. HO CHA6GES AILL BE ALLOiiED 08CE S[IILDIlIa PSBMIT I3 I33IIED.
MITI.TIPLS DflELLINGS HSNTAL UNIT3 FOH SALS UHIT3 1 OF Q8IT3
INCLUDE 2 SETS OF PLAN39 C6RTIFICATE OF SORYEY - CHECg fiITH HLD(i. DBPT.t 1 SET OF ENERGY
CALCULATIONS
COtqMERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL & STRUCTURAL PLANS,
1 SET OF SPECIFICATIONS AND 1 SET OF ENERGY CALCULATIONS JUp 151989
To Be Uaed Eors ?IL)C,,(jE ?'NWjL,Y naluation: , I_ Date: (o-/"/"g9
,
Site Address -2,?9 ?iqG?/Vfo?L f?d •
Lot /0 Block ?
Parcel/Sub WIY«. ry`' ?TG7Y?l?/Q?E
Oimer rL.r? go///vnd Co .
Address C. f2, UP/1
City/Zip Code Fv-,?(J?
Phone ?,'? I-
Contraetor
Address
City/Zip Code
Phone G?.?r?P
Meh. /Engr. 6awr ?
Addreas G?yr°
,
I 3q, 000? oFFicE vsi
Oecupaney -R 3 M-I
Zoning PD' R- I
Aetual Const y- N
AlloWable V-nl
# of atories
Length So-T
Depth .161_
S.F. Total
Footprint S.F.
On aite sewage_
On site well
MWCC Sqstem ?
City water ?
PRV required _
Hooster Pump `
F863
Bldg. Permit ao
Surcharge DO
Plan Aeview 7
SAC, City Ipo, op
SAC, MG1CC ,DO
Water Conn ,oJ
iiater Meter 90,0
9cct. Deposit 30,Dfl
S/N Permit 20,00
S/W Surcharge Do
Treatment Pl. ZZA.oa
Road Onit ou
Park Ded.
Copies
iOTAL
APPROQAI.S
Planner ?
Couneil
Bldg. Off. - Al,-) (9 ?
oarianee
Citq/Zip Code L?,,?
Phone 8 ?-??P
NOTEs Sexer & Nater Permit fees and aceount depoait fees xill be inoluded in the building
permit fee. Processing Eime for aewer aad xater permits is txo days onae a lioeneed
plumber has applied for a permit at City Hall.
... , V ALl,l AT I O ti:J - ,
GARAC,E
2ZKZ2= tikyk?S= `?2?0
?SMT•
ly u22 = 30g .
ZBk2.8=?1`6?1
I oq 2 X I?( P I SZ??
HoksG?
asm?-- ???Z
.?---
? I6G x lao= Il0 - C",-
I 331H ?
- .
'?'* ** 2422 Enterprise Drive
# PIONEER LANDSURVEYOFtS•CIV?LENGINEERS Mendota Heights, MN 55120
?enf'fineerlhg.. LqNOPLpNNERS•LANDSCRPEARCHITECTS
? ? v oo a Y
1 y 1T
7c T T
Certificate of Survey for: I??"?G RcTYLVNcp WI'1pA^lle
I ?
- -. I Na47N
` fi86,o N. 90° oo'oo'• ?</ ? ?
_. __,
85.00. kA -
r-------?
W :
00
O
Qo° ?O
O \'
?
M
6 ?"d
4,
88?.? /0
17?.80 ? / /
? .^^n '/PRGPCSC-O
I N N°'"'G 7`
? X
p4A?f, ?
? 3.uixfL?7 00 ?/
? % t i
?
?
I
?
I W
I Om
? ?.
896.bo
P M y•
?
?840 g1.OZS ..
qo•zsa•..no:_;K o
W
,?,c=gg'?4
NAVENNILLs ROAD D
EAGAAT EIVGIATEER . G DEPT
? 900.0 Denales exisfino flevafion P170vOSE0 NOUSf E[£VATIONS
. yoo.o Denofes propaHd Elevation Lnwest Floor Elevalian = 88 `I•
- --- -- Denofes Driaina?e ? Ufilr?ly Easemenf
T d enofes D+zJrna e Flow Arrows Top ot 8/ock Elevafi'on = SB 7,
o Denofes moncymenf Garap, 5/ob Elevafian = 887 S
Becrrin,s shownore assumed
LOT /o , BLOCK 9 1141Lc5 oF STONEBQIdGf
DpKOTq CouNTYr MINNE$OTA SUHIECT 7D EASEMENTS OFlIFCORD
1 hereby renily thet this is e true and rnnen representebon ol e survey of the bourWa..es of the 'bove d cr?bM lan , nd ol the IocaNon ol aU
buildings, thereon, end. ail visible encroechments, it eny, from pr on nid IaM. Af furveye0 bv . lh,sday of A.O. 19A?,
i
$CQ'/e =1 `" ° 40d
ROBEN T B. S?KI?H L.S. AE6. NO. I4891
O / 112•
• •, , ''l?P.r??Esr>?2?: :
..
r ,. ? ;jr • ' EXTERIOR L.rvBLOPE AVERAGE "U" COtrIPUTATION ;.
OWIVER T/& G??s.
SITE ADDRESS _ ?]?__??/?j? r? ___
CONTRACTOR ZA Mg DATE (?_ Iy?PHONE S7J? ,O?`f
Determine working square footage of each.
1. Total exposed wall area ...... ZgSC? sq. ft. x.???
2. Total roof/ceiling area ...... /?8D sq. ft. x,0?6
Total exposed wall area above floor =.21f 9 (a_
a. Total wall window area ...........................
b. Total door area ....................................
c. Total sliding glass door area ......................
d. Total fireplace wall area ..........................
e. Total wall framing area (average 10%) ...............
f. Total net wall area above floor ....................
g. Total rim joist area ..... . .......................
Total exposed foundation area = 7 ffi
?
h. Total foundation window area ...:............... .....
i. Total net foundation area above grade ............... ?7T
Determine "U" value of each wall segment.
a. 253
x 'lull
b. 3 1? x lfu"
c. x flull
a. ,/ x IlUll
e. 2/J g nUff
f. 1930 X "U"
g. 3/ 2 g nUll
h. 7 X "U"
i.
7 / X "U"
" 54f = .136,6 Z
s07 = ;2.(o?
. ? 6 = 27. 60
, 087 = /$.7/
OIJZ
1Z
•/ ? = 7?C?Jl
3 ......................................Tota1 Z O.7 /
,, .
If item 1l 3 is the same as, or less than item 1{1, you have met the intent
of SIiC 6006(c)2.
Total exposed roof/ceiling area
Total gross roof/ceiling area =_
J. Total skylight area ........................ ?
k. Total roof/ceiling framing area ...........: ?
1. Total net insulated roof/ceiling area .....
Determine "U" value for each roof/ceiling segment.
J La? g nUn
k. -71 g -U- ?--? _ /•9 2-
1. //09 x "Ulf ,DZZS = 27,73
4 ..................................... Total =
If total of lf4 is the same as, or less than #2, you have met the intent of
SBC 6006(c)1.
To utilize the total envelope system method, the values established by the
sum of items 113 and #4 shall not be greater than the sum of items lll and #2.
1. 0.3 S + 2. 30: 6 8 - 3S/.U3
3. 290.7q + 4. 2c?.65- = 3?1?'V- '1t
. ROOr/CGILTNG
i
• ?
'
(ented
ConstrucL•ion ' R-Valiic
1.' Interior air film .0.G1.
2. S " C?Y1? 'f3?'? , eS?
3. C3c.ou-?•v ?n?s?<. ?i,02?'
4. Exterior air film (still) 0.61
-` Tot•a7.
• ? ' V = O2S
, . •, • . ..
?
1. Interior air film 0.61
2. S/r? . C?YT? t'? C< Q o S 8
3.
Erterior aii Eilm sti 1•
? . Tota1• 34.7`F
BeaC flow
up , .?
; i. . „
. i . , , ?..
FTG. #5
. i
• i
?
L) _ •??-?
I
I Y.ear flocr up • ' '• •vented
? ? . , . .
• • i • . .
, ...
. .FIG. $6'..i... , . ;... ? .
3 ? 5
Fil
?"?• 9n?QY ? - ?:?^?
? ?a[l_•a•y'i?"y7,.`?; . a
?
•, ,,
i. .
1. Inside ai.r film 0.G1
3. ' . .
4.
5. Qutside air film 0,17
Total
l ? ' •
Note: Use additional sheets•if• more cpace is
needed for deL•ails and calculatians.
. ?
. ?
• K0;7-bL>h"PED . .'
?. i' .. • '.
• . ? ?Heac ? '
, , • ?flow ap
fi.T.r,_ ?A7
•?
• Wni.L :;7iC'1'l?r,., •
',UTE: Use 10% of opaque wall area for
frame construction
ut 4
Construction
l. Interior air'film R-Value
0.68
.2• '1?2t G-YP 13 R b ? 4 S
3. 2x(?, 5T4iO5
'
?ao$S-..
4. 25-132 SHTG, z?OC:7
UVE/< FECr
6: Exterior air film 0.17 .
Total
v, ooi? -7
1. Interior air film 0.68
2. F"C?Z'P f3?e D o YS.
3 . FUL L LU/LI e
e. . l.LS4-,, / 9. dU
9• 2 S?3L 5/YTCr 2 OG '
5. O V E.C' F ELT J a 2 6
6. Exterior air film 0_17
Tota1 2 3,6 Z'
mo4f Z
1, Interior air film 0.68'
2./.+? ?i L ..'. / yp 00
s. ' 2 X- h'r r i? /6 .?8
4. 2 5-/3 Z S H'r'C> 2 vO?o
5. C,:7 V(S?lZ ? &Z.;;- . ? b Z e
6. Exterior air film 0.17
- Total 2 $.O S
O`tU
1. Interior air film 0.68
.. 2. _2-l/.?.v5ve . //Uo
3. 2A FuR 2i r<c?
4. 12'?cp.?c, /3COC(? /.LFS
5. '
6. Exterior air film 0.17
Total /30/
. . . :, .. v e?'7C
' ° •
..??. ??1=T X • r .
?
• ,.? , .
\ 4
` , ,
,
-
/???- • ?6 . f
`
Ir t V . ' • '
f
. ? 6 . ' ! 11! =.
,
([! . .' . . . -
FIG. 1f9 -" . . c
. rr? ?
• ? •. Q ?
>' ii r -.
'
x
= (r/
, 113 '.
?(?? y ? •o ` ?~
. o . ,? ? .
. , • • `• . ?
2004 RESIDENTIAL PLUMBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
-ti FS-. SZb
' ^ / su-a
cl
`??C5
Date LYNE, KEVIN
Site Street Address 729 HAVENHILL ROAD Unlt #
EAGAN, MN 55123 ?
I (651)663-0774 .
I
Property Owner l lephone #( )
.
Contractor _ (612) 82T-4033 Telephone # ( )
Address 2905 GARREl.D A1/E. SO. Ci'ry Statg Zip
MINNIWOUS,
The Applicant is: _ Owner Y_\ Contractor _ Other
\
??
a
Alterations !o existing dwelling ?/i $ 50.00
_Add fixtures to rooms, excluding water softener and water heater/ U/OL G,\
Septic System Abandonment
_
W
T "
_
ater
urnaround (add $121.00 if a 5/8
meter is required) ?
Other:
-
?-
_ Water Softener ? Water Heater $ 15.00
? replacement _ additional
_ Lawn Irrigation System RPZ_ new _ repair _rebuild $ 30.00
State Surcharge $ .50
Toiei $ l S. SO
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.
Je-(?- t? e(-?a C'VA
ApplicanYs Printed Name App c Signature
G 3 I ? ? RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construction Reauirements
• 3 registered sile surveys showing sq. ft, of lot, sq. ft, of house; and all roofed areas
(20%maximum lot coverage allowed)
• 2 copies of plan showing heam & window sizes; poured found design, etc.)
• 1 set of Energy Calculations
• 3 copies of Tree Preservation %an if lot platted afler 711193
• Rim Joist Detail Options selection sheet (bidgs with 3 or less units)
DATE C`
RemodellReoair Reauiremenls
• 2 copies of plan
• 1 set of Energy Caiculations for heated additions
• 1 site survey for extenor additions 8 decks
. Indicate if home served by sepGC system for additions
1??''-1 5
VALUATION ? (D !`C1'6
SITE ADDRESS ?Z- tN LL MULTI-FAMILY BLDG _ Y ?N
TYPE OF WORK_ I ru:Y U FIREPLACE(S) _ 0 .? 1_ 2
_ J
APPLICANT r71"nE9?tiE.A-, ?)1rLDi'w1-(, c5'N"t? T6R-S •1 N C
STREET ADDRESS I22-y-7 N t l- o II a- AnJ? CITY BtiRASbUit I TATE ft&TIP
TELEPHONE 451-22 1- (05_`1 CELL PHONE # ?FAX #
PROPERTYOWNER Kr V i N I...q ?3?F_ TELEPHONE# 651-&,53 -077Lf
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ N[I\ V ESO"I'A ItIJLLS 7670 CA'CLGOI2Y" I
(d su6mission type) . Residential Ventllation Category 1 Worksheet Submitted
• Energy Envelope Calcula[ions Submitted
.IUI. 17 2002
Plumbing Confractor: ____
Plumbing systcm includcs:
Mechanical Contractor:
Mcclianical svstcm includcs:
Sewer/Water Contractor:
WaLcr Softcncr
Watcr Hcatcr
-- No. of l3al}is --
Air Conditioning
Hcat Rccovcr}' Systctn
Phone #
Submitted
G'cc: $70.00
_...-----•----------------------------------------------------------°------------------°--------------------•-----------
I hereby acknowledge that I have read this application, state that the information is correct, and agree to comply
with ail applicable State of Minnesota Statutes and City of Eagan /O?rdinances
Signature of Applicanf CJU/`??C+-
OFFICE USE ONLY
Phonc #
Lzwii Sprii
No. of R.I.
Phone #
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4/02
OFFICE USE ONLY
? 01 Foundation ? 07 OS-pfex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plex 0 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 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
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ Fina1fC.0.
_ Footings(deck) _ FinaWi o C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ ice & W ater _ Final _ Pool _ Ftgs _ AidGas Tes[s _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Tes[ _ Final _ W indows (new/replacemen[)
Iasulation Retainine Niall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Water Supply & Storage
S8W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB RD, EAGAN MN 55722
651•681-4675
New Constructlon Beauhememe pemodeVNeoeh Heaulremente
• 3 reglstereC sile surveys stiowinq sq. it. M lot, sq. H. W tause; and ?II roofetl areas • 2 copies of plan 75
(20%ma)imumbtcove2pealbwetl) • lsetofEnergyCalculetbnstorheatadaddttbns
• 2 copies of plan Swwing 6eam & window shes; poured found design, etc.) • 1 site survey for ezlerbr adtltlions 8 decks
• 7 set ol Energy Cabulatbns . IndMate If Mme served by septic systam for etltlitbns
• 3 copies of Tree Preservatbn Plan tt bt platted after 7/1193
• R"un Jolst Detail Optbns salectlon sheet (bltl9s w0h 3 or less unib)
DATE -7 (!O ' GZ
SITE ADC
TYPE Of
AULTI-FAMILY BLDG _ Y YN
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT AM F?9,LCfIKV OViL.2i-m? Ccs-n,-5 `1'R,A-C,Taa2_S '97Nc,
STREEiADDRESS_ IZZLL-7 N)Lo tle,F 4-v?CITYR.It,s?v??t,tSTATE. 4NZIPS?
TELEPHONE # 7U 7-'C9`''1 S? CELL PHONE # FAX ?o_
PROPERT1f OWNER 41&u % N L?. (i b iELEPHONE # GSI ' LQ Se5 " 077 L/
----------- °------------------°------------------------°----°---------°------------°-°--
COMPLETE THIS SECTION FOR uNEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MI IW (d sub mission type) • Residential Ventilatlon Category 1 Worksheet Submitted ? r?jg', o rkl
• Energy Envelope CalculaUons Submitted 1 ?Z
n .iui
Plumbing Confractor:
Plumbing system includes:
Mechanical Conhactor:
Mechanica] system includes:
Sewer/Water Conhactor:
_ Air Conditioning
_ Heat Recovery System
Phone #
Phone #
Fee: $70.00
I hereby acknowledge that I have read this application, state that the Information is correct, and agree to comply
with all applicable State of Minnesota StaTutes and City of EaganR rdinance
Signalure of Applicant ?JI-- ?""`F--"?
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
Phone #
_ Water Softener
_ Water Heater
_ No. of Baths
DO
VALUATION ? W/"/?6 ?llGL7J•
_ Lawn Sprinkler
_ No. of R.I. Baths
OFFICE USE ONLY .1
13 01 Foundation O 07 05-plex ? 13 16plex O 20 Pool ? 30 Accessory Bldg
0 02 Sf Dwelling ? OH 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Alt- Mufti
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4sea.) O 33 Ext. Alt - SF
O 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03plex O 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04plex ? 12 12-plex Pibg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
O 32 Addition ? 36 Move Bidg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Afteretlon ? 37 Demolish (Bldg)' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement •Demolkion (Entire Bldg only) - Give PCA handout to applicant
Valuation 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 W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Fouudation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Finel
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppy 8 Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
ToWI
Building Inspector
-70 ? ( ? 2005 RESIDENI7AL BUII,DING PERNII'C APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694 ^ A
New ConsWctan Reauirements
3 2gistered sde surveys showing sq. R o( lot, sq. ft of house; and all roofed areas
(200% maximum lot coverage allowed)
2 copies of plan showing beam 8 window saes; poured found design, etc.
t set of Energy Calculallons
3 copies of Tree Preservation Plan fl lot platted after 7/7193
Rim Joist Delail Optlons selecfan sheet (buildings with 3 or less units)
Remadalrtteuair Reauirements OfRce Use Onlv /y -
2 wpies oi plan CeR of Survey Recd C/ Y_ N
1 setof Energy Calculations for heated addHivns Tree Pres Plan Recd _Y _ N
t site survey for addiliore & decks Tree Pres Required _ Y_ N
Add'rtion -IndicateKon-sifesepticsysfem On-sfte5eptkSystem _Y. _N
Date ?_ Construction Cast ?
Site Address 0. V tk Unit/Ste #
i?
Descriptian of Work N U lpl. t' C_ A ' h04,U +, k-.N. <r:
Multi-Family Bldg _ Y kN Fireplace(s) k 0 _ 1 _ 2
PropertyOwner t cel/ ?,n a' 4-i* 2. L? ?/ Y\ -? Telephone #( b S?) ???? ? 7 7 L?
.-
Contractor M-CV, w_f, ?,
T 1.vo?l. ?Or•t,r ?^- C•
Address /
?
9 Z ,?. SL l,'G.r (i-,I„ 6 e-4 Cit}' X, G" 1:4
State /? Zip Y" S 0 77 Te?ephone #( 6 5'h '-101" `I 9 C G
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy COde Category , Residenlial Venlilalion Calegory 1 Worksheet • New Energy Code Worksheet
(4 submissionrype) Submiried 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
Telephone #(
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
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 wi ut a
permit; that the work will be in accordance with the approved plan in the case of work which requires a'? d
approval of plans. ?
.AA -(' h F.? C Tw+ el"'o1V (.
Applicant's Printed Name
Signature
T%°`'
OFFICE USE ONLY
Sub Types
/,Gi Covi7?Jt2 orY'
J
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool
? 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.)
? 03 01 of_ plex ? 09 07-plex ? 17 Garage x 22 Porch/Addn. (4-sea.)
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screen/gazebo)
? OS 03-plex ? 11 10-plex ? 19 LowerLevel ? 24 Storm Damage
? 06 04-plex ? 12 12-p10x Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New
,V 32 Addition
? 33 Alteration
? 34 Replacement
Valuation 6?Q etv
Census Code ?i3 J?
, I
? 30 AccessoryBldg
? 31 Eut. Alt - Multi
? 33 Ext. Alt - SF
? 36 Mulli Misc.
? 35 Int Improvement „? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Building• ? 43 Reroof ? 46 WindowsfDoors
'Demolidon (Entlre Bldg) - Glve PCAhandout to appliwnt .
Occupancy /t-3 MCESSystem -
Zoning ?-/ CityWater -'
Stories Booster Pump -
Sq. Ft. ? PRV -
Length. FireSprinklered '-
SAC Units ?
# of Units ^
# of Bldgs "
Type of Const ?
_ Footings (new bldg)
Footings (deck)
? Footings (addition)
Foundation
Drain Tile
Roof )Y, Ice & Water -* Final
Framing
Fireplace _ R.I. _ Air Test _ Final
? Insulation
Approved By:
Base Fee v
Width
REQUIRED INSPECTIONS
_ FinaUC.O.
_ FinaUNo C.O.
Plumbing
? HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco _ Stone _ Brick
_ Windows
_ Retaining Wall
Building Inspector
Surcharge
Plan Review
MClES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
3 ,1?- 0 UN J%N ?JM% 67
3 z.Z 0
31.Z tos' ?
I-IJ 30
/738-40'
I2 37-?
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M19endo*.a Heights, R4N 55120
? P10INEE LANCSURVEYORS•C1VI:.EN'??N[C?iS ?__?-._ "--
?
(612) 68T-1914
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Certificafe of Survey Eor: . •a ?°??TLuND ??AJ"l
NORTH
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Page 4
2005 RESIDENTIAL PLUMBING PERMIT APPLICATION ?
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date -j-?- /
Site Street Address 7,2 9 Av EK & (? IZ l? Unit #
Property Owner _ K Ev m Telephone #( )
Contractor 10Fi AE Telephone # (4?5'1)
Address O City ?J??Wt? ((f(?°?- State-/4f Zip
The Applicant is: _ Owner ntractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alting dwelling
z $ 50.00
_
_ d plumbing fixtures. This fee includes putting in a water softener and/or water
heater at the same time. lf rL are insfallins? only a wafer 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 Turnaround (add $125.00 if a 5/8" meter is required)
?her: t.,r L K A?-
Water Softener _ Water Heater $ 15.00
_ new _ replacement
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ 50
Total $ _D .=
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 '} hout a permit and work will be in
accordance with the approved plan in the event a plan is requir d to be reviewed a d"a (xoved.
ll??t yf1 E?E r" n C -
Applica Ys Printed ame plicanY ignat
,,.e.,
`?29
??1r 7f- x 2422 Fnte.prise Drrvc
* P?O?NEER M1lendora tieigbts, R1N 55120
LPNO SUP V EYORS •!:tV I L EW??NLFflS
-- ---- "-- __---------?-- u?---'.
? .?r..'gSn?yrjtaing . LAtIOFLAN?:FR5?l4N1:'?.Cf•PF.a>Cl?riiC.CYS ? (612) 681-1914
1 ? ?'T
T
Certificate nf Svrvey for: TOG ?TMOTT`uMp CO` 'PA" `
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r 9oa.o C"enole= ez+'sffn? Eleva}ron
. soo.o? (Jtnoles propoMd Elevotron
-- - - ? - - ot?nofes Drama e # Uti(r fEasEmenf
?enafes t?rAina?eFlaw /Irrows
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Pr?OpOSfD OOUS£ ELfVA710N5
lttwesf Floar Elevalron - f?8 `?• ?
Ta[) ot'i3locls Cfevatr'oR r92,-;F 7, $ _
S
o C7enoles nior?eimenf ?a'arCa?e Ya? Ftevof?ot?
BFprirl5 ShONlt?C7!'F 0`5S1Jri7PCJr ?_ ,
l-?ltts oF $T4tVE8Rlt?GE
LaT ?r? , BLOc?
QnKOrA CouNT}'r MINNSSOTA 5t 6IEC7- Tt7 E!lSFMfNTS Of RFLORI7
1 herehY ce*eify tFnt this ii a Vue and m,mi rtnrgvnbban af m au? '<y af the bou•?Aq^es nl ihe shoye dgsc"bed bn . nd bt the location ttt at?
vIe 1hrt_ ?? d?Y ol P 0. 19?.
puldVnox, ihereon. xnd ell viefbiv rnc•Pechmrob. 7f e??v, fro?^+ e* on q,d anA Ae so??^v?d br
? , !? ,'/? ' • _ ', ?
5 L'4/E ? j `"d_h . ,f, ?et
40
. ? FC?RE T fl.5iY.5G? l_S.PEG. NO. 1<89I
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA092005
Eagan, MN 55122 . Date Issued: 11/12/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 729 Havenhill Rd
Lot: 10 Block: 9 Addition: Hills of Stonebridge
PID 10-32990-100-09
Use
Description:
Sub Type: e-Fireplace Construction Type:
Work Type: Gas Fireplace (new)
Description:
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required by law in ALL single family homes.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Hearth and Home Technologies Kevin Lyme
2700 N. Fairview Ave 729 Havenhill Rd
Roseville MN 55113 Eagan MN 55123
(651) 633-2561
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:EA171630
Date Issued:08/24/2021
Permit Category:ePermit
Site Address: 729 Havenhill Rd
Lot:10 Block: 9 Addition: Hills Of Stonebridge
PID:10-32990-09-100
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.
If water damage is encountered, please call (651) 675-5675 to schedule a site visit to verify the extent of the damage. Any
repairs must be inspected prior to covering. The inspector will determine if an additional permit will be required to repair the
water damage.
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 -
Kevin J & Elizabeth Lyne
729 Havenhill Rd
Saint Paul MN 55123--166
Bormann Brothers
17593 Foxboro Ct
Farmington MN 55024
(952) 891-8586
Applicant/Permitee: Signature Issued By: Signature