4782 Highcroft Ct? V r
Wertificate vf ccc"anc?
?? ? ??
zt4partment .? Zambia anotmon
This Certiftcate issued pursuant to the requirements of the Uniform Building Code
cenifying that at the time of rssuance this structure was in compliance with the various
ordinances of the City regulating building constnuctiore or use. For the following:
??ficafimL SF DWG?GAR Bldg PerffaNo 28356
O-W" T,. R-3 U-1 ZaWng Disaic R-1 ,? Con5t VN
Ownw ,f f emkWg JOE M1LLEx HOMES ,?? 3459 AASHINGTON DR., EAGAN I?N
su;;kl;?Addmu 4782 HIQRCROFT CT I'Dul;,y L12, B1, ST CHARLES fi00D
' %r
POSf IN A CONSPICUOUS PLACE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS•
INSPECTION
i • I c i i "?
? PERMIT SUBTYPE:
?
WORD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
. i''. ??;! i?? , i•.?i1 j r? { : 1 `??.a lhf.,
TYPE OF WORK:
at ??
iitl 1 1(1 i M!3
N.'K'i1iF>
07 1;'4 /3F
INSPECTION „ . D.
i :•:?M i rj?,
t h ? .! i? ; i ? ?• ? t? ? ?!: 1 ?' ? j'1 1 1
rt ta i ?.
I I I?ril I'I Mri, t 3 NRI
{ 1' f' !4 f1 f t
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I'lfti! `.% i¦ ld {'I 141., 14 're 1.1 ;1 !li hr 6VId{i 1.)ll l( P
iL_
Permtt No. Permit Holder Date Telephono 8
EIECTRIC
PLUMBING
HVAC
inspection Date Insp. Comments
FOOTI NGS
FOUND ,FXQ/!YP /?
LGlo
FRAMING y? ?j!/ //
!CO `C
ROOFING
ROUGH
PLUMBING -
i? r a
PLBG
AIR TEST !f ?'
ROUGH
HEATING
GAS SVC
TEST
/t
INSUL
GYP BOARD
FIREPLACE
!s
FIREPLACE
AIR TEST _ 7 Q(?
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL .
DECK FTG
OECK FINAL
I --
Address 4782 HIGHCROFT CT
I,ot ' la . Blk 1 Sub
Zip 5512 ;2--
ST CHARLES WOOD
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECfION.
Date: Yes No Inspector:
Final grade (6" from siding) X Z_
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas x
Sod/Seeded grass x
TraiUcurb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shut-off of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in righ[-of-way or installing underground sp[inkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy ?
I? 'I tl REE FOR ELECTRICAL INSPECTION
IIII NII II I I??I I I I I I?IN I I I?III?I Minneso QU ta ST State Board of Electricity `Ave * 0 2 6 5.5 5 5 3 * anone ?s?2?ss?a2 osoo q3?f (o ul, M??d{!
Home Duplex Apt. Bldg. Ofher: New Addn
Commercial Indushial Form Remod Re air
Air Cond. Htg. Equip. Wafer Htr. Load Mgmt Other.
D er Ran e Elec, hieot Tem . Service
X" above fhe work covered by this request. Enter remarks in lhis space ond on ihe back of ihe white copy only.
Z ( -3o z B>
1,0A e-o
Calwlate Inspedion Fee - 7his Inspedion Requesf will not be accepted without the corzed fee:
01her Fee # $ervice EMrorce $iu Fee # Circuits/Feeders
1
Fee
Mobile Home Park Stall . 0 to 200 Amps 0 to 100 Amps 1 77
Street Lfg./Traffic Sig. Above 200 Amps 00 Amps
Transformer/Generotor INSPECTOR'SUSEONLV
? TOTAL
Sign/Outline Lig. Xfmr. 7. fo
Alarm/Remote Control
Swimming Pooi i ne?.b Iem thm ifin: nn a?:a?bed h«e?? o?+he dme, :m?ed
Irrigation Boom ugh-m ?h,
ecial Ins
S
ecfion
p
p
Investigofive Fee ]Fi
al Date 4
THIS INSTALLATION MAY BE ORDE ISCONNECTED IF COMPLETED WITHIN 18 MONTHS.
2 6 5- 5 5 5
0 OFFIC USE O LY This reqoesf.oid IB months hom wlidafion dare pnnted in Mb box
9?3j9G Cr 5?7?7
117
PLEASE PRINT OR TYPE ?
,
ReqoeslDuk B?? ?No InapecnonOtherThanRo.gh.ln:?ReadyNow[}WtRColl
Rough-ininspa?tioniequved2
S 2 P t 1]. 1996 ('?au must mll the inspedor when ready) DoM Ready:
I, UNtensed ronirador ? owner hereby request inspedion of the above elechical work at:
bb Address (Slreet, Boe, or RoWe No.) Ciry Zip Code
4782 Highcroft Eagan 55123
Sedlon No. Towmhip Name or No. Range No. Fke Na. Coun
Datota
O.pant
,Toe Miller Homes Phona No.
454-4663
PowerSupplier Pddress
Dakota Electtic Farmington,MN 55024
Elecfiml Contmclor (Campany Nama) Conhador Limnse No. Mmkr Lic. No. (Plam EIM. Only)
Midland Electric CA 01236
Mailing Pddress (Cantmaorar Owner Perfarmirg Inswllanon)
r k vi le MN 55044
/wtFionyd$ynaNre (Conk ar or er PeAomin nsmllaeon) Ph ne No.
? 461-1444
EB-OOOOIA-10 6/95 -T- ?3wTE80AROCOW•3EEINSTRUCTIONSONBACKOFYELLOWCOPY
cERrIFicATE oF suRVEY M32-1437-96
for
JOE MILLER HOMES
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S?q•h355 w ?q,0?? cn S
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1$9 ? 29 E
- ?,
?.
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?`-?-M`.?,.;
Top curb to Gar slab
Top block = j6?.?1l
Lowest bsmt flr = .9-Wt
4782 Highcroft Ct
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared hy me or under my direct
supervision and that I am a duly Registered
Land Surveyor under the Laws of the State
of Minnesota.
Date a -JVLY 1996 12EIr Reg. No. 8140
Lot 12, Block 1,
ST. CHARLES WOOD
Dakota County, Minnesota
Plat bearings shown
o Denotes iron monument
` Existing j Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street,
Burnsviile, MN 55306
(612) 435-1966
w_ o' 0 3- G? ,o cr
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ao
CD ? A/
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CMD 2.00
?iq53 ,7?
EAGAv
?
Scale: 1" = 30'
?o?aV
? ? ? V ' J L ?i.._.?ci
Suite 206
,
M32-1437-96
CITY,OF EAGAN
I '
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT
PERMIT TYPE
Permit Number:
Date Issued:
e&o
BUILDING
028356
07/24/96
SITE ADDRESS:
P.I.N.: 10-65870-120-01
4782 HIGHCROFT CT
LOT: 12 BLOCK: 1
ST CHARLES WOOD
DESCRIPTION:
ermit Type
grk Type
iy; e
??ni?ng, 3
BGild3ng °Length
Bu?ldi?ng, rW3dt'h s:3
•
SF DWG
NEW
R-3 U-1
V-N
R-1
65
43
Z
5,214
101 1 - FAM. DE7ACH
r?,
,? , ? R
?f ? ff {Az ?i `m ?"L t? I
REMARKS:
PRV S& W PIBR - M& W SEWER AND WATER
FEE SUMMARY:
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$1,442.25
$721.13
$105.50
$900.00
100
$3,168.88
$211,000
MISCELLANEOUS $1t923.50
Total Fee $5.092.38
CONTRACTOR: - Applicant - ST. LzC.OWNER:
NORTON INC OF MN, D R 14544663 2000565 JOE MILLER HOMES
3459 WA3HINGTON DR 204 3459 WASHINGTON OR
EAGAN MN 55122 EAGAN MN 55122
(612) 454-4663 (612)454-4663
, I hareby. acknmvl,,edge tha;t' t
3nforma.tian,.;`is corr-ect-„and a6
" ?tetutes arrd? City cr'? ta}°a?n e?r
APPLICANT/PERMITEE SIGNATURE
204
I 3830 PIL'OT KNOB RDN 55122 ??j O`????
" , 1996 BUILDING PERMI6 1-4675 ATION (RESIDENTIAL)
New Conslmdion Req uiremen e RemodevReoair ReaWrementa
? 3 registered ske aurveys ? 2 copies of plan
? 2 copiea of plana (include beam & window sizes; poured fnd. design; ete.) ? 2 site surveys (exterior addkions & decks)
? 1 energY eetcutatiorro ? 1 energy piculations tor heated addilions
? 3 copiea ot tree preaervation plen 'rf bt platted efter 7H193 .
requhad: L Ves _ No .
DATE: 7 /7-9(o CONSTRUCTION COST:
DESCRIPTION OF WORK: N16?
STREET ADDRESS: y/Xd ff4tiCrVl1-
LOT _[9 BLOCK SUBD.lP.I.D. #: ?• ?,rles a,
PROPERTY Name: Phone
OWNER `""
Street Address,
City: State: Zip:
CoNTw?cTOg Company: Se- M,`llee- gmes Phone #:
Street Address: ?4ls9 ?-uc License #: X60-:576s7
City: `G'cIlri State: /Y?,/ Zip:
ARCHITECT! Company: Phone #:
ENGINEER
Name: Registration #:
Street Address•
City: State: Zip:
Sewer 8 water licensed plumber. &dr/ ?i°(•1P.r r"W? Penalty applies when address change and lot
change are requested once permit is issued.
1 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.
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree PreservaGon Plan Received
?Ygs
/
/
? Yes
No
_ No
OFFICE USE ONLY
BUILDING PERMIT TYPE
q?Y -1
.Mp T„•
Ry
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging o 16 Basement Finish
o,`& SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
0 03 SF Addition o 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
0 04 SF Porch ? 09 12-piex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. 0 10 = plex ? 15 Deck
WORK TYPE
W'31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) N Basement sq. ft. 14107 MClWS System
(Allowable) Main level sq. ft. Iy v7 City Water f
UBC Occupancy r2, 3 ta - i y sq. ft. I +0 so Fire Sprinklered
Zoning sq. ft. 7s0 PRV
# of Stories 2 sq. ft. Booster Pump
Length Gs, sq. ft. Census Code. t01
Depth Footprint sq. ft. S i SAC Code ni
Census Bldg ?
Census Unit
APPROVALS
Ptanning Building -kz45?-' Engineering Variance
Permit Fee Valuation: $ 2I l?ooo
Surcharge
Plan Review
V
?-
License -ase.µa ,..-
3z,? ?J, S= i i oy
MCNVS SAC O.5 uIS%s 302. Zs
^
City SAC
}
?
Water Conn. ?yv
Ca' 'S = 2i?°q3.?!
Water Meter
Acct. Deposit
SNV Permit ? q. s x ? S
s?'>oz. 2s
SNV Surcharge ,
--
zs ?yA q
i
r -7593
s
Treatment PI.
yoe.
7.
Road Unit
Park Ded. Zro1
Trails Ded. ?r ?z x 3V. s- 1,04
Other z?x'q,s = Svb
Copies r 4 s 10 0
Total:
C?cw
a ?
?
3c?'K2s' _ ?SO eiG=
oov
°kSAC
SAC Units Z?
? 3/. zs
CITY USE ONLY
L ? gL RECEIPT #: ? Q
SUBD. I ( !?L DATE: 9 &
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? single family dwellings
+ townhomes and condos when permits are required for each unit
FIXTURES EACH NQ. I42AL
5hower 3.00 x
Water Closet 3.00 x
Bath Tub 3.00 x
Lavatory 3.00 x
Kitchen Sink 3.00 x
Laundry Tray 3.00 x
Hot Tub/Spa ' 3.00 ;<
Water Heater 3.00 x
Floor Drain 3.00 x /
Gas Piping Outlet ` minimum -1 3.00 x
Rough Openings 1.50 ;t
Water Softener 5.00 ,c =
Private Disposal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. 5prinkl2r " home under const. 3.00
=
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
TOTAL ??ev
SITE ADDRESS: 4782 Hip,hcroft Court
OWNER NAME: JoE rITT.ER
INSTALLER NAME: GENz-RYAN PLvrBIrrc
STREET ADDRESS: 14745 South Robert Trail
CITY: Rosemount STATE
PHONE #: ( 612
m Zip: 55068
L BL
SUBD.
1996 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commerciaVindustrial buildings.
? mufti-family buildings when separate permits are at required
for each dweliing unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: P $25.00 minimum fee Q[ 1"k of conVact price, whichever is greater.
? Prxessed piping - $25.00
? State surcharge of $.50 per $1,000 of 22mft fee due on all permits.
CONTRACT PRICE x 1°k
PROCESSED PIPING
STATE SURCHARGE
TOTAL
6i i E AUuKtSS:
OWNER NAME:
TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLI)
INSTALLER:
ADDRESS: _
cirir:
PHONE #:
?..
cmr use owLv
RECEIPT #:
_ DATE:
STATE: ZIP:
51GNATURE:
SIGNATURE OF PERMITTEE CITY INSPECTOR
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LOT SURVEY CHECKLIST FOR RESIDENTlAL
BUILDING PERMIT APPLICATION /
PROPERTY LEGAL:
DATE OF SURVEY:
LATEST REVISION:
DOCUMENT STANDARDS
• Registered Land Surveyor signature and company
• Building PermitApplicant
• Legaldescription
• Address
• North arrow and scale
• House type (rambler, walkout, split w/o, split entry, lookout, etc.)
• Directional drainage aROws with slope/gradient °k
• Proposed/epsting sewer and water services & invert elevation
• Street name
• Driveway
ELEVATIONS
F,dstina
??o ? • Sewer service (or Proposed)
W?'c ? • Property corners
4/6 o • Top of curb at the driveway
? ? ? • Elevations of any eristlng adjacent homes
Prooosed
?
?
G7
? ? • Garage floor
4'--?a ? • Flrst floor
?? ? • Lowest exposed elevation (walkouUwindow)
la?f] ? • Property corners
?? ? • Front and rear of home at the foundation
PONDING AREA fif aoolicablel
? C?'
? • Easement line
0 • NWL
? ? ? • HWL
? ? ? • Pond # designation
? ? ? • Emergency Overflow Elevation
?'? ? • Lot IinesBearings 8 dimensions
Pf/? ? • Right-of-way and street width (to back of curb)
[Y ? O • Proposed home dimensions including any proposed decks, overhangs greater than 2',
porches, etc. (i.e. all strudures requiring pertnanent footings)
? • Show all easements of record and any Cily utilfies within those easemenis
P1 El ? 0 Setbacks of praposed structure and sideyard setback of adjacent ebsting stsuctures
? ? • Retaining wall requiremegt& if any _/
Reviewed:
Date
January 1998
CMIG7906IBLDGPFtMT.FM
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i;ERT[eICATION
" °"'"°"°""°°` PARAOAOUNT 16.9h ?_
?V SHEET N0. S:J:Ii:.RY sE?iER 4 WATER PL%.`7 NO,I ??ur ??? iw.r
,OE MILLER HOMES °??°w??°•'"°TM"'""'°"`" ""
ST. CHARLES WOOD ENCINEERING 8c ?ESIGN R.J.<i. ??"^?
3459 WASHMGTON DRNE / ?f
SME py 556 E NEVADA SL • SL PAU4 MNNFSOTA 55101 m¢ceo ev ?,rp
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Site.AddYE
contractor
bIRHESOTA STATE ENERGY ['ODF. C-Ai,,(,'LIL.ATIONS i
BA9ED oN CIiAPTF.R 5 OF TiIE #q`?_
MooEL ENEROY CObE - 1983-RQITI42[
Adaptlop EffBetiVe
?
e --
Butldinq classificatlon:'rype A1 (single Family 6 Duplex
Type A2 (Residential, 3 atoriee or less) (4ver 3 ekories) (Othar;
NOTEt Complete_Rages 3 and 4 Yirst.
GENE12Ai, TNFORMATION !'b?
1. Building Perimeter " ?L?y060f Et.
JA
2. Wall height (graund to eave) ft.
a. 1. X 2. (above) qross wall area 333 7 _aq.ft.
4. Building dimenslons (L) r X(W) r =(lDs?q,ft.raof 6 floor area .
5. 8q. foot area of rim jolsk W F oor joiet size (2 X'D
?,t? X 34,0 (Perimeter)
12 •
6. Doors - Area ?
Thickne s in U. factor i ? ?'. 1
Type of Cohstruction Ferimetar ft.
• Manufacturer
7. Tokal daor's perimetier ft.
a. Windows: Hantkfacturer ?V/U? ?2l" "r- State npproved__.
U fackor I ?7?ii
0
TYPE 3IZE 11REA (6q.Ft.) NUMBEit OF TOTAL
1f !? ?171, a t??t EACIt UNI'PS SQ FBET
9. Total sq.Et. Glass ? Z--
lo, Fireplace area: width X Height = X - sq.ft.
li. Exposed foundation: Heigril' JC Perimetar-16-Z-X ?JL -118 Sq.ft.
COtdP.LETIOti OF TNZS FORM IS REQUIREb NOR AI.I, NEW CONSTRUCTIOti, MA10R
R£l10DELING AND HUILDINGS BLTNG HOVED WHERE Etl$RGY, OTHER THAN 'I'IiE HINIMAL
CoDE ALLOWANCE, IS USED.
S9iT0'd 659C ZSb ZT9 L 'JF7I 'ODhJH-ld 8£:5L b6eL-M-d3S
1;. Framing area - lot of groee wall area.
13. Gross wall area 32?7T eq.fE, .
window area A 33 Z sq,€t, U wlndowa ? •?G UxA =? 7
Rim joist area A?sq.ft. U rim joist= •°?I UxA =
poor area A S/ sq,ft, U daoC area= ,l?' UxA = ?
Othar doors area /? d eq,ft. U othor door?q= -L 7 UxA
Exposed fndlt A?s9 UxA
.Et, U fouttddtloll= I =
.??
?
Framing area A eq,Et. U Craming area=.,r7 p? l? tlxA
Net wall area A 7i? 27.3 ety,ft. U wall. / Uxl? _
(17H) TOTAL . . . . . , . . , UxA -
14. Gross wsll nrea x 0.11 (A-1 eingle Famlly G duplex) = ellowabla tlx.A/Code
(1J. above)
x 0.27 (h-z other reaidential) •
x .23 (otiier buildinge)
x .2e (ovar 3 etorias)
`BTUtt muat be larger than or same
A 7c
U Code , 4 ? °F. as 13B flbove
15, ceiling framinq area (A£) equele lOt of aelling area
15A. Grosa ceiling area = (L) x (1i) sg,=t,
.?-
158. Joist area (AD a lOt ceilinq area a t7,? pq.ft.
15C. Net cailing area (Ac) (18A - 15B) -140 + C/ sq,ft,
U ceiling x Ae = lP+ x . OZ 4% m 7
U framinq x A t x
15P. TOTAL U x A ................... •......
.....?_
16. Ceiling area (15A) x 0.026 (A-1 oingle family & duplex)
= ellowabla UxA/Cpde
x 0.033 (A-Z other residential)
x 0.06 (other)
r(? ,/ BTUH must be lazgsr than ??r eame
1?(151?)I?ll.`7 x U Code_??= ?t',?
7 OF. as 15d abovs
t1oTEt Uee U antl A values obtained fTOm pagee 1, 3 and 4.
CEB2'SPl-C8Ti42iz I hareby certify thati I hava aalculsted the nUlf feQtore end
"R?? values heroln snd tAet tha buildinq here dosoribed meete or exaeF:ds the
Stete oE HlnnesutA Hitargy Conservetion Aak.
Uate
Signakure
S9iE0'd 6S9£ ZSC ETa i '_flI '00hlhId 62:SI 1,66t-Tii-c3S
s??e?•d Es4s zs? zi9 ti
'?N[ 'CIONkiId E£:SS h65L-fi?-d75
CITY USE ONLY ?
L ? BL L RECEIPT #: ?
SUBD. DATE: // `5/i69
1996 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 687-4675
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH yQ. IOTAL
Shower 3.00 x =
Water Closet 3.00 x =
Bath Tub 3.00 x =
Lavatory 100 x =
Kitchen Sink 3.00 :c =
Laundry Tray 3,00 ;c =
Hot Tub/Spa 3.00 :c =
Water Heater 3.00 :c =
Floor Drain 3.00 ;c =
Gas Piping Outlet * minimum - 1 3.00 ;t =
Rough Openings 1.50 :< _
Water Softener 5.00 x = ??. ,uG
PriVaf@ D'ISpoSal ' Dakota Cty. license 65.00 =
(new and refurbished systems)
U.G. Sprinkler " home under const. 3.00 =
Alterations ' to existing 20.00 =
Water Turn Around 20.00
STATE SURCHARGE .50
SITE ADDRESS:_
OWNER NAME:",
INSTALLER NAM
STREET ADDRE;
TOTAL t-S?Z
? 70 -' o- C)
_-_--
14
CITY:
PHONE #:
STATE:> ? ZIP: ??5-k'z2
OFFICE U5E ONLY
L BL RECEIPT
SUBD.
DA7E:
1996 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: * all commerciai/industrial buildings.
w muNi-family buildings when separate permRs are p,gs required for each dweiling
unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
IS WATER METER REQUIRED? _ YES _ NO. IF SO, PLEASE PROVIDE THE FOLLOWING:
WATER FLOW: GPM. ARE FLUSHOMETER!i TO BE INSTALLED? _ YES _ NO.
FAlLURE TO PROVIDE THIS INFORMATION WILL RE3UL7' IN A DELAY OF METER ISSUANCE.
WILI YOU BE INSTALLING A METER FOR A FUTURE U.G. SPRINKLER SYSTEM? _ YES _ NO.
IF 50, YOU MUST APPLY FOR A SEPARATE U.G. SPRINY:LER PERMIT.
FEE: $25.00 minimum fee or 1°!0 of contract price, whicfiever is greater. State surcharge of $.50 per
$1,000 of permit fee due on all permits.
CONTRACT PRIGE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
tNSTALLER: -
ADDRESS: _
aTV:
PHONE
METER S2E: " DATE:
STE. #
SIGNATURE:
OFFlCE USE ONLY
STATE: ZIP:
APPLICANT
INSPECTOR:
/* ?a G. Nur 310280
. ,.
TRAILWAY SABEMENT
THIS EASEMENT, made this 26th day of. August , 1994,
between D.R. HORTON, INC.-MINNESOTA, a Delawara corporation,
hereinafter referred to as "Grantor" and the CITY OF EAGAN, a
municipal corporatian organized under the laws of the State of
Minnesota, ltereinafter raferred to as "Grantee."
W I T N E S 8 8 T H:
That the Grantor, in consideration of the sum of One Loiiar
($1.00& and other good and valuable consideration, the receipt and
sufficiency of which is hereby acknowledged, doas hereby qrant and
convey unto bhe Grantee, its successors and assigns, a permanent
easement for ' trailway purposes, over and across the property
described as follows:
That part
that -lies
that is pi
westerly
northerly
lot line.
of Lot 12, Block i,
between the westerly
irallel with and 30 faet
line, said parallel
to the street line and
it. Charlas Wood,
line and a line
easterly of said
lina extending
southerly to the
See also Exhibit "A" attached hereto and incorporated herein.
The Grantor, for itself, its heirs, executors, administrators and
assigns, does hereby release the Grantee, ita successors and assigns,
from all claims for any and all damages resulting to the lands
through and acrosa which the parcel of land hereby conveyed is
located by reason of the location, qrading, construction, paving,
maintenance, and use of a trailway over and upon the pramiaea hereby
conveyed and from the uses incident thereto.
The brantee shall have the right to post
a?ong said trailway as are deemed necessary
t4e above lands and locate them for public
maintain the trailway, including mowing and
necessary by the City for purposes relatei
area.
such signs and postera
and suitable to define
use. The Grantee shall
landscaping, as deemed
i to the adjoininq park
The Grantor, its successors and assigns, do covenant with the
Grantee, its successors and assigns, that it is the owner of the
premises aforesaid and has good right to grant and convey the
easement herein to the Grantee.
L County Auditor, Dakota Co.? _
IN TESTIMONY WHEREOF, the Grantor has caused this easement to be
executed as of the day and year first written above.
OWNER:
D.R. HORTON, INC.-MINNESOTA, a
Delaware corporation
??'??eGI
tE T--
By'
x %'e. i?
Its:
-? ?
Its:
Minnesota
STATE OF 'DEthiiltRF% )
) ss.
Dakota
COUNTY OF ?
On this 26th day of August , 1994, hefore me a Notary
for said County, persoztal'ly
Public within and L•o me
appeared George Seagraves _ and
me duly sworn, each did say that
personally known, who being each bYthg Vice D
they ara respectively Inc.-Minnesota, the
and Assistant Secretarv of D.R. Hortan, and that t3ald
corporation named n nhbetialfeofisaidicorrporation by authority of
instrument was s?gned Ylce President
its Board of Directors and said
and Assistant Secretary acknowledqed said instrument to be the
free act and deed of the corporation.
? HAREN C.APPLEOATE ?
NOTARY PUBLIC-MINNESOTA *Not-ary Pu i
DAKOIA CDUNTY ?I`4YC4?E" MAY 15. 19BB
APPROVED AS TO FORM:
City A
Dated:
.
? .:::..;.
•r:{
EXHIAIT "A"
INDICATES TRAIL EASElIENT •
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II
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c ;';?{..?; ;? cr 0'2"I
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East line line of Scale: 1' m 30'
trail easement
?c Trail easement description:
That part of Lot 12. Block 1, ST. CHARLES W.OOD,
that lies between the westerly IJne and a ltne thct
is porailel with ond 30 feet easterly of said westerly line,
vaid porallel line extending northerly to the street
line and southerly to the lot line.
I nereey cartiry tnot tnh wrv.y, vlan. ar pE5CRlP11ai
nDcrt was pnpored py me a undar my dkect
wpervldon ond fAot I am o duly Reqlstved Lpt 1Z. &odc /.
Land Survsyw under the Lan of the State yT, pHARLE5 ryppp
of Minnssota. pnYOto Caunty, Mhnpao
pate A Va4)9.- 19 Req, Na 8110
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435-1966
?
?
ti
?
,
?
AN
?
?
,
? 310280
W
?
o.
Y
OFFICE OF THE HEGISTRAR OF TITLES
DAKOTA COUNTY, MINNESOTA
CERfIFIEO 711AT THE WRHIN INSTRUMENT
WAS IiECOFlDED IN THIS OFFICE ON ANG AT
SEPT. 15 4:30 PM 1994
DOC. Na. 310280
CERTIFIC?ATE \NO\.
VOIUME S?- PAGE
JAMES N. DOIA?{,.$4GISTR?4R OF TITLES
BY: ?V Deputyf /?
?E IS.? SURCHAFiGE1y:SV
ASSURANCEFUND
NON-ASSUH MISC FEE
I 1
CASH I I CHECK Lj,SCROW
WELL( ? CHAPGE I 1
CHARGETO:
REFUND
DO NOT REMOVE
, q,4
?
i
-!7 Z..111r2.F?GA-
?t •
??
? ?;?.? ,
? ? °??i ? City of Eapn
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675•5675
Fax:(651)675•5694
- -------------
? For Ottice Use I
j Permit#.
? Permit Fee: ?O I
? Date Received:
I Sta(t: L.- 5?2 I
i
2008 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: I? ?3 Dg SiteAddress:
Tenant: ?
64
Suite #:
RESIDENT/OWNER Name: (S:'6C_'1' lo!`i? 1? vJCi n Phone: f7? ?' ??-?yUb
?
N
'1
`44
C..
Address / City / Zip: ?7
)
?U C 1
,
Applicant is: _ Owner )<Contractor
TYPE OF WORK Description of work: ??sca - a['C avj f'e -r1t?tl?
Construc[ion Cost: IDif It o Multi-Famity Building: (YesNoe_'N-_)
Oq?C3?12363
G
CONTRACTOR License #
Name:
Address: % 37v &+QQK
d7
-ssy`f9
"N
i
7
ZiP:
City:
a
1ll2 Scate: /
l
Phone: 763- oc`77 -337.3 Contact Person: - At n?''l /'er kitiS
COMPLETE TFiIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7670 Cateqorv 1 Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Wodcsheet
Category submined submmed
(q Submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the Gity 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 submlf are considered to be public iniormation. Portions of
the information may be classified as non-public !f you provlde specific reasons that wou/d permit the City to
conclude that the are trade secrets.
I hereby acknowledge Ihaf this information is complete and accurale; Ihat the work will be in conformance with the ordinances and codes of ihe Ciiy of
Eagan; that I understantl this is not a permit, buf only an application for a permit, and work is not to start without a permit; that the work will 6e in
accordanc with the ap9?tj lan inthe case of work which requires a review and approval of plans.
X l.' "4i-v13 x
a-
Applitant's Printed Name Applicant's S gnature
Page i of 3
FEZ:;' Fci Office Use
City of Eaau Permit
Permit Fee:
3830 Pilot Knob Road _
Eagan MN 55122 Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
- - - - - - - - - - - - - - - -
2009 RESIDENTIAL PLUMBING PERMIT APPLICATION
Date: Site Address:
Tenant: (11t't5 //I-/ Suite
RESIDENT / OWNER Name: CJ-%' 6c Phone: } ~ Gam- Il U
Address / City / Zip: Y7 i~-
CONTRACTOR Name: D t)' / l ((A i l IV (r License 3-1 c 2 P
Address: G l1 /7 / _
City: State: /,W' Zip:
Phone: t to 1 Ca Contact Person: /i/I
~76 D CA F)A
TYPE OF WORK New _Replacement -Repair _Rebuild - Modify Space _ Work in R.O.W.
Description of work:
PERMIT TYPE RESIDENTIAL
Water Heater Water Softener
Lawn Irrigation Add Plumbing Fixtures
RPZ / PVB) l- Main _ Lower Level)
Septic System Water Turnaround
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 Turnaround* (includes $.50 State Surcharge)
`Water Turnaround (add $165.00 if a 5/8" meter is required)
$100.50 Septic System New ($10.00 per as built) (includes County fee and $.50 State Surcharge)
$90.50 Fire Repair (replace burned out appliances, ductwork, etc.) (includes $.50 State Surcharge)
TOTAL FEES $
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
App icant's Printed Name Applicant's -Signature
FOR OFFICE USE Reviewed By: Date:
Required Inspections: Under Ground Rough-In Air Test Gas Test Final
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Use BLUE or BLACK Ink
For Office Use
I I
Permit
I
1 4L/ LEI,
I I
I Permit Fee: '
City of EaEd
I I
3830 Pilot Knob Road I
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 Staff:
2013 RESIDENTIAL BUILDING PERMIT APPLICATION
Site Address: Unit
Date:
_ ~•t/fyj~l/ Phone: 6~z- ~05 - d~gz_
Name: r
Resident/ ~ f f
Owner Address/ City/ Zip: 7 rZ L_V otz-t"
Applicant is: Owner I Contractor
Description of work:
Type of Work
)
< &_V - Multi-Family Building: (Yes No k)
Construction Cost: `
Company: Contact: i~
Address: Lug City: ~e✓~ "t CG~~6z-1 ~2
Contractor ( 7 _
State:" Zip: J ( Phone:
License Lead Certificate
If the project is exempt from lead certifications, please/ explain why: (see Page 3 for additional information)
k2"WROZJ* ®j o t T AAK-
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 they are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Mi Building Code must be completed within 180
days of permit issuance.
x v~~ l~h
Applicant's Printed Name Applicant's ignature
Page 1 of 3
DO NOT WRITE BELOW THIS LINE
SUBTYPES 79Z
_ Foundation _ Fireplace Porch (3-Season) _ ✓Exterior Alteration (Single Family)
`1( Single Family Garage Porch (4-Season) _ Exterior Alteration (Multi)
Multi Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of _ Plex _ Lower Level _ Pool Accessory Building
WORK TYPES .rYV t,1-~ fJ~'
_ New _ Interior Impfovement _ Siding _ Demolish Building*
Addition Z Move Building Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition J7 SAC Units
(25%_ 100% ) Zoning i 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
4 Footings (Addition) Final / No C.O. Required
Foundation 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: , Building Inspector
RESIDENTIAL FEES
Base Fee 4dyj
Surcharges 7
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
V"tL.
Copies
TOTAL
Page 2 of 3
4
CERTIFICATE OF SURVEY M 3 2 -143 7 9 6
for
JOE MILLER HOMES
5
X3.59 r P,. ` cp .
g~ r L '10.::,
..y• ••Y r N f1
e- 0
41 .oo ca Q
gs' ~u ° 7 f
0 P-
0
¢ it ~ 9~• ~
i 01
Z` f
7
U,, o N~
. p r►~a
Scale: 1 - 30
avq.~~, ff,,a e.
rr V u .a i "a `t_ f'
Top curb to Gar slab
Top block
Lowest bsm t flr 4782 H I9h c r a f t C t
DESCRIPTION
I hereby certify that this survey, plan, or
report was prepared by me or under my direct Lot 12, Block 1,
supervision and that I am a duly Registered ST. CHARLES LES WOOD
Land Surveyor under the Laws of the State Dakota County, Minnesota
of Minnesota. Plat bearings shown
o Denotes iron monument
Date Z Reg. No, 8140 Existing Proposed
BRANDT ENGINEERING & SURVEYING
1600 West 143rd Street, Suite 206
Burnsville, MN 55306
(612) 435--1966
M32-1437-96
1
City of Eaaal
3890 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675.5675
Fax: (651) 675-5694
Use BLUE or BLACK Ink
For Office Use
Permit #:
Permit Fee:
Date Received:
I Staff:
L— —
2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with
7S4..hall commercial applications.
Date 7/Z 7 1 3 Site Address: 'T ! Hiteelaizori 6%
Tenant:
6' 4 + L, -' ...
L
Suite #•
Name: ( g 12l (. LS Ll t.,)(3./,(..) Phone: 4,57- 44S-2- e'/t
Address / City l Zip: 4717 8 Z 1•-4 17-f I f?.e "' 'tscp
Name: ," 4 6 ZO-7 r rag FLAR[) License #.
Address: 23 Zf 'TZTfZJU rlL' A t1- t? /AD City: -�(2V rLJf
State: 4.416 Zip:5X7 ) ? Phone: �;S-I ... 77 � -- 7 / ('
Contact: %+ Ci ,®' Email: nit CLF/I:t • 1 (1 POI
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge)
$100.00 Residential New (includes $5.00 State Surcharge)
COMMERCIAL FEES
$55.00 Permit Fee Minimum
$70.00 Underground tank installation/removal
*If contract value is LESS than $10,010, Surcharge = $5.00
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge
RESIDENTIAL COMMERCIAL
Furnace New Construction _ interior im
Air Conditioner Install Piping Processed
Air Exchanger _ Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank i_ inap 1 _ Remove)
Other
Contract Value $ . l
= $ Permit Fee
Surcharge*
$' TOTAL FEE
I hereby acknowledge that this information is complete and accurate: that the work will be in conformance with the ordinate 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,pemoit; the worst will be kr-accordance
with the approved plan in the case of work which requires a review and approval of per. s T
x l`i 1 -,< Yrc f -f4 /4/
Applicant's Printed Name
FOR OFFICE USE
Required inspections
Underggr+t xndnd
NSEIMENTS
To: City of Eagan (inspector: Craig)
Project: Florie & Gabe Ellwien
4782 Highcroft Court, Eagan
Subject: Tenn Air Down Draft Extension and vent cover
We installed the Tenn-Air down draft extension and vent cover per the specifications of the ten-Air tech team. Therefore
we accept full responsibility for the modification to the venting.
Regards,
Ryan ming on
Lifestyle Base nts
•
Lifestyle Basements 15806 Venture Lane Eden Prairie, MN 55344 Office: 952-974-5003
Use BLUE or BLACK Ink���
. � For Office Use �
' ------ I ,_/, �
Y� \
� � Permit#: /�� �7 � � -fi-��
� � J'
��� �+ u � i PermitFee: I��'�� ��
3830 Pilot Knob Road I ���
Eagan MN 55922 � Date Received: �r � I�l�b�
Phone: (651)675-5675 I Staff: �'� ��I�S�IS
Fax: (651)675-5694 � __�__J
2015 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: Unit#:
Name: " � �� � Phone:.(.s�[-����
��Residentf � ��[ '` �� �
� O�N11�F �� � Address 1 City/Zip: "Z ��� F��� �� �"����
Applicant+s: Owner �'Contractor /_
� , r `�r� � � �l�
Type of Work Description of work: � :� � � ��.
> k:eu
������ Construction Cost_ �� ��-�� � Multi-�amily Building:(Yes /No )
Company: �� � �G�.�'�� � � . } nta ,_� ' '` �^��'�P�
/�-1 �-`-��? �„�-3 �„4_ � �� � ��. �i ,� ,
Contracitor Address: �� � --�—�
State: Zip: -��/�hone. (11�e��`v��"� E ail:_�1di i �G������_��`��'.�'�� C..C:'G�
License#: �� � 1 „ < � r'� Lead Certificate#: f"���" �(f� ���� 1
If the project is exempt from lead certification, please explain why: (see Page 3 for additional infarmation)
�i:Ct � �t`i�� � . �.� �lY�(�l� . ��!— ���S'
COMPLETE THIS AREA ONLY!F CONSTRUCTtNG 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 supparting dacument�that yau submif are cansider�ed to be pubJic Fn#ormativn. Portions af
' the informatian may be class'rf'ied as nan public if you provial�specific reasons that would permif fhe Ciiy ta
conctude that fhe are trade secnets.
CALL BEFORE YOU DIG. Call Gopher State O�Call at{657)454-0002 for protection against underground utility damage. Cafl 48 hours
before you intend to dig to receive locates of underground utilities. www qopherstateonecali.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of pians.
Exterlor work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed withln 180
days of permit issuance. r
� ,� . �. �
XA l��u� � X �
Applicant's ' ed Name f�' i nature
� Page 1 of 3
, ��g� �-������'f C�--f-.
' � DO NOT WRITE BELOW THIS LINE /�����
SUB TYPES
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
� Single Family _ Garage _ Porch(4-Season) _ Exterior Atteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex ` Lower Level � Pool _ Accessory Building
WORKTYPES W�.c�S� hu-'�'h ��-�'�'�
_ 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 PGA handout to applicant
DESCRIPTION
Valuation �(r�G�. /'� Occupancy � MCES System
Plan Review Code Edition �LO 1 S�SB C SAC Units
(25%_100%�) Zoning � City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings(New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings(Addition) � Final/No C.O. Required
Foundation � HVAC_Gas Service Test Gas Line Air Test
Roof:_Ice&Water _Final Pool: _Footings _Air/Gas Tests _Final
� Framing Drain Tile
Fireplace: _Rough In _Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
� Insulation Windows
Sheathing Retaining Wall:_Footings�Backfitl_Final I,
Sheetrock Radon Control �
Fire Walls Erosion Control
Braced Walls Other:
Reviewed By: ��- , Building Inspector
RESIDENTIAL FEES
Base Fee i / � � �-- � �p
Surcharge � b �
Plan Review � �� X l� ��— �2 r
MCES SAC ,.�. .��� �� � 1 �
City SAC �'
Utility Connection Charge 1 3 3 � �� 2� � �-
Z� �
S&W Permit&Surcharge (��.
Treatment Plant
Copies
TOTAL
Page 2 of 3
Use BLUE or BLACK Ink
---------,
� For Office Use I
• � �f� I
(���}� �� ����� 1 Permit#: �
V 6 I v
� Permit Fee: �� I
3830 Pilot Knob Road I �
Eagan MN 55122 I Date Received: �
I
Phone: 659 675-5673 � �
Fax: (651) 675-5694 � Staff:
-----------------�
2015 RESIDENTIAL PLUMBING PERMIT APPLICATION
,� . �" . � ,
Date._.�� `f�`� ) Site Address G— � �/°�p� 7 '
Tenant: Suite#:
�� �� �� � Name: �� � Phone:
����3��`��#f�'!�C : � I
, Address/City!Zip: � �Y
,
Name: ��� (��j ����� �.�/�,��� f(�t,.��� License#: ��� �/ �� �
' Address: ����'�� �� � - City: � �tti'(d
��t���'c'k�#f#' �,..
State:����Zip: ��.,,��� Phone:��/���1—"—""r�" i �
- �": Contact: �/ Email: �Gyl � � ��'� �� �` L���
New �Replacement _Repair _Rebuild _Modify Space Work in R.O.W.
���t���/�� — —
_ . Description of work: s �� / r L' �?;� � ��� .
-A REStDENT{AL
Water Heater
° Lawn Irrigation (�RPZ/_PVB) Water Softener
������ �Add Plumbing Fixtures��ain/_Lower Level)
Septic System
New Water Turnaround
Abandonment
RESIDENTIAL FEES:
$60.00 Water Heater, Water Softener, or Water Heater and Softener(includes$5.00 State Surcharge)
$60.00 Lawn Irrigation (includes$5.00 minimum State Surcharge)
$60.00 Add Plumbing Fixtures, Septic Svstem Abandonment,Water Turnaround*(includes$5.0o State Surcharge)
*Water Turnaround (add$200.00 if a 5/8"meter is required)
$115.00 Septic SYStem New($10.00 per as built)(includes County fee and$5.00 State Surcharge) �,f "'""
TOTAL FEES$ �
CALL BEFORE YOU DIG. Cali Gopher State One Call at(651)454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.aopherstateonecall.org
i hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; at I understand this is not a permit, but only an application for a permit, and wo 's not to start without a permit; that the work will be in
accord e with the approved plan in the case of work which requires a review and approv of lan
a�,
x �'�1 �� � X
Applicant's Printed Name A lican Signature
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�q����ii��ti��sx = ,�t3n��r�����; F���tt�n . ., �r�`-c�s� : �"�'��� :;�tt���
1��#���e1����er�nns �t���:�;�����:,..�._.�.�: ���i��€��c� 1��r�t���t� °��a�
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA143130
Date Issued:06/05/2017
Permit Category:ePermit
Site Address: 4782 Highcroft Ct
Lot:12 Block: 1 Addition: St Charles Wood
PID:10-65870-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gabriel R Ellwein Tste
4782 Highcroft Ct
Eagan MN 55122--410
(651) 329-6866
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(651) 430-1388
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA158749
Date Issued:10/29/2019
Permit Category:ePermit
Site Address: 4782 Highcroft Ct
Lot:12 Block: 1 Addition: St Charles Wood
PID:10-65870-01-120
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 5,000.00
Fee Summary:BL - Base Fee $5K $118.00 0801.4085
Surcharge - Based on Valuation $5K $2.50 9001.2195
$120.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Gabriel R Ellwein Tste
4782 Highcroft Ct
Eagan MN 55122--410
(612) 805-0982
Craftsmen Home Improvements Inc
7455 France Avenue, #194
Edina MN 55435
(952) 930-3777
Applicant/Permitee: Signature Issued By: Signature