642 Hillside Dr
Use BLUE or BLACK Ink
r - - - - - - - - - - - - - - - - -
I For Office Use
City of Wan ; Permit#: R I Permit Fee:
3830 Pilot Knob Road
Eagan MN 55122 I Date Received:
Phone: (651) 675-5675
Fax: (651) 675-5694 I Staff: I
I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: Site Address: l~ f
Tenant: RV,4f,,l A& 10 ~e An Cn,E? r Suite M
RESIDENT / OWNER Name: i4,- `y- Phone:-7C 3 - ~Z '13<N
Address / City / Zip: (y 2
Applicant is: Owner W.--Contractor
TYPE OF WORK Description of work: 4- Re- -5-
Construction Cos f?- an ® C? Multi-Family Building: (Yes / No )
CONTRACTOR Name: f~ S'~v2 rt/DB'C.cense Z Q !
Address: ~ 1 n W ctcity: /VE'•~-~ v~
State: n) Zip: S y Phone: rS~ g
Contact: yfP,,~ 20 Email: 5k'_11Ai5-t k fCb A(5 i ^ l e4 l~ c o ~2?
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not t start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans
x 54c Ll e x c
Applicant's Printed Name App ' a s Signature
Page 1 of 2
., -
) - w
iV1iIG'1TVAIE FCR OU-05/ 18/93
YilUADt!rA 452-6461 (H) tR 726-0719 (t,?)
wa*ficate of Cccupancv
?? ? wasom
9Dc"ftu««ct sf eriai? 38"Kdift
This Certifrcate issued pursuant to the nequirenunts of rhe URifarm Building Code
certifying that at the time of issuance this struchar was in compliance with the various
oridinances of tlre City negulating building construcrion or use. For the followireg:
use cbssdk.fim- SF DWG z swg. vermit No. 1357
OC-v-r'jY? ?? I Zonin8 asU;a R i _ Type coom. ?
Owwr of Bwming ,]CE MQiIF1t OUWT Ad&m 18133 MM AVE S, FlKOIIICIiN
B. Aaarm 642 HIIZ= L'EtIVE L 10, B2, BUR QAK EIIIM 2ND
10/30/92
u.?
s
POST IN A CONSPICLIOUS PLACE
INSPECTION RECORD Control No. 1021
? CITY OF EAGAN ?v? ??-os/ isl.? PERMIT TYPE: eu itarNe
? 3830 Pilot Knob Road Y?40Wf?1W''k52=6461 (Hr-:CR'7k6-Oi779 W Permit Number. a?13t?r
? Eagan, Minnesota 55123 Date Issued:
, (612) 681-4675
? SITE ADDRESS: COy , i * BUM ' .; APPUCANT:
4 t. 4.' HILLSIUk DR MILl.ER 114MES J49EpN
? i31lk t1Ak HI LL5 2MD . (612) 454--4663
PERMIT SUBTYPE:
?, 1 lii io,
TYPE OF WORK:
NEN
INSPECTION
f III) IJNfy .
fhAMIMA
PN',tll Ai iriN FlilAl
?1Rh?lqff
i+f11ARKS: pRV S L W CUNTRAC 1'nR .- 0!!IZ-it11A14 PLNg ?
?
-
PsrmR wo. Permlt Moldn oate reMpnotw a
S/W
PLUMBING
HVAC
ELECTRIC
ELECTRIC ?
Fnapoctlon DIb Msp. Commnnte
Footings I
7
Foundatinn
Ffafsng
Roofing
Rtwgh Plbg.
Rw'' ft.
lsui. 1D//Gl .
FIMPIDAM
IO-- ?o a•
,
F'nW "g- ts- ?S
o?m Tftt 1m?3 v 9Z 5
Flnal Plbg. O Pbg. Irbpector - Mod1y Plumber
Const Meter
ErVJP'e" e,? ? c C e e,/? d?
gldg. Finai ?o.3p f,? ps
DedcFtg. p I3 ? .? C? ? ! u f'/?Ylr
oec? Rnai s? /.GS ? O llio-iL -
weu
Pr. Disp.
?
9120
?d
Requesl Date
U c
t of
e2 8
1992 Fire N. Rough-in Inspec0on
Reqmretl>
? ReaGy N. 61MII NOhly Inspector
wn
n R
a
+
.
,
, 9;."s ? No a
aa
v
IE6i16ensed contracror p owner hereby request inspectwn of above electrical work at:
Job Atltlress (Street. Box ar Roule No I Ciry
642 Ki22hide [72iye £ayan
Secuon No TownsM1iO Name or No
Range No
County
I /7¢ko t¢
Ocwpant (PRINT) Phoire No
aoe !'1ieLeA Komee 454-4663
Power SuppLer Atltlrass
.
Dako.f¢ £2ect2ic f¢amingfon.,(7N. 55024
Eleclr¢ai ConVactor (COmpany Name) ConUactor's LicenSe No
l7idQand 6.Cec.f2ic 041690
Madinq Aaaress iComractor or Owner Making Installationi
17854-t3 augi,2ee ,lJay Lakeui2ke,(7N. 55044
AN?or a ?COn cto??Owner MaMing InslallaUOnl Pbone NumOer
- - 892-1444
MINNESOTA STATE BOA ELECTpICITY TNIS INSPEGTION PEOUEST WILL NOT
Gnggc-MlOwey Bldg - Ro -113 eE ACCEPTED BV THE STATE BOARD
1821 Univernry Ave., SL Paul. MN 55106 UNLESS PROPEF INSPECTION FEE IS
Phone (612) 603-0800 ENCLOSED
REQUEST FOR ELECTRICAL INSPECTION
h
T
k
i
ll
S
g
f `"•"`?§,
?' F?" es-ooom.oe
?o a a a s
W O? 1. 2
0 ee mslrvction5lor completin
is
ye
ow cnpy
?
t
ortn b
bac
o
hi
R
"
"
, Be/ow Work Covered by T
s
equest
X
e Atld Rep. Typeof8wlding AppliancesWired EqwpmeniWired
Home Range Temporary Service
Duplez Water Healer Electric Heating
Apt.BUilding Dryer Other-(Specify)
Comm.llndustrial urnace
Farm Air Conditioner
Other (syenty) ConVador's Remarks
Compute Inspecfion Fee Below:
A Other Fee # ServiceEntranceS¢e Fee S Circmts/Peetlers Fee
Swimming Pool ( 0 to 200 Amps /5 // a to 100 Amps 5!
7ransiormers Above 200 _ Amps Above i00 _ Amps
SICJf15 InvSpecbr's Use Only TOTAL
Irngallon Booms
i D O?
? p
?! •?
Special Inspection J l
Alarm/Communication THIS INSTALLATION MAY BE OR RE? DI ECTED IF NOT
Olher Fee COMPLETED WITHIN 18 MO TH?? ?
I, the Electrical Inspector. hereby Rougn-m
certify that the above inspection has
been made F,nei ? oaie
OFFICE USE 3NLY
TNS request vmtl tB monIDS lmm
4711'
Wv2'r
6 6 0
Requesl Date re No Rough-in Inspedion
Feqwred' NOTICE: Vou Must Call Electncal Inspeclor
If A Rough-In Inspedlon
? Y. Is Reqwretl
IA4ee-nsed contractor ? owner hereby request inspection of above electrical work at:
Job Atl/press (StreBt, Bax or Rout?e Nf.) /??p
o
/?'P
? Qy ?
L ! f?
l
l.% -
SecnOn N. iownship Name or No Farye No. Counry
? l
Owu nt RIN'p
DU GG/ E1z.. Phone No.
Power Supplier / Adtlress n /
Elecmcal Con/v?acroAr r(COrm(psanqypN?? ?`?^' iat?
tJl11i + Ft1'LL"r' V ltl ConVactor5 LicenseL,?a? .?.+Y .?
' ??? ... ,..
MailingAtltlress(COnhaclor,or ?'Pr ?(1 iakrig?RSMllaLOn)
92803 ???d ??A?+,,,?
Authonzetl Si al ( nVaclor/Ow Meking InsWllatian)
r Phone Numtier,` pqQ [eq
W?]YSIa3?
MINNESOTA STATE BOAHD OF ELECTRICf(Y THIS INSPECTION REOUEST WILL NOT
Grlggs-Midway eldg. - Poom 5773 - BE ACCEPTEO BV THE STATE BOARD
1821 Univereity Ave., SI. Paul, MN 5510i UNLESS PROPEF INSPECTION FEE IS
Phone(612)fi42-0800 ENCLDSED
(?,O/p?/ REQUEST FOR ELECTRICAL INSPECTION
?7 ? See insimcnan5 for Complehng jhls brm on 6ack af yellow copy
1 6 c c
lol L ? rJ 0 `JE•' BeJow Work Covered by This Request
Q'0 ?08
11 O
ew AdC Rep. Type of Building ApphancesWVed EqmpmentWired
Home Range Temporary Service
Dupfex Water Heater Elecinc Heanng
Apt. Building DryEr Load Management
Comm /Industrial Furnace Other (Specity)
Farm Air Conditioner
Mer (spectly) Contracmr5 Pemarks
Compute Inspection Fee Below:
# Other Fee # ServiceEntrancesrze Fee # circuitsiFeeders Fee
Swimming Pool 0 to 200 Amps o 70 100 Amps
Transformers Above 200 _ Amps Above 700 _ Amps
SignS Inspedar's Use Only. TOTAL
Irrigation Booms ?
Special Inspection J
AlarmlCommunication THIS INSTALLATION MAY BE O ED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 78 MONTHS.
I, the Electrical Inspector, hereby Rough-in oaie
certrfy that the above inspection has
been made. Final ' Date /
?y '? '
OFFlCE USE ONLY
This request void 18 momhs from
,Adflress: 642 H77.T SIDE ptuVE Lot 10 Blk 2 Sec/SubgUP, pAK HILLS 2Np
These items weta/were not complete at the time of the fina inspection.
Date: 10 30 92 Yes No
,S
Tnsppntnr,
Final grade (6" from siding) ?
Permanent steps - garage V
Permanent steps - main entry L,__41
Permanent driveway
Pezmanant gas
Sod/seeded gtass L/
Trail/curb damage ?
Porch
Basement finish ?
Deck ?
Please verify wlth the builder the ramoval of roof test caps from tha plumbing
system and the shut-off oE water supply to the outsida lawn faucet before
freeze potential exists. ?
?EnumruEx
White - City copy Yellow - Resident copy Pink - Contractor copy
I
k C1TY OF EAGAN
` 3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
PERMIT
Contral No. 1q oLnq
1
PERMITTYPE; BuzLozNG
Permit Number: 001357
Date Issued: 0 9/ 0 4/ 9 2
642 HILLSIDE DR
LOT: 10 BLOCK: 2
BUR OAK HIlLS 2ND
DESCRIPTION:
,°Builtiing Permit Type SF OWG
Building'Work Type NEW
' UBG Oceupan'c,y R-3 M-1
Gonstruction`Type V-N
Xaning ?- R-1
Buiiding Lengt'h 58
Buildirtg Widtih *
r 50
U Ll ;
?
-
REMARKS: ?,0aO-70(
PRV S& W CONTRACTQR - GENZ-RYAN PLBG
FEE SUMMARY:
VALUATSON
Base Fee
Plan Review
Surcharge
SAC
SAC %
5AC Units
Subtotal
$114,000
MZSCELLANEOUS $1.619.50
Tptal Fee $3,503.53
$688.50
$447.59
$57.00
$700.00
10@
$1,893.03
CONTRACTOR: - /+pplicant - sT. Lz OWNER:
MILLER HOMES JOSEPH 14544663 000243 JOE MILLER HOMES
18139 CEDAR AVE 5 18133 CEDAR AVE S
FARMINGTON MIV 55024 FARMSNG7QN MN 55024
(612) 454-4663 (612)454-4663
I hereby acknawledge that T have read this applicatiQn and state that the
information is otrrrect and agres ta comply with ell applicabke State of Mn.
Ststutes and City ofi Eagan Qrdinances.
AP ICAly /PERMITEE SIGNATURE 4SSUED B. SI NATU
PERMIT A
REACTbVATE
'?191
ClTY OF EAGAN
1992 BUILDING PERMIT APPLlCATION
681-4675
A U G 2 ? RBCD
;.9,-iJ3.ff 3
C'? ':', =# - ..
SINGLE 8 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 or lot chan e is re uested once ermit is issued.
Date Valuation of work _ 73,.5-e7d -`=
Site Address:?Pq;q' dxd? d? .
a
STREET SUITE /
Tenant Name: (commercial only)
IAT D BLOCK SUBD. ?? P.I.D. iF
Descri tion of work:
The applicant is: ? Owner Contractor ? Other (Descrfbe) _
Property ?7ame Phone
LAST FIRS
T
Owner
qddress
STREET STE 0
City State Zip
Company ??? ?{A?AES Phone y S y-S?? ? 3
C011tf8Ct0r Address 18133CEDARAVE.SO. license # ExpV
City q0002431 State Zip
ArChiteCt/ Company _ Phone
Engineer Name Registration #
Address
City State Zip _
Sewer 3 water licensed plumber lleAt? Processing time for
sewer 6 water permits is two days onc rea " s een approved.
I hereby acknowledge that I have read thls application and state that the information is
correct and agree to comply with all applicable State of Minnesota 5tatutes and City of
Eagan Ordinances.
Signature of Applicant: f?
? ?
OFFICE USE ONLY
P,UiLDING PERMIT TYPE
? 01 Foundation
X02 SF Dwg.
11 03 5F Addition
? 04 SF Porch
? 05 SF Misc.
? 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1
WORK TYPE
X( 31 New
O 32 Addition
? 33 Alterations
O 34 Repair
? , ..
? 11 Apt./Lodging .?
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
? 15 Deck
? 16 Basement Finish
O 17 5wim Pool
? 18 Comm./Ind.
O 19 Comm./Ind. Misc.
? 20 Public Facility
0 21 Miscellaneous
? 35 Tenant Finish
? 36 Move
? 37 Demolish
GENERAL INFORMATION
Const. (Actual) V- N Basement sq. ft. MWCC System YEs
(Allowa6le) V- N lst F1. sq. ft. City Water Eg
UBC Occupancy R 3 M_1 2nd F1. sq. ft. PRV Required
?
Zoning t?-I Sq. Ft. tatal Booster Pump -
# of Stories Footprint Sq. ft. Fire Sprinkler
Length 58' On-site well Census Code
Depth so? Un-site sewage SAC Code oi
APPROVALS
Planning Building Assessments
Engineering Yariance
REQUIRED IN SPECTION S
? Site • ? Footing . ? Framing ? Insulation
? Wallboard ? Final ? ,Draintile L ? Fireplace
,; ,,
Permit Fee veiuaup,:
Surcharge
Plan Review GAR4G?;
.
License
MWCC SAC aox2z= 44c?
City SAC qa%12=A40
Water Conn. o X I6 =/O,BSo
Nater Meter
Acct. Deposit
S/W Permit
A?Y.214 =? 528
S/W Surcharae ?1 x e= 32
Treatment Pl. SGPoY' 15= ?40„0
Road Unit
Park Ded.
Trails Ded. a 14 x2ac 672r.53= 356r?
Copies
Other
? r+FiNrsyc-Ti,enE,a,?
Total: 33L x zo:
? A+?I
$AC % f ??
SAC Units Low,?r r G"72
-
J
1232. X .53 = ?S, 294;
113,LIq 2
_ ?* *
?
PIONEEALAND waVEYORs • crwL
* --
* eng?neering UND PLANNERS . lANDSCAI
* * *
*
625 Highway 10 Noriheast
Bloine. MN 55434
812) 783-1880•Fox 783-1883
Certificate of 5urvey tor: JOS2ph M Miller Construction, CO.
House Address: 642 Hillside Drive Eaqan. MN
Model Name: Raleigh B
------------------------------
HILLSIDE DRIVE °
N89?8'13" E
a
g49,19 n
8 •oo a1J
853,3 -----
------- E1ec? XBSo,o
o? -?-------- -g
o?
5
?VI ORIVEWAY a[?'1???J _ I? Q??Jp•?0?
S$ S.I q 7.0 N 20.33 ---? 20.00
I ??.s? W N I
? a$?. ?
I? CARAGE g I O I
?• ?
? ? h I?
U iz.ov 'b I
° ? - ? ?2.0o ?
r
o w?l8syy 8 u.ao
? N
O j I m p(20POSED HWSE ± ^ I ? N
ni ? ? ? 3rd 4kh tl,?,• '
N I level level ??
J? 1' p 4B.oo 20.00 - ?
•rL , SS '
gsyy x ?- ?gs35 a W Zm? -
f*1 I ,g S•?n /i r^i /7
?? ??? TioE?" ?/
? ? gs6 ??? 'X4
• -
u , .
Y 10
? GAN EIlTGINEER.I14G
51 1
L - -------------'
86 Y,7 ° g65, 9 - - - -
DEPT
85.0 0D ??oWo Lf11???J?L?11?LJ
N 8938'13 p
3rd le„el vooVr fIQv.' gGis.j
. 900.0 Denotes Existing Elevotion PROP05ED HOUSE ELEVATION
. eoo.o Denotes Proposed Elevation Lowest Floor Elevation: $44.0
-- Denotes Drainoge & Utility Easement Top of Block Elevat(on: BSS.o
Denotes Drainage Flow Direction
-o-- Denotes Monument Garage 51ab Elevation: 959.1
-9 Denotes Offset Hub Bearings shown are assumed
LOT 10 , BLOCK 2 BUR OAK HILLS
DAKOTA COUNTY, MINNESOTA 2 N D A D p I TI 0 N
I hereby certify that this survay, plan or repoft was prepered bY me . duly Repistered Lend Surveyor
under 1he laws ol the State of Minnesota. Deced this 29' daY of ALL6. A.D. 19'I-L- .
(-'? ?nlt'
Crnlr,• 1 inch_?n feet Roee *e. 7 ?LS.RE6.N0.1<891
2422 Enterprise Drive
Mendota Heights, MN 55120
'612) 681-1914•Fox 681-9488
wo-31 922B7.01
EXTERIOR ENVELOPE AUERAGE "U".COMf`IITA;f.[ON
OWNER, pnrr:_ 0-20^100
SITE ADDRESS: ?LT 10 11 BLoLk 2i Bi111 OAk Hll.lC, PHONE:ZND AD,D'N.
GONSRAGTOR: -?61E PLm # c 1olA°IA
Determine.working square foota9e of each
1. Total exposed wall area..... ZZO % sy. ft. x.11 = Sft
2. Total roof/cei 1 ing area... .. sq. ft. x .026 = 32?n3
Total exposed wall area above floor=`qF3(D
a. 7ota1 wall window area ...........................................
b. Total door area .................................................. "1
c. Total sliding glass door area .................................... 4U
d. Total fireplace wall area ........... ............................
e. Total wall framing area (avei,age 10%) ....................:l ...... 11 q
f. Total rim joist area .............................................
g. net wall area a6ove floor .....................................
h. wall area above floor .....................................
i, wall al-ea above floor .....................................
j. frame wall area at foundation .................
Total exposed foundation area=_7 k_
K. Total foundation window area.......................
l. Total net foundation area above grade ..............?
Oetermine "u" value of each wall segment
(e,g. window, cloor, each separate wall section)
a. ?'?$,`?`1
b.
c. qU
d
x „u„ A°1 = co3,%'l1
x „U„ ,4S ? ?(vA`1
x „r A'?\ = l°l,(p
x flu.,
e. Vl'-7X 'lu,l
f. l?a x 'lu"
X 'lull
n.
;.
?.
r. ,
x liull
x °u°
x ° u'l
x .. ul
l. I"1 x liul, 1w7?f1 = S??UZ
3 . .................................rotal = 1 ,Z9
If item fl3 is the same
as, or less than item
fll, you have met the
intent of SBC 6006.(c;
4. TOTAL EXPpSED RQOF/CE.ILIIIf, f.ALCULATIONS:
Total expnsed
roof/ceillng area........ ?Z3Z. sq ft
Total skyliaht area....... sq ft x"U" °
k) Total roof/celllnq framinq ?
area (Averane 1W:) ...... iZ, sq ft x "U"
1) Total net insulated
roof/cellinq area....... I?Og ? sq ft-x
y. TOTAL j) thru 1)
If total of °ti is the same as, or less than R2, you have met the intent of
2?tCA,2 1.16008 A ar.d 0.
ALTERNATE BUILDIhIG ENVELOPE DESIGN
To utilize the fotal envelope system me[hod, [he values established by the sum
of Items ?3 and k4 shall not be 9reater than the sum of i[ems N1 and K2.
I . + 7. _
3. + 4. °
* LINEAL rECT GXPOSED WALL
BLOCK: I ? F?
KNEE: 1O`
WALKOUT:,S
FULL 1: IAS
FULL 2:
FIREPLACE:
RIM: 141%
* SQUARE FEET EXPOSED WALL AREA
BLOCK:11% x .5
KNEE: 01 x'Z
WALKOUT:IS x 8 =(r5JrJ
E'ULL 1:,A% x 8=
FULL 2: x 8 =
FTREPLACE: x
RIM:
TOTAL
SQUARE FEET EXPOSED CEILING ?Z3Z?
WINDOWS: IZSt?? ?
744 a I' 1 8
2?3cv lµfi kNi" I I I ?
Z45¢ I?) 2-7
h14° SI?U4NT _?1,??
128,T1
?ootts:3'l?ll?
ea•rio DOORS:O?L
BASEMENT UNITS:
SKYLIGH'f5:
- ??n?? SGCZrct?
lkir.l`U, Uf cpoqu(al.?ill ?ritd (I))[
? (Vainc cia?oe r,,i:.t ln„
"__'I
E:.w. tl:
4fn ?.I_
F'I(.. 1?1 'I7iIV7f:??1 CI'
! NUATllT1
WALL
--............
_._
_....... ..... ._.. _.. .. ?
....... ??? ?'?,
R- VAI111'
C'OI1 5'l'RUC'PfOPI - PRAtqTPlf; - -
t. nrrr.arOa ntr. rrul 0.68
2. .-r,3--
3. s77 zr S61 r I•ioo D s. 0'9-
?i. ?37??I1F'7t'IITiFff;
-"
Ci. Sil)fll(?
--- f2
--
- - ?9-
--,1. )fPT lt= T1j.?0S-
- U= .09
111"I
i. ' '
Irrri:i+aoR niR rilli
0.60
?.?j 5
3. Tiu-7T1'11[II..---- 1f11
??. 2M1 N ii?fll i-I 2:oc,-
5. ;ii5111r, .62
f, 1".`FPi:I?'I012 A R fiL}??-?
-- --
u= .oa
]. ] Idi'CP tOIt Aft? ('f 111 0. 60
z.
-
3. ?1??
itlf?f
?I.
S• .62
fi. 1-X'1URlf)R -A-tj-I'IIl?-'--
-- -? 0.]'7
- ---??,?- --74 . ?i?
U= .oa
III.ACK
1.
2.
3.
S.
6.
rirrcittrn? q7R PTI1•I 0.68
PRO'I'I:CI'IVC 13AIiR]CR
ER'IT.7FT(?Tt ?ATii I Ii3T' 0-77
--?'()'I'AL li?-
U`
_..-_........i . . ........ ._
_ o ' ?? r \1 ?
}h?:---;?r x? . ' , ' ?_• ; . '.
? ,' • ., ,.
si r+ii on ciinur.
/?.X.?'
I n: •_ G, /I(
1 c r13 ..
? i? ' ? ...._.... _
i. .
III ., . <
:i , D ? , •'• I;? .
; I 1- ? , • " '??1?
LLL
,
?j??•??..?.lsi_i7'?=S i" i,r.
?
110'1'E: IIIDIGI'I'C 9YPE, "R" VAL.UG,.DCP'191 NJU
PI_.ACI:IICPIT OF [P1SUI.ATTOPJ.
' ROOF-CEILING
. %
. . . . ,:??
?
. / l..
y
.?`:-r-:`
VENT
`dO
VEN'I'ED I 1`' ' fVAT FI041
u uP
FIG. NS
I I }IFAT FIAW UP
u
VEMI'ED
F'IG. N6 •
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PERNI'i' # °
lo/ 35 7
FPIA ?'E0V ?? 9BUILDI?NG ERMIT
Y 1 4 1993 681-4675
-
APPLICATION
SINGLE & 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: 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 ? Valuation of work
Site Address: 0 1--/ ve
STREEi SUTTE #
Tenant Name: (commercial only)
IAT ? BIACK Z svan. 5uR aAK HIL-S P.I.D. k
ZND ??DiT1oN
Descri tion of work: l? e-
The appl i cant i s: El Owner ? Contractor ? Other (Deseribe)
Name mA YAU&f?N Phone
Property LAS? FIRST 72? - 617 9 CO)
Owner pddress 64-2
STREET SiE M
City ?Q C-M State MH Zip SSl Z
Company Phone
Co ntractor Address License # Exp.
City State ZiP
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 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
? 02 SF Dwg.
? 03 SF Addition
? 04 Sf Porch
? 05 SF Misc.
WORK TYPE
9 31 New
? 32 Addition
? 06 Duplex
? 07 4-Plex
? 08 S-Plex
? 09 12-Plex
? 10 Multi. Add'1
? 33 Alterations
? 34 Repair
GENERAL INFORMATION
Z=SL (ALLL'3l)
(Allowable)
UBC Occupancy _7 _-3
Zoning
d of 5tories
Length JO X?Z'
Depth oX R?
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? Site
? Wallboard
Rasem?n± sq_ ft.
lst F1. sq. ft.
2nd F1. sq. ft.
Sq. Ft. total
Footprint Sq. ft.
On-site well
On-site sewage
Building
Variance
P Footing
J4 final
? 11 Apt./Lodging
? 12 Multi. Misc.
? 13 Garage/Accessory
? 14 Fireplace
JO 15 Deck
? 35 Tenant Finish
? 36 Move
? Framing
? Draintile
?
6
? Insulation
? Fireplace
Permit Fee
Surcharge
Plan Review
Licer,se
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
5/W Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Y.tuat;o,: $
-r3C7?
? 16 Basementi Fihish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm./Ind. Misc.
? 20 Public Facility
? 21 Miscellaneous
? 37 Demolish
MWCC $4St2Rl
City Water
PRV Required
Booster Pump
Fire Sprinkler
Census Code
?s?`4
Cp:sSws umw
Assessments
SAC %
SAC Units
. _ I 85.00
? _ T____ ___ ,
_ -------- -
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----------------- ------------- -----------
I ? ? 1 • ?
? I 1
._..'"""'"__ __ ' ------
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11.67 0 20.33 ?
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CA)
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? 7.0 = i
<----'- > ? 12.00 rz ?; ? I cn
o. ?
C° 12.00 o :pb
W , i
I
? 14.00
I 1
V
W
? <---------------?i
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I 46.00 I ----------- - -' i
? 1 p 10.0 ?OD I
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? ------------- ------ ?
- -- - ----------- ---
- -- ---- -- -- --- - - --
? j 1
I ?
? 0 I
L,-L aL a _ CITY aF EAGAN
StTBD. ? P?BING PERMIT
(612) 68I-4675
?
RESIDENTiAL
PLEASE COMPLETE IIppER PDRTION ONLY FOR SINGLE FAHILY DWELLINGS
WHEN PERMITS ARE gE(ZUIRED FOR EACH UNIT.
GTORK DESCRIPTION
NEW CONST ?
ADD ON _
REPAIR _
pyNER NAKE; JOE MILLER CONSTRUCTION C0. INC.
SITE ABDRESS :
INSTALLER: GIIVZ-RYAN PLUMBING
ADDRE55: 14745 South Robert Trail
CITY; Rosemount ZIp;
55068
CITY USE ONLY
RECEIPT ? io ?.589
DATE 9 9?-
AL50, FOR TOWNHOMES AND CONDOS
COMPLETE THE FOLIAWING:
N0. FIXTURES EA. TOTAL
REPAIR/ADD ON 15.00
? SHOWER 3.00 ?
WATER CIASET 3.00
? BATfi TUB 3.00
,4 IAVATORY 3.00
/ KITCHEN SINK 3.00 ?
? IAUNDRY TRAY 3.00 ?v
HOT TITB/SPA 3.00
? WATER HEATER 3.00 °'?
?
? FLOOR DRAIN 3.40 ?
GAS PIPING OUT.
I (MINIMUM - 1) 3.00 ?
2 ROUGH OPENINGS 1.50 `?SU
_ OTHER
_ WATER SOFTENER 5.00
_ PRIVATE DISP. 15.00
_ U.G. SPRINKLER 3.00
_ W. TURNAROUND 15.00
STATE SURCHARGE .50
TOTAL: S 0,?. d?
"`
COMMERCIAL
PLEASE COMPLETE THIS PORTION FOR ALL COMMERCIAL/INDUSTRIAL BUILDINGS. AISO FOR HUI.TI-FAMILY
BUILDINGS WHEN SEPARATE PERMITS ARE NOT REqUIRED FDR EACH DWELLING UNIT.
WORK DESCRIPTION:
OWNER NAME:
SITE ADDRESS:
TENANT NAME:
SUITE #: _
INSTAIS,ER;
ADDRESS:
CITSC:
PHONE
FOR:
CITY OF EAGAN
ZIP:
WNTRACT PRICE:
1% OF CONTRACT FEE. .
STATE SURCHARGE - $.50 FOR
EACH $1,000 OF PERMIT FEE.
$25.00 MINIMUM FEE.
CONTRACT PRICE x 1% $
STATE SUI2CHARGE $
TOTAL:
$
(SIGNATURE)
PHONE #: 423-1144
7g ??
?o s a
2007 RESIDENTIAL PLUMBWG PeRnniTAPPLicArioN
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellingsl Do not combine inside and outside
plumbinq on the same aqplication; separate aoplications and permits are required.
Date b / ,?? ! °"A & 7
I
Site Street Address vl-l a Hr i6l e- Unit #
Property Owner &dr1 /r Telephone # (65 71 ,? 7
Contractor_ ,5L/? Telephone# (651 74? 7
Address City State Zip
The Applicant is: ? Owner 8 Occupant ? Licensed Plumbing Contractor
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 700.00
Per as-built $ 10.00
Fire Repair (replace burned out fixtures, etc.) $ 90.00
This fee a lies when extensive lumbin re airs are made to a buildin .
Alterations to existing dwelling $ 50.00
_ Add plumbing fixtures to main level lower level. This fee includes
installation of a water softener and/or water heater at the same time. !f you are
instading onlv a water softener and/or water heater, do not complete this section;
move to the next section and place a checkmark next to the appliance(s) you are
installing.
_Septic System Abandonment
_Water Turnaround (add $136.00 if a 5(8" meter is required)
Other:
Water Softener Water Heater $ 15.00
, new _ replacement
? Lawn Irrigation _RPZ 2-<PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ ?,?50
I hereby apply for a Residential Plumbing Permit and acknowletlge that the information is complete and accurate; that the work will be
in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I understand this is not a permit, but
oniy an application for a pertnit, work is not to start without a pEA rtd-? ork will?ccordance with the approved plan in the event
a plan is required to be reviewed and approved.
???/?n I /' i 1 ? i
App icl anYs Printed Name p' ic anY i nature
PERMIT
City of Eagan Permit Type: Building
3830 Pilot Knob Rd Permit Number: EA091988
Eagan, MN 55122 . Date Issued: 11/12/2009
(651) 675-5675~~~ EPermit Category: ePermit
www.ci.eagan.mn.us lflflUl tflflLLL
Site Address: 642 Hillside Dr
Lot: 10 Block: 2 Addition: Bur Oak Hills 2nd
PID 10-15501-100-02
Use
Description:
Sub Type: e-Windows/Doors Construction Type:
Work Type: Windows/Doors-New/Replacement
Description: House
Census Code: 434- Occupancy:
Zoning:
Square Feet: 0
Comments: huprovements 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.
Fee Summary: BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
Valuation: 3,000.00
Total: $90.00
Contractor: -Applicant - Owner:
Renewal Andersen Ryan Tntz
1920 County Road C West 642 Hillside Dr
Roseville MN 55113 Eagan MN 55121--235
(651) 264-4777
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Applicant/Permitee: Signature Issued By: Signature