626 Hillside DrCITY OF EAGAN
- -//G 7.!;' -"4-b
DEPT. OF BUILDING INSPECTIONS
Correction Notice
. .
Located at ?- ?2
I have this day inspected fhis structure and
these premises and have found the following
wviolations of city codes gove,?n+?g same:-
?tV:1
,Z,
4
When corrections have been made, please
call 454-$100 for inspection.
.-,
Date
Inspector City of Eagan
r
DO NOT REMOVE THIS TAG
TJ i?'I 1 J I lai?.o - 1 JA_- k -2 k Z
? -- ?
• ??,?„y p ' ?
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7
(Itrtif irafe of (Orru?aury
titp of eagatt
lirpwfimrtvt of lwiD'atg jwrrtinn
Thls Cerg*ate fs=ed pursuanl lo tlu requir+enrenls ojSecdon 306 of Me Uniform &ilding
Code cxrdJytng that at the time of issuance rlris structure m+as in compliance wilh the mious
ordinawes of 1he Otty regulaling buildirW consxruclion ar use For the followin,g:
11se QniGv6oe qR 11.Y:/cer Bft RYmit No. 814
p="p-Y Ty'Pp ?? ? zoninaDblxict IRI 7ypE f'ope VN
owerrdBulft AL HERINAM (771T.ST Aftm 5l5 SiTW Rt)? MIIYTPA HEMTI:S
&4d" Ad&d, 626 HM.= IIEtIvE Lay L 14. B2, BUft DAtC HMS 2rID
/ ?_ a„e 9/10/92
a,ia;,,j o?
POST IN A COMSPICUOUS PLACE
. INSPECTIUN RECORD Controi No. 064$
- CiTY OF EAGAN REA(.'TIVA'IED FnR DECK 07/01/93 pERMIT TYPE: t't' I 1 4' 1144i
3830 Pilot Knob Road NEIL CUMtAN 452-7687 permit Number: odoK 14
Eagan, Minnesota 55123 Date Issued: 06118192
(612) 681-4675
SITE ADDRESS: 1.01: 14 131 0,_ r APPLICANT:
4i111.!=;[1sE pk F![RRMANN CtINSfiRUCTION A!.
N!)H uAV 11iI.LS ;?NU (612 ) 891--11 NA ?
PERMIT SUBTYPE: TYPE OF WORK: • .I 1 r6ti; MEtiJ
INSPECTION .. .
FHAMJNis D,
1NW1.AI1rlIV FihAt.
f Ik?i?l.AC4
Rf.MAK1l S: '+ b W COMtTitAC?Uk - r( FIf. Rk H f'11.9%
PermR Ido. Permlt Haltier Date Telephone A
S/V4!
PLUMBING
HVAC
ELECTRIC 1pt ? ? 7
ELECTRIC
Inapee4lon Deh Insp. CvmmeMs
Footln¢s l
? ?.sec? ?f. ?^e
Foundation
Framing tK
Roofing
Rough Plbg. 7_ c-Z
RoIlgh fllg.
?f ?
-7F?
V'
t?4
Rropiace
Fnal Htg.
Qrset Test
Final Pibg. ? Pibg. Inspector - Notify Plumber
Const. Meter ?
EngrJPlan
Bldg. Final
Deck Ftg. -l ?
Deck Final
weu
Pr. disp.
3)C I
? I
rle - I
•Addrass: 626 HILLSIDE DRIVE Lot jq Blk Z Sec/Sub BUR p& Hj,I,g 2ND
These items wera/were not completa at the time of the final inspection.
Date: 8/10/92 Yes No
Final grade (6" from siding) j/
Permanent steps - garage
Permanent staps - main entry V"
Permanent driveway ?
Permanent gas ?
5od/seaded grass
Trail/curb damage
Porch ?
Basement finish ?
Deck ?
Please verify vith tha builder the removal of roof test caps from the plumbing
system and the shut-off of watar supply to the outside lavn faucet befora
freeze potential exists. lj?,
?EC.amnxc
White - City copy Yellow - Resident copy Pink - Contractor copy
Reqi.iest Date
?_ 8_ ?a fire o Fough+n Inspection ` ,
Re ired+ ? Reatly Now lE WAI Noirly Insp
?? Wh
d
e a
y
7 9, Ves ? N.
I hcensed contractor p owner hereby request inspection of above electrical rk at: ?
.b? Aa0res5 (Street. Box or Roula Gry
Sec?ion N. TownsOip Name or No Range N. Co
/
OcmO t PAINT)? one Y/ //DD
Pawer up r _
5 Atltlress
I GoNramor ICompany N me? Conlr or5 Lwense No I
-4?_
Mailing AEtlress ICOnhactor or pwner Making Installaylon,
?„ r ?? ?
?N ?? ?
l ??
Ihonzeo r iCO ctonOw r Ma y Installati Phone NumOer
MINNESOTA STATE BO D OF ELECTNIGITY THIS INSPECTION REOUEST WILL NOT
Griggs-Mltlway Bldg. - Foom S173 9E ACCEPTED BV THE STATE BOARD
1821 Univerelly Ave., SL Paul, MN 55100 UNLESS PROPEP INSPECTION FEE IS
Vpone(6/Y)642-0800 ENClOSEO
REQUESTFOR ELECTRICAL INSPECTION
J????? $ee msvucUOns for compleong Ihis lorm on back ol yellow copy
"X" Below Work Covered by This Request
ee-ooooi.os
?
? *?, /?Gd'?/
e? IG7?Q'?
e Abtl ep: -" TypeolBmlding AppliancesWired EquipmentWiretl
Home Range Temporary Service
Duplex Water HeVer Electric Heating
Apt Bwlding Dryer Other (Speaty)
Comm /Industnal Pumace
Farm Air Conditioner
Otner (spenty) Canlractor's Remarks
Compute Inspectian Fee Below
# ' Other Fee # SermceEntranceSrze Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps .1;" 0 to 700 Amps a'
Transformers Above 200 _ Amps ve 100 _ Amps
SIgnS ' Inspecror5 Use Only TpTAL
Irriganon Booms r?
Speciai Inspection t?
Alarm/COmmunication TFIIS INSTALLATION MAY BE O DISCONN CTED IF NOT
Olher Fee COMPLETED WITHIN 18 NTHS ? f
I, the Electrical Inspector, hereby
if Rouyn-m oate n`6 ?
?
cert
Y that the above insPection has
been made Final - Da?e ,O
OFFICE USE DNLY .p TMS request voitl 18 monlhs Irom '
5LO -7 le /Y RESIDENTIAL
BUILDING PERMIT APPLICATION
CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
" 651-681•4675
New ConsWClion Reouirements
• 3 registered s0a surveys showing sq. ft of IW, sq. ft. of house; and all roofed areas
(20% mauimum lot coverage allowed)
• 2 copies of plan sMv/ing beam & window saes; poured found design, etc )
• 1 set of Energy Calculafions
• 3 copies of Tree Preservalion Plan if lot platted after 711/93
• Rim Joist Detal Oplions seledion sheet (bldgs vrith 3 or less uniLs)
DATE ?/ U2
SITE ADDRESS ll "u
TYPE OF WORK e YUI
?
APPLICANT G
STREET ADDRESS 170
TELEPHONE #
RemodellReoair Reauiremenls
r
• 2 copies of qan ??' ?J
. 1 set af Energy Calculations forheated addNOns
• 1 sRe surveyPor extenor addi[ions & decks
• Indicate'rfMmeservedbysepticsystemforaddilions
VALUATION
!v? 4 ((jN, 5A- C d I hG
g1 Y'7 ?
MULTI-FAMILY BLDG/ Y 1?N
_ FIREPLACE(S) ?0 _ 1 _ 2
ATE? ZIP 2M
CELL PHONE #
FAX #
PROPERTYOWNER 4-`d 6?pw? TELEPHONE# bS7- l.? 7?F
------------------------ ------------------- ------ -----------------------°------------------°-
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESO'l'A RLJLES 7670 CA'l'EGORY 1 _ n
(4 submission type) • Residential Ventilation Category 1 Worksheet Submitted •
• Energy Envelope Calculations Submitted
Plumbing Contractor: __
Plumbing system includcs:
Mechanical Contractor:
Mechanical systein includes:
Sewer/Water Contractor:
_ Air Conditioning
HcaL Recovery Systcm
Phone #
Phone #
r H`"C'l6D
Code Worksheet
f 2 8 2002
Fec: $90.00
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 Eagan din nces. Q?
SlgnatureofApplicant ?
OFFICE USE ONLY
_ Waler Softcner
_ Waler Healer _
No. of Battis
_ Phonc # .
Iawn Sprinkler
No. ol' R.I. l3aths
Certificates of Survey Received - Tree Preservation Plan Received _ Not Required _
Updaled 4102
OFFICE USE ONLY
? 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 6ct. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 PorchlAddn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 OS-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? 05 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 appiicant
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) Final/C.O,
_ Footings (deck) FiaaUNo C.O.
_ Footings (addition) p?umbing
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tesu Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Building Inspector
PERMIT C°" °"° 0648
? CITY OP EAGAN --
3830 Pilot Knob Road PERMIT TYPE: BuiLozNG
Eagan, Minnesota 55123 Permit Number: 000814
(612) 681-4675 Date Issued: 0 6/ 18 / 9 2
SITE ADDRESS:
626 HILLSIDE DR
LOT: lq BLOCK: 2
8UR OAK HILIS 2ND
DESCRIPTION:
,Building Permit Type SF DWG
' Building'Work Type NEW
UBC Occupancy R-3 M-1
Construction Type V-N
2oning R-1
Building Length 55
. Building WidCh 48.
,.,
REMARKS: ? O I Q (o a
S& W CONTRACTOR - SCHERER PLBG
FEE SUMMARY:
VALUATION $86,000
8ase Fee
Plan Review
Surcharge
SAC
SAC 8
SAC Units
Subtotal
E576.50
$374.73
$43.00
$700.00
? 100
1
;1,694.23
qISCE.LLANEOUS
Total Fee
51..610.50
$3,304.73
CONTRACTOR: - Applicant - S7. I.i OWNER:
HERRpIANN CON3TRUCTION AL 16911100 000261 Al HERRMANN CON3T
535 STONE RD 535 STONE RD
MENDOTA NEIGHTS MN 55050 MENDOTA HEIfaHTS MN 55120
(612) 891-1100 (612)891-1100
I
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 Mn.
statutes and C of Eagan Ordinances.
L n , n R.n? r11
APPLICANTlP MITE SIGNAT RE 135UE?D V: IGNAT RE M
CITY OF EAGAN 4-?,-5??•13
114. 1992 BUILDING PERMIT APPLICATION 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy af energy
calcs.
COMMERCIAL 2 sets of architectural g structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies when typing of permit is requested, but not picked up by last working day
of month in which re uest is made or lot chan e is re uested once ermit is issued.
Date (v 1° / /9 7'-? Ya ation of work
?
?
`{ ?
L
c-k.-s
Site Location:
?T (
urc
STREET STE Y
1,24 fix
Tenant Name:
LOT 14
1
BLOCK v
SUBD. 8 d
V
f $Z
?
P.I.D. #
-
uy
Descri tion of work: a "'.s ? u ?a-
The applicant is: ? Owner 11<?ontractor ? Other (Deseribe)
Name Phone
Property LAST FIRST
Owner
pddress
STREET STE M
City State Zip
Company YA, ? o?vVvYtawV-- 4Y? Phone g°i I- l fZTO
Contractor Address 3-S S na 4ZA License #?((P
City S State r?-- Zip
Company Phone Co 8 ( q 14
Architect/ D
?
Zy
Engineer
gistration #
Re
y
Name Z
Address S SS 'v`?
City State Zip
Sewer & water licensed plumber r.c?_ c? c,n Processing time for
sewer & water permits is two days once area has been app ed. .
I hereby acknowledge that I have r ad this appl i and state that the information is
abl State of`Minn sota Statutes and City of
carrect and agree to comply with 1 ppl'
i
Eagan Ordinances.
Signature of Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
CP 02 Single Family
? 03 Two-family
? 04 Multi-fam. T.H.
? 05 Apt. Bldg.
WORK TYPE
OFFICE USE ONLY
? 06 Garage/Accessory
? 07 Fireplace
AZ-08 Deck
? 09 Basement Finish
? 10 Swim Pool
? 11 Res. Add./Porch
? 12 Cormn./Ind. New
O 13 Comm./Ind. Add
? 14 Comm./Ind. Rem.
0 15 Public fac.
19 90 New ? 93 Remodel O 96 Move
? 91 Addition ? 94 Repair ? 97 Demolish
? 92 Alterations O 95 Tenant Finish ? 99 Undefined
GENERAL INFORMATION
Occupancy R•3 M-I Basement sq. ft.
Zoning R-I lst F1. sq. ft.
Const. (Actual) V?" 2nd F1. sq. ft.
(Allowable) ?- Sq. Ft. total
# of Stories Footprint Sq. ft.
Length ? On-site well
Depth y g/ On-site sewage
APPROVALS
Planning Building
Engineering Variance
REQUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
0 Framing
13 Draintile
? Insulation
O Fireplace
vatuae;m:
S ?6C0 o DD ''
Permit Fee
Surcharge
q x2o = /do
Plan Review -10 X 2a- = 4
License
MWCC SAC
?'vDO X
City
S
o c
C
nn.
Water 1 b
!
Water Meter ; y
r'
Road Unit --
Treatment Pl. r/? X l5= 16900
Road Unit
Park Ded. '
15T Fzoa?2
Trails Ded.
Copies -??
13SynT= S?13b o
other I .? 85,7 6 0
Total:
SAC % (0o
SAC Units --I-"
. .
r * r•
? 16 Agricultural
? 17 Building Move
? 18 Demolition
? 20 Miscellaneaus
MWCC System `(G,
City Water YE*z_
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code o /
Assessments
Pioneer Ensinaerin4 6819488 P.
??„?' ?, 2422 EnlerpriBe Drlve
* Mendoto Hi1ynts, MN DOtza
*. ?(e1z) 881-1e14•Fax ee1-e4
p?on?eea ? ?,E,? . «,? E,? ..?..-
'? wm rwu?ns • uaoscnvc ?na+?T? 625 Hlghway 18 Northooel
,? e^9 ?"??e?' ^? Bloine, MN 55434
,* * * tt _ (812) 783-1e80•Fox 7e3-1
Cerkificate af Survey for: ??l.. N?ANN C0ST?WTI O
' HoUSe Addfes9: ?r""''
Model NQme: -
;
hkILLS?DE
-- , 0
. M '
x?3
,.
3
r3 ??
o M
O 1^
7
gq4.96
g(o3•$
D Rtve
.3a 508° sz' oz" e
sLtz,z I Efl
0
7 9
? a)
?5A ` .o N ?o.o
t p G4.ra?¢
;IQ 9.Z5 _ ?
a13 ?
844.5
?
3?`?`.isoyr) I ? I?
X,?, 3 ta
X. ProQoSeel'
G- 5pl;k En}ry N
i3'191 46.0 29Ro?
S
I "81 7,s (so?
?e
?
48.a5
589° 38' r3"W
8r?q,,f5
3
N ?
?
8rlS,31
841. s
i
yp(ytiy a
0
M
.?
.4;4:9 ?ZGSH?ERlHG DEPT
- 9M-o Denotes Exfsting Elevation pRpp05ED HOUSE ELEVATION
•(FtT? Denotes Proposed Elevation Loweat Floor Elevation:$4?Z
Denotes Drainage !c Utpity Eaaement
Denotes Droinage Flow Direction Top nf Block Elewtion:??5.13
--o- Denotes Monument Gorage Slob Etewtlon: ?j+F,b
-e- Denotes Oftaet Hub Bearings ehown are assumed
L.0T14 , BLOCK _?? NfL 4AK_.._ HtLL72 ZNDADD`
. DAKCTA COUNIY. IAINNESOTA
1 herebY can11Y thsl thh survoy. Olat Ot rtipo.t Im y?ep?red bY ? a?r mv dlreet wpervklon e1M eMt 1sm duly Reqlotsred UAd SvrvvYe
under Ihe law? oi IM 51at* OT Mlnnfpto. W1M thN ??? d1y of ?? ^ 4L. a,o, 19 9 Z-, Scals: 1hgh-3o f",
m 92
?? CITY OF BUILDIN(i DEPAFiTMEWT ??'1?:XTERIOR ENVII,OPE AVERpGE ??U?? COIQPUTATTON ,'f
(To be submStted with building permit application) "
One or Two Family Dwelling
All O th e r Owner
Sfte Addrese La, !y
Contractor T?'p
D&t8 Phone
LINEAL FEET OF
EXPOSED YlAI,I, SEC \., . ,,C,?
ft. above grade = ?j?•?
TOTAL EXPOSED weT.r. en?. ,... .._ `
OPAQUE WALL CONSTRUCTION: "Ull Va1ue x Area
y
Detail nUll .O
referettce cD? ? uUll x
' 07 Sn, FT,
from
attached x Sq,
SQ. FT.
FT.
sheees _ _.. ... ..... u?o . X sR. FT.
WINDpWS
Make ?C
n
n
n
DOOR3s
nUu x sQ.
x SQ.
• "U" Value x Area
TyPe IlVSVt.. n,lr nUll . ?-
n nUn X SQ.
X S@.
II[jII x `"iQ.
x SQ.
??U?? Value x Area
t•talce & Type ?.
?? „ -?=_IIU?? .14
o
n ?'T)_ ? ?_upu ? x SQ.
io to SQ.
X sR.
x SQ,
TOTALS '717pn ..,.
TOTAL (U)(A) VALUES
DIVIDED BY TOTAI, W v V ? CJp
ALL AREA ?Op 0
AVERAf3E IIU 115 ZO?O•? ,. _
r less for 1&2 family dwellinga
ROOF/CEILINat , ,?_
TOT?. AREA:
FT. _
FT. _.
U)(A)
UXA) ?.
U) (A) :
U)fRJ U) (A) . ;`
f)(A).
FT. 3 . o u $_1(U)(A)
FT.- ? (U)(A)
FT. _ ?U)?A)
?' (A)
IT. FT. •00 = S.SB (U)(A)
Fr."I°-° (u)(a)
FT. _ ?U)(A)
(U) (A)
VT._ 1(o7.lcp, (u)(a)
?
Detail reference
from ------?_,nUu
attached sheete. "U" 7 x SQ. FT.??_ Z(U)?A)
Deacribe openings FT. . 42 (U)(A)
in roof. FT. 5Q. FT --?.-"-=
TOTAL X S@• FT. '_ «?(A)
?U)(A) VALUES DIVIDED gy
TOTAI, ROOF/C I a pgEA 2Z' 7 -_ Tr ? I?p ,??2_ Z•5?7 CVg)
AVERA4E I"
U p25 or ve
ntilAted roofe,
4t
>
Y',
?''
+38
Z,o3o, o4
C,ohl2.
.Cv7 I
(, 3g t3o-? 3Z-h3z.? _ `? ?• g? ?
1e
e,T
w??? S
?x - s•o x Iz = l?oo
7?X = (v o X 8
Zo X 4 =(v. y x 4= zli.8o
? 3?' ? ?
h:.-,e ?
sr Cjeq = Zf.ro
z?sr ???. = Zi. oa
.
s° ? = 3s.oo
77.colK
. (A-,VILL 62:?J*.S
691 W?e-L z, 030-00
1,59S eoNc., q3•go
?i 91AA !l1?.xo
n klyyv?s 134,so - `?"2I-8t?
AroAjs 7r.oo llPog, zo_?
)?voF _
.,?
7 .: ?.
1,°7a 4-1
?
_?.
x
?
a
n
--YIAI,L SECTION--
. Determining "U" values at Roof, _Walls Riino and Conc, Block
?
ROOF/CEILIN(i
1.) Interior Air P'ilm
2. ) 5/8 11 ayz,. $a.
3.) Inaulation
4.1
50 Exterior Air Film
lBTILL)
°U° - 1/R= .OZJ
r
? 0.61
.56
4{p,00
TOTAL (R)a 17.
NlALL
6.) jnterior Air Film
7.> P ayn. sa.
8.) Inaulation
9. ) $vrU7'P,47'E
10.) Masonite Sidirig
11.) Exterior Air Film
II„lt
.r-?-
O. 6$
19•?
.17
TOTAL (R)a Z;.O
RIM
12.) Interior Air Filtn
13.) Insulation
14•) 2" Fir Riat Joiat
16.) Maoonl?l?Siding
17•) Extorior Air Film
0.68
Z667?
.t7
upn _ 1/R_ • 0?`! TOTAL (R)a 2Q.?I?L
?• ?
FOU11DATtort R VALU
18.) Interior Air Film O.($
19. ) 11'?'?c"]7dt'
od
1/
20. ) •
21.) 12" Concrete Block 1.28
zz.)
23.) Exterior Air Film 617
itpn = 1/?= .076P TOTAL (R)= I7 1
. tt
o 'M
. ,3
• . .._.n??.. .__
. _. ... _..? _. . . _ _? ?
??
•?' CITY OF EAGAN
3830 PIIAT KNOB 80AD
EAGAN, MN 55122
PHONE: (612) 454-8100
WN0?ZMT'd+
FOR CITY USE ONLY
PERMIT #
RECEIPT # C_ Z C7U04
DATE: yew 9
--
?SIpEN?'Zp?::; PLEASE COMPLETE IIPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS &
TOWNHOMES/CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
--------------
WORK DESCRIPTION
NEW CONST 'le
ADD ON _
REPAIR _
OWNER NAME: a.C
SITE ADDRESS:
LOT:/// BLOCK ? SUBD. ?? .leXXm??
INSTALLER: l?(l.x.? •
ADDRESS: IGM kl?_c_m_-e
CL?* ?• ?CITY: ZIP: S 71--
PHONE #: 77 Z X?o2?
FEES
ADD-ON MINIMUM $15.00
HVAC 0-100 M BTU 24.00
ADDITIONAL 50 M BTU 6.00
GAS OUTLETS - MINIMIJM 3.00 X-A--
OF 1 PER PERMIT
SUBTOTAL: $__3Q 66
STATE SURCHARGE: .50
TOTAL: $ _AkSO
SIGNATURE OF PERMITTEE
OHMERCTALjTNbQSTRTAL:; PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS,
APARTMENT BUILDINGS, AND MULTI-FAMILY B[TILDINGS WHEN SEPARATE PERMITS ARE
NOT REQUIRED FOR EACH DWELLING UNZT.
-__ _---°--°-°___ °°-°---------------°_____-----°--°--°_-___-----°___---
CONTRACT PRICE:
OWNER NAME:
SITE ADDRESS:
LOT: BLOCK _ SUBD.
INSTALLER:
ADDRESS:
CITY: ZiP:
PHONE #:
EEES
18 OF CONTRACT FEE.
STATE SURCHARGE _ $.50 FOR
EACH $1,000 OF PERMIT FEE.
PROCESSED PIPING - $25.00
$25.00 MINIMUM FEE.
CONTRACT PRICE x 18
STATE SURCHARGE
TOTAL:
(SIGNATURE)
FOR:
CITY OF EAGAN
t?...9? Z ,,_,Q CITY OF EAGAN
• ? j _ ? ? p ? Z `? PLUMBING PERMIT
SUBD.,? /d-(XiLd r (612) 681-4675
R88IDENTIAL
PLEASE COMPLETE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS
WHEN PERMITS ARE REQUIRED FOR EACH UNIT.
_ CITY USE ONLY
RECEIPT ? 97?9
DATE
ALSO, FOR TOWNHOMES AND CONDOS
WORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
OWNER NAME : (-?Ak sa r?--,a Con.s +
SITE ADDRESS: ? oc l? ?f (l'??LENX
INSTALLER: Pl ka i n nW--
ADDRESS: 49,m rg.{r?Aa C;l
CITY:0(';Dr "ECK ZIP: 553''1'i
COMPLETE THE FOLIAWING:
N0. FIRTURES EA. TOTAL
REPAIR/ADD ON 15.00
SHOWER 3.00
? WATER CIASET 3.00 3.00
? BATH TUB 3.00 3o?
? LAVATORY 3.00 ??•?
? KITCHEN SINK 3.00 3••?
? IAUNDRY TRAY 3.00 s.•°
_ HOT TUB/SPA 3.00
? WATER HEATER 3.00 so?
? FLOOR DRAIN 3.00 3°•'
GAS PIPING OUT.
? (MINIMUM - 1) 3.00 3ao
3 ROUGH OPENINGS 1.50 4So
_ OTHER
WATER SOFTENER 5.00
PRIVATE DISP. 15.00
U.G. SPRINKLER 3.00
W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: $ a
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. ALSO FOR MULTI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #:
INSTALLER:_
ADDRESS:_
CITY:
PHONE #:
FOR:
CITY OF EAGAN
ZIP:
CONTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SURCHARGE $
TOTAL:
(SIGNATURE)
PHONE ?/ : ?? -Le ^1 3 ?E-
REACTIYATE x I?C?C?I??\U/[?? ITY OF EAGAN
PERMJT # 1 93 BUILDING PERMIT APPLICATION
?? i
? -_ J UN 2 5 1993- 681-4675
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 5 structural plans, 1 set of
specifications, 1 capy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up 6y last working day of month-
in which request is made, 2) address is changed or 3) lot change is requested once permit
is issued.
Date Valuation of work ?000
Site Address: Aetw? Ei46,4A??m7 'I')
ST0.EET SUITE /
Tenant Name: (commercial only)
IAT ? BLOCK ? SUBD.0M1Q d'A k Hn« P.I.D. M '
7b N
Descri tion of work: A??.o ?Eeic
The applicant is: C( Owner ? Contractor ? Other (Deseribe)
Name 147-7,mAK-) Phone
Property LAST FIRST
Owner Address
STREET STE /
City ffnJ 5tate A)'IVN ZiP '0'?5-1xl
Company 4?44_ Phone
Co ntractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration 1f
Address
City State Zip
Sewer & water licensed plumber . Processing time for
sewer & water permits is two days once area has been approved.
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.
(.0
2
Signature of Applicant:
. v
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
? 04 SF Porch
? 05 SF Misc.
WORK TYPE
e31 New
0 32 Addition
O 06 Duplex
? 07 4-Plex
? 08 8-Ptex
? 09 12-Plex
? 10 Multi. Add'1.
? 33 Alterations
? 34 Repair
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
X 15 Deck
O 35 Tenant finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy _r_?
Zoning
?Y of 5tories
Length ?gwn
Depth 6Xd' 6X,y
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft-.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
EZ Footing
?Rr Final
? Framing
? Draintile
T-q-
_T-
S
? Insulation
? Fireplace
Permit Fee ?
Surcharge -
Plan Review
License
MWCC SAL
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies ,Sv
Other
Total:
v.ksc;m: &
? 16,8
asemer
F.inish
? 17 "Swtm :Pobl
? 18 Comn./Ind.
0 19 Comm./Ind. Misc.
0 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Assessments
SAC %
SAC Units
Pioneer Envinaerina 6819468
9 0
M
• ?O?
. f
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?oNeea
2422 Entsrprise Driw
Mendoto HeIqflts, MN 96120
612) 687-19144ox e51-e48e
825 H19hwoy 10 Northeost
.4 ""A" ---- -- -? Bloine, MN 58434
Ar'k I(812) 783-1880•Faz 78
*
Certificate of Survey for: AL. K.KMANN C C
House Address: ?1?4'as Ort,w' E45f%w ,M;rj%-.
. Mode! NQme:
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•000 Denotes Existing Elawtton - pRpPOSEO HOUSE ELEVATION,
• oo Qenotes Proposed Elevatlon Loweat Fioor Elevation:?4i,12
--- Denotes Drainage & Utility Eoaement Top of Block Elewtion:. 845, 13
Denotes Drainage Flow Oiroctlon ;
--o- penotes Monument Gnrage Slob Elewtlon:
--? Denotes Offaet Nub Bearinge ahown ars aesumed
LOTJ4 , BLOCK .150K OQK NtLt.24A1D AflD,t?
aa+-?a-rA couHTr. MINNESOTA s
1 hve6v "rtlfr ih.e thl. .wvar. oNn a npwt vqf yrfp6r*d bY ?w or under mw di.eet wpervklon ery 1Mt 1„n duly 0.pltqred iJnd Eunrey0r?
unan mr aw, ef tn. eeen oe unn?«en. wna n* 1Q'rK dev el zr. n-L- A,D. 19 Ci Z.
5c a I e: 1t^- 30 *,
WLLStpE
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m
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 626 Hillside Dr
Lot: 14 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 140 -02
Use:
Description:
Sub Type:
Work Type:
Description:
Census Code:
Zoning:
Square Feet: 0
Comments:
Fee Summary:
Valuation: 3,000.00
Contractor:
Renewal Andersen
1920 County Road C West
Roseville MN 55113
(651) 264 -4777
e- Windows/Doors
Windows/Doors-New/Replacement
House
434-
Applicant/Permitee: Signature
PERMIT
City of Eaan
Improvements to the home require smoke detectors in all bedrooms. If altering window openings, call for framing
inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes.
BL - Base Fee $3K
Surcharge - Based on Valuation $3K
Construction Type:
Occupancy:
$88.50
$1.50
Total: $90.00
- Applicant -
Owner:
Susan M Rico
626 Hillside Dr
Eagan MN 55121
Permit Type:
Permit Number:
Date Issued:
Permit Category:
0801
9001
I hereby acknowledge that I have read this application and state that the informa
of Minnesota Statutes and City of Eagan Ordinances.
on is correct and agree to comply
h all applicable State
Issued By: Signature
Building
EA091678
10/19/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA163315
Date Issued:08/26/2020
Permit Category:ePermit
Site Address: 626 Hillside Dr
Lot:14 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-140
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.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
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 -
Tyler J Blotz
626 Hillside Dr
Eagan MN 55121
(651) 398-7175
Capital Construction Llc
416 Gateway Blvd
Burnsville MN 55337
(952) 222-4004
Applicant/Permitee: Signature Issued By: Signature