629 Hillside DrY
?a??? ? ? ' • ?? . ?
W-)ertificate df cccu.panc?
Wit4 of wagan
24arhacut af VniLbiAg 3u0pectian
This Certificate issued pursuaret to the requirements of the Uniform Building Code
certifying that ar the time of issuance this structure was in rompliance wirh the various
orrlinances of the City regulating building constnection or use. For the following:
u. a?;fi.Kioo: S
-F DW Bldg. Permit No. 22171
OC-r-y rrpe TO/M 1 zoti48 nissma R 1 Tya con5t. VN
o.maofauiwinSCAFOER EW6 rJONST Am,.450 E C1Y R1} D. I.ITILE ?
auiwing Aaarm 624 FIIId,SIfE MIVE i,ocwicy L1 l, g3, Nnt (M NT77 S 7rm
nx.:
Ofrw
;
POST IAI A CONSPICUOUS PLACE
• CI'TY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
vSPECTION RECURD
PERMIT TYPE:
- Permit Number:
Date Issued:
' i
SITE ADDRESS: ; „ f: 11
I PERMIT SUBTYPE:
A?PPLICANT;
,:?i ? N? , ?<. ?? ? :It i. _ ?.?; •. i
TYPE OF WORK: '
INSPECTION
. ..
:M, f 1i A 1 1 ? I t ,-yoT
C 'F
f : ?H111?1 'i x. F'?t`I
I
4, 6.1 E'10 R - .lti IIF C.hI .AVAi1NI f
O
Permft No. Permk Holder Date Telephone M
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRI 5_j901 to
fv'Y
Inapectbn Oate Insp. Comments
Footings I
Foundation
Framing ?
Rooflng
Rough Plbg.
Rough Htg.
Isul. /Z h
Frep,ace 13111 9-6-6 4w
Rnal Htg. ?
Orsat Test ?
Fnal Plbg. 21744, Plbg. Inspector - Notily Plumber
Const. Meter
Engr./Plan
Bldg. Final
Deck Ftg. - _ ?
Deck Final
weu
Pr. Disp.
A]
/ i
!2 C-y3
. ..l
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS: f„ l:
PERMIT SUBTYPE:
,,. , jj
CTION RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
F4u i 1 Is i Nil
N,'4!, i.
HGl10,J11A
41 fflofF ; APPLICANT:
,'1114.1
? , i -a i ??•?
TYPE OF WORK:
ir14 1 IIP! 1:, I'. 1 1 Nh ilt i h!
ii,ii 1 1 Ni,'. ,?. <<W I ta?,
1 I FVA!
I . 11;+10, '; - A?,C II11NATF f'f h".1 f 1`_. kf j)U 1 trt 11 1 islr R{VY F 1 Ft 1 irl I A1 44111tp
Permit No. Permit Holder Date Telephone #
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inspection Date Inap. Commente
Footings I !? 0?
25,1
Foundation
Framing
Roofing
Rough Pibg.
Rough Htg.
IsW.
1 (
[??J
Fireplace
Final Htg.
Orsat Test
Final Pibg. Plbg. InspeCtor - Notf(y Plumber
Consi. Meter
Engr./Plan
Bld
Fi
l
g.
na
Deck Ftg.
Deck Final i
,..
weli
Pr. Disp.
1
?
?
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS•
INSPECTI4N RECORD
PERMIT TYPE:
Permit Number:
Date Issued:
• iuI :
H.t1.1`;1UF UN
Itl• ???+t {1 i L L'; .'NU
? PERMIT SUBTYPE:
? : !,: r! ; ; : ,i I "1j
t.?...
iNl1M tllti
I I UfiM l pf F'1 Itt,
??
?I
UD I i I i 11441
d,•q s l',
NF.s/H1:./114
APPLICANT:
hn, Iii.; :' i?l???1llllr•? ? i?N'il
l 61.' i +IH 1
TYPE OF WORK:
1 N ' :111 A ( ( ON
f 4NA l.
I 1 1 rrn I I iirl
? :,8 k4'.', ',! !'Af,: HCt: F'I IrMI I'. i11<t Iif 1401i:t 1.1 1E114 /iMY* iIl UMI41Nti UR t l FC liitl AI lJul+t
I? ---------------------- - - ---- -----------------------
Permit No. Permit Holder Dste Telephone N
S!W
PLUMBING
HVAC
ELECTRIC
ELECTRIC
Inepaction Dete Map. CommeMa
Footings I
Foundation
Framing 91?
Raofing
Rough Plbg.
;
Rough Htg.
l5ul.
Flreplace
Final Htg.
Orsat Test
Final Plbg. Pibg. Inspector - Notify Plumber
Const. Meter
EngrJPlen
Bidg. Final
Deck Ftg.
Dedc Final
Weli
Pr. Disp.
Address 629 HItzsIDE DxIvE Zip 5512 1
I.ot '''1 t Blk 3 Sub stm nair rmT S 2nm
THESE ITEMS WERE / WERE NOT COMPLLTE AT THE TIME OF THE FINAL INSPECITON.
Date: Yes No Inspector:
Final grade (6" from siding)
Permanent steps (gazage)
Permanent steps (main entry)
Permanent driveway
Petmanent gas
SodlSeeded grass
TraiUcurb damage
co??O
couLt? iyo
Nf
Porch
Basement finish
Deck
Please verify with the builder the temoval of mof lest caps from the plumbing system and the shuhoff of water supply to
the outside lawn faucet before freeze potential exisis.
Contact engineering division at 681-4645 before working in rightof-way or installing underground sprinkler system. ?
White - City Copy Yellow - Resident Copy Pink - Contracror Copy
????3901 ????
oY se .,?l .5
Requ¢st^ate ^
1,2 - ??
( Fire No. Rough-m Inspeclion
Req i ?
? s G No NOTICE: You Must Call Elecincal Inspector
Ii A qough-In Inspaclion
Is Reqmred
I icensed contractor ? owner hereby request inspection of above electrical work at:
ob Etlre ( e, Box or Ro ? Cil
Sechon No. Township ame or No Range No. Counry
Occup MT) Phone Poo
Pawer Sup r Address
Elec CoMracror (COmpany Name ? Contrgatpr's,yqensg NQo
?dmss onVa or Owner Maki ng In Ilat )
V
r (COn[ r ner Meing Installation) Phono Nf
7e)
1
- ?•
MINNESOTA STATE BOAFD OF ELECTPICITY THIS MSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room S1TJ BE ACCEPTED eVTHE STATE BOARD
1821 Univarsiry Ave., $L Paul, MN 55104 UNLESS PROPEp INSPECTION FEE IS
Phone (612) 662-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
J? See instmc[i0ns for compleLng this farm an back af yellaw copy
- 5 3 9 01 ? -'X" 8e/ow Work CoGered by This Request
Ee-00001-08
?GG,SZ-
ew qep. TypeolBUAdmg AppliancesWired EqwpmentWired
HomO Range Temporary Service
Duplex Watef Heater Electnc Heahng
Apt. Bwlding Dryer Load Management
Comm llndustrial Furnace Other(Speciry)
Farm Air Conditioner
Other (speciry) Cortlractor5 Famarks.
Compute Inspecfion fee Below:
# Other Fee # ServroeEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps o to too Amps
Transformers Above 200 _ Amps AbovetDO_Amps
Signs InsOectar5 Use Only ?- T L
Irrigation Booms d,F r,r ? Q
Special Inspec[ion ?
Alarm/CommunicaUOn THIS INSTALLATION MAY BE NNECTED IF NOT
Other Fee COMPLETED WITHIN 18 5.
I. the Electrical Inspector, hereby
certifythatthea6oveinspectionhas
been made. Rough-in
Final ?e
OFFICE USE ONW ..
This request voiG 18 mw[hs hom
RESIDENTIAL
BUILDINC PERMIT APPLICATION
t ` CITY OF EACAN
3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
New Construdion Reauirementa
• 3 registered sAe surveys showng sq ft. of IoC sq ft, of house; and all rooted areas
(20% maxnmum lot cove2ge allowed)
. 2 copies of plan showing beam & window sues, poured found design, etc.)
. 1 set of Energy Calculahons
• 3 copies of Tree Preservalion Plan it lol platted after 711193
. Rim Joisl Dehail OpGOns selection sheet (bidgs with 3 or less units)
DATE 6jtmloa
_ Water SoFtener
_ Water Heater
Ne. ef Baths
SITE ADDRESS ?A VV%\1h1Glfr NVO MULTI-FAMILY BLDG _Y JI N
TYPE OF WORKItaY-0 NndYVVuolL t„rAhe e MkW,4,P FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREET ADDRESS 1,970 G0I169k rIiCA1 C?V"k
TELEPHONE # Wa'laa'11al CELL PHONE # `
ITY M1YN'ltA?tiii6 STATE MIJ ZIP Ob
PAX #
PROPERTYOWNER D'D Yl47 ?&? TELEPHONE# (1!r'JI- 681-074i
COMPLETE THIS SECTION FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNI:SO"1':1 RULES 7670 CATEUORY 1 -M1NNESOTA AiJLES 7672
(d submission rype) • ResidenGal Ven[ilation Category 1 Worksheet Su6mitted • New Energy Code Worksheet Su6mitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor.
Mecl?viical system includes:
Sewer/Water Conhactor.
Air Condiuoning
_ Hcat Recovery Systcm
Fee: $90.00
p LU02
Phone
---------------- -----------°------°------._.....----....__.._....-------------------°-- --------------------- --
I hereby acknowledge that I have read this application, state that the information is c , ee to comply
with all applicable Siate of Minnesota Statutes and City oi Eagan Ordinances. "/?
Signature of Applicant ? ot?.L l"?r
.__---------- ------ ..__--------- _.._...»_---------- ---- --------------- __----------- -------- ------ -°-------
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
RemodellReoair Reouirements
. 2 copies of plan
. t set of Energy Calculations for heated addNons
. 1 srte survey forexterbr additions 8 decks
. Indicate if home served by sephc system for adddions
VALUATION
Phone #
Lawn Spnnkler
No. of R.I. Baths
Phone #
OFFICE USE ONLY
? Ot Foundation ? 07 OS-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex O 16 Fireplace 0 21 Porch (3-sea.) 0 31 Ext. Alt - Multi
? 03 01 of_ plex ? 09 07-plex O 17 Garage ? 22 Porch/Addn.(4-sea.) ? 33 Ext. Alt• SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Multi
? OS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 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 'Demalition (Entire Bidg anly) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Unds Srones
Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_
Footings (new 'bldg) FinallC,O.
_ Footmgs (deck) FinaUNo C.O.
_ Footings (addition) - P???g
_ Foundation HVAC
_ Drain Tile Other
Roof _ Ice & Water _ Final Pool Ftgs Air/Gas Tests 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
Water Supply & Storage
S&W Permit & Surcharge
Treatment Plant
Plumbing Permit
Mechanical Permif
License Search
Copies
Other
Building Inspector
Total
A CI,TY OF EAGAN PERMIT
3830 Filot Knob Road PERMIT TYPE:
Eagan, Minnesota 55123 Permit Number:
(612) 681-4675 Date Issued:
C-T-
BUILDING
024532
09/15(94
SITE ADDRESS:
629 HILLSIDE OR
LOT: 11 BLOCK: 3
BUR OAK HILLS 2ND
P.T.N.: 10-15501-110-03
DESCRIPTION:
(ON EXISTING pECK)
B,uilding -?ermit 7ype SF PORCH
Building Wo,rk Type NEW
r ?..
i --?
1 (,
t
-.=-
\/i ?
C111 ?, S ` ?! J
REMARKS:
A SEPARA7E pERMIT I5 REQUIRED FOR flNY ELECTRTCAL WORK
FEE SUMMARY:
VALUATION
Base Fee
Surcharge
Total Fee
?
r i, '
,
$72.00
$2.50
$74.5@
$5,000
CONTRACTOB: - applicant - sT. Lzc. OWNER:
6ARDNER BR0'.T'HER3 CONST 14819660 0002736 GARDNER BROS
450 . E COUNTY ROAD D 450 E COUNTY ROAD D
LITTLE CANADA MN 55117 LITTLE CANADA MN 55117
(612) 481-9609 (612)481-9600
I hereby acknowledge that I have read this
information is correct and agree to comply
Statutes and C3.[y of Eagan Ordinances.
? A e'? AP LICAN ERMITEE SIGNATURE
application and state that the
with all applicable State of Mn.
J
ISSUED BV: IGN URE
' CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION `r
? 681-4675 ?
(?2?srrars???rr?r,
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site sur eys,,Rl:;cop.y of ene gy
t
, a 1H4
calcs. ,?
COMMERCIAL 2 sets of architectural & structural p'"- ' '---
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by 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 7 Valuation of work
Site Address: ?o2q
fl/GLSl?E ?'N
STREET SUITE #
Tenant Name: (commercial only)
r
LOT ? BLOCK 3 SUBD. P.I.D. #
1
Descri tion of work: ,? ?,? L
The applicant is: ? Owner ld'Contractor ? Other (Describe)
Name 64-os Phone 4181- 9?
Property LAST FIRST
Owner Address q50
STREET STE #
City Z-r-rre-E 4:??A-/- State Zip SS117
Company Phone
Contractor Address ?SO i5_ ea==v 4,.C c) License # Z? 3G Exp.?A,A?
City Z.-C-rrr? State Nl/I/ Zip SS !r?
Company 5?t?p_e- Lw? orrr....>i Phone
Architect/
Engineer Name Registration #
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.
Sf Applicant:
BUILDING PERMIT TYPE
? 01 Foundation
? 02 SF Dwg.
? 03 SF Addition
29 04 SF Porch
? 05 5F Misc.
WORK TYPE
VZ 31 New
? 32 Addition
OFFICE USE ONLY
?.
0 11 Apt./lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
0 06 Duplex
? 07 4-Plex
O 08 8-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
? 35 Tenant Finish
? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REGIUIRED INSPECTIONS
? s; te
? 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
X Footing
00 Final
6 Framing
? Draintile
v3y
-?
0
? Insulation
O Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W 5urcharge
Treatment Pl.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
v¦iuac;a,: g S, vd o
l0 .r/2.33 • /2J.T x ve = y, 91L
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
O 20 Public Facility
? 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
SAC %
SAC Units
_ ...?TEL
No:"? ?N.....Sep 13,94 9:44 P.02
? .?
DUkER:
SIYE ADORESS:, ?.?'
?5?
17
??'7Yfi
PY.ONE:_
COHTkACTOR:(?.?,af2Axg-tZ PLAN $?u.,p,
Determine workfng square Poctage of each
1. Total exposed Ka11 area.,... 71 sq. •ft. x.]Y • ?/?. ?`?
.-.?.......
2. Total roaf/eeiling area...... 0 3?- sq. ft. x.026
Total eXp05ed wa11 Drea abOVe,fl00t'??L
a.
b:
c.
d.
e.
f.
9•
h.
i.
S.
Total Wall NSndow araa ..........................................
70Lai d0ot di`8II ........................................... .......
Total sliding glass door area.,...,............................. t? y
Total fireptace wnit nrea ........................................ ?- t
Total walt framsng area (averaqe lox) ............................ • y???
Total rim Saist area ....................... ................... ?.
.. . .:
naC watl area above floor ......... .............. .........
. .... ?'
wall area above fioor...............
wail area adnve flaor.....................................
frame wall area alZ fnu-dazion ...................................
Total ezposed foundation area= I 7s4
k, Total {oundation windaw area ....................... "
1. Total net:'foundation area ebove grade .............. I ?-If"-
Determine "u" value of each wall segment '
(e.g. window, door, each separate wa11 section)
a. x«u„ , yt? s/6.73
b. R uuu ? 3b
C. ,; °U" ' `Iq
,
, a -wl = r ?
e 2? 7 X uuu <<d m Z^'
.
g"U., ..01 n t l? ? ?`
__-__.?.......,._ t
9•?__.._ X .-U49
41
h. ? g lluii ? ? • ?'
, ?. K nUn
i % vUq e
J xl.u., ? m as,ior@lessf
k, ane .
•
' 419 you have,,et
X"U,il tntent of 5M0 i?
3 . .................................Total . ?._?f. . , • .
?_.,? _» , ._?.-.....,?...._..-.-._.?-.?.. , ' ..
R-gzY ' 09-13-94 01:47PM P002
, TEL No. Sep 13,94 9:44 P.03
o-:
4.,•T6TAt E7fPOSED ROOF/CEILING CAlCI1LA710N5: • roeat'txPO3ed ' • . •
roof/cnillng area........ sq ft
.: J7 Tocal skyttchc arca....... sq ft x"U" ?
k) ToCal rool`/Ce111nq ffEming ' •
area (Averege 10R)....., 103•2^ sq ft x"U" t0144
. . .?--.'?._ .
1) Total nnt (nsuiatad . ?•
roof/ceillnq area....... Z. sq ft x"U"
?'• TO7AL j) thru i) a- •0(? .
[otal cf t'" Is Lhe same es. or les: than R2. you hsve mnt the intent of
• Z ?:Cd.Si 1.;.6008 A a-d 0.
,
? Al
7ERtIATE BUILDIHG ENVEIDPE AESIGN - ?
?•
. ,
Te utilize she cotal envelope system method, the values established by the sum
oP items >'; and 14 shall not be greater than tho sum of iLems ala
nd !2. ?s
?.?.+ 2• r^ i.?? w ?
.7 "1 C?- . (4?
3• ?l8'.SF? +4. ?-l DG ? 339.J(a
r
.
..??.
. ...
,
,.
,
. ?.
. _.x
. . " . _._.. _. _. ......__;?„
R=92Y ' ? . . . .. . ? : • ,? , ? 09-13-94 01:67PM P603
22
I PERMIT cUMI
?CI7YOF EAGAN PERMITTYPE: S-G-Gq
3830 Pilot Knob Road B U I L D I N G
Eagan, Minnesota 55123 Permit Number: 024 315
(612) 681-4675 Date Issued: 0 8/ 0 5/ 9 4
SITE ADDRESS:
629 HILLSIDE DR
LOT: 11 BLOCK: 3
BUR OAK HTLLS 2ND
P.I.N.: 10-15501-110-03
DESCRIPTION:
J -?v _,
Biiilding-_permit Type
8uilding Wd.r_k Type
r' ?
? .
?
? J
Y
cc,
Gi_? ?- r--•_.
? ? ? .7
REMARKS:
OASEMENT FINISH
ALTERATIDN
/
3EPARATE PERMITS ARE REQUIRED FOR ANY PLUMBING OR ELECTRICAL WORK
FEE SUMMARY:
Base Fee $35.00
Surcharge $.50
Total Fee $35.50
CONTRACTOR: - Applicant - ST. LIC. OWNER:
GARONER BROTHERS CONST 14819600 0002736 GARDNER BROS
450 E COUNTY ROAD D 720 E COUNTY ROAD D
LITTLE CANADA MN 55117 LITTLE CANADA MN 55117
(612) 481-9600 (612)481-9600
?
I hereby acknowledge that I have read this application and state that the
information is aorrect end agree to comply with all applicable State of Mn.
3tatutes and City of Eagan Ordinances.
,n R o -r? rr??
ISSU D B SIG TU E ?
AP A /PERMITEESIGNATURE
I
lq3j.5 COF EAGAN
1994 BUILDING PERMIT APPLICATION 681-4675 ? ?l • ?' ?
r?
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site u s, copy of nergy
calcs. p,L;: G j 1`J?4
COMMERCIAL 2 sets of architectural & structura plans: 1_'5et Af--
specifications, 1 copy of energy cal
Penalty applies: 1) when permit is typed, but not picked up by 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 8 `N Valuation of work OOd
Site Address: GZ°I sr.c-SIOa -8K,
STREET SUITE M
Tenant Name: (commercial only)
LOT 1 1 BLOCK -
SUBD. QK„u oArw4jh 2,14
P.I.D. a
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Describe)
Name C3n.. s Phone It 01 -YGQO
Property LAST FIRST
Owner qddress 72d 9- Cew.,-,bi ? ?
.
STREET STE #
City L.r-rrg'g- ac,.•r,t0_4,- State Zip ?Sl l?
Company G,A-2o a rr2. Qa..o 5 Phone 4 21 -°tfe.4Po
Contractor
s
Address 7Z.n &-, CPw.?-r*s License # 2?3G Exp. a 14
City 4:?r,..kr?A. State ZipSSll7
Company Gvvr20Nen. ?a?a9 t:1- Phone
Architect/
Engineer Name Registration #
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.
Signature of Applicant: ^
?
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 foundation ? 06 Duplex ? 11 Apt./Lodging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
0 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. O 10 Multi. Add'1. O 15 Deck
WORK TYPE
? 31 New ? 33 Alterations ? 35 Tenant Finish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? site
? Wallboard
Basement sq. ft.
lst F1. sq. ft.
2nd F1. sq. ft.
5q. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
? Footing
e3 Final
15 Framing
? Draintile
y3,
-?
-?
K Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
CoPies
Other
Total:
vatmt;a,: $
._ ? .?
:...
? 16 Basement Finish
O 17 Swim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
0 20 Public Facility
O 21 Miscellaneous
O 37 Demolish
MWCC System
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
SAC Code
Census Bldg
Census Unit
Assessments
sac %
SAC Units
_k CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
PERMIT
PERMITTYPE: euzLoiNG
Permit Num6er: 022171
Date Issued: 10 / 0 B/ 9 3
SITE ADDRESS:
P.I.N.: 10-15501-110-03
629 HILLSIDE DR
LOT: 11 BLOCK: 3
BUR OAK HILLS 2ND
DESCRIPTION:
REMARKS:
PRV
FEE SUMMARY:
Biiildin'g_Permit Type SF DWG
+ouilding Wqrk Type NEW
,-'UBC Occupanby?, R-3 M-1
? Const'ruction Tqpe V-N
Zoning i_ R-1
? 8uilding Length ? 60
Bu3lding Width 28
f
;.. i
?Lu u
_-?-.- -?
S& W pLBR - JECHE EXCAVATING
Base Fee
Plan Review
Surcharge
SAC
SAC ?
SAC Units
Subtotal
VflLUATION
$727.00
$472.55
$62.50
$750.00
100
$2,012.05
$125,000
MISCELLANEOUS $1,744.50
Total Fee $3,756.55
CONTRACTOR: - APPlicant - sr. Lzc. QWNER:
GARONER BRO7HER5 CONST 14819600 0002736 GARDNER BROS CONST
450 E COUNTY RD D 450 E COUN7Y ROAD D
LITTLE CANADA MN 55117 LITTLE CANADA MN 55117
(612) 481-9600 (612)481-9600
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State nf Mn.
Statutes and City of Eagan Ordinances.
APPLICANT/PERMITEESIG URE ISSUEDB SIG ATUR-N E' I
REACTxVATE!17?
PEP.MIT #' ---------------
? ' ? Z d3S
CITY OF EAGAN
1993 BUILDING PERMIT APPLICATION S? --
681-4675
SINGLE & MUL 1 1WAJ of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural 8 structural plans, 1 set of
specifications, 1 copy of energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by 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 q-a"? - q3 Valuation of work '`dSf 3od
Site Address: 6.29 NM<•AQ- Dr,'J? -
STREET SUITE 0
Tenant Name: (commercial only)
LOT II
BIACK 3 ?
SIIBD. rjurr 6ck Hi113
P.I.D. k
Descri tion of work: S:
The applicant is: 9( Owner ? Contractor 11 Other (oeecrtno)
Name GwrcOre, Qres Phone 1411-9Goo
Property LAST FIRST
Owner Address Hs0 E Go IL>l p
STREET STE N
City L;41e G.,.J State MlU Zip -SS 1f 7
Company (S?Jrar rSros cor„?Froy\ Phone N11-96Oo
Contractor Address `15e E Go RJ ? License # a736 Exp.9qL
City State MN Zip S-S-117
Company Phone
Architect/
Engineer Name Registration #
Address
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been app ved.
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. ?
Signature of Applicant: ?_
OFFICE USE ONLY
BUIL DING PERMIT TYPE
? 01 Foundation ? 06 Duplex 0 11 Apt./Lodging
Ie02 5F Dwg. ? 07 4-Plex ? 12 Multi. Misc.
0 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
E(31 New ? 33 Alterations ? 35 Tenant finish
? 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
?
,
.,1316 BaseeeEntfinish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Actual)
(Allowable) 1/ M
ka Basement sq. ft.
lst F1
s
ft MWCC System
Water
Cit y?
.
q.
. y
UBC Occupancy
R_3 M"i
2nd F1. sq. ft.
PRY Required ?
Zoning g-L Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code ?
Depth z a, On-site sewage SAC Code ?
1
APPROVALS j
Planning Building Assessments
Engineering 4ar9ance
REGIUIRED INSPECTIONS
? Site
? Wallboard
? Footing
? Final
? framing
? Draintile
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
SAC % 100
5AC Units t_
veitac;on: s 11.5,aa0
GAaAGC-; zzxaz= 4x`h xi(.= `7'14y
f3srn7; 24x39
= 9?z
?-
Z ?c Io= 20
IBx 2 = 36
Isr FLooR; qbO1C 15= ly52o
gsMT= q68 Xsw =
ZNO F:tonrL..;
Z4y3?t = 9/?
I?xi =?21_
g?z?csy=
52 2'7 2
?p?28
??7
1993 MECHANICAL PIILMIT (RESIDENTIAL)
CTIY OF EAGAN
3830 PII.OT KNOB RD
EAGAN MN 55122
(612) 6814675
PLEASE COMPLETE FOR SINGLE FAMILY DWELLINGS. ALSO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIRED FOR EACH UNTT.
_jZ'NEW CONSTRUCTION
ADD-ON A/C
ADD-ON FURNACE
DATE I d/b U/ N
HVAC: 0-100 M BTU
ADDITIONAL 50 M BTU
GAS OL?7'L TS (MINIMUM 1@ S3 EACH)
l KklQCe, 4- y-;el?tG?
ADD-ON/REMODEL (EXISTItvG CoNS?UCr[oN)
STATE SURCHARGE
TOTAL
S?TE ALDRESS:
OWNER NAME:.
INSTALLER:___?
ADDRESS:
CITY:
TELEPHONE #:
E
$ 24.00
/ 6.
lo. ?
$ 15.00
y4D
TF.i.F.PHONE #: 7a/ - ?6 0 0
STATE: ZIP CODE:
Azz'-4'
SI TU OF PERMITTEE
G?dn v?- cgrO s • iAl 2--i
atin & A/C, Inc.
12481 Rhode Islan ve. •
c?„aoo_ MN 55378•1122
1993 MECHAHICAL PERMlT (CONMRCIAI,)
CTlY OF EAGAN
3530 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAIERCLALJINDUSTRIAL BUII.DINGS. ALSO COMPLETE
FOR APARTMENT BUILDINGS OR OTHER MULTT-FAMILY BUILDINGS WHEN SEPARATE
PERMITS ARE NOT REQUIRED FOR EACH DWELLING UNTT.
DATE:
NEW BUILDING
INTERIOR IMPROVEMENT
WORK DESCRIPTION:
FEES
CONTRACT PRICE: $
1% OF CpN'ITZACj' FEE $
PROCESSED PIPING: $25.00
MINIMUM FEE: $25.00
STATE SURCHARGE $.50 FOR EACH $1,000 OF P,ERM1T FEE.
TOTAL $
SITE ADDRESS:
OWNER NAME: TELEPHONE #:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:
CTTY:
TELEPHONE #:
STATE: ZIP CODE:
SIGNATURE OF PERMITTEE CITY WSPECTOR
.TOB f90269
PLEASE COMPLETE FOR SINGLE FAMII.Y DWELLINGS. AISO, FOR TOWNHOMES AND
CONDOS WHEN PERMITS ARE REQUIltED FOR EACH UN1T.
--------- - - - -----
NO. FIXTURES EACH
i SHOWER 3.00 3.00
4 WATER CLOSET 's.Gu i z. o0
z BATH TLJB 3.00 6.00
4 LAVATORY 3.00 12.00
1 KITCHEN 3INK 3.00 3.00
1 LAUNDRY T'RAY 3.00 3.00
HOT TUB/SPA 3.00
i WATER HEATER 3.00 3. o0
FLOOR DRAIN 3•00
GAS PIPING OUTLET • minimum • 1 3.00
ROUGH OPENINGS 1.50
WATER SOFTENER 5•00
PRIVATE DISP. • DatCry, lic 15.00
U.G. SPRINKLER • eome under mnst. 3•00
ALTERATIONS • to adsting 15.00
WATER TURN AROUND 15.00
STATE SURCHARGE •$0
TOTAL: 42.50
SIM ADDRE$S: 629 HILLSIDE DRIVE, EAGAN MN
OWNER NAME:
WSTALLER: rrs/i rLUrisiNC INC -
ADDRESS: 791 HAMPDEN AVENUE
CITY
ST PAUL
STATE: MN ZIP CODE: 55114
PHONE #: (612 ) 646-8677
SIGNATURE OF PERMTITEE
1993 PLUMBING PERMIT (RESIDENT7AL)
CTTY OF EAGAN
3830 PIIAT KNOB RD
EAGAN MN 55122
(612) 681-4675
1993 PLUMBING PERMIT (COAMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN MN 55122
(612) 681-4675
PLEASE COMPLETE FOR ALL COMAgRCIAIJINDUSTRIAL BUILDINGS. ALSO FOR MULTI-
FAMILY BUP DINGS WHEN SEPARATE PERMITS ARE NOT REQUIFtED FOR EACH
DWELLING U'::T.
_ NEW CONSTRUCTION
ADD ON
REP:'4IR ?
WORK DESCRIPTION:
COIV1'RACT PRICE: $
FEE: 1% OF CONTRACf FEE.
STATE SURCHARGE $.50 FOR FACH $1,000 OF PS.IYII'ITf FEE
MINIMUM FEE $ 25.00
CONTRACT PRICE X 1°l0
STATESURCHARGE
TOTAL
SI1'E ADDRESS:
$
$
tir.N.9?r'T NANiE: STE. #
OWNER NAME:
INSTALLER:
ADDRESS:
CTI'Y:
PHONE #:
STATE:
ZIP CODE:
FOR:
CITY OF EAGAN APPLICANT
?, W
<
? S2 ¢
m
2'-'o 0
? 0? ?
B-'0 ?
0"? 0 ?
[] 11
H0
?
p?
IAT SIIRVEY CHECXLIBT FOR RESIDENTIAL
PROPERTY LEGAL:
PERMIT APPLICATIDN
?
Date of 8urveys /O
DOCIIMENT STANDARDS
• Registered Land Surveyor signature and company
• Building Permit Applicant
• Legal description
• Address
• North arrow and bar scale
• House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
• Directional drainage arrows with slope/gradient $.
• Proposed/existing sewer and water services
• Street name
• Driveway
ELEVATION6
Existina
Q 0"*?? • Sewer service
Q''-o ? • Lot corners
[r ? • Top of curb at the driveway
p ? • Elevations of any existing adjacent homes
Prooosed
H'? D ? • Garage floor
.0' p ? • First floor
L3? ? ? • Lowest exposed elevation (walkout/window)
0 ? • Property corners
? D ? • Front and rear of home at the foundation
PONDING AREAS (if avplicable)
? ?" ?C] • Easement line .
? ?? ? • NWL
D ?A • HwL
? 1Y/ ? • Pond # designation
? B' p • Emergency overflow Elevation
Gd' 0 ?
0 ?
?
31-D 0
0 ? ?
D !B' 0
October 19
DIMEN6IONS
• Lot lines
• Right-of-way and street width (to back of curb) ?
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks of proposed structure and setback of adjacent
.. ?_ :.
• p???ae?• ' nnrr: ? -Z$-? ? ..
SIT: ADORESS: Larr I)-, $oc,1a BuRn OAk HiLt,y PHDNE:
CONTRAC?OR:C? ..... 2N O ?D P? iw
Determine ti.orkin9 square footage of each
!. Total exposed wall area..... sq. ft. x.11 = "Z IZ
2. Total roof/ceiting area..... sq, ft. x.026 = ?_. :.'j
Total exposed wa?1 area above.ftoor= Z.OI b
a. Total wall windew area ........................................... I SS?C
D. Total
,.
door afiea ................................. .................
'38
c. Total sliding glass door area ................... .................
d. Total firepiace r+a11 z;ea....................... .................
e. Total wall `raming area (aver:ge 10A) ........... ................. yol.to
f. Total rim joist aren............................. ................. zs = .
g. net wall area zbove floor .............. :...................... 181?.1
h. wa11 rrea above floor .....................................
i. wa11 area a6ove floor ...............:.....................
j. frame wall area at: iot-,ndat_o :................. .................
, Total exposed roundation area=
k. Total foundation xindow area ...... ........... ... •
l. Total net.'foundation area above grade .......... ....
Determine "u" valve of each wall segment '
(e.g. xindow, dcor, each separate wail section)
d. x .. U., "I (p • i-1
b. 34s x "U" ?? = II.?tS
x „U„
C.
Is..
• d. X u to -• _ .
e. Za1?Co X^u.. ZoI l(s
f. -7i5Z? X "Ul. Ip .o?J .
9. I?il?l??l X ..u., -77,`•[; .
h. X 1. Ulf ,
t. x Hu° ,
? X „U„
k, X "U" _
I . 1Z'i x
3 . ............................
„U,. .?c--
,
....Total
If item #3 is the
as, or less than i
31, you have met 1
intent of SBC 60U1
Cities Digital Qualitv Control
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
..
• ' Totai exposed ' ' .
" roof/ce3ting area........ C' 'I ?z sq ft
: j) Total skylicht area....... sq ft x"U" ? k) Total roo`/ceilTnq framing Z 'ct
area (Averace IOR)...... sq ft x"U"
1) Tota1 nct insulated • ,? 6 A`??,y?
roof/ceitinq area....... -7-:.7•(. sq ft x"U"
14. TOTAL j) thru 1) ($S.al
li cotal oc =4 is t`e sar..e es, or ]ess than P2, you have met the in[ent o`
. ? MGz'L 1. 2. 5009 :4 a:.3 0.
? ALTEnr:ATE SuILDlrIC Ef:vELO?E
To utilize the So:al envelope sys:em method, the val,
of i:er..s =3 and =4 shall not be greater than the sum
+ 2. ?, . • t : ?'... + 4. •t • ?
DESIGN ies established by the sum
of items L1 and `'2.
= 7 c6 ??,t?-?
'.ities Digital
The following image represents the best
available image from the original page.
Every effort was made to capture the content
from the original page.
' . '_ : BL•OCK:
.
KNEE: WALKOUT:
FULL 1: I Zs
4
FULC. 2 : I 'Z `I
tIRE?LACE:
RIH: ZSZ
SQUARE FEET EXPOSED WALL AREA
BLOCK: y
'KNEE: . x 5 =
WALKOUT: ' x 8 =
FU LL 1': ! L S x 8= 1 O Z-Y
FULL 2: '?,`? x 8=
FIREPLACE: x ?
RIM• ZS"Z t ? ZS'L
, TOTAL
Z39Z •
SQUARE FEET EXPOSED CEILING r `"I I z-
• WINDOWS:
?
DOOdS:
a
I *' r_ A 1 't : ?,•, _ . : • y _ yd
11 - S ? :- 1 . '• ??c:r? - . . . PATIO DOORS:
'? . </?I 'r•?'•, •: .? • .
SASEMENT llNITS:
,,\\1?i?± - • .
SKYLIGHTS:
I - . . .......- . .... ,.. . --. .-? _ - . -
c
Wu.
- =G. A:?
SiLL1
o
T d ?•?
? ` A p
'-?'s?hTT.-
zCyJ 0 `? ?
?r.• ' e •
. K? .
. 1'
./i
?
i ?
- _ - - • w y.a ? . ?
??s :•
. ?
•
_ 1. INIEtI0R P.IP. FIL`1 ,:
0.68.'
- 2. 2 D •
:
,
3. S 1 2' SflFT WOOD
4.
5. D G '~7 •
6. F?Fmi'R .aR? i M
U' •?p•.•
t •
? ? .
1.
3. '.
°
3.
4.
2
06
.
5. -
6.
• U= . Ok .' ' .
? .
.
1. ??OR AIR FILIM. 0.68
2. 6 IhSUL. 1-9.00 -;
3. '2z1 R JOIST .
-1
4. 25/32 S _ni. , x
5. ID NG .6 .•':r.
6. E4TERIOR PSR _LM ' '
-
i
U=
BIACK •'.` =
.,
1. INTERIOR AIR FIL1Q
- 0.68
2. Y2uT3MZZ
3. Z`FLsT a w i F•?....su •
4. PROT'r.CfIVE 3ARitIcZe =
?
6. 1 A
i'OTAL R= .
U_ ' ,.
-
5:..43 ON GRADE p , .. •? . .
'? ._ ? o ? ?? '= :
' -; •? ?, f/?=
? -
'f
r-G . 43
._.A L . °s
1
• ---_. ?•.;
• J ?_
(i :
- `J •--?
.?. u
0
n _ • (?• - ."`
? 11 . ? ? . ,? , ?{ - •?S
? (tt ?I .. • r <:
I
FX-G. RA
NOTE :
Iit _• f. . , , , ? l?? ..
r • ?' i ?(f
?' S• . ??? X r :;?,r? -
?A.
..•
IP+DICA'TE "R" rAIJTr'.. r,--E'iH nN
PCACFI'Y-W!' OF 7N5ULAT_*ON. '
,
:
?4Z:.'9E KwLL
..: ..• ? ,
. ? . nnn nnnnn
VENT
vV?'E' ? I ? F?=?T FtX)YT
uUP
i'IG. # 5
?rEkT_ F7J?`d UP
F2G. f 6
° CONSTRUCTION , ' R-VP.LL11
1• INTERIOR A7R Frt. M C c?
2•' GYP. RD_ cp
3. INSULATiOV n,y_
4• EXTE e
-- 45.80
. U
' .02
FRAME
1. INTERIOR AIR FILM 0.61
2. .
5,8??
3. 1
GXL-? ULATION 38.35
4. t;XXt4RI R AIR rILM • 0.61
40.15
• U = 0.024
CON STRUCTION • .
1. INSIDE AIR FII.M 0. ri
2.
3.
4.
-
5. UUTSIDE
AIR FILM • 0.17
SV
L
nT.
*
*
V ?
FRAME '
INSIDE AZR FILM • 0.61
2.
3.
4. '
S. OUTSTnF. ATR FT7m- 0
. U =
1. JNSIDE AIR FILM O.St
2. . ' •
3.
4.
5. n A ILM 0.17
- • zvrrrL
• U =
Vf'.NT0-
1dOTE: US£ ADDITIOTIAL. SfEE1'S IF NA cTt SPPL Z=
A'EIDID FOR DEI'AIIS AND CAILuI1+?'ICNS -
?1'G. s7
?
r+un-ft-Tu!D
? F?'AT F?.AW
. UP
Ob? 2003 a KdE??50 E6-y0-0I Z6-8
. . ?ip....: :.. _ .
s?},'; OCT--91=i993'°87r46' FRO'I' ..Kurth Surueyln9 TO 4ardner 8ras P.0
av:.,.: . .. • MC?"F_l.,
,.?.
' Itil? la nu ? n ewnv?n ? ?••, •. _. ,
GERTIFICA"CE OF SURVEY ' .
?vR KURTH SuRVEY1NG INC.
?OOt ?EFFifl80N $TRE[7 W.R.
INapl?f K?TNt ?MAT tINs 4Y11Y[f PLA11, 011 ARRql17 M7.f /1UMlILO
? cpuUM81A NEIOHTS MINH¢807A 05dR1 '
9YN[t7RVNP?RMf0iflF4TtVMRYRIeq'tiINTleMAPVIY
'-"-"?'?••-?-?•?n4 Mil iiAiCO?MIRtICW'fA. 619•744•016e OATF 10 1 '
MInNE907A REi
i ?
`?ry,.`,a4t'
?
N
?
l?l
?
a?
? oC5
?
0
5 ~`
I
?
?
I
I
I
G°
0
"""-- r7??
i?
'tA0?° ?Z., 4Z,." v(
`? I'D
ZO'd £Z:9j £61SO 130
-
? PaoPOS?n ecnLc 1°-?:---
SRATION HA.? 3 ' 0•IiION MONUMEH7 FOUND
QRAQEg BEARINOS ApE ON AN
? ' ABSVMlO DATUM
•• 600 ePIKK 9ET
' • ?4RAISE 3LA8 ?. 1:)a 8P0T EI.[VA710N
TOP OF OT.OCK' aa .? ()' PROPOSfO 1MV.
?7"7 Itz",4 pAeEMiEnTfL00R. .?..??ORMNAOEARROW
?N4 j
S ?vRaA.,. %-?.??-1_4j
?y ? qm4 k04?'tt Pu )
qDA+.oYA Ca JAN•
• • ? . ???i? • ?/
?
o?a?c. (a'?•?.? .
x5
---
?p ? pROFoSGt?
EY• ? G.tiAR. I .•wn...co.•T••
ts _ I F10?1 Ca?
? ./ .o
l?? ? ? • ?yg.0
???,p ? f '?,?'c.1?:•?? ?$'l-'?'r • c7
I ?
?aaVo tl By
71
0
4' (
? .
c
? ?
d)
?
_co
0
1?1QQ '
..'-.
i`D?- \?! C (0-0' R'wy
aTis,KR.D.91so 1'a3
' oN l31
S021H-a3NQ2lH9
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA164210
Date Issued:09/22/2020
Permit Category:ePermit
Site Address: 629 Hillside Dr
Lot:11 Block: 3 Addition: Bur Oak Hills 2nd
PID:10-15501-03-110
Use:
Description:
Sub Type:Reroof
Work Type:Replace
Description:Does not include skylight(s)
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and leave on site.
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 -
N & J Renovations Llc
14227 - 50th St S
Afton MN 55001
(651) 528-9237
Salkowicz Construction Llc
17039 Kettle River Blvd.
Forest Lake MN 55025
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA179007
Date Issued:09/14/2022
Permit Category:ePermit
Site Address: 629 Hillside Dr
Lot:11 Block: 3 Addition: Bur Oak Hills 2nd
PID:10-15501-03-110
Use:
Description:
Sub Type:Fixtures
Work Type:Replace
Description:Bathroom(s)
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
All tiled shower bases require a water test.
Fee Summary:PL - Permit Fee (miscellaneous)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
This permit shall be null and void if work does not start within 180 days of issuance, or if work is suspended for 180 days or more after
started.
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 -
Christopher & Marissa Bermudez
629 Hillside Dr
Eagan MN 55121
(651) 200-5461
Mad City Windows & Baths
5020 Voges Road
Madison WI 53718
(651) 500-0514
Applicant/Permitee: Signature Issued By: Signature