634 Hillside Dr, .. - . -?,.
!
. . cate vf cccupanc4
? ?'?j o? ?agan
?: .
This Certificate issued pursuant to the requirements of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance witie the various "--
omlinances of the City negulating 6ufjding,carsrr`uction or-use. For the following:
1109
use cbtssiscatiom SF DWG sldg_ rLrmic Ho. -??
Oa-pa-Y TYve .? VAU]E zoningnlsaicc BUT-S r ./ o,.ocr of ?-?? Aaaress 1 ft;-APPIE 14870 1; M H 1 1.1 -_q I I w. -IFR I-Vwr.. L 12, B2, f?
Bu4rms Aadren , Localrtr
!0/14/q2
POST IN A CONSPICUOUS PLACE
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE: 11, 1 iti t NQ
3830 Pilot Knob Road Permit Number: ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS: 1 14 1 N 1 '- rv? 0 ' APPUCANT:
E,Aht;
tttlt< C?AF H! l. LS ?Nfi f ro t? 1 t;ttt, --i3ak? 1
PERMIT SUBTYPE:
i
TYPE OF WORK:
tifI1
Permit No. Permit Holder Date 7elephone M
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
-/ /
4/?
t
Control No
.
INSPECTI4N RECORD ? 0852
CITY OF EAGAN RFATIVAIE&-FW-BQff rENIM 07/26/93 PERMIT TYPE: fi` 'i -w R"
7fP? ?;tK 686-Sr?51 • N ! 1 W +
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55123 Date Issued:
(612) 681-4675
SITE ADDRESS: t o r= 12 fit 01"t-. :APPLICANT:
E: 14 FiI1.t.410F UR 1'0p VAt11E NOMkS
I? p1tR "llk Hi t t S 2Np ( b 12 )431 -2222
d
PERMI7 ?:VBTYPE: TYPE OF WORK:
? 1?Ii1 !k#1? . . .
1 I?AhilN?i . ,.
ralyti i ntli?N F[NAL
F?RF{?? AC,I° .
REMAktSe RFCE1"p"1 I
LL-
ti614 fi{.Hl3 -- i1Gocit11i1TT Pt..86
l'IRV
PermN No. PermR Wolder Dete Telephone w
S/1N
PLUhlI81NG
HVAC
ELECTAIG '??:! ? ? _ c ? ?f/ r,-c.?l ?; -?• ?% ; `?"??!? ?
ELECTRIC v
InspscHon QaCe Inep. Comments
Footingsl
Founclation
Framing
Rooflng
Rough Pbg_
aough rng.
IsUl. SI' ?. ?} Z
( o ? .
Flteplace 1142, fP
Final Htg.
orset Tesl
.
Final Plbg. _/
i? Pf6q. Inepedor - Natify Plumber
Const. MeYer
EngrJPlan
Bfdg. Final 06u'I &`
Oeck Ftg.
Deck Final
wel, s G ?? f d•?
Pr. Disp.
!, ?~ f 2 7i ,? '
?
?s
/?t
Address: 634 HIISBIDE DRIVE Lot 12 Blk 2 Sec/Sub gUR pM {I7.5 2typ
These items were/were not complete at the time of the final inspection.
Date: 10 14/92 Yes No ? Anspprror;
Final grade (6" from siding) at, o Cp /
Permanent steps - garaga f
Permanent steps - main entry
Permanent driveway ?
Permanent gas
Sod/seeded gzass ?
Trail/curb damage
Porch
Basement finish
Deck ?
Please verify vith tha huilder the removal of roof test caps from the plwabing
system and the shut-off of vater supply to the outside lawn faucet before
freeze potential exists. ?
rtcximwxx
White - City copy Yellow - Resident copy Pink - Contractor copy
9 8
9 " e7 Z y
°"
a
Request Date if e ? Fire No Roughm InspBChon
qeq tli
? ReaEy Now/?ZlJill Notiry Inspector
?
Yes ? No en Reatly?
I; licensed contractor Srowner hereby request inspection of above electrical work aC
JoD AtltlrEss ISVcet Box or Route No 7 Gry
?
3 / I E JE
p ? i
Seclion No Townshp Name or N. fFla
nge No County
Occupant (PRWT) Phone No.
Wfl nl ?Tv ?'C/ G8'G-F s/
Power Suvpiser Atldress
Elecincal o Irador IConpany Namp? ? ConlreC?orS License No
W b Q/
MaAmg Adtlress (COnirector Owner aking Installation) ? /??? ?j
[O C9 NfT/
Pulhoriietl Signal e ConVact ?Owner akmg Instal io ) Phone Number
MINNESOTA STATPBOAPD OF ELECTq ITIC Y L THIS INSPECTION FEOUESi WILL NOT
Grigge-MlEway BIOq - Room 5193 ACCEPiED BV THE STATE 80ARD
1821 Univeraity Ave. St Paul. MN 56104 ?S? p?SM1 UNLESS8E PROPEF INSPECTION FEE IS
phone(61P)W2-0800 ?i{1' ENCLOSED.
ce
9?a/9? REQUEST' ?LECTRICAL INSPECTION q ee.oooot?/
? See instmcim?mpleting ihis lorm an beck af yellOw copy ?•?°? /-o [? 9
3 9 8 3 8 Below Work Covered by This Request y?o-?
ew - TypeolBUildmg AppliancesWired EquipmentWired
Home Range Temporary ServiCe
Duplex Watar Heater Elecinc Heating
Apt. Bwidmg Dryer Other.(Specity)
Comm /Industnal Furnace SFjllET1T O N. [.Er
Farm Air Condrtioner
01ner (spxify) ConlrectorB Remarks S?1 '. 1 r
?
/ V l n 'w
Compute Inspechon Fee Belaw:
# Other Fee # ServiceEnirence5ize Fee 8 CircWts/Feeders Fee
Swimming Pool D to 200 Amps 0 to 100 Amps
Transbrmers Above 200 _ Amps Above 700 _ Amps
SIgnS Inspecbr§ Use Only
Irrigallon Booms
Special Inspechon
niarm/Communication THI5 INSTALLATION M BE 0 E D(DISCONNECTED IF NOT
Other Fee COMPLETED WITHI ON
I. the Electrical Inspector, hereby Rouyn-m ,
-??T oeie
certi that the above insPection has
been made. F1°a? , oeie G. ???3
OFFICE USE ?NLY
Tnis request vaia t8 manlhs iram .
J 5444 /
2
?
,.
-
Request Date Fire No, Rough-in Inspeclion
fleqwretl7
Reatly Now yS`Will Nonfy Inepeclor
?
Yes ? No WM1en ReatlYl
Ig licensed contractor ? owner hereby request inspeclion of above electrical work ai:
Job AOtlrew (Slreet Box or qoute No )
3
;
`W ?
?? City
6? a?
,
_
S,
P ? ve-
Section No _
Township Name or No Range No. Counry
?o., 40
OcwDanl IPRINTI phone No
a u i -
PowerSuppl?er??
N Atltlres/s /
V Vv
Elemncai Co racmrlCOmpany Name) /
? ? 2?T
' -T
c ConVactor§ ?cense No
C,I(C)
rr ?r
..
Mai6ng qaaress (ConVactor or Owmer Making Instapll ?ion).
O
L
L
??
?
"
??N?f
I t oeo
Ctll h SVi
U
l
AolM1Onzetl Sgn Iure o raClor.,Owner m Installalion) Phone Numb2r
Z ?
J T Z/
.
MINNESOTWSTpTE BOARD OF ELECTpIGITV THIS INSPEGTION REOUEST WIIL NOT
Grigga-MiEwey Blpg. - qoom 5-173 8E ACCEPTED BY THE STAiE BOAHD
1821 Universly Ave. 51. PauL MN 55104 UNLESS PROPER INSPEGTION FEE IS
PM1One (612) 642-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION ?`19N? ? ??? R,
? See insvummns lor comoleune tM1is form on beck ol vellow cow / .. c
J 3 5 4 4 4 'X" Below Wak Covered by 7his Request
ew Add Rep. Typeof8wlding AppliancesWired EqwpmeniWrtetl
Home Range Temporary Service
Duplex Water Heater Electric HeaUng
Apt Bwlding Dryer Other (Specify)
Comm./Induslrial Fumace
Farm Air Conditioner
Other (syemiy) CoMrector's Remarks
Compufe Inspeclion Fee Below:
# Other Fee # ServiceENranceSize Fee # Circuits/Feetlers Fea
Swimming Pool 0 to.?BPAweps O? l.°-!' D o l0 700 Amps
Transtormers Above 200 _ Amps Above 100 _ Amps
SignS Inspecmr5 Use Only TOTAL SO
Irngation Booms {- S ?
Speaal Inspectron ??
Alarm/COmmunicanon DISCONNECTEO IF NOT
THIS INSTAILATION MAV BE O
D
Other Fee :
;
COMPLETED WITNIN MON
I. the Electrical Inspector, hereby Rough-in oa? , ,f q
. cw'
cerfify that the above inspection has
been made. F,nai ?"
OFFICE USE ONLY
T?is request voitl 18 monlhs tmm
RESIDENTIAL
BUILDING PERMIT APPLICATION
•? ??- G ? CITY OF EAGAN
? 3830 PILOT KNOB RD, EAGAN MN 55122
651-681-4675
NewConstrudlon ReauiremeMs
• 3 registered sde surveys showing sq, k. of lot, sq. tt. of house; and all roofed areas
(20°k maximum lot coverage allawed)
. 2 capies of plan showing heam & window saes, poured tound design, etc.)
. 1 set af Energy CalculaGOns
• 3 copies of Tree Preservation Plan i( lot platted atter 7/1193
. Rim Joisf Detail Opfions seledion sheet (61dgs wAh 3 or less units)
DATE ?'- rri l/ r D 9-
SITE ADDRESS 6 J'? CS i (I , d Y-
TYPE OF WORK ?e?,- - arr 8\-e-
J L-f a . `1 s-
RemodeUReoair Reouirementa
• 2 copies of plan
. 1 setof Energy Calculations for heated additions
• 1 site survey for eztenor addidons & decks
• indicate if home seNed by septic system for additions
VALUATION (' (? -) J ' ? S
4• MULTI-FAMfLY BLDG _Y _N
FIREPLACE(S) _ 0 _ 1 _ 2
APPLICANT G,? S ? -
STREETADDRESS (v Sl??i? CITY 51'G? STATEMh ZIP 10?
TELEPHONE #b5I- 7? 1-du?a- CELL PHONE # 6Si-LU `W4 FAX #
PROPERTYOWNER kOht!'t- {lh ci'"`l e. r- TELEPHONE# 40C__0&$(
COMPLETE FOR "NEW" RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNN:SOTA RULT,S 9670 CATEGORY 1 MINNESOTA RULES 7672
(J submission type) • Residential Ventilation Category 7 Worksheet Su6mitted • New Energy Code Worksheet Submitted
• Energy Envelope Calculations Submitted
Plumbing Contractor; ____
Plumbing system includes:
Mechanical Conhactor:
Mechanical systcm includes:
Sewer/Water Contractor:
Water Softener
Water Heater
No. of Baths
Air Conclitioning
Heat Recovery System
_ Phone #
I.awn Sprinkler
No. of R.I. Baths
Phone #
Tee: 9i90.00
???A ? ? L'1 T
'I#AUG 9 o ?nm
I hereby acknowledge that I have read this application, state that the informati
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Appllcant
to comply
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
OFFICE USE ONLY
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling 0 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck ? 23 Porch (screened) Q 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 Demalish (Interior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (Foundation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)" ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement 'Demolition (Entire Bldg only) - Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings (new bldg) FiaaUC.O.
_ Footings (deck) FinallNo C.O.
_ Footings (addirion) _ Plumbing
_ Foundation HVAC
_ Drain Tile pther
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Au/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fueplace _ 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 Permit
License Search
Copies
Other
Total
Building Inspector
* * * 41
* PIONEEFI Lµp SURVEYOftS • dNL E
* ?'_ __-_r._ __--
* eng?neer?ng ?D PUNNERS • UMDSCAPE
* * * *
Certificate of Survey for: TOp VQI U G H OCY12S
2422 Enterprise Drive
Mendota Heights, MN 55120
612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Blaine, MN 55434
612) 783-1880•Fax 783-7883
HILLSIDE DRIVE ?
N 88'52'02° W
House Address: Hillside Drive. Eagan. MN
w
0
85.82
0
r
Z
O -?
O _p
IJ -`
? O
a
?
X ?'qP,1? f
?
? ..._..?-
I
I I 849.0
? I
fl
; I 2+.00
DRIVEWAY
jj ° 1
N
CpRAGE
I $ ,PROPOSED HOUSE
I e MU?TI ?EVQBASEMENT
N
N 68'5702" W
0
Io
i5
7 14.91
g
N
10.00 IN (n
? I o
PO tJ
I I J ?
- _18.18 ? J
?;Al
51 1
L ------------J
0
85.79 ???j
S 89'3$'??3" ?
?
. 900.0 Denotes
. eoo,o Denotes
-- Denotes
Denotes
-o- Denotes
--ig- Denotes
Existing Elevation
Proposed Elevation
Drainage & Utility Easement
Drainage Flow Direction
Monument
Offset Hub Bearings shown are
L r /o w...Jo,.u ( 3.d (rvel) =B49.1
3,-d lQVeI Elrv. - Sylo•45
PROP05ED HOUSE ELEVATION
Lowest Floor Elevation:841.55
Top of Block Elevation:849.66
Garage Siab Elevation:849.33
assumed
LOT 12, BLOCK 2 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2 N D A D D I TI 0 N
1'
??.IP,,
I hereby certify thal this survey, Olan or report was .p,r?' epered by m or under my direct suparvision and that I am duly Registared Land Surveyor
under the laws of Ihe State of Minnesota. Dated this I JSw?l? dey of 60 L Y A.O.
/
S c a I e: 1'^°h= 30,eet n?
ROBE , . 51 C .S. REG. NO. 14891
e?
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
634 HILLSIDE DR
LOT: 12 BLOCK: 2
BUR OAK HILLS 2ND
SITE ADDRESS:
DESCRIPTION:
Building Permit Type SF DW6
Builtling?Work Type NEW
UBC Qccupancy R-3 M-1
Construqtion'Type vN
Zoning ? R-1
Building Length , 56
Building Width 46
PERMIT
j
- . ..' r -..
VALUATION
?j
?
REMARKS:
RECEIPT # C o,10? (-17 PRV SSW PLBG - MCDERMOTT PLBG
FEE SUMMARY:
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
;606.00
$395.20
;46.50
$780.00
100
1
f . -
Control No. 0852
PERMITTYPE: BuiLoiNG
Permit Number: 001109
Date Issued: 0 7/ 2 2/ 9 Z
$93,009
MISC FEES $1.610.50
Total Fee $3,360.20
$1,749.70
CONTRACTOR: - Applicant - ST. IICpWNER:
TOP VALUE HOMES 14312222 0004572 TOP VALUE HOME3
14870 GRAtdADA AVE 327 14876 GRANADA AVE 327
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 431-2222 (612)431-2222
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.
5tatutes and City of Eagan Ordinances.
L -
I I.?AYY0MIT.cT@r,?l/? -- ? - - - -- - - - -
APPLICANT/PEREE SIGNATURE ISSUED ,C_S1.GI FiE
PEitMIT i .
REACTIVATE
CITY OF EAGAN ? ? 8 ? O? ?Q
1992 BUILDING PERMIT APPLICATION
681-4675 „
SINGLE 5 MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAL 2 sets of architectural & 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 r lot chan e is re uested once ermit is issued.
Date Valuation of work
te Address:_
SiREET gUI7E IF
Tenant Name: (commercial only)
IAT ? BIACK Z SDSD
?
r
r
?
?
,
J '
/??
Descri tion of work:
The applicant is: O Owner Eff-contractor ? Other (oeg«tbe)
Name Phone
Property ??st F,RST
Owner
pddress
STREET STE N
City State Zip
Company Phone
Contractor ?72
Address License # yf 7? Exp.
City ?4g%'r/?f? State Zip 55?_12 Y
Company Phone
Architect/
Engineer
Name ???%'?f/?1??? Registration #
Address
City State Zip
Sewer 6 water licensed plumber Processing time for
sewer A water pe its i two d ynce area has een a proved.
r - O
1 hereby acknowledge that have read this application and state that.the information is
correct and agree to comply with all licable State of Minnesota Statutes and City of
E
O
di
?
agan
r
nances.
Signature of Appl icant:
OFFICE USE ONLY . ? _
BUILDING PERMIT TYPE
? 01 Foundation O 06 Duplex ? 11 Apt./Lodging O 16 Basement Finish
02 5F Dwg. ? 07 4-Plex 1:1 12 Multi. Misc. ? 17 3wim Pool
? 03 SF Addition ? 08 8-Plex ? 13 Garage/Accessory 13 18 Comm./Ind.
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace ? 19 Comm./Ind. Misc.
? 05 SF Misc. ? 10 Multi. Add'1. O 15 Deck ? 20 Public Facility
? 21 Miscellaneous
WORK TYPE
El 31 New ? 33 Alterations ? 35 Tenant Finish ? 37 Demolish
? 32 Addition ? 34 Repair ? 36 Move
GENERAL INFORMATION
Const. (Actual) I/iY Basement sq. ft . //Y? MWCC System i1
(Allowable) Vly lst F1. sq. ft. City Water
UBC Occupancy 3 M-? 2nd Fl. sq. ft. PRV Required ?
zoning Sq. Ft. total Booster Pump
N of Stories Footprin t Sq. f t. Fire Sprinkler
Length 56 On-site well Census Code
Depth 1/ On-site sewage SAC Code o/
APPROVALS
Planning • Building Assessments
Engineering Variance
REGIUIRED IN SPECTION S
? Site 0 Footing ;M Framing -0' Insulation
? Mallboard 0 Final 0 Draintile ? Fireplace
Permit Fee r.iuacsm: g g3 c-)?cD
Surchar e
Plan Review lo.? ?
License y(o k z?? l/ 96.r ?r- i?9yo
MWCC SAC 20,3,r 32 :
Ci ty SAC
Nater Conn.
Nater Meter ?
Acct. Deposit
5/M Permit
S/M Surcharge 53 73?
Treatment Pl. _------'
Road Unit ?- --
Park Ded.
Trails Ded. ?j03.20
Cop ies
Other -
Total :
SAC %
SAC Units
. ? ?
EXTfiFIOR ENVELOPE AYERAGE 'U' COMPUSATION
OYHER:
SITE ADDRESS:
COHTBACTOR:
; L -4 -?? PHONE:
Determine wrking square footage of each:
1. Total exposed wall area ... ` 6 sq. ft. x.11
2. Yotal roof/ceiling area ... `\60 ` sq. ft. x.D26 =';20o?
Total ezposed wall area above floor o`\?'? ?
-
a. Total wall window area ............................ `?l?•
b. Total door area ................................... 3"l.b
c. Total sliding glass area ..........................
d. Total fireplace wall area ...........•.............
e. Total wall framing area (average 10%) .............
f. iotal net wall area above floor ................... • 1 .\
g. Total rim joist area ............................. \?•?
Total exposed foundation area = ` / A'b
h. ToLal foundation uindow area .......:...............
i. Total net foundation area above grade ..............
Determine 'U' value of each wall segment:
a. x ' U' • 4? - ?°? \
b . ' .lo x ' U'
c. ??l•q x 'U' .?.7 = ?
d. x 'U'
e X ' u' • \051 ____;s?
x 'U'
B• ??•? X 'u' .o43ii
h. ??- x ' U' ' --?-
?, ? . x ' U' •0(pt00 = I +
,..... Total
3 . .............................................
If item 03 is the same as or less than item 61, you have met Lhe intent of SBC
6006(c)2.
Total exposed roof/ceiling area = ?MA
`
?. Total skylight area ............................... ?'?'?
k. Total roof/ceiling framing area (average lOS) ..:::_-=?1SL`?--a
1. Total net insulated roof/ceiling area........... •
OYER
i
? Determine 'U' value for each roof/ceiling sepenL:
' • ..? X lu'
k. , u, , 02 = ?i,q .
_ tul _
. = lSJ \
A . ..... Total
................................................
If Lotal of 94 is the same as or less than 02, you have met the intent of S8C
6006(c)1.
Alternate Huilding Envelope Design
To utilize the total envelope system method, the values established by the sum
of Items 03 and 04 shall not be greater than the sum of Items A1 and 42.
t. + 2. _
3. + 4. _
?
.
I?.1."'Y Iir' I:A(:•:'.",
('(?`;f'TF p:. '?f.; Y'!':'•^f ?A':=,_ ':;; ,. . _
rifiTF.: 09%24'97 . IliS: [l.`:i:,N:{L77
?? . .
`i?t0 9001 ::;4 M:ll L_ r1q.: 71G: ;=i. i)Il
i:i`i`i 5001 ii, ±4 H;:l..L.`.ii:S:P:_ 1.1;"t Cl.,`.d.i
infr,.. cwifi1: A;,.op"W .ii7St)
cr.t.17'., i ; Y,
iJ' Ir= 7Li; MPL.Vp."?
':'.'%'?':k.(i;',?4'Y??j'?n 1i0??':ki,?'?n:FL:?:rn.<'.4.g.?. (i$r;(Y,t$U;t?,vi„Y•}'
1
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE:
BuILosNe
PermitNumber:
030842
Date Issued:
09/24/97
SITE ADDRESS:
634
LOT:
BUR
P.I.N.: 10-15501-120-02
DESCRIPTION:
? PERMIT
Buildirrg ?Re
8ui1¢ing Wo
Census Code
!
? . '
HILLSIDE DR
12 9LOCK: 2
OAK HILLS 2MD
rmit Type DECK
'r,k 7ype NEW
434 ALT.
L
. , .. .y, .
._?+?,w ? ? s R,
4p,
a
a' ig
.% `\.
RESIDENTIAL
?
ti
REMARKS:
FEE SUMMARY:
Base Fee
Surcharge
Total Fee
?.
$50.00
$.50
$50.50
CONTRACTOR: OWNER: _ A p p 1 i c a n t-
TOBECK WAYNE
634 HILLSIDE DR
EAGAN MN 55121
(612)686-8451
r° •I Mereby acknowledge' tliat? T-hae reed` this °iaPolication "and?s?atb that te
informa,Cion is ?.cocra,ct,and agr-ea..tq,,aomply ;'wi`th nall- a:pplJcabl`e State= o? t?kt?r
L Statutes and City of agan Ord?nancss.,i,
?
PPLICANT/PERMITEE SIGNATURE ISSUED, : 5 ONATU IE k
w_l
,
?97 BUILDING PERMIT APPLICATION (RESIDENTIAL) ?ffO,ffD
O CITY OF EAGAN
3830 PILOT KNOB RD - 55122
681 -4675
New Construction Reauirements RemodeVReoav Reauirements
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam 8 window sizes; pouretl fid. design; ete.) ? 2 sRe surveys (exRerior additions 8 decks)
? 1 energy calculations ? 1 energy ralculations for heated adtldions
? 3 apies of tree preservation plan if lot piatted after 7n/93
required: _ Yes _ No
DATE: l- 2 V' q/ CONSTRUCTION COST: IA DD ? Oo
DESCRIPTION OF WORK:
STREET ADDRESS: ?
LOT / a BLOCK
8c,tiLD1N G A 00C-LeVCL ?QECK (a 'X /(o '
(o 3 q 4 1 c1-s10 E D,e Jcl ?
? SUBD./P.I.D.#: b(AR OAK H1LLS 26)0 /QDDIT10A)
PROPERTY Name: T()BE CK.O/?Y'?1 & Phone #? "?ys?
OWNER ? ?...
StreetAddress: ? 3Lt R(LL5110E (7RI JC.-
City: EA G/k /J State: " L
CONTRACTOR Company:
Street Address:
Zip: ss I z /
Phone #:
License #:
City:
ARCHITECTI Company:
ENGINEER
Name:
Phone
Zip:
Registration #:
Street Address:
City: State:
Sewer & water licereed plumber (new construction only):
and lot change are ?equested once permit is issued.
Zip:
Penalty applies when address change
I hereby acknowledge that I have read this appiication and state that the information is correct and agree to comply ith all applicable
State of Minnesota Statutes and City of Eagan Ordinances. ?
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received
Tree Preservation Plan Received
_ Yes _ No
_ Yes _ No
State:
____ Not Required
RECEIVED
SEP ? 1997
BY:
OFFICE USE ONLY
BUILDiNG PERMIT TYPE
? 01 Foundation o 06 Duplex o 11 Apt./Lodging ?
? 02 SF Dwelling ? 07 4-plex o 12 Multi RepaidRem. o
? 03 5F Addition ? 08 8-plex ? 13 Garage/Accessory ?
0 04 SF Porch ? 09 12-plex ? 14 Fireplace ?
n 05 SF Misc. ? 10 _-plex ?X 15 Deck
WORK NPE
? 31 New ? 33 Alterations ? 36 Move
? 32 Addition o 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowable) Main level sq. ft.
UBC Occupancy Sq, ft,
Zoning sq, g,
# of Stories Sq, ft,
Length sq.ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building I1M Engineering
Permit Fee Valuation: $
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
SM/ Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
p
?.' ''*s r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Miscellaneous
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bidg
Census Unit
Variance
?
!
% SAC
SAC Units
? JK ?
y PIONEEQ _ _LAND SURVErIXtS • LML ENqNEERS
* engineering UNO PUNNER$ • UNDSCAPE AR011TEC7$
* * * *
Certificate of Survey for: TOp UC7lUe Homes
House Address: Hillsi?e4Drive. Eagan. MN
42 Enterprise Drive
Mendoto Heights, MN 55120
612) 681-1914•Fax 681-9488
625 Highway 10 Northeast
Blaine. MN 55434
612) 783-1880•Fax 783-1883
HILLSIDE DRIVE - 11IEQ01%H
- ----------- ----L?1?V??UU??
N 88'52'02" W BY ?l!-LW 1M64?ZA)?
_DATE ?? 2'? 1
85.18I2 - BUILDING INS ECTIONS DEPT.
?
Z
O -•
O .?
IV ?
J O
?
U
? I
;;.9? ?-- -- - -
I
I I ?19.0
? I
? I
? I 24.00
N
DRIVpWnv
n ?
CARAGE
I o PRDPOSED HOUSE °
I o MULTI LEVQgA5EA1FNT e
N N
I
1JI.66 46.0
1
N 8a-5.
, DEtK
48.7'
W
-
/ O
? I O
I
;; I 14.91
I 5?
I
o I
o I
rv
?
)0 I
IN
I I
? I
_?_16J8
- I-
?? ?
---- -- -j
n
85.79
S 89'38'13" W
? --
?..;
L/o w,"f,aj ( ,,.j l"eI) =8y4."1
3d lavel Elov. - 89(o.45
. 900.0 Denotes Existing Elevation PROPOSEO HOUSE ELEVATION
.r9oo? Denotes Proposed Elevation Lowest Floor Elevation:841.55
Denotes Drainage & Utility Easement Top of Block Elevation:849.66
- - Denotes Drainage Flow Direction
o- Denotes Monument Garage Slab Elevation:849.33
-a- Denotes Offset Hub Bearings shown are assumed
LOT 12, BLOCK 2 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2N D A D D I TI 0 N
I herchy Cenily Ihat thn survCy, plan or reporl wa?s p?rye?pared by m or under my direcl supervision and that I am duly Fegistered Land Surveyor
vnAer ffie laws n1 1he Sta1e ol Minnesnla. Dnted this I 1.Z1'L day of ? V L Y A.D. 199 L ?
Scale: 1 !^°h=30'eet ?v
ROBE . 51 C M.S. REG. NO. 14811
1 5 i_.____?
I
(n
W O
? N
V
a
m
REACTIVATE _
PERMIT
9
CITY OF EAGAN
1993 BUILDING PERMIT
681-4675
APPLICATION
SINGLE 3 MULTI-F 2 sets of plans, 3 registered site s rveys, i copy of nergy
CalCS. wn..nacmaam.....
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 1?`r l? / I9q.3 Valuation of work
S3te Address: 63u 14 I1-1,SiDE D Q1JE
STREET SUITE M ?
?Eiidn't NdiTiE: (c'viioTiciCidi only)
LQT BIACR e9- SIIBD.%uft9- O'44V NICLS P.I.D. N
aN? 17 o n)
Descri tion of work: l?115 Ilv Sa
The applicant is: 2'&wner ? Contractor ? Other coe.«;be>
Name 60 A5-?)E Phone (?oRL? - $ 451
Property LAST FIRST
Owner Address - 6,34 NlLLS/,t>E hQl UC-
STREET STE L'
City _22 RGA /) State l?IV Zip Ss1o2 ?
Lompany Phone
Contractor Address License ri Exp.
ri L?? J44r8
S Y
Company Phone
ArchitecU
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 5tate 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
? 04 SF Porch ? 09 12-Plex 0 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'l. ? 15 Deck
WORK TYPE
,1231 New
? 32 Addition
0 33 Alteratlons ? 35 Tenant Finish
? 34 Repair ? 36 Move
GENERAL INFOR"!!ATlON
?16 Basement Finish
[117 Swiin Pool
? 18 Corten./Ind.
0 19 Comm./Ind. Misc.
? 20 Public Facility
O 21 Miscellaneous
? 37 Demolish
Const. (Act.ual) Basement sq. ft. MWCC System
(uliowablej lsi ri. sq. fY. Ciiy iiater
UBC Occupancy ? 2nd F1. sq. ft. PRV Required
Zoning Sq. Ft. total Booster Pump
# of Stories Footprint Sq. ft. Fire Sprinkler
Length On-site well Census Code
Depth On-site sewage SAC Code
APPROVALS
Planning Building Assessments
Engineering _ 4ariance
RECIUIRED INSPECTIONS
? Site
? Wallboard
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
5/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Oed.
Copies
Other
Total:
5AC %
SAC Units
Footing
Final
?
? V -,1, Yalutim:
s?
?Framing
? Draintile
8
0 Insulation
0 Fireplace
n
I
CTTY OF EAGAN
L/°? B? MECHANICAL PERMIT RECEIPT #/D 70<;2-1
SUBD. uR OfIK N/ L L S -"/.D (612) 681-4675 DATE Z
o`
RE5IDENTIAL
PLEASE COMPLEfE UPPER PORTION ONLY FOR SINGLE FAMILY DWELLINGS. ALSO, COMPLETE FOR
TOWNHOMES/CONDOS WHEN SEPARATE PERMITS ARE REQUIRED FOR EACH DWELLING UNIT.
owxEx: e ,*&-e --? s FEES
STl'E ADDRFSS:
3
i'/?5; pr
b2 ADD ON/REMODEL (E7QSTING
CONSTRUCI'ION ONL1) $ 15.00
b HVAC: 0.100 M BTU 24.00
INSTALLER: ADDITIONAL SO M BTU b.00
ADDP.ESS: /Z357) J'Lf t/t2 JOqo- vAS CVCLE"iS - I*i'i"ivuviJM i@ $3 FA. -?
CT11': ug?g ?' /? ZIP: $Sj37 SURCHARGE: $ ?
SIGNA ? TOTAL: s 33? ?'
COMMERCIAL
PLEASE COMPLEI'E THIS PORTION FOR ALL COMMERCIAI/INDUSTRIAI. BUILDINGS. AISO COMPLETE FOR
APARTMENT BUILDINGS OR OTfIER MULTI•FAMILY BUILDINGS WHEN SEPARATE PERMITS ARE NOT REQUIRED FOR
EACH DWELLING UNIT.
R'ORK DESCRIPTION: CONTRACT PRICE:
1% OF CONTRACf FEE. FEES
STATE SURCHARGE IS $.50 FOR EACH
S1,000 OF PERMTf FEE.
$
PROCFSSED PIPING - $25.00
MIIVIMUM FEE - $25.00 $
TOTAL: $
STl'E ADDRESS:
1'ENAN'P:
SUTI'E #:
INSTALLER:
ADDRESS:
CITP: ZIP:
PAONE #: CTiT SIGNATURE:
SIGNATURE:
2005 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
? 3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
? ?O.oG
New ConsW:tion Feauiremenis RemodellRepair Reauirements Otfice Use Onlv
3 regish_rea site surveys showing sq. ft. of lot, sq. ft. of house; and all roofed areas 2 copies ot plan Ced of Surrey Recd Y N
l
(20% maximum Ict coverage allaved) t set of Energy Calculatlons for heatetl additiorts Tree Pres Plan Recd Y
N
2 copies of plan showing beam & window sizes; poured found design, etc. 1 site survey for additions 8 decks Tree Pres Required Y _N
1 set of Ener9y Calculations Addrbon - indicate if on-site sepfic system On-sile Septic System _ Y_ N
3 Copies of Tree Preservation Pian if lot platted after711/93
Rim Joist Delail OpUons seiection sheet (buildings with 3 or less urnts)
/ l??
D
t
/ 05 41 ?f/?• ?O
t
C
t
ti
C
e
a
2
5i
Add It L ons
ruc
o
f os
n
U
iUSt
9
te
ress J
Ll- n
e
Description of Work mzw?- z&itr ?
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 2
Property Owner ? Telephone #
&zA M,+/
Contractor
Address
State
Zip SJ-',14A1 City k?
Telephone #( ?fj QS 2?11Y?
COMPLETE TNIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cateeorv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Ccde Worksheet
(4 submissiantype) Submiited Su6mitted
• Energy Enveiope Calcuiations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of master pian:
Licensed Plumber
Mechaniccl Contractor
Sewer; Water Contractor
Telephone #(
Telephone #(
Telephone #(
I hereby apply for a Residential Building Permit an@ acknowledge that the information is camplete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
pennit; that the work will be in ac rdance with the approved pian in the case of work which requues a review and
appro 1 of plans. 44
& /W/&
Applicant's Printed Name Applicant's Signature
ORFICE USE ONLY
Sub Types
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessoryj3ldg
O 02 SF Dwelling ? 08 06-plex ? 16 Fireplace ? 21 Porch (3-seaJ ? 31 Ext.Alt- Priulti
0 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 (screenlgazebo) ? 36 Multi Misc.
? DS 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex ? 12 12-plex Plbg_Y or_ N ? 25 Miscellaneous
Work Types
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building' ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement `DemoliGon (Entire Bld g) - Give PCA handout to applicant
Valuation Occupancy MCES System
Pian Review 100% or 25%
Census Code Zoning City Water
SAC Units Stories Booster Pump
# of Units Sq. Ft. PRV
# of Bldgs Length Fire Sprinklered
Type of Const Width
REQUIRED INSPECTIONS
_ Footings (new bIdg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas T ests Final
_ Framing _ Siding _ Stucco _ Srone _ Brick
_ Fireplace _ R.I. _AirTest _Final _ Windows
_ Insulation _ Retaining Wall
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection C-iarge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
Building Inspector
:=,:N::
`I42--0
a-
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Cors',ruchan Reauirements
3 registered sde surveys showing sq. ft. of IoL sq R. of house; and all mo(ed areas
(20% maximum lot coverage allowed)
2 copies of plan showing beam & window s¢es, poured found design, etc
1 set of Energy Calculations
' copies of T2e Preservation Plan if bt platted after711193
P,im Joist Detail Opfions selechon sheet (bwfdings wdh 3 orless unds)
Pdinnegasco mechanica] ventilation form
RemodeUReoair Reauirements
2 copies of plan showing footings, beams, joists
i setof Energy Calcula[ions for heated adtlitions
i site survey tor addNOns & decks
Addffion - indicafe i(on-site sephc system
Office Use Onlv
CeROtSurveyRecd _Y _N
Tree Pres Plan Rerd _ Y_ N.
Tree Pres Required Y N
Dn-site5epticSystem _Y _N
Date 6-7 ?o 0,6 o?
ConstructionCost ?.28-70.
Site Address 62y dillS, ?e ? r' v L Unit/Ste #
Description of Work I II !
Mulfi-Family Bldg _ y_ N Fireplace(s) 2
Property Owner 1t0424,'] mQ my,r- Telephone #(/oS-/
?
Contractor
Address ?esn.e- City /)Ifj
State Zip S5/Z? Telephone#(&SI) 9oS-0I6S _?
,i 87v- si
Z. /i7YC
COMPLETE TFfIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Energy Cade Category - Minnesota Rules 7670 Categorv 1 _ Minnesota Rules 7672
(,v su6mission Type) • Residential Ventilation Category 7 Worksheet • New Energy Code Worksheet
Submitted Submitted
• Energy Enveiope Calculations Submitted
In'he last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_ Y _ N If yes, date and address of masTer plan:
Licensed Plumber Telephone # ( J
Ntechanical Contractor Telephone #( )
Sewer!Water Contractor Telephone # ( )
I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and work is not to start without a
permit; that the work will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
Applicant's Printed Name Applicant's Signature
DO NOT WRITE BELOW THIS LINE
Sub Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? OS 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. A.It - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-seaJ ? 33 Ext. AJt - SF
? 04 02-plex ? 10 08-plex ? 18 Deck D 23 Porch (screenlgazebo) ? 36 Multi Misc.
? 05 03-plex ? 11 10-piex ? 19 Lower Level ? 24 Storm Damage
? 46 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New
? 32 Addition
? 33 Alteration
? 34 Replacement
D05CrIptI0i1: Water Damage
Valuation
Plan Review 100% or
Census Code
SAC Units
# of Units
# of Bldgs
Type of Const
_ Pootings (new bldg)
_ Faotings (deck)
_ Footings (addition)
_ FoundaCion
Drain Tile
Roof Ice & Watee Final
_ Framing
_ Fireplace _ RL _ Air Test _ Fina)
Insulatioo
Approved By:
Base Fee
Surcharge
Plan Review
MC/ES SAC
City SAC
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
License Search
Copies
Other
Total
? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 37 Demolish Buiiding` ? 43 Reroof 0 46 WindowslDoors
`Demolition (EnSre Bldg) - Give PCA handout to applicant
Yes
25%
Occupancy MCES System
Zoning City Water
Stories Booster Pump
Sq. Ft. PRV
Length Fire Sprinklered
Width
REQUIRED INSPECTIONS
_ Sheetrock
_ FinaVC.O.
Final/No C.O.
HVAC
Other
_ Pool Ftgs Air/Gas Tesu Final
_ Siding _ Stucco Lath _ Stone Lath _Brick
_ W indows
_ Retaining Wall
Building Inspector
City of Eagan
3830 Pilot Knob Rd
Eagan, MN 55122
(651) 675 -5675
www.ci.eagan.mn.us
Site Address: 634 Hillside Dr
Lot: 12 Block: 2 Addition: Bur Oak Hills 2nd
PID:10- 15501- 120 -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:
Robert J Mamer
634 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
EA091290
09/23/2009
ePermit
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA145121
Date Issued:08/24/2017
Permit Category:ePermit
Site Address: 634 Hillside Dr
Lot:12 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-120
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: 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 -
Robert J Mamer
634 Hillside Dr
Eagan MN 55121
(651) 405-0881
Beissel Window & Siding Co
1635 Oakdale Ave
W St Paul MN 55118
(651) 451-6835
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA172892
Date Issued:10/20/2021
Permit Category:ePermit
Site Address: 634 Hillside Dr
Lot:12 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-120
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janelle Mochinski
634 Hillside Dr
Eagan MN 55121
(651) 214-6089
Mikes Custom Mechanical Inc
P O Box 171
Champlin MN 55316
(763) 568-7148
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA174727
Date Issued:02/15/2022
Permit Category:ePermit
Site Address: 634 Hillside Dr
Lot:12 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-120
Use:
Description:
Sub Type:Water Heater
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janelle Mochinski
634 Hillside Dr
Eagan MN 55121
Mikes Custom Mechanical Inc
P O Box 171
Champlin MN 55316
(763) 568-7148
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA178098
Date Issued:08/01/2022
Permit Category:ePermit
Site Address: 634 Hillside Dr
Lot:12 Block: 2 Addition: Bur Oak Hills 2nd
PID:10-15501-02-120
Use:
Description:
Sub Type:Air Conditioner
Work Type:Replace
Description:
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Pete DeGrood at (507)
210-0754.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Janelle Mochinski
634 Hillside Dr
Eagan MN 55121
(651) 214-6089
Mikes Custom Mechanical Inc
P O Box 171
Champlin MN 55316
(763) 568-7148
Applicant/Permitee: Signature Issued By: Signature